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Impact of post-traumatic stress disorder on oral health.

Abstract：

BACKGROUND:The stress experienced as an intense and traumatic event can increase the odds of orofacial pain, affect the biomechanics of masticatory system and compromise the periodontal health. This study was conducted to investigate the impact of post-traumatic stress disorder (PTSD) on oral health. METHODS:A case-control study with a convenience sample was designed. Probing pocket depth (PPD), clinical attachment level (CAL), bleeding on probing, and plaque were recorded at 6 sites per tooth. A visual analog scale (VAS) was used to evaluate the pain after probing. The Research Diagnostic Criteria for Temporomandibular Disorders Axis II (RDC/TMD Axis II) and Structured Clinical Interview (DSM-IV) were also applied. The final sample comprised 38 PTSD patients and 38 controls. RESULTS:Patients with PTSD had a higher degree of chronic pain, more depression and nonspecific physical symptoms (including and excluding pain) compared with the control group (Fisher exact test p < 0.001, and Chi-squared test, p < 0.001, < 0.001, < 0.001, respectively). Patients with PTSD also had more pain after periodontal probing compared with controls (Mann-Whitney, p = 0.037). The prevalence of sites with CAL or PPD ≥ 4, ≥ 5, ≥ 6 were not different between the groups. Age was associated with moderate periodontitis (multivariable logistic regression model, OR = 3.33, 95% CI = 1.03-10.75, p = 0.04). LIMITATION:The severity of PTSD precluded an ample sample size. CONCLUSIONS:Patients with PTSD presented a worse RDC/TMD Axis II profile, more pain after periodontal probing, and no difference related to periodontal clinical parameters. More studies are needed to confirm these findings.

journal_name

J Affect Disord

journal_title

Journal of affective disorders

authors

de Oliveira Solis AC,Araújo ÁC,Corchs F,Bernik M,Duran ÉP,Silva C,Lotufo-Neto F

doi

10.1016/j.jad.2017.05.033

subject

Has Abstract

pub_date

2017-09-01 00:00:00

pages

126-132

eissn

0165-0327

issn

1573-2517

pii

S0165-0327(16)31216-2

journal_volume

219

pub_type

杂志文章

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