| 21. |
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| 22. |
- Dahlén, Gunnar, 1944, et al.
(författare)
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Water cleaning systems improves the water quality in dental unit water lines (DUWL). A report from the Public Dental Health of Vastra Gotaland region, Sweden
- 2013
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Ingår i: Swedish Dental Journal. - 0347-9994. ; 37:4, s. 171-178
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Tidskriftsartikel (refereegranskat)abstract
- Biofilms are formed in the dental unit waterlines, which leads to unacceptable high levels of bacteria in the water used for dental treatment. Public Dental Health in Vastra Gotaland, Sweden, decided in 2010 to install water cleaning systems in all dental units. This report shows the effect of this water-cleaning program comprising 841 dental units. The 841 dental units in 111 clinics in the Public Dental Health Service of Vastra Gotaland region participated in the study. 50 ml water was sampled from the air-water syringe after 2-3 hrs of use and were analyzed for the number of fast-growing,(2 days incubation) and slow-growing (7 days incubation) bacteria calculated as colony forming units (CFU) per ml. Approved water quality was set to <100 CFU/ml according to the recommendations from the Board of Health and Wellfare (Socialstyrelsen). Altogether 77.3% of the dental units reached approved levels, which was considerable higher than the 25.2% that were approved in a similar study at FTV in the city of Goteborg 4 years earlier when no water cleaning systems Were installed. Further, 474 dental units using the Alpron/Bilpron weekend system 83.4% were approved, 136 units using Unit Clean system 87.5% were approved and 15 using the Sterilox system all reached below loo CFU/ml. The 199 dental units with inbuilt cleanings systems by the manufacturers based on hydrogen peroxide only 56.3% were approved. A number of 45 (22.6%) showed very high levels (>10 000 CFU/ml) indicating serious problems with the practical procedures or installation of the systems that needs further attention. The study showed generally improved conditions of the water in the dental units after the introduction of water cleaning systems in the clinics of Public Dental Health Service of Vastra Gotaland Region, Sweden although the problem still remains in many units.
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| 23. |
- Dimberg, Lillemor, et al.
(författare)
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Prevalence of malocclusion traits and sucking habits among 3-year-old children
- 2010
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Ingår i: Swedish Dental Journal. - : Swedish Dental Association. - 0347-9994. ; 34:1, s. 35-42
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the present study was to evaluate the prevalence of malocclusion traits and sucking habits among 3-year-old children. A sample of 457 3-year-old children (234 girls and 223 boys) was obtained from three Public Dental Health clinics in Orebro County Council, Sweden. Data from clinical examination and a questionnaire were used to determine malocclusion traits, sucking habits, snoring and breathing pattern including nocturnal breathing disturbances. The results showed that 70% had one or more malocclusion traits at 3 years of age. The most common malocclusion traits were anterior open bite (50%), Class II occlusion (26%), increased overjet (23%) and posterior crossbite (19%). The prevalence of sucking habit was 66% and dummy sucking was dominating and in connection with more malocclusion traits than finger/thumb sucking. A significant association was found between the sucking habits and the most prevalent malocclusions, anterior open bite, Class II occlusion, increased overjet and posterior crossbite. In conclusion, the prevalence of malocclusion traits in 3-year-old children was high. Sucking habits was highly prevalent and dummy sucking resulted in more malocclusion traits than finger/thumb sucking did.
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| 24. |
- Edman, Kristina, et al.
(författare)
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Comparison of oral status in an adult population 35-75 year of age in the county of Dalarna, Sweden in 1983 and 2008
- 2012
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Ingår i: Swedish Dental Journal. - Jönköping : Swedish Dental Association. - 0347-9994. ; 36:2, s. 61-70
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Tidskriftsartikel (refereegranskat)abstract
- The aim was to study the prevalence and distribution of number of teeth, number of intact and decayed teeth and prevalence and distribution of removable dentures and periodontal disease over 25 years 1983-2008. Two cross-sectional studies (EpiWux) were performed in the County of Dalarna, Sweden in 1983 and 2008. In the 1983 study a random sample of 1012 individuals were invited to participate in this epidemiological and clinical study and 1440 individuals in 2008. A total number of 1695 individuals, stratified into geographical areas (rural and urban areas), in the age groups 35, 50,65 and 75 answered a questionnaire and were also clinically and radiographically examined. The number of edentulous individuals decreased from 15% in 1983 to 3 % in 2008. Number of teeth increased from 22.7 in 1983 to 24.2 in 2008 and decayed surfaces per tooth showed a three-time reduction over this period of time. As a consequence of better oral status the prevalence of complete removable dentures in both jaws decreased from 15 % in 1983 to 2 % in 2008. Individuals with moderate periodontitis decreased from 45 % in 1983 to 16 % in 2008. Conclusion: Covering a period of 25 years the present study can report dramatic improvements in all aspects of dental status that were investigated. This is encouraging for dental care professionals, but will not necessarily lead to less demand for dental care in the future as the population is aging with a substantial increase in number of teeth.
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| 25. |
- Einarson, Susanne, 1958-, et al.
(författare)
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Oral health-related quality of life and its relationship to self-reported oral discomfort and clinical status
- 2014
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Ingår i: Swedish Dental Journal. - 0347-9994. ; 38:4, s. 169-178
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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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| 26. |
- Ekblom, Karin, et al.
(författare)
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Clinical evaluation of fixed partial dentures made in Sweden and China
- 2011
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Ingår i: Swedish Dental Journal. - 0347-9994. ; 35:3, s. 111-121
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to compare the quality of fixed partial dentures (FPDs) made in a Chinese dental laboratory with corresponding FPDs made in Swedish dental laboratories. Twenty-one patients were fitted with FPDs between March 2007 and December 2008. Single crowns and prostheses of up to seven units were made. All dentures, gold and CoCr alloys covered with ceramic, were produced in duplicate: one by a dental technician in China and the other by a dental technician in Sweden. The dentures were blind-tested with regard to marginal integrity, anatomic form and color, approximal and occlusal contacts, and time taken for adjustments. The composition of dentures was analyzed, and the material used, framework weight, compliance of the laboratories, and costs (material and labour) were recorded. There was no difference in the quality of marginal integrity, anatomic form, color, approximal and occlusal contacts, or in the time taken for adjustments. The bridge frameworks made in China were thinner and lighter (p<0.01) than those made in Sweden. Three FPDs from China showed elastic deformation when tested clinically and were considered too thin for clinical use. In 11 out of 14 orders from the Chinese laboratory, the gold alloy specified was not delivered and the cobalt-chromium alloy contained small amounts (0.19%) of nickel.The prostheses with gold-alloy frameworks from China cost 47% of those from Sweden (p<0.01) and those with cobalt/chromium frameworks 44% (p<0.01). In conclusion, the quality of the FPDs made in Sweden and China was comparable, with the exception of the dimension of the Chinese bridges, which in some cases was considered too weak. The gold alloy ordered from the Chinese laboratory was often not the alloy delivered and the CoCr alloy contained small amounts of nickel. FPDs from China cost less than half the price of those from Sweden.
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| 27. |
- Ekbäck, Gunnar, 1954-, et al.
(författare)
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How much information is remembered by the patients? : a selective study related to health education on a Swedish public health survey
- 2012
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Ingår i: Swedish Dental Journal. - : Sveriges tandläkarförbund. - 0347-9994. ; 36:3, s. 143-148
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study was to investigate the degree to which patients have perceived that they got questions or advice about eating habits and smoking habits at their last visit at the dental clinic and if this information was differently distributed between different age groups. A further aim was to study whether there were differences in the proportions of questions and advice given to individuals who perceived problems regarding caries and gum bleeding compared to those that did not feel they had problems. The results are based on a postal questionnaire survey,"Life and Health 2008". The study was conducted in a population of women and men aged 18-84 years in 5 counties in Sweden. A total of 68,710 questionnaires were sent out and the response rate was 59.2%. Substantial differences in proportions existed between age groups regarding who received questions and advice related to dental caries and periodontal disease. The differences between age groups regarding information were statistically significant since it was less common that older people got questions and advice than younger.These differences also exist, but less pronounced, between those with disease related problems and those without.Three factors were statistically significantly associated with information. Age, education level and problems with caries or bleeding gums had statistical effect on the prevalence of questions and advice related to eating habits or smoking habits respectively. In conclusion, it is an urgent need of education in methods for dental staff if they want to contribute to changes in life style behaviors for their patients since most patients today don't perceive that they got important disease relevant information at the last dental visit.
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| 28. |
- Ekbäck, Gunnar, 1954-, et al.
(författare)
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Self-perceived oral health and obesity among 65 years old in two Swedish counties
- 2010
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Ingår i: SWEDISH DENTAL JOURNAL. - : Swedish Dental Journal (Sveriges Tandlakarforbund). - 0347-9994. ; 34:4, s. 207-216
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to explore the association between oral health and obesity. The study was conducted in the spring of 2007 as a postal survey of all inhabitants born in 1942 and living in the two Swedish counties of Orebro and Ostergotland. This questionnaire survey has been conducted every five years since 1992 but has been updated continually with additional questions and for the sweep used here, height and weight data were collected. A total of 8,313 individuals received the questionnaire and 6,078 of those responded (73,1%). The outcome variable oral health was measured using one global question and four detailed questions representing different aspects of oral health. The independent variable Body Mass Index (BMI) was calculated using self-reported height and weight. A difference in oral health between various BMI groups was found. The difference was both statistically significant and of clinical importance, particularly among the group with severe obesity who reported poorer self-perceived chewing capacity, lower satisfaction with dental appearance, increased mouth dryness and fewer teeth and lower overall satisfaction with oral health. In view of the increased risk of poor oral health demonstrated in this study for those with severe obesity, it may be of value to increase cooperation between dental care and primary health care for these patients.
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| 29. |
- Engström, Sevek, et al.
(författare)
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Self-estimated oral and general health are related and associated with clinically investigated dental health
- 2011
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Ingår i: Swedish Dental Journal. - 0347-9994. ; 35:4, s. 169-176
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Tidskriftsartikel (refereegranskat)abstract
- The aim was to investigate whether the self-estimation of oral and general health is correlated and related to clinical parameters for dental health. Furthermore, to investigate the influence of socioeconomic factors on the self-assessment of oral and general health. During 2007 a dental health survey was performed in the Community of Gavle located in central Sweden.1,224 subjects randomized from the general population of Gavle (adult population 75, 000) were invited to participate. Seven hundred and forty-eight individuals answered a questionnaire regarding their health and 373 of these subjects participated in a dental examination. Self-estimated oral and general health was correlated (p<0.0001, r= 0.35) and individuals who perceived their oral health as bad had more decayed surfaces, surfaces with secondary caries,fewer teeth and more bleeding on probing than those with good estimated oral health (p<0.017 for all). In a logistic regression analysis with self-estimated oral health as the dependent variable was related to, the independent variables NT, DFT, self-estimated general health and age were related to self-estimated oral health, but not to income or educational level. However, subjects with low disposable income and low education level had significantly more clinical caries and fewer teeth than subjects with high income or a high educational level. Conclusions: In the present study, self-estimation of oral and general health was correlated and related to some clinical oral parameters. Subjects in the low socioeconomic group had worse dental health and a tendency to underestimate their need of dental care.
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| 30. |
- Erixon, Caroline L., et al.
(författare)
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Self-perceived effects of occlusal appliance therapy on TMD patients : an eight-year follow-up
- 2013
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Ingår i: Swedish Dental Journal. - : Sveriges tandläkarförbund. - 0347-9994. ; 37:1, s. 13-22
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Tidskriftsartikel (refereegranskat)abstract
- There are few long-term follow-up studies of treatment of temporomandibular disorders (TMD).The aim of this questionnaire study was to evaluate eight-year outcomes of appliance therapy in patients suffering from arthralgia/osteoarthritis and/or myofascial pain. The subjects comprised 120 patients, originally randomly assigned to treatment with an occlusal or a control (palatal) appliance. Eight years later, a questionnaire was sent to 118 eligible patients: 90 (76%) responded. The outcome measures were intensity and frequency of pain, physical and emotional functioning, and overall improvement of pain and headache. Maximum pain intensity had decreased by > 30% in 54 patients (60%); frequency of pain had also decreased significantly. A majority, 57/90, reported improved physical function. Fifty-nine patients reported moderate to severe depression and 61 reported non-specific physical symptoms. Sixty-eight patients reported an overall improvement in TMD pain and 61 perceived overall improvement in severity of headaches. In the intervening years, 57 patients had undergone further treatment, most frequently in the form of another occlusal appliance. The majority of respondents reported improvement in TMD pain and headache. However, it is difficult to evaluate the long-term outcome of appliance therapy as more than 60% of the patients had additional treatments during the eight years.
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