HD 3- Psychiatry in Dental Practice

Question 1

Main things to do when talking to a psychiatric patient

Answer 1

• Putting the patient at ease
• Patient & you seated – good eye contact
• Explain what you are going to do + what you are NOT going to do – i.e. maybe not pull a tooth out!
• Referral – liaise with GMP or referral to hospital services
• Never ignore threats of self-harm (or to others)
• Record everything

Question 2

What is the difference between psychosis and neurosis?

Answer 2

• Psychosis = extreme disordered-thinking but not aware of it
• Neurosis = disordered thinking (disabling anxiety) however they are aware of it

Question 3

When is it best to treat a patient with Alzheimer’s?

Answer 3

First thing in the morning.

Question 4

What is a psychiatric side effect of excessive alcohol consumption?

Answer 4

Korsakoff’s Psychosis = B1/THIAMINE DEFICIENCY

Amnesia from recent events

Question 5

Oral effects of bulimia?

Answer 5

Dental erosion, especially palatally.

Look for traumatic lesions on the palate.