PubMed · 8359334
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M Lee. 1993. Push without shove.. https://pubmed.ncbi.nlm.nih.gov/8359334/
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Dentists are trained to provide treatment for patients with straightforward problems that respond to routine therapy and do not recur. However, patients may present to dentists and complain solely of physical symptoms such as toothache, headache, and facial pain: only after much inappropriate treatment these symptoms are revealed to be due to emotional disturbance. The dentist may spend hours investigating such patients, in some of whom dental pathology may be present, but the symptoms and ensuing disability cannot be satisfactorily explained as a result. There are other patients who are preoccupied by physical symptoms or by their appearance. In others, anxiety may manifest itself as a phobia, or a dysmorphic concern about certain aspects of their appearance. This article reviews the role of liaison psychiatry and psychology in dentistry.
Rubino and Zanna (5) have responded to our comments (1) on their report (4) on the association of personality disorders with psoriasis and have presented data comparing the personality characteristics of psoriasis patients with those in urticaria patients. The problems that remain with their methodology are that dental controls may not be equivalent to dermatologic conditions, and in the urticaria study, no data on premorbid functioning were provided to differentiate state vs trait phenomena, and they did not control for duration of illness.