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Psychiatric disorders in orofacial dysaesthesia.

G Hampf1, J Vikkula, P Ylipaavalniemi

  • 1Department of Oral and Maxillofacial Surgery, University of Helsinki, Finland.

International Journal of Oral and Maxillofacial Surgery
|August 1, 1987
PubMed
Summary

Most patients with chronic orofacial pain and no clear physical cause have underlying mental health conditions. This study highlights the significant psychic background in orofacial dysaesthesia.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Psychiatry
  • Pain Management

Background:

  • Orofacial dysaesthesia is a condition characterized by facial pain without identifiable physical causes.
  • Understanding the underlying factors of chronic orofacial pain is crucial for effective treatment.
  • Previous research suggests a potential link between psychological factors and chronic pain conditions.

Purpose of the Study:

  • To investigate the prevalence of psychiatric disorders in patients diagnosed with orofacial dysaesthesia.
  • To compare the mental health status of patients with orofacial dysaesthesia to a control group undergoing dental surgery.
  • To determine if a psychic background is associated with chronic orofacial pain.

Main Methods:

  • Clinical examination of 70 patients with orofacial dysaesthesia at the Department of Oral and Maxillofacial Surgery.

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  • Psychiatric consultations for patients with orofacial dysaesthesia, with 54 attending the interview.
  • Administration of the Cornell Medical Index questionnaire to a control group of 44 patients undergoing surgical extraction of impacted teeth.

    • Main Results:

    • Among the 54 patients with orofacial dysaesthesia interviewed, 12 (22.2%) were psychotic, 27 (50.0%) had moderate mental disorders, and 11 (20.4%) had mild psychiatric disorders.
    • Only 4 patients (7.4%) with orofacial dysaesthesia were classified as psychiatrically healthy.
    • In the control group, 32 patients (72.7%) were mentally healthy, while 3 (6.8%) had severe, 5 (11.4%) moderate, and 4 (9.1%) mild psychiatric disorders.

    Conclusions:

    • A significant psychic background exists in the majority of patients suffering from chronic orofacial pain without corresponding clinical somatic findings.
    • The findings suggest that psychiatric assessment and management should be considered in the treatment of orofacial dysaesthesia.
    • This study underscores the importance of a multidisciplinary approach to managing chronic orofacial pain, integrating both surgical and psychiatric perspectives.