| 11. |
- Fägerstad, Anida, 1978-, et al.
(författare)
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Dental fear among children and adolescents in a multicultural population : a cross-sectional study
- 2015
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Ingår i: Swedish Dental Journal. - Stockholm : Swedish Dental Journal. - 0347-9994. ; 39:2, s. 109-120
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to explore dental fear in a multicultural population of child and adolescent dental patients, with background, gender, age, and socioeconomic status taken into account. A specific aim was to investigate whether the level of DF differed between patients with a non- Swedish background and patients with a Swedish background.In conjunction with a routine visit to the dental clinic, 301 patients (8-19 years old) assessed their dental fear on the Children's Fear Survey Schedule - Dental Subscale, using self-ratings. Following an interview protocol, patients' and their parents' country of birth, and parents' education and occupation/employment were registered. An interpreter was present when needed.Self-rated dental fear was almost equal among patients coming from a non-Swedish background and patients with a Swedish background. Girls scored higher than boys and younger children scored slightly higher compared to older children, but the pattern of dental fear variation was inconsistent. Socioeconomic status differed between the groups with a non- Swedish vs. a Swedish background, but no impact on dental fear was revealed. When children and adolescents with a non-Swedish vs. a Swedish background were modelled separately, female gender and younger age had an impact on dental fear only in the group with a Swedish background.No differences in dental fear were found between children and adolescents from non-Swedish vs. Swedish backgrounds. Dental fear variations according to gender and age were more pronounced in the group with a Swedish background compared to the group with a non-Swedish background. No impact of socioeconomic status could be revealed.
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| 12. |
- Fägerstad, Anida, et al.
(författare)
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Dental fear among children and adolescents in a multicultural population – a cross-sectional study : Dental fear in a multicultural population
- 2015
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Ingår i: Swedish Dental Journal. - 0347-9994. ; 39, s. 109-120
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to explore dental fear in a multicultural population of child and adolescent dental patients, with background, gender, age, and socioeconomic status taken into account. A specific aim was to investigate whether the level of DF differed between patients with a non- Swedish background and patients with a Swedish background. In conjunction with a routine visit to the dental clinic, 301 patients (8–19 years old) assessed their dental fear on the Children’s Fear Survey Schedule – Dental Subscale, using self-ratings. Following an interview protocol, patients’ and their parents’ country of birth, and parents’ education and occupation/employment were registered. An interpreter was present when needed. Self-rated dental fear was almost equal among patients coming from a non-Swedish background and patients with a Swedish background. Girls scored higher than boys and younger children scored slightly higher compared to older children, but the pattern of dental fear variation was inconsistent. Socioeconomic status differed between the groups with a non- Swedish vs. a Swedish background, but no impact on dental fear was revealed. When children and adolescents with a non-Swedish vs. a Swedish background were modelled separately, female gender and younger age had an impact on dental fear only in the group with a Swedish background. No differences in dental fear were found between children and adolescents from non-Swedish vs. Swedish backgrounds. Dental fear variations according to gender and age were more pronounced in the group with a Swedish background compared to the group with a non-Swedish background. No impact of socioeconomic status could be revealed.
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| 13. |
- Hedlund, Camilla, et al.
(författare)
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Success rate, costs and long-term stability of treatment with activator/headgear combinations
- 2016
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Ingår i: Swedish Dental Journal. - 0347-9994. ; 40:1, s. 67-77
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Tidskriftsartikel (refereegranskat)abstract
- The aims of this study were to evaluate treatment outcome with activator-headgear combinations carried out by general dental practitioners, overall costs, long-term stability and patients' satisfaction with treatment outcome. Patients who were recommended to start treatment in 2006 were included in this study (n = 97). Inclusion criteria were: Class II Division 1 with at least half a cusp width distal molar relationship, overjet ≥ 6 mm and presence of dental records. Data were collected, pre-treatment, post-treatment and 3 years after treatment for those with favorable outcome. Patients at follow-up completed a questionnaire about satisfaction with treatment outcome, perceived pain and discomfort during treatment, and subjective need for additional treatment. Eighty-five patients were analyzed, 52 boys and 33 girls (mean age 11.2 years SD 1.39). Thirty-five patients had successful treatment outcome, 15 partially successful and 35 had an unsuccessful outcome. Total costs for all 85 patients amounted to SEK 1 405 000 including both direct and indirect costs. Thirty-eight patients participated in the 3-year follow-up. Treatment outcomes were then categorized as successful in 28 patients, partially successful in 9 patients and 1 patient was judged as unsuccessful. Median values on VAS (0-100) for overall satisfaction with treatment and treatment outcome were high, 78 and 84 respectively. Median value for perceived pain and discomfort during treatment was 42. Just over half of the patients had a favorable treatment outcome. Patients with favorable outcome were stable over time and satisfied with treatment.
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| 14. |
- Hellovist, Lena, et al.
(författare)
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Dental caries and associated factors in a group of Swedish snus users
- 2015
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Ingår i: Swedish Dental Journal. - 0347-9994. ; 39:1, s. 47-54
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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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| 15. |
- Klingberg, Gunilla
(författare)
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Editorial
- 2016
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Ingår i: Swedish Dental Journal. - : Swedish Dental Association. - 0347-9994. ; 40:1
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 16. |
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| 17. |
- Koole, Sebastiaan, et al.
(författare)
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Using clinical cases to stimulate active learning in a short periodontal continuing professional development course
- 2015
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Ingår i: Swedish Dental Journal. - : Swedish Dental Journal. - 0347-9994. ; 39:1, s. 1-10
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Tidskriftsartikel (refereegranskat)abstract
- A case-based approach was used in a two-day periodontal continuing professional development course as a strategy to stimulate active learning. The present study investigates the outcome of this course format in terms of feasibility, perceived efficiency as a learning approach and reported individual learning goals. The study was performed in five identical courses entitled 'risk analysis and treatment in periodontal patients' at Malmo University between 2011-2014. Before the course, clinical cases were used to activate participants' prior knowledge and to attune their focus on the course content. During the course, cases were discussed to synchronise theory with practical application. A pre- and end-course questionnaire were developed to evaluate participants' characteristics (age, clinical expertise, experience and expectations), perceptions on feasibility and instructiveness and emerged individual learning goals. The participants (39 dentists and 78 dental hygienists) reported an average preparation time of 62 minutes (range 2-190) and had positive perceptions on the accessibility, instructiveness and difficulty of cases. Expectations ranged between refreshing, acquiring new knowledge and mastering the course subject. Most reported learning goals were related to daily clinical practice including the development of a treatment plan, when to continue non-surgical treatment or to extract teeth/perform surgery, the approach to periodontitis, how to motivate non-compliant patients and when to refer. Conclusion:The use of clinical cases to stimulate active learning in a short-term continuing professional development periodontal course was positively perceived by the dentists and dental hygienists in terms of feasibility and learning potential.
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| 18. |
- Korduner, Eva-Karin, et al.
(författare)
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The Shortened Dental Arch concept from the perspective of Swedish General Dental Practitioners : a qualitative study
- 2016
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Ingår i: Swedish Dental Journal. - : Swedish Dental Association. - 0347-9994. ; 40:1, s. 1-11
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Tidskriftsartikel (refereegranskat)abstract
- The aim was to study the cognizance of and attitudes towards the Shortened Dental Arch (SDA) concept among Swedish General Dental Practitioners (GDPs) and the application of the SDA concept in their treatment planning using Qualitative Content Analysis. Eleven Swedish GDPs were purposively selected and all agreed to participate. In-depth semi-structured interviews were conducted and covered treatment considerations concerning two patient cases and the participants' reflections regarding pre-formulated statements about the SDA concept. Qualitative content analysis was used to analyze this data. The emerging theme was "the SDA concept is irrelevant" in the sense of the GDPs disregarding treatments providing dentitions with loss of posterior teeth. There was a strong reluctance to extract teeth, without consideration of the SDA concept, and a firmly patient-focused attitude towards the needs, age and financial situation of the patients. Within the limitations of this study, Swedish GDPs show little or no cognizance of the SDA concept and it does not seem to be applied in their treatment planning. The results show that the qualitative methodology can be beneficial for further understanding of cognizance and attitudes towards the SDA concept
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| 19. |
- Leisnert, Leif, et al.
(författare)
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Diagnoses and treatment proposals in periodontal treatment : A comparison between dentists, dental hygienists and undergraduate students
- 2015
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Ingår i: Swedish Dental Journal. - : Swedish Dental Journal. - 0347-9994. ; 39:2, s. 87-97
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study is to find out how professionals in Swedish dental care perform diagnostic procedures in general. Is there a common ground between dentists and dental hygienists concerning sharing different job assignments in an effective way? Are the methods of treatment used in accordance with degree of severity of the disease and to what extent is proposed treatment in accordance with the National Guidelines? A questionnaire consisting of three different patient cases with periodontal disease was sent to 804 private practitioners, 809 dentists in Dental Public Service, 802 dental hygienists and 40 dental students on their final semester at the Dental School in Malmo.The questionnaire was completed by 1,103 respondents (47%). A majority of all practitioner groups (94%) found that a relatively healthy patient had disease, the risk for developing further disease was deemed none too low by 97%, but 91% wanted to give preventive care. A vast majority suggested more dental care to healthy patients as compared to patients with severe periodontal disease. In Conclusion the two groups, i.e. dentists and dental hygienists, did not to a sufficiently high degree share views on diagnosis and treatment, in order to optimize the resources in dentistry. The delivery of dental care was not in line with the severity of disease and too much attention was paid to the needs of relatively healthy persons.To change this pattern, the incentives in and structure of the national assurance system could be adapted. Furthermore, the knowledge basis for periodontal diagnosis and treatment needs, with special reference to the National Guidelines, should to a higher degree be shared by all caregivers.
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| 20. |
- Milosavljevic, Aleksandar, et al.
(författare)
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Diagnostic accuracy of carious lesions in digital radiographs at a public dental clinic - can it be improved by optimizing viewing conditions and further education?
- 2016
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Ingår i: Swedish Dental Journal. - : Swedish Dental Association. - 0347-9994. ; 40:2, s. 235-242
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Tidskriftsartikel (refereegranskat)abstract
- Objective:This study investigated the diagnostic accuracy of digital dental radiography for detecting carious lesions on approximal surfaces before and after optimization of the environment, and after joint training on evaluation and review of x-rays. A further aim was to evaluate differences in diagnostic accuracy between general dental practitioners (GDPs) and dental hygienists (DHs). Materials and methods:One hundred extracted teeth (premolars and molars) underwent standardized radiography. Eleven participants (seven GDPs and four DHs) evaluated digital images for approximal carious lesions in three sessions: (1) at current conditions with no optimization or further training, (2) under optimized viewing conditions, and (3) under optimized viewing conditions after a short educational session. Receiver operating characteristic curves were used to evaluate the results. Histological evaluation was made and served as a criterion standard for differentiating sound teeth and teeth with carious lesions. Kappa statistics evaluated intra-observer agreement. Results: Diagnostic accuracy in the GDP group differed significantly for all types of carious lesions between the first and third evaluations (p=0.002), and also between the second and third (p=0.015). Diagnostic accuracy also differed significantly for carious lesions into the dentin between the first and third evaluations (p=0.010) and between the second and third (p=0.015). Conclusion: Most of the staff had optimized the environment when evaluating digital radiographs. A short educational session highlighting the difficulty of caries diagnostics in digital dental radiography can increase diagnostic accuracy. Diagnostic accuracy in the detection of approximal carious lesions on digital radiographs did not differ between GDPs and DHs.
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