| 1. |
- Alm, Anita, 1953, et al.
(författare)
-
BMI status in Swedish children and young adults in relation to caries prevalence.
- 2011
-
Ingår i: Swedish dental journal. - : Swedish Dental Association. - 0347-9994. ; 35:1, s. 1-8
-
Tidskriftsartikel (refereegranskat)abstract
- Overweight and obesity are increasing as health problems at global level. Dental caries and obesity are both multifactorial diseases and are associated with dietary habits. The aim of the present study was to investigate the relationship between body weight status and caries prevalence in an unselected population followed from pre-school years to young adulthood. The present investigation was designed as a longitudinal analysis of the association between overweight/obesity and dental caries in one population at 3, 6, 15 and 20 years of age. The result shows that adolescents (15 years) and young adults (20 years) who are overweight/obese had a statistically significantly higher caries prevalence than normal-weight young people. At 6 years of age, the odds (OR) of having caries among obese children are 2.5 times higher than the odds for caries among six-year-old children of normal weight (p = 0.04). At 3 years of age, no association between overweight/obesity and caries was found. To conclude, overweight and obese adolescents and young adults had more caries than normal-weight individuals. The present study emphasises the need for multidisciplinary approaches to change the lifestyle factors causing both overweight/obesity and dental caries.
|
|
| 2. |
- Bergström, Eva-Karin, et al.
(författare)
-
Adolescents' experiences of participating in a school-based fluoride varnish programme in Sweden.
- 2012
-
Ingår i: Swedish dental journal. - 0347-9994. ; 36:3, s. 133-41
-
Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Population-based health promotion with school-based fluoride varnish programmes is becoming more frequent, as these programmes have been implemented in many parts of Sweden during the last five years. The caries-prevention effect is well studied, but as yet there is no study aimed at adolescents'experiences of these programmes. The aim of this study was therefore to describe how a school-based fluoride varnish programme is experienced by participating adolescents. The study was performed as a qualitative study by conducting four focus-groups interviews. In all, 26 adolescents participated, all aged 15. All the participants had several years'experiences of a fluoride varnish programme at school. The participants were asked to describe their experience of participating in the programme.The analysis of the data from the interviews was carried out according to the principles of phenomenography.The three themes that emerged were"Conceptions in relation to the individual", "Conceptions in relation to the school dental nurse"and "Conceptions in relation to the group and school". The result showed that the adolescents experienced that it was positive to take part in a fluoride varnish programme at school and they regarded the school as an important health promotion arena. In spite of this, there were perceptions that were worth reflecting on for school dental nurses, such as feelings of exposure, peer pressure and a perceived lack of information. To further improve these programmes, and thereby increase population-based dental health promotion, it is important to highlight the role of dental personnel, as they are largely responsible for creating the atmosphere.
|
|
| 3. |
- Bergström, Eva-Karin, 1974, et al.
(författare)
-
Dental nurses' experiences of performing a school-based fluoride varnish programme for children and adolescents in Sweden
- 2016
-
Ingår i: Swedish Dental Journal. - 0347-9994. ; 40:2, s. 181-190
-
Tidskriftsartikel (refereegranskat)abstract
- In many parts of Sweden today, school-based fluoride varnish programmes (FVP) are performed by dental nurses. Studies have shown that the dental personnel are largely responsible for creating the atmosphere related to children's and adolescents' experiences of the programmes. Knowledge of dental nurses' experiences of performing FVP is therefore crucial in order to develop and improve these programmes and the dental health of children and adolescents. The aim of this study was to describe dental nurses' experiences of performing FVP for children and adolescents in Sweden. Fifteen female dental nurses, strategically chosen, aged 40-63, from the Public Dental Service in the Vastra Gotaland Region, Sweden, were individually interviewed. The interviews were transcribed verbatim and analysed according to the phenomenographic approach. Three themes with a total of-n categories, all describing the dental nurses' conceptions of performing FVP, emerged in the analysis. The main conclusions were that in overall terms, performing an FVP was found to be a positive experience for the dental nurses, as it meant meeting children and adolescents in a context in which the children and adolescents are comfortable and relaxed. The opportunity to identify children and adolescents with poor dental health or poor health and to be able to offer them assistance was regarded as a major advantage. In addition, the participants described a feeling of professional development originating from the challenges associated with working in an arena outside the dental clinic.
|
|
| 4. |
- Flink, H., et al.
(författare)
-
Patient-reported outcomes of caries prophylaxis among Swedish caries active adults in a long-term perspective
- 2016
-
Ingår i: Swedish Dental Journal. - : Tandläkarförbundet. - 0347-9994. ; 40:1, s. 101-110
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to measure patient-reported outcomes of caries prophylaxis and to compare them with previously documented efforts in dental offices. A questionnaire was mailed to 134 caries active (CA)and 40 caries inactive (CI) adult patients treated at a Swedish public dental service clinic. The overall response rate was 69%. The questionnaire included items regarding patient perceived caries prophylaxis in relation to:1) treatment and recommendations given by the dental personnel, 2) performed self-care and 3) perceived and expected effects. The responses were studied for their association to clinical data, extracted retrospectively from the patients' dental records. The mean follow up time was >16 years. Information about caries prophylaxis (p=0.01 and recommendations for self-care (p=0.04) were given more often to the CA group than to the CI group. Supplementary examinations and recommendations of self-care risk treatments were more frequent in the CA group (p<0.001). CA patients also made more frequent extra efforts at home to avoid caries by changing their eating habits (p<0.001), improving their oral hygiene (p=0.04) and using extra fluoride (p=0.00l). In the CA group, 60% did not consider that the extra prophylaxis efforts had made them caries inactive, and 40% were not satisfied with the outcome. Most patients (>90%) hoped that the outcome of caries prophylactics would be a reduced number of cavities. The patient-perceived experiences of caries prophylaxis-were in concordance with dental records. Both the dentists and the caries active middle-aged Swedish adults were aware of the need for extra prophylaxis. The caries active patients perceived having made extra home care efforts, but had not experienced that they had become free from caries.
|
|
| 5. |
- Hellovist, Lena, et al.
(författare)
-
Dental caries and associated factors in a group of Swedish snus users
- 2015
-
Ingår i: Swedish Dental Journal. - 0347-9994. ; 39:1, s. 47-54
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to investigate the effects of the Swedish moist powder tobacco product known as "snus" on dental caries and to measure the pH fall in dental plaque. The subjects comprised male and female adults between 26 and 62 years of age (n=102), all habitual snus users for >= 10 years. The control group (n=101) consisted of similar individuals in terms of gender, age and educational level but with no tobacco use for >= 10 years. A clinical and radiographic examination and a questionnaire were completed.The pH fall after a sucrose rinse was estimated in situ in 10 randomly selected subjects per group. The salivary secretion rate was higher in snus users than non-users (2.5 vs 2.2 ml/min, p=0.005). There was no statistically significant difference regarding salivary buffer capacity. No differences were found between the two groups in terms of the plaque index, primary or secondary enamel and dentine caries, DFS and salivary counts of mutans streptococci or lactobacilli. The pH fall was somewhat more pronounced among non-users compared with snus users (NS). Snus users had a lower intake of snacks between meals and a less frequent intake of cookies (p=0.000). Furthermore, snus users had a mean gingival index (+/- SD) for the whole dentition of 20.4 +/- 18.2, while the index for non-users was14.4 +/- 13.9 (p=0.009); the corresponding values for teeth 13-23 were 14.9 +/- 20.6 and 7.7 +/- 11.9 respectively (p=0.003). To conclude, this clinical study revealed no statistically significant differences in caries prevalence between snus users and non-users and only minor differences regarding different cariesassociated factors.
|
|
| 6. |
- Hellqvist, Lena, et al.
(författare)
-
Effect of nicotine-free and nicotine-containing snus on plaque pH in vivo
- 2012
-
Ingår i: Swedish Dental Journal. - 0347-9994. ; 36:4, s. 187-194
-
Tidskriftsartikel (refereegranskat)abstract
- The aim was to investigate pH changes in plaque in vivo during the use of nicotine- free and nicotine-containing snus. The carbohydrate content of the products was also analysed. Ten subjects, all regular snus users, participated in an experimental cross-over study, on eleven occasions with an interval of one week. Six nicotine-free and four nicotine-containing products, which are sold on the Swedish market, were included and a sucrose solution was used as a control. The subjects did not brush their teeth for three days before coming to the laboratory, without eating, drinking or using snus/smoking for two hours prior to the test. pH was measured at three approximal sites up to 45 min with the test product placed under the upper lip. The carbohydrate analysis showed that the nicotine-containing products contained only traces of glucose, fructose and sucrose (0.5-1%) and starch (1.5%). Some of the nicotine-free products contained up to 6.5% low-molecular-weight carbohydrates and 26.0% starch. The intraoral pH measurements showed that four nicotine-containing products increased the plaque pH, in contrast to three of the six nicotine-free products, which lowered the pH. These pH changes may have an effect on the caries risk, both positively and negatively, depending on which product is used.
|
|
| 7. |
- Jensen, Olga, 1970, et al.
(författare)
-
Fluoride toothpaste and toothbrushing; knowledge, attitudes and behaviour among Swedish adolescents and adults
- 2011
-
Ingår i: Swedish dental journal. - 0347-9994. ; 35:4, s. 203-213
-
Tidskriftsartikel (refereegranskat)abstract
- The most effective way to administer fluoride is through the regular use of fluoride toothpaste. Adolescents and adults seem to have low awareness of toothbrushing procedures and use of fluoride toothpaste despite frequent dental care. The aim of this study was to describe knowledge, attitudes and behaviour concerning toothbrushing and use of fluoride toothpaste in three age groups in a Swedish population. A qualitative study design was used with the purpose of achieving a deeper understanding of the issue. Data were collected through interviews. A manifest and latent analysis of the text was performed using qualitative content analysis (Grounded theory). The informants were selected strategically to obtain the greatest possible variation in the data. Three age strata representing different stages in life were chosen: 15-16, 30-35 and 60-65 years. Informants were interviewed with support from an interview guide. Open-ended questions were used to focus on the individual’s knowledge, attitudes and behaviour concerning toothbrushing and fluoride toothpaste. Five people from each age group were interviewed in the study. The content areas were knowledge, attitudes and behaviour and the latent analysis identified the areas of empowerment, driving force and guidance as categories. Although the informants showed little knowledge about the reasons for and techniques of using fluoride toothpaste effectively, they described toothbrushing as important and the habit as a priority, giving the theme of this study: toothbrushing with fluoride toothpaste was a priority, despite the lack of knowledge about how to use toothpaste effectively and its positive effects on oral health. In conclusion the state of knowledge concerning toothbrushing and fluoride toothpaste needs to be improved. In addition, people’s desire for a fresh-feeling mouth and to fit in socially must be affirmed and utilized by dental staff in health promotion.
|
|
| 8. |
- Mystikos, Chrysostomos, et al.
(författare)
-
Effect of post-brushing mouthrinse solutions on salivary fluoride retention.
- 2011
-
Ingår i: Swedish dental journal. - 0347-9994. ; 35:1, s. 17-24
-
Tidskriftsartikel (refereegranskat)abstract
- Fluoride (F) toothpaste is one of the most effective means of caries prevention. There is also evidence that mouthrinse solutions with antimicrobial agents reduce plaque formation and gingivitis and may be used as adjuncts to daily self-performed oral hygiene for risk patients. The authors hypothesize that using these solutions--without or with just a low F concentration after brushing--will have a "wash-out" effect on F toothpaste. Mouthrinse solutions with more F might be beneficial in this respect. Two groups of 10 (Series 1) and 12 (Series II) healthy subjects were recruited. They brushed for 1 min with toothpastes containing either 1450 or 5000 ppm F. After brushing and spitting out the toothpaste, the participants in Series I rinsed for 30 sec with 10 ml of a variety of products with various F concentrations (0, 100, 226 or 900 ppm F). In Series II, they first rinsed with water after the brushing and directly thereafter with 20 ml of the post-brushing rinsing solution for 30 sec. Saliva samples in both series were collected at different time points up to 1 h and the F concentration was measured. There was significantly less F in saliva after rinsing with no F or with a low F concentration (100 ppm) compared with just brushing with a F toothpaste. Rinsing with 226 ppm F displayed significantly higher F concentrations in saliva compared with only toothbrushing. Products with a high F concentration (i.e. toothpaste with 5000 ppm F or a mouthrinse solution with 900 ppm F) produced the highest F retention in saliva compared with all other protocols. The quantity of mouthrinse solution (20 vs. 10 ml) did not seem to have any effect on the F retention. The results from both test series show that a post-brushing rinsing solution without F or with just 100 ppm F exerts a "wash-out" effect on toothbrushing with either 1450 or 5000 ppm F, which may be negative for all patients, especially those with a risk of caries. The general population will benefit more from higher concentrations of F in mouthrinse solutions and, based on the results of the present investigation, 226 ppm F (corresponding to 0.05% NaF) should be the lowest concentration used. Furthermore, caries risk patients are recommended to use a high-F toothpaste (5000 ppm F) or a post-brushing mouthrinse solution with 900 ppm F (corresponding to 0.2% NaF).
|
|
| 9. |
- Petersson, L G, et al.
(författare)
-
In vitro and in vivo studies of an NaF impregnated toothpick.
- 1994
-
Ingår i: Swedish dental journal. - 0347-9994. ; 18:3, s. 69-73
-
Tidskriftsartikel (refereegranskat)abstract
- Fluoridated toothpicks (John O. Butler Co.), containing an average of 0.80 mg F as NaF, demonstrated a quick F release in vitro after 1 min immersion in distilled water (0.13 mg; 16%). Continued F release was found after 5 (0.22 mg; 28%) and 60 min (0.35 mg; 44%) and 24 hr (0.55 mg; 69%). In addition, F concentrations were measured in whole saliva of 10 adults before and after 1 min use of an F toothpick and after sucking on an 0.25 mg F tablet (Fludent). Baseline F concentrations of about 1 microM/L increased to 35 microM/L after using the toothpick. In comparison, the F tablet gave a mean salivary F concentration of 71 microM/L. The F levels in saliva after 1 hr were for the F toothpick 3 microM/L and for the F tablet 8 microM/L. Thus, F impregnated toothpick seems to be an interesting vehicle for F release in the oral cavity and merits further studies from a cariostatic point of view.
|
|
| 10. |
- Sonbul, Helal, 1974, et al.
(författare)
-
The preventive effect of a modified fluoride toothpaste technique on approximal caries in adults with high caries prevalence. A 2-year clinical trial.
- 2010
-
Ingår i: Swedish dental journal. - 0347-9994. ; 34:1, s. 9-16
-
Tidskriftsartikel (refereegranskat)abstract
- The preventive effect of a modified fluoride (F) toothpaste technique was investigated. Both the incidence and progression of approximal caries among Saudi adults with a high caries prevalence were evaluated after 2 years. A total of 175 adults were randomly assigned to a test group and a control group and 106 completed the study. In the test group (n = 54), the patients were asked to use the provided F toothpaste twice a day. They were instructed to use the "modified F toothpaste technique" as follows: (1) to use 2 cm of the toothpaste, (2) to brush for 2 min, (3) to swish the toothpaste slurry around the dentition with active movements of the cheeks, lips and tongue, forcing the slurry into the approximal area for about half a minute, before spitting it out, and (4) no post-brushing rinsing and no eating/drinking for 2 hr. The patients in the control group (n = 52) were instructed to continue using their regular F toothpaste twice a day without any further instructions. Approximal caries and filled surfaces were scored on bitewing radiographs at baseline and after 2 years. The mean (SD) total caries incidence for the test and control group was 1.15 (1.49) and 3.37 (2.57) respectively (p < 0.001). In general, the control group displayed a higher progression rate than the test group with regard to enamel lesions to dentine (NS), enamel lesions to filled surfaces (p < 0.05) and filled surfaces that had recurrent caries (NS). To conclude, the "modified fluoride toothpaste technique", as practised over the 2 years in a Saudi population with a high caries prevalence, had a caries preventive effect on the incidence of approximal caries, but not on the progression.
|
|
