Hamid Sulaf H, Dashash Mayssoon A D
Pediatric Dentistry Department, Faculty of Dentistry, Damascus University, Damascus, Syria.
J Investig Clin Dent. 2019 Feb;10(1):e12372. doi: 10.1111/jicd.12372. Epub 2018 Nov 20.
Most children in war zone countries often experience post-traumatic stress disorder (PTSD). This turns the war into a health issue of great importance. The aim was to evaluate dental and gingival status of children suffering from PTSD.
A case control study, which included 60 children (30 diagnosed with PTSD and 30 healthy controls) between 9 and 14 years, was undertaken. Dental status was assessed using decayed, missing, and filled teeth (DMFT) for permanent and decayed, missing and filled teeth (dmft) for primary. Gingival status was examined using plaque (PI) and gingival (GI) indices. Child PTSD reaction index (CPTSD-RI) was used to evaluate the severity of PTSD.
There was no significant difference in DMFT and dmft indices between the PTSD children and the controls. However, PTSD children had more decay in permanent (DT) and primary teeth (dt), more primary missing teeth mt and less filled teeth in their permanent (FT) and primary (ft) dentition. Significant difference was found between PTSD children and controls regarding PI (P < 0.00001) and GI (P < 0.0001). CPTSD-RI was positively correlated with DMFT (P = 0.002), PI (P = 0.038), and GI (P = 0.007).
PTSD children had poor dental and gingival status than matched controls and they were affected by PTSD severity.
战区国家的大多数儿童经常经历创伤后应激障碍（PTSD）。这使战争成为一个极为重要的健康问题。目的是评估患有创伤后应激障碍的儿童的牙齿和牙龈状况。
进行了一项病例对照研究，纳入了60名9至14岁的儿童（30名被诊断为创伤后应激障碍，30名健康对照）。使用恒牙的龋失补牙数（DMFT）和乳牙的龋失补牙数（dmft）评估牙齿状况。使用菌斑指数（PI）和牙龈指数（GI）检查牙龈状况。儿童创伤后应激障碍反应指数（CPTSD-RI）用于评估创伤后应激障碍的严重程度。
创伤后应激障碍儿童与对照组之间的DMFT和dmft指数无显著差异。然而，创伤后应激障碍儿童的恒牙（DT）和乳牙（dt）龋坏更多，乳牙缺失牙（mt）更多，恒牙（FT）和乳牙（ft）列中的补牙更少。在菌斑指数（P<0.00001）和牙龈指数（P<0.0001）方面，创伤后应激障碍儿童与对照组之间存在显著差异。CPTSD-RI与DMFT（P=0.002）、PI（P=0.038）和GI（P=0.007）呈正相关。
创伤后应激障碍儿童的牙齿和牙龈状况比匹配的对照组差，并且他们受到创伤后应激障碍严重程度的影响。
