Post-traumatic stress disorder: considerations for dentistry.
Post-traumatic stress disorder: considerations for dentistry.
复制标题
创伤后应激障碍：牙科的注意事项。
DOI：
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发表时间：
2004
影响因子：
1.9
通讯作者：
E. Paunovich
中科院分区：
文献类型：
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作者：
E. Wright;Russel L. Thompson;E. Paunovich
与大多数牙科患者相比，患有创伤后应激障碍(PTSD)的牙科患者可能面临更大的牙科和行为挑战。创伤后应激障碍的始发因素、诊断标准和医疗管理的背景回顾应有助于从业者更好地理解和管理这些挑战。描述了临床医生可能遇到的许多挑战和管理建议。本文报告一位创伤后应激障碍患者，主诉持续的双侧牙齿疼痛，包括上颌两尖牙和磨牙。推荐的技术，以确定牙痛的来源和影响因素提供。患者牙齿疼痛的主要原因被确定为他严重的咬牙活动。上颌丙烯矫治器提供了一些疼痛减轻，随后与上颌矫治器相对佩戴的下颌软咬合矫治器提供了额外的缓解。
A dental patient with post-traumatic stress disorder (PTSD) may present with greater dental and behavioral challenges than most dental patients. The background review of PTSD's initiating factors, diagnostic criteria, and medical management should help practitioners better understand and manage these challenges. Many of the challenges the clinician may encounter and managing recommendations are described. A case report of a PTSD patient complaining of constant bilateral tooth pain of the maxillary and mandibular bicuspids and molars is presented. Recommended techniques for identifying the tooth pain source and contributing factors are provided. The primary contributing factor for the patient's tooth pain was determined to be his severe tooth clenching activity. A maxillary acrylic appliance provided some pain reduction and a subsequent mandibular soft occlusal appliance worn opposing the maxillary appliance provided additional relief.