Mental disorders in dental practice: A case report of body dysmorphic disorder

There are very few existing reports in adolescents about the clinical presentation and treatment challenges associated with body dysmorphic disorder coexisting with suicidal behaviour. This case report describes a 13-year old male with body dysmorphic disorder, who was completely convinced that his belief related to the disorder is true (delusional belief) and therefore had no insight into his condition. His preoccupation with the shape of his nose progressed significantly over a 2-year period to the extent that he wore a surgical mask on a daily basis to camouflage the perceived defect. The distress due to the persistent preoccupation and intrusive thinking became so severe that he started to experience suicidal ideation and attempted suicide twice with no harm sustained. This case report focuses on three treatment challenges faced by the treating team: the need of continued treatment with pharmacotherapy and psychotherapy following a cosmetic procedure, the impact of the mother’s preoccupation with her physical appearance on the recovery of the young person, and the management of suicidality. We have also highlighted the probable causative factors of the development of the illness in this patient which are consistent with the established aetiology of body dysmorphic disorder.

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Combination of Digital and Conventional Workflows in the CAD/CAM-Fabrication of an Implant-Supported Overdenture

Materials ◽

10.3390/ma13173688 ◽

2020 ◽

Vol 13 (17) ◽

pp. 3688

Author(s):

Michael Benno Schmidt ◽

Angelika Rauch ◽

Marcus Schwarzer ◽

Bernd Lethaus ◽

Sebastian Hahnel

Keyword(s):

Case Report ◽

Selective Laser Sintering ◽

Digital Manufacturing ◽

Manufacturing Processes ◽

Dental Practice ◽

Current Case ◽

Future Developments ◽

Lower Jaw ◽

Cad Cam ◽

Upper Jaw

Completely digital workflows for the fabrication of implant-supported removable restorations are not yet common in clinical dental practice. The aim of the current case report is to illustrate a reliable and comfortable workflow that reasonably merges conventional and digital workflows for the CAD/CAM‑fabrication of implant-supported overdentures. The 53-year old patient was supplied with a digitally processed complete denture in the upper jaw and, simultaneously, with an overdenture supported by four interforaminal implants in the lower jaw. The overdenture included a completely digitally processed and manufactured alloy framework that had been fabricated by selective laser sintering. The case report indicates that digital manufacturing processes for extensive and complex removable restorations are possible. However, as it is currently not yet possible to digitally obtain functional impressions, future developments and innovations might focus on that issue.

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Culture and mental disorders

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.678 ◽

2017 ◽

Vol 41 (S1) ◽

pp. S517-S517

Author(s):

A. Adrián ◽

C. Noval Canga ◽

H. Rebeca ◽

S. Isabel ◽

G. Sofía ◽

...

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Mental Disorders ◽

Psychiatric Diagnosis ◽

Emergency Service ◽

Psychotic Symptoms ◽

Sociocultural Factors ◽

Psychiatric History ◽

Sexual Content ◽

Competing Interest

ObjectivesShow with a case report how psychiatric pathology may face differential diagnosis problems when sociocultural aspects are involved.Methods and materialsSeventy-three year old man, born in Colombia. During the last two months, he had come many times to the emergency service due to behavioural changes. He does not have previous psychiatric history. His daughter refers that one of the patient's sisters has been diagnosed of “mystical madness”. The previous days he abandoned his medical treatment saying that he “gets in touch with his wife and that he wants to meet her”. Since his wife's dead, he had presented an excessively adapted behaviour, without grief symptoms. The first hospitalization day he said we wanted to get married with one of his daughters, with a sexual content speech, being able to get emotional when he spoke about his dead wife. Now the patient is under frequent reviews, and it is thought the differential diagnosis of depression with psychotic symptoms, due to the lack of symptoms remission.ConclusionWhenever we face different psychiatric diagnosis we don’t keep in mind some sociocultural factors, which could be masked and raise different doubts. It is important to keep in mind that each country or ethnical have their own cultural habits which are going to deeply influence patient's personality.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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The links between body dysmorphic disorder and eating disorders

European Psychiatry ◽

10.1016/s0924-9338(00)00398-9 ◽

2000 ◽

Vol 15 (5) ◽

pp. 302-305 ◽

Cited By ~ 32

Author(s):

J. Rabe-Jablonska Jolanta ◽

M. Sobow Tomasz

Keyword(s):

Eating Disorders ◽

Anorexia Nervosa ◽

Eating Disorder ◽

Mental Disorders ◽

Bulimia Nervosa ◽

Life Events ◽

Affective Disorders ◽

Body Dysmorphic Disorder ◽

Control Group ◽

Healthy Controls

SummaryThe aim of the study was to search for a body dysmorphic disorder (BDD) period preceding the symptoms meeting the criteria of either anorexia or bulimia nervosa, and an evaluation of the prevalence of BDD symptoms in a control group of girls without any eating disorder. Ninety-three girls (12–21 years old) were included in the study (36 with anorexia nervosa, 17 with bulimia nervosa and 40 healthy controls). The Structured Clinical Interview (SCID), including the BDD module, and a novel questionnaire (for the presence of preceding life events) were used. We found the symptoms of BDD in 25% of anorexia nervosa sufferers for at least six months before observing a clear eating disorder picture. Moreover, other mental disorders were also present among these patients. The results may support the idea that BDD and anorexia nervosa both belong to either OCD or affective disorders spectra.

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