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| 2. |
- Jaldin, C., et al.
(författare)
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Students' attitudes and knowledge on pain and pain management in paediatric dentistry-An observational study
- 2023
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Ingår i: European Journal of Dental Education. - : Wiley. - 1396-5883 .- 1600-0579. ; 27:3, s. 756-762
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Tidskriftsartikel (refereegranskat)abstract
- Introduction The dental and dental hygienist educational programs prepare students with knowledge on children's prophylactic pain treatment and pain management. Observing the students' understanding could help educational efforts to be more student oriented. The aim was to evaluate dental and dental hygienist students' knowledge and attitudes on pain prevention and pain management in children and adolescents, applying a multidimensional questionnaire previously used on general dental practitioners. Materials and Methods Three hundred and four dental and dental hygienist students at Swedish universities were eligible for the survey. Written and oral information was given about the study's aim, methods, anonymity and voluntary participation. The multidimensional questionnaire included 47 closed questions. Results The total responding rate was 65.4%; dental students 61.1% and dental hygienist students 92.8%. The total mean of knowledge and attitudes, beneficial for the treating of patient pain, varied between 57.1% and 83.3%. The biggest knowledge gap was identified regarding the items: Children under 2 years of age experience less pain than children over 2 years undergoing similar treatment(34.3%), The dentist is better suited than the parent to judge if a child is in pain (29.4%), and usually the child's pain experience diminishes when the parents are present (24.2%). Conclusion Dental and dental hygienist students reported vastly spread knowledge and attitudes regarding pain prophylactic and pain management in children and adolescents, as measured by a multidimensional questionnaire previously used on GDPs. Knowledge on students' understanding of the young patient's pain could help educational efforts to be more student oriented. The questionnaire must be further modified and more extensively tested to meet each participating students' program level.
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| 3. |
- Krekmanova, Larisa, 1959, et al.
(författare)
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Barns och ungdomars smärtupplevelser vid tandvård
- 2005
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Ingår i: Tandläkartidningen. - 0039-6982. ; 97:13, s. 52-58
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Tidskriftsartikel (refereegranskat)abstract
- Smärta förekommer ofta i barntandvården som en procedursmärta som kan framkallas vid instrumentanvändning och invasiv behandling. Trots det är systematisk kunskap om detta område begränsad eller till och med bristfällig. Smärta är ett komplicerat fenomen som man kan lägga såväl biologiska som psykologiska och sociala aspekter på. Yttre och inre negativa faktorer hos indiven kan samspela med procedursmärta och bidra till negativa erfarenheter av tandvård, rädsla och på sikt även dålig munhälsa. De fl esta aspekter av tandbehandling av barn och ungdomar berörs såväl inom allmän som specialiserad vård. En ökad förståelse och kunskap om smärta och barns upplevelser av den är förutsättningen för ett bättre omhändertagande. Denna översikt behandlar aspekter på barn och ungdomars smärtupplevelser inom tandvården med inriktning på smärta som är relaterad till vårdsituationen. Artikeln tar även upp skattning av smärta och smärtbehandling i samband med tandvård.
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| 4. |
- Krekmanova, Larisa, 1959, et al.
(författare)
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Common experiences of pain in children and adolescents - an Exploratory Factor Analysis of a questionnaire
- 2013
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Ingår i: Swedish Dental Journal. - 0347-9994. ; 37:1, s. 31-38
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to reduce everyday and dental treatment pain items included in the extended Children's Pain Inventory (CPI), used in a prior study on Swedish children and adolescents. Another aim was to, by means of exploratory factor analysis (EFA), expose hitherto undiscovered dimensions of the CPI pain variables and thus to improve the psychometric properties of CPI. As some pain items are relevant merely to some individuals, a new and more useful questionnaire construction would enhance the internal validity of the instrument in observational surveys. EFA was applied on the extended CPI instrument. 368 children, 8-19 years old, had answered a questionnaire comprising 10 dental and 28 everyday pain variables. These pain items were analysed using a series of sequentially implemented EFA. Interpretations and decisions on the final number of the extracted factors was based on accepted principles; Kaiser's Eigenvalue >1 criterion, inspection of the scree plot and the interpretability of the items loading. The factors were orthogonally rotated using the Varimax method to maximize the amount of variance. Of all tested EFA models in the analysis, a two, three, four, and five factor model surfaced. The interpretability of the factors and their items loading were stepwise examined; the items were modulated and the factors re-evaluated. A four factor pain model emerged as the most interpretable, explaining 79 % of the total variance depicting Eigenvalues >1.014. The factors were named indicating the profile of the content: Factor I cutting trauma to skin/mucosal pain, Factor II head/neck pain, Factor III tenderness/blunt trauma pain, Factor IV oral/dental treatment pain.
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| 5. |
- Krekmanova, Larisa, 1959, et al.
(författare)
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Comparison of the Opinions of Adolescents With Different Orthodontic Treatment Needs
- 2024
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Ingår i: CLINICAL AND EXPERIMENTAL DENTAL RESEARCH. - 2057-4347. ; 10:4
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Tidskriftsartikel (refereegranskat)abstract
- Background: The aim of this study was to compare oral health-related quality of life (OHRQoL) among adolescents granted (G) versus not granted (NG) publicly funded orthodontic treatment. Materials and Methods: Adolescents aged 15-20 years who were granted versus not granted publicly funded orthodontic treatment responded to a web-based survey, assessing OHRQoL in relation to functional impact, psychological impact, and motivators for orthodontic treatment. Before the survey, pretesting of the questionnaire was conducted to ensure its reliability. Differences between the groups were tested using the chi-squared and Mann-Whitney U-tests. Reliability was assessed using Cohen's kappa and Pearson's correlation coefficient during the pretest phase. Results: One hundred and forty patients, equally distributed between a G and an NG group, responded to the survey. Gender, age, and demographic distribution were comparable in both groups. All respondents expressed a high subjective treatment need and similar answers regarding functional aspects. Orthodontic treatment motivators (G: 86.2% and NG: 94.7%, p = 0.443) were primarily related to improved self-esteem, overall well-being, facial appearance, and being able to laugh without embarrassment. The NG group expressed a more negative OHRQoL impact due to the appearance of their teeth compared with the G group (p < 0.001) and a negative impact caused by the position of their teeth (p < 0.001). Conclusions: Orthodontic treatment need indices should aim to reinforce subjective measures as adolescents express similar motivators for orthodontic treatment, regardless of the clinician's objectively based decision about treatment need.
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| 6. |
- Krekmanova, Larisa, 1959, et al.
(författare)
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Det utsatta barnet i tandvården
- 2005
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Ingår i: Tandläjartidningen. ; 2005:14
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Tidskriftsartikel (refereegranskat)
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| 7. |
- Krekmanova, Larisa, 1959, et al.
(författare)
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Everyday- and dental-pain experiences in healthy Swedish 8-19 year olds: an epidemiological study.
- 2009
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Ingår i: International journal of paediatric dentistry / the British Paedodontic Society [and] the International Association of Dentistry for Children. - 1365-263X. ; 19:6, s. 438-47
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Very little is known about children's everyday pains and dental treatment pains. A child's gender, age, and level of dental anxiety are factors that could interplay with the perception of pain and are thus worth studying. AIM: The objectives of this study were to investigate the frequency and reported intensity levels of children's everyday- and dental-pain experiences, and to study the reported pains in relation to gender, age, and dental anxiety. DESIGN: Three hundred and sixty-eight consecutive patients (8-19 years, mean age 13.5 years) from three different Public Dental Service were recruited. Pain ratings were obtained using McGrath's Children's Pain Inventory list and some additional items. Dental anxiety was estimated by the Dental Anxiety Scale. RESULTS: Most frequently experienced everyday pains were headache and tummy/stomach ache. Among dental treatment events, dental injection was reported to be most often ranked as painful, and more frequently by girls. Both dental and everyday pains were rated higher grouping children with high dental anxiety. CONCLUSIONS: The frequency of pain experiences are the same in Swedish children as in other populations. There is a relation between dental anxiety and the perception of pain.
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| 8. |
- Krekmanova, Larisa, 1959, et al.
(författare)
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Perceived oral discomfort and pain in children and adolescents with intellectual or physical disabilities as reported by their legal guardians
- 2016
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Ingår i: European Archives of Paediatric Dentistry. - : Springer Science and Business Media LLC. - 1818-6300 .- 1996-9805. ; 17:4, s. 223-230
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Tidskriftsartikel (refereegranskat)abstract
- Aim: This was, firstly, to study the occurrence of oral pain and discomfort, using the Dental Discomfort Questionnaire (DDQ), in children and adolescents with intellectual or physical disabilities, compared with controls. Secondly, was to analyse the relationship between pain and discomfort, as measured by the DDQ, and dental health, as well as oral hygiene habits and dietary habits. Methods: The study included 135 children and adolescents (12–18years), registered at the Child and Adolescent Habilitation Unit in Göteborg and Södra Bohuslän, Sweden, and 135 gender- and age-matched controls. The children’s legal guardians completed a questionnaire comprising the DDQ and questions on oral hygiene and dietary habits. Data on dental health were retrieved from dental records. Results: The DDQ total mean score was higher for the study group, compared with the control group, 3.2 (SD 2.9) vs. 1.6 (SD 2.0), respectively (p = 0.001). Furthermore, children and adolescents with a severe intellectual disability had higher total mean DDQ scores than children with a mild intellectual disability, 4.8 (SD 4.2) vs. 2.4 (SD 2.9), respectively (p=0.034), and also higher than children with a physical disability, 2.2 (SD 2.1) (p=0.012). There were no differences in DMFT between children with disabilities and age-matched controls. There was no relationship between the DDQ scores and oral hygiene/dietary habits in children with disabilities. Conclusions: Children and adolescents with intellectual or physical disabilities experienced oral discomfort and pain more often than matched controls. Dental health expressed as DMFT could not be related to the DDQ responses. © 2016, European Academy of Paediatric Dentistry.
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| 9. |
- Krekmanova, Larisa, 1959, et al.
(författare)
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Young patients' self-reported fear compared to professionals' assessments during invasive and non-invasive dental visits: a prospective, longitudinal study
- 2022
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Ingår i: European Archives of Paediatric Dentistry. - : Springer Science and Business Media LLC. - 1818-6300 .- 1996-9805. ; 23:2, s. 309-315
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Tidskriftsartikel (refereegranskat)abstract
- Purpose The main purpose was to study young patients' self-reports on dental fear over a 5-year period, prospectively. Also, to compare these to professionals' proxy reports for dental fear during invasive and non-invasive dental visits. The research question was, to what extent the self-reports and dental professionals' proxy reports are congruent, and if there were patient age-dependent differences. Methods 3134 patients from 11 public dental clinics, representing urban and rural areas, were invited. Four age cohorts were formed: 3, 7, 11, and 15 years of age and followed between the years 2008 and 2012. Dental examinations (non-invasive) and restorative treatments + extractions (invasive) were registered. During the treatments, self-reports regarding fear and professional proxy reports were registered: Not afraid at all = 0, little nervous = 1, quite afraid = 2, very scared = 3, terrified = 4. Results 2363 patients completed the cohort periods (51% girls and 49% boys). In all, 9708 dental examinations, restorations and extractions were performed. The fear prevalence increased with the invasiveness of the dental procedure; 7-56%. For dental examinations and restorations, fear declined with ascending age. The highest fear prevalence was reported for dental extractions. Younger children reported fear more frequently than older children, p < 0.001. Frequent inconsistencies between self-reports and proxy reports were observed among the younger children (16%) compared to the older children (8%), p < 0.001. Conclusion Non-congruence was observed for self-reports and proxy reports regarding all age cohorts.
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| 10. |
- Wide Boman, Ulla, 1964, et al.
(författare)
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An explorative analysis of the recruitment of patients to a randomised controlled trial in adolescents with dental anxiety
- 2014
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Ingår i: Swedish Dental Journal. - 0347-9994. ; 38:1, s. 47-54
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Tidskriftsartikel (refereegranskat)abstract
- Randomised controlled trials (RCTs) are considered to provide the most reliable evidence on the efficacy of interventions. The aim of this study was to describe the recruitment process of an RCT study set up to evaluate a Cognitive Behavioural Therapy (CBT) intervention programme for adolescent patients with dental anxiety (DA). The participants were recruited from a consecutive sample of adolescent patients (12 -19 yrs old) referred for DA to a specialised pediatric dentistry clinic. Age, gender, and reason for referral were recorded for the possible eligible patients as part of the drop-out analysis of the recruitment process. Participants were then randomized to the intervention (CBT integrated with dental treatment) or control (adapted dental treatment) condition. In the recruitment process, 138 possible eligible patients met inclusion criteria, of these 55 were enrolled, 44 declined participation and 39 patients were excluded. The patients enrolled in the RCT did not differ from the non-participants with regard to age, gender or cause of referral. As a result of difficulties in the recruitment process, the study period was extended. The considerable proportion of non-participants as evident from the recruitment process may pose a threat to the external validity of the clinical trial. From a clinical perspective, the reasons for the lack of motivation to participate in behavioural interventions and the failure to appear warrant further investigation.
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