Features of Providing Dental Care to Patients With Psycho-Emotional Disorders in Outpatient Settings

In reconstructive dentistry, the doctor is increasingly faced with psychosomatic and
geroprosthetic problems. The main problem here is getting used to prostheses. Various problems may
appear along the way: burning sensation, difficulty swallowing, dryness, change in taste, impaired
chewing motor skills, extreme option may be complete intolerance to dentures; This is a category of
patients who complain of pain, discomfort in the teeth, jaws, tongue, lips and other parts of the face, the
cause of which is not clear or the objective changes do not correspond to the patient's complaints. The
loss of front teeth is perceived as a narcissistic wound because of its appearance and impact on speech.
They try to hide it with facial maneuvers and try to quickly restore a "radiant smile", a number of patients
turn to the dentist with constant complaints such as pain in the tongue and difficulty in moving the
tongue. Pain and a burning sensation in the tongue torment patients - they remove the crowns, ask to
"remove the sharp corners of the teeth", to remove the teeth that "interfere" with speaking and eating.
Most of these patients may suffer from masked depression. True mental manifestations of depression
(depression, "gloominess" of mood, decrease in vital functions) are difficult to determine even for an
experienced psychiatrist, sometimes only tested treatment with antidepressants helps to make a correct
diagnosis.