Dentistry and Mental Health

Question 1

Name and describe two different models used in health

Answer 1

1. Medical model - impairment within individual - doctor diagnose
2. Social model - issue within society and not individual

Question 2

Link to trauma and mental health?

Answer 2

Strong

Linked to Sigmund freud - relationship problems

Question 3

Use of trust, truth, consent in pt?

Answer 3

1. Truthful - calm, direct (minimise small talk), clear MH
2. Trust - reliable, consistent, risk assess
3. Consent - assess capacity - understand, retain info, weigh info, communication decision (can fluctuate)

Question 4

Problems with mental health pt accessing care?

Answer 4

Poor attendance, chaotic lifestyle, lack motivation, anxiety, phobia, paranoia
Consider: appt timing, reminder, empathy, involvement 3rd person

Question 5

Risk of mental health pt?

Answer 5

1. To others - hx of violence
2. To self - picking/ cutting/ OCD
3. Self-neglect - caries/perio

Question 6

Substance misuse and dentistry?

Answer 6

Increase risk of oral cancer
Methadone - increase caries risk - dry mouth
TSL - alcohol related/ attrition w parafunction
Increase risk of blood borne disease

Question 7

How to provide oral hygiene instructions?

Answer 7

If pt can brush - time brushing w/ medication
Can’t - fluoride
Duraphat toothpaste high caries
Artificial saliva