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牙种植体:躯体妄想障碍情况下的一种远程选择。

Dental Implants: A Remote Option in Case of Somatic Delusion Disorder.

作者信息

Niazi Thanvir Mohamed, Ulaganathan G, Kalaiselvan S, Lambodharan R, Mahalakshmi R, Sophia M, Giridhar V Usha

机构信息

Department of Oral and Maxillofacial Surgery, CSI College of Dental Sciences and Research, Madurai, Tamil Nadu, India.

Department of Prosthodontics, Best Dental Sciences College, Madurai, Tamil Nadu, India.

出版信息

J Pharm Bioallied Sci. 2017 Nov;9(Suppl 1):S257-S260. doi: 10.4103/jpbs.JPBS_105_17.

DOI:10.4103/jpbs.JPBS_105_17
PMID:29284975
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5731025/
Abstract

A 29-year-old female was referred by a psychiatrist for dental implantation and prosthodontic rehabilitation, as she had all her healthy permanent teeth extracted within a span of 2-6 months, due to somatic delusional disorder. She presently refuses artificial dentures and implants with the fear of having worms in her teeth and the fear not yet allayed. The patient cannot be treated for her edentulous state until her psychiatric symptoms are treated. This is the limitation for the implant surgeon where service rendered is impaired in spite of advanced professional skills, ideal patient ridge, and other factors, just where the patient is not mentally prepared for the dental rehabilitation procedures.

摘要

一名29岁女性因躯体妄想障碍在2至6个月内拔除了所有健康恒牙,由精神科医生转介来进行牙种植和义齿修复。她目前因担心牙齿里有虫子且这种恐惧尚未消除而拒绝佩戴假牙和进行种植。在其精神症状得到治疗之前,无法对该患者的无牙状态进行治疗。这就是种植外科医生面临的限制,尽管具备先进的专业技能、理想的患者牙槽嵴及其他因素,但由于患者未对牙齿修复程序做好心理准备,所提供的服务仍受到影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49ae/5731025/6efe920006ba/JPBS-9-257-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49ae/5731025/f9e802ef2405/JPBS-9-257-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49ae/5731025/5fb34d91c859/JPBS-9-257-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49ae/5731025/6efe920006ba/JPBS-9-257-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49ae/5731025/f9e802ef2405/JPBS-9-257-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49ae/5731025/5fb34d91c859/JPBS-9-257-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49ae/5731025/6efe920006ba/JPBS-9-257-g003.jpg

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本文引用的文献

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The delusion of halitosis: experience at an eastern Nigerian tertiary hospital.口臭错觉:尼日利亚东部一家三级医院的经验
Niger J Med. 2011 Apr-Jun;20(2):236-40.
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Evaluation of oral and extra-oral factors predisposing to delusional halitosis.易患妄想性口臭的口腔及口腔外因素评估。
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Dental care and associated factors among older adults with schizophrenia.老年人精神分裂症患者的口腔保健及相关因素。
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Self-mutilation of tongue and lip in a patient with simple schizophrenia.一名单纯型精神分裂症患者的舌和唇自我伤害行为
Clin Med Res. 2011 Mar;9(1):42-5. doi: 10.3121/cmr.2010.930. Epub 2010 Sep 17.
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Deciding about patients' requests for extraction: ethical and legal guidelines.决定患者的拔牙请求:伦理和法律指南。
J Am Dent Assoc. 2010 Feb;141(2):195-203. doi: 10.14219/jada.archive.2010.0139.
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Detecting mental disorders in dental patients with occlusion-related problems.在患有咬合相关问题的牙科患者中检测精神障碍。
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Dental implant treatment for patients with psychiatric disorders.
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Better understanding your patient from a psychological perspective: early identification of problem behaviors affecting the dental office.从心理学角度更好地了解你的患者:早期识别影响牙科诊所的问题行为。
J Calif Dent Assoc. 2002 Jul;30(7):512-9.
10
Dental patients with neurologic and psychiatric concerns.患有神经和精神方面问题的牙科患者。
Dent Clin North Am. 1999 Jul;43(3):471-83.