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Occlusal Dysesthesia: A Clinical Report on the Psychosomatic Management of a Japanese Patient Cohort.

PURPOSE
A cohort of Japanese patients diagnosed with occlusal dysesthesia (OD) was clinically analyzed for psychosomatic background, management, and treatment outcome.


MATERIALS AND METHODS
The study group comprised 61 patients (17 men and 44 women) who met the OD criteria. Treatment outcomes were categorized as improvement, interruption, and transfer to another department.


RESULTS
The diagnosed OD was resolved in 25 patients (41%), 20 patients (33%) discontinued treatment, 13 (21%) were referred or transferred to other specialties such as psychiatry, and 3 (5%) continued to receive treatment following an engagement period of 3 months, 2 years, and 5 years, respectively. Among the 20 patients who discontinued treatment, complaints persisted for 10 and they did not comply with treatment, 1 had immodithymia characterized by adherence to symptoms, 3 had depressive states, 2 were suspected to have schizophrenia, and 2 were suspected to have so-called phantom bite syndrome.


CONCLUSION
This study suggests that OD treatment should take into account the underlying psychiatric disorder manifesting as physical complaints.