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1.	Gotfredsen, Klaus, et al. (författare) Implants and/or teeth: consensus statements and recommendations. 2008 Ingår i: Journal of oral rehabilitation. - : Wiley. - 1365-2842 .- 0305-182X. ; 35:Suppl 1, s. 2-8 Forskningsöversikt (refereegranskat)abstract In August 23-25, 2007, the Scandinavian Society for Prosthetic Dentistry in collaboration with the Danish Society of Oral Implantology arranged a consensus conference on the topic 'Implants and/or teeth'. It was preceded by a workshop in which eight focused questions were raised and answered in eight review articles using a systematic approach. Twenty-eight academicians and clinicians discussed the eight review papers with the purpose to reach consensus on questions relevant for the topic. At the conference the consensus statements were presented as well as lectures based on the review articles. In this article the methods used at the consensus workshop are briefly described followed by the statements with comments.
2.	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.
3.	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.
4.	Dahlström, Lars, et al. (författare) Comparison of effects of electromyographic biofeedback and occlusal splint therapy on mandibular dysfunction. 1982 Ingår i: Scandinavian journal of dental research. - 0029-845X. ; 90:2, s. 151-6 Tidskriftsartikel (refereegranskat)abstract In order to evaluate and compare the effects of biofeedback and occlusal splint therapy on mandibular dysfunction, 30 patients were randomly divided into two treatment groups. The patients were women aged 20--40 years without any obvious organic reasons for their symptoms. There were no significant differences between the two groups before the start of treatment in respect of signs and symptoms of mandibular dysfunction. One group used full coverage splints at night for 6 weeks. The other group received biofeedback training up to six times, 30 min per session. One month after completion of the therapy the patients were re-examined. Both groups showed a significant reduction in symptoms, both subjectively and clinically. No significant differences between the groups were found. The two treatments were thus equally effective in the short-term perspective in patients with signs and symptoms of mandibular dysfunction.
5.	Ekbäck, Gunnar, et al. (författare) Changes in dental status and prevalence of symptoms related to temporomandibular disorders in 50- to 70-year-old subjects – Longitudinal and cross-sectional results. : Veränderungen im Zahnstatus und Prävalenz von Symptomen mit Bezug zu kraniomandibulären Dysfunktionen bei 50- bis 70-jährigen Patienten – Ergebnisse aus Längs- und Querschnittsstudien 2013 Ingår i: Journal of Craniomandibular Function. - 1868-4149. ; 5:4, s. 317-331 Tidskriftsartikel (refereegranskat)abstract The aim was to assess changes in prevalence of some reported TMD-related symptoms and dental status in 50-year-old subjects who were followed for 20 years. Identical questionnaires were sent to all subjects born in 1942 and living in two Swedish counties every fifth year, from 1992 to 2012. The response rate varied between 71 to 75%, resulting in five cross-sectional samples varying from 5,697 to 6,513 subjects, and a longitudinal sample of 3,585 subjects participating in all examinations. The great majority (80 to 90%) reported no symptoms related to TMD. Prevalence and symptom severity changed only little over time. Less than 3% considered their TMD symp- toms to be severe or rather severe. The mean prevalence of TMD-related symptoms and bruxism was greater in women than in men, whereas gender differences in the number of teeth were extremely small. The longitudinal sample had similar prevalence of TMD-related symptoms and reported bruxism, but had more teeth and better chewing ability than the cross-sectional samples. It was concluded that the prevalence of TMD-related symptoms was low but higher in women than in men, whereas there was no gender difference in dental status. The longitudi- nal sample had more teeth than the cross-sectional sam- ples but there was no difference regarding TMD-related symptoms.
6.	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.
7.	Ström, Dan, et al. (författare) Management of tinnitus and jaw-muscle tenderness using an intraoral appliance and acupuncture. 2013 Ingår i: Swedish Dental Journal. - 0347-9994. ; 37, s. 105-110 Tidskriftsartikel (refereegranskat)abstract Associations between signs and symptoms from the masticatory system and tinnitus have been reported. The aim of the study was to evaluate the effect of intraoral splint therapy and acupuncture on jaw-muscle tenderness and tinnitus. The study comprised 45 patients (24 men, 21 women; mean age 48 ±12 years) with long standing tinnitus (duration 6.5 ±5.9 years), referred from the audiology department at the University hospital in Örebro, Sweden. A complete audiological survey was performed before referral. Jaw muscles were palpated and the subjective tinnitus evaluated on a 100 mm scale (VAS) at baseline and after one year. All patients received stabilization (Michigan type) splints at start of treatment. After 6 months, non-responders (n=25) were subjected to acupuncture (6 sessions with duration of 30 minutes). Standard statistical methods were used. All patients had tender jaw muscles at palpation. Patients reported a significant decrease of the intensity of tinnitus during the observation period (from 78±20 mm to 52±24 mm after one year; P < 0.001). Only 6 (13 %) of the 45 patients did not report any improvement of their tinnitus. The number of jaw muscles tender to palpation also decreased significantly from 7.9±5.9 to 4.6±5.3; (P < 0.001). In conclusion, all 45 patients with tinnitus had tender jaw muscles. Intraoral splint therapy and acupuncture had a favorable effect on tinnitus and the jaw muscle symptoms. One year after the start of treatment, all but 6 of the 45 patients reported improvement of their tinnitus. Based on the results it is suggested that many tinnitus patients with jaw muscle tenderness can benefit from a treatment including intraoral splint and acupuncture.
8.	Unell, Lennart, et al. (författare) Prevalence of troublesome symptoms related to temporomandibular disorders and awareness of bruxism in 65- and 75-year-old subjects. 2012 Ingår i: Gerodontology. - : Wiley. - 1741-2358 .- 0734-0664. ; 29:2 Tidskriftsartikel (refereegranskat)abstract Objective: To assess the prevalence of 3 troublesome temporomandibular disorder (TMD) symptoms and awareness of bruxism in 2 cohorts of subjects aged 65 and 75 years. Background: Epidemiological studies have demonstrated a high, though varying, prevalence of TMD symptoms. The results concerning elderly people are inconclusive. Material and methods: Identical questionnaires were in 2007 sent to all subjects born in 1942 and 1932 living in two Swedish counties. The response rate was 73.1% for the 65- and 71.9 % for the 75-year-old subjects, totally 9093 subjects. This study focused on 3 questions on the severity of TMD symptoms and 1 question on awareness of bruxism. Results: The great majority reported no or only few TMD problems. Less than 3 % (måste kontrolleras!) considered their TMD symptoms to be rather great or severe. The mean prevalence of TMD-related symptoms and bruxism was greater in women than in men in both age groups. The 75-year-old women reported a marked lower prevalence of TMD symptoms and bruxism than the 65-year-old women, whereas the age differences were small among the men. Self-reported bruxism was associated with higher prevalence of TMD symptoms. Conclusions: The great majority of the 65- and 75 year-old subjects did not report any troublesome TMD related symptoms.
9.	Ascher, Aron, et al. (författare) Klassisk metallkeramik ger vika för nya material. Resultat av en enkät hos protetikspecialister 2013 Ingår i: Tandläkartidningen. - 0039-6982. ; 105:11, s. 76-80 Tidskriftsartikel (refereegranskat)abstract Den klassiska metallkeramiken baserad på högädla guldlegeringar används numera i liten utsträckning i fast protetik, enligt en enkät till specialister i oral protetik. Helkeramiska material dominerar för singelkronor både i fronten och i sidopartierna. Detta gäller såväl tand- som implantatstödda konstruktioner. Vid tandstödda delbroar och fullbroar är kobolt- krom-porslin den vanligaste materialkombinationen. För implantatstödda fullbroar är titan-akryl vanligast förekommande.
10.	Ascher, Aron, et al. (författare) Use of implant-supported prostheses in edentulous mandibles among prosthodontists in Sweden. 2014 Ingår i: Swedish Dental Journal. - 0347-9994. ; 38:4, s. 161-167 Tidskriftsartikel (refereegranskat)abstract The aim of this study was to investigate the production of mandibular implant-supported fixed and removable prostheses among prosthodontic specialists in Sweden and to compare the results with findings in a similar study made in 2001 (16). Questionnaires regarding treatment with mandibular implant prostheses during 2011 were sent to all specialists in prosthodontics in Sweden (n = 156, according to available data). A total of 129 questionnaires were received from 129 (83 %) prosthodontists of which 114 were completed. The reported number of treatments with mandibular implant-supported prostheses varied much among the specialists. Fixed implant prostheses were more common than overdentures, but the range was large. Tio (9 %) of the specialists reported no treatment with fixed implant prostheses while 29 (25 %) had not made any implant overdentures during 2011. The most common anchorage system for overdentures in 2011 and in 2001 respectively, was two un-splinted implants with ball attachments or locators The most common reasons for the choice of overdenture treatment in 2011, as well as in 2001, were the reduced cost and the patient’s main wish to improve denture retention. In 2011, 58% of the prosthodontists responded that patients with implant overdentures were as satisfied as those with fixed implant-supported prostheses, whereas 40 % claimed they were less satisfied. Two respondents (2 %) considered that overdenture patients were more satisfied than those with a fixed prosthesis. It can be concluded that the general attitude among Swedish prosthodontists towards implant overdentures has not changed much during the 10-year period between the present and the previous investigation. An overdenture is still a seldom-used option in implant treatment of patients with edentulous mandibles. A fixed implant-supported prosthesis continues to be the preferred option.
11.	Carlsson, Gunnar E, 1930, et al. (författare) A survey of the use of mandibular implant overdentures in 10 countries. 2004 Ingår i: The International journal of prosthodontics. - 0893-2174. ; 17:2, s. 211-7 Tidskriftsartikel (refereegranskat)abstract PURPOSE: This preliminary international survey compared provision of implant-retained overdentures to fixed implant-supported prostheses for edentulous mandibles. MATERIALS AND METHODS: Questionnaires based on a 2001 Swedish study were sent to prosthodontists and specialist clinics in nine additional countries. RESULTS: Response rate varied from 53% to 100% in 10 national surveys and should allow careful comparison of results. The relationship between implant overdentures and fixed implant-supported prostheses in treatment of edentulous mandibles varied much; in Sweden, the proportion of overdentures was 12%, whereas it was 93% in The Netherlands. In all countries, the most common reason for choice of the overdenture was reduced cost. In all but two countries, the majority of respondents thought that patients with implant overdentures were equally or more satisfied with overdentures as those with fixed implant-supported prostheses. CONCLUSION: There were great differences among the 10 countries in choice of implant treatment of the edentulous mandible. The relative proportion of mandibular overdentures to fixed prostheses was low in Sweden and Greece and varied from one to two thirds in the other countries, except The Netherlands.
12.	Carlsson, Gunnar E, 1930, et al. (författare) Ansiktsbåge ökar inte kvaliteten på protetiska arbeten. 2016 Ingår i: Tandläkartidningen. - 0039-6982. ; 108:4, s. 70-71 Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
13.	Carlsson, Gunnar E, 1930 (författare) Changes in the prosthodontic literature 1966 to 2042. 2005 Ingår i: Journal (Canadian Dental Association). - 1488-2159. ; 71:5 Forskningsöversikt (refereegranskat)abstract PURPOSE: To describe the growth and content of the prosthodontic literature over the last 4 decades, to make a prognosis on its probable development in the coming 4 decades and to discuss changes in the content of the International Journal of Prosthodontics (IJP) from its start in 1988 to 2004. METHODS: MEDLINE was searched for articles on prosthodontics published between 1966 and April 2004. All volumes of IJP were examined with respect to type, subject area and geographic origin of articles. RESULTS: Using the term "prosthodontics," the MEDLINE search produced 66,600 hits. The proportion of clinical studies increased from 1% during the first 10-year period to 13% since 2001. Articles on removable dentures decreased during the period reviewed, whereas those on implant prosthodontics increased. Randomized controlled trials were rare and often of inadequate quality. Literature reviews have become popular, but many do not follow current guidelines for systematic reviews. A marked change in geographic origin of articles in IJP has occurred, with a decrease in material from North America and an increase in that from Europe and Asia. The Internet and open-access publishing will probably have a great impact on the future development of the prosthodontic literature. CONCLUSIONS: Substantial changes have occurred in the prosthodontic literature between 1966 and 2004, and they can be expected to continue with the rapid development of information technology and increased use of the Internet.
14.	Carlsson, Gunnar E, 1930 (författare) Critical review of some dogmas in prosthodontics 2009 Ingår i: Journal of Prosthodontic Research. - 1883-1958. ; 53:1, s. 3-10 Tidskriftsartikel (refereegranskat)abstract Purpose: In prosthodontics like in other dental disciplines there are many clinical procedures that lack support of good evidence, which means that the effect is unknown, and even worse, we do not know if they do more good than harm. It is the aim of this paper to review current evidence for selected procedures based on a scrutiny of the prosthodontic literature. Study selection: A MEDLINE/PubMed search was conducted for articles on the selected items with a focus on best available evidence. Results: Many “old truths” regarding prosthodontic interventions can be called dogmas, opinions based more on belief than scientific evidence. There is, for example, lack of evidence to support the opinion that a face-bow is necessary in the fabrication of prostheses, and many theories related to occlusion are not evidence-based. Some such dogmas in various areas of the discipline are exemplified and discussed in the article. Conclusion: A scrutiny of the prosthodontic literature indicates that many common clinical procedures lack scientific support. In the era of evidence-based dentistry, ineffective interventions should be eliminated and decisions should be made on best available evidence.
15.	Carlsson, Gunnar E, 1930 (författare) Dental occlusion: modern concepts and their application in implant prosthodontics 2009 Ingår i: Odontology. - 1618-1255. ; 97:1, s. 8-17 Tidskriftsartikel (refereegranskat)abstract The aim of this article was to review the literature on various aspects of occlusion related to implant prosthodontics, using PubMed and the Cochrane library. Even if the number of studies on implants and prosthodontics is very large, no randomized controlled trials or Cochrane reviews were found on the possible infl uence of occlusal design or characteristics of occlusion on treatment outcome. Therefore, studies and articles of a lower evidence level were accepted as the main part of the review. The widely spread opinion that implants are superior to natural teeth was refuted by two recent consensus conferences, which concluded that the long-term outcome of implant restorations is not better than that of natural teeth. No controlled studies on the optimal features of a harmonious natural and/or restored occlusion, including implant prostheses, were found. Nor was there any evidence that more sophisticated methods in jaw registration, e.g., using face-bows and adjustable articulators, compared with simpler methods, will yield better clinical prosthodontic results. This article discusses, among other things, concepts of occlusion of implant-supported restorations, occlusal material, cantilevers, and occlusal risk factors. Within the limitations of the review, it was concluded that many factors can infl uence implant failure and peri-implant bone loss but that little is known of the relative importance of such factors. Most probably, however, occlusal factors and details of occlusion are in general of minor importance for the outcome of implant restorations. Occlusion can be managed successfully by using simple methods for jaw registration and different occlusal concepts.
16.	Carlsson, Gunnar E, 1930 (författare) Early in contrast to recent methods to evaluate masticatory function in implant patients 2012 Ingår i: Journal of Prosthodontic Research. - : Japan Prosthodontic Society. - 1883-1958. ; 56:1, s. 3-10 Tidskriftsartikel (refereegranskat)abstract Purpose: The aim was to describe early and a few recent methods to evaluate masticatory function in patients before and after implant treatment. Study selection: Three Swedish doctoral theses from the early era of osseointegration and a recent Swedish doctoral thesis studying oral function in implant patients are reviewed. Furthermore, a PubMed search was conducted to identify studies published during the last 3 years related to masticatory function in implant patients. Results: The first studies used questionnaires and methods for assessing bite force and chewing efficiency before and after implant treatment. Subsequent studies included methods evaluating dietary selection, psychological problems, occlusal perception, oral stereognosis, oral motor ability and phonetics. The results demonstrated overwhelming improvement, both subjectively and objectively, of oral functions, and in the patients’ lives, after implant treatment. The methods employed appear to have been adequate and they have continued to be utilized, only slightly modified, in a number of subsequent and recent studies. New methods using custom-made equipment to monitor changes in bite force, jaw movements and muscle activity during various tasks demonstrated the important role of periodontal mechanoreceptors in biting and chewing. These methods promise to be valuable in ongoing and future prosthodontic research. Conclusions: The early methods used for assessment of masticatory function appear to have been adequate and they have, with only slight modifications, continued to be utilized. New methods monitoring bite force, jaw movements and muscle activity have deepened the knowledge of masticatory functions and promise to be valuable in future prosthodontic research.
17.	Carlsson, Gunnar E, 1930 (författare) En kritisk granskning av några dogmer inom protetik och bettfysiologi. 2008 Ingår i: Aktuell Nordisk Odontologi 2008. - 9788762807815 ; , s. 45-58 Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract Artikeln exemplifierar några dogmer och uppfattningar som saknar vetenskapligt stöd och därför bör begravas. Vid en närmare granskning finner man att mycket i dagens kliniska verksamhet saknar vetenskapligt stöd och mer kliniskt orienterad forskning är nödvändig för att förbättra vården.
18.	Carlsson, Gunnar E, 1930, et al. (författare) Etiology of temporomandibular disorders with special focus on the role of occlusion : Η αιτιολογία των Κρανιογναθικών Διαταραχών, με ιδιαίτερη έμφαση στο ρόλο της σύγκλεισης 2011 Ingår i: Odontostomatological Progress. - 0029-8506. ; 65:2, s. 180-203 Forskningsöversikt (refereegranskat)abstract The aim of this article was to present a systematic evidence –based review of literature related to the etiology of temporomandibular disorders (TMD). Since there is a scarcity of the highest level of evidence, randomized controlled studies (RCTs), on this topic, the best available knowledge of TMD etiology was mainly based on studies of lower level of evidence and some recent more or less systematic reviews. Accepting these limitations, the following conclusions have been drawn. TMDs comprise a number of disorders and conditionς in the orofacial region. It is therefore self-evident that the etiology is multifactorial. The comorbidity between TMD signs and symptoms and pain and disorders in other parts of the body has lately attracted much attention. Impaired general health and systemic diseases constitute important parts in the complex etiology of many TMD problems. The role of psychological and psychosocial factors in the TMD etiology have received great acceptance over the last few years. Recent research indicates that occlusion does not play a major role in the etiology of TMD. However, the long controversy regarding the role of occlusion in the pathogenesis of TMD has not yet been resolved. Several dentists, although acknowledging that its importance may be smaller than previously believed, still claim that occlusion cannot be completely ruled out as a possible contributing factor in the etiology of TMD. Even if the etiology of TMD is not fully known, successful management of most TMD patients is possible. The clinician should explain to the patient the probable nature of the condition and that most TMDs are benign and can be treated with simple methods with a good prognosis.
19.	Carlsson, Gunnar E, 1930 (författare) Facts and fallacies: an evidence base for complete dentures 2006 Ingår i: Dent Update. ; 33, s. 134-142 Tidskriftsartikel (refereegranskat)abstract The rate of edentulism is falling but many edentulous people still need complete denture service. There is poor correlation between the quality of dentures and patient satisfaction. There is no evidence that a more complex fabrication technique including face-bow registration results in a better clinical outcome. Balanced occlusion/articulation is not necessary for successful complete denture function. Variations in materials and techniques appear to have only minor influence, if any, on the clinical end result. Psychosocial factors, especially a good relationship between dentist and patient, are more important than prosthodontic factors for a positive outcome. Clinical Relevance: Creating a good relationship between the dentist and the patient is extremely important for a successful outcome of a complete denture treatment. Objectives Statement: The reader should understand that the paucity of good studies in the complete denture literature necessitates a cautious and humble attitude towards conflicting opinions.
20.	Carlsson, Gunnar E, 1930 (författare) Foreword 2016 Ingår i: Sakar O (ed). Removable partial dentures. A practitioner’s manual.. - Cham : Springer International Publishing. - 9783319205557 Bokkapitel (övrigt vetenskapligt/konstnärligt)
21.	Carlsson, Gunnar E, 1930 (författare) Foreword to the fifth edition 2011 Ingår i: : Basker RM, Davenport JC, Thomason JM. Prosthetic treatment of the edentulous patient. 5th ed. Chichester, UK: Wiley-Blackwell 2011:X.. ; 5th ed. Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
22.	Carlsson, Gunnar E, 1930, et al. (författare) Functional aspects 2013 Ingår i: A textbook of fixed prosthodontics : the Scandinavian approach; 2. ed.,Editors: Nilner K, Karlsson S, Dahl BL. - Stockholm : Gothia. - 9789172057968 ; , s. 128-150 Bokkapitel (refereegranskat)
23.	Carlsson, Gunnar E, 1930 (författare) Half a century with stomatognathic physiology 2006 Ingår i: Chung SC, Fricton JR, eds. The past, present and future of temporomandibular disorders and orofacial pain. - 8986730677 ; , s. 175-206 Bokkapitel (övrigt vetenskapligt/konstnärligt)
24.	Carlsson, Gunnar E, 1930 (författare) Implant and root supported overdentures - a literature review and some data on bone loss in edentulous jaws. 2014 Ingår i: Journal of Advanced Prosthodontics. - : The Korean Academy of Prosthodontics. - 2005-7806 .- 2005-7814. ; 6:4, s. 245-252 Forskningsöversikt (refereegranskat)abstract PURPOSE. To present a literature review on implant overdentures after a brief survey of bone loss after extraction of all teeth. MATERIALS AND METHODS. Papers on alveolar bone loss and implant overdentures have been studied for a narrative review. RESULTS. Bone loss of the alveolar process after tooth extraction occurs with great individual variation, impossible to predict at the time of extraction. The simplest way to prevent bone loss is to avoid extraction of all teeth. To keep a few teeth and use them or their roots for a tooth or root-supported overdenture substantially reduces bone loss. Jaws with implant-supported prostheses show less bone loss than jaws with conventional dentures. Mandibular 2-implant overdentures provide patients with better outcomes than do conventional dentures, regarding satisfaction, chewing ability and oral-health-related quality of life. There is no strong evidence for the superiority of one overdenture retention-system over the others regarding patient satisfaction, survival, peri-implant bone loss and relevant clinical factors. Mandibular single midline implant overdentures have shown promising results but long-term results are not yet available. For a maxillary overdenture 4 to 6 implants splinted with a bar provide high survival both for implants and overdenture. CONCLUSION. In edentulous mandibles, 2-implant overdentures provide excellent long-term success and survival, including patient satisfaction and improved oral functions. To further reduce the costs a single midline implant overdenture can be a promising option. In the maxilla, overdentures supported on 4 to 6 implants splinted with a bar have demonstrated good functional results.
25.	Carlsson, Gunnar E, 1930, et al. (författare) Jaw relation registration and articulators 2012 Ingår i: Molin Thorén M, Gunne J, editors. Textbook of removable prosthodontics. The Scandinavian approach.. - 9788762809550 ; , s. 121-131 Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract The recording of jaw relations is an important step in the treatment of totally and partially edentulous patients. The aim is to facilitate the adaptation of the complete dentures to the masticatory system and to give them an optimal and comfortable function. To achieve this goal the recording must include an appropriate vertical dimension of occlusion, stable occlusal contacts in harmony with the existing temporomandibular joints (TMJs) and masticatory muscle functions, as well as the relationship between the prostheses and oral and facial soft tissues and musculature. There are many ways to perform these recordings and opinions differ among clinicians regarding which are the best. However, most agree that the main component in the recording procedure is the occlusion rims that should be shaped similar to the final prostheses. The fabrication of removable dentures is performed in the laboratory by dental technicians, and much of the work is done in an articulator, which is a device that simulates the patient’s jaw movements.
26.	Carlsson, Gunnar E, 1930 (författare) Klinisk bettfysiologi 2014 Ingår i: Ämneshistorisk dokumentation vid Göteborgs universitet Del 2. - Göteborg : University of Gothenburg. - 9789198142815 ; , s. 1-8 Bokkapitel (övrigt vetenskapligt/konstnärligt)
27.	Carlsson, Gunnar E, 1930, et al. (författare) Long-term marginal periimplant bone loss in edentulous patients. 2000 Ingår i: The International journal of prosthodontics. - 0893-2174. ; 13:4, s. 295-302 Tidskriftsartikel (refereegranskat)abstract PURPOSE: The aim of this study was to examine the long-term periimplant bone loss in patients treated with implant-supported fixed prostheses in both jaws. MATERIALS AND METHODS: The participants comprised 44 edentulous patients who have been followed for a 15-year period after treatment with a fixed implant-supported prosthesis in the mandible. Thirteen of them also received an implant-supported fixed prosthesis in the maxilla, on average 4.5 years after the mandibular treatment. The periimplant bone level was measured on intraoral radiographs. RESULTS: The long-term results of the implant treatment were successful, and only 1% (3/273) of the implants were lost in the mandible and 7% (5/75) in the maxilla. All but one of the failures occurred before the connection of the prostheses. The mean marginal bone loss around the implants was small (less than 1 mm for a 10-year period after implant placement), and was of similar magnitude in both jaws. However, the individual variation was relatively great. There was no significant difference in marginal bone loss between those who had a maxillary complete denture during the entire observation period and those who had received a fixed implant-supported maxillary prosthesis. Smokers lost more periimplant bone than did the nonsmokers; the difference was significant in the mandible but small and nonsignificant in the maxilla. CONCLUSION: The long-term periimplant bone loss was small and of similar magnitude in the mandible and the maxilla in subjects who had received implant-supported fixed prostheses in both jaws. The prosthetic status in the maxilla, i.e., complete denture or fixed implant-supported prosthesis, had no significant influence on the mandibular periimplant bone loss.
28.	Carlsson, Gunnar E, 1930, et al. (författare) Occlusie en gebitsslitage 2015 Ingår i: Occlusie en articulatie. - 978 90 8562 141 6 ; , s. 62-79 Bokkapitel (övrigt vetenskapligt/konstnärligt)
29.	Carlsson, Gunnar E, 1930 (författare) Occlusion and temporomandibular disorders: past and present opinions on management 2013 Ingår i: Journal of the Pakistan Prosthodontics Association (JPPA). - 2308-8613. ; 2013:2, s. 81-86 Tidskriftsartikel (refereegranskat)abstract The role of occlusal factors in temporomandibular disorders (TMDs) has been a much-discussed topic for long, and it still is. This article will briefly present the development of opinions on the relationship between occlusion and TMDs and how this has affected the management. The early belief that deviations from an ideal occlusion would imply a risk of creating TMDs has gradually been abandoned. Today most TMD experts de-emphasize the importance of occlusion in the aetiology of TMD. Available evidence-based knowledge has suggested that occlusal interventions are not justified for treatment of TMDs since occlusion is in general not at all or only weakly associated with TMDs. Instead counselling and simple reversible methods should be the first choice in management of TMD patients. Oral appliances / splints are frequently used and can often effectively reduce signs and symptoms in TMD patients. However, they are not always necessary and a low-cost, non-splint self-care treatment should be the first choice in management of the majority of primary TMD patients. Conclusion. TMDs will often improve with simple treatment that can be performed in general dental practice, without occlusal interventions. Educating patients about their disorder is an important part of the management. Only few TMD patients need more extensive treatment and / or referral to orofacial or medical specialists.
30.	Carlsson, Gunnar E, 1930 (författare) Ocklusion –smärta och funktionsstörning 2011 Ingår i: Internetodontologi.se. ; 2011-09-18, s. 1-7 Tidskriftsartikel (refereegranskat)
31.	Carlsson, Gunnar E, 1930, et al. (författare) Ocklusionens betydelse i klinisk tandvård 2013 Ingår i: Tandläkartidningen. - 0039-6982. ; 105:8, s. 64-70 Tidskriftsartikel (refereegranskat)abstract Uppfattningarna varierar om hur ocklusionen ska definieras och undersökas och hur ocklusala problem ska behandlas. Nya kunskaper om hjärnans neuroplasticitet kan bidra till ökad förståelse av patienters anpassning till olika typer av protetiska behandlingar och variationer i ocklusal utformning
32.	Carlsson, Gunnar E, 1930, et al. (författare) Okklusionens betydning i klinisk odontologi 2014 Ingår i: Tandlægebladet. - 0039-9353. ; 118:3, s. 196-203 Tidskriftsartikel (refereegranskat)abstract Ocklusion är ett centralt begrepp inom odontologin, men uppfattningar om hur ocklusionen ska definieras, undersökas och hur ocklusala problem ska behandlas varierar mycket. Påtagliga åsiktsskillnader finns ofta mellan olika tandläkare och tandtekniker, mellan tandläkar- och tandteknikerutbildningar inom och mellan länder, och inte minst har synen på ocklusion förändrats över tid. De flesta individer uppvisar avvikelser från det så kallade ideala bettet men den stora majoriteten fungerar ändå oftast bra. De har en fysiologisk ocklusion och behöver ingen bettkorrigerande behandling. Den länge förhärskande uppfattningen att helproteser måste ha balanserad ocklusion för att fungera har vederlagts/motbevisats av flera nya väl utförda studier. I läroböcker och undervisning har länge hävdats att käkregistrering måste utföras med ansiktsbåge. Det finns emellertid inga vetenskapliga belägg för den uppfattningen. De stora broar och implantatstödda proteser, som utförts i Sverige och gett utmärkta långtidsresultat enligt en rad studier, har framställts i enkla artikulatorer efter käkregistrering utan ansiktsbåge. Flera studier under senare år har också visat att såväl olika typer av protetiska konstruktioner som bettskenor uppvisar likartad klinisk kvalitet vare sig käkregistrering utförts med eller utan ansiktsbåge. Vid framställning av mindre protetiska konstruktioner på patienter med stabil ocklusion kan index uteslutas, vilket visats kunna göra inslagning i artikulator mer precis. Betydelsen av ocklusala faktorer som den dominerande orsaken till käkfunktionsstörningar (TMD) har numera nedvärderats och behandling med olika typer av ocklusal bettkorrigerande terapi anses inte längre indicerad. Nya kunskaper om hjärnans neuroplasticitet, dvs. förmågan att förändras strukturellt och funktionellt som en följd av perifera stimuli, kan bidra till ökad förståelse av patienters anpassning till olika typer av protetiska behandlingar och variationer i ocklusal utformning. (265 ord) Klinisk relevans Att bedöma och behandla ocklusion anses krångligt men behöver inte vara svårt. Många patienter har inte en ideal ocklusion men om de är nöjda med sitt bett behöver de ingen ocklusal terapi. Helproteser kan fungera väl utan balanserad ocklusion. Det är inte nödvändigt med ansiktsbåge för att göra en bra käkregistrering. För att framställa enstaka kronor och små broar i ett stabilt bett behövs inte något index. Ocklusala faktorer har mycket liten betydelse för käkfunktionsstörningar (TMD) och ocklusal terapi är därför sällan indicerad. Bettskenor är en ofta framgångsrik behandling vid TMD men de tycks inte fungera genom att påverka ocklusionen.
33.	Carlsson, Gunnar E, 1930, et al. (författare) Prediction of demand for treatment of temporomandibular disorders based on a 20-year follow-up study. 2004 Ingår i: Journal of oral rehabilitation. - : Wiley. - 0305-182X .- 1365-2842. ; 31:6, s. 511-7 Tidskriftsartikel (refereegranskat)abstract The purpose was to test the hypothesis that signs and symptoms characteristic of temporomandibular disorders (TMD) at age 15 would predict demand for treatment during a 20-year follow-up period. Of originally 135 examined 15-year-old subjects, 103 completed a questionnaire and 84 were examined clinically at the 10-year follow-up (at age 25). After 20 years (at age 35), 114 completed a questionnaire and 100 were also examined clinically. During the 20-year follow-up period, 21 subjects received some kind of treatment of TMD. At baseline (age 15), the treated group reported tooth grinding at night more often than the non-treated group (P = 0.0042). At the 10-year follow-up (at age 25), the treated group reported more symptoms of TMD and oral parafunctions than the non-treated group. Among the clinical registrations, there was only one significant difference between the groups: anterior tooth wear was more extensive in the treated group. At the 20-year follow-up (at age 35), the treated group reported significantly more symptoms of TMD and oral parafunctions than the non-treated group. The clinical dysfunction index was also higher in the treated group. Logistic regression revealed tooth grinding at night as a significant predictor of received treatment of TMD. However, the positive predictive value was low whereas the negative predictive value was high (90%). The findings indicate that nocturnal tooth grinding is related to demand for treatment of TMD.
34.	Carlsson, Gunnar E, 1930, et al. (författare) Prevalens av dental erosion 2006 Ingår i: . Johansson A-K, Carlsson GE, editors. Dental erosion – bakgrund och kliniska aspekter. Stockholm: Förlagshuset Gothia. - 9172054697 ; , s. 19-26 Bokkapitel (övrigt vetenskapligt/konstnärligt)
35.	Carlsson, Gunnar E, 1930, et al. (författare) Rekonstruktiv behandling av erosionsskador 2006 Ingår i: Johansson A-K, Carlsson GE, editors. Dental erosion – bakgrund och kliniska aspekter. Stockholm: Förlagshuset Gothia, 2006.. - 9172054697 ; , s. 163-180 Bokkapitel (övrigt vetenskapligt/konstnärligt)
36.	Carlsson, Gunnar E, 1930 (författare) Responses of jawbone to pressure. 2004 Ingår i: Gerodontology. - 0734-0664. ; 21:2, s. 65-70 Forskningsöversikt (refereegranskat)abstract OBJECTIVE: To provide a literature review of bone resorption of edentulous jaws focusing on responses to pressure. BACKGROUND: After the extraction of all teeth in a jaw there is a continuous reduction of the residual ridge. The individual variation of bone resorption is great, and the aetiology is complex and not yet well understood. MATERIALS AND METHODS: A search of the literature published up to May 2003 on bone resorption and pressure was performed using PubMed/Medline. RESULTS: Animal studies have demonstrated that excessive and constant pressure induces bone resorption. Recent experimental research has indicated that bone resorption is a pressure-regulated phenomenon with a lower threshold for continuous than for intermittent pressure. Clinical studies have suggested that residual ridge resorption is due more to the effects of denture wearing than to disuse atrophy. However, the results of leaving out dentures at night are not conclusive. Nor does the literature offer any strong evidence for the so-called combination syndrome, which has been described as a result of unfavourable loading. Clinical studies using multivariate analyses indicate that female gender and systemic factors may be of greater importance than oral and denture factors. Implant-supported prostheses have a bone preserving effect rather than the continuing resorption under complete dentures. CONCLUSIONS: The best way to reduce bone resorption is to avoid total extraction, preserve a few teeth and fabricate overdentures. In edentulous jaws, placement of implant-supported prostheses will lead to less bone loss and may even promote bone growth. To increase our knowledge of residual ridge resorption extended experimental, clinical and statistical methods will be needed, preferably including collaboration between dental and medical researchers.
37.	Carlsson, Gunnar E, 1930 (författare) Some aspects on dental occlusion and its importance in clinical dentistry 2013 Ingår i: Journal of the Pakistan Prosthodontics Association. - 2308-8613. ; 1:1, s. 3-11 Tidskriftsartikel (refereegranskat)abstract Opinions, both among clinicians and academics, differ much on how to define and examine den¬tal occlusion, and how to treat occlusal problems. Most individuals exhibit deviations from the so-called ideal occlusion, but still the great majo¬rity is functioning well. Those individuals have a physiological occlusion and are in no need of any therapeutic intervention. In textbooks and prosthodontic education all over the world, it is maintained that jaw registration must include a face-bow transfer. However, there is no good evi¬dence for this opinion. In Sweden the use of face-bows has been almost totally abandoned both in dental education and general practice during the last few decades. The extensive fixed dental prostheses on natural teeth and dental implants pro¬duced in Sweden with well-documented excel¬lent long-term results have been performed in simple articulators without face-bow transfer. When fabricating crowns and small fixed dental prostheses in pa¬tients with a stable occlusion, indices can be left out, which has been shown to increase the accuracy of the mounting in the articula¬tor. The long-lived belief that complete dentures must have a balanced occlusion has been refuted by studies comparing this classical occlusal de¬sign with canine-guidance: complete dentures do not need a balanced occlusion to function well. The etiological importance of occlusal features in temporomandibular disorders has been depreciated lately and focus is now on psychological and general health factors. Recent findings on the neuroplasticity of the brain can help explain the great variation among individuals regarding adaptation capacity to tooth loss and occlusal changes, including various designs of prosthodontic restorations.
38.	Carlsson, Gunnar E, 1930 (författare) Some dogmas related to prosthodontics, temporomandibular disorders and occlusion 2010 Ingår i: Acta Odontol Scand. ; 68:6, s. 313-322 Forskningsöversikt (refereegranskat)abstract It is the aim of this paper to give a few examples of dogmas related to prosthodontics and oral implants and to discuss the controversial role of occlusion in the aetiology of temporomandibular disorders. New knowledge is developing at a rapidly increasing rate in dentistry, as in other areas of society. Our lecturers at university taught us many useful things. But, as time goes by, what is still relevant? Some methods are so well established that they deserve to be called dogmas. It is implied that a dogma is not supported by strong evidence, even though it has existed and been practised for a long time. In the era of evidence-based dentistry it is appropriate to scrutinize such issues. A review of the current literature indicates that conflicting opinions exist concerning a number of common procedures in clinical dentistry, mainly due to a scarcity of good studies with unambiguous results. There is therefore a need for more high-quality clinical research in attempting to reach the goal of evidence-based clinical practice. The dental community should take an active part in this process.
39.	Carlsson, Gunnar E, 1930 (författare) Some issues related to evidence-based implantology 2016 Ingår i: Journal of Indian Prosthodontic Society. - : Medknow. - 0972-4052. ; 16, s. 116-23 Tidskriftsartikel (refereegranskat)abstract This article reviews relevant dental literature to answer some frequent questions related to evidence‑based implantology. There are hundreds of implant systems on the market, but the majority lack clinical documentation. Recommended number of implants for full‑arch fixed prostheses is four or five in the mandible but at least six in the maxilla. Less expensive implant‑retained overdentures make implant treatment available to a greater portion of edentulous subjects. Mandibular overdentures on two implants, and even one implant, have shown excellent long‑term outcomes. In the maxilla, less than four implants are not recommended for good results. Single implant restorations have good prognosis, but placement of the implant should be postponed until adulthood. Osseointegrated implants have revolutionized clinical dentistry. However, in a global perspective, implants make up only a small part of all prosthodontic treatment. Knowledge and skill in conventional prosthodontics must be maintained as it will remain the most common part of the specialty.
40.	Carlsson, Gunnar E, 1930 (författare) Success and failure of different types of crowns and fixed dental prostheses. 2014 Ingår i: Journal of the Pakistan Prosthodontic Association. - 2308-8613. ; 2:1, s. 25-34 Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract The article presents a review of recent studies related to success and survival of various fixed prosthodontic treatment methods. In decision-making for treatment of missing teeth not only prosthodontic options are available but orthodontics and autotransplantation might be considered as well as the option to leave the space untreated. Single crowns and small fixed dental prostheses (FDPs) are the most common fixed restorations performed in general dental practice. For a long period metal-ceramics using high gold alloys was considered the material of choice in fixed prosthodontics. Today in Sweden all-ceramic materials dominate for both single implant and tooth-supported crowns anteriorly as well as posteriorly. For tooth-supported FDPs cobalt-chromium-porcelain is by far the most common material combination both in short-and long-span bridges. Based on the reviewed publications the following conclusions can be drawn: Both tooth- and implant-supported crowns and fixed dental prostheses are safe and predictable treatment methods with high survival rates up to and over 10 years. Metal-ceramic restorations provide higher survival rate and fewer complications than all-ceramic restorations. Biological and technical complications are frequent in all types of fixed prostheses, more so in implant-supported than in tooth-supported restorations. Cantilevers function well on implant-supported restorations but are associated with increased risk of failure and complication when used on tooth-supported restorations. Modern principles of construction have raised the resin-bonded restorations to a viable treatment option, especially for replacement of a single missing tooth.
41.	Carlsson, Gunnar E, 1930 (författare) Tandlöshet 2011 Ingår i: Internetodontologi.se. ; 2011-09-12, s. 1-7 Tidskriftsartikel (refereegranskat)
42.	Carlsson, Gunnar E, 1930, et al. (författare) Tandslitage ur ett historiskt perspektiv 2006 Ingår i: Johansson A-K, Carlsson GE, editors. Dental erosion – bakgrund och kliniska aspekter. Stockholm: Förlagshuset Gothia, 2006.. - 9172054697 ; , s. 9-18 Bokkapitel (övrigt vetenskapligt/konstnärligt)
43.	Carlsson, Gunnar E, 1930 (författare) Temporomandibular joint disorders. 2004 Ingår i: Klineberg, I. & Jagger, R. (eds). Occlusion and clinical practice : an evidence-based approach Occlusion and clinical practice : an evidence-based approach. - Edinburgh : Wright. - 0723610924 ; , s. 67-74 Bokkapitel (övrigt vetenskapligt/konstnärligt)
44.	Carlsson, Gunnar E, 1930 (författare) Temporomandibular joint disorders 2015 Ingår i: Klineberg I, Eckert SE (eds). Functional occlusion in restorative dentistry and prosthodontics.. - 9780723438090 ; , s. 161-171 Bokkapitel (refereegranskat)
45.	Carlsson, Gunnar E, 1930, et al. (författare) The future of complete dentures in oral rehabilitation. A critical review. 2010 Ingår i: J Oral Rehabil. ; 37, s. 143-156 Forskningsöversikt (refereegranskat)abstract Based on available investigations and current trends in oral rehabilitation published in the dental literature, an attempt is made to describe the possible future role of complete dentures. For edentulous patients, complete dentures have for long been the only prosthodontic treatment option. Whereas a large number of edentulous patients report satisfaction with denture usage, a smaller number are unable to adapt; for such patients, sophistication of clinical and technical processes or quality of denture supporting tissues, appear to have little influence on patient-perceived outcomes. Since the 1980s, osseointegrated dental implants have dramatically improved the therapeutic possibilities, especially so for maladaptive patients. Those able to access such treatment can expect significant improvements in oral functional status and quality of life. While there is a downward trend in edentulism in several countries, it is region-specific, confirming the overriding influence of socioeconomic factors on health status. In most societies, despite ageing populations, the need for complete dentures is not likely to reduce in the near future. Whereas a two- or even a one-implant overdenture for the edentulous mandible is increasingly regarded as a minimum standard of care in many developed countries, its routine prescription for the majority in the world who are disadvantaged is unrealistic; for them, even ‘low-tech’ therapies like conventional dentures are beyond their reach. Improving the conventional management of edentulous patients is a necessity, and requires a keener focus by researchers, educators and clinicians in the developed world on the needs of populations with fewer resources.
46.	Carlsson, Gunnar E, 1930, et al. (författare) Tooth movement 2005 Ingår i: Br Dent J. ; 198:7, s. 420-421 Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
47.	Carlsson, Gunnar E, 1930, et al. (författare) Tratamento das disfuncoes temporomandibulares na clinica odontologiga 2005 Bok (övrigt vetenskapligt/konstnärligt)abstract This is an updated and extended version in Portuguese of a book by Carlsson GE and Magnusson T: Management of Temporomandibular Disorders in the General Dental Practice, Quintessence 1999
48.	Carlsson, Gunnar E, 1930, et al. (författare) Trends in prosthodontics 2006 Ingår i: Med Princ Pract. ; 15, s. 167-179 Tidskriftsartikel (refereegranskat)abstract Prosthodontics is concerned with the impact of loss of teeth and the resulting damage to teeth or tissue, oral function in its broadest sense. It deals with this largely through prosthetic replacement. The discipline occupies a major portion of dental school curriculum, and dental practitioners usually devote much of their practice to prosthodontic services. With the rapid improvement in oral health and the reduction of edentulism in many countries, increasing numbers of people are retaining more teeth later in life. Consequently, the main focus in prosthodontics has shifted from removable dentures to fixed prostheses, while implant-supported restorations have attracted intense interest in the dental community. Another factor increasingly influencing prosthodontic practice is patients’ awareness of newer technologies in aesthetic dentistry. Because maintenance and repair as well as prosthodontic interventions, are by nature costly, the global development in the field manifests fundamental inequities in the levels of services that patients can access. Diminishing resources for healthcare in general challenges educators and practitioners of prosthodontics alike. This review is an attempt to describe the recent developments in prosthodontics, its therapeutic areas and impact on the theory and practice of the discipline.
49.	Carlsson, Gunnar E, 1930, et al. (författare) What is the evidence base for the efficacies of different complete denture impression procedures? A critical review. 2013 Ingår i: Journal of dentistry. - : Elsevier BV. - 1879-176X .- 0300-5712. ; 41:1, s. 17-23 Forskningsöversikt (refereegranskat)abstract OBJECTIVES: Many procedures used in prosthodontics, including the materials and methods used for complete denture impressions, lack support of good evidence. The aims were to systematically, and critically, review the literature on complete denture impression materials and methods to identify an impression procedure that can be considered expedient for achieving a satisfactory clinical outcome for complete denture wearers. DATA AND SOURCES: MEDLINE/PubMed and the Cochrane Library were searched for studies on impression procedures used in the clinical fabrication of complete dentures. The search focused on best available evidence with respect to clinical outcome. STUDY SELECTION: PubMed listed 1201 titles for the combination terms of complete denture and impression. Five relevant randomized controlled trials were identified. No review of complete denture impressions was found in the Cochrane Library. RESULTS: Two-step procedures for complete denture impressions dominate all textbooks, teaching and specialist practice, despite an absence of convincing evidence of its superiority. No controlled studies supporting the use of border moulding, post-dam, and functional and mucostatic impressions, were identified. Two studies showed that a one-step method using alginate in a stock tray offers a similar clinical result to more complicated, expensive and time-consuming two-step material and technique combinations. CONCLUSIONS: There was no support for the frequent textbook statement that the two-step procedure is necessary and superior to the one-step method. While some special clinical situations may benefit from other combinations of materials and techniques, the results suggest that the simple and inexpensive one-step procedure can serve the needs of the majority of edentulous patients. CLINICAL SIGNIFICANCE: In spite of the fact that two-step procedures for complete denture impressions dominate textbooks, teaching and specialist practice, the results of this review suggest that a simple and inexpensive one-step procedure can serve the needs of the majority of edentulous patients.
50.	Dahlström, Lars, et al. (författare) Temporomandibular disorders and oral health-related quality of life. A systematic review 2010 Ingår i: Acta Odontol Scand. ; 68:2, s. 80-85 Forskningsöversikt (refereegranskat)abstract Objective. Oral health-related quality of life (OHRQoL) is considered an important aspect of different oral conditions. It has gained increased attention also in temporomandibular disorders (TMD) in recent years. The purpose was to systematically review the literature on OHRQoL and TMD. Material and methods. A systematic search of the dental literature was performed in Medline and Cochrane library databases, supplemented with a hand search. Various combinations of search terms related to OHRQoL and TMD were used. Among numerous titles found in Medline with different search terms, abstracts and eventually full papers of potentially interest were reviewed. Twelve papers fulfilled the inclusion criteria and were included in the review. Results. Most studies used Oral Health Impact Profile, an instrument with good psychometric properties, for evaluation. All articles described a substantial impact on OHRQoL in TMD patients. Only a small portion of all patients, a few percent, had no impact at all. The difference between men and women was small and not significant. The impact appears to be more pronounced in patients with more signs and symptoms. The perceived impact of pain on OHRQoL seems to be substantial. Two studies found that the impact increased with age among TMD patients. Conclusions. The reviewed studies convincingly demonstrated that OHRQoL was negatively affected among TMD patients.

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