| 1. |
- Ahlvin, Anna, et al.
(författare)
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Self-perceived oral health among 19-year-olds in a Swedish County - A comparative study between 2004 and 2011
- 2016
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Ingår i: Swedish Dental Journal. - : SWEDISH DENTAL JOURNAL. - 0347-9994. ; 40:1, s. 53-65
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Tidskriftsartikel (refereegranskat)abstract
- For decades, Swedish dental professionals have collected clinical epidemiological data from the dental records. To supplement the epidemiology, Ostergotland County Council decided to examine patient perceptions of oral health: self-rated knowledge, self-perceived oral health, and opinions about oral health. The aim was to compare self-perceived oral health among 19-year-olds to determine differences between genders, various municipalities and between 2004 and 2011. This study analysed the responses from two cross-sectional surveys of the entire population of 19-year-olds in Ostergotland County, Sweden, performed in 2004 and 2011. Of the 2,413 (53 %) (50 % men, 50 % women) 19-year-olds who responded to the questionnaire in 2004 and the 3,803 (67 %) (50 % men, 50 % women) in 2011, most 19-year-olds (88.1 % [2004] and 87.5 % [am]) reported satisfaction with their oral health. Around half of the respondents rated their knowledge on periodontitis as low. Boys rated their knowledge about avoiding periodontitis higher than girls (p<0.05 in 2004 and p<0.001 in 2011). In 2004, 84.7 % reported shooting pain. In 2011 that figure was 83.7 %. The respondents expressed some uncertainty about the benefits of fluoride toothpaste (7.5 % in 2004 and 9.3 % in 2011), especially the boys (10.3 % in 2004 and 10.5 % in 2011). Girls reported both a higher social impact and greater concern about aesthetics related to their oral health. They also reported headache (27.5 %) nearly twice as often as boys (14.2 %) (p>0.001). Responses between the municipalities did not differ, with the exception of items regarding periodontitis. Thus, this study found indications that perceptions of oral health and knowledge in Ostergotland County complied with Swedish Dental Act. The study also found patient perceptions of oral health among 19-year-olds to be good.
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| 2. |
- Blomma, Caroline, et al.
(författare)
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Evaluation of an early childhood caries preventive programme starting during pregnancy-Results after 3 and 6 years
- 2024
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Ingår i: International Journal of Paediatric Dentistry. - : WILEY. - 0960-7439 .- 1365-263X.
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Tidskriftsartikel (refereegranskat)abstract
- Background: Early childhood caries (ECC) has been found to be up to five times more common among children living in areas of low socio-economic status (SES) than among children in areas of higher SES. Aim: To evaluate an ECC prevention programme from pregnancy to 3 and 6 years of age. Design: A prospective, controlled, intervention cohort study was initiated in 2013 in a low-SES area in Sweden. The intervention group received an individual interdisciplinary ECC prevention programme starting pre-birth, consisting of supportive oral health-promoting talks using motivational interviewing techniques and individual ECC preventive actions. A control group, consisting of pregnant women living in a comparable area, received ordinary routines. Results: Of the 336 pregnant women, 64 mothers (with 64 children) completed the programme, and 394 children were born in the control group. At the sixth year examination, the proportion of children with no caries was similar between the groups (53% resp. 52%, p = .976), whereas the proportion with decayed, missed, filled primary teeth (dmft = 1-5) was slightly lower (23% resp. 36%, p = .063), and the proportion with severe caries disease (dmft > 5) was higher (p = .013) in the intervention group (25%) than in the control group (12%). Conclusion: No preventive effect regarding caries can be demonstrated at sixth year of age. Maternal behavioural change in dental care was not sufficient to even out inequalities in oral health in children, eventually due to difficulties in reaching the target group and the lack of effects among the families reached.
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| 3. |
- Bågesund, Mats, et al.
(författare)
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Dental care and oral health in Aagenaes syndrome/lymphedema cholestasis syndrome 1
- 2015
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Ingår i: Special Care in Dentistry. - : Wiley-Blackwell. - 0275-1879. ; 35:2, s. 83-89
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Tidskriftsartikel (refereegranskat)abstract
- Aagenaes syndrome/lymphedema cholestasis syndrome 1 (LCS1) is a rare genetic disorder characterized by neonatal cholestasis and lymphedema. The aim was to assess dental care and oral health in adults with LCS1. Fifteen (9M, 6F) individuals diagnosed with LCS1, aged 19-59 years participated. The study evaluated salivary secretion rate, dental radiographs, intraoral photos and included a questionnaire. Eight (53%) had regular dental checkups. Three had received subsidized dental care. Seven (47%) had two or more subjective symptoms of xerostomia. Three (20%) had a decreased stimulated salivary secretion rate below 0.7 mL/minute. Seven (47%) had dentin caries. Marginal periodontitis was found in all six patients above 35 years of age, but not before that age. Thirteen (87%) had tooth discoloration, which was extensive in three (20%). Conclusion. Several patients with LCS1 have problems with periodontitis and tooth discoloration. Frequent dental checkups are therefore recommended. © 2014 Special Care Dentistry Association and Wiley Periodicals, Inc.
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| 4. |
- Bågesund, Mats, et al.
(författare)
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Lidocaine 20% patch vs lidocaine 5% gel for topical anaesthesia of oral mucosa
- 2008
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Ingår i: International Journal of Paediatric Dentistry. - : Blackwell Publishing Ltd.. - 0960-7439 .- 1365-263X. ; 18:6, s. 452-460
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Tidskriftsartikel (refereegranskat)abstract
- Background. Topical anaesthetics are important to provide pain control at dental injection Aim. The aim was to evaluate the effectiveness of the intraoral topical anaesthetics lidocaine 20% patch (DentiPatch (TM)) and lidocaine 5% gel Design. The randomized unblinded cross-over study included 31 patients (ten boys, 21 girls) aged 13.5 +/- 2.5 years. Application of lidocaine patch or gel was randomly used at first and second visit in the upper premolar region. Heart rate was measured before and at each needle insertion after 2.5, 5, and 15 min and at injection after 15 min Discomfort and pain were expressed in visual analogue scales (VAS) Paired t-test and Mann-Whitney U-test were used for statistic analyses Results. Heart rate at buccal injection decreased more when the patch was used (P = 0.0149). Heart rate was lower at the second visit (P = 0.0287). Patients expressed less discomfort when the patch was used on both buccal (P = 0.0150) and palatal (P = 0.0391) site. Boys had lower heart rate and VAS pain scale ratings than girls Conclusions. Good pain control can reduce the patients anxiety level - expressed in heart rate - at the second appointment. The patch and gel seem to provide similar pain reduction at needle stick and injection of local anaesthetics
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| 5. |
- Bågesund, Mats, et al.
(författare)
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Longitudinal scintigraphic study of parotid and submandibular gland function after total body irradiation in children and adolescents
- 2007
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Ingår i: International Journal of Paediatric Dentistry. - : Blackwell Publishing Ltd.. - 0960-7439 .- 1365-263X. ; 17:1, s. 34-40
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Tidskriftsartikel (refereegranskat)abstract
- Objective. Total body irradiation (TBI) and cyclophosphamide (CY) during allogeneic stem cell transplantation (ASCT) cause salivary gland dysfunction in children. The aim of this investigation was to study the scintigraphic functional changes over time of the parotid and submandibular glands in children and young adults one year after treatment with CY and TBI at ASCT Methods. Salivary gland scintigraphy (SGS) was performed before ASCT, and 3-6 months and 12 months after ASCT. The three male patients who fulfilled the scintigraphic study had a mean age (+/- SD) of 17.3 +/- 9.8 years at ASCT Results. The parotid secretion capacity (SPar) was 83.5 +/- 3.2% before ASCT and 48.5 +/- 25.8% during the next 3-6 months (P less than 0.05). The SPar did not increase (48.1 +/- 12.4%) during the rest of the first year after ASCT. The submandibular emptying capacity (SSub) was 91.3 +/- 12.9% before ASCT and 35.4 +/- 2.3% after 3-6 months (P less than 0.05). The SSub was 87.9 +/- 17.9% one year after ASCT Conclusions. The parotid glands were more sensitive to irradiation since they did not recover lost capacity to secrete saliva, while the submandibular glands recovered the secretion capacity at the one year follow-up
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| 6. |
- Bågesund, Mats
(författare)
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Salivary function after pediatric bone marrow transplantation
- 2000
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Salivary gland dysfunction is one of the oral long-term complications that most affect the quality of life among long-term survivors after treatment for malignant diseases. The aims of the studies in this thesis were to examine the effect of pediatric bone marrow transplantation (BMT) conditioning regimens on salivary function, caries-associated microflora, and development of dental caries; define risk factors of salivary dysfunction; evaluate subjective xerostomia; and study functional disturbances in the major salivary glands using salivary gland scintigraphy (SGS). Children treated with BMT before 12 years of age participated in a 4-year prospective longitudinal study. Stimulated whole salivary secretion rate (SSSR) was measured before BMT, at 3, 6, and 12 months after treatment, and then at yearly controls. The results were compared with those of a reference group of children stratified for age and sex. A multivariate logistic regression analysis of 40 possible risk factors for salivary dysfunction--defined as an SSSR = 0.5 ml/min-was made I year after pediatric BMT. The correlation between subjective xerostomia and both the stimulated and the unstimulated salivary secretion rate (USSR) was analyzed in children who had survived BMT for 2 years or more. The correlation between SGS time-activity curve variables and both the USSR and the SSSR was analyzed, and different regions for background correction were evaluated among children and adolescents treated for malignant, hematological, and metabolic diseases. Functional disturbances among long-term surviving children after total body irradiation (TBI) were analyzed using SGS. A decreased SSSR was found during the first 6 months after BMT regardless of whether the conditioning regimen included TBI or not. One year after BMT, the SSSRs of the children who had only received chemotherapy exceeded baseline and continued to increase. The SSSRs of the TBI-treated group did not exceed baseline and 3 years after BMT no recovery was detected, indicating that salivary dysfunction in these children might be permanent. TBI-treated children exhibited significantly higher counts of mutans streptococci and lactobacilli 4 years after BMT compared to a healthy reference group. The prevalence of dental caries did not differ significantly between the reference group and the children surviving 4 years after BMT. No correlation was found between caries prevalence and salivary secretion rate and counts of caries-associated microorganisms in saliva. Significant risk factors for salivary dysfunction after pediatric BMT were conditioning with TBI, recipient female sex, and seropositivity for three to four herpes viruses. Subjective xerostomia was expressed by 79% of the long-term surviving pediatric BMT patients and was correlated with salivary gland dysfunction and age. That the function of the major salivary glands after TBI was impaired could be seen in the SGS by a trapping rate and emptying capacity that were lower than before BMT. The results indicate that salivary dysfunction might be permanent after TBI at pediatric BMT. TBI, recipient female sex, and seropositivity for three to four herpes viruses are risk factors for salivary dysfunction after pediatric BMT. Subjective xerostomia is a frequent symptom among long-term survivors after BMT and is correlated with salivary dysfunction and age. Salivary dysfunction in TBI-treated children is portrayed by SGS as a reduction in both emptying capacity and trapping rate.
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| 7. |
- Davidson, Thomas, et al.
(författare)
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Cost-effectiveness of caries preventive interventions : a systematic review
- 2021
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Ingår i: Acta Odontologica Scandinavica. - : Taylor & Francis. - 0001-6357 .- 1502-3850. ; 79:4, s. 309-320
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Forskningsöversikt (refereegranskat)abstract
- OBJECTIVE: The primary purpose of this study was to assess the cost-effectiveness of caries preventive interventions.MATERIAL AND METHODS: A systematic review was conducted, following the PRISMA Statement. Four electronic databases were searched (final search 16 March 2020). Studies fulfilling the inclusion criteria were independently critically appraised, by two reviewers in parallel. Data from each included study were extracted and tabulated: the analysis used a narrative approach to present the results of the estimated cost-effectiveness.RESULTS AND CONCLUSIONS: Twenty-six publications fulfilled the inclusion criteria and were of low or moderate risk of bias. Ten publications were economic evaluations, directly based on empirical studies, and the other 16 were modelling studies. Most of the studies concerned interventions for children and the most common were analyses of fluoride varnish and risk-based programs. Some of the studies showed both reduced cost and improved outcomes, but most studies reported that the improved outcome came with an additional cost. The results disclosed several cost-effectiveness evaluations of caries preventive interventions in the literature, but these target primarily children at high risk. There is a scarcity of studies specifically targeting adults and especially the elderly.
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| 8. |
- Göranson, Emma, et al.
(författare)
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Outcome of orthodontic care and residual treatment need in Swedish 19-year-olds
- 2014
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Ingår i: Swedish Dental Journal. - : SWEDISH DENTAL JOURNAL. - 0347-9994. ; 38:3, s. 133-142
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of the study was to assess the outcome of orthodontic care in Linkoping, Sweden. The dental records of 207 (107 M,100 F) 19-year-olds registered at one public dental health clinic were studied. A clinical examination was performed where malocclusions were registered, where after residual orthodontic treatment need was measured using the Index of Complexity, Outcome and Need (ICON). The 19-year-olds also filled in a questionnaire regarding residual subjective orthodontic treatment demand. Differences between genders were analysed. One hundred and ten (47 M, 63 F) individuals (53.1%) had partaken in orthodontic consultations. Orthodontic appliance treatment had been received by 86 (38 M, 48 F) individuals (41.6%). A residual orthodontic treatment need was registered in 28 (22 M, 6 F) individuals (13.5%). Residual subjective orthodontic treatment demand was expressed by 9 (3 M, 6 F) individuals (4.3%). Eight (2 M, 6 F) of those had no residual treatment need. A higher (p=0.006) rate of females (63.0%) than males (44.0%) had participated in orthodontic consultations. The proportion of males (35.5%) who had experienced orthodontic treatment was not significantly lower (p=0.069) than among the females (48.0%). However, a lower (p=0.009) proportion of treated males (55.3%; n=21 out of 38) than of treated females (81.3%; n=39 out of 48) had received their treatment by orthodontic specialists. At 19 years of age, the proportion of males with residual treatment need (20.6%) was higher (p=0.002) than among the females (6.0%). Every patient with orthodontic treatment need and -demand at 19 years of age had previously been offered orthodontic treatment. The conclusion was drawn that the orthodontic care scheme had successfully diagnosed and treated orthodontic problems in the population. However, notable differences between genders regarding treatment modalities and the amount of residual treatment need at age 19 were found.
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| 9. |
- Göranson, Emma, 1983-, et al.
(författare)
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Translation and validation of the Swedish version of the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) for adolescents
- 2021
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Ingår i: Acta Odontologica Scandinavica. - : Taylor & Francis. - 0001-6357 .- 1502-3850. ; 79:4, s. 241-247
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: The Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) is an instrument developed for assessment of orthodontic aspects of oral health-related quality of life (OHRQoL). This study aimed to translate and validate the Swedish version of PIDAQ for use in Swedish adolescents 12-19 years of age.MATERIAL AND METHODS: The translation was made according to the process described in 'Guidelines for Establishing Cultural Equivalency of Instruments' by Ohrbach et al. Field testing was performed in a group of consecutive patients who were about to start orthodontic treatment (untreated group) and a group of consecutive patients who had recently finished orthodontic treatment (treated group).RESULTS: During the translation procedure, a Swedish version of PIDAQ was formed. In the field testing, a total of 144 questionnaires, 72 from untreated patients (mean age 14.6 years) and 72 from treated patients (mean age 17.3 years) were collected. The exploratory factor analysis detected two factors, which differs from the factor structure in the original questionnaire. The mean total PIDAQ score was significantly higher (p < .001) in the untreated group, 40.6 (20.3), than in the treated group, 9.4 (10.5), implying a high discriminant validity. Reliability was excellent, with internal consistency Cronbach's alpha values varying from 0.94 to 0.97.CONCLUSION: The Swedish version of PIDAQ demonstrates good validity and excellent reliability and is suitable for future research on the effect of malocclusion on OHRQoL in Swedish 12- to 19-year-olds.
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| 10. |
- Hindocha, Nishma, et al.
(författare)
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Ice versus lidocaine 5% gel for topical anaesthesia of oral mucosa : a randomized cross-over study
- 2019
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Ingår i: BMC Anesthesiology. - : BioMed Central. - 1471-2253 .- 1471-2253. ; 19:1
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundTopical anaesthesia is important to optimize pain control during dental injection. Our aim was to describe a new simple method for topical anaesthesia of oral mucosa and to compare the effectiveness of ice and lidocaine 5% gel for topical anaesthesia of oral mucosa.MethodsA total of 40 patients aged 10.7–19.5 years were included. The side and method of application were both randomized. Heart rate was recorded, and discomfort and pain were evaluated with a visual analogue scale (VAS). A paired t-test was used to compare mean values, a chi2 test was used to compare proportions, and a Pearson correlation test was used to examine correlations between variables.ResultsWhen ice was used, buccal injection VAS pain was rated lower (p = 0.044), and VAS discomfort was rated higher (p = 0.001), in comparison to when lidocaine 5% gel was used. There was no significant difference in relative heart rate change between ice and lidocaine 5% gel at either needle stick or injection. Lidocaine 5% gel produced a relative heart rate reduction after palatal injection (0.99 ± 0.06) while buccal injection produced an increased relative heart rate (1.02 ± 0.08) (p = 0.010). Unpleasant taste was more frequently reported when lidocaine 5% gel was used (p = 0.025). An application time of 1 min was sufficient for both ice and lidocaine 5% gel to achieve pain reduction from needle stick in buccal mucosa.ConclusionThe cheap and readily available described method using ice for topical anaesthesia of oral mucosa before dental injection is an effective alternative to lidocaine 5% gel.Trial registrationThe European Union Drug Regulating Authorities Clinical Trials Database EudraCT201300530531. Date of registration: February 10th, 2014.
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