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1.
  • Anastassaki Köhler, Alkisti, et al. (författare)
  • Clinical signs indicative of temporomandibular disorders in adults : time trends and associated factors
  • 2013
  • Ingår i: Swedish Dental Journal. - 0347-9994. ; 37:1, s. 1-11
  • Tidskriftsartikel (refereegranskat)abstract
    • The study aimed to examine possible time trends in the prevalence of clinical signs indicative of temporomandibular disorder (TMD) in an adult population, to analyse possible associations between TMD signs and associated factors and to estimate the need for TMD treatment. Three independent, stratified and randomly selected samples of around 100 individuals in the age groups of 20, 30, 40, 50, 60 and 70 years participated in the Jönköping studies in 1983,1993 and 2003. The study material consisted of 1,693 subjects who, after answering a questionnaire and being interviewed about the presence of TMD symptoms, were clinically examined in terms of the presence of TMD signs according to the Clinical Dysfunction Index (Di) by Helkimo. Associations between clinical signs and the Di as dependent variables and each of the independent variables of age group, gender, reported bruxism, trauma, self-perceived healthiness and the year of investigation were analysed in binary logistic regression models. Estimates of the need for TMD treatment were based on the presence of a combination of severe symptoms and clinical signs. The prevalence of severely impaired jaw movement capacity, relating to horizontal movements, had increased in 2003. The prevalence of muscle pain and temporomandibular joint pain upon posterior palpation was found to vary statistically significantly between 1993 and 2003. Gender differences were noted in these changes overtime. Female gender, advancing age, awareness of bruxism, self-perceived health impairment and the wearing of complete dentures were associated with TMD signs and a higher degree of clinical dysfunction. The estimated need for TMD treatment increased from 5% in 1983 to 8% in 2003 and was higher in women than in men. In conclusion, the results indicate that the prevalence of some TMD signs and of estimated treatment need increased during the period 1983-2003.
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2.
  • Anastassaki Köhler, Alkisti, et al. (författare)
  • Prevalence of symptoms and signs indicative of temporomandibular disorders in children and adolescents : A cross-sectional epidemiological investigation covering two decades
  • 2009
  • Ingår i: European Archives of Paediatric Dentistry. - 1818-6300. ; 10:Suppl. 1, s. 16-25
  • Tidskriftsartikel (refereegranskat)abstract
    • AIM: These were to 1) estimate the prevalence of subjective symptoms and clinical signs of temporomandibular disorders (TMD) in children and adolescents in the city of Jönköping, Sweden, 2) follow possible variations in TMD signs and symptoms over a 20-year period, and 3) study possible associations between TMD symptoms and signs and factors of interest. DESIGN: About 100 individuals in the age groups of 3, 5, 10 and 15 years participated in crosssectional stratified epidemiological investigations in 1983, 1993 and 2003. METHODS: All participants were asked to fill in a questionnaire including questions on general and oral health, dental care habits and some sociodemographic issues. More specific questions recorded the presence or absence of subjective symptoms: tiredness in the jaws on awakening or during chewing; clicking sounds or crepitations from the temporomandibular joints (TMJs); locking/ catching of the mandible; luxation of the mandible; reduced jaw movement capacity; pain during jaw movements; other pain conditions in the jaws or in the TMJ regions. Subjects were examined clinically at each time period for; jaw mobility (maximum jaw opening including vertical overbite, maximum laterotrusion to the right and to the left, maximum protrusion); TMJ function (normal function, deflection on jaw opening of > 2 mm, TMJ clicking or crepitations, TMJ locking, TMJ luxation); pain on jaw movement (no pain on movements, pain on one movement, pain on more than one movement); muscle pain (no muscle pain, pain on palpation in 1-3 sites, pain on palpation in > 3 sites); TMJ pain (no joint pain, pain on lateral palpation of one or both joints, pain on posterior palpation of one or both joints). No functional examination of the masticatory system was performed in children aged 3 and 5 years. RESULTS: TMD-related symptoms were very rare in 3- and 5-year-olds. In the age groups of 10- and 15-yearolds, 5-9% of the participants reported more severe symptoms, up to 50% showed one or more TMD signs, while it was estimated that 1-2% were in need of TMD treatment. Several symptoms and signs increased with age. No gender differences, with the exception of recurrent headache, were noted. Oral parafunctions were reported by 11-47%. Apart from a few variables, no statistically significant changes in the prevalence of TMD symptoms and signs were observed over the 20-year period. Clenching/grinding of teeth and general health factors were found to be associated with TMD symptoms and signs. CONCLUSIONS: The prevalence of more severe TMD symptoms and signs in children and adolescents was generally low in all three examinations and did not change significantly during the 20-year period. Increasing age, general health factors and oral parafunctions were associated with TMD symptoms and signs in 10- and 15-year-olds.
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3.
  • Anastassaki Köhler, Alkisti, et al. (författare)
  • Prevalence of symptoms indicative of temporomandibular disorders in adults : cross-sectional epidemiological investigations covering two decades
  • 2012
  • Ingår i: Acta Odontologica Scandinavica. - : Informa UK Limited. - 0001-6357 .- 1502-3850. ; 70:3, s. 213-223
  • Tidskriftsartikel (refereegranskat)abstract
    • Objectives. The aims were (1) to study possible secular trends in the prevalence of temporomandibular disorder (TMD) symptoms in adults and (2) to analyse possible associations between TMD symptoms and background factors. Materials and methods. The investigation has a repeated cross-sectional design. Three independent, randomly selected samples of 100 individuals in the age groups of 20, 30, 40, 50, 60 and 70 years, a total of 1704 subjects, participated in the Jönköping studies in 1983, 1993 and 2003. All the subjects were evaluated using a questionnaire and a structured interview relating to the presence of TMD symptoms. Associations between symptoms and the Anamnestic Dysfunction Index (Ai) as dependent variables and each of the independent variables, age group, gender, reported bruxism, trauma (1983), self-perceived health impairment and the year of investigation were analysed in binary logistic regression models. Results. The prevalence of the separate symptoms, apart from for TMJ clicking, did not vary to any statistically significant degree between the different examination years. However, the prevalence of recurrent headache in 20-year-old subjects rose remarkably in 2003 and an increase in the Ai I and Ai II for the whole population was observed during the 20-year period. Reported bruxism, which increased during the study period, and self-perceived health impairment were associated with most of the TMD symptoms and the Ai. Conclusions. An increase in the prevalence of TMD symptoms expressed as Anamnestic Dysfunction Index I and II has been noted over a 20-year period.
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4.
  • Baelum, V, et al. (författare)
  • A global perspective on changes in the burden of caries and periodontitis : implications for dentistry.
  • 2007
  • Ingår i: Journal of Oral Rehabilitation. - : Wiley. - 1365-2842 .- 0305-182X. ; 34:12, s. 872-906; discussion 940
  • Tidskriftsartikel (refereegranskat)abstract
    • The structure and contents of most oral health care systems and the contents of dental curricula reflect a deep-rooted tradition for attempting to cure oral diseases by refined technological means. However, better oral health conditions for the world's populations necessitate the application of up-to-date scientific knowledge to control the major oral diseases. This review points out that not only should the structure and contents of oral health care delivery systems be based on state-of-the-art knowledge about the biology of the oral diseases; they must also take into account the trends for change in caries and periodontal diseases within and between populations, and acknowledge the impact of changes in treatment philosophies for these trends. The oral disease profiles for populations in low- and high-income countries are briefly described, and it is concluded that the rapidly changing disease profiles observed in high-income countries necessitate re-thinking of the future role and organization of dentistry in such countries. The priorities for low- and middle-income countries must be to avoid repeating the mistakes made in the high-income countries. Instead, these societies might take advantage of setting priorities based on a population-based common risk factor approach. If such an approach is adopted, the training of personnel with oral health care competence must be rethought. The authors suggest three different cadres of dental care providers to be considered for an approach that allows health care planners in different populations around the world to prioritize appropriate oral health care with due respect for the socio-economic conditions prevailing.
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5.
  • Bergendal, T, et al. (författare)
  • A radiological inventory of possible sites for cylinder implants in edentulous regions of the jaws : An epidemiological study
  • 1994
  • Ingår i: Swedish Dental Journal. - 0347-9994. ; 18:3, s. 75-85
  • Tidskriftsartikel (refereegranskat)abstract
    • Implant treatment is nowadays requested as an alternative mode of treatment for both total and partial edentulousness. The purpose of the study was to assess the maximum number of possible implant sites in a group of adults. The study material comprised 579 persons divided into the age-groups 20, 30, 40, 50, 60 and 70 years. Based on radiological examination, the subjects were grouped according to Eichner's index. They comprised both dentate and edentulous individuals. Templates, marked with cylinder implants of different dimensions, were placed over edentulous regions. The possible number of cylinder-shaped endosseous implants that could be placed anterior to the second molar was assessed in relation to bone availability and anatomical structures. Gaps treated with fixed bridges were not registered. Altogether 1,048 presumptive fixture sites were marked, of which 78% in the age-groups 60 and 70 years. Eichner groups C 1-3, which comprised the edentulous persons, constituted 12% of the subjects and accounted for 57% of the possible number of implants. All edentulous mandibles and 70% of the edentulous maxillae were judged suitable for placement of implants. On average 5.5 and 5.8 sites were marked per edentulous maxilla and mandible, respectively. Groups B1-4 comprised 21% of the subjects and accounted for 37% of the implants. It is discussed that implant treatment in totally edentulous jaws will increase in relative terms in Sweden as in other Scandinavian countries, i.e. the percentage of edentulous jaws treated with implants will increase. In absolute terms, however, the treatment will probably decrease owing to a marked decrease in the number of edentulous individuals. The future need for implant treatment in the residual dentition will probably increase but it is difficult to predict by how much.
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6.
  • Bergman, B, et al. (författare)
  • A 25 year longitudinal study of patients treated with removable partial dentures.
  • 1995
  • Ingår i: Journal of Oral Rehabilitation. - 1365-2842. ; 22:8, s. 595-599
  • Tidskriftsartikel (refereegranskat)abstract
    • A 25 year longitudinal study was carried out on a number of patients fitted with removable partial dentures (RPDs) in 1969. Before the prosthetic treatment all patients were given oral hygiene motivation and instructions in order to create a high level of co-operation. The RPDs, most of which were lower bilateral distal extension dentures, were carefully planned and designed. During the first 10 years the patients were examined in our clinic at yearly intervals at which time encouragement and reinstruction regarding oral hygiene were given and various treatment procedures were performed as required. After the initial 10 years the patients were advised, for practical reasons, to continue to have yearly controls on their own initiative. Of the initial 30 patients from 1969, 23 were still alive in 1994, all of whom were examined. In five of those 23 the original RPD situation had changed more or less due mainly to general illness contracted and/or change to other therapies. In the remaining 18 patients wearing in total 20 RPDs, 13 (65%) of the original RPDs were still functioning. Seven RPDs were new with principally the same design as the original ones. Among these 18 patients the number of lost teeth, the number of new DF surfaces and the increased number of endodontically treated teeth were few. No apparent changes took place regarding the periodontal condition during the follow-up period.(ABSTRACT TRUNCATED AT 250 WORDS)
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7.
  • Einarson, Susanne, 1958-, et al. (författare)
  • Distribution of oral health impact profile in an adult population An epidemiological study
  • 2005
  • Ingår i: Distribution of oral health impact profile in an adult population An epidemiological study.
  • Konferensbidrag (refereegranskat)abstract
    • Objective: The study focus on oral health-related quality of life (OHRQOL) and how oral health effect individuals quality of life. The aim of this presentation was to describe the distribution of oral health impact profile (OHIP-14) in a population in the city of Jönköping, Sweden. Research Methods: A random selected sample of 572 (276 male, 296 female) individuals in age groups 20, 30, 40, 50, 60, 70 and 80 years answered a OHIP-14questioinnaire. The questionnaire capture five dimensions and 14 items. The dimensions are “functioning”, “discomfort”, “psychological aspects”, “social aspects” and “disabilities”. Results: 423 individuals answered all 14 items and 95 individuals answered 1-13 items. Of the individuals that had answered all items 23% were without problems. Highest frequency of answers with problems was found within the dimension “functioning” and the item “pain problems” (43% of individuals) and lowest frequency of answers with problems was found in the dimension “disability” and the item “totally unable to function”, (11% of individuals). Within the dimension “discomfort” the item “been self-consious during the last year” got answered from 39% of the individuals. Seventeen % of these individuals answered that they had problems “very often” or “quite often”. Outcomes: The results from this epidemiological study covering a random sample of a normal adult swedish population is expected to increase the knowledge about OHIP-14 and the possibility to study factors of importants for oral health-related quality of life.
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8.
  • Einarson, Susanne, 1958-, et al. (författare)
  • Munhälsorelaterad livskvalitet i en vuxen svensk befolkning - en epidemiolgisk studie
  • 2008
  • Ingår i: Munhälsorelaterad livskvalitet i en vuxen svensk befolkning - en epidemiolgisk studie.
  • Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
    • Bakgrund: Munhälsan har stor betydelse för den allmänna hälsan och välbefinnandet och påverkar därmed livskvaliteten .Syftet med studien var att beskriva munhälsorelaterad livskvalitet i en svensk vuxen population.Metod: Munhälsorelaterad livskvalitet mättes med frågeformuläret Oral Health Impact Profile (OHIP-14). Med OHIP-14 poängsätts munbesvär (0-56 p). Mer besvär ger högre poäng. Ett slumpmässigt urval av 910 individer, 20-80 år tillfrågades att deltaResultat: Totalt 516 individer deltog. 78% uppgav att de hade någon form av orala besvär relaterat till livskvaliteten.  20-åriga kvinnor var de som hade mest besvär. 20% av 30-åriga män och 59% av 70-åriga kvinnor uppgav att de haft besvär från munnen som inneburit att livet varit mindre tillfredställande. Andelen individer med svåra besvär, 17-41 poäng, var 9 %.Slutsatser: Den studerade populationen uppvisade i sin helhet en god munhälso-   relaterad livskvalitet. Det förekom ett relativt stort antal både unga och äldre individer med munbesvär som påverkade livskvaliteten.
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9.
  • einarson, susanne, 1958-, et al. (författare)
  • Oral health impact on quality of life in an adult Swedish population
  • 2010
  • Konferensbidrag (refereegranskat)abstract
    • Objectives: Quality of life is an  expression with many meanings  and it creates positive associations  for most people. Oral health has a major impact on general quality of life. The aim of this study was to describe  oral health-related quality of life measured with Oral Health Impact  profile with 14 questions (OHIP-14)  in an Swedish adult population. Methods: This is an epidemiological study and it comprised a stratified random sample of 260 men and 259 women, 20-80 years of age. The OHIP-14 questionnaire was used. Results: Twenty-one percent of the respondents stated that they had no oral problems that were negative related to their well-being, and 79% had some form of problem related to quality  of life. The mean value for the entire population was 6.4 (SD=7.1). Of the individuals who stated that they had oral problems, the majority were among women aged 20-yearsInternal reliability of the OHIP scale showed good internal consistency with a Cronbach alpha coefficient of 0.90. Conclusions: In this Swedish population, a number of individuals, young and old, experienced oral problems that had a negative impact on their well-being.
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10.
  • Einarson, Susanne, 1958-, et al. (författare)
  • Oral health impact on quality of life in an adult Swedish population
  • 2009
  • Ingår i: ACTA ODONTOLOGICA SCANDINAVICA. - : Informa UK Limited. - 0001-6357 .- 1502-3850. ; 67:2, s. 85-93
  • Tidskriftsartikel (refereegranskat)abstract
    • Objectives. Oral health has a major impact on general quality of life. The aspects of oral health that are most important for each individual vary, and quality of life is a construct and not a measurable variable. The aim of this study was to describe the impact of oral health on quality of life in an adult Swedish population. Material and methods. The study comprised a stratified random sample of 519 individuals. The OHIP-14 questionnaire was used and the answers were rated on a scale of 0-4. Results. Twenty-one percent of the respondents stated that they had no oral problems related to well-being, and 79% had some form of problem related to quality of life. The mean value for the entire population was 6.4 (SD = 7.1); 5.9 (SD = 7.1) for men and 6.8 (SD = 7.2) for women. Of individuals who stated that they had oral problems, the majority were women aged 20 years. Nineteen percent of 30-year-old men and 53% of 70-year-old women stated that they had had problems that had made life less satisfactory. Individuals who frequently experienced problems related to oral health, with scores of 16-41 points, accounted for 10%. Conclusion. In this Swedish population, a number of individuals, young and old, experienced oral problems that had an impact on their well-being.
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11.
  • Einarson, Susanne, 1958-, et al. (författare)
  • Oral health-related quality of life and its relationship to self-reported oral discomfort and clinical status
  • 2014
  • Ingår i: Swedish Dental Journal. - 0347-9994. ; 38:4, s. 169-178
  • Tidskriftsartikel (refereegranskat)abstract
    • The impact of oral health on quality of life is one aspect when it comes to understanding the significance of oral health. The aim of this sudy was to analyse the self-reported oral discomfort and clincial status of individuals reporting oral problems never/very seldom affexting quality of life during the last year and compar ehem with individuals who reported oral problems hardly ever/occasiaonally or often/very often during the same period. The study comprised a stratified random sample of 515 individuals who lived in four parishes in the City of Jönköping, Sweden, and tyrned 20, 30, 40, 50, 60, 70 and 80 years of age in 2003. The impact of oral health on quality of life was examined using the OHIP-14 questionnaire. The individuals were also examined clinically and radiographically. Of the participants, 21 % reorted no experience of impaired quality of life and 20 % of the indivudals reported that they had expperienced impaires quality of life often or very often during the last year. The highest frequency of oral problems was found among individuals aged 20 and 80 years. Subjective symptoms, such as grinding/clenching and headache, were found among 20- and 30-year-olds. Edentulous individuals with many missing teeth, individuals with severe periodontal disease or subjective dry mouth answered that they experienced problems accordning to the OHIP-14 often or very often. A number of individuals, young and old, had thus experienced subjective or clinically verified oral conditions associated with a negative experience of quality of life. This complementary information will provide a deeper understanding of the importance of oral health in the population.
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12.
  • Einarson, Susanne, 1958- (författare)
  • Oral health-related quality ofl ife in an adult population
  • 2009
  • Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • The aim: The overall aim of this licentiate thesis was to describe and analyze oral health-related quality of life measured with OHIP-14. The thesis comprises two studies, each with a specific aim.   Study I: To describe oral health-related quality of life measured with OHIP-14 in an Swedish adult population Study II: To study the relationship between oral health-related quality of life, measured with OHIP-14, and subjective as well as objective dry mouth conditions in fragile old people. Furthermore, the aim was to study the reliability and validity of a new instrument (VAS) to measure dry mouth   Material and methods: Study I comprised a stratified random sample of 519 individuals 20-80 years of age. In Study II, 41 randomly selected fragile old people, residents at three different community care centers, participated. In both studies, the questionnaire OHIP-14 was used for measurement of oral health-related quality of life. The participants in Study II answered a questionnaire for subjectively experienced dry mouth (VAS). For objective dry mouth measurements, saliva was absorbed into a preweighted cotton roll. Results: In Study I, 21% of the respondents stated that they had no oral problems that had a negative impact on their well-being. In Study II, the corresponding figure was 71%. In study I the mean value for OHIP-14 was 6.4 (SD=7.1) for the entire population; 5.9 (SD=7.1) for men and 6.8 (SD=7.2) for women in. Subjects, who frequently experienced problems related to oral health, with scores ranging from 16 to 41 points, accounted for 10% of the study group. In Study II, significant associations were identified between both objectively measured respective subjectively experienced dry mouth and oral health-related quality of life. The validity of the VAS instrument was good for subjective mouth dryness, but poor for objectively measured dry mouth in fragile old people. Conclusion: From Study I it can be concluded that, in this Swedish population, a number of individuals, both young and old, experience oral problems that have a negative impact on their well-being. From Study II, the conclusion is that dry mouth (both objective and subjective) is significantly associated with poorer oral health-related quality of life, underlining the value of monitoring dry mouth conditions in the care of fraigile old people.
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13.
  • Ericsson, Iréne, 1956-, et al. (författare)
  • The meaning of oral health-related quality of life for elderly persons with dementia
  • 2009
  • Ingår i: Acta Odontologica Scandinavica. - : Informa UK Limited. - 0001-6357 .- 1502-3850. ; 67:4, s. 212-221
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective. Studies of oral health developments increasingly include self-reported assessments of how oral health affects quality of life (QoL), referred to as “oral health-related QoL”. People with dementia are often excluded in studies of oral health-related QoL and thus our aim in this study was to explore this area in elderly persons with dementia. Material and methods. Eighteen elderly individuals (aged between 78 and 94 years) with dementia of varying degrees of severity were interviewed with the aid of an interview guide; pictures and objects were used as stimulus material (triggers). The material was analyzed using grounded theory as point of departure, and a professional assessment of the oral health of the participants was used as reference. Results. Four categories were identified: the ability to chew and eat, independence, oral problems, and teeth are important. These factors are largely consistent with those that have emerged in earlier studies of the elderly, but in some cases less pronounced in persons with dementia. Conclusion. The use of triggers is a positive way to communicate oral health-related QoL among persons suffering from dementia, although the material used in this study needs further evaluation and development.
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14.
  • Frisk, Fredrik, 1971, et al. (författare)
  • Is apical periodontitis in root filled teeth associated with the type of restoration?
  • 2015
  • Ingår i: Acta Odontologica Scandinavica. - : Informa UK Limited. - 0001-6357 .- 1502-3850. ; 73:3, s. 169-75
  • Tidskriftsartikel (refereegranskat)abstract
    • OBJECTIVE: To study the association between type of restoration and apical periodontitis (AP) in root filled teeth. MATERIALS AND METHODS: The present study used data from surveys conducted in 1983, 1993 and 2003. In 1983, 130 randomly selected subjects aged 3-80 years in the city of Jönköping, Sweden, were invited for a clinical and radiological examination. The study was repeated in 1993 and 2003. New participants were, thus, recruited with the same sampling criteria and sample size in the same geographical area in 1993 and 2003, respectively. In the present study, only dentate individuals aged 20-70 years with ≥1 root filled tooth were included, yielding a sample of 788 subjects with 2634 root filled teeth. Apical periodontitis on the tooth level was the dependent variable. Periapical status was assessed according to Periapical Index (PAI). Independent variables were root filling quality, recurrent caries, type of restoration, number of teeth with apical periodontitis, age and gender. Root fillings appearing homogenous and ending within 2 mm from radiographic apex were regarded as adequate, otherwise inadequate. All radiographs were re-studied by one observer regarding periapical status and root filling quality. Risk was analyzed by means of a GEE model. RESULTS: Type of restoration, root filling quality, number of teeth with apical periodontitis within the individual and age were found to be predictors of AP in root filled teeth. Presence of recurrent caries and gender were not found to be associated with AP. CONCLUSIONS: According to the present study, root filling quality and type of restoration may be predictive of AP in root filled teeth.
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15.
  • Frisk, Fredrik, 1971, et al. (författare)
  • Root-filled teeth and recurrent caries-a study of three repeated cross-sectional samples from the city of Jönköping, Sweden.
  • 2011
  • Ingår i: Acta odontologica Scandinavica. - : Informa UK Limited. - 1502-3850 .- 0001-6357. ; 69:6, s. 401-5
  • Tidskriftsartikel (refereegranskat)abstract
    • OBJECTIVE: The aim of the study was to test the hypothesis that root-filled teeth are at a higher caries risk than non-root-filled teeth. MATERIALS AND METHODS: Two sub-samples from epidemiologically obtained data collected in 1983, 1993 and 2003 in the city of Jönköping, Sweden, were analysed. All the participants were examined clinically and radiographically and the type of filling and the presence or absence of caries were recorded. Sub-sample 1 comprised 832 individuals (9202 teeth) aged 20-70 years with at least eight premolars/molars. In sub-sample 2, 163 subjects (577 teeth) with only one or two decayed tooth surfaces and at least one tooth with full crown coverage were analysed. RESULTS: Logistic regression analysis found that root-filled teeth were predictive of recurrent caries when controlling for the type of restoration in sub-sample 1 (OR = 1.68; 1.41-2.0; CI 95%) and sub-sample 2 (OR = 2.20; 1.07-4.52; CI 95%). CONCLUSION: In support of the suggested hypothesis, the data revealed a significant association between root-filled teeth and recurrent caries.
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16.
  • Frisk, Fredrik, 1971, et al. (författare)
  • Technical quality of root fillings and periapical status in root filled teeth in Jönköping, Sweden.
  • 2008
  • Ingår i: International endodontic journal. - : Wiley. - 1365-2591 .- 0143-2885. ; 41:11, s. 958-68
  • Tidskriftsartikel (refereegranskat)abstract
    • AIM: To study changes in technical quality of root fillings and periapical status in root filled teeth in random samples of 20 to 70 year-olds between 1973 and 2003. METHODOLOGY: Data from dentate subjects aged 20-70 years from examinations conducted in 1973 (n = 498), 1983 (n = 530), 1993 (n = 547) and 2003 (n = 491) were used for the analysis. Length of root fillings were measured on radiographs to the nearest 0.1 mm. Adequate seal was defined as a root filling without lateral and/or apical voids. Periapical status was assessed according to the periapical index. All observations were made by one calibrated observer registered from full mouth radiographic examinations. Teeth with root fillings ending within the canal without lateral or apical voids were considered adequate. The association between root filling quality and periapical status was analysed by means of the Chi-squared test and a multilevel logistic regression analysis. RESULTS: Adequately root filled teeth had a significantly lower frequency of apical periodontitis than inadequately root filled teeth (11.8% vs. 22.8%). The frequency of technically adequate root fillings increased statistically significant from 1973 (23.7%) to 2003 (36.4%) without a concomitant improvement of the periapical status in root filled teeth over time (24.5% vs. 24.6%). CONCLUSIONS: This study reports on an improving technical quality of root fillings over time, without a concomitant improvement of the periapical status in root filled teeth. A larger proportion of treated molars over time may be of importance for the result.
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17.
  • Hellovist, Lena, et al. (författare)
  • Dental caries and associated factors in a group of Swedish snus users
  • 2015
  • Ingår i: Swedish Dental Journal. - 0347-9994. ; 39:1, s. 47-54
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this study was to investigate the effects of the Swedish moist powder tobacco product known as "snus" on dental caries and to measure the pH fall in dental plaque. The subjects comprised male and female adults between 26 and 62 years of age (n=102), all habitual snus users for >= 10 years. The control group (n=101) consisted of similar individuals in terms of gender, age and educational level but with no tobacco use for >= 10 years. A clinical and radiographic examination and a questionnaire were completed.The pH fall after a sucrose rinse was estimated in situ in 10 randomly selected subjects per group. The salivary secretion rate was higher in snus users than non-users (2.5 vs 2.2 ml/min, p=0.005). There was no statistically significant difference regarding salivary buffer capacity. No differences were found between the two groups in terms of the plaque index, primary or secondary enamel and dentine caries, DFS and salivary counts of mutans streptococci or lactobacilli. The pH fall was somewhat more pronounced among non-users compared with snus users (NS). Snus users had a lower intake of snacks between meals and a less frequent intake of cookies (p=0.000). Furthermore, snus users had a mean gingival index (+/- SD) for the whole dentition of 20.4 +/- 18.2, while the index for non-users was14.4 +/- 13.9 (p=0.009); the corresponding values for teeth 13-23 were 14.9 +/- 20.6 and 7.7 +/- 11.9 respectively (p=0.003). To conclude, this clinical study revealed no statistically significant differences in caries prevalence between snus users and non-users and only minor differences regarding different cariesassociated factors.
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18.
  • Hellqvist, Lena, 1960-, et al. (författare)
  • Effect of nicotine-free and nicotine-containing snus on plaque pH in vivo
  • 2012
  • Ingår i: Swedish Dental Journal. - : Swedish Dental Journal. - 0347-9994. ; 36:4, s. 187-194
  • Tidskriftsartikel (refereegranskat)abstract
    • Syftet med studien var att utvärdera pH-förändringar i plack in vivo vid användning av olika nikotinfritt och nikotinhaltigt snus. Kolhydratinnehållet i produkterna analyserades också. Tio deltagare, alla snusanvändare, deltog i en experimentell tvärsnittsstudie, vid elva tillfällen, med en veckas mellanrum. Sex nikotinfria och fyra nikotininnehållande produkter på den svenska marknaden ingick i studien och en sackaroslösning användes som kontroll. Deltagarna borstade inte tänderna under tre dagar innan besöket och avstod från att äta, dricka och snusa/röka två timmar före varje test. pH mättes i tre approximalrum upp till 45 minuter med snusprodukten placerad under överläppen. De nikotininnehållande produkterna innehöll endast spår av glukos, fruktos och sackaros (0.5-1%) och stärkelse (1.5%), medan de nikotinfria produkterna innehöll upp till 6.5 % lågmolekylära kolhydrater och 26.0 % stärkelse. Resultatet av pH-mätningarna i plack visade att alla fyra nikotininnehållande produkter höjde pH, till skillnad från tre av de sex nikotinfria produkterna, som sänkte pH betydligt. Dessa pH-förändringar i plack kan ha såväl positiv som negativ effekt på kariesrisken beroende på vilken produkt som används
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19.
  • Hellqvist, Lena, et al. (författare)
  • Effect of nicotine-free and nicotine-containing snus on plaque pH in vivo
  • 2012
  • Ingår i: Swedish Dental Journal. - 0347-9994. ; 36:4, s. 187-194
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim was to investigate pH changes in plaque in vivo during the use of nicotine- free and nicotine-containing snus. The carbohydrate content of the products was also analysed. Ten subjects, all regular snus users, participated in an experimental cross-over study, on eleven occasions with an interval of one week. Six nicotine-free and four nicotine-containing products, which are sold on the Swedish market, were included and a sucrose solution was used as a control. The subjects did not brush their teeth for three days before coming to the laboratory, without eating, drinking or using snus/smoking for two hours prior to the test. pH was measured at three approximal sites up to 45 min with the test product placed under the upper lip. The carbohydrate analysis showed that the nicotine-containing products contained only traces of glucose, fructose and sucrose (0.5-1%) and starch (1.5%). Some of the nicotine-free products contained up to 6.5% low-molecular-weight carbohydrates and 26.0% starch. The intraoral pH measurements showed that four nicotine-containing products increased the plaque pH, in contrast to three of the six nicotine-free products, which lowered the pH. These pH changes may have an effect on the caries risk, both positively and negatively, depending on which product is used.
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20.
  • Hellqvist, Lena, 1960-, et al. (författare)
  • Tobacco use in relation to socioeconomic factors and dental care habits among Swedish individuals 15-70 years of age, 1983-2003.
  • 2009
  • Ingår i: International journal of dental hygiene. - : Wiley. - 1601-5037 .- 1601-5029. ; 7:1, s. 62-70
  • Tidskriftsartikel (refereegranskat)abstract
    • OBJECTIVES: The aim of this study was to describe the use of tobacco and changes in its use over time among individuals living in Jönköping, Sweden, and to analyse tobacco habits in relation to socioeconomic conditions, personality aspects and dental care habits. METHODS: This study comprised three epidemiological cross-sectional studies, involving a random selection of individuals aged between 15 and 70 years, and was conducted in 1983, 1993 and 2003. The participants were asked to complete a questionnaire. RESULTS: The results revealed a statistically significant reduction from 34% tobacco users in 1983 to 27% in 1993 and 28% in 2003. The main decrease was seen among smokers. At the same time, the number of users of snuff increased in all the age groups between 20 and 60 years of age. The use of tobacco was therefore largely unchanged in 1993 and 2003. In 2003, there was a statistically significant difference between users and non-tobacco users when it came to the frequency of dental visits; more tobacco users than non-tobacco users did not visit a dentist at all or did not visit a dentist regularly. In 1993, non-tobacco users brushed their teeth more frequently than tobacco users and this difference was statistically significant. CONCLUSIONS: During the 20-year study, there was a reduction in the number of smokers and an increase in the number of snuff users. There was a difference between tobacco users and non-tobacco users when it came to the frequency of dental visits and oral hygiene habits.
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21.
  • Hugoson, Anders, et al. (författare)
  • Caries prevalence and distribution in 20-80-year-olds in Jönköping, Sweden, in 1973, 1983, and 1993
  • 2000
  • Ingår i: Community Dentistry and Oral Epidemiology. - 0301-5661 .- 1600-0528. ; 28:2, s. 90-96
  • Tidskriftsartikel (refereegranskat)abstract
    • In 1973, a cross-sectional study on oral health status was performed on 1000 individuals in the age groups 3-70 years in Jönköping, Sweden. In 1983 and 1993, new cross-sectional studies were carried out in the age groups 3-80 years. The aim of the present study was to analyze caries prevalence and distribution in the three investigations 1973, 1983, and 1993 in the age groups 20-80 years. In the younger age groups (20-40 years), a larger proportion of individuals with good oral health was found in 1993 than in 1973 or 1983. A steady increase in the number of teeth in the age groups 40-80 years could be found, which was also reflected in the increasing number of decayed and filled tooth surfaces (DFS) in the same age groups. A marked decrease in proximal DFS in 20-50-year-olds in 1993 compared to 1973 and 1983 was found. However, a rather large and unchanging group of individuals suffering from severe caries was also observed. This situation demands an individualized caries treatment strategy based on risk assessment.
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22.
  • Hugoson, Anders, et al. (författare)
  • Caries prevalence and distribution in 3-20-year-olds in Jönköping, Sweden, in 1973, 1978, 1983, and 1993.
  • 2000
  • Ingår i: Community Dentistry and Oral Epidemiology. - 0301-5661 .- 1600-0528. ; 28:2, s. 83-89
  • Tidskriftsartikel (refereegranskat)abstract
    • Four cross-sectional studies were carried out in 1973, 1978, 1983, and 1993 to collect clinical and radiographic epidemiological data on the dental health status of the inhabitants of Jönköping, Sweden. The aim of the present paper was to use these data to analyze trends in the development of caries among children and adolescents between 1973 and 1993. Approximately 500 randomly selected individuals evenly distributed among the age groups 3, 5, 10, 15, and 20 years participated in each study. The main results show that the numbers of caries-free individuals increased in all age groups. In 1993, the mean number of decayed and filled tooth surfaces in the primary (dfs) and the permanent (DFS) dentition in all age groups was less than half of that found in 1973. Most of this decrease took place during the first 5 years, i.e., between 1973 and 1978. Between 1978 and 1983, only minor changes were observed. There was a further reduction of approximately 30%-50% in dfs/DFS between 1983 and 1993 in 3-, 5-, 10-, and 20-year-olds. The frequency distributions of dfs/DFS for 5- and 15-year-olds revealed an increasing skewness over time: in 1993, a large majority of the children and adolescents had a low or moderate caries severity while only a small group had high scores of dfs/DFS.
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23.
  • Hugoson, Anders, et al. (författare)
  • Caries prevalence and distribution in individuals aged 3-20 years in Jönköping, Sweden, over a 30-year period (1973-2003)
  • 2008
  • Ingår i: International Journal of Paediatric Dentistry. - 0960-7439 .- 1365-263X. ; 18:1, s. 18-26
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: Oral health status of individuals aged 3-80 years in the city of Jönköping, Sweden, has been assessed in a series of epidemiological studies over a 30-year period. AIM: To analyse the changes in caries prevalence and caries distribution in child population sample groups, based on studies performed in 1973, 1978, 1983, 1993, and 2003. DESIGN: Each time point included 500 randomly sampled individuals, divided into age groups of 3, 5, 10, 15, and 20 years. Results. Thirty-five per cent of 3-year-olds were caries free in 1973, compared with 69% 30 years later. Decayed and filled primary (dfs) and permanent surfaces (DFS) were reduced by 50-80% between 1973 and 2003. Adolescents aged 10 and 15 years exhibited the most pronounced reduction in DFS on the occlusal surfaces. By 2003, 90% of the proximal carious lesions in 15-year-olds were initial carious lesions. In 2003, about 60% of 15-year-olds had a DFS of < or = 5, while about 7% exhibited a DFS of > or = 26. CONCLUSIONS: Despite the dramatic decline in the prevalence of caries, caries remains a health problem among children, particularly those of preschool age. Continuous epidemiological studies are recommended to evaluate preventive measures.
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24.
  • Hugoson, Anders, et al. (författare)
  • Dental caries in relation to smoking and the use of Swedish snus: epidemiological studies covering 20 years (1983-2003)
  • 2012
  • Ingår i: Acta Odontologica Scandinavica. - : Informa UK Limited. - 0001-6357 .- 1502-3850. ; 70:4, s. 289-296
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective. The aim of this study was to evaluate some intra-oral caries-associated variables and tobacco use on dental caries. Materials and methods. The participants were randomly recruited from three cross-sectional studies in Jonkoping, Sweden, in 1983, 1993 and 2003. Each study consisted of 130 individuals in each of the 20, 30, 40, 50, 60 and 70-year age groups. Of these, 550, 552 and 523 dentate individuals attended respective year of examination. They were all examined both clinically and radiographically. A questionnaire was completed in conjunction with the examination. In the studies, 345 were smokers, 104 snus users and 1142 non-tobacco users, in total 1591 individuals. Results. In 1983 and 1993, there were no significant differences in mean DFS between non-users and smokers, but a statistically significantly higher mean DFS in comparison with snus users. In 2003, there was no statistically significant difference in mean DFS between the groups. Multiple regressions showed that, after adjusting for age, gender and socio-demographic variables, there was a statistically significant association between DFS and smoking in 1983 (smoking excluded in favour of lactobacilli when further analysed) and DFS and plaque index (PLI) in 1993. In 2003, there was no association, apart from buffer capacity (Power rising) between DFS and the examined intra-oral caries-associated variables and tobacco use. Conclusions. The results of these epidemiological studies, performed in 1993 and 2003, indicate that daily smoking or snus use does not increase the risk of dental caries.
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25.
  • Hugoson, Anders, et al. (författare)
  • Distribution of periodontal disease in a Swedish adult population 1973, 1983 and 1993
  • 1998
  • Ingår i: Journal of Clinical Periodontology. - : John Wiley & Sons. - 0303-6979 .- 1600-051X. ; 25:7, s. 542-548
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this study was to compare changes in periodontal status in a Swedish poplation over a period of 20 years. Cross-sectional studies were carried out in Jönköping County in 1973, 1983, and 1993. Individuals were randomly selected from the following age groups: 20, 30, 40, 50, 60, and 70 years. A total of 600 individuals were examined in 1973, 597 in 1983, and 584 in 1993. The number of dentate individuals was 537 in 1973, 550 in 1983, and 552 in 1993. Based on clinical data and full mouth intra-oral radiographs, all individuals were classified into 5 groups according to the severity of the periodontal disease experience. Individuals were classified as having a healthy periodontium (group 1), gingivitis without signs of alveolar bone loss (group 2), moderate alveolar bone loss not exceeding 1/3 of the normal alveolar bone height (group 3), severe alveolar bone loss ranging between 1/3 and 2/3 of the normal alveolar bone height (group 4), or alveolar bone loss exceeding 2/3 of the normal bone height and angular bony defects and/or furcation defects (group 5). During these 20 years, the number of individuals in groups 1 and 2 increased from 49% in 1973 to 60% in 1993. In addition, there was a decrease in the number of individuals in group 3, the group with moderate periodontal bone loss. Groups 4 and 5 comprised 13% of the population and showed no change in general between 1983 and 1993. The individuals comprising these groups in 1993, however, had more teeth than those who comprised these groups in 1983; on the average, the individuals in disease group 4 had 4 more teeth and those in disease group 5, 2 more teeth per subject. In 1973, these 2 groups were considerably smaller, probably because of wider indications for tooth extractions and fewer possibilities for periodontal care which meant that many of these individuals had become edentulous and were not placed in a group. Individuals in groups 3, 4, and 5 were subdivided according to the number of surfaces (%) with gingivitis and periodontal pockets (≥4 mm). In 1993, 20%, 42%, and 67% of the individuals in groups 3, 4, and 5 respectively were classified as diseased and in need of periodontal therapy with >20% bleeding sites and >10% sites with periodontal pockets ≥4 mm. In conclusion, an increase in the number of individuals with no marginal bone loss and a decrease in the number of individuals with moderate alveolar bone loss can be seen. The prevalence of individuals in the severe periodontal disease groups (4, 5) was unchanged during the last 10 years; however, the number of teeth per subject increased.
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26.
  •  
27.
  • Hugoson, Anders, et al. (författare)
  • Effect of three different dental health preventive programmes on young adult individuals: a randomized, blinded, parallel group, controlled evaluation of oral hygiene behaviour on plaque and gingivitis.
  • 2007
  • Ingår i: Journal of clinical periodontology. - 0303-6979 .- 1600-051X. ; 34:5, s. 407-15
  • Tidskriftsartikel (refereegranskat)abstract
    • AIM: To evaluate, in young adults, the effect of different preventive programmes on oral hygiene and to determine whether the variables investigated are predictors of gingival health. MATERIAL AND METHODS: This randomized, blinded, parallel, controlled clinical study examined the effectiveness of three dental health programmes. Four hundred subjects aged 20-27 years, 211 males and 189 females, participated in the study. They were recruited from a Public Dental Service clinic and from a private dental practice in Jönköping, Sweden. The effect of the programmes on plaque and gingivitis was evaluated over a 3-year period. The programmes included activities that were adapted for individuals as well as for groups. The plaque indices (PLI) and gingival indices (GI) were used to evaluate the programmes. RESULTS: All programmes resulted in a decrease in PLI and GI. The greatest decrease was found in the group that was followed-up every 2 months. Professional tooth cleaning was non-significant for the clinical result. Gingival health at baseline, participation in any of the test programmes, and knowledge of the dental diseases caries, gingivitis or periodontitis were significant predictors of good gingival health. CONCLUSIONS: The study confirms the efficacy of three different preventive programmes in reducing supragingival plaque and gingival inflammation. Professional tooth cleaning provided no clinical benefit beyond that derived from individual and group-based health education.
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28.
  • Hugoson, Anders, et al. (författare)
  • Has the prevalence of periodontitis changed during the last 30 years?
  • 2008
  • Ingår i: Journal of Clinical Periodontology. - 0303-6979 .- 1600-051X. ; 35:8 Suppl., s. 338-345
  • Tidskriftsartikel (refereegranskat)abstract
    • AIM: This paper reviews global trends in the change in prevalence of periodontitis over the last 30 years.MATERIAL AND METHODS: The epidemiology of periodontal disease is briefly reviewed together with the current classification system and the clinical and radiographic diagnostic methodology in periodontal disease.RESULTS: This review identifies the very limited number of studies that provide prevalence data over time, and this data is discussed in comparison with those stemming from a few corresponding studies from countries outside Europe.CONCLUSIONS: The data indicate a possible trend of a lower prevalence of periodontitis in recent years.
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29.
  • Hugoson, Anders, et al. (författare)
  • Incisal and occlusal tooth wear in children and adolescents in a Swedish population.
  • 1996
  • Ingår i: Acta Odontologica Scandinavica. - 0001-6357 .- 1502-3850. ; 54:4, s. 263-270
  • Tidskriftsartikel (refereegranskat)abstract
    • The material consisted of 527 randomly selected children and adolescents from the community of Jönköping, Sweden, who in 1983 reached the age of 3, 5, 10, 15, or 20 years. The degree of incisal or occlusal tooth wear was evaluated for each single tooth in accordance with the following criteria: score 0 = no wear or negligible wear of enamel; score 1 = obvious wear of enamel or wear through the enamel to the dentin in single spots; score 2 = wear of the dentin up to one-third of the crown height; and score 3 = wear of the dentin more than one-third of the crown height. In the age groups 3 and 5 years the primary dentition was studied, and in the age groups 10, 15, and 20 years the permanent dentition. In the 3-year-old children 63% and in the 5-year-olds 19% had no or slight incisal or occlusal wear in the primary dentition. In the permanent dentition the corresponding figures for the 10-, 15-, and 20-year-olds were 78%, 51%, and 35%, respectively. The 5-year-olds had the highest percentage of primary teeth with incisal or occlusal wear related to existing teeth in accordance with criteria 1-3 (32.2%), and the 10-year-olds had the lowest score for permanent teeth (2.5%). There were small or no differences in tooth wear between the sexes in these age groups. Eighteen children (17%) among the 5-year-olds had one or more teeth with wear scored 2 in the primary dentition, and one individual had 4 primary teeth scored 3. The corresponding figures for the 3-, 10-, 15-, and 20 year-olds were 2%, 1%, 7% and 6%, respectively. No permanent teeth with wear scored 3 were found in these age groups. The number of teeth with incisal or occlusal wear increased with age both in the primary and in the permanent dentition.
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30.
  • Hugoson, Anders, 1938-, et al. (författare)
  • Jönköpingsundersökningarna : unika och omtalade
  • 2008
  • Ingår i: Tandläkartidningen. - 0039-6982. ; 100:15, s. 50-54
  • Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
    • I slutet av 1960-talet och början av 1970-talet skapade den odontologiska forskningen en bättre förståelse för de stora tandsjukdomarnas etiologi, prevention och behandling. Forsknignens framsteg ökade intresset för förebyggande åtgärder, bättre dignostik och förbättrad kvalitet i det rastaurativa arbetet. Samtidigt fanns en brist på både allmäntandläkare och specialister. Jönköpingsundersökningarna är i första hand exempel på tvärsnittsstudier som fångar upp de förändringar som sker inte bara inom tandvåden utan i hela samhället.
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31.
  • Hugoson, Anders, et al. (författare)
  • Oral health of individuals aged 3-80 years in Jönköping, Sweden during 30 years (1973-2003) : I. Review of findings on dental care habits and knowledge of oral health
  • 2005
  • Ingår i: Swedish Dental Journal. - 0347-9994. ; 29:4, s. 125-138
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of the present study was to compare data on dental care habits and knowledge of oral health in four cross-sectional epidemiological studies carried out in 1973,1983,1993, and 2003. The 1973 study constituted a random sample of 1,000 individuals evenly distributed in the age groups 3, 5, 10, 15, 20, 30, 40, 50, 60, and 70 years. The same age groups with addition of a group of 80-year-olds were included in the 1983, 1993 and 2003 studies, which comprised 1,104, 1,078, and 987 individuals, respectively. A questionnaire about dental care habits and knowledge of oral health was used in connection with a clinical and radiographic examination. The same questions were used in all the four studies. An addition to the 1993 and 2003 investigations were questions concerning ethnic background. In 2003 approximately 90-95 per cent of all individuals were visiting the dentist on a regular basis every or every second year. The 30- and 40-yea r-olds, however, did not visit a dentist as regularly in 2003 as in 1993. In these age groups 21-24 per cent of the individuals, respectively, reported that they had not visited a dentist in the last 2 years. Almost all children 3-15 years old received their dental care within the Public Dental Service (PDS). During the period 1973-2003 an increase in percentage of individuals aged 20-50 years treated by the PDS was seen compared to private practice, while among 60-80 year-olds there were only minor changes. Most so-year-olds and older received their dental care by private practitioners. About 70-80 per cent of all adults in 2003 were enrolled in a recall system on the dentist's initiative while in 1973 most appointments were based on the patient's own initiative. The number of individuals who were frightened, 5-17 per cent, or felt discomfort at the prospect of an appointment with the dentist was more or less the same during the whole period. The knowledge of the etiology of dental diseases did not changed much between 1973 and 2003. The frequency of toothbrushing increased since 1973 and in 2003 more than 90 per cent of all individuals brushed their teeth twice or once a day. The use of dental floss and toothpicks decreased in 2003 compared to 1983 and 1993. Almost all individuals in 2003 used fluoride toothpaste. It was obvious that the dental team constituted the main source of dental health information. For the age groups 20 and 30 years information from friends and relatives was also important. In the age groups 3-20 years up to 45 per cent of the individuals were consuming soft drinks every day or several times a week.
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32.
  • Hugoson, Anders, et al. (författare)
  • Oral health of individuals aged 3-80 years in Jönköping, Sweden during 30 years (1973-2003) : II. Review of clinical and radiographic findings
  • 2005
  • Ingår i: Swedish Dental Journal. - 0347-9994. ; 29:4, s. 139-155
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this epidemiological study was to analyze various clinical and radiographic data on oral health and compare the results to those of three cross-sectional studies carried out in 1973 and 1983, and 1993. In 1973, 1983, 1993, and 2003 a random sample of 1,000; 1,104; 1,078; and 987 individuals, respectively, were studied. The individuals were evenly distributed in the age groups 3, 5, 10, 15, 20, 30, 40, 50, 60, 70, and 80 years. In 1973 80-year-olds were not included. All subjects were inhabitants of the City of Jönköping, Sweden. The clinical and radiographic examination assessed edentulousness, removable dentures, implants, number of teeth, caries, restorations and overhangs, oral hygiene, calculus, periodontal status, endodontic treatment, and periapical status. The number of edentulous individuals in the age groups 40-70 years was reduced from 16 per cent in 1973 to 8 per cent in 1993, and to 1 per cent in 2003. The mean number of teeth increased, and up to the age of 60 years, individuals had more or less complete dentitions. During the 30-year period,the number of carious lesions and restorations decreased in general. In the 15-year-olds the decrease in number of restored tooth surfaces was 900 per cent and the corresponding figure for 30-year-olds was 79 per cent. The age groups 60-800 years showed an increase in number of restored tooth surfaces and had as a mean 50 filled tooth surfaces. The oral health among 3-5-year-olds improved markedly between 1973 and 1993. In 2003, however, there was no further improvement in 3- and 5-year-olds compared to 1993. Generally, restorations in 2003 exhibited a high quality and 90-95 per cent had no proximal overhangs. In 1973 this figure was about 60 per cent. In the age groups 20-50 years there were continuously fewer teeth fitted with crowns or bridges during the 30-year period. In 1973 the 50-year-olds had a mean of 24.5 per cent of the teeth crowned and in 2003 6.8 percent. Compared to data from 1973 there was a reduction by half concerning occurrence of plaque and gingivitis in 2003. The frequency of individuals with one or more periodontal pockets (> or = 4 mm) increased with age. In 2003 the bone level at the age of 60 years corresponded to the bone level at the age of 40 years in 1973. The percentage of endodontically treated teeth was lower in 2003 in all age groups compared to 1973, 1983, and 1993. The percentage of endodontically treated teeth with periapical orjuxtaradicular destructions was generally lower in 2003 than in the earlier surveys, about 20 per cent in 2003 compared to 25-30 per cent in 1973,1983, and 1993. The comparison of the four studies shows that there has been a great overall improvement in oral health over this 30-year period.
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33.
  • Hugoson, Anders, et al. (författare)
  • Oral health of individuals aged 3-80 years in Jönköping, Sweden in 1973, 1983, and 1993 : II. Review of clinical and radiographic findings
  • 1995
  • Ingår i: Swedish Dental Journal. - 0347-9994. ; 19:6, s. 243-260
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this epidemiological study was to analyse various clinical and radiographic data on oral health and compare the results to those of two cross-sectional studies carried out in 1973 and 1983. In 1973, 1983, and 1993 a random sample of 1000, 1104, and 1078 individuals, respectively were studied. The individuals were evenly distributed in the age groups 3, 5, 10, 15, 20, 30, 40, 50, 60, and 70 years. In 1983 and 1993 80-year-olds were also included. All subjects were inhabitants of the community of Jönköping, Sweden. The clinical and radiographic examination assessed edentulousness, removable dentures, implants, number of teeth, caries, restorations and overhangs, oral hygiene, calculus, periodontal status, endodontic treatment, and periapical status. The number of edentulous individuals was reduced by half from 1973 to 1993 and is now 8% in the age groups 40-70 years. The mean number of teeth has increased and up to the age of 50 years the individuals had more or less complete dentitions. During the 20-year period there was generally decreasing number of carious lesions and restorations. In the 15- and 20-year-olds, however, there was an increasing number of decayed/filled tooth surfaces in 1993 compared to 1983. Furthermore, after the age of 50 there was an increase in number of restored tooth surfaces. As regards secondary caries there was an increase for the 10- and 15-year-olds between 1983 and 1993. For all other age groups there were only minor differences. Generally restorations exhibited a high quality and 85-90% had no proximal overhangs. In 1973 this figure was about 60%. Concerning the frequency of tooth surfaces exhibiting plaque and gingival inflammation there was a considerable decrease from 1973 to 1983, but during the period from 1983 to 1993 there seems to be no improvement. In some age groups there was even a significant increase in plaque (15-year-olds) and gingivitis (3-, 5-, 15-, 20-, and 60-year-olds). The frequency of individuals with one or more periodontal pockets (> 4 mm) increased with age. In 1993 the bone level at the age of 40 years corresponded to the bone level at the age of 20 years in 1973. The percentage of endodontically treated teeth was lower in 1993 in all age groups than in 1973 and 1983. The percentage of endodontically treated teeth with periapical or juxtaradicular destructions was unchanged in all three studies. The comparison of the three studies from 1973, 1983, and 1993 shows that there has been a great improvement in oral health over this 20-year period. In 1993, however, the increasing number of decayed/filled tooth surfaces in the 15- and 20-year-olds and an increase in plaque and gingivitis in some younger age groups calls for special attention.
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34.
  • Hugoson, Anders, et al. (författare)
  • Oral health of individuals aged 3-80 years in Jönköping, Sweden in 1973, 1983, and 1993 : I. Review of findings on dental care habits and knowledge of oral health
  • 1995
  • Ingår i: Swedish Dental Journal. - 0347-9994. ; 19:6, s. 225-241
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of the present study was to compare data on dental care habits and knowledge of oral health in three cross-sectional studies carried out in 1973, 1983, and 1993. The 1973 study constituted a random sample of 1000 individuals evenly distributed in the age groups 3, 5, 10, 15, 20, 30, 40, 50, 60, and 70 years. The same age groups with addition of a group of 80-year-olds were included in the 1983 and 1993 studies which comprised 1104 and 1078 individuals, respectively. A questionnaire (23-101 questions) about dental care habits and knowledge of oral health was used in connection with a clinical and radiographic examination. The same questions were used in all the three studies. An addition to the 1993 investigation was questions concerning ethnographic background. In 1993 approximately 95% of all individuals were visiting the dentist on a regular basis every or every second year. The 30-year-olds, however, did not visit a dentist as regularly in 1993 as in 1983. The 70- and 80-year-olds visited a dentist more regularly in 1993 than in 1983. An increased number of adults in all age groups, except for the 70-year-olds, received their dental care in the Public Dental Service in 1993 compared to 1983 and 1973. Most 40-year-olds and older, however, received their dental care by private practitioners. About 80% of all adults in 1993 were enrolled in a recall system on the dentist's initiative while in 1973 most appointments were based on the patient's own initiative. The number of individuals who felt discomfort at the prospect of an appointment with the dentist was more or less the same in 1973, 1983, and 1993. The knowledge of the etiology of dental diseases has not changed much between 1973 and 1993. The frequency of toothbrushing has increased since 1973 and in 1993 more than 95% of all individuals brushed their teeth daily. The use of dental floss and toothpicks as well as disclosing tablets decreased in 1993 compared to 1983. Almost all individuals in 1993 used fluoride toothpaste. The use of topical fluorides and fluoride tablets in children had decreased considerably in 1993 compared to 1983.
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35.
  • Hugoson, Anders, et al. (författare)
  • Oral hygiene and gingivitis in a Swedish adult population 1973, 1983 and 1993
  • 1998
  • Ingår i: Journal of Clinical Periodontology. - : John Wiley & Sons. - 0303-6979 .- 1600-051X. ; 25:10, s. 807-812
  • Tidskriftsartikel (refereegranskat)abstract
    • The periodontal condition of the inhabitants of Jönköping County, Sweden was followed for 20 years by means of 3 cross-sectional investigations performed in 1973, 1983, and 1993. The study comprised individuals in the age groups 20, 30, 40, 50, 60, and 70 years. The number of dentate individuals was 537 in 1973, 550 in 1983, and 552 in 1993. All individuals participating in the studies were examined clinically and radiographically. They also filled out a questionaire about dental care habits, socio-economic status, and general health. A clear reduction in the plaque score was seen between 1973 and 1983 in all age groups. With one exception, no further significant change in plaque levels was found between 1983 and 1993: the increase in plaque among the 20-year-olds was significant. In 1993 the mean % of surfaces with plaque was between 30% and 40% in all age groups. Gingivitis values corresponded well with the values of dental plaque; the same pattern with a clear reduction in gingivitis score was seen in all age groups between 1973 and 1983, and an increase in the mean frequency of gingival inflammation between 1983 and 1993 was seen in the 20-year age group. 30% of the individuals in this age group had more than 50% gingivitis in 1993 compared with 9% of the individuals in 1983. The 20-year-olds were further analyzed in a linear regression model using gingivitis as a dependent variable against some socio-economic, general health, and dental care variables associated with poor oral hygiene and gingivitis. In 1993, the most important explanatory variable was gender: significantly more males than females had higher gingivitis scores. The second most important explanatory variable was toothbrushing habits. Together they explained 10.9% of the variance. The multivariate analysis did not reveal approximal cleaning habits to be significant, probably due to their strong connection to gender and toothbrushing habits. In the 1983 sample, no significant explanatory variables were found. It was concluded from this data that it is important not only to renew but also to direct preventive guidelines more towards young adults who have no previous extensive experience of oral disease so that they will not be excluded from dental care and their dental health thereby jeopardised. In addition to preventive programmes aimed at the population as a whole, individual programmes based on risk targeting are also necessary to reduce the number of people developing dental disease and to increase the quality of dental care.
  •  
36.
  •  
37.
  • Hugoson, Anders, et al. (författare)
  • The effect of different dental health programmes on young adult individuals : A longitudinal evaluation of knowledge and behaviour including cost aspects
  • 2003
  • Ingår i: Swedish Dental Journal. - 0347-9994. ; 27:3, s. 115-130
  • Tidskriftsartikel (refereegranskat)abstract
    • The goal of this study was to report the long-term effect of different dental health programmes on young adult individuals' knowledge and behaviour relative to oral health. Over a 3 years period, the effect of three different dental health programmes on caries, gingivitis/periodontitis, and knowledge and behaviour concerning oral health in 400 Swedish young adults was evaluated. During the following 2 years, additional prophylactic measures--now based on the individual's symptoms and the prophylaxis previously received--were conducted and evaluated. Five years later still one follow-up was made. The evaluations were based on clinical and radiographic examinations and on a questionnaire survey whose purpose was to study the short- and long-term effects of the different preventive measures, including cost aspects. At the end of the 3 years period, the three test groups exhibited better knowledge and significantly improved behaviour compared with the control group concerning approximal cleaning, from approximately 50% of the individuals at the baseline examination to approximately 90% at the end of the period. Improvement was observed as early as the first year. There were no differences between the test groups. The intensified, individual-related prophylaxis carried out in the following 2 years did not significantly increase knowledge in the test groups; a significant increase in approximal cleaning, however, was found in the control group during this time. At the 10-year follow-up, the individuals' knowledge was undiminished while behaviour concerning approximal cleaning had sunk from 90% to approximately 70% of the individuals. A slight behavioural change concerning number of snacks was found in the course of the study with a shift towards fewer snacks per day. In conclusion, it can be said that simple prophylactic models have an effect on and maintain young adult individuals' knowledge and behaviour concerning oral health and that new knowledge is remembered for long periods of time while changes in behaviour are maintained less well. Moreover, it was found that the scope of the prophylactic programme measured in time and cost had little effect on the long-term result.
  •  
38.
  • Hugoson, Anders, et al. (författare)
  • The relationship of some negative events and psychological factors to periodontal disease in an adult Swedish population 50 to 80 years of age
  • 2002
  • Ingår i: Journal of Clinical Periodontology. - 0303-6979 .- 1600-051X. ; 29:3, s. 247-53
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: Clinical observations and epidemiological studies suggest that experiences of negative life events, especially those manifested as depression, may contribute to an increased susceptibility to periodontal disease. OBJECTIVE: In the present study, the prevalence of some negative life events and psychological factors and their relation to periodontal disease were investigated. The sample consisted of individuals 50-80 years of age from an extensive cross-sectional epidemiological study performed in 1993 in the city of Jönköping, Sweden. METHOD: 298 dentate individuals from the Jönköping study were randomly selected. Clinical and radiographic examinations included registration of the number of existing teeth, plaque index, gingival index, pocket depth, and alveolar bone loss. In addition, a questionnaire about socioeconomic status, life events, and psychological and stress-related factors was used. RESULTS: The results revealed that, in addition to the well-documented periodontal disease risk factors such as increased age, oral hygiene status, and smoking, the loss of a spouse (being a widow or widower) and the personality trait of exercising extreme external control were also associated with severe periodontal disease. CONCLUSION: The findings support recent studies suggesting that traumatic life events such as the loss of a spouse may increase the risk for periodontal disease. Above all, the present results indicate that an individual's ability to cope with stressful stimuli (coping behavior), as measured by the beliefs of locus of control of reinforcements may play a role in the progression of periodontal disease.
  •  
39.
  • Hugoson, Anders, et al. (författare)
  • Thirty year trends in the prevalence and distribution of dental caries in Swedish adults (1973-2003)
  • 2008
  • Ingår i: Swedish Dental Journal. - 0347-9994. ; 32:2, s. 57-67
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of the present investigation is to report on the trends in the prevalence and severity of dental caries and dental status in an adult Swedish population over a 30-year period (1973-2003). Four cross-sectional epidemiological studies in 1973, 1983, 1993, and 2003 were performed in Jönköping, Sweden.A random sample of individuals aged 20, 30, 40, 50, 60, 70, and 80 years were examined clinically and radiographically, a total of 2521 individals. Diagnostic variables were edentulousness, number of teeth, initial and manifest caries lesions, restorations, fissure sealants, and quality of restorations (secondary caries and overhangs). The percentage of edentulous 40- to 70-year-old individuals decreased during the 30-year period from 16% to 1%. The distribution of individuals by DFS in the age groups 20-50 years showed a gradual shift towards a positively skewed distribution between the years 1973 to 2003. There was a steady decrease in mean number of DFS in the age groups 20-50 years. In the 20-year-olds the mean number of DFS decreased by 72% and for 50-year-olds, by 37%. In conclusion there has been a marked decrease in DFS in adults up to middle age and a marked reduction in edentulousness over a thirty year period. This shows that the decrease in caries levels in children and adolescents is also occurring among adults.
  •  
40.
  • Hugoson, Anders, et al. (författare)
  • Treatment of class II furcation involvements in humans with bioresorbable and nonresorbable guided tissue regeneration barriers : A randomized multi-center study
  • 1995
  • Ingår i: Journal of Periodontology. - 0022-3492 .- 1943-3670. ; 66:7, s. 624-634
  • Tidskriftsartikel (refereegranskat)abstract
    • In this multi-center study 38 patients with contralateral molar Class II furcation defects were treated with GTR therapy using a bioresorbable matrix barrier (test) and a nonresorbable expanded polytetrafluoroethylene (ePTFE) barrier (control). Following flap elevation, scaling, root planing, and removal of granulation tissue, each device was adjusted to cover the furcation defect. The flaps were repositioned and sutured to complete coverage of the barriers. A second surgical procedure was performed at control sites after 4 to 6 weeks to remove the nonresorbable barrier. Before treatment and 12 months postsurgery all patients were examined and probing depths, clinical attachment levels, and position of the gingival margin were recorded. The primary response variable was the change in clinical attachment level in a horizontal direction (CAL-H change). Both treatment procedures reduced the probing depths (P < or = 0.001). Statistically significant gain of clinical attachment level in both horizontal and vertical direction was found at the test sites. At control sites gain of attachment in horizontal direction was statistically significant. The gain of CAL-H was 2.2 mm at test sites compared to 1.4 mm at control sites (P < or = 0.05). At test sites, the gingival margin was maintained close to the pre-surgical level (0.3 mm), whereas at control sites gingival recession was evident (0.9 mm), the difference being statistically significant (P < or = 0.01). Postsurgical complications, such as swelling and pain were more frequent following the control treatment (P < or = 0.05).
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41.
  • Hugoson, Anders, et al. (författare)
  • Trends over 30 years, 1973-2003, in the prevalence and severity of periodontal disease
  • 2008
  • Ingår i: Journal of Clinical Periodontology. - 0303-6979 .- 1600-051X. ; 35:5, s. 405-414
  • Tidskriftsartikel (refereegranskat)abstract
    • AIM: The present investigation presents findings of the prevalence and distribution of gingivitis and periodontitis in a Swedish population over the 30 years 1973-2003. MATERIAL AND METHODS: Four cross-sectional epidemiological studies in 1973, 1983, 1993, and 2003 were performed in Jönköping, Sweden. Random samples of individuals aged 20, 30, 40, 50, 60, 70, and 80 years were examined clinically and radiographically. Diagnostic criteria were edentulousness, number of teeth, plaque, gingival status, probing pocket depth, gingival recession, alveolar bone level, and classification according to periodontal disease status. RESULTS: In all age groups, the number of edentulous individuals decreased dramatically and the number of teeth increased. Oral hygiene improved considerably. Over the 30 years, the proportion of periodontally healthy individuals increased from 8% in 1973 to 44% in 2003 and the proportion of individuals with gingivitis and moderate periodontitis decreased. There was a non-significant trend for the proportion of individuals with severe periodontal disease experience (Group 4) to decrease, while the proportion of individuals with advanced periodontitis (Group 5) remained unchanged. CONCLUSION: Oral hygiene and periodontal health improved significantly in the 20-80-year age groups over the 30 years 1973-2003.
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42.
  • Jacobsson, Brittmarie, 1956-, et al. (författare)
  • Knowledge, attitudes and behaviour about dental diseases and dental care habits in adolescents in Jönköping, Sweden and in Da Nang, Vietnam
  • 2008
  • Ingår i: Knowledge, attitude and behaviour in oral health care among 10-15 year olds in Jönköping, Sweden and DaNang, Vietnam.
  • Konferensbidrag (refereegranskat)abstract
    • The aim of this article was to present data about oral hygiene and knowledge about dental diseases and dental care habits in 10-15 year olds in Jönköping, Sweden and 10-11 year-olds in Da Nang, Vietnam in 2003. Methods A random sample of 206 individuals 10 and 15 year olds, from the City of Jönköping and 369 individuals from the City of Da Nang, were asked about their attitudes towards and knowledge of teeth and dental care habits. Results In Jönköping 9% answered that gingivitis is the same as inflammation of the gum. In Da Nang study 40% knew about early sign of gingivitis (easily gum bleeding).  67% in Jönköping answered that bacteria and sugar cause the acid that gives caries. In Da Nang 47% could answer correctly the cause of dental caries. The percentage of children who brush their teeth twice a day was the same, around 80 %, in both studies. In Jönköping 100% of the children used fluoride toothpaste. In Da Nang 73 % always used Fluoride toothpaste and 14 % did not know if the toothpaste they used contained Fluoride or not.
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43.
  • Jacobsson, Brittmarie (författare)
  • On Oral Health in Young Individuals with a Focus on Sweden and Vietnam : A Cultural Perspective
  • 2013
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • AIM: The overall aim of this thesis was to study culture as an oral health determinant for dental caries and gingivitis in children living in Jönköping, Sweden, in relation to children living in Da Nang, Vietnam.MATERIALS AND METHODS: In 1993 and 2003, cross-sectional studies with clinical examinations and questionnaires were performed in Jönköping, Sweden, with a random sample of 130 children from each of four age groups; 3, 5, 10 and 15 years. The final study sample comprised 739 children, 154 (21%) with two foreign-born parents and 585 (79%) with two Swedish-born parents (Paper I). In 2000, all 15-year-olds (n=143) at one school in Jönköping, Sweden, were asked to participate in a questionnaire study connected to clinical data. The final sample comprised 117 individuals, 51 (44%) with foreign-born parents and 66 (56%) with Swedish-born parents (Paper II). In 2008, a cross-sectional study with clinical examinations and questionnaires was performed in Da Nang, Vietnam with 840 randomly selected children, 210 in each of four age groups; 3, 5, 10 and 15 years. The final sample comprised 745 individuals (Papers III and IV).RESULTS: In 2003, the mean number of decayed (initial and manifest) and filled tooth surfaces was significantly higher in all age groups in children with foreign-born parents compared with children with Swedish-born parents. The gap between children with foreign-born parents and Swedish-born parents increased over the ten-year period from 1993 to 2003. The odds ratio of dental caries development among 10- and 15-year-old children with foreign-born-parents was more than six times higher than for their counterparts with Swedish-born parents (Paper I). Fifteen-year-olds born in Sweden of foreignborn parents and those who had immigrated before one year of age had a caries prevalence similar to 15-year-olds with Swedish-born parents, whereas the caries prevalence in children who had immigrated to Sweden after 7 years of age was 2-3 times higher (Paper II). Among the 3- and 5-year-olds in Vietnam, 98% suffered from dental caries, compared with 91% of 10- and 15-year-olds (Paper IV). The distribution of the most frequent values of decayed and filled primary tooth surfaces (dfs) in 5-year-olds was 16–20, and of decayed and filled permanent tooth surfaces (DFS) in 15-year-olds was 1–5. The maximum dfs was 76–80, and significant numbers of children had dfs between 20 and 50. The percentage of tooth sites with plaque and gingivitis was higher for children in all age groups with foreign-born parents compared with children with Swedish-born parents, except among the 15-year-olds in 2003. In Vietnam, the prevalence of plaque and gingivitis was high in all age groups, especially in 10- and 15-year-olds. Fifteen-yearolds in Sweden with foreign-born parents had a higher intake of snack products between principal meals compared with 15-year-olds with Swedish-born parents (Paper II). In Sweden, most children in all age groups brushed their teeth themselves or with help from their parents twice or more than twice a day (Paper I). Among 3- and 5-year-olds in Vietnam, about half of the parents reported that their children brushed their teeth themselves or with help from parents twice or more than twice a day (Paper III). All 3-year-olds and 99% of 5-year-olds in Sweden brushed their teeth with fluoride toothpaste (Paper I). Among 15-year-olds in Sweden with foreign-born parents, 88% reported that they brushed their teeth with fluoride toothpaste at least twice a day compared with 98% of 15-year-olds with Swedish-born parents (Paper II). In Vietnam, 44–78% of the children used fluoride toothpaste for toothbrushing and 51% consumed sweets between principal meals at least once a day (Paper III). Sweetened milk was the most common source of this sugar intake for the 3- and 5-year-olds (Paper III).CONCLUSIONS: Culture is an important oral health determinant for dental caries and gingivitis in children. There is an urgent need to improve oral health care promotion and preventive programmes for children with foreign-born parents in Sweden, but also a great need for such programmes for children in Vietnam.
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44.
  • Jacobsson, Brittmarie, 1956-, et al. (författare)
  • Oral health and coherent determinants in children and adolescents with foreign background compared to Swedish youth
  • 2010
  • Ingår i: Oral health - new concepts for the new millenium.
  • Konferensbidrag (refereegranskat)abstract
    • Aim: The aim of this study was to investigate oral health status and coherent determinants in children and adolescents with foreign background compared to children with Swedish background. Methods: In 1993 and 2003 cross-sectional studies with random samples of individuals in the age groups 3-,5-,10- and 15-years were performed in Jönköping, Sweden. All individuals were personally invited to a clinical and radiographic examination of oral health status. They were also asked about their attitudes and knowledge about teeth and oral health care habits. The final study cohort comprised 739 children and adolescents, 154 with Foreign background (F-cohort) and 585 with Swedish background (S-cohort). Results: Both in 1993 and 2003 more 3- and 5-year-olds in the S-cohort were caries-free compared to the F-cohort. In 1993 dfs/DFS was higher among 3- and 5-year-olds in the F-cohort (p=0.01). In 2003 dfs/DFS was significantly higher in all age groups in the F-cohort compared to the S-cohort. The cumulative percentage of proximal caries-free, initial and manifest lesions and restorations among 10-year-olds in the F-cohort were in 1993 55%, 23%, 4% and 18%. The corresponding figures for the S-cohort were 69%, 20%, 6% and 5%, respectively. In 2003 figures in the F-cohort were 54%, 29%, 4% and 13% compared to 82%, 12%, 1% and 5% in the S-cohort (p=0.037). Among males with foreign background and lived in families with low education, the odds was four times higher (OR=4.0 +95%CI; 2.2-7.2) to be exposed to dental caries, then among their Swedish counterparts. Conclusions: There had been a decline in caries prevalence between 1993 and 2003 in all age-groups except among the 3-year-olds. However the improvement of dfs/DFS was stronger in the S-cohort in all age-groups and the gap between the F- and S-cohorts was considerable larger in 2003 compared to 10 years earlier.
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45.
  • Jacobsson, Brittmarie, 1956-, et al. (författare)
  • Oral Health in young individuals with foreign and Swedish backgrounds - a ten-year perspective
  • 2011
  • Ingår i: European Archives of Paediatric Dentistry. - 1818-6300 .- 1996-9805. ; 12:3, s. 151-158
  • Tidskriftsartikel (refereegranskat)abstract
    • AIM:To investigate oral health status and coherent determinants in children with foreign backgrounds compared with children with a Swedish background, during a ten year period.DESIGN AND METHODS:In 1993 and 2003, cross-sectional studies with random samples of individuals in the age groups 3, 5, 10 and 15 years were performed in Jönköping, Sweden. All the individuals were personally invited to a clinical and radiographic examination of their oral health status. They were also asked about their attitudes to and knowledge of teeth and oral health care habits. The final study sample comprised 739 children and adolescents, 154 with a foreign background (F cohort) and 585 with a Swedish background (S cohort).RESULTS:In both 1993 and 2003, more 3- and 5 year olds in the S cohort were caries-free compared with the F cohort. In 1993, dfs was higher among 3- and 5 year olds in the F cohort (p<0.01) compared with the S cohort. In 2003, dfs/DFS was statistically significantly higher in all age groups among children and adolescents in the F cohort compared with the S cohort. When it came to proximal tooth surfaces, the percentages of individuals who were caries-free, with initial carious lesions, with manifest carious lesions and with restorations among 10-year-olds in the F cohort were 55%, 23%, 4% and 18% in 1993. The corresponding figures for the S cohort were 69%, 20%, 6% and 5% respectively. In 2003, the values for the F cohort were 54%, 29%, 4% and 13% compared with 82%, 12%, 1% and 5% in the S cohort. In 2003, the odds of being exposed to dental caries among 10- and 15-yearolds in the F cohort, adjusted for gender and age, were more than six times higher (OR=6.3, 95% CI:2.51-15.61; p<0.001) compared with the S cohort.CONCLUSIONS:There has been a decline in caries prevalence between 1993 and 2003 in all age groups apart from 3-year-olds. However, the improvement in dfs/DFS was greater in the S cohort compared with the F cohort in all age groups. The difference between the F and S cohorts in terms of dfs/ DFS was larger in 2003 compared with 10 years earlier. In 2003, the odds ratio for being exposed to dental caries was almost six times higher for 10- and 15-year-olds with two foreign-born parents compared with their Swedish counterparts.
  •  
46.
  • Jacobsson, Brittmarie, et al. (författare)
  • Oral health of children and adolescents in Da Nang
  • 2014
  • Ingår i: Oral Hygiene & Health. - : OMICS Publishing Group. - 2332-0672. ; 2:4, s. 1-6
  • Tidskriftsartikel (refereegranskat)abstract
    • This is a cross-sectional epidemiological study comprising 840 randomly selected children in the age groups of 3, 5, 10 and 15 year-olds. All children were clinically examined for number of teeth, dental caries, dental fillings, plaque, gingivitis and probing pocket depth. Dental care and dietary habits were collected using a self-reported questionnaire. Among 3 and 5 year olds, 98% suffered from dental caries, compared to 91% of 10 and 15 year olds. The mean (SD) of decayed (initial and manifest) and filled tooth surfaces (dfs/DFS) in the different age groups was: 18.2 (14.1), 23.0 (15.4), 5.1 (4.2) and 6.9 (6.0), respectively. There was an average of ~ 30% in all age groups with plaque and gingivitis. Consuming milk with sugar more than 2–3 times a week (3 and 5 year olds) and eating sweets between principal meals twice a day (in 10 and 15 year olds) were statistically significant with caries prevalence. It is concluded that dental caries and gingivitis are significant public health problems among children in Da Nang, Vietnam.
  •  
47.
  •  
48.
  •  
49.
  • Jacobsson, Brittmarie, et al. (författare)
  • Sociodemographic conditions, knowledge of dental diseases, dental care, and dietary habits
  • 2015
  • Ingår i: Journal of Public Health Dentistry. - : Wiley. - 0022-4006 .- 1752-7325. ; 75:4, s. 308-316
  • Tidskriftsartikel (refereegranskat)abstract
    • ObjectivesThis study's aim was to present data on the sociodemographic conditions, knowledge of dental diseases, dental care, and dietary habits among children aged 3, 5, 10, and 15 years in Da Nang, Vietnam.MethodsA cross-sectional epidemiological questionnaire study was conducted in a population of 840 children randomly selected by their year and month of birth (January to July), including 210 individuals in each age group. A self-reported questionnaire was completed by the parents of 3- and 5-year-olds, and a modified questionnaire was given to 10- and 15-year-olds to complete by themselves.ResultsMass media constituted the main source of oral healthcare information. Parents assisted with tooth brushing in 86 percent of 3-year-olds and 71 percent of 5-year-olds. Fluoride toothpaste was used by 44-78 percent of children, with no clear age-related trend. Within the past year, 60 percent of 3- and 5-year-olds, 20 percent of 10-year-olds, and 49 percent of 15-year-olds reported they had not visited a dental professional. Sweets were consumed between principal meals by 70-80 percent of children. Milk with sugar was regularly consumed by 71 percent of 3-year-olds and 91 percent of 5-year-olds.ConclusionsChildren showed frequent sugar consumption and insufficient frequency of brushing their teeth with fluoride toothpaste. Food-based dietary guidelines should play a significant role in nutrition and oral health. It is especially important that oral health prevention programs reach preschool children before they establish unhealthy dietary habits. Parental education about oral health and access to oral healthcare services are also needed to improve children's oral health.
  •  
50.
  • Karapataki, S, et al. (författare)
  • Healing following GTR treatment of bone defects distal to mandibular 2nd molars after surgical removal of impacted 3rd molars
  • 2000
  • Ingår i: Journal of Clinical Periodontology. - 0303-6979 .- 1600-051X. ; 27:5, s. 325-332
  • Tidskriftsartikel (refereegranskat)abstract
    • AIM: The purpose of this study was to study the healing, following guided tissue regeneration (GTR) treatment, of bone defects distal to mandibular 2nd molars (M2s) after surgical removal of impacted mesioangularly or horizontally inclined third molars (M3s) in patients > or = 25 years. METHOD: 20 patients with bilateral soft tissue impacted M3s were included in the split-mouth study. The 2 sites to be treated in each patient were randomised before the 1st operation as to which would undergo the test procedure and which would be the control site. After surgical removal of M3 at test sites, a resorbable polylactic acid (PLA) barrier was attached to M2 to cover the post-surgical bone defect. The flap was then replaced and sutured to cover the barrier. Control sites underwent the same procedure, as did the test sites, with the exception that no barrier was placed. The clinical examinations performed were oral hygiene pre- and 12 months postoperatively and probing pocket depth 12 months postoperatively. The alveolar bone level (ABL) at the distal surface of the M2, as determined from radiographs taken at suture removal and 12 months postsurgery, was chosen to be the primary response variable. RESULTS: Most bone defects showed healing up to 10%-20% of the tooth length at both test and control sites. 2 test and 2 control sites showed no improvement in the bone level. The mean values of bone healing registered in mm from the cemento-enamel junction (CEJ) were 2.6 +/- 2.19 SD and 3.0 +/- 2.20 SD for test and control sites, respectively. Different factors affecting the healing result are discussed.
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