| 331. |
- Sundqvist, Bertil, 1950, et al.
(författare)
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Comparison of individual prediction of treatment outcome made by a TMD specialist and a TMD-trained general dental practitioner in patients with temporomandibular disorders.
- 2007
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Ingår i: Swedish dental journal. - 0347-9994. ; 31:2, s. 55-63
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to investigate if a TMD-trained general dental practitioner could individually predict actual treatment outcome in selected patients diagnosed with temporomandibular disorders (TMD) with similar results as a TMD specialist. The patients were examined, individually predicted, treatment planned, treated and had their treatment outcome evaluated by the therapist, respectively. Out of 2618 patients referred to a TMD specialist clinic, 1086 patients started treatment. They were all divided into Muscle or Mainly TMJ symptoms. Prediction of the treatment outcome as Good or Dubious was based on the patient's history, the clinical and, sometimes, radiological findings. The degree of improvement was graded using a Numeric Rating Scale 0-100. A clinical important improvement, defined as an improvement of initial complaints of 50% or more, was judged as a correct prediction of Good treatment outcome. Seven-hundred-sixty-nine patients treated by the TMD specialist (Sample 1) was compared with 164 patients treated by the TMD-trained general dental practitioner (Sample 2). For patients with Muscle symptoms in Sample 1, a 50% improvement or more was reached by 93% of those predicted Good and 57% of those predicted Dubious. The corresponding figures in Sample 2 were 100% and 82%, respectively. In Sample 1, patients with Mainly TMJ symptoms reached a 50% improvement or more in 94% of those with prediction Good and 73% of those predicted Dubious. In Sample 2 the figures were 100% and 87%, respectively. ATMD-trained general dental practitioner could individually predict treatment outcome with similar results as a TMD specialist in selected patients diagnosed with TMD. Whether the method is possible to generalize has to be investigated further.
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| 332. |
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| 333. |
- Svanberg, Christina, et al.
(författare)
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Cephalometric analysis of adults with Turner syndrome
- 2016
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Ingår i: Swedish Dental Journal. - : SWEDISH DENTAL JOURNAL. - 0347-9994. ; 40:1, s. 33-41
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Tidskriftsartikel (refereegranskat)abstract
- Turner syndrome (TS) is a genetic disorder of females with a prevalence of 1/2000-3000 live female births. The aim of this study was to compare cephalometric variables from adult women diagnosed with TS to a standardized reference group of 31-year old healthy women, and to evaluate the possible effects of human growth hormone (hGH) therapy in women with TS. Registered TS subjects in the Southeast region of Sweden were invited to take part in the study. Twenty-one women aged 36 +/- 13(18-57) years accepted participation. Lateral radiographs of the head were analyzed using standard cephalometric methods (Hasund analysis) and with the commercially available soft-ware program FACAD. Comparisons were made with roentgen-cephalometric standards from a reference group of nineteen 31-year old Swedish women. Analysis of the cephalometric radiographs from the TS subjects showed a more retrognathic maxilla (SNA 80.3 +/- 5.4) (p=0.0460) and mandible (SNB 77.0 +/- 5.2) (p=0.0014), and a correspondingly backward position of the chin (SN/Pg 78.9 +/- 5.5) (p=0.0046) as compared to the reference values of 31-year old women (SNA 83.2 +/- 3.0, SNB 81.5 +/- 2.3 and SNPg 83.0 +/- 2.3, respectively). In addition there was an increased posterior inclination of the maxilla (SN/NL 8.6 +/- 4.1), as compared to the reference values (SN/NL 5,3 +/- 2.7) (p=0.0048). There were no significant differences regarding sagittal or vertical jaw relations, mandibular inclination or cranial base angle between the TS-group and the 31-year olds with the reference values. No significant difference was seen in jaw relationship, as measured by the ANB value, however the Wits(index) (3.3 +/- 3.5) was higher (p=0.0001) than the reference values (-0.1 +/- 1.8). Subjects with or without previous hGH administration did not show any significant differences in cephalometric values. In conclusion, women with TS had a significantly more retrognathic maxilla (SNA) and mandible (SNB) and a correspondingly significantly posterior position of the chin (SN/Pg), a significantly increased posterior inclination of the maxilla (SN/NL) and a significantly increased Witsindex as compared to the reference group of 31-year old women. No craniofacial variables differed significantly between previously hGH-treated and not hGH-treated women with TS.
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| 334. |
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| 335. |
- Svensson, Inger, et al.
(författare)
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Oral condition and background factors in Somali immigrant children newly arrived in Sweden
- 2016
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Ingår i: Swedish Dental Journal. - : Sveriges tandläkarförbund. - 0347-9994. ; 40:2, s. 153-164
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the present study was to obtain baseline information about oral health, oral health behaviours and knowledge about prevention of oral diseases in newly arrived Somali children. All 310 Somali children arriving in four municipalities in Kronoberg County, Sweden, during 2013 participated. We collected interview data (background factors related to oral health) and performed a clinical examination (oral hygiene, marginal bone loss, malocclusion, dental caries) within the first two months after arrival. The children were analysed in three age groups: 3-6 years (n=49),7-11 years (n=125), and 12-17 years (n=136). The interview revealed that 78-82% of the children in the three groups had never visited a dental clinic in Somalia.Toothache was reported by 18-28% of the children. In the youngest group, 71% of the parents did not assist with tooth -cleaning and children commonly used a Miswak stick for cleaning. About half the children had poor oral hygiene while 25-33% reported daily intake of sugary snacks. Malocclusion affected 4o% of the 7 -11 -year -olds and 5o% of the 12 -17 -year -olds. Bone loss affected 13% of the 12-17-year-olds.The 3 -6 -year -olds had a high prevalence (37%) of missing primary, lower cuspids.Their mean number of decayed, extracted and filled primary teeth (deft) was 2.3, and 43% were free from caries. In the 7 -11 -year -olds, mean decayed and filled permanent teeth (DFT) was o.8, while in the 12 -17 -year -olds DFT was 2.2 with 4o% caries -free. Comparison with resident children indicates substantially higher caries prevalence among the Somali children. The study has shown that newly arrived Somali children often present with oral diseases and are in urgent need of treatment and have great need for oral health promotion.
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| 336. |
- Svensson, Roger, et al.
(författare)
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Treatment with local hemostatic agents and primary closure after tooth extraction in warfarin treated patients
- 2013
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Ingår i: Swedish Dental Journal. - : Swedish Dental Association. - 0347-9994. ; 37:2, s. 71-77
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Tidskriftsartikel (refereegranskat)abstract
- Abstract The aim of this retrospective study was to assess the frequency of postoperative bleeding in patients on warfarin after tooth removal followed by a complete soft tissue closure of the surgical site. A total of 124 consecutive patients, 69 males and 55 females with a mean age of 71 years (range 28-95 years) were included in this study. Inclusion criteria were patients on warfarin with an INR
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| 337. |
- Swedberg, Yngve, et al.
(författare)
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A 15-year series analysis of caries development related to a socioeconomic variable. A study of the year group leaving the organised dental care in Göteborg, Sweden.
- 2003
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Ingår i: Swedish dental journal. - 0347-9994. ; 27:3, s. 151-8
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Tidskriftsartikel (refereegranskat)abstract
- In a long-term series analysis the study had the aim of detecting how the used socioeconomic variables were related to the caries status development in the year group leaving the organised dental care. The study included caries epidemiological records of individuals at the Public Dental Service of Göteborg, leaving the organised dental care during 1986-2000. The City of Göteborg was divided into four districts. One incidence and one prevalence caries index was used, each presented in two subgroups: individuals with no caries record and patients with 20% of the highest index values. The socio-economical variable was individuals 18-64 years of age, seeking employment, as a percentage of the corresponding group of all inhabitants. The registered values were divided into three time sections of five years each. In the first, the socio-economic value curves were almost horizontal, in the second they showed a considerable increasing and in the third a declining tendency. The result curves for the caries-free patient groups and for patients with 20% of the highest caries index values compared to the three socioeconomical time sector results, showed an almost horizontal level concerning the incidence index values, and for the prevalence index values an inclined curve structure to the incidence curves. The result curves for the incidence index with respect to the caries-free patient group showed an almost horizontal structure, while the prevalence curves inclined towards the incidence curves during the study period. The linear structure of these curves deviated considerably from the result curves for the socio-economic time series. No correlation existed between the socio-economic data and the studied caries index values. The need for determining the time length concerning caries index observations was discussed. It must be of special interest to maintain the dental health of the studied patient group and the individuals' relation to regular dental care, when as adults they meet the dental care economy.
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| 338. |
- Swedberg, Yngve, et al.
(författare)
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Analysis of caries status development in relation to socio-economic variables using a case-based system.
- 2001
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Ingår i: Swedish dental journal. - 0347-9994. ; 25:2, s. 81-8
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to detect, using case-based reasoning (CBR) induction methods in time series analysis, how measurable socio-economical adjustments were related to the caries status development. The study concerned the year classes leaving the organised dental care for the time period 1987-95, and had received dental care at the Public Dental Service of Göteborg. The results, as presented by a caries incidence index, indicated that at least one socioeconomical factor, individuals seeking employment, was of importance for the caries status development, a factor with an increase of considerable proportions since 1990. The findings indicated that the other socio-economic variables used did not have the same importance for the caries status development. One feasible explanation is that these factors reflect more upon the social family situation than the economical. If the caries status reflects the social situation of the individual more than the economical, this argument will elucidate the reasoning. Using CBR for the analysis of relationships between oral disease and parameters possibly influencing health development has proven to be a valuable tool and complement to more traditional statistical methods. The analysis can make relationships explicit through the hierarchic knowledge trees and also show redundant information, attributes not appearing in the trees.
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| 339. |
- Swedberg, Yngve, et al.
(författare)
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Caries extreme groups among adolescents, leaving organised dental care in Göteborg, Sweden.
- 1997
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Ingår i: Swedish dental journal. - 0347-9994. ; 21:6, s. 221-6
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Tidskriftsartikel (refereegranskat)abstract
- The aim was--in a longitudinal respect--to study whether 15-year-old children, in caries-free groups, and groups with high frequency of carious lesions, had a stable caries development from 15 to 19 years of age, when they left the organised Public Dental Care. Caries index values were analysed for the period 1986/7-1990/1 for patients born 1971-72 and residing in Göteborg. The groups of caries-free children seemed to be stable in their dental health in about 60-70% according to the prevalence indices used; and about 80% according to the incidence index DS-a. The caries prevalence index mean values of the 15-year-old patient groups with high frequencies of lesions showed between 1.5 to 3.5 percentile units higher mean values when the individuals were 19 years of age. However, the corresponding caries incidence index values were as low as half the size, indicating a possible treatment effect of the caries prevention programme used. Related to the DFS-a index, the 20% groups with the highest caries index values were registered for about 80% of all approximal lesions, of special interest for dental care costs.
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| 340. |
- Swedberg, Yngve, et al.
(författare)
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On longitudinal caries index data. A comparison study between cohort and cross-sectional attempts.
- 1997
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Ingår i: Swedish dental journal. - 0347-9994. ; 21:5, s. 205-11
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the present study was to compare registered data of caries prevalence and incidence from cross-sectional studies of specified age groups with the corresponding caries data from cohorts of individuals receiving dental health service from the same dental clinic during the years studied. The study covered two 15-19-year groups, who had been offered complete dental care from three years of age in the City of Göteborg for the time periods 1986/7-1990/1. When compared, the longitudinal cohort attempts often gave statistically significant different values to those of the cross-sectional year classes, which should be considered when presenting caries index mean values in dental health reviews. It is not indifferent to choose between longitudinal cohort and cross-sectional year class attempts when searching for dental health treatment effects. Due to the advantages of using longitudinal cohort study methods, and with regard to the differences of the study design used, as pointed out in the study, the use of longitudinal cohort patient material, extracted from cross-sectional epidemiological data bases, could favour analysis of the effects of different preventive dental care programs.
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