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Erschienen in:
01.08.2011 | original article
Study on characteristics and treatment orientation of dental patients with mental disorders based on the results of psychiatric medical interview
Erschienen in: international journal of stomatology & occlusion medicine | Ausgabe 1/2011
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Introduction
In routine clinical dental treatment dentists have the opportunity to treat patients who may be suffering from mental disorders. In this study the current status of dental patients with mental disorders was examined and a classification of the patients was indicated and applied.
Methods
A total of 135 patients who consulted the department of Occlusion & Liaison at Kanagawa Dental College Hospital were investigated in this study. Mental disorders of the dental patients were determined according to the diagnostic and statistical manual of mental disorders 4th text revision (DSM-IV-TR) criteria. The original patient classification was performed from the relation of a patient’s main complaint, dental findings and mental disorders and a new orientation to dental treatment is presented.
Results
The present subjects were 135 patients (18 men, 117 female: mean age 50.4 ± 13.7 years, range 21–80 years, median 52 years) (Fig. 2) and the number of patients diagnosed as mental disorders of DSM-IV-TR was 99 out of 135 patients. The categories of mental disorders found in this study were somatoform disorders, mood disorders, anxiety disorders, personality disorders, adjustment disorders, sleep disorders, schizophrenia and delusional disorders. The Miyaoka-Wake (M-W) classification was assigned according to the relationship between objective symptoms and subjective symptoms. Treatment orientation to the chief complaint was indicated as three categories, namely, active dental treatment, transitive dental treatment and negative dental treatment.
Conclusions
Patients who consulted the department of Occlusion & Liaison had a high frequency of mental disorders. It became clear that patients in the group with mental disorders were consulting more clinics and hospitals compared with those in the group with no mental disorders.
Patients were classified into A, B, C, D and E (M-W classification) and treatment orientations were reported according to the chief complaint, i.e. active dental treatment, transitive dental treatment and negative dental treatment. This study may be useful for treatment orientation of the dental patients having mental disorders.