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Implanted transmitter in maxilla: real or imaginary?

W M Torchinsky

    International Journal of Psychosomatics : Official Publication of the International Psychosomatics Institute
    |January 1, 1995
    PubMed
    Summary

    A patient presented with a suspected root fragment, but imaging revealed an unusual opacity. Despite the material appearing as dental amalgam, the patient believed it was a transmitter, leading to a tentative schizophrenia diagnosis.

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    Area of Science:

    • Oral Surgery
    • Radiology
    • Psychiatry

    Background:

    • A patient was referred for evaluation of a suspected root fragment in the upper right canine region.
    • Periapical radiography identified a unique
    • filament
    • type opacity.

    Observation:

    • The patient reported pain and insisted the removed material, appearing as dental amalgam fragments, was a transmitter.
    • The patient's belief was incongruent with the radiographic and physical evidence.

    Findings:

    • Radiographic examination showed a "filament" type opacity.
    • The removed material was consistent with dental amalgam fragments.

    Implications:

    • This case underscores the need for a multidisciplinary approach in managing patients with complex presentations.
    • Considering potential underlying psychiatric conditions, such as schizophrenia, is crucial for comprehensive patient care.

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