RESUMO
Psychogenic pain has been described in many parts of the body such as limbs, digestive system, respiratory organs, and obstetrics. Computer searches have not found a single published case of psychogenic pain of dental origin. Two such cases are described within this paper, which describes pain severe enough to interfere with normal daily activity. The first describes a situation which resulted in 5 operations being performed before an adequate diagnosis was made and treatment started with hypnosis. The second was an inability to work, sleep, and lead a normal existence because of pain which had no organic origin. Hypnosis treatment allowed the patient to have a proper diagnosis before any operative treatment was given and resume normal activity.
Assuntos
Hipnose , Doenças da Boca/terapia , Manejo da Dor , Transtornos Psicofisiológicos/terapia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doenças da Boca/psicologia , Dor/psicologia , Equipe de Assistência ao Paciente , Transtornos Psicofisiológicos/psicologia , Resultado do TratamentoRESUMO
Tongue thrust is a relatively infrequent habit which can result in disruptive, permanent oral malocclusion, bone changes, and facial disharmony. The use of hypnotic phenomena can augment myofunctional therapy. Temperature control, glove anesthesia, relaxation, and imagery enhance demonstration of the proper way to swallow. The cornerstone of having the patient actually feel the contraction at the insertion of the masseter muscles provides an inner biofeedback which provides a very positive signal that the improper habit is being corrected. Hypnosis can then be used in the manner described to achieve a good clinical result.
Assuntos
Hipnose , Hábitos Linguais/terapia , Adulto , Biorretroalimentação Psicológica , Deglutição/fisiologia , Dor de Orelha/terapia , Feminino , Humanos , Imaginação , Má Oclusão/terapia , Terapia de Relaxamento , Hábitos Linguais/psicologiaRESUMO
A 17-year-old girl with temporomandibular joint disease who had been treated with the usual types of treatment for 8 1/2 years by multiple clinicians was treated using hypnosis as an adjunct. The treatment, which is described in detail, was successful for 6 months until the patient transferred to an urban college where additional academic and personal pressures caused her bruxism symptoms to reappear. Probable causes of the relapse are discussed.