| 261. |
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| 262. |
- Norén, Jörgen G, 1947, et al.
(författare)
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Mineralization disturbances in the deciduous teeth of children with so called minimal brain dysfunction.
- 1987
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Ingår i: Swedish dental journal. - 0347-9994. ; 11:1-2, s. 37-43
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Tidskriftsartikel (refereegranskat)abstract
- Exfoliated deciduous teeth from 14 children with so called Minimal Brain Dysfunction (MBD) and from 14 age-matched comparison children without MBD were collected and ground sections prepared. The sections were analysed by means of polarized light and microradiography. The enamel in ground sections of deciduous teeth from children with MBD showed a wider neonatal line than normal. The prenatal enamel showed a slight tendency to an increase in the degree of porosity, and the overall severe pathology was more common in the MBD group than in the comparison group.
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| 263. |
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| 264. |
- Ordell, Sven, et al.
(författare)
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An analysis of present dental professions in Sweden
- 2006
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Ingår i: Swedish Dental Journal. - : Swedish Dental Association. - 0347-9994. ; 30, s. 155-164
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Tidskriftsartikel (refereegranskat)abstract
- Dentistry in Sweden is predicted to have a shortage of dentists in the future and the division of labour within dentistry will be a more debated question. In order to forecast the effects of such a shortage the professional status of the involved groups must be made clearer. The objective of this paper is to analyse the emergence and present professional status of clinical dental professions in Sweden. The study was conducted on the basis of theories on professions, and their roles in organizations was analysed.The results were applied on the historical emergence, establishment and consolidation of clinical dental professions in Sweden. The results show that a large sector of salaried dentists has not diminished the professional status of the Swedish dentists. Professional ambitions such as many clinical subspecialties and a strong element of research have not been restrained by the public health ambitions in the Public Dental Health Service (PDHS). Presently, other dental professions are dental hygienists, dental technicians and dental nurses. Of these the only other licensed group, the dental hygienists, are an emerging profession.They have an uphill struggle to obtain a full professional status, mainly because their knowledge domains are neither specific nor exclusive to their group. Development of a common core curriculum on a clearly academic level would enhance their professional status. Dental technicians and nurses are lacking fundamental traits as professions. There appears to be little need for additional groups of clinical professions besides dentists and dental hygienists in Swedish dentistry. In conclusion,this analysis provided better understanding of the present status of the Swedish dental professions, to prepare for future restructuring of the dental care system. Further work will be needed to understand the impact of professional traits on the management of groups of professionals.
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| 265. |
- Ordell, Sven, et al.
(författare)
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Aspects of the quality of the information contained in radiological referrals
- 2002
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Ingår i: Swedish Dental Journal. - Stockholm, Sverige : Sveriges Tandläkarförbund. - 0347-9994. ; 26:3, s. 135-140
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Tidskriftsartikel (refereegranskat)abstract
- A referral letter is an important carrier of information, and it is important that it contains what both the recipient and the referrers expect. Based on the concept of perceived quality of service, 126 consecutive referrals from the General Dental Service (GDS) and their associated replies from the Department of Oral Radiology (OR) were mutually evaluated. OR judged that necessary information about the patient was specified in over 80% of the cases, and that information pertinent to the issue and the proposed examination was included in over 90% of the cases. The referrers were very satisfied with the replies they received. Only 1% reported that the information contained in the reply was not satisfactory for the continued care of the patient. Ninety-one per cent reported that they felt the reply to their referral was adequately long. A mutual questionnaire is a practicable tool to ensure quality in the referral process.
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| 266. |
- Ordell, Sven, et al.
(författare)
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Management structures and beliefs in a professional organisation : An example from Swedish Public Dental Health Services
- 2010
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Ingår i: Swedish Dental Journal. - : Swedish dental association. - 0347-9994. ; 34:3, s. 167-176
-
Tidskriftsartikel (refereegranskat)abstract
- Work as a dentist is stressful and demanding. In the Public Dental Health Service (PDHS) the heads of clinics' have a great influence on the work environment. In turn the heads have to adapt to the overarching policies on management in each County, which create the environment for the clinics. The aims of this paper were to describe the management structure of the PDHS as described by their Chief Dental Officers (CDOs), and to test hypotheses that the management systems had "a logical administrative structure". A postal questionnaire was mailed to all 21 CDOs,who all responded. Context analysis and bivariate correlations were used. The PDHS employed on average 60% of all dentists in a county. The numbers of clinics for general dentistry in Sweden was 698, and for specialist care 144. The heads of clinics were dentists in 92%. Four hypotheses were tested. 1. separate political board did not lead to closer governance of the PDHS. 2. There was more emphasis on measurable than on qualitative objectives and followup. 3. There was only partial correlation between a larger county and a more formalized management. 4. There was no correlation between size of county and beliefs on advantages of scale. There was a widespread belief in advantages with larger clinics both from administrative, and rather surprisingly, from clinical aspects. Two of the four hypotheses could not be corroborated which indicates that the management structures were more formed by county specific principles. The four hypotheses on administrative behaviour were only partially corroborated. The implications for delivery of care to sparsely populated areas need to be monitored in view of the beliefs in larger clinics. The limits for decisions by management and for professional discretion must be monitored closely considering their effects on work environment and on the quality of care the professionals are able to deliver.
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| 267. |
- Ordell, Sven, et al.
(författare)
-
Management structures and beliefs in a professional organisation. An example from Swedish Public Dental Health Services
- 2010
-
Ingår i: SWEDISH DENTAL JOURNAL. - : Swedish Dental Journal (Sveriges Tandlakarforbund). - 0347-9994. ; 34:3, s. 167-176
-
Tidskriftsartikel (refereegranskat)abstract
- Work as a dentist is stressful and demanding. In the Public Dental Health Service (PDHS) the heads of clinics have a great influence on the work environment. In turn the heads have to adapt to the overarching policies on management in each County, which create the environment for the clinics. The aims of this paper were to describe the management structure of the PDHS as described by their Chief Dental Officers (CDOs), and to test hypotheses that the management systems had "a logical administrative structure" A postal questionnaire was mailed to all 21 CDOs, who all responded. Context analysis and bivariate correlations were used The PDHS employed on average 60% of all dentists in a county. The numbers of clinics for general dentistry in Sweden was 698, and for specialist care 144 The heads of clinics were dentists in 92%. Four hypotheses were tested 1/ A separate political board did not lead to closer governance of the PDHS. 2/ There was more emphasis on measurable than on qualitative objectives and follow-up 3/ There was only partial correlation between a larger county and a more formalized management. 4/ There was no correlation between size of county and beliefs on advantages of scale There was a widespread belief in advantages with larger clinics both from administrative, and rather surprisingly, from clinical aspects. Two of the four hypotheses could not be corroborated which indicates that the management structures were more,formed by county specific principles. The four hypotheses on administrative behaviour were only partially corroborated. The implications for delivery of care to-sparsely populated areas need to be monitored in view of the beliefs in larger clinics. The limits for decisions by management and for professional discretion must be monitored closely considering their effects on work environment and on the quality of care the professionals are able to deliver
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| 268. |
- Ostberg, Anna-Lena, et al.
(författare)
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Cross-cultural adaptation and validation of the oral Iimpacts on daily performances (OIDP) in Swedish.
- 2008
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Ingår i: Swedish dental journal. - : Swedish Dental Association. - 0347-9994. ; 32:4, s. 187-95
-
Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES: The aim was to assess the validity and reliability of a Swedish version of the Oral impacts on Daily Performance (OIDP) index measuring oral health-related quality of life. MATERIAL AND METHODS: After translation and cultural adaptation, a 3-site sample of 204 adults (20-86 years) was interviewed using the OIDP. Moreover, the study included a self-administered questionnaire and a clinical examination. RESULTS: A total of 39.7% reported at least one oral impact on daily life. The most common performances affected were eating and cleaning teeth (both 20.6%). Oral effects on psychological performances caused the highest impacts. No gender or age differences were demonstrated with respect to having at least one impact. However, among those affected, women, old and young subjects scored higher than men and other ages, respectively, on the OIDP. The face and content validity were deemed good in pilot interviews with laypersons and dental professionals. The construct validity was confirmed, as the OIDP score was consistently associated with self-perceived oral health OR 2.13 (95% CI 1.10-4.10) and other self-rated variables, e.g. satisfaction with oral health OR 2.43 (CI 1.34-4.41), also when accounting for age, gender and socioeconomic differences. Associations were estimated using logistic regression. Lacking 10 or more teeth was associated with a higher OIDP score, which supports the criterion validity of the instrument. In a test-retest analysis Cohen's kappa was 0.77. CONCLUSIONS: The Swedish version of the OIDP appears to be a valid and reliable measure for assessing oral impacts on daily performances.
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| 269. |
- Papia, Evaggelia, et al.
(författare)
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Bond strength between different bonding systems and densely sintered alumina with sandblasted surfaces or as produced
- 2008
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Ingår i: Swedish Dental Journal. - : Swedish Dental Association. - 0347-9994. ; 32:1, s. 35-45
-
Tidskriftsartikel (refereegranskat)abstract
- The traditional zinc phosphate cementation technique for crowns and fixed partial dentures (FPDs) is based on mechanical retention where the geometry of the prepared tooth provides retention for the restoration. In clinical situations where mechanical retention is compromised or regarded insufficient, a bonding system can be used to provide retention. This study investigates whether bond strengths of different bonding systems to densely sintered high-strength alumina ceramics are sufficient. One hundred twenty pairs of industrially manufactured specimens--one block and one cylinder-shaped disc of densely sintered alumina--were used. The cementation surfaces of the blocks were sandblasted with 110-microm aluminium oxide while the cementation surfaces of the discs were left untreated, as produced. The pairs were then bonded with one of six different bonding systems. Each bonding group of 20 samples was randomly divided into thermocycled and non-thermocycled subgroups (n=10). Both subgroups were stored 1 week in distilled water (37 degrees C). During this week, the thermocycled subgroup underwent 5000 thermocycles (5 degrees C-55 degrees C). Following pre-treatment, the specimens were loaded until fracture in a universal testing machine to determine shear bond strength. Data were analysed using student's t-test and a one-way ANOVA. Fractured interfaces were examined under a light microscope to classify the failure mode of the debonded area as adhesive, cohesive, or a combination of the two. The highest bond strengths, achieved with two of the bonding systems, were significantly higher than the remaining bonding systems, irrespective of pretreatment--(p>0.001). The predominant failure mode for both treated and untreated surfaces was adhesive. Two of the six tested bonding systems achieved sufficient shear bond strength to densely sintered alumina. Furthermore, recommendations on whether to use surface-treated or as produced densely sintered alumina must be based on which bonding system is being used.
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| 270. |
- Persson, L A, et al.
(författare)
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Infant feeding and dental caries--a longitudinal study of Swedish children.
- 1985
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Ingår i: Swedish Dental Journal. - 0347-9994. ; 9:5, s. 201-6
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to compare dietary habits in children at the age of 12 months with the caries status at the age of 3. In 312 children, residing in 3 different parts of Sweden, a dietary study was carried out at 12 mo. of age, and in 275 (88%) a caries examination was performed at the age of 3. At 12 months of age, higher education of the mother was positively correlated with consumption of bread, vegetables, fruit and meat and negatively with frequency of sucrose-rich foods. At the age of 3, caries was diagnosed in 16% of the children. The prevalence of cavities was related to the level of education of the mother in all 3 areas, cavities being most numerous in children whose mother had received a shorter education. A discriminant analysis showed that the equation discriminating the two a priori defined groups, one with and one without caries at the age of 3, contained a number of sucrose-rich foods. The 3-year-old children with caries had generally consumed cakes, butter, bread and sweet soups more frequently at the age of 12 months than the children in the non-caries group. The analysis thus indicated that - on the group level at least - a dietary pattern, which may be casually linked with future dental caries development, was already established at the age of 12 months. Dietary counselling, when the child is 12-18 mo. of age and based upon information about the dietary habits of the child could thus be of value to prevent caries in the preschool child.
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