Article

Photo-acoustic stimulation induced altered state of consciousness. A unique method for treatment orthodontic patients

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Abstract

The most frequent complaints of orthodontic patients are related to treatment induced pain, aesthetics and occlusion. Most of these complaints usually disappear during the treatment or soon after the orthodontic treatment is fulfilled. However, in certain cases the complaints remain after treatment notwithstanding that a standard and proper orthodontic treatment was carried out. In such cases existence of complaints is frequently rooted in deeper psychological problems of patients. One of the most difficult problems in the treatment of orthodontic patients suffering from such psychogenic complaints is their refusal to accept the psychological background of their symptoms. Since most of these patients refuse a referral to psychiatrist and/or psychotherapist, an initial psychosomatic therapy is needed, which is a scope of dental professions duty. Initiation of a palliative orthodontic care and gradual escalation of any kind of mind-body therapies (as "basic therapeutics" for psychosomatic disorders) are "cornerstones" of such psychosomatic dental interventions. Photo-acoustic stimulation combined with hypnotherapy was found a highly efficient mind-body method for treatment of such orofacial psychogenic manifestations including psychogenic orofacial pain, esthetic overcriticism and occlusal problems of psychogenic origin. Improved oral defense functions including increase of salivary flow rate, salivary amylase and protein concentration, increased level of salivary IgA and salivary chaperone Hsp70 was also reported in relation with photo-acoustic stimulation treatment. Photo-acoustic stimulation utilizes flash light and rhythmic sound effects for the induction of a unique altered state of consciousness. Although turning the light or sound on and off leads to stimulation of the central nervous system as a short stimulus, longer lasting stimulation with flash light and tone signals leads to a unique trance state with mixed alpha-theta activity and to bodily relaxation with increased skin resistance, decreased EMG activity and decreased salivary cortisol level. Based on above, photo-acoustic stimulation seems to be an efficient tool, suitable for the initial psychosomatic therapy of orthodontic patients with psychogenic symptoms. Photo-acoustic stimulation may also be a useful tool for other professionals working in several other fields of psychosomatic medicine and psychotherapy.

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