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Type: Journal article
Title: Management challenges in psychiatric patients with severe mandibular pain: a case report
Author: Cheng, Andrew Hua-an
Kunchur, Ranjit
Goss, Alastair Norman
Citation: Australian Dental Journal, 2011; 56(1):82-84
Publisher: Australian Dental Association
Issue Date: 2011
ISSN: 0045-0421
School/Discipline: School of Dentistry
Statement of
A. Cheng, R. Kunchur and A.N. Goss
Abstract: A 68-year-old man was admitted to the psychiatric unit of a major hospital as he was threatening self-harm due to uncontrolled left mandibular pain. Although he had significant psychiatric issues, psychiatric treatment did not help him. Further review at three weeks post-admission showed that he had had many months of unsuccessful dental treatment and this had triggered his psychiatric crisis. Multidisciplinary investigation and communication showed that he had trigeminal neuralgia secondary to vascular changes in his temporal lobe. He responded well to explanation and anti-neuralgic medication. Simple guidelines on how dental practitioners can cope with such patients are presented.
Keywords: Chronic pain; trigeminal neuralgia; psychiatric disorders
Rights: © 2011 Australian Dental Association
RMID: 0020103922
DOI: 10.1111/j.1834-7819.2010.01285.x
Appears in Collections:Dentistry publications

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