Department of Oral & Maxillofacial Surgery, Ahmedabad Municipal Corporation Dental College & Hospital, Phd Sc, Gujarat University, Khokhra, Ahmedabad, India.
Department of Oral & Maxillofacial Surgery, College of Dental Science & Research Centre, Phd Guide, Gujarat University, Ahmedabad, India.
Oral Maxillofac Surg. 2023 Jun;27(2):297-303. doi: 10.1007/s10006-022-01068-9. Epub 2022 Apr 30.
This study was conducted to identify and study the prevalence of post traumatic stress disorder (PTSD) in patients, who had sustained traumatic facial and dental injuries along with other variables that may affect the psychological response.
241 patients suffering from traumatic facial and dental injuries presenting to the Ahmadabad Municipal Dental College and Hospital were included in the study. 110 patients (males - 87, females - 23) suffered disfiguring injuries and/or loss of multiple front teeth (DF). 131 patients (males - 102, females - 29) suffered no disfigurement (NDF). Assessment was carried out on day of discharge (D.O.D), 1 month, and 6 months. Impact of Event Scale (I.E.S-R) was used to assess the presence of post traumatic stress disorder in the patients.
Patients with DF injuries had statistically significant higher mean scores than patients suffering NDF injuries. Female patients had comparatively higher scores at D.O.D, 1 month, and 6 months. Patients treated with maxillomandibular fixation and between ages 18 and 40 years also had significantly higher scores.
Patients with DF facial injuries including multiple anterior teeth loss had significantly higher mean (I.E.S-R) scores for PTSD in comparison with patients with NDF facial injuries.
本研究旨在识别和研究创伤性面部和牙齿损伤患者中创伤后应激障碍（PTSD）的患病率，以及可能影响心理反应的其他变量。
纳入了 241 名因创伤性面部和牙齿损伤就诊于艾哈迈达巴德市牙科医学院和医院的患者。110 名患者（男性 87 名，女性 23 名）遭受毁容性损伤和/或多颗前牙缺失（DF）。131 名患者（男性 102 名，女性 29 名）无畸形（NDF）。在出院日（DOD）、1 个月和 6 个月进行评估。使用事件影响量表（IES-R）评估患者是否存在创伤后应激障碍。
DF 损伤患者的平均评分明显高于 NDF 损伤患者。女性患者在 DOD、1 个月和 6 个月时的评分较高。接受颌面固定治疗和 18-40 岁之间的患者评分也显著较高。
与 NDF 面部损伤患者相比，DF 面部损伤包括多颗前牙缺失的患者 PTSD 的平均（IES-R）评分明显更高。
