A Psychotic Reaction to Dental Care A Case Report
Journal Title: Interventions in Pediatric Dentistry Open Access Journal - Year 2018, Vol 1, Issue 5
Abstract
Behavioural reactions to dental procedures have not received sufficient attention in either the psychiatric or dental literature. In medicine, behavioral reactions have been studied in relation to many types of medical and surgical procedures [1-7]. In dentistry, behavior in the dentist’s office has been studied and related to maternal anxiety and to previous dental or medical trauma [8,9]. Behavior after the dental office visit has not received much emphasis, nor have adverse behavioral reactions been described as squeal to dental procedures. The patient to be described may represent an extreme example of an adverse reaction to a series of dental procedures, but the case is worthy of note. D.D.S. was first seen in early 1971 after his parents sought psychiatric help for this twelve year old male seventh grader who had been having school problems of increasing unacceptability. At the time of the psychiatric evaluation, he was said to be, on the one hand, very aggressive, provoking peers much bigger than he. On the other hand, he often huddled in an isolated fashion and hid himself fearing his same-sized classmates would hurt him. Ile frequently was involved in minor stealing events. In addition, he bit children; threatened others with scissors; kicked classmates for no apparent reason and threw furniture about rooms at school. On one unsupervised occasion, he took a volley ball and threw it around the gym after covering it with paint left by a workman who had taken a coffee break. Such had been his behavior since he started school with progressive unacceptability culminating in the school’s refusal to allow him to return after the paint in the gym incident.
Authors and Affiliations
Samuel A Nigro
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