engleski

Self-reported Symptoms of TMD in War Veterans with PTSD

The aetiology of temporomandibular disorders (TMD) remains controversial. The role of stress is stil under discussion. Aim: The aim of this study was to determine the prevalence of subjective symptoms of TMD in a group of Croatian War veterans with posttraumatic stress disorder (PTSD) occuring as a conseguence of exposure to war stress. Methods: A group of 100 male subjects (x=35.56&#177; ; 6.12, range 25-52) who had participated in the War in Croatia and had PTSD was examined. The control group comprised 100 subjects of the same sex and age (x=34.5&#177; ; 7.67, range 24-51) who hadn't participated in the war and hadn't PTSD (Harvard trauma Questionaire). The examination was performed by means of a questionaire in which the subjects answerwd questions with 'yes' &#8211; ; 'no'. Results: Eighty two per cent of the group with PTSD had at least one symptom compared to 24% of the healthy subjects (chi-square 55.26 ; p<0.0001). Sound in TMJ was the most frequent symptom in both groups (60% in PTSD group, 12% in healthy subjects, chi-square 22.96 ; p<0.0001). The greatest difference between the groups is related to teeth clenching and greeding (84% PTSD group, 8% healthy subjects, chi-square 55.11 ; p<0.0001), and headaches (78% PTSD group, 4% healthy subjects, chi-square 53.58 ; p<0.0001). Conclusion: High presence of subjective symptoms in exameenes with PTSD and statistically significant difference compare to healthy control group confirms the important role of war stress on the genesis of TMD.

temporomandibular disorders; PTSD; sounds

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