| 1. |
- Abrahamsson, Kajsa H., 1956, et al.
(författare)
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Patients´views on periodontal disease; attitutes to oral health and expectancy of periodontal treatment: a qualitative interview study
- 2008
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Ingår i: Oral Health & Preventive Dentistry. - New Malden, Surry : Quintessence Publishing Co. Ltd.. - 1602-1622 .- 1757-9996. ; 6:3, s. 209-216
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The aim of the study was to explore and gain an understanding of patients' views on their periodontal conditions, their perceived impact of periodontitis on daily life, as well as their attitudes to oral health and expectations of treatment. Materials and Methods: The study subjects were patients with chronic periodontitis, who had been referred to a specialist clinic. The constant comparative method for grounded theory was used to collect and analyse the data. Audiotaped, open-ended interviews were conducted after periodontal examination, but before treatment. The interviews were transcribed verbatim and consecutively analysed in hierarchical coding processes and continued until saturation was reached (n = 17). In the analysis, a conceptual model that outlined the steps involved in the diagnosis of periodontitis was generated. The core concept of the model, keeping up appearance and self-esteem, was related to the following four additional categories and their dimensions; doing what you have to do - trying to live up to the norm, suddenly having a shameful and disabling disease, feeling deserted and in the hands of an authority, and investing all in a treatment with an unpredictable outcome. Results: The results illustrated that subjects diagnosed with chronic periodontitis felt ashamed and were willing to invest all they had in terms of time, effort and financial resources to become healthy and to maintain their self-esteem. However, they perceived a low degree of control over treatment decisions and treatment outcome. Conclusions: The results demonstrate the vulnerability of patients diagnosed with chronic periodontitis and emphasise the importance of communication in dentistry.
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| 2. |
- Hedman, Eva, et al.
(författare)
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The Impact of Behavioural Interventions on Young People's Attitudes Toward Tobacco Use
- 2010
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Ingår i: Oral health & preventive dentistry. - 1602-1622 .- 1757-9996. ; 8:1, s. 23-32
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The objective of the present study was to study the ability to influence young at-risk patients attitudes toward tobacco use through two intervention methods that were performed by dental health professionals. Materials and Methods: Two inteiventions, a brief individual motivational interview and an adapted school lecture, were studied, and both were compared with a control group Before and after interventions, a questionnaire was used Patients born in 1989 and 1992 who were judged by the dental personnel as potentially at risk for dental diseases, a total of 301 individuals, were included. Results: Both before and after interventions, the results showed a generally negative attitude towards tobacco use A majority of the participants were positive towards measures that were taken to control the spread of tobacco use, younger participants (born 1992) to a greater extent (73%) than the older participants (born 1989) (54%) Important factors that kept the participants away from tobacco use were the harmful effects and the approaches of parents and friends The older participants believed to a greater extent that they would try smoking as adults No change in tobacco use was registered after intervention, although the participants reported an increased use among friends Conclusions: The two pedagogical methods that were used in the present study influenced the young people's attitudes towards tobacco use only to a small extent However, the period between 12 and 15 years old seems to provide a good opportunity to influence attitudes towards tobacco. The adolescents' demand for interactive learning and their development of attitudes and tobacco use habits in relation to family and friends provide opportunities to use new pedagogical models
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| 3. |
- Sebring, Dan, 1986, et al.
(författare)
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A1Meighted Composite of Endodontic Inflammatory Disease is Linked to a First Myocardial Infarction
- 2023
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Ingår i: Oral Health & Preventive Dentistry. - 1602-1622 .- 1757-9996. ; 21:1, s. 375-382
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: To explore a weighted composite of endodontic inflammatory disease (ED) as a risk factor for suffering a first myocardial infarction (MI).Materials and Methods: Seven tooth-specific conditions related to EID were assessed radiographically in 797 patients suffering a first MI and 796 controls. A weighted composite of EID was calculated as the sum of all teeth, excluding third molars. Using maximum likelihood estimation, each condition was assigned a specific weight. Wth multivariable condi-tional regression, EIDvariables, periodontal disease, and missing teeth were assessed as predictors of a first MLResults: Periodontal disease (OR 1.38; 95% CI 1.13-1.69, p =0.0016) and missing teeth (OR 1.03; 95% CI 1.002-1.05, p =0.034) were related to the risk of a first MI, while none of the ED-related conditions individually were. However, when assessed as an aggregate, a weighted composite of ED (OR 1.97; 95% CI 1.23-3.17, p =0.0050) and periodontal disease (OR 1.34; 95% CI 1.09-1.63, p =0.0046) was associated with the risk of ML Missing teeth did not remain a statistically sig-nificant predictor of MI in the final model.Condusions: A weighted composite of ED was associated with the risk of MI and strengthens the evidence for a direst connection between oral inflammatory diseases and cardiovascular disorders.
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| 4. |
- Särner, Barbro, 1942, et al.
(författare)
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Recommendations by dental staff and use of toothpicks, dental floss and interdental brushes for approximal cleaning in an adult Swedish population.
- 2010
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Ingår i: Oral health & preventive dentistry. - : Quintessence Publishing Company. - 1602-1622 .- 1757-9996. ; 8:2, s. 185-94
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: The aim of the present study was to evaluate the recommendations relating to the use of approximal cleaning aids given by dental hygienists and dentists, the self-care practices in a Swedish population and the ability to remove dental plaque. MATERIALS AND METHODS: A structured questionnaire was randomly distributed to 500 dental hygienists and 500 dentists and a similar questionnaire was distributed to 1000 randomly selected individuals, divided equally into the following age groups: 15 to 20, 21 to 40, 41 to 60 and > 60 years. A clinical examination evaluating the ability to remove approximal dental plaque was also carried out in a total of 60 regular users of approximal cleaning aids. Plaque was scored before and after cleaning with a toothpick, dental floss or an interdental brush. RESULTS: The response rate was 82%, 79% and 68% for the three groups. The results reveal that dental hygienists give more detailed information about a majority of the aspects that are related to the use of approximal cleaning aids compared with dentists (P < 0.01 or P < 0.001). The majority of the dental staff give recommendations to children and adolescents firstly to prevent dental caries and to older individuals to improve periodontal health. The use of different approximal cleaning aids on a daily basis varied with respect to age group (2% to 42%); dental floss dominated in the younger age groups and interdental brushes in the two oldest groups. In the clinical study, the largest plaque reduction was produced by the interdental brush (83%), followed by toothpicks (74%) and dental floss (73%). CONCLUSIONS: The present study indicated the importance of individual recommendations related to the use of approximal cleaning aids.
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| 5. |
- Alforaidi, Sahal, 1987, et al.
(författare)
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Oral Colonisation after the Administration of Drops Containing Lactobacillus reuteri.
- 2020
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Ingår i: Oral health & preventive dentistry. - 1757-9996. ; 18:1, s. 1017-1023
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Tidskriftsartikel (refereegranskat)abstract
- To investigate the oral colonisation potential after four weeks' administration of Lactobacillus reuteri and to examine the short-term effect of probiotics on salivary Streptococcus mutans and lactobacilli.The study group comprised 13 young adults who volunteered after receiving verbal and written information. The short-term prospective clinical trial lasted 9 weeks, consisting of a 4-week intervention period with administration twice daily and a 5-week post-administration follow-up period with no probiotic consumption. Saliva and dental biofilm samples were obtained immediately before probiotic administration, after 2 weeks and after 4 weeks of L. reuteri administration. Follow-up samples were collected once every week on a regular basis after administration was terminated. The numbers of salivary S. mutans and lactobacilli were assessed by regular plating, while the presence of the two L. reuteri strains in saliva and dental biofilm was evaluated using quantitative polymerase chain reaction (qPCR).The occurrence of L. reuteri in the oral cavity increased gradually during the intervention period and reached the maximum level after four weeks of probiotic administration (p < 0.0001). The 4-week samples of stimulated whole saliva showed a statistically significant decrease in the number of S. mutans and a statistically significant increase in the salivary lactobacilli level in comparison to baseline. qPCR showed that the DSM 17938 strain has better colonisation for both saliva and dental biofilm than the ATCC PTA 5289 strain at the nine-week follow-up.Probiotics have the ability to colonise the oral cavity during usage, but it gradually disappears after the completion of intake. It also has ability to decrease the number of salivary S. mutans.
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| 6. |
- Almståhl, Annica, 1973, et al.
(författare)
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Microflora in oral ecosystems in subjects with hyposalivation due to medicines or of unknown origin.
- 2005
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Ingår i: Oral health & preventive dentistry. - 1602-1622. ; 3:2, s. 67-76
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: To analyse the microbial flora in specific sites in 20 dentate (> or = 16 teeth) subjects with hyposalivation due to medicines or of unknown origin and in 20 controls matched according to age, sex and number of teeth. MATERIALS AND METHODS: The microbial samples were analysed for the following micro-organisms: mutans streptococci, Lactobacillus spp. and Actinomyces spp., associated with the development of caries, Fusobacterium nucleatum and Prevotella intermedia/Prevotella nigrescens, associated with plaque accumulation and gingivitis, Actinobacillus actinomycetemcomitans and Porphyromonas gingivalis, frequently found in elevated numbers in periodontitis sites and Candida albicans, Staphylococcus aureus, enterics and enterococci, associated with mucosal infections. The total microbial count was also registered, together with the total number of streptococci, associated with good oral health. RESULTS: In the hyposalivation group, the mean age was 54 +/- 8 years and the mean number of teeth 25 +/- 3. The unstimulated secretion rate was 0.04 +/- 0.04 mL/min and the stimulated secretion rate 0.98 +/- 0.51 mL/min. Compared with the controls, the hyposalivation group tended to harbour a lower number and proportion of F. nucleatum on the tongue, and an increased number of enterococci in the vestibular region. In the supragingival plaque, the numbers of Strepococcus mutans and Lactobacillus spp. were significantly increased and the number of C. albicans tended to be increased. CONCLUSION: The results indicate that subjects with hyposalivation due to medicines or of unknown origin have a supragingival plaque associated with the development of caries.
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| 7. |
- Baeshen, Hosam A, et al.
(författare)
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Release of fluoride from fresh and old NaF-impregnated chewing sticks (Miswaks) in vitro and oral retention in vivo.
- 2010
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Ingår i: Oral health & preventive dentistry. - 1602-1622. ; 8:1, s. 93-99
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: The objectives of the present investigation were to study fluoride (F) release from NaF-impregnated chewing sticks (Miswaks) in vitro and to study the F clearance in saliva and the F oral retention in vivo. MATERIALS AND METHODS: Both fresh and old Miswaks were collected from 10 stores in Saudi Arabia and fluoridated in 0.01%, 0.1%, 0.5%, 1% and 3% NaF. The F release was studied in vitro up to 60 min. In vivo, 10 subjects used Miswaks fluoridated in 0.01%, 0.1%, 0.5%, 1% and 3% NaF for 2 min (Series I). The subjects were asked to spit out all saliva in a beaker during a 12-min period without swallowing. The F present in the obtained saliva was considered to represent the 'F retention'. In Series II, the same type of Miswaks were used as in Series I. Repeated whole saliva unstimulated samples were collected before and up to 30 min after. These two series were carried out in another 10 subjects (Series III and IV), but with Miswaks fluoridated in a more narrow range of concentration (0.05% to 0.5% NaF). Brushing with 1 g of F-containing dentifrice (0.32% NaF) was used as a control. RESULTS: There were only small differences between fresh and old Miswaks, but great variations were observed between Miswaks that were purchased from different stores. Miswaks fluoridated in 0.1% to 0.5% NaF could be considered as an 'optimum level' with respect to both the F concentration in saliva and the F retention. CONCLUSIONS: It is recommended to use fresh Miswaks impregnated in 0.1% NaF or a maximum of 0.5% NaF for a day, as they are interesting and safe products for the prevention of caries and could be widely used in countries such as Saudi Arabia.
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| 8. |
- Barghout, Nicola, et al.
(författare)
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Patients' perception of cross-infection prevention in dentistry in Jordan.
- 2012
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Ingår i: Oral health & preventive dentistry. - 1602-1622. ; 10:1, s. 9-16
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Tidskriftsartikel (refereegranskat)abstract
- To explore the public perception of cross-infection prevention methods and their role in disease transmission, among patients attending Jordan University Hospital.A systemic random sample of 310 dental patients with a mean (SD) age of 35.1 (14.80) years was selected (42.6% males and 57.4% female). Patients were interviewed prior to dental appointments by a specially trained and calibrated dentist. Responses of the patients were recorded in the structured questionnaire, maintaining their privacy and confidentiality. The data were entered into a Microsoft Excel spreadsheet and analysed using the SPSS statistical package to obtain the prevalence rates of patients' perceptions, which were then cross tabulated with gender, age and other variables. Significant differences were determined using the chi-square test, when appropriate.Of the respondents, 83.5% found it necessary for the dentist to wear gloves, and 65.8% stated the reason was to prevent cross infection from one patient to another. About three-quarters (74.8%) found it necessary for the dentist to wear a mask; when asked about the reason, 52.3% stated prevention of cross infection from dentist to patient. Regarding wearing protective glasses, about three-quarters (73.9%) found it unnecessary for the dentist to do so. The majority (76.8%) stated the method of HIV transmission was by dentists using needles previously used for patients infected with AIDS; 71% knew there is no vaccine against HIV. Only half (49%) reported that hepatitis could be transmitted by blood transfusion. Approximately two-thirds (67.4%) knew there is a vaccine against hepatitis. About 53.5% claimed their knowledge regarding infection transmission was obtained through watching television programmes about cross infection.Dental patients in Jordan need to be equipped with adequate knowledge about cross-infection control, thus education reinforcement is imperative.
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| 9. |
- Bratel, John, 1953, et al.
(författare)
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The effect of LongoVital on recurrent aphthous stomatitis in a controlled clinical trial.
- 2005
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Ingår i: Oral health & preventive dentistry. - 1602-1622. ; 3:1, s. 3-8
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: The aim of this study was to evaluate the effect of daily intake of LongoVital (LV) (herbal vitamin tablets) in the prevention of RAS. MATERIALS AND METHODS: A group of 78 consecutively referred patients was enrolled to a three-months pretreatment period. Fifty subjects were then randomly allocated to an LV-group (n = 25) or a placebo group (N = 25). A double blind, stratified-randomised clinical case-control study was performed during six months. Number and size of the ulcers were registered by the patients using a standardized chart. The degree of discomfort was recorded on a 100 mm horizontal visual analogue scale (VAS-scale). RESULTS: The three-months pretreatment period revealed that the most dominant symptoms were pain (78%) followed by burning sensation (18%). No significant differences between the two groups were found during this period when a comparison was made at the end of the study. After the intervention period the number of aphthous ulcers/month decreased significantly in the LV-group (p = 0.02). The number of days in pain/month were also reduced (p < 0.001). If a 50% reduction of number of aphthous ulcers and days in pain were considered as clinically relevant, no statistical significant differences were found between the groups. CONCLUSION: Thus, no strong evidence was found that justified a recommendation of LV as a general drug for treatment of RAS.
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| 10. |
- Cocco, F., et al.
(författare)
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Effect of a Daily Dose of Snacks Containing Maltitol or Stevia rebaudiana as Sweeteners in High Caries Risk Schoolchildren. A Double-blind RCT Study
- 2019
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Ingår i: Oral Health & Preventive Dentistry. - 1602-1622. ; 17:6, s. 515-522
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: To evaluate the effect of sugar-free snacks on caries-related factors in 6- to 9-year-old schoolchildren. Materials and Methods: Two hundred seventy-one children at risk for caries as measured through the Cariogram were randomly assigned to three groups consuming twice-daily snacks containing Stevia, maltitol or sugar for 42 days. Parents filled out a standardised questionnaire regarding personal, medical and oral behavioural information. Bleeding on probing, plaque pH and salivary mutans streptococchi (MS) and lactobacilli (LB) were assessed at baseline (t(0)), 42 days of snack use (t(1)) and 120 days after the end of use (t(2)). The Cariogram calculation was repeated at t(1). Treatment effects were estimated using linear mixed-effects regression models. Results: At t(2), a decrease in cariogenic bacteria (MS X-2 = 8.01, p < 0.01 and LB X-2 = 4.60, p = 0.03) and an increase of the minimum pH (F = 4.48, p < 0.01), maximum pH (F = 2.88 p < 0.01) and pH drop (F = 2.95 p < 0.01) was recorded in the Stevia group compared to baseline. In the maltitol group, an improvement effect was noted: LB concentration decreased (p = 0.04) and maximum pH (F = 3.16 p < 0.01) increased. Subjects classified by the Cariogram as have a low probability of developing caries increased in the Stevia and maltitol groups (X-(4)(2) = 25.44, p < 0.01, C*sV = 0.38 and X-(4)(2) = 12.85, p = 0.01, C*sV = 0.27, respectively). Regression analysis underlines the effect of Stevia snacks on the cariogenic microflora, mainly on MS and plaque pH variations. Conclusion: The short-term administration of Stevia or maltitol snacks improves some important factors related to caries. This preventive strategy might be an additional means of combatting this common childhood disease.
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