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Body dysmorphia in dentistry and prosthodontics: A practice based study.
Carolina Pérez Rodríguez1, Roy B Judge1, David Castle2
1Melbourne Dental School, The University of Melbourne, Melbourne, 720 Swanston Street, Carlton, VIC, 3010, Australia.
Journal of Dentistry
|December 24, 2018
Summary
Body Dysmorphic Disorder (BDD) affects 4-7% of dental patients, particularly women and those with mental health history. Dentists can use the Dysmorphic Concern Questionnaire (DCQ) to identify these patients.
Area of Science:
- Dentistry
- Psychiatry
- Public Health
Background:
- Body Dysmorphic Disorder (BDD) and dysmorphic concerns are prevalent in dentistry and prosthodontics.
- The mouth and teeth are common preoccupations for individuals with BDD.
Purpose of the Study:
- To evaluate the prevalence of dysmorphic symptoms and BDD in patients seeking prosthodontic care.
- To assess the utility of validated tools in general and specialist dental practices.
Main Methods:
- Recruited 213 patients from prosthodontic and general dental practices.
- Administered the Dysmorphic Concern Questionnaire (DCQ) and a clinician-rated form.
- Utilized DCQ score cut-offs of 9 and 12 to determine prevalence.
Main Results:
- Prevalence of BDD was 7% (cut-off ≥ 9) or 4% (cut-off ≥12).
- Women and individuals with a history of mental health issues were more likely to have high DCQ scores.
- Cosmetic, implant, and prosthodontic practices had a higher proportion of patients with high DCQ scores compared to general family practices.
Conclusions:
- The DCQ is a suitable, brief, and simple tool for dentists to incorporate into patient history taking and examination.
- Early identification of patients with dysmorphia is crucial to prevent irreversible treatments and improve patient-centered outcomes.
Keywords:
Body dysmorphic disorderDental aestheticsMental healthPhysical appearancePsychologyScreeningMore Related Videos
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