engleski

Periodontal status in patient with posttraumatic stress disorder

Aim: The aim of this epidemiological study was to determine the periodontal status of patients suffering from posttraumatic stress disorder (PTSD), and to compare it to a specific group, also a war veterans who never developed PTSD. Material and Methods: The study included 159 male war veterans subjects. 93 of them comprised the test group of patients with PTSD (47.7 years), and 66 of the subjects were the psychiatrically healthy control group (46.6 years). All of them were exposed to war stress, but the subjects in the control group never sought psychiatric help. Subjects were divided according to the general anamnestic data, and periodontal measurements were recorded (API, BOP, PD, RE, CAL). Results: Considerably worse periodontal status was found in the test group compared to the control group regarding the following measurements - API (83, 3 vs. 37, 9%), BOP (86, 9 vs. 49, 8%), PD (3, 63 vs. 2, 65 mm), RE (2, 91 vs. 1, 80 mm), CAL (6, 14 vs. 4, 10 mm). In adition, PTSD patients had fewer teeth present (23.67 vs. 26, 11 teeth). The percentage of smokers in PTSD group was also higher (61, 3 vs. 27.3%). Conclusion: Negative influence of smoking and the improper oral hygiene were partly responsible for considerably worse periodontal status of the examinees in the PTSD group. The obtained results clearly show that the persons with PTSD can be considered the risk group for progression of periodontal disease, and that they need an increased prevention measurements and education about the importance of the their oral health.

periodontitis; PTSD; periodontal indices; stress

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