| 1. |
- Al-Harthy, Mohammad, et al.
(författare)
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Temporomandibular disorder pain in adult Saudi Arabians referred for specialised dental treatment
- 2010
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Ingår i: Swedish Dental Journal. - : Swedish Dental Association. - 0347-9994. ; 34:3, s. 149-158
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to determine the frequency of Temporomandibular Disorders (TMD) pain in Saudi Arabians,aged 20-40, who were referred to the Specialist Dental Centre in Makkah. The material included 325 patients (135 males,190 females) who answered a history questionnaire. Patients reportingTMD pain in the last month were offered a clinical examination. History questionnaires and clinical examinations were done according to the Arabic version of the Research Diagnostic Criteria for TMD (RDC/TMD). Fifty-eight patients (18%) reported TMD pain; 46 were clinically examined. Mean age of clinically examined TMD pain patients was 30 +/- 7 years with a male-female ratio of 1:6 (P < 0.001). All TMD pain patients had a diagnosis of myofascial pain, and 65% had diagnoses of arthralgia or osteoarthritis. Headaches or migraines in the last 6 months and headaches in the last month were reported in high frequencies in the TMD pain group, 93% and 71% respectively, with differences (P < 0.001) between the TMD pain and non-TMD pain groups. Graded Chronic Pain Scale assessments classified 45% of the TMD pain patients in grade 1, 53% in grade II, 2% in grade III, and 0% in grade IV. Severe depression scores were found in 38% of the TMD pain patients and severe somatisation scores in 60% with differences (P < 0.001) between the TMD pain and non-TMD pain groups. In conclusion, the study found a frequency of TMD pain in this Saudi Arabian cohort of 18%. The TMD pain group presented high scores of depression and somatisation but low disability grades on the Graded Chronic Pain Scale.
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| 2. |
- Albertsson, Katarina Wikén, 1963-, et al.
(författare)
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Awareness of toothbrushing and dentifrice habits in regularly dental care receiving adults
- 2010
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Ingår i: Swedish Dental Journal. - : Sveriges tandläkarförbund. - 0347-9994. ; 34:2, s. 71-78
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to investigate toothbrushing and dentifrice habits in a Swedish adult population with relatively high caries frequency, which received regularly dental care and to evaluate the awareness of their toothbrush technique. Sixty adult participants with high caries frequency, 29 woman and 31 men, answered a self-reporting questionnaire with 42 questions concerning their oral care, brushing technique and -habits.The responses were related to their clinical behaviour observed during a customary toothbrushing session. Fifty-three participants fulfilled both the questionnaire and the clinical observation. Half of these used toothpaste containing 1450-1500 ppm fluoride but only one of all participants was aware of the fluoride concentration used. The majority used a manual toothbrush and 95% brushed their teeth twice a day using 0.9 g toothpaste. A wide range of brushing methods and habits was observed. Sixty percent did not brush systematically. Spitting of toothpaste-saliva during brushing was performed by 60% and after brushing by 15%.The observed brushing times were significantly higher than the self reported. The observed brushing times were <1 min: 3.4%, 1-2 min: 36.7% and >2 min: 47.0%. There was a significant correlation between observed brushing time and caries activity. Rinsing with water after brushing was performed once (32%) or twice (44%) during the observations. Only 9% rinsed with toothpaste slurry after brushing. It can be concluded that the awareness of the individual toothbrushing, post-brushing behaviour and the use of fluoride toothpaste was non-optimal in the adult participants. Oral health promotion by optimalized use of fluoride toothpaste and improved post-brushing behaviour should be recommended.
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| 3. |
- Alexander, Louise, et al.
(författare)
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The combination of non-selective NSAID 400 mg and paracetamol 1000 mg is more effective than each drug alone for treatment of acute pain : a systematic review
- 2014
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Ingår i: Swedish Dental Journal. - : Swedish Dental Association. - 0347-9994. ; 38:1, s. 1-14
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Forskningsöversikt (refereegranskat)abstract
- The aim was to evaluate the evidence on outcomes of the combination of non-selective NSAID/ paracetamol compared to either drug alone, to relieve acute pain following oral surgery in adult patients. A systematic review of available literature was performed. The first step comprised searches in three electronic databases. Original studies written in English were searched. As a second step, the reference lists of included publications were searched for additional publications. Abstracts were retrieved if the title contained information on postoperative pain, NSAID, and paracetamol in combination with oral surgery. Two reviewers selected publications on the basis of predetermined inclusion criteria. Data were extracted using one protocol and the quality of each study was • assessed using another protocol. The initial search in PubMed resulted in 138 abstracts and in the Cochrane library a further four. The search in the Web of Science resulted in no additional abstract. Five RCTs fulfilled the inclusion criteria. Pain relief from the combination of non-selective NSAID with paracetamol was significantly better than with paracetamol alone as well as with NSAID alone. Nausea, vomiting, headache, and dizziness were among the most common adverse events in all treatment groups. Most of the adverse events were of mild to moderate severity. Two studies reported no significant differences in adverse events between the treatment groups. According to one study the adverse events were significantly lower for the combination ibuprofen 400 mg/paracetamol 1000 mg compared to ibuprofen 400 mg alone. The need for rescue drugs in the different groups varied between the studies. Since the studies reported a significantly better postoperative pain relief with the combination of non-selective NSAIDs/paracetamol compared to each drug alone, this combination might be considered the treatment of choice, as long as side effects of NSAIDs are observed.
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| 4. |
- Alm, Anita, 1953, et al.
(författare)
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BMI status in Swedish children and young adults in relation to caries prevalence.
- 2011
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Ingår i: Swedish dental journal. - : Swedish Dental Association. - 0347-9994. ; 35:1, s. 1-8
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Tidskriftsartikel (refereegranskat)abstract
- Overweight and obesity are increasing as health problems at global level. Dental caries and obesity are both multifactorial diseases and are associated with dietary habits. The aim of the present study was to investigate the relationship between body weight status and caries prevalence in an unselected population followed from pre-school years to young adulthood. The present investigation was designed as a longitudinal analysis of the association between overweight/obesity and dental caries in one population at 3, 6, 15 and 20 years of age. The result shows that adolescents (15 years) and young adults (20 years) who are overweight/obese had a statistically significantly higher caries prevalence than normal-weight young people. At 6 years of age, the odds (OR) of having caries among obese children are 2.5 times higher than the odds for caries among six-year-old children of normal weight (p = 0.04). At 3 years of age, no association between overweight/obesity and caries was found. To conclude, overweight and obese adolescents and young adults had more caries than normal-weight individuals. The present study emphasises the need for multidisciplinary approaches to change the lifestyle factors causing both overweight/obesity and dental caries.
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| 5. |
- Anastassaki Köhler, Alkisti, et al.
(författare)
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Clinical signs indicative of temporomandibular disorders in adults : time trends and associated factors
- 2013
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Ingår i: Swedish Dental Journal. - 0347-9994. ; 37:1, s. 1-11
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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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| 6. |
- Andås, Charlotte Andren, et al.
(författare)
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A new dental insurance scheme - effects on the treatment provided and costs
- 2014
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Ingår i: Swedish Dental Journal. - 0347-9994. ; 38:2, s. 57-66
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to investigate whether the revenues cover the costs in a pilot capitation plan, a dental insurance scheme, and to compare this capitation plan (CP) with the original fee-for-service system (FFS), in terms of the amount and type of dental care provided. Data was collected longitudinally over a period of three years from 1,650 CP patients in five risk groups at a test clinic, and from 1,609 (from the test clinic) and 3,434 (from a matched control clinic) FFS patients, in Goteborg, Sweden. The care investigated was the number of total treatments provided and the number of examinations by dentists and dental hygienists, together with preventive, restorative and emergency treatments. The economic outcome was positive from the administrator's perspective, in all risk groups for the three-year period. The amount and type of care provided differed between the payment models, as CP patients received more preventive treatments, less restorative treatments, and more examinations by dental hygienists than the FFS patients. Emergency treatment was performed more often on CP patients, and the difference was due to a higher frequency of such treatments among women in the CP group. The difference between clinics concerning certain treatment measures was sometimes greater than the difference between payment models. The results from this study indicate a net positive economic outcome for the pilot CP system over three years. The payment model and the clinic affiliation had impact on what type and amount of dental care the patients received. This might suggest that the risk of skewed selection and its consequences as well as the influence of clinic-specific practice need further investigation, to ensure economic sustainability in a longer perspective.
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| 7. |
- Arneryd, Philip, et al.
(författare)
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Fracture strength of low translucent and high translucent monolithic zirconia crowns with different thicknesses
- 2014
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Ingår i: Swedish Dental Journal. - : Swedish Dental Association. - 0347-9994. ; 38:4, s. 195-195
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Objective. The aim of the study was to examine the fracture strength of fully anatomical monolithic high translucent Y-TZP, yttria-stabilized tetragonal zirconia polycrystal, crowns and to compare them with monolithic low translucent Y-TZP crowns in different thicknesses. Materials and methods. 80 standardized crowns were made out of a master model resembling a first mandibular molar made in composite material; 40 crowns made of Lava Zirconia by 3M ESPE, a monolithic low translucent Y-TZP material, and 40 crowns made of Lava Plus by 3M ESPE, a monolithic high translucent Y-TZP material. In each group ten crowns of the thicknesses 1.0 mm, 0.7 mm, 0.5 mm and 0.3 mm were made. All crowns underwent thermocycling and preload to simulate aging and normal wear. Finally the specimens were placed in a testing jig and underwent load to fracture. Results. No significant difference was found when comparing the two materials. When comparing the materials in each thickness a significant difference was found in the 0.5 mm group where the high translucent YTZ-P had a higher mean fracture strength value. A significant difference was seen between the different thicknesses within both groups. The strength increased with added thicknesses. Conclusions. The low translucent and high translucent monolithic YTZ-P perform equally well. The use of high translucent monolithic Y-TZP could result in more aesthetic results and the minimal invasive preparation could lead to a reduction in biological complications. This could be beneficial for the patient since the results suggest that even a thin restoration sustains reasonable load in an in vitro environment. Clinical studies are needed to confirm this suggestion.
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| 8. |
- Ascher, Aron, et al.
(författare)
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Use of implant-supported prostheses in edentulous mandibles among prosthodontists in Sweden.
- 2014
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Ingår i: Swedish Dental Journal. - 0347-9994. ; 38:4, s. 161-167
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to investigate the production of mandibular implant-supported fixed and removable prostheses among prosthodontic specialists in Sweden and to compare the results with findings in a similar study made in 2001 (16). Questionnaires regarding treatment with mandibular implant prostheses during 2011 were sent to all specialists in prosthodontics in Sweden (n = 156, according to available data). A total of 129 questionnaires were received from 129 (83 %) prosthodontists of which 114 were completed. The reported number of treatments with mandibular implant-supported prostheses varied much among the specialists. Fixed implant prostheses were more common than overdentures, but the range was large. Tio (9 %) of the specialists reported no treatment with fixed implant prostheses while 29 (25 %) had not made any implant overdentures during 2011. The most common anchorage system for overdentures in 2011 and in 2001 respectively, was two un-splinted implants with ball attachments or locators The most common reasons for the choice of overdenture treatment in 2011, as well as in 2001, were the reduced cost and the patient’s main wish to improve denture retention. In 2011, 58% of the prosthodontists responded that patients with implant overdentures were as satisfied as those with fixed implant-supported prostheses, whereas 40 % claimed they were less satisfied. Two respondents (2 %) considered that overdenture patients were more satisfied than those with a fixed prosthesis. It can be concluded that the general attitude among Swedish prosthodontists towards implant overdentures has not changed much during the 10-year period between the present and the previous investigation. An overdenture is still a seldom-used option in implant treatment of patients with edentulous mandibles. A fixed implant-supported prosthesis continues to be the preferred option.
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| 9. |
- Bergholm, Å, et al.
(författare)
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Implementation of laser technology and treatment at county level in the Swedish Public Dental Service
- 2014
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Ingår i: Swedish Dental Journal. - : Swedish Dental Association. - 0347-9994. ; 38:3, s. 111-120
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to obtain an understanding of the factors that affected the way new technology and methods were used in dentistry after a training program. A qualitative research method was used to collect data. Nine dentists working in the Public Dental Service (PDS) in Uppsala County in Sweden agreed to be interviewed in the study. They worked in five different clinics, all with laser equipment, and had received training in the use of lasers.The interviews were tape recorded and transcribed, and were analysed using manifest and latent qualitative content analysis. The categories in this study were identified as "Prerequisites and obstacles to implementation", "Attitudes to laser technology and treatments" and "Laser technology in the future". The dentists described working with lasers as complicated and problematic. They had concerns about the method relating to the working environment, evidence of efficacy of treatment, costs, and benefits for patients and dentists. The main finding was that the decision to adopt the technology seemed to be based on individual perceptions of the value of lasers compared to other ways of achieving the same goal.They provided uniform proposals regarding how an organization should implement new methods, including an emphasis on the importance of preparation and having opportunities to be able to test and evaluate the technology. Another important factor was support from surrounding staff, colleagues and management. Despite all the barriers, the respondents were positive about working with lasers in the future, mainly due to their belief that patients would demand laser treatment. In conclusion both individual and organizational factors affected the extent to which the respondents used the laser.The main finding was the individual perception of the value of lasers compared to other methods which could achieve the same goal.
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| 10. |
- Bergström, Eva-Karin, et al.
(författare)
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Adolescents' experiences of participating in a school-based fluoride varnish programme in Sweden.
- 2012
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Ingår i: Swedish dental journal. - 0347-9994. ; 36:3, s. 133-41
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Population-based health promotion with school-based fluoride varnish programmes is becoming more frequent, as these programmes have been implemented in many parts of Sweden during the last five years. The caries-prevention effect is well studied, but as yet there is no study aimed at adolescents'experiences of these programmes. The aim of this study was therefore to describe how a school-based fluoride varnish programme is experienced by participating adolescents. The study was performed as a qualitative study by conducting four focus-groups interviews. In all, 26 adolescents participated, all aged 15. All the participants had several years'experiences of a fluoride varnish programme at school. The participants were asked to describe their experience of participating in the programme.The analysis of the data from the interviews was carried out according to the principles of phenomenography.The three themes that emerged were"Conceptions in relation to the individual", "Conceptions in relation to the school dental nurse"and "Conceptions in relation to the group and school". The result showed that the adolescents experienced that it was positive to take part in a fluoride varnish programme at school and they regarded the school as an important health promotion arena. In spite of this, there were perceptions that were worth reflecting on for school dental nurses, such as feelings of exposure, peer pressure and a perceived lack of information. To further improve these programmes, and thereby increase population-based dental health promotion, it is important to highlight the role of dental personnel, as they are largely responsible for creating the atmosphere.
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