PLANNING THE COMPLEX ORAL REHABILITATION OF PATIENTS ON A PSYCHIATRIC PATHOLOGY – SCHIZOPHRENIA

Abstract

The tumultuous evolution of the human mind can be considered as it starts with at least three thousand years before, when, through writing, it is shown that the mindful people thought better since then on the meanings of their own conscience, although for the majority of their contemporaries were incomprehensible and frequently considered “offended”, far from reality or faith of their ancestors.Whereas the human brain allows the structure to differentiate essentials from the peculiarities of the phenomena, abstracted thinking achieved a progressive evolution regarding the measure of discovering the laws of nature and that of its understanding the sense of the world and life.Generally, the persons with disabilities have poorer results regarding health, modest achievements in education, participate less in economic life and have higher rates of poverty than people without disabilities.Schizophrenia is a chronic pathology in the brain: in Romania currently live over 200,000 people with this disability.Material and method: It has pursued a number of 34 patients with schizophrenia, hospitalized in Psychiatric Clinic in Galati in 2018-2020.Results and discussions: It has made a correlation between patient with psychiatric disorders, medication administered at the time, and dentist’s attitude toward schizophrenic patients. It is also essential the timing of performing dental treatment, and depends on the complicated mood of the patient and the disease evolution. Following the clinical-paraclinical examination and the diagnosis, the 34 patients were entered into the database, and the evaluation was performed on a long-term basis. The remediation of the oral cavity, the correction of the loco-regional pathologies and the realization of some temporary oral prostheses represented the initial stages of the treatment, followed later by the definitive prosthesis.Conclusion: The factors of a person environment, by their presence or absence make the operation better and reduce disability – for example, an accessible environment, assistive technology available – may prevent pathologies of the oral and / or dental treatment efficiency. Interdisciplinarity in the case of this pathology is essential, the collaboration with the psychiatrist regarding the adjustment of the medication being an indispensable factor in the elaboration of a treatment plan in the field of dentistry.

Keywords

• disabilities
• dental treatment
• mental illness
• schizophrenia
• medications
• oral rehabilitation