On Psychosomatic Problems in Dentistry.

Area of Science:

• Oral medicine
• Psychosomatic medicine
• Dental psychology

Background:

• Dentists frequently encounter patients with stress-related oral manifestations.
• The etiology of stress-related oral changes is under-investigated, representing a subgroup of psychosomatic diseases.
• Psychosomatic disorders have long been recognized in general medicine.

Purpose of the Study:

• To highlight the significance of stress-related oral manifestations in dental practice.
• To emphasize the need for thorough evaluation to diagnose these conditions.
• To advocate for the integration of psychological management in treating patients with psychosomatic oral disorders.

Main Methods:

• Evaluation through exclusion ('per exclusionem') to identify psychological or emotional disturbances.
• Clinical observation of stress-related oral manifestations in daily dental practice.
• Review of existing medical understanding of psychosomatic diseases.

Main Results:

• Stress-related oral manifestations are a common clinical finding for dentists.
• Diagnosis requires a process of elimination to rule out other potential causes.
• Psychological or emotional disturbances are significant factors in certain oral conditions.

Conclusions:

• Recognition and management of stress-related oral conditions are crucial for patient and clinician benefit.
• Psychological management, encompassing psychotherapy and medication, should be considered in treatment plans.
• Further investigation into the etiology of stress-related oral changes is warranted.