| 1. |
- Krekmanova, Larisa, 1959, et al.
(author)
-
Common experiences of pain in children and adolescents - an Exploratory Factor Analysis of a questionnaire
- 2013
-
In: Swedish Dental Journal. - 0347-9994. ; 37:1, s. 31-38
-
Journal article (peer-reviewed)abstract
- The aim of the study was to reduce everyday and dental treatment pain items included in the extended Children's Pain Inventory (CPI), used in a prior study on Swedish children and adolescents. Another aim was to, by means of exploratory factor analysis (EFA), expose hitherto undiscovered dimensions of the CPI pain variables and thus to improve the psychometric properties of CPI. As some pain items are relevant merely to some individuals, a new and more useful questionnaire construction would enhance the internal validity of the instrument in observational surveys. EFA was applied on the extended CPI instrument. 368 children, 8-19 years old, had answered a questionnaire comprising 10 dental and 28 everyday pain variables. These pain items were analysed using a series of sequentially implemented EFA. Interpretations and decisions on the final number of the extracted factors was based on accepted principles; Kaiser's Eigenvalue >1 criterion, inspection of the scree plot and the interpretability of the items loading. The factors were orthogonally rotated using the Varimax method to maximize the amount of variance. Of all tested EFA models in the analysis, a two, three, four, and five factor model surfaced. The interpretability of the factors and their items loading were stepwise examined; the items were modulated and the factors re-evaluated. A four factor pain model emerged as the most interpretable, explaining 79 % of the total variance depicting Eigenvalues >1.014. The factors were named indicating the profile of the content: Factor I cutting trauma to skin/mucosal pain, Factor II head/neck pain, Factor III tenderness/blunt trauma pain, Factor IV oral/dental treatment pain.
|
|
| 2. |
- Rythén, Marianne, et al.
(author)
-
Risk indicators for poor oral health in adolescents born extremely preterm.
- 2012
-
In: Swedish dental journal. - 0347-9994. ; 36:3, s. 115-24
-
Journal article (peer-reviewed)abstract
- Children born extremely preterm often suffer from medical complications that have been shown to affect their oral health as toddlers and school children.The aim of this study was to investigate oral health and possible risk indicators for poor oral health in adolescents born extremely preterm compared with a control group and relate the findings to medical diagnoses at the clinical examination. Also in the same groups, compare the frequency of mineralization disturbances and its relation to postnatal morbidity and treatments. The medical records postnatally,was noted in 45 extremely preterm infants with a gestational age (GA) of <29 weeks, at 12 - 16 years of age and in age and gender matched fullterm controls with 37-43 weeks GA. A dental clinical examination was performed including a salivary examination. Medical diagnoses were noted at the time of the survey. Data from the patient dental records at 3, 6, and 9 years of age was compiled. The findings were related to gestational age, birth weight, neonatal and postnatal medical diagnoses treatments and medical diagnoses at the clinical examination. The result showed that the prevalence of plaque, gingivitis and the occurrence of Streptococcus mutans were higher among adolescents born extremely preterm compared to matched controls, and the saliva secretion was lower in the extremely preterm infants. The frequency of caries did not differ between the groups. Mineralization disturbances were more frequent in the primary dentition and more severe in the permanent dentition among the children born extremely preterm. No association between dental pathology, neonatal and postnatal morbidity and treatments was found. In conclusion, adolescents born extremely preterm have an increased number of risk indicators for a poorer oral outcome compared with the controls and more severe mineralization disturbances. These findings may imply an increased vulnerability for poorer oral health later in life.
|
|
| 3. |
- Bankel, M, et al.
(author)
-
Carious lesions and caries risk predictors in a group of Swedish children 2 to 3 years of age. One year observation
- 2011
-
In: EUROPEAN JOURNAL OF PAEDIATRIC DENTISTRY. - 1591-996X. ; 12:4, s. 215-219
-
Journal article (peer-reviewed)abstract
- Abstract: Aim Identification of potential carious risk criteria, retrospectively at 2 years of age, for developing carious lesions at 3 years of age. Study design Longitudinal observations from 2 until 3 years of age. Cross-sectional observations of two cohorts of 3- year-olds with different approaches. Materials and methods The study group consisted of 78 three- year-olds from a previous study at age 2 years. Clinical examination, diet history, questions regarding breastfeeding and salivary sampling for mutans streptococci (MS) were performed at both ages. The previous study on 124 three-year-olds was used as a control group for comparison of the 3-year-olds in the longitudinal study group. Results The examinations suggested the following risk predictors: carious lesions, frequent intake of selected sugar-containing products, breast feeding at night and MS, which covered all children with lesions at 3 years of age, resulting in a positive predictive value of 32% and a negative predictive value of 100%. The only statistically significant difference between the two groups of 3-year-olds was the reported intake of sugar-containing items. Statistics Student's t-test and chi(2) test, completed by Fischer's exact test. Conclusion The combination of the suggested risk criteria was predictive of carious lesions. In spite of individual parental information, new lesions developed after one year. Based on observations, a more structured and monitored preventive approach is suggested.
|
|
| 4. |
|
|
| 5. |
- Lopes, David, et al.
(author)
-
Validating the dental subscale of the children's fear survey schedule using Rasch analysis
- 2013
-
In: European Journal of Oral Sciences. - : Wiley. - 0909-8836 .- 1600-0722. ; 121:3, s. 277-282
-
Journal article (peer-reviewed)abstract
- Rasch analysis was used to examine the validity of the Children's Fear Survey Schedule Dental Subscale (CFSS-DS). Data were collected from parents of children in regular dental care (n=240) and from parents of children referred to a specialized pediatric dental clinic (n=200). The Rasch model is a probabilistic model in which estimations are based on the relationship between person ability and item difficulty, and the present study investigated the validity of the CFSS-DS through analysis of person and item fit, dimensionality, ordering of thresholds, local dependency, and differential item functioning. The results show multidimensionality of the original scale, and an adjusted version consisting of six items with good fit to the model is suggested. The adjusted scale makes interval-level analysis possible, and time efficiency and elimination of previously criticized items argue in favor of the adjusted scale.
|
|
| 6. |
- Malmgren, B., et al.
(author)
-
International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 3. Injuries in the primary dentition
- 2012
-
In: Dental Traumatology. - : Wiley. - 1600-4469. ; 28:3, s. 174-182
-
Journal article (peer-reviewed)abstract
- Traumatic injuries to the primary dentition present special problems and the management is often different as compared with the permanent dentition. The International Association of Dental Traumatology (IADT) has developed a consensus statement after a review of the dental literature and group discussions. Experienced researchers and clinicians from various specialities were included in the task group. In cases where the data did not appear conclusive, recommendations were based on the consensus opinion or majority decision of the task group. Finally, the IADT board members were giving their opinion and approval. The primary goal of these guidelines is to delineate an approach for the immediate or urgent care for management of primary teeth injuries. The IADT cannot and does not guarantee favorable outcomes from strict adherence to the guidelines, but believe that their application can maximize the chances of a positive outcome.
|
|
| 7. |
- Rythén, Marianne, et al.
(author)
-
Chemical aspects on dental hard tissues in primary teeth from preterm infants.
- 2010
-
In: European journal of oral sciences. - : Wiley. - 1600-0722 .- 0909-8836. ; 118:4, s. 389-95
-
Journal article (peer-reviewed)abstract
- Preterm children with very low birth weight suffer from several neonatal and postnatal complications that may affect the mineralization of teeth. Clinical and morphological studies have shown enamel aberrations in teeth from preterm children. In this study, the chemical composition in enamel and dentin was compared in primary teeth from preterm children and full-term children, and the relationship between the chemical composition and the morphological appearance was investigated. Enamel and dentin in 17 exfoliated primary teeth, from 14 children with a gestational age below 29 wk, were investigated and compared with 36 exfoliated primary teeth from full-term children, using X-ray microanalyses (XRMA). In comparison with the teeth from the controls, the teeth from preterm children had a higher relative value of carbon (C), a lower relative value of calcium (Ca), a lower ratio of calcium/phosphorus (Ca/P) and a lower ratio of Ca/C throughout the outer part of the enamel. In dentin, the relative values for P were higher, and Ca/P ratio was lower, at the dentin-pulp junction. The Ca/P ratio indicated normal hydroxyapatite in the crystals in enamel and dentin. The lower ratio of Ca/C in the bulk and outer part of the enamel indicated more porous enamel.
|
|
| 8. |
- Rythén, Marianne, et al.
(author)
-
Dento-alveolar characteristics in adolescents born extremely preterm
- 2013
-
In: European Journal of Orthodontics. - : Oxford University Press (OUP). - 0141-5387 .- 1460-2210. ; 35:4, s. 475-482
-
Journal article (peer-reviewed)abstract
- It has been shown that children born extremely preterm (EPT) often suffer from medical complications and growth restrictions in early childhood. Catchup growth diminishes these effects but the children are known to have lower weight, height, and head circumference as school children. Effects on enamel development have been shown. How this affects the dento-alveolar outcome during adolescence is not known. Forty EPT children with a gestational age (GA) of less than 29 weeks, at 12-16 years of age, and matched healthy controls born at term, with a GA of 37-43 weeks, were examined. Data from the clinical examination, dental casts, and bitewing radiographs were collected and compared. Malocclusion was noted, and dento-alveolar length, width, palatal height, and mesio-distal tooth width were measured. Medical diagnoses, neurological, and neuropsychiatric disturbances were noted at the time of the survey. The two groups were compared with an epidemiological normal reference material. The results showed no differences between the controls and reference material. Angle Class II was the most frequent malocclusion associated with morbidity, neurological, and neuropsychiatric disturbances, followed by deep bite and overjet. Three or more malocclusions were almost twice as common among the EPT children compared with the controls. Significantly smaller incisors, canines, and first molars were found. In summary, the EPT children, during adolescence, had medical aberrations as well as dento-alveolar effects opposed to the healthy children born at term. Dentists should be aware of this and treatment plans should be made in due time.
|
|
| 9. |
- Sabel, Nina, 1973, et al.
(author)
-
Demineralization of Enamel in Primary Second Molars Related to Properties of the Enamel
- 2012
-
In: Scientific World Journal. - : Hindawi Limited. - 1537-744X.
-
Journal article (peer-reviewed)abstract
- Enamel structure is of importance in demineralization. Differences in porosity in enamel effect the rate of demineralization, seen between permanent and deciduous teeth. Individual differences have been shown in the mean mineral concentration values in enamel, the role of this in demineralization is not thoroughly investigated. The aim of this study was to study variations of depths of artificial lesions of demineralization and to analyze the depth in relation to variations in the chemical and mineral composition of the enamel. A demineralized lesion was created in second primary molars from 18 individuals. Depths of lesions were then related to individual chemical content of the enamel. Enamel responded to demineralization with different lesion depths and this was correlated to the chemical composition. The carbon content in sound enamel was shown to be higher where lesions developed deeper. The lesion was deeper when the degree of porosity of the enamel was higher.
|
|
| 10. |
- Staberg, Marie, et al.
(author)
-
Oral health and dental care among children and adolescents with ADHD - A retrospective and exploratory study.
- 2014
-
In: Journal of Disability and Oral Health. - 1470-8558. ; 15:4, s. 5-13
-
Journal article (peer-reviewed)abstract
- Aim and objectives: The aim of this study was to describe the oral health and dental care for a group of children and adolescents diagnosed ADHD. Design: Patients with ADHD, referred to the Gothenburg Child Neuropsychiatric Clinic, were invited to participate in the study. Thirty-one individuals responded and underwent a clinical examination and the parents answered a questionnaire and an interview. Retrospective data from dental records concerning caries, cancelled/missed appointments, treatments without notations of anaesthetics, dental trauma, dental behaviour management problems and number of prophylactic treatments, were compiled. Results: A high prevalence of caries was found in all ages. The calculated risk of developing caries showed that 100% of this group had or will develop caries by the age of 19 years. Treatment without notations of local anaesthetics, behaviour management problems, missed appointments and cancellations were common. Visual plaque was found in a majority of the individuals (17/31) despite numerous occasions for prophylactic treatment. Dental traumatic injuries (20/31) were spread over different ages and several subjects had experienced more than one. Conclusions: In conclusion, this group of children with ADHD exhibited a high number of missed appointments, cancellations and a caries prevalence.
|
|
