Stem cell therapy is a relatively new treatment modality in the field of regenerative medicine. The therapy is gaining increased awareness and acceptance by the public. There are multiple factors that contribute to a stem cell procedure for regenerative medicine in order for it to be successful. One of these factors is a patient's mental health and psychological state. The role and significance of a counsellor/psychologist will be examined as a crucial part of the regenerative medicine team. Pre-existing issues of depression, anxiety, post-traumatic stress disorder (PTSD), addiction, low self-esteem and high levels of stress could adversely affect outcomes. For example, fears and phobias are counter-productive for planned regenerative therapy. The counsellor must also assess and determine that the patient is mentally and psychologically healthy. In addition, advice is necessary for the patient to have realistic expectations in order for them to be eligible for treatment. Some patients are not suitable for stem cells and other regenerative procedures until psychological treatment is successful, particularly in body image dysmorphia. A comprehensive psychological assessment is needed and answers must be provided for patients by the counsellor during all phases of the treatment.
Neuropathic trigeminal pain is a difficult condition to diagnose as the pain is an invisible non-odontogenic phenomenon but typically presents as high intensity pain in the teeth and surrounding tissue. Persistent pain leads to psychological and behavioural issues. Medical conditions that consequently manifest include the co-morbid psychological states of depression, anxiety and stress that can lead to suicide. Addiction plays a maladaptive role utilised by patients to escape their pain. Improved pain outcomes are achieved when instituting comprehensive psychological assessment and treatments with established medical and dental chronic pain protocols.
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