{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T10:18:58Z","timestamp":1769077138869,"version":"3.49.0"},"reference-count":45,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,11,24]],"date-time":"2024-11-24T00:00:00Z","timestamp":1732406400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000066","name":"National Institute of Environmental Health Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000066","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Comm Dent Oral Epid"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>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\u2010reported doctor's diagnosis of periodontitis and count of missing teeth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data from the World Trade Center Health Registry, 2003\u20132020 (<jats:italic>n<\/jats:italic>\u2009=\u200920\u2009826) were used to prospectively examine the rate of periodontitis and cross\u2010sectionally the odds of missing teeth among enrolees with\/without PTSD post\u20109\/11 using a modified Poisson regression and generalised logit model, respectively, adjusted for covariates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Approximately 17% reported a doctor's diagnosis of PTSD post\u20109\/11 and 7.4% a doctor's diagnosis of periodontitis. There were 355 new cases of periodontitis (incidence rate\u2009=\u20097.6 per 1000 person\u2010years) among those with PTSD and a rate of 4.3 per 1000 person\u2010years among those without PTSD. The covariate\u2010adjusted rate ratio for periodontitis comparing those with and without PTSD\u2009=\u20091.52 (95% CI: 1.33, 1.74). The adjusted odds ratio (OR) (95% CI) comparing those with and without PTSD were, respectively, OR\u2009=\u20091.15 (95% CI: 1.05, 1.25) and OR\u2009=\u20091.41 (95% CI: 1.09, 1.83) for missing 1\u20135 teeth and all teeth missing, respectively, as compared to no missing teeth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>PTSD post\u20109\/11 appears to be associated with poorer oral health outcomes, underscoring the far\u2010reaching consequences of traumatic events on oral health.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cdoe.13020","type":"journal-article","created":{"date-parts":[[2024,11,25]],"date-time":"2024-11-25T07:13:43Z","timestamp":1732518823000},"page":"170-179","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Long\u2010Term Oral Health Effects of Traumatic Events Among World Trade Center Health Registry Enrolees, 2003\u20132020"],"prefix":"10.1111","volume":"53","author":[{"given":"Aderonke A.","family":"Akinkugbe","sequence":"first","affiliation":[{"name":"Department of Environmental Medicine and Climate Science Icahn School of Medicine at Mount Sinai  New York New York USA"},{"name":"Institute for Climate Change, Environmental Health and Exposomics Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vishal","family":"Midya","sequence":"additional","affiliation":[{"name":"Department of Environmental Medicine and Climate Science Icahn School of Medicine at Mount Sinai  New York New York USA"},{"name":"Institute for Climate Change, Environmental Health and Exposomics Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael A.","family":"Crane","sequence":"additional","affiliation":[{"name":"Department of Environmental Medicine and Climate Science Icahn School of Medicine at Mount Sinai  New York New York USA"},{"name":"Institute for Climate Change, Environmental Health and Exposomics Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dina T.","family":"Garcia","sequence":"additional","affiliation":[{"name":"Department of Health Behavior and Policy Virginia Commonwealth University School of Public Health  Richmond Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Uraina S.","family":"Clark","sequence":"additional","affiliation":[{"name":"Department of Neurology Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosalind J.","family":"Wright","sequence":"additional","affiliation":[{"name":"Department of Environmental Medicine and Climate Science Icahn School of Medicine at Mount Sinai  New York New York USA"},{"name":"Institute for Climate Change, Environmental Health and Exposomics Icahn School of Medicine at Mount Sinai  New York New York USA"},{"name":"Department of Public Health Icahn School of Medicine at Mount Sinai  New York New York 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