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Sökning: WFRF:(Johansson Anders) > Unell Lennart

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1.
  • Carlsson, Gunnar E, 1930, et al. (författare)
  • Attitudes toward dental appearance in 50- and 60-year-old subjects living in Sweden
  • 2008
  • Ingår i: Journal of Esthetic and Restorative Dentistry. - : Wiley. - 1496-4155 .- 1708-8240. ; 20:1, s. 46-56
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Attitudes towards the importance of general appearance has varied much not only over time but also among groups of individuals of different age and other characteristics. Whether the situation is similar regarding dental appearance does not seem to have been studied. Purpose: The aim was to study differences in attitudes towards dental appearance between two large samples of 50- and 60-year-old subjects. Materials and Methods: Identical questionnaires were sent to all subjects born in 1942 and 1952 living in two Swedish counties in 2002 (n=17444; n50=8881; n60=8563). The final response rate was 72.2% (n=12599). In this study, responses to four statements on the importance of dental appearance have been analyzed with respect to gender and age. Results: Many of the responses to the four statements differed with gender and age. To the first statement (“To have beautiful and perfect teeth is very important for how you are treated by other people”), 73 % agreed at age 60 compared to 64 % at age 50 (P < 0.001). Approximately 90 % of the subjects agreed to the second statement (“Minor aesthetic imperfections of the teeth have no importance, only they function well”). Logistic regression indicated that several variables were significantly associated with the statements. Besides age and gender, education and self-assessed dental problems were most important. Conclusion: Attitudes towards the importance of dental appearance differed both between genders and age groups. CLINICAL SIGNIFICANCE The varying attitudes towards dental appearance in the population must be acknowledged in treatment decisions.
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2.
  • Johansson, Anders, 1957, et al. (författare)
  • A 10-year longitudinal study of self-assessed chewing ability and dental status in 50-year-old subjects.
  • 2007
  • Ingår i: Int J Prosthodont. ; 20:6, s. 643-645
  • Tidskriftsartikel (refereegranskat)abstract
    • Chewing ability and dental status were assessed in two Swedish counties by questionnaires sent in 1992 and in 2002 to all subjects born in 1942. Those who answered both questionnaires – at ages 50 and 60 – were included in the study (n = 5008). The proportion of those who reported chewing ability as very good decreased from 75 % to 66 % during the 10-year follow-up. Approximately 80 % of complete denture wearers considered their chewing ability to be good. Chewing ability was reported to be worse at age 60 than at age 50, although there was only a minor impairment in dental status
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3.
  • Johansson, Ann-Katrin, et al. (författare)
  • A 15-yr longitudinal study of xerostomia in a Swedish population of 50-yr-old subjects
  • 2009
  • Ingår i: EUROPEAN JOURNAL OF ORAL SCIENCES. - : Wiley. - 0909-8836 .- 1600-0722. ; 117:1, s. 13-19
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this study was to determine the changes in prevalence of xerostomia in subjects from 50 to 65 yr of age. Questionnaires were sent to all subjects who were born in 1942 and were living in two Swedish counties in 1992, 1997, 2002, and 2007. The analyses focused on those who answered the questionnaires both in 1992 and in 2007. The response rate was 71.4% (n = 6,346) in 1992 and 73.1% (n = 6,078) in 2007. Of those who answered the questionnaire in 1992, 74.3% (n = 4,714) also responded in 2007. There was an almost linear increase in the prevalence of xerostomia at the four study time-points (i.e. when the subjects were 50, 55, 60, and 65 yr of age). Xerostomia was more prevalent at night than during the day. The pooled prevalence of night-time and daytime xerostomia was 6% at 50 yr of age and 15% at 65 yr of age, and it was higher in women than in men on both occasions. Logistic regression analyses showed that impaired health and smoking were significantly associated with daytime xerostomia but not with night-time xerostomia. Despite the increase in prevalence of xerostomia from 50 to 65 yr of age, there was considerable variation during the observation period. The incidence rate was 13% (507/4,015) and the disappearance rate was 42% (104/250) (dichotomized answers).
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4.
  • Johansson, Ann-Katrin, et al. (författare)
  • Eating disorders and oral health : a matched case-control study
  • 2012
  • Ingår i: European Journal of Oral Sciences. - : Wiley-Blackwell. - 0909-8836 .- 1600-0722. ; 120:1, s. 61-68
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim was to compare the oral health status of patients with eating disorders (EDs), with sex-and age-matched controls, with a view to identify self-reported and clinical parameters that might alert the dental healthcare professional to the possibility of EDs. All patients who entered outpatient treatment in an ED clinic during a 12-month period were invited to participate. Of 65 ED patients who started psychiatric/medical treatment, 54 agreed to participate. Eating disorder patients and controls answered a questionnaire and underwent dental clinical examinations. Multivariate analysis identified significantly higher ORs for ED patients to present dental problems (OR = 4.1), burning tongue (OR = 14.2), dry/cracked lips (OR = 9.6), dental erosion (OR = 8.5), and less gingival bleeding (OR = 1.1) compared with healthy controls. Sensitivity and specificity for the correct classification of ED patients and controls using the five variables was 83% and 79%, respectively. The ED patients with vomiting/binge eating behaviors reported worse perceived oral health (OR = 6.0) and had more dental erosion (OR = 5.5) than those without such behavior. In ED patients with longer duration of the disease, dental erosion was significantly more common. In conclusion, oral health problems frequently affect ED patients, and this needs to be considered in patient assessment and treatment decisions.
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5.
  • Johansson, Ann-Katrin, 1957, et al. (författare)
  • Eating disorders and signs and symptoms of temporomandibular disorders. A matched case-control study
  • 2010
  • Ingår i: Swedish Dental Journal. - 0347-9994. ; 34:3, s. 139-147
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of the study was to examine signs and symptoms related to temporomandibular disorders (TMD) in patients with eating disorders (ED) and to compare the prevalence with that in sex- and age-matched controls. During a 12-month period, all patients (n=65) who accepted and initiated psychiatric/medical outpatient treatment in an Eating Disorder Clinic/Erikbergsgården, Örebro, Sweden were invited to participate in the study. Of the ED patients, 54 (83 %) accepted participation. ED patients and controls underwent a comprehensive TMD questionnaire and clinical examination. Reported symptoms such as headache, facial pain, jaw tiredness, tongue thrusting, and lump feeling in the throat as well as dizziness, concentration difficulties and sleep disturbances were all significantly more prevalent among ED patients compared to controls. There was also a significantly higher prevalence of clinical TMD signs in the ED patients. Analyses within the ED group showed that those who reported self-induced vomiting reported significantly more heavy feeling in the head, nausea and snoring. Those with binge eating reported significantly more heavy feeling in the head, facial pain, dizzy feeling and concentration difficulties. No significant differences regarding subjective symptoms and clinical signs of TMD were found within the ED group with respect to duration of ED. In conclusion, orofacial pain and TMD related signs and symptoms are significantly more common in ED patients than in matched control subjects. Special emphasis should be made to those who reports vomiting and/or binge eating behaviors.
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6.
  • Johansson, Ann-Katrin, 1957, et al. (författare)
  • Prevalence of Self-Reported Xerostomia in 50- and 60-Year-Old Subjects
  • 2008
  • Ingår i: International Journal of Clinical Dentistry. ; 1:2, s. 93-101
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose: To study age and gender differences regarding xerostomia in 50- and 60-year-old subjects. It was hypothesized that the prevalence would be higher in women and among older subjects. Methods: Identical questionnaires were sent to all subjects born in 1942 and 1952 living in two Swedish counties in 2002 (n=17138). The final response rate was 72.8%. Responses regarding day- and nighttime xerostomia were analyzed. Results: The prevalence of "often dry mouth" ranged from 6.9 % in 50-year-old men to 16 % in 60-year-old women. Xerostomia was more common at age 60 compared to 50 and more common in women compared to men. Approximately twice as many subjects perceived "often dry mouth" at nighttime compared to daytime. Logistic regression showed that xerostomia was associated with impaired general and oral health. The hypothesis that xerostomia was higher in women and among the older subjects was confirmed. Clinical significance: The dramatic increase of self-reported xerostomia between age 50 and 60, especially among women, needs to be considered in the management of this age group.
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7.
  • Johansson, Ann-Katrin, et al. (författare)
  • Self-reported dry mouth in 50-to 80-year-old Swedes : Longitudinal and cross-sectional population studies
  • 2020
  • Ingår i: Journal of Oral Rehabilitation. - : John Wiley & Sons. - 1365-2842 .- 0305-182X. ; 47:2, s. 246-254
  • Tidskriftsartikel (refereegranskat)abstract
    • Xerostomia is a common condition among elderly. The objectives were to examine prevalence, persistence, progression, yearly incidence of xerostomia, associated background factors and its influence on oral impacts on daily performances (OIDP) in 50- to 80-year-old people. In 1992, a questionnaire was sent to all 50-year-old (n = 8888) and in 2007 to all 75-year-old persons (n = 5195) living in two Swedish counties. In 2012, the same questionnaire was sent to both age cohorts, now 70- and 80-year-old. Response rate was for the 50-, 70- 75- and 80-year-old groups 71.4%, 72.2%, 71.9% and 66.4%, respectively. In the 50- to 70-year-old sample, 40.3% of the participants answered all five examinations and in the 75-80 group 49.5% (intact samples). In all age groups, xerostomia was significantly more prevalent in women than in men. At age 80, "often mouth dryness at night" was reported by 24.3% and 16.2% of women and men, respectively. Prevalence increased with age and was more frequent at night-time. Persistence of xerostomia was reported by 61.4%-77.5%, progression by 11.5%-33.0% and remission by 5.7%-11.3%. Average yearly incidence was 0.99%-3.28%. Xerostomia was more prevalent in those who reported a negative impact on OIDP. Highest odd ratios for xerostomia were burning mouth (OR 12.0), not feeling healthy (OR 5.1) and medicine usage (OR 3.9). Xerostomia is common in older age, persistence is high and progression common. The comorbidity between xerostomia, oral health problems and impaired general health needs to be taken into consideration when providing dental care to elderly patients.
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8.
  • Johansson, Ann-Katrin, 1957, et al. (författare)
  • Self-reported dry mouth in Swedish population samples aged 50, 65 and 75
  • 2012
  • Ingår i: Gerodontology. - : Wiley. - 1741-2358 .- 0734-0664. ; 29:2
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim was to study changes in prevalence of xerostomia from age 50 to 65 yr. Questionnaires were sent to all subjects born in 1942 living in two Swedish counties in 1992, 1997, 2002 and 2007. The analyses have focused on those who answered the questionnaires both in 1992 and 2007. The response rate was 71.4% (n = 6346) in 1992 and 73.1% (n = 6078) in 2007. Of those who answered the questionnaire in 1992, 74.3% (n = 4714) responded also in 2007. There was an almost linear increase of the prevalence of xerostomia over the four occasions from age 50 to age 65. Xerostomia at night was more prevalent than during daytime. The pooled prevalence of night and daytime xerostomia was 6% at age 50 and 15% at age 65, and it was higher in women than in men on both occasions. Logistic regression analyses showed that impaired health and smoking were significantly associated with daytime but not with nighttime xerostomia. Despite the increase of the prevalence of xerostomia from age 50 to age 65, there was considerable variation during the observation period. The incidence rate was 13% (507/4015) and the disappearance rate was 42% (104/250) for the dichotomized answers.
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9.
  • Johansson, Ann-Katrin, et al. (författare)
  • Self-reported dry mouth in Swedish population samples aged 50, 65 and 75 years
  • 2012
  • Ingår i: Gerodontology. - : John Wiley and Sons. - 0734-0664 .- 1741-2358. ; 29:2, s. E107-E115
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Reduced salivary flow may have a negative impact on general well-being, quality of life and oral health. Objectives: To examine xerostomia in 50-, 65- and 75-year-olds, background factors and effect on Oral Impacts on Daily Performances (OIDP). less thanbrgreater than less thanbrgreater thanMethods: In 1992, a questionnaire was sent to all 50-year-old persons (n = 8888) in two Swedish counties. In 2007, the same questionnaire was sent to all 65-year-olds (n = 8313) in the two counties and to all 75-year-olds (n = 5195). Response rate was for the 50, 65 and 75 year olds 71.4, 73.1 and 71.9%, respectively. less thanbrgreater than less thanbrgreater thanResults: Xerostomia was higher in women than in men in all age groups. There was higher prevalence of xerostomia with increasing age in both sexes and it was more frequent at night than during daytime. ` Often mouth dryness was 2.6-3.4 times more prevalent in those who reported an impact from OIDP. The highest odd ratios were for daytime xerostomia and for the variables burning mouth (17.1), not feeling healthy (4.5), daily smoking (4.4), and medication (4.1). less thanbrgreater than less thanbrgreater thanConclusions: The dramatic increase of xerostomia between age 50 and 75, especially amongst women, needs to be considered in the management of this age group.
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10.
  • Carlsson, Gunnar E, 1930, et al. (författare)
  • Is there a trend of decreasing prevalence of TMD-related symptoms with ageing among the elderly?
  • 2014
  • Ingår i: Acta Odontologica Scandinavica. - : Informa Healthcare. - 0001-6357 .- 1502-3850. ; 72:8, s. 714-720
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective: Older adults have not been studied as much as younger ones regarding prevalence of TMD-related symptoms. The aim was to assess the prevalence of TMD-related symptoms in two population samples, 70 and 80 years old.Materials and methods: Identical questionnaires were in 2012 sent to all subjects born in 1932 and 1942 living in two Swedish counties. The response rate was 70.1%, resulting in samples of 5697 70-and 2922 80-year-old subjects. The questionnaire comprised 53 questions. Answers to questions on problems regarding TMD-related symptoms and awareness of bruxism were analysed.Results: Twelve per cent of the women and 7% of the men in the 70-year-old group reported some, rather great or severe problems regarding TMD pain. In the 80-year-olds the prevalence was 8% and 7%, respectively. Subjects who had problems with TMJ sounds reported difficulty to open the jaw wide 6-times and TMJ pain 10-13-times more frequently than subjects without such problems. Changes of taste and awareness of bruxism were the only variables significantly associated with TMD symptoms in both age groups. Number of teeth was not significantly associated with any of the TMD-related symptoms.Conclusions: Most of the elderly subjects had no severe problems with TMD-related symptoms, but 12% of the 70-year-old women reported some, rather great or severe problems. The marked gender difference at age 70 had disappeared in the 80-year-old group. The prevalence was lower among the 80-compared with the 70-year-old subjects of both sexes. The results support the comorbidity between TMD-related symptoms and general health problems.
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