| 1. |
- Hallberg, Ulrika, et al.
(författare)
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Dental health professionals' treatment of children with disabilities: a qualitative study.
- 2004
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Ingår i: Acta odontologica Scandinavica. - : Informa UK Limited. - 0001-6357 .- 1502-3850. ; 62:6, s. 319-27
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Tidskriftsartikel (refereegranskat)abstract
- As children and adolescents with disabilities may be difficult to treat, there is a risk that the disability may constitute a barrier preventing these children from receiving good odontological treatment in the same conditions as other children. OBJECTIVES: To describe Swedish dental care professionals' understanding and knowledge of orofacial problems and treatment needs in children with disabilities. METHODS: In-depth interviews focusing on orofacial function, and carried out with 18 informants (dentists, dental hygienists, dental assistants), were transcribed verbatim and analysed in open and focused (selective) coding processes in accordance with grounded theory. RESULTS: A core category labelled variability in treatment with the dimensions professional uncertainty and professional commitment emerged from the data in the analysis. Variability in treatment could be described as forming a continuum between two end-points captured in the dimensions. The dental teams' treatment of children with disabilities and their families could be placed anywhere along this continuum depending on contributing individual strategies and/or organizational conditions. CONCLUSIONS: The dental treatment for children with disabilities varied greatly, implying a risk for inequalities in treatment as well as in oral health. There is a need for more educational opportunities, better financing, and more support on the organizational level in order to improve odontological care for young special care patients.
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| 2. |
- Jälevik, Birgitta, et al.
(författare)
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Etiologic factors influencing the prevalence of demarcated opacities in permanent first molars in a group of Swedish children.
- 2001
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Ingår i: European journal of oral sciences. - 0909-8836. ; 109:4, s. 230-4
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to determine possible etiological factors for a developmental enamel defect, i.e. demarcated opacities, affecting the permanent first molars. A questionnaire about possible etiological factors of enamel developmental defects was filled in by the parents of 8-yr-old children (n=516) prior to a dental examination of permanent teeth. Demarcated opacities of permanent first molars had been found in 18.4% of the children in a previous study of these children. Fifteen % had more than one tooth affected indicating systemic causation. Questions were asked about mother's health and medication during pregnancy, birth complications, health and medication of the child during the first 3 yr of life, breast-feeding, heredity, and fluoride supplements. The affected children, especially the boys, were reported to have had more health problems, in particular asthma (but only 4 cases), during the first year of life. Use of antibiotics was also more common among the affected children, but owing to a strong co-variance with health problems these factors could not be separated. Breast-feeding history was similar in children with and without enamel defects. The etiology of hypomineralized first molars is not yet fully understood, but based on the results of this retrospective study, health problems in infancy, especially respiratory diseases, seem to be involved.
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| 3. |
- Jälevik, Birgitta, et al.
(författare)
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The prevalence of demarcated opacities in permanent first molars in a group of Swedish children.
- 2001
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Ingår i: Acta odontologica Scandinavica. - 0001-6357. ; 59:5, s. 255-60
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Tidskriftsartikel (refereegranskat)abstract
- The permanent teeth of 516 7- and 8-year-old Swedish children from a low-fluoride area were examined for developmental enamel defects. Special attention was paid to demarcated opacities in permanent first molars and permanent incisors (MIH). The examination was done in their schools, using a portable light, a mirror, and a probe. The modified DDE index of 1992 was used for recording the enamel defects, supplemented with a further classification into severe, moderate, and mild defects. Demarcated opacities in permanent first molars were present in 18.4% of the children. The mean number of hypomineralized teeth of the affected children was 3.2 (standard deviation, 1.8), of which 2.4 were first molars. Of the children 6.5% had severe defects, 5% had moderate defects, whereas 7% had only mildly hypomineralized teeth. In conclusion, hypomineralized first molars appeared to be common and require considerable treatment in the Swedish child population.
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| 4. |
- Klingberg, Gunilla, 1960, et al.
(författare)
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Oral manifestations in 22q11 deletion syndrome.
- 2002
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Ingår i: International journal of paediatric dentistry / the British Paedodontic Society [and] the International Association of Dentistry for Children. - 0960-7439. ; 12:1, s. 14-23
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES: The aims of this study were to investigate and describe oral manifestations in 22q11 deletion syndrome, and to relate the findings to medical conditions. DESIGN: Cross-sectional. SAMPLE AND METHODS: Fifty-three consecutive patients from Sweden referred to the Sahlgrenska University Hospital during a 3-year period were included, median age 8 yrs (range 2-43; mean age 11.09). All but six patients were children 3-19-years-old. The patients were examined concerning oral mucosa, dental anomalies, dental caries, occlusal development, and eruption of the teeth. The clinical findings were compared to medical data and case history. RESULTS: Dental anomalies were registered in high numbers. Enamel hypoplasia was found in 16 patients. In 13 cases this was documented in primary teeth, of which 10 patients had symmetrical and chronological defects. Enamel hypomineralization was found in 23 patients and was equally common in both primary and permanent teeth. The use of computerized inductive analyses revealed that enamel hypoplasia was associated with medical conditions like preterm birth and congenital heart malformation while hypomineralization was associated with more diffuse conditions like frequent infections. Hypodontia was registered in seven patients, while eight had aberrant tooth shape, and nine patients presented delayed tooth eruption. The patients had an average of 4.6 carious or filled teeth and the oral health was assessed as impaired in 15 patients who had severe dental caries (5-18 carious teeth or multiple active incipient caries lesions). CONCLUSIONS: In 22q11 deletion syndrome the oral cavity is affected by anomalies in dental enamel, tooth shape, numbers of teeth, and eruption. Dental health problems due to caries are common. This is of special importance as patients with 22q11 deletion syndrome frequently present with congenital heart malformations and immunological problems.
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