Akinkugbe Aderonke A, Midya Vishal, Crane Michael A, Garcia Dina T, Clark Uraina S, Wright Rosalind J
Department of Environmental Medicine and Climate Science, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Institute for Climate Change, Environmental Health and Exposomics, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Community Dent Oral Epidemiol. 2025 Apr;53(2):170-179. doi: 10.1111/cdoe.13020. Epub 2024 Nov 24.
Posttraumatic stress disorder (PTSD) is a disabling mental health condition arising from experiencing serious traumatic events. This study investigated if PTSD secondary to the World Trade Center terrorist attack on 11 September 2001 (9/11) is associated with self-reported doctor's diagnosis of periodontitis and count of missing teeth.
Data from the World Trade Center Health Registry, 2003-2020 (n = 20 826) were used to prospectively examine the rate of periodontitis and cross-sectionally the odds of missing teeth among enrolees with/without PTSD post-9/11 using a modified Poisson regression and generalised logit model, respectively, adjusted for covariates.
Approximately 17% reported a doctor's diagnosis of PTSD post-9/11 and 7.4% a doctor's diagnosis of periodontitis. There were 355 new cases of periodontitis (incidence rate = 7.6 per 1000 person-years) among those with PTSD and a rate of 4.3 per 1000 person-years among those without PTSD. The covariate-adjusted rate ratio for periodontitis comparing those with and without PTSD = 1.52 (95% CI: 1.33, 1.74). The adjusted odds ratio (OR) (95% CI) comparing those with and without PTSD were, respectively, OR = 1.15 (95% CI: 1.05, 1.25) and OR = 1.41 (95% CI: 1.09, 1.83) for missing 1-5 teeth and all teeth missing, respectively, as compared to no missing teeth.
PTSD post-9/11 appears to be associated with poorer oral health outcomes, underscoring the far-reaching consequences of traumatic events on oral health.
创伤后应激障碍（PTSD）是一种因经历严重创伤事件而导致的致残性心理健康状况。本研究调查了2001年9月11日世贸中心恐怖袭击（9·11事件）继发的PTSD是否与自我报告的医生诊断的牙周炎及缺牙数量相关。
使用2003 - 2020年世贸中心健康登记处的数据（n = 20826），分别采用修正泊松回归和广义对数模型，对有/无9·11事件后PTSD的登记参与者的牙周炎发病率进行前瞻性研究，并对缺牙几率进行横断面研究，同时对协变量进行调整。
约17%的人报告9·11事件后被医生诊断为PTSD，7.4%的人被医生诊断为牙周炎。PTSD患者中有355例新发牙周炎病例（发病率为每1000人年7.6例），无PTSD患者的发病率为每1000人年4.3例。比较有PTSD和无PTSD患者的协变量调整后牙周炎发病率比 = 1.52（95%置信区间：1.33，1.74）。与无缺牙相比，有PTSD和无PTSD患者缺失1 - 5颗牙和全部牙齿缺失的调整优势比（OR）（95%置信区间）分别为OR = 1.15（95%置信区间：1.05，1.25）和OR = 1.41（95%置信区间：1.09，1.83）。
9·11事件后的PTSD似乎与较差的口腔健康结果相关，这凸显了创伤事件对口腔健康的深远影响。
