こころと身体全体を見据えた歯科医療

概要

論文の詳細を見る
It is not uncommon to see the patients with medically and psychiatrically unexplained oral symptoms. They have been called as "oral psychosomatic disorders (OPSD)" in general practice. And now, there are exactly many patients with OPSD who can't take proper 'dental treatment'. So there is a growing need for managements for them from both sides of dentists and patients. Main psychosomatic treatment is psychopharmacological one with SSRIs (Selective Serotonin Reuptake Inhibitors), SNRIs (Serotonin-Noradrenaline Reuptake Inhibitor), SDAs (Serotonin-Dopamin antagonists) etc. And supportive psychotherapies are applied. Psychosis, as a matter of course, should be treated by psychiatrists, so we have to discriminate them from OPSD, and properly refer to psychiatry. It is important to have identity as a dentist on practice of psychosomatic dentistry. However for proper diagnosis and treatment of OPSD, dentists must have more medical knowledge and prepare for complicated pathophysiology adding to "preexisting dentistry", Because the object of dental practice is not only the oral cavity alone, but rather the whole person with dental problems.
2010-06-30