This is the second article in a series looking at psychiatric presentations in dentistry. Recently, the oral health of people with severe mental illness (SMI) has gained significant media attention after the Office of the Chief Dental Officer for England published a statement on the importance of prioritizing oral health for people with SMI. Furthermore, a consensus statement has set out a 5-year plan to improve oral health in people with SMI. In keeping with these developments, this article explores the presentation of dental-specific obsessions and their relationship with psychiatric conditions, identifying how the primary care dental team can play a role in early recognition of psychiatric presentations. A fictionalized case-based discussion is used to explore clinical presentations of orofacial obsessions and their potential relationship to psychiatry. CPD/Clinical Relevance: The role of the primary care dental team can be important for recognizing psychiatric conditions, such as obsessive compulsive disorder, body dysmorphic disorder and early psychosis.

This is the fourth article in a series looking at psychiatric presentations in dentistry. Recently, the oral health of people with severe mental illness (SMI) has gained significant media attention after the Office of the Chief Dental Officer for England published a statement on the importance of prioritizing oral health for people with SMI. Furthermore, a consensus statement has set out a 5-year plan to improve oral health in people with SMI. In Part 3, we discussed how a psychiatric disorder can result in dental pathology primarily through self-neglect. This article explores tooth surface loss and the potential link with psychiatry, considering the role of the primary dental care team in early recognition of psychiatric presentations. A fictionalized case-based discussion is used to explore this concept. CPD/Clinical Relevance: This article emphasizes the role of the primary care dental team in recognition of psychiatric conditions, such as eating disorders.

This is the final article in a series looking at psychiatric presentations in dentistry. Recently, the oral health of people with severe mental illness (SMI) has gained significant media attention after the Office of the Chief Dental Officer for England published a statement on the importance of prioritizing oral health for people with SMI. Furthermore, a consensus statement has set out a 5-year plan to improve oral health in people with SMI. In Part 4, we discussed how a psychiatric disorder can result in dental pathology by contributing to risk factors associated with tooth surface loss. This article explores chronic orofacial pain symptoms and their link with psychiatry, considering the role of the primary dental care team in early recognition of psychiatric disorders. Given the range of chronic orofacial pain subtypes, we will present two separate fictionalized case-based discussions to explore their presentation. CPD/Clinical Relevance: The primary care dental team has a role in recognition of psychiatric conditions and subsequent chronic orofacial pain.