Table 3.82.
Key considerations for dental management in hypochondriasis (see text)
Management modifications* | Comments/possible complications | |
---|---|---|
Risk assessment | 2 | Recognition of hypochondriasis |
Appropriate dental care | 2 | Eliminate organic cause for complaints; sympathetic handling; consider psychiatric consultation |
Pain and anxiety control | ||
– Local anaesthesia | 1 | |
– Conscious sedation | 1 | |
– General anaesthesia | 3/4 | |
Patient access and positioning | ||
– Access to dental office | 0 | |
– Timing of treatment | 0 | |
– Patient positioning | 0 | |
Treatment modification | ||
– Oral surgery | 1 | |
– Implantology | 1/5 | Individualised evaluation |
– Conservative/Endodontics | 1 | |
– Fixed prosthetics | 1 | |
– Removable prosthetics | 1 | |
– Non-surgical periodontology | 1 | |
– Surgical periodontology | 1 | |
Hazardous and contraindicated drugs | 1 | Avoid acetaminophen and erythromycin in patients on antidepressants |
0 = No special considerations. 1 = Caution advised. 2 = Specialised medical advice recommended in some cases. 3 = Specialised medical advice mandatory. 4 = Only to be performed in hospital environment. 5 = Should be avoided.