engleski

TMD Prelevance 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 clinical signs 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 96 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 an original clinical protocol. Results: Eighty two per cent of the group with PTSD had at least one sign of TMD compared to 24% of the healthy subjects (Chi-square 55.26 ; p<0.0001). Sound in TMJ was the most frequent sign in both groups (61, 7% in PTSD group, 18% in healthy subjects, Chi-square 19.42 ; p<0.0001). The greatest difference between the groups is related to pain during mandibular movements (36, 2% PTSD group, 2% healthy subjects, Chi-square 18.72 ; p<0.0001), and masticatory muscle and TMJ tenderness (53, 2% PTSD group, 2% healthy subjects, Chi-square 32.36 ; p<0.0001). Conclusion: High presence of clinica signs 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

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