Dentistry and mental illness 1 Flashcards Preview

Year 3 Human Disease > Dentistry and mental illness 1 > Flashcards

Flashcards in Dentistry and mental illness 1 Deck (19):

what happened in rosehan study

8 'normal' people pretend to hear voices and admitted to mental hosp, diagnosed manic depression/ scizophrenia
only other patients suspected
released after 7-52 days


responsibilities of
a. psychiatrists
b. psychiatric nurses
c. psychiatric social workers
d. clinical psychologists

responsibilities of
a. psychiatrists: medical doctors specialising in psychiatry
b. psychiatric nurses: work with patients and families in community
c. psychiatric social workers: welfare rights, community facilities, powers under the mental health act
d. clinical psychologists: psychological (mental) management and treatment (not medical)


ratio of UK adults suffer from mental disorder

55% female (but men don't admit/ know?)


5 models of psychiatric disorders

-historical (witchcraft/demons)
-biomedical (physiological, biochemical)
-extreme forms of normal behaviour
-psychological models (experiences/responses)
-biopsychosocial (all of above)


explain relationship between mental illness and oral health

-less likely to prioritise going to dentist/ brushing teeth
-more likely to have dental anxiety/ phobia
-poor diet
-vomiting (eating disorders/ alcohol)


4 professional barriers of dentists to mentally ill pts

-lack of knowledge
-bad attitude
-low tolerance (restrictive UDAs, pts unreliable and unco-operative)
-poor communication


8 signs/ symptoms of anxiety

-temporal differences (morning/ evening)
-anxious/ irritable/ can't concentrate/ relax
-adverse reaction to stress
-lack of interest/ apathy
-loss of appetite/ weight
-exacerbation/ amplification of pain
-lack of insight


2 oral manifestations of depression

-chronic facial pain
-oral ulcers (helped by tricyclic antidepressants)
(inc factitious ulceration from chewing teeth/lips


symptoms/ oral symptoms of bipolar/ mania

-extreme elation or depression (mood, thought, behaviour)
-hyperactivity, excessive participation
ORAL SYMPTOMS: xerostomia (from medication)


symptoms of anxiety

unpleasant feeling/mood
fearful anticipation
inability to concentrate
acute or chronic
panic attacks
specific focus, eg phobia of dentist drills


dental relavance of alcohol abuse

-inc bruxism
-craniofacial trauma
-wine/ vodka etc causes caries
-problems with absorption/ metabolising nutrients --> poor overall health
-hard to manage pts
-increased tolerance of LA/ other drugs


what is involved in CAGE questionnaire

Cut: have you ever thought about cutting down drinking
Annoyed: have you felt annoyed by others criticising your drinking
Guilt: have you felt guilty about your drinking
E: eye opener. have you had a drink first thing in the morning to steady your nerves


cocaine stats and oral effects

900 000 users in UK (4% London)
-bruxism, rhinitis, sinusitis
-perforation of septum and palate


cannabis effects

-psychological effects ( paranoia)
-chronic inflammation of oral mucosa
-adverse effects on gingiva
-xerostomia: caries, perio, plaque
-c albicans


meth effects

-hyper-alert, paranoia, anxiety, dperession, mood swings
-reduced motor function
-impaired verbal learning
-social, psychological, physical problems
-xerostomia, caries, bruxism, bad taste, perio


suggest how powder drugs can have direct effect on mouth 2

rubbing in to gums --> gingival/ mucosal ulcerations, necrosis
-using sugar to cut drugs --> caries on incisors/ canines (when rubbing in to gums)


difference between dependence and addiction

dependence: compulsion to use, physically unpleasant withdrawal, increased tolerance, neglect other interests

addiction: dependence PLUS poor compliance, dental care is low priority (finance issues, substances mask dental pain, dental fear/ phobia)


how to treat drug user pts differently

-find out info- ask right questions
-counselling/ supprt to stop using (confidentiality, required dietary changes, financial implications, capacity/ consent)


what % of dentists suffer from addictions