[Article in Japanese]
Journal: Nippon Rinsho. 2009 Sep;67(9):1749-54.
Author: Inamitsu T.
Affiliation: Section of Psychosomatic Medicine, Fukuoka Dental College.
NLM Citation: PMID: 19768911
Functional somatic syndromes (FSSs) are common in dental as well as
medical practice. Many patients with unexplained symptoms in
oro-maxillo-facial areas visit dentists, but they are not diagnosed
and treated properly.
Temporomandibular disorder, atypical facial pain, and glossodynia
(burning mouth syndrome) are included in dental FSSs. These diseases
overlap with each other and with FSSs in other organs, such as
myofacial pain syndrome, tension-type headache, fibromyalgia, and
chronic fatigue syndrome. T
hey coexist with mental disorders, such as anxiety disorder, mood
disorder, and somatoform disorder. Multidisciplinary and holistic
approaches should be applied to dental FSSs; pharmacological therapy
(antidepressants), physical therapy, and cognitive-behavioral therapy.
Clinicians have to support a patient in"enjoying his/her life with
symptoms". Dental specialists in "oral medicine" with psychosomatic
viewpoints are now required.