Xie Hao, director and chief physician of Overseas Chinese Clinic of Stomatological Hospital of Wuhan University.

Deputy Chief Physician Jie Chen, Department of Stomatology, central hospital of wuhan

Some common psychosomatic diseases, such as coronary heart disease, cancer, headache and insomnia, have attracted more and more attention. However, some oral diseases caused by psychosocial factors have not been paid enough attention. As a part of the body, oral diseases, like diseases of other organs of the body, will greatly affect the social and mental health of patients with early symptoms of epilepsy, and mental health will also affect oral health.

Dental caries can cause anxiety and insomnia.

Dental caries, that is, "worm teeth", can cause severe pain and may also cause trigeminal neuralgia. Many people, especially female patients, will have psychological problems such as mild anxiety and insomnia.

Tooth loss will directly affect chewing and occlusion. If incisors, fangs and other incisors are missing, it will even affect occlusion, chewing, pronunciation, appearance and personal image, which will threaten oral and physical and mental health in the long run.

If the missing tooth is located in the front of the oral cavity, resulting in excessive tooth gap, oral foam will easily splash out from the tooth gap, which will affect social interaction. If the incisors and lateral incisors are missing, it will have a significant impact on speech pronunciation, especially the lingual teeth sounds such as S and F sounds.

Moreover, the gap between teeth caused by missing teeth will not disappear automatically. In the long run, it may displace adjacent teeth and further affect the arrangement of teeth. Especially in children, tooth loss not only affects chewing, growth and development, but also affects the eruption and arrangement of permanent teeth.

Bad breath in the mouth hinders communication between people.

The main manifestations of periodontal disease are gingival swelling, gingival recession and loose teeth. The pathogenic factor of periodontal disease is dental calculus, which is also one of the main causes of oral odor. Bad breath in the mouth seriously hinders people's communication, such as being rejected for job hunting, not being close to colleagues, being left out in social situations and so on. The World Health Organization warns that long-term neglect of bad breath will greatly increase complications such as constipation, emaciation and various stomach diseases.

There are also some oral diseases, such as oral lichen planus, which are related to mental factors, endocrine factors, immune factors and infection factors. Among them, the illness can be relieved after removing personal psychological abnormal factors, and the recurrent attacks of patients with oral lichen planus are closely related to their emotions, anxiety, depression and excitement.

Another example is that oral temporomandibular joint disease is caused by the interaction of mental factors, social psychological factors, trauma, occlusion factors, immunity and other factors. The survey shows that patients with temporomandibular joint disease are different from normal people in overall mental health level, especially in anxiety and depression.

Adult molars are related to psychological fatigue

When people escape the psychological pressure of the subconscious, they grind their teeth in their dreams or sleep. British research shows that introversion and depression, especially emotional instability and tension, are important factors of bruxism.

Psychologists believe that bruxism is a phenomenon caused by refusing to express anger and hatred, or being unable to express lust. Psychologically speaking, grinding teeth represents a psychological state, especially when you are angry, anxious, resentful, pessimistic and abused. These people's subconscious mental state is a kind of frustration and dissatisfaction.

Adult molars are a feature of psychological fatigue, so we should pay attention to rest and adjust our mentality. However, adult molars are not taken seriously, which is related to people's misunderstanding of adult bruxism.

Recurrent oral ulcer or related to stress

The causes of recurrent oral ulcers may be related to endocrine disorders, gastrointestinal dysfunction, allergic reactions, local * * * and trace elements, and vitamin B 1 deficiency. : First, the mouth is unsanitary and infected by viruses or bacteria; Second, the disorder of human internal environment, endocrine disorders and decreased immune function lead to autoimmune diseases; Third, people's emotional frustration, such as mental stress, excessive fatigue, intractable insomnia, etc., will cause physical fatigue, decreased immunity, and illness and evil will take advantage of it.

Recently, after clinical and immunological research, the medical community believes that the two viruses that cause oral ulcers are human cytomegalovirus and EB virus respectively. They first lurk in B lymphocytes in the blood. Once a cold, psychological stress and physical fatigue, people's immunity will be reduced. At this time, the virus will attack the city and plunder the land, causing oral ulcers, which can not be cured for a long time.

With the rapid development of modern social economy and the acceleration of life rhythm, people's psychological pressure increases and they are very nervous. There are also many oral ulcers caused by environmental pollution and psychological factors.

Zhang Shuzhen, the head nurse, wrote a psychological prescription for oral diseases.

(1) For people with obvious psychological weaknesses, such as those who are prone to rage, depression, loneliness and suspicious tendencies, psychological guidance should be given as soon as possible to strengthen the cultivation of their sound personality.

(2) For people with obvious behavior problems, such as smoking, drinking, overeating, lack of exercise, etc., psychological techniques should be used to guide them to correct.

(3) For those who have obvious stressors in their work and living environment, we should help them make appropriate adjustments in time to reduce unnecessary psychological * * *.

(4) For normal people with emotional crisis, timely help should be given.

(5) Some people who have a genetic predisposition to psychosomatic diseases, such as family history of hypertension, or those who already have precursors of psychosomatic diseases (such as hypertension), should pay more attention to strengthening psychological prevention.