Friedlander AH, Marder SR, Sung EC, Child JS. Panic disorder: psychopathology, medical management and dental implications. J Am Dent Assoc. 2004; 135:771-778 https://doi.org/10.14219/jada.archive.2004.0306
Alonso J, Liu Z, Evans-Lacko S, Sadikova E Treatment gap for anxiety disorders is global: results of the World Mental Health Surveys in 21 countries. Depress Anxiety. 2018; 35:195-208 https://doi.org/10.1002/da.22711
Lack CW. Obsessive-compulsive disorder: evidence-based treatments and future directions for research. World J Psychiatry. 2012; 2:86-90 https://doi.org/10.5498/wjp.v2.i6.86
International Classification of Diseases 11th Revision. Mortality and Morbidity Statistics: Mental, Behavioural or Neurodevelopmental Disorders. 2022. https://icd.who.int/browse11/l-m/en (accessed October 2022)
Crerand CE, Phillips KA, Menard W, Fay C. Nonpsychiatric medical treatment of body dysmorphic disorder. Psychosomatics. 2005; 46:549-555 https://doi.org/10.1176/appi.psy.46.6.549
Aggarwal VR, Wu J, Fox F Implementation of biopsychosocial supported self-management for chronic primary oro-facial pain including temporomandibular disorders: a theory, person and evidence-based approach. J Oral Rehabil. 2021; 48:1118-1128 https://doi.org/10.1111/joor.13229
Kessler RC, Amminger GP, Aguilar-Gaxiola S Age of onset of mental disorders: a review of recent literature. Curr Opin Psychiatry. 2007; 20:359-364 https://doi.org/10.1097/YCO.0b013e32816ebc8c
Bolton JM, Gunnell D, Turecki G. Suicide risk assessment and intervention in people with mental illness. BMJ. 2015; 351 https://doi.org/10.1136/bmj.h4978
Why does patient mental health matter? Part 2: orofacial obsessions as a consequence of psychiatric conditions Emma Elliott Emily Sanger David Shiers Vishal R Aggarwal Dental Update 2024 49:10, 707-709.
Honorary Research Consultant, Psychosis Research Unit, Greater Manchester Mental Health NHS Trust, Manchester; Honorary Reader in Early Psychosis, Division of Psychology and Mental Health, University of Manchester; Honorary Senior Research Fellow, School of Medicine, Keele University, Staffordshire
This is the second article in a series looking at psychiatric presentations in dentistry. Recently, the oral health of people with severe mental illness (SMI) has gained significant media attention after the Office of the Chief Dental Officer for England published a statement on the importance of prioritizing oral health for people with SMI. Furthermore, a consensus statement has set out a 5-year plan to improve oral health in people with SMI. In keeping with these developments, this article explores the presentation of dental-specific obsessions and their relationship with psychiatric conditions, identifying how the primary care dental team can play a role in early recognition of psychiatric presentations. A fictionalized case-based discussion is used to explore clinical presentations of orofacial obsessions and their potential relationship to psychiatry.
CPD/Clinical Relevance: The role of the primary care dental team can be important for recognizing psychiatric conditions, such as obsessive compulsive disorder, body dysmorphic disorder and early psychosis.
Article
Recently, the oral health of people with severe mental illness (SMI) gained significant media attention after the Office of the Chief Dental Officer for England published a statement on the importance of prioritizing oral health for people with SMI.1 Two authors (VA and DS) have also been involved in a consensus statement2 that sets out a 5-year plan to improve oral health in people with SMI. In keeping with these developments, this article explores the presentation of dental-specific obsessions and their relationship with psychiatric conditions, identifying how the primary care dental team can play a role in early recognition of psychiatric presentations.
It is common within general dental practice to encounter patients who have presenting complaints that link to perceived defects in appearance, especially as aesthetic dentistry gains awareness. Such presenting complaints may not be linked to any underlying pathology; however, it is important to consider how a patient's psychological wellbeing may influence negative perceptions of their dental health or orofacial appearance. In this article, the fictionalized case of a young female patient presenting with an aesthetic dental complaint is explored and how this may relate to psychiatric disorders is considered.
Register now to continue reading
Thank you for visiting Dental Update and reading some of our resources. To read more, please register today. You’ll enjoy the following great benefits:
