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Post-traumatic stress disorder: considerations for dentistry.

Edward F Wright1, Russel L Thompson, Eleonore D Paunovich

  • 1Department of Restorative Dentistry, South Texas Veterans Health Care System, San Antonio, Texas 78229-3900, USA. wrighte@uthscsa.edu

Quintessence International (Berlin, Germany : 1985)
|May 4, 2004
PubMed
Summary

Dental patients with post-traumatic stress disorder (PTSD) often exhibit unique challenges. Managing PTSD patients involves understanding their condition and addressing symptoms like severe tooth clenching, which can be treated with occlusal appliances.

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Area of Science:

  • Dental Medicine
  • Psychiatry
  • Behavioral Science

Background:

  • Post-traumatic stress disorder (PTSD) presents unique challenges in dental settings.
  • Understanding PTSD's etiology, diagnosis, and treatment is crucial for dental practitioners.
  • Reviewing management strategies can improve care for patients with PTSD.

Observation:

  • A case study details a patient experiencing chronic bilateral tooth pain in posterior teeth.
  • The patient had a diagnosis of post-traumatic stress disorder (PTSD).
  • Severe tooth clenching was identified as the primary cause of pain.

Findings:

  • Diagnostic techniques effectively identified tooth clenching as the pain source.
  • A maxillary acrylic appliance offered initial pain relief.

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  • A subsequent mandibular soft occlusal appliance enhanced pain reduction.

    • Implications:

    • Dental professionals can better manage patients with PTSD by understanding their condition.
    • Occlusal appliances are effective in managing bruxism-related dental pain in PTSD patients.
    • Integrated care approaches can improve dental outcomes for individuals with PTSD.