Orofaziale Funktionsstörung und posttraumatisches Belastungssyndrom

Braas, R.; Eger, Thomas; Wörner, Felix; Wolowski, Anne

doi:10.1007/s00115-018-0570-9

Cited by 3 publications

(4 citation statements)

References 14 publications

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“…Dental treatment, on the other hand, is mandatory only for deployment. Soldiers are at higher risk for the development of PTSD after military deployment all over the world [19]. PTSD prevention efforts are therefore still needed.…”

Section: Limitations Of the Studymentioning

confidence: 99%

“…The prevalence of dental anxiety with disease value is about 5-10% of the population, and dental treatment is usually avoided by these people [18]. Dental anxiety in hospitalized soldiers with post-traumatic stress disorder (PTSD) after military deployments is highly prevalent [19]. This fear often stands in the way of successful dental care for patients and is therefore a clinically relevant problem.…”

Section: Introductionmentioning

confidence: 99%

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Dental Anxiety and Higher Sensory Processing Sensitivity in a Sample of German Soldiers with Inflammatory Periodontal Disease

Eger

Wörner

Simon

et al. 2021

IJERPH

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(1) Background: Dental anxiety with disease value usually leads to avoidance of dental treatment. For the initial diagnosis of the level of anxiety, questionnaires such as the Hierarchical Anxiety Questionnaire (HAQ) are suitable. The construct of sensory processing sensitivity (SPS) describes a general trait in which people with a higher degree of SPS perceive information more strongly and process it more thoroughly. (2) Methods: This cross-sectional study evaluated the relationship between dental anxiety and higher levels of SPS in 116 soldiers referred with different stages of periodontitis for mandatory dental fitness before military deployment. (3) Results: The proportion of patients with periodontitis in stage III + IV was 39% and in stage I + II was 27%. The mean cumulative values of the questionnaires were 20.9 ± 10.6 for HAQ and 27.7 ± 16.0 for SPS. Eleven moderately anxious patients had a SPS value of 37.4 ± 13.5 and 10 highly anxious patients had a value of 36.3 ± 14.1. Patients diagnosed with stage III + IV periodontitis showed significantly higher values on the SPS subscale Low Sensory Threshold (LST), which describes overstimulation by external sensory stimuli, compared to patients with stage I + II periodontitis. Dental anxiety showed moderately significant correlations with the SPS subscale Ease of Excitation (EOE), which measures emotional reactivity to physiological stimuli. (4) Conclusions: Due to the frequency of dental anxiety and higher sensitivity in patients with severe periodontitis, it is useful to record said frequency.

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Section: Limitations Of the Studymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Dental Anxiety and Higher Sensory Processing Sensitivity in a Sample of German Soldiers with Inflammatory Periodontal Disease

Eger

Wörner

Simon

et al. 2021

IJERPH

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“…Ein damit oft einhergehend zunehmend desolater Zahnund Parodontalbefund treibt Betroffene mehr und mehr in die soziale Isolation. Zusammenhänge werden oftmals nicht oder zu spät erkannt [6].…”

Section: Einführungunclassified

“…Angst-und depressive Störungen sind häufiger bei Menschen mit ZBA mit Krankheitswert zu finden [9]. ZBA ist ein wenig beachtetes Symptom in Zusammenhang mit posttraumatischer Belastungsstörung [6], Parodontitis [10] und mit eingeschränkter mentaler Gesundheit [11]. Nach Lenk et al [11] weist ein Drittel der PatientInnen mit einer bekannten psychosomatischen Krankheit eine stark erhöhte ZBA auf.…”

Section: Zahnbehandlungsangst (Zba)unclassified

Zahnmedizinische Beschwerdebilder mit psychosozialem Hintergrund

Wolowski

Schneider

Eger

2021

Bundesgesundheitsbl

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ZusammenfassungObwohl Mund und Zähne lebenslang eine zentrale Bedeutung für die Entwicklung und das Wohlbefinden eines Menschen haben, finden psychosoziale Aspekte von Krankheit und Gesundheit nur zögerlich Eingang in zahnmedizinische Erklärungsmodelle. Als interventionsbedürftige Störung wird einzig die Zahnbehandlungsangst mit Krankheitswert im Sinne einer spezifischen Phobie allgemein anerkannt. Diese beschreibt die intensive Gefühlsreaktion auf Elemente der zahnärztlichen Behandlungssituation, die für den Betroffenen Leiden verursacht und die angesichts der tatsächlichen Gefahren in der Situation übertrieben erscheint. Ansonsten besteht jedoch nach wie vor die Tendenz, Beschwerden im zahnmedizinischen Kontext eher somatisch zu erklären. Das wirkt sich auf die Erwartungshaltung Betroffener wie auch auf die interdisziplinäre Zusammenarbeit aus. Zur Verbesserung der interdisziplinären Unterstützung und des gegenseitigen Verstehens stellt der folgende Beitrag neben der Zahnbehandlungsangst und deren Folgen für die Mundgesundheit weitere Beschwerde- und Krankheitsbilder vor. Bei kraniomandibulärer Dysfunktion, Bruxismus, okklusaler Dysästhesie sowie somatoformer Prothesenunverträglichkeit können psychosoziale Aspekte in Entstehung, Verlauf und Bewältigung ebenfalls eine bedeutende Rolle spielen.

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The Association Between Post-Traumatic Stress Disorder and Temporomandibular Disorders: A Systematic Review

Al-Khudhairy¹,

Al-Mutairi²,

Mazyad³

et al. 2022

Cureus

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The purpose of this systematic study was to discover a connection between temporomandibular joint disorders and post-traumatic stress disorder. A systematic review of observational studies on post-traumatic stress disorder and the incidence of temporomandibular joint disorders (TMD) was conducted. Electronic searches of PubMed, the Saudi Digital Library, Science Direct, the Virtual Health Library (VHL), Scopus, Web of Science, Sage, EBSCO Information Services, and Ovid were performed. There was a consensus among the reviewing examiners. Only studies with the following Medical Subject Headings (MeSH) terms were included: "Posttraumatic stress disorder" combined with "temporomandibular joint disorder," "myofascial pain," "orofacial pain," "internal derangement," "disc displacement with reduction," or "disc displacement without reduction." Only full-text studies in the English language published between 2010 and June 2020 were considered. Of a total of 381 articles meeting the initial screening criteria, only eight were included in the qualitative analysis. Overall, pain is exacerbated in patients with PTSD; that is, their TMD is heightened in all aspects of pain, chronicity, decreased response to conventional therapies, and the need for more potent treatment options as compared with patients with just TMD. The evidence, albeit weak, obtained from the studies included in this review suggests a relationship between PTSD and TMDs.

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Orofaziale Funktionsstörung und posttraumatisches Belastungssyndrom

Cited by 3 publications

References 14 publications

Dental Anxiety and Higher Sensory Processing Sensitivity in a Sample of German Soldiers with Inflammatory Periodontal Disease

Dental Anxiety and Higher Sensory Processing Sensitivity in a Sample of German Soldiers with Inflammatory Periodontal Disease

Zahnmedizinische Beschwerdebilder mit psychosozialem Hintergrund

The Association Between Post-Traumatic Stress Disorder and Temporomandibular Disorders: A Systematic Review

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