2000 issue 1

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Volume 9, issue 1

Varia

Analysis of the results of causative stomatological treatment of patients with diagnosed psychogenic facial/head pain – preliminary report

MARIA KLEINROK1, ANNA KISTER1, ELŻBIETA KOBYŁECKA2
1. Katedry i Zakładu Protetyki Stomatologicznej z Pracownią Zaburzeń Czynnościowych Narządu Żucia Akademii Medycznej w Lublinie
2. Zakładu Matematyki i Biostatystyki Medycznej Akademii Medycznej w Lublinie
Postępy Psychiatrii u Neurologii, 2000, 9, 79-86
Keywords: psychogenic facial and head pain, craniomandibular dysfunction, dental treatment

Abstract

Patients with chronic facial and/or head pain are often unsuccessfully treated by psychiatrists. Forty-six patients with such conditions were studied: 67.3% with diagnosed psychogenic pain, 21.7% with masked depression and 11% with neurotic depression or anxiety neurosis. Psychiatric treatment was unsuccessful in 71.7% of these patients. Dislocation and or dysfunction of the mandibular discs was detected in every patient. Local causative treatment by means of a disc repositioning splint led to complete subsidence of pain in 32.6% cases and considerable improvement in 60.9% cases. The treatment resulted in complete normalisation of mental condition in 56.5% cases and considerable improvement in 37% cases. Co-operation between the psychiatrist and a dentist specialising in the treatment of craniomandibular dysfunction is essential in cases of patients suffering from facial and/or head pain.

Address for correspondence:
Dr Maria Kleinrok, Katedra i Zakład Protetyki Stomatologicznej z Pracownią Zaburzeń Czynnościowych Narządu Żucia AM, ul. Karmelicka 7, 20-081 Lublin