| 1. |
- Abrahamsson, Kajsa H., 1956, et al.
(författare)
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Patients´views on periodontal disease; attitutes to oral health and expectancy of periodontal treatment: a qualitative interview study
- 2008
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Ingår i: Oral Health & Preventive Dentistry. - New Malden, Surry : Quintessence Publishing Co. Ltd.. - 1602-1622 .- 1757-9996. ; 6:3, s. 209-216
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The aim of the study was to explore and gain an understanding of patients' views on their periodontal conditions, their perceived impact of periodontitis on daily life, as well as their attitudes to oral health and expectations of treatment. Materials and Methods: The study subjects were patients with chronic periodontitis, who had been referred to a specialist clinic. The constant comparative method for grounded theory was used to collect and analyse the data. Audiotaped, open-ended interviews were conducted after periodontal examination, but before treatment. The interviews were transcribed verbatim and consecutively analysed in hierarchical coding processes and continued until saturation was reached (n = 17). In the analysis, a conceptual model that outlined the steps involved in the diagnosis of periodontitis was generated. The core concept of the model, keeping up appearance and self-esteem, was related to the following four additional categories and their dimensions; doing what you have to do - trying to live up to the norm, suddenly having a shameful and disabling disease, feeling deserted and in the hands of an authority, and investing all in a treatment with an unpredictable outcome. Results: The results illustrated that subjects diagnosed with chronic periodontitis felt ashamed and were willing to invest all they had in terms of time, effort and financial resources to become healthy and to maintain their self-esteem. However, they perceived a low degree of control over treatment decisions and treatment outcome. Conclusions: The results demonstrate the vulnerability of patients diagnosed with chronic periodontitis and emphasise the importance of communication in dentistry.
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| 2. |
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| 3. |
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| 4. |
- Almståhl, Annica, 1973, et al.
(författare)
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Microflora in oral ecosystems in subjects with hyposalivation due to medicines or of unknown origin.
- 2005
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Ingår i: Oral health & preventive dentistry. - 1602-1622. ; 3:2, s. 67-76
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: To analyse the microbial flora in specific sites in 20 dentate (> or = 16 teeth) subjects with hyposalivation due to medicines or of unknown origin and in 20 controls matched according to age, sex and number of teeth. MATERIALS AND METHODS: The microbial samples were analysed for the following micro-organisms: mutans streptococci, Lactobacillus spp. and Actinomyces spp., associated with the development of caries, Fusobacterium nucleatum and Prevotella intermedia/Prevotella nigrescens, associated with plaque accumulation and gingivitis, Actinobacillus actinomycetemcomitans and Porphyromonas gingivalis, frequently found in elevated numbers in periodontitis sites and Candida albicans, Staphylococcus aureus, enterics and enterococci, associated with mucosal infections. The total microbial count was also registered, together with the total number of streptococci, associated with good oral health. RESULTS: In the hyposalivation group, the mean age was 54 +/- 8 years and the mean number of teeth 25 +/- 3. The unstimulated secretion rate was 0.04 +/- 0.04 mL/min and the stimulated secretion rate 0.98 +/- 0.51 mL/min. Compared with the controls, the hyposalivation group tended to harbour a lower number and proportion of F. nucleatum on the tongue, and an increased number of enterococci in the vestibular region. In the supragingival plaque, the numbers of Strepococcus mutans and Lactobacillus spp. were significantly increased and the number of C. albicans tended to be increased. CONCLUSION: The results indicate that subjects with hyposalivation due to medicines or of unknown origin have a supragingival plaque associated with the development of caries.
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| 5. |
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| 6. |
- Andersson, Pia, et al.
(författare)
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Comparison of oral health status on admission and at discharge in a group of geriatric rehabilitation patients
- 2003
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Ingår i: Oral health & preventive dentistry. - 1757-9996 .- 1602-1622. ; 1:3, s. 221-228
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: The aim of this study was to compare oral health status on a geriatric rehabilitation ward among patients who were assessed using the Revised Oral Assessment Guide (ROAG) on admission and at discharge; and to investigate in what respect the oral health procedures (OHP) suggested in ROAG were applied when oral health problems were detected. MATERIALS AND METHODS: Registered nurses on the ward performed oral health assessments using ROAG with 107 patients on admission and at discharge. When oral health problems were detected measures to be taken were suggested using ROAG. RESULTS: Oral health problems were common among the patients on admission (86%), as well as at discharge (51%). The frequency of the problems was significantly lower at discharge compared to admission. The OHP that were recommended in ROAG were completely followed when saliva flow-related problems were detected. Regarding other oral health problems, measures other than the recommended ones were often performed. CONCLUSION: This study demonstrated that the oral health was better at the end of the hospital stay compared to admission.
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| 7. |
- Baeshen, Hosam A, et al.
(författare)
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Release of fluoride from fresh and old NaF-impregnated chewing sticks (Miswaks) in vitro and oral retention in vivo.
- 2010
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Ingår i: Oral health & preventive dentistry. - 1602-1622. ; 8:1, s. 93-99
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: The objectives of the present investigation were to study fluoride (F) release from NaF-impregnated chewing sticks (Miswaks) in vitro and to study the F clearance in saliva and the F oral retention in vivo. MATERIALS AND METHODS: Both fresh and old Miswaks were collected from 10 stores in Saudi Arabia and fluoridated in 0.01%, 0.1%, 0.5%, 1% and 3% NaF. The F release was studied in vitro up to 60 min. In vivo, 10 subjects used Miswaks fluoridated in 0.01%, 0.1%, 0.5%, 1% and 3% NaF for 2 min (Series I). The subjects were asked to spit out all saliva in a beaker during a 12-min period without swallowing. The F present in the obtained saliva was considered to represent the 'F retention'. In Series II, the same type of Miswaks were used as in Series I. Repeated whole saliva unstimulated samples were collected before and up to 30 min after. These two series were carried out in another 10 subjects (Series III and IV), but with Miswaks fluoridated in a more narrow range of concentration (0.05% to 0.5% NaF). Brushing with 1 g of F-containing dentifrice (0.32% NaF) was used as a control. RESULTS: There were only small differences between fresh and old Miswaks, but great variations were observed between Miswaks that were purchased from different stores. Miswaks fluoridated in 0.1% to 0.5% NaF could be considered as an 'optimum level' with respect to both the F concentration in saliva and the F retention. CONCLUSIONS: It is recommended to use fresh Miswaks impregnated in 0.1% NaF or a maximum of 0.5% NaF for a day, as they are interesting and safe products for the prevention of caries and could be widely used in countries such as Saudi Arabia.
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| 8. |
- Barghout, Nicola, et al.
(författare)
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Patients' perception of cross-infection prevention in dentistry in Jordan.
- 2012
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Ingår i: Oral health & preventive dentistry. - 1602-1622. ; 10:1, s. 9-16
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Tidskriftsartikel (refereegranskat)abstract
- To explore the public perception of cross-infection prevention methods and their role in disease transmission, among patients attending Jordan University Hospital.A systemic random sample of 310 dental patients with a mean (SD) age of 35.1 (14.80) years was selected (42.6% males and 57.4% female). Patients were interviewed prior to dental appointments by a specially trained and calibrated dentist. Responses of the patients were recorded in the structured questionnaire, maintaining their privacy and confidentiality. The data were entered into a Microsoft Excel spreadsheet and analysed using the SPSS statistical package to obtain the prevalence rates of patients' perceptions, which were then cross tabulated with gender, age and other variables. Significant differences were determined using the chi-square test, when appropriate.Of the respondents, 83.5% found it necessary for the dentist to wear gloves, and 65.8% stated the reason was to prevent cross infection from one patient to another. About three-quarters (74.8%) found it necessary for the dentist to wear a mask; when asked about the reason, 52.3% stated prevention of cross infection from dentist to patient. Regarding wearing protective glasses, about three-quarters (73.9%) found it unnecessary for the dentist to do so. The majority (76.8%) stated the method of HIV transmission was by dentists using needles previously used for patients infected with AIDS; 71% knew there is no vaccine against HIV. Only half (49%) reported that hepatitis could be transmitted by blood transfusion. Approximately two-thirds (67.4%) knew there is a vaccine against hepatitis. About 53.5% claimed their knowledge regarding infection transmission was obtained through watching television programmes about cross infection.Dental patients in Jordan need to be equipped with adequate knowledge about cross-infection control, thus education reinforcement is imperative.
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| 9. |
- Benjasupattananan, Supranee, et al.
(författare)
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Effect of a stannous fluoride dentifrice on the sulcular microbiota : a prospective cohort study in subjects with various levels of periodontal inflammation
- 2005
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Ingår i: Oral Health & Preventive Dentistry. - 1602-1622 .- 1757-9996. ; 3:4, s. 263-272
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES: To assess the effects of an experimental 0.454% stannous fluoride (SnF2) dentifrice on the oral sulcular microbiota in patients with various stages of oral diseases using checkerboard DNA-DNA hybridization.MATERIAL AND METHODS: In the present one-month, single center, single product, prospective cohort trial, 37 adults (mean age 37.6) were assigned to one of four oral health condition cohorts with seven to 10 subjects each: 1. mild gingivitis, 2. marked generalized gingivitis to moderate periodontitis, 3. caries-prone and 4. treated moderate to advanced chronic periodontitis in supportive periodontal care. All four groups were asked to use the test dentifrice and a power toothbrush twice a day for one minute during a four-week test period. Before and after the trial period, Plaque Indices (PII, Silness and Löe, 1964) and Gingival Indices (GI, Löe and Silness, 1963) were recorded. Subgingival plaque samples were collected from all patients at Baseline, as well as after two and four weeks. These samples were analyzed for content of 40 bacterial species using checkerboard DNA-DNA hybridization.RESULTS: As a result of the only one minute brushing with the stannous fluoride dentifrice, the mean PII at Baseline was significantly lower (p < 0.05) from the mean PII at four weeks. No statistically significant differences were found between premolar and molar mean values. Moreover, no statistically significant differences were found between the mean GI at Baseline and at four weeks. The microbiological analysis showed that at baseline subjects in groups 2 and 4 had significantly higher bacterial loads of bacteria than groups 1, and 3 (i.e. A. actinomyctemcomitans P. gingivalis, T. forsythia, and T. denticola. Over the study period, the total bacterial load did not change in groups 2, 3 and 4. In groups 1 and 3, however, an increase in the loads of Streptococci spp. were noticed (p < 0.05) including S. mitis, S. intermedius, and S. sanguis (p < 0.01) suggesting an increase in the presence of early colonizing and health associated bacteria.CONCLUSION: One minute brushing with a 0.454% stannous fluoride dentifrice did--after four weeks--not affect the subgingival microbial profiles in patients with moderate periodontitis and treated moderate to advanced periodontitis. However, the sulcular microbial profiles of mild gingivitis and caries-prone patients were affected, indicating a shift towards a gingival health associated microbiota in the sulcular region of patients not affected by attachment loss. RUNNING HEAD: Effect of stannous fluoride on sulcular microbiota.
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| 10. |
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| 11. |
- Bratel, John, 1953, et al.
(författare)
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The effect of LongoVital on recurrent aphthous stomatitis in a controlled clinical trial.
- 2005
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Ingår i: Oral health & preventive dentistry. - 1602-1622. ; 3:1, s. 3-8
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: The aim of this study was to evaluate the effect of daily intake of LongoVital (LV) (herbal vitamin tablets) in the prevention of RAS. MATERIALS AND METHODS: A group of 78 consecutively referred patients was enrolled to a three-months pretreatment period. Fifty subjects were then randomly allocated to an LV-group (n = 25) or a placebo group (N = 25). A double blind, stratified-randomised clinical case-control study was performed during six months. Number and size of the ulcers were registered by the patients using a standardized chart. The degree of discomfort was recorded on a 100 mm horizontal visual analogue scale (VAS-scale). RESULTS: The three-months pretreatment period revealed that the most dominant symptoms were pain (78%) followed by burning sensation (18%). No significant differences between the two groups were found during this period when a comparison was made at the end of the study. After the intervention period the number of aphthous ulcers/month decreased significantly in the LV-group (p = 0.02). The number of days in pain/month were also reduced (p < 0.001). If a 50% reduction of number of aphthous ulcers and days in pain were considered as clinically relevant, no statistical significant differences were found between the groups. CONCLUSION: Thus, no strong evidence was found that justified a recommendation of LV as a general drug for treatment of RAS.
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| 12. |
- Bruckmann, Corinna, et al.
(författare)
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Diabetes : why should the dental team bother?
- 2018
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Ingår i: Oral Health & Preventive Dentistry. - : Quintessence. - 1602-1622 .- 1757-9996. ; 16:6, s. 481-481
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 13. |
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| 14. |
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| 15. |
- Cocco, F., et al.
(författare)
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Effect of a Daily Dose of Snacks Containing Maltitol or Stevia rebaudiana as Sweeteners in High Caries Risk Schoolchildren. A Double-blind RCT Study
- 2019
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Ingår i: Oral Health & Preventive Dentistry. - 1602-1622. ; 17:6, s. 515-522
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: To evaluate the effect of sugar-free snacks on caries-related factors in 6- to 9-year-old schoolchildren. Materials and Methods: Two hundred seventy-one children at risk for caries as measured through the Cariogram were randomly assigned to three groups consuming twice-daily snacks containing Stevia, maltitol or sugar for 42 days. Parents filled out a standardised questionnaire regarding personal, medical and oral behavioural information. Bleeding on probing, plaque pH and salivary mutans streptococchi (MS) and lactobacilli (LB) were assessed at baseline (t(0)), 42 days of snack use (t(1)) and 120 days after the end of use (t(2)). The Cariogram calculation was repeated at t(1). Treatment effects were estimated using linear mixed-effects regression models. Results: At t(2), a decrease in cariogenic bacteria (MS X-2 = 8.01, p < 0.01 and LB X-2 = 4.60, p = 0.03) and an increase of the minimum pH (F = 4.48, p < 0.01), maximum pH (F = 2.88 p < 0.01) and pH drop (F = 2.95 p < 0.01) was recorded in the Stevia group compared to baseline. In the maltitol group, an improvement effect was noted: LB concentration decreased (p = 0.04) and maximum pH (F = 3.16 p < 0.01) increased. Subjects classified by the Cariogram as have a low probability of developing caries increased in the Stevia and maltitol groups (X-(4)(2) = 25.44, p < 0.01, C*sV = 0.38 and X-(4)(2) = 12.85, p = 0.01, C*sV = 0.27, respectively). Regression analysis underlines the effect of Stevia snacks on the cariogenic microflora, mainly on MS and plaque pH variations. Conclusion: The short-term administration of Stevia or maltitol snacks improves some important factors related to caries. This preventive strategy might be an additional means of combatting this common childhood disease.
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| 16. |
- Coli, Pierluigi, 1964, et al.
(författare)
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The effect of a dentifrice in the prevention of recurrent aphthous stomatitis.
- 2004
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Ingår i: Oral health & preventive dentistry. - 1602-1622. ; 2:2, s. 133-41
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: A multicenter, double-blind, randomized, placebo-controlled clinical trial was conducted to determine the efficacy of an experimental dentifrice on the prevention of recurrent aphthous stomatitis (RAS). MATERIAL AND METHODS: A 3-month pretrial period was used to self-record data pertaining to the frequency, ulcer size, duration, and pain associated with ulcers. Thirty-six participants, who reported at least 3 RAS episodes or 30 days with RAS during the pretrial period, completed the study. Following a stratified randomization for age, sex and disease severity, the participants received the experimental dentifrice (T) or the placebo (C). The test period comprised 3 months of self-evaluation of number of ulcers, size and location. Pain related to RAS was estimated by the use of a Visual Analogue Scale (VAS). RESULTS: Symptoms were found to decrease in both groups when the pretrial and test periods were compared, although no statistical difference was reached in the C group. A statistically significant difference between the two time periods was obtained for the T group concerning the number of days with ulcers (p < 0.025) and VAS (p < 0.010). Of more clinical importance was the observation that 50% of the patients in the T group reported a more than 50% reduction in days with ulcers compared to 17% in the C group. CONCLUSIONS: The dentifrice may be used as a treatment strategy for a subgroup of patients with RAS in view of the low adverse effects and the benefit of using a treatment modality that is a part of daily routines.
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| 17. |
- Diogo Löfgren, Christina, et al.
(författare)
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Screening for Oral Dryness in Relation to Salivary Flow Rate Addresses the Need for Functional Tests of Saliva
- 2010
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Ingår i: Oral health & preventive dentistry. - : Quintessence. - 1757-9996 .- 1602-1622. ; 8:3, s. 243-252
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The aim of the present study was to assess the occurrence of reported subjective oral dryness in relation to objective sialometric values in a randomly selected group and a dental care-seeking group. Materials and Methods: A questionnaire assessing subjective oral dryness was sent out to a randomly selected sample of 200 individuals. The dental care-seeking group was recruited from among patients attending the Department of Oral Diagnostics, Malmo University. A total of 200 patients were asked to participate in the present study. In total, 312 individuals (78%) completed the survey and 157 individuals agreed to participate in the complementary clinical examination that included measures of salivary flow rate. Results: The reported subjective oral dryness was 20% and 28.6% for the randomly selected group and the dental care-seeking group, respectively. No statistically significant differences were found between the two study populations with regard to percentage of reported subjective oral dryness, and stimulated and unstimulated salivary flow rates (P > 0.05). In the dental care-seeking group, individuals reporting subjective oral dryness presented 'a small degree of abrasion in the dentine in the incisor region' to a greater extent (P < 0.05). No statistically significant association between subjective oral dryness and unstimulated and stimulated salivary flow rates was found in either of the studied populations (P > 0.05). Individuals identified with subjective or objective oral dryness presented to a greater extent a history of oral rehabilitation compared to individuals who showed no indication of oral dryness. Conclusions: No association between sialometric measures and subjective report of oral dryness was found in the present study.
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| 18. |
- Engström, Kristina, et al.
(författare)
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Lactic acid formation in supragingival dental plaque after schoolchildren's intake of fluoridated milk.
- 2004
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Ingår i: Oral Health Prev Dent. - 1602-1622. ; 2:1, s. 13-17
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: Milk can be used as vehicle for fluoride administration. The aim of this study was to investigate the lactic acid formation in dental plaque after daily intake of fluoridated milk. Materials and Methods: The study group consisted of 15 healthy schoolchildren, 6-15 years of age, in a double-blind crossover study design. After a one-week fluoride depletion period, 250 ml of fluoridated standard milk (5ppm; total amount 1.25 mg F) or non-fluoride control milk was consumed once daily together with an ordinary meal during 3 days of plaque accumulation with no oral hygiene. On the fourth day, plaque samples were collected immediately before a final milk intake and then after 30, 60 and 180 minutes. After a washout period of at two weeks, the whole procedure was repeated with the corresponding fluoridated or non-fluoridated milk regimen. All samples were suspended and the sucrose-challenged lactic acid formation rate was determined enzymatically. Results: The results showed a statistically significant (p<0.05) increase of the lactic acid levels 30 min after the intake of the standard (control) milk while no such elevation was evident after the fluoride-containing milk. No differences were found after 60 and 180 min compared with baseline for any of the milks. Conclusion: The findings suggest that fluoride added to milk may counteract the lactic acid formation that follows a non-fluoridated milk intake.
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| 19. |
- Ericson, Dan
(författare)
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Minimally invasive dentistry
- 2003
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Ingår i: Oral Health & Preventive Dentistry. - 1602-1622 .- 1757-9996. ; 1:2, s. 91-92
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Tidskriftsartikel (populärvet., debatt m.m.)
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| 20. |
- Ericson, Dan, et al.
(författare)
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Minimally invasive dentistry : concepts and techniques in cariology
- 2003
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Ingår i: Oral Health & Preventive Dentistry. - 1602-1622 .- 1757-9996. ; 1:1, s. 59-72
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- The concept ‘Minimally Invasive Dentistry’ can be defined as maximal preservation of healthy dental structures. Within cariology, this concept includes the use of all available information and techniques ranging from accurate diagnosis of caries, caries risk assessment and prevention, to technical procedures in repairing restorations. Dentists are currently spending more than half their time replacing old restorations. The main reasons for restoration failures are secondary caries and fractures, factors that are generally not addressed in the technical process of replacing a restoration. Prevailing concepts on minimally invasive dentistry seem to be ‘product or technique-motivated’, challenging one technique or product with another, rather than focusing on a general concept. New knowledge of caries progression rates has also led to substantial modification of restorative intervention thresholds and further handling of the disease. New diagnostic tools for caries lesion detection, caries risk assessment and focused preventive treatments have decreased the need for early restorative interventions. In parallel to this, new techniques for cutting teeth and removing decay have evolved. This paper focuses on describing minimally invasive dentistry in cariology from a conceptual perspective, relating to clinical caries diagnosis, restorative intervention thresholds and operative procedures, with special reference to survival of tunnel and slot restorations and to repair vs. replacement of defective restorations.
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| 21. |
- Ericson, Dan
(författare)
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What is Minimally Invasive Dentistry?
- 2004
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Ingår i: Oral Health & Preventive Dentistry. - 1602-1622 .- 1757-9996. ; 2:Suppl 1, s. 287-292
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Minimally Invasive Dentistry is the application of "a systematic respect for the original tissue." This implies that the dental profession recognizes that an artifact is of less biological value than the original healthy tissue. Minimally invasive dentistry is a concept that can embrace all aspects of the profession. The common delineator is tissue preservation, preferably by preventing disease from occurring and intercepting its progress, but also removing and replacing with as little tissue loss as possible. It does not suggest that we make small fillings to restore incipient lesions or surgically remove impacted third molars without symptoms as routine procedures. The introduction of predictable adhesive technologies has led to a giant leap in interest in minimally invasive dentistry. The concept bridges the traditional gap between prevention and surgical procedures, which is just what dentistry needs today. The evidence-base for survival of restorations clearly indicates that restoring teeth is a temporary palliative measure that is doomed to fail if the disease that caused the condition is not addressed properly. Today, the means, motives and opportunities for minimally invasive dentistry are at hand, but incentives are definitely lacking. Patients and third parties seem to be convinced that the only things that count are replacements. Namely, they are prepared to pay for a filling but not for a procedure that can help avoid having one.
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| 22. |
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| 23. |
- Fure, Solveig, 1941, et al.
(författare)
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Evaluation of different fluoride treatments of initial root carious lesions in vivo.
- 2009
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Ingår i: Oral health & preventive dentistry. - 1602-1622. ; 7:2, s. 147-54
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: The aim of this study was to evaluate the efficacy of three topical fluoride treatments to arrest initial root carious lesions. MATERIALS AND METHODS: Forty patients participated in a randomised study. Of the 60 root carious lesions that were included, 20 were randomised for treatment with the Carisolv chemo-mechanical technique and the Duraphat (2.23% F) fluoride varnish, 20 with Duraphat alone and 20 with stannous fluoride solution (8%). The lesions were treated at baseline and after three and six months; a clinical evaluation was carried out on these occasions and after 1 year. RESULTS: All but four lesions were categorised as arrested caries during the 1-year follow-up period: 18 in the Carisolv/Duraphat group and 19 each in the Duraphat and the stannous fluoride groups, respectively. There was a minor reduction in the mean size of the lesions of around 0.1 to 0.2 mm height and width and a moderate change in colour from a lighter to a darker appearance. No obvious differences were found between the groups. The mean percentage of mutans streptococci in plaque from all lesions was 3.5% at baseline, and it decreased to 1.8% during the year. The decrease was, however, not statistically significant, and no significant differences were found between the groups. CONCLUSIONS: It can be concluded that the frequent topical application of fluoride could be a successful treatment for incipient root carious lesions, irrespective of the type of fluoride treatment used.
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| 24. |
- Furundzic, Kristina, et al.
(författare)
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Why Do Adolescents Use Fluoride Toothpaste? : A Qualitative Interview Investigation
- 2020
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Ingår i: Oral Health & Preventive Dentistry. - : Quintessence. - 1602-1622 .- 1757-9996. ; 18:3, s. 441-446
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: Fluoride toothpastes are effective in caries prevention. In legislation, regular fluoride toothpaste is a cosmetic product; adolescents use it for aesthetic purposes. In dentistry, fluoride toothpaste is considered a caries preventive drug recommended to patients for that reason. Knowledge is lacking concerning what motivates adolescents to use fluoride toothpaste. Dental professionals need to understand how to motivate a risk-group for caries development to use fluoride toothpaste frequently in order to effectively motivate patients to prevent tooth decay. The purpose of this study was to investigate what motivates adolescents to use fluoride toothpaste. Materials and Methods: The study was conducted at a high school in southern Sweden. The final sample consisted of 16 adolescents age 16 to 19. This study employed a qualitative design using semi-structured interviews. The data were analysed using manifest content analysis with an occasional inductive approach. Results: Reasons for why adolescents use fluoride toothpaste were found in four different categories: oral health, economy, upbringing and habit, social influences. Conclusion: There are reasons to believe that dental professionals might have missed important arguments for why adolescents use fluoride toothpaste. The participants mentioned oral health and aesthetics as important reasons for using fluoride toothpaste, as well as other more surprising factors such as financial reasons and social environment. There are thus more arguments for using fluoride toothpaste that adolescents value than the ones we believe dental professionals use.
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| 25. |
- Gabre, Pia, et al.
(författare)
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Oral retention of fluoride from a mucosa adhesive paste (Orabase) supplemented with NaF--a pilot study.
- 2005
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Ingår i: Oral health & preventive dentistry. - 1602-1622. ; 3:3, s. 159-63
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: Individuals with cognitive impairments have an increased caries risk. Methods to prevent caries based on home care use of fluorides (F) presuppose a person's ability to cooperate and follow instructions. The aim of the present investigation was therefore to develop and evaluate an F-containing mucosa adhesive paste, which can be applied in home care by nursing staff. MATERIALS AND METHODS: A cross-over, double-blind study design was used. The F concentrations were studied in whole saliva and interproximal fluid samples after application of a paste with 0.1% F based on the mucosa adhesive Orabase. A placebo product without F was used as control. In six healthy adults the paste was applied before sleep in the vestibulum in the region of the first molar in each quadrant. The application was repeated during four nights. RESULTS: Six hours after the application of the F paste the F concentrations in the interproximal areas and whole saliva had increased by 12-160 times compared to samples collected before the applications. The lower increase of the interproximal F concentrations was observed in the front region. CONCLUSIONS: The results suggest that an F-containing mucosa adhesive paste may be a promising vehicle for caries prevention in subjects unable to follow traditional home care recommendations.
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| 26. |
- Graziani, F., et al.
(författare)
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Oral Care and Quality Evaluation: A Multicentric Study on Periodontal Treatment
- 2020
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Ingår i: Oral Health & Preventive Dentistry. - 1602-1622. ; 18:2, s. 363-371
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: No information is available on the perception of the quality of care in patients treated for periodontitis. The purpose of this article was to assess how periodontitis-affected patients perceive the quality of periodontal treatment (PT) and to measure the factors which may influence it. Materials and Methods: 306 subjects who completed PT were invited to participate. Questionnaires and visual analogic scales (VAS) evaluating perception of quality of care, symptoms, and oral health related quality of life (OHRQoL) were handed out. Oral and periodontal indicators were collected before and after treatment. The impact of different factors on perception of quality was assessed with a regression model. Results: Quality evaluation was high yet unrelated for both patients and clinicians (p = 0.983). Quality was negatively influenced by the number of residual oral infections (p < 0.001), patient's age (p = 0.07) and presence of residual pain at completion of PT (p = 0.02). Professionalism, kindness of the staff and communication skills were the characteristics mostly appreciated. The OHRQoL was influenced by the number of residual teeth (p < 0.001), increasing age of patients (p = 0.08), number of residual infections (p < 0.01) and pain (p = 0.04). Conclusions: Patients' quality perception appeared to be influenced by clinical and emotional aspects. Oral care providers should be aware of the impact of non-clinical factors in patients' appreciation of quality of treatment.
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| 27. |
- Hedenbjörk Lager, Anders, et al.
(författare)
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Aciduric Bacterial Communities at Three Levels in Dentin Caries
- 2013
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Ingår i: Oral Health & Preventive Dentistry. - : Quintessence. - 1602-1622 .- 1757-9996. ; 11:4, s. 359-367
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: Dentin caries constitute a complex ecosystem with a diverse microbiota adapted to fluctuations in nutrient concentration and acidity. However, knowledge about the acid tolerant microbiota at different levels in the lesion is rather poor. Hence, the purpose of this study was to investigate the acid tolerant microflora at different levels in established dentin caries lesions using solid pH-selective media. Materials and Methods: Primary dentin caries lesions were sampled with a bur at three levels (superficial, centre and the clinically caries-free floor of the lesion) in 10 patients. Samples were incubated on pH-neutral and pH-selective (pH 4.0, 4.5, 5.0, 5.5) agars. Numbers of colony-forming units (cfu) were determined and colonies were subsequently characterised morphologically and isolated. Results: The total number of bacteria in the carious lesions, recovered using blood agar (BA), ranged from 5.88 x 103 to 5.85 x 105 (median 2.64 x 105; range 5.80 x 105) and numbers of recovered bacteria decreased with decreasing agar pH. Fewer bacteria were found in the clinically caries-free dentin (P = 0.042), but the mean number of cfu (BA) was still 5.88 x 103 in those samples. Conclusion: Each of the 10 investigated dentin caries lesions harboured a unique microbial flora, indicating that various combinations of aciduric bacteria can colonise, survive in and probably propagate dentin caries. Solid pH-selective agars can be used successfully to select acid-tolerant microorganisms in dentin caries lesions. This could be used to describe this subset of the total microbiome from a phenotypic point of view, an objective that cannot be accomplished using molecular methods.
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| 28. |
- Hedman, Eva, et al.
(författare)
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Dental Hygienists Working in Schools A Two-year Oral Health Intervention Programme in Swedish Secondary Schools
- 2015
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Ingår i: Oral Health & Preventive Dentistry. - 1602-1622. ; 13:2, s. 177-188
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: To investigate the possibility of influencing adolescents' caries incidence, knowledge and attitudes to oral health and tobacco through a school-based oral health intervention programme. Materials and Methods: Four schools in a county in Sweden were randomised to one intervention and one control group. At the intervention schools, two dental hygienists worked 4 h every week for two years. Health education and preventive measures, such as fluoride varnish treatments every 6 months, were performed. The control group had no intervention. The study included a total of 534 participants aged 12-16 years. Outcome variables of the study were 1) caries incidence assessed on bite-wing radiographs and 2) knowledge and attitudes measured through questionnaires. Results: The intervention programme impacted on the incidence of enamel caries, while no effect on dentin caries could be seen. Data from the questionnaires showed that the adolescents considered their teeth as important. Adolescents in the intervention group had better knowledge about oral health and oral hygiene compared to the control group after the two years, but no impact on attitudes toward tobacco could be seen. A majority of the adolescents were positive to the education about oral health and tobacco and they believed that the dental hygienists would help them improve their oral health. Conclusions: Although the effects of the intervention as regards to caries incidence, knowledge and attitudes were limited, the presence of dental hygienists in school was appreciated by the adolescents and seemed to increase their interest in their oral health.
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| 29. |
- Hedman, Eva, et al.
(författare)
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The Impact of Behavioural Interventions on Young People's Attitudes Toward Tobacco Use
- 2010
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Ingår i: Oral health & preventive dentistry. - 1602-1622 .- 1757-9996. ; 8:1, s. 23-32
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The objective of the present study was to study the ability to influence young at-risk patients attitudes toward tobacco use through two intervention methods that were performed by dental health professionals. Materials and Methods: Two inteiventions, a brief individual motivational interview and an adapted school lecture, were studied, and both were compared with a control group Before and after interventions, a questionnaire was used Patients born in 1989 and 1992 who were judged by the dental personnel as potentially at risk for dental diseases, a total of 301 individuals, were included. Results: Both before and after interventions, the results showed a generally negative attitude towards tobacco use A majority of the participants were positive towards measures that were taken to control the spread of tobacco use, younger participants (born 1992) to a greater extent (73%) than the older participants (born 1989) (54%) Important factors that kept the participants away from tobacco use were the harmful effects and the approaches of parents and friends The older participants believed to a greater extent that they would try smoking as adults No change in tobacco use was registered after intervention, although the participants reported an increased use among friends Conclusions: The two pedagogical methods that were used in the present study influenced the young people's attitudes towards tobacco use only to a small extent However, the period between 12 and 15 years old seems to provide a good opportunity to influence attitudes towards tobacco. The adolescents' demand for interactive learning and their development of attitudes and tobacco use habits in relation to family and friends provide opportunities to use new pedagogical models
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| 30. |
- Holgerson, Pernilla Lif, et al.
(författare)
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Decreased salivary uptake of [14C]-xylitol after a four-week xylitol chewing gum regimen.
- 2007
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Ingår i: Oral health and preventive dentistry. - 1602-1622. ; 5:4, s. 313-319
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: The aims were to evaluate a simple method to disclose a microbial shift in saliva and to investigate the short- and long-term effects of daily use of xylitol-containing chewing gums on mutans streptococci (MS) and [14C]-xylitol uptake in saliva. MATERIALS AND METHODS: In a pilot set-up, saliva samples were collected from 15 healthy adults and the uptake of xylitol was compared with a specific assay determining xylitol-sensitive MS. The main study consisted of 109 schoolchildren (mean age 9.9 years) who volunteered after informed consent. The children were randomly allocated to a test or control group. The control group was given two pellets containing sorbitol and maltitol 3 times daily for 4 weeks and the test group received identical pellets with xylitol as single sweetener (total dose 6.2 g/day). Saliva samples were collected at baseline, after 4 weeks and 6 months after the intervention. The outcome measures were MS and total viable counts, proportion of MS and salivary uptake of [14C]-xylitol. RESULTS: The pilot study disclosed a fair positive correlation (p < 0.05) between the assays. The proportions of MS and salivary xylitol uptake decreased significantly in the xylitol group by 60% and 30% respectively after 4 weeks compared to baseline which was in contrast to the sorbitol/maltitol group (p < 0.05). Six months after the intervention, the outcome measures did not differ significantly from baseline in any of the groups. CONCLUSION: A relatively high daily dose of xylitol could alter salivary microbial composition during the intervention period but no long-term impact was observed.
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| 31. |
- Holmlund, Anders, et al.
(författare)
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Tooth loss is related to the presence of the metabolic syndrome and inflammation in elderly subjects: A prospective study of the vasculature in Uppsala seniors (PIVUS)
- 2007
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Ingår i: Oral Health & Preventive Dentistry. - 1602-1622. ; 5:2, s. 125-130
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: To investigate how the number of remaining teeth relates to the presence of metabolic syndrome (MetS) and markers of inflammation. MATERIALS AND METHODS: A population-based prospective investigation of the vasculature in Uppsala seniors (PIVUS) study was carried out on 1016 subjects, aged 70. RESULTS: The number of teeth was self-reported in 947 subjects and was found to be less in those with MetS using National Cholesterol Education Program/Adult Treatment Panel III (NCEP/ATP Ill) criteria (n = 219, mean 17.7 +/- 9.0 [SD]), compared with n = 728, mean 20.7 +/- 7.2 in those without MetS (p < 0.0001), and in proportion to the number of criteria fulfilled (p < 0.0001). The number of teeth was also inversely related to markers of inflammation (r = -0.15, p < 0.0001 for leukocyte count; r = -0.10, p = 0.0023 for C-reactive protein). In a multiple regression analysis, the presence of MetS, smoking, educational level, leukocyte count and height were independent predictors of the number of teeth. CONCLUSIONS: In addition to established risk factors for tooth loss, the presence of MetS and inflammation were independent predictors of the number of teeth in an elderly population.
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| 32. |
- Kloukos, Dimitrios, et al.
(författare)
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Gingival Thickness Assessment at Mandibular Incisors of Orthodontic Patients with Ultrasound and Cone-beam CT : A Cross-sectional Study
- 2021
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Ingår i: Oral Health & Preventive Dentistry. - : Quintessence. - 1602-1622 .- 1757-9996. ; 19:1, s. 263-270
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: To use and evaluate two methods for measuring gingival thickness (GT) at mandibular incisors of orthodontic patients and compare their performance in assessing periodontal anatomy through soft tissue thickness. Materials and Methods: The sample consisted of 40 consecutive adult orthodontic patients. GT was measured just before bracket placement at both central mandibular incisors, mid-facially on the buccal aspect, 2 mm apically to the free gingival margin with two methods: clinically with an ultrasound device (USD) and radiographically with cone beam computed tomography (CBCT). Results: CBCT measurements were consistently higher than USD measurements, with the difference ranging from 0.13 mm to 0.21 mm. No statistically significant difference was noted between the repeated CBCT measurements at the right central incisor (bias = 0.05 mm; 95% CI =-0.01, 0.11; p = 0.104). Although the respective results for the left incisor statistically indicated that the measurements were not exactly replicated, the magnitude of the point estimate was small and not clinically significant (bias = 0.06 mm; 95% CI = 0.01, 0.11; p = 0.014). Small differences between CBCT measurements made by the 2 examiners at the left central incisor (bias = 0.06 mm; 95% CI = 0.01, 0.11; p = 0.014) were detected. However, this difference was minor and also not clinically significant. The respective analysis on the right incisor showed no statistically significant difference (bias = 0.05 mm; 95% CI =-0.01, 0.11; p = 0.246). Conclusions: Based on reproducibility, CBCT imaging for gingival thickness assessment proved to be as reliable as ultrasound determination. However, CBCT consistently yielded higher values, albeit at a marginal level, than did the ultrasound device.
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| 33. |
- Lexner, Michala Oron, et al.
(författare)
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Microbiological profiles in saliva and supragingival plaque from caries-active adolescents before and after a short-term daily intake of milk supplemented with probiotic bacteria - a pilot study.
- 2010
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Ingår i: Oral health & preventive dentistry. - 1602-1622. ; 8:4, s. 383-3888
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: The aim of the present pilot study was to investigate the microbial profile in saliva and supragingival plaque samples collected from caries-active adolescents before and after a daily short-term intake of milk supplemented with the probiotic bacteria. MATERIALS AND METHODS: The present study group consisted of 18 caries-active adolescents of both sexes who volunteered for participation giving an informed consent. The study has a randomised placebo-controlled double-blind pilot design with two parallel arms. After a 2-week run-in period, the subjects were instructed to drink 2.5 dl of milk supplemented with Lactobacillus rhamnosus LB21 (107 CFU/ml) (test) or standard control milk (placebo) once daily for a period of 2 weeks (intervention period). Samples of stimulated whole saliva and supragingival plaque were collected at baseline (after run-in) and immediately after the end of the intervention period (follow-up). The salivary levels of mutans streptococci and lactobacilli were estimated by conventional culturing on selective agar plates. The presence and level of 19 oral species associated with the caries process were determined using the checkerboard DNA-DNA hybridisation technique. Differences between the groups were assessed using the non-parametric Wilcoxon–Mann–Whitney and chi-square tests. RESULTS: The mean caries experience was high with an average of 7.0 ± 3.8 proximal enamel lesions. The most prevalent dominating species in the plaque samples were Streptococcus mitis, Veillonella parvula and Streptococcus gordonii. The saliva samples displayed a more mixed profile, with Streptococcus mitis, Rothia dentocariosa, Lactobacillus casei and Lactobacillus curvata being frequently identified species. All of the subjects harboured mutans streptococci in their saliva, with 61% of them colonised with salivary lactobacilli. No statistically significant differences in the microbial profiles or the estimated counts between the baseline and follow-up samples, or between the two study groups, were observed. CONCLUSIONS: The present study showed that a short-term daily intake of milk supplemented with the probiotic bacterium L. rhamnosus LB21 did not significantly affect the microbial profiles or the levels of caries-associated bacteria in saliva and supragingival plaque samples collected from caries-active adolescents.
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| 34. |
- Magnusson, Kerstin, et al.
(författare)
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Effect of dentifrices with antimicrobial agents on mutans streptococci in saliva and approximal dental plaque in orthodontic patients.
- 2007
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Ingår i: Oral health & preventive dentistry. - 1602-1622. ; 5:3, s. 223-7
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: The aim of the present investigation was to study the effect of daily use of fluoride dentifrices containing various antimicrobial agents on mutans streptococci (MS) in saliva and approximal dental plaque. MATERIALS AND METHODS: Fifty-nine healthy adolescents, 12-14 years old, undergoing orthodontic treatment with fixed appliances and harbouring high levels of MS in saliva and preferably also in interdental plaque, were randomly distributed into four groups, using dentifrices with: 1) zinc lactate (n = 16), 2) amine fluoride-stannous fluoride (n = 13), 3) triclosan (n = 15), and 4) no antimicrobial agent (control; n = 15). Changes of MS scores versus baseline were determined after 1, 3 and 6 months, using the Dentocult SM Strip mutans test. RESULTS: At the 6-month sampling occasion, the subjects using dentifrice with either amine fluoride-stannous fluoride or triclosan showed a tendency to lower MS scores in interdental plaque (p < 0.05). In saliva and in the 1- and 3-month plaque samples, no changes of MS were detected in any of the four groups. CONCLUSION: This 6-month clinical study showed that dentifrices with various antimicrobial agents only result in small or no changes of the MS scores in saliva and approximal dental plaque in orthodontic patients.
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| 35. |
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| 36. |
- Mattheos, Nikos, et al.
(författare)
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Assessing behavioural change support abilities of the oral healthcare team
- 2006
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Ingår i: Oral Health & Preventive Dentistry. - : Quintessence. - 1602-1622 .- 1757-9996. ; 4:1, s. 71-77
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Tidskriftsartikel (refereegranskat)abstract
- Competent behavioural change intervention can be learned, practised and developed. Therefore, the teaching and assessment of this ability should be within the scope of both the undergraduate and post-graduate curriculum. Assessment should target knowledge base and skills in the areas of counselling, communication and behaviour. Assessment of the knowledge base should ideally be conducted in a comprehensive, multidisciplinary, centrally based manner in the pre-clinical curriculum. Assessment of skills in the areas of communication, counselling and behaviour change is a wider aim that should be integral throughout the curriculum. In continuing education (CE) environments, an initial 'screening' assessment would help educators to adjust the course to the participants' background and needs. Furthermore, three major assessment schemes are proposed: (1) assessment of knowledge and skills, (2) evaluation of the whole course by the participants, and (3) assessment of the implementation process, four to six months after completion.
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| 37. |
- Milosavljevic, Aleksandar, et al.
(författare)
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Assessment of Prognosis and Periodontal Treatment Goals Among General Dental Practitioners and Dental Hygienists
- 2016
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Ingår i: Oral Health & Preventive Dentistry. - : Quintessence. - 1602-1622 .- 1757-9996. ; 14:5, s. 433-441
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: To evaluate general dental practitioners' (GDPs) and dental hygienists' (DHs) assessment of prognosis, suggested treatment goals, and estimated number of treatment sessions in patients with varying severity of periodontal disease. Materials and Methods: Seventy-seven GDPs and fifty DHs in a Swedish county participated in a questionnaire study, based on three patient cases: a patient with generalised bone loss but no clinical signs of inflammation (well-maintained); a patient with clinical signs of inflammation and generalised bone loss (periodontitis); and a patient with clinical signs of inflammation but no bone loss (gingivitis). In open-ended questions, the clinicians assessed the prognosis in case of no treatment and proposed treatment goals. Furthermore, based on given fixed-alternative options, they estimated the number of treatment sessions needed for successful management of the condition. Results: Based on a response rate of 94%, the majority of clinicians expected a worsening of the periodontal condition in all three patients (well-maintained: 80%; periodontitis: 94%; gingivitis: 60%). The most common treatment goal in all 3 cases was to improve oral health awareness. The majority of clinicians estimated that the periodontitis case needed slightly more treatment sessions (mean: 3.04, 95% CI: 2.83-3.24) compared to the gingivitis (mean: 1.93, 95% CI: 1.75-2.11) or well-maintained patient case (mean: 1.84, 95% CI: 1.60-2.07). Conclusions: The majority of included clinicians did not perform an individualised risk assessment and did not individually match the number of appointments to the actual periodontal treatment needs of the patient. This may result in overtreatment in some cases and in undertreatment in others, and possibly in suboptimal use of resources.
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| 38. |
- Milosavljevic, Aleksandar, et al.
(författare)
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Diagnostic Judgement and Treatment Decisions in Periodontology by Periodontists and General Dental Practitioners in Sweden : A Questionnaire-based Study
- 2019
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Ingår i: Oral Health & Preventive Dentistry. - : Quintessence. - 1602-1622 .- 1757-9996. ; 17:4, s. 329-337
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: To evaluate if periodontists are coherent in their judgement and treatment decisions of patients with different periodontal conditions, and to compare them with general dental practitioners' (GDPs) findings. Materials and Methods: Eighty-six periodontists participated in a questionnaire study based on four patient cases: (a) generalised bone loss but minimal signs of inflammation (well-maintained); (b) generalised bone loss and signs of inflammation (periodontitis); (c) negligible bone loss and minimal signs of inflammation (healthy); and (d) negligible bone loss but with signs of inflammation (gingivitis). Periodontists had the option to judge each patient as healthy or diseased, propose a diagnosis, evaluate treatment needs, propose a treatment plan and assess the prognosis. Comparison between periodontists considered: (a) level of experience and (b) judgement of each patient case as healthy or diseased. Periodontists were additionally compared to a previous sample of GDPs (n = 74). Results: Periodontists' response rate was 77%. The diagnostic judgement of the four patient cases showed rather large variation both among periodontists and GDPs. Periodontists' intention to treat and prognostic assessment depended on their judgement of each patient, as healthy or diseased (p < 0.05). GDPs intended to treat three out of four patient cases (except periodontitis case) more often and were more pessimistic in their prognostic assessment of patients with negligible bone loss (p < 0.05), comparing to periodontists. Conclusions: Both periodontists and GDPs are defining periodontal health and disease differently, which affects treatment decisions and prognostic assessment. There is a need to define periodontal health and disease more precisely, in order to improve coherence in judgement.
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| 39. |
- Rafat, Sonja, et al.
(författare)
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Oral Health Among Swedish Patients with Substance Use Disorders : A Comparative, Cross-Sectional Study
- 2020
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Ingår i: Oral Health & Preventive Dentistry. - : Quintessence. - 1602-1622 .- 1757-9996. ; 18:2, s. 229-237
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: This study explored the oral health of individuals with substance use disorders and examined the relationship between oral health and type and number of years of substance use disorder. Materials and Methods: This comparative cross-sectional study comprised patients with one of four groups of substance use disorders - alcohol, cannabis, central nervous system stimulants (CNSS), and opiates. All participants underwent a dental examination and were included in the study based on their clinical findings. Results: Of 95 participants, 79 (83%) were male and 37 (39%) were homeless. Statistically significant difference between the groups was observed in 6-12-mm periodontal pocket depths (p <0.05), as were differences in oral mucosal changes (p <0.001). Statistically significantly lower proportions were observed in the cannabis group for Mob G:0 and Mob G:1 and Furcation G:1 compared to the CNSS and opiate groups; the proportion of Furcation G:0 was significantly lower in the alcohol group compared to the cannabis group. Analysis of variance (ANOVA) revealed statistically significant between-group differences in age, number of years of substance use disorder, number of teeth. and decayed, missing and filled teeth (DMFT). When controlling for age and gender, substance type was found to be a statistically significant predictor of number of teeth (B = -4.4: 95% CI: -8.1 to -0.38; p = 0.03) and DMFT (B = 2.1; 95% CI: 0.86 to 3.3; p = 0.001). Conclusions: These results indicate poor oral health among individuals with substance use disorders. It seems that oral health problems are lower among abusers of cannabis than of CNSS, alcohol and opiates.
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| 40. |
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| 41. |
- Rann, Sara Hed, et al.
(författare)
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Clinical, Socioeconomic and Patient Outcomes of Intensive Versus Conventional Scaling and Root Planing in the Treatment of Periodontal Infection
- 2008
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Ingår i: Oral Health & Preventive Dentistry. - 1602-1622 .- 1757-9996. ; 6:4, s. 303-308
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: To compare the two non-surgical periodontal treatment methods with regard to socioeconomic aspects, treatment results and complications. Methods and Results: Twenty-five patients were randomly divided into two groups for non-surgical treatment consisting of scaling and root planing. One group had intensive treatment (InT) performed within 24 h and the other group received conventional treatment (COT) with one treatment session a week for 4 weeks. All the patients rinsed their mouth with chlorhexidine 0.2% after each treatment session for 5 weeks. The investigation before and after the treatment was performed by the same clinician blinded to the treatment modalities, and all the treatments were performed by the same dental hygienist. Treatment had significantly reduced the number of pockets in both the treatment groups, but there was no difference between the two treatment modalities regarding pocket reduction or reported discomfort/pain graded on the visual analogue scale. Only one patient receiving the InT was not satisfied. However, in the CoT group six patients answered that they would have preferred the InT, whereas the remaining patients answered that it did not matter whether they received InT or CoT. The patients in the CoT group consumed more analgesics after the treatment. The mean total travelling time for the InT group was 113 min compared with 357 min for the CoT group. Conclusions: Most patients preferred the InT if they were to undergo the treatment again. Furthermore, InT resulted in a substantial socioeconomic gain with no difference in the treatment result and the complication rate compared with CoT.
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| 42. |
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| 43. |
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| 44. |
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| 45. |
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| 46. |
- Rolandsson, Margot, et al.
(författare)
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Effects of snuff on oral health status of adolescent males : A case-control study
- 2005
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Ingår i: Oral Health and Preventive Dentistry. ; 3:2, s. 77-85
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study was to investigate effects of snuff on the oral health status of adolescent males. MATERIALS AND METHODS: The participants consisted of 80 adolescent males between 16-25 years, 40 snuff users and 40 non-users. The snuff users and non-users were matched with reference to their age. Data were collected using a questionnaire containing questions on general and oral health, daily oral hygiene and tobacco habits. The clinical examination was carried out in a dental office by two experienced dental hygienists. Snuff lesions were clinically classified on a four-point scale and documented on colour slides. The examination also assessed the number of teeth, restored tooth surfaces, plaque index and gingival index, probing pocket depth and gingival recessions. RESULTS: Out of 40 snuff users, 35 showed snuff incluced lesions. The clinical diagnosis of snuff users' mucosa showed snuff lesions of different severity clinically classified as degree 1, 2 and 3. When explaining snuff lesions of degree 2 and 3, hours of daily snuff use and package form (portion-bag snuff versus loose snuff) was statistically significant. There were no statistical differences between snuff users and non-users regarding restored tooth surfaces, presence of plaque, gingival inflammation and probing pocket depth. Seventeen percent of the cases showed loss of periodontal attachment as gingival recessions. CONCLUSION: In spite of mucosal lesions caused by snuff there were no statistical differences in prevalence in plaque and gingivitis between snuff users and non-users. However, some cases showed loss of periodontal attachment as gingival recessions.
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| 47. |
- Romao, Cristina, 1967, et al.
(författare)
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Periodontal conditions in a Swedish city population of adolescents: a comparison between smokers and never-smokers.
- 2007
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Ingår i: Oral health & preventive dentistry. - 1602-1622. ; 5:2, s. 105-12
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: The aim of this study was to evaluate the influence of smoking on the periodontal conditions of a randomly selected population sample of 19-year-old individuals. MATERIAL AND METHODS: A population sample of 272 randomly selected 19-year-old individuals living in G?teborg, Sweden, was clinically examined with regard to oral hygiene, gingivitis, deepened periodontal pockets, probing attachment loss (PAL) and gingival recession. On bitewing radiographs, alveolar bone level and presence of dental calculus were assessed. The subjects were classified as 'never-smokers' or smokers based on information obtained by a questionnaire-based interview. RESULTS: The mean plaque and gingivitis scores were for never-smokers 58% (SE 1.7) and 46% (1.4) respectively, and for smokers 60% (2.2) and 42% (2.1) respectively. Of the never-smokers and smokers respectively, 38% and 35% showed a prevalence of gingivitis of > 50%. The mean number of sites with periodontal pockets > or = 4 mm was 12 (0.9) in never-smokers and 13 (1.4) in smokers. Of both never-smokers and smokers, 75% did not have any site with PAL > or = 2 mm, and only six individuals (3%), all never-smokers, showed more than three sites with a PAL of > or = 2 mm (facial sites). Logistic regression analyses revealed that smoking was a poor discriminator for identification of subjects with periodontal destruction (OR 0.62-1.33). CONCLUSIONS: In the present population sample of adolescents, characterised by high prevalence of plaque and gingivitis, smoking habits did not contribute to a higher prevalence or severity of periodontal destruction.
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| 48. |
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| 49. |
- Sebring, Dan, 1986, et al.
(författare)
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A1Meighted Composite of Endodontic Inflammatory Disease is Linked to a First Myocardial Infarction
- 2023
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Ingår i: Oral Health & Preventive Dentistry. - 1602-1622 .- 1757-9996. ; 21:1, s. 375-382
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: To explore a weighted composite of endodontic inflammatory disease (ED) as a risk factor for suffering a first myocardial infarction (MI).Materials and Methods: Seven tooth-specific conditions related to EID were assessed radiographically in 797 patients suffering a first MI and 796 controls. A weighted composite of EID was calculated as the sum of all teeth, excluding third molars. Using maximum likelihood estimation, each condition was assigned a specific weight. Wth multivariable condi-tional regression, EIDvariables, periodontal disease, and missing teeth were assessed as predictors of a first MLResults: Periodontal disease (OR 1.38; 95% CI 1.13-1.69, p =0.0016) and missing teeth (OR 1.03; 95% CI 1.002-1.05, p =0.034) were related to the risk of a first MI, while none of the ED-related conditions individually were. However, when assessed as an aggregate, a weighted composite of ED (OR 1.97; 95% CI 1.23-3.17, p =0.0050) and periodontal disease (OR 1.34; 95% CI 1.09-1.63, p =0.0046) was associated with the risk of ML Missing teeth did not remain a statistically sig-nificant predictor of MI in the final model.Condusions: A weighted composite of ED was associated with the risk of MI and strengthens the evidence for a direst connection between oral inflammatory diseases and cardiovascular disorders.
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| 50. |
- Sjödin, Torgny, et al.
(författare)
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Reduced Use of Antibiotics and Nasal Decongestants During Treatment with a Mouthwash Containing Delmopinol.
- 2023
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Ingår i: Oral Health & Preventive Dentistry. - : Quintessence Publishing. - 1602-1622 .- 1757-9996. ; 21:1, s. 347-356
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: To evaluate the use of concomitant medication in combination with a mouthwash of delmopinol HCl 0.2% based on data from 8 phase III efficacy studies on the mouthwash.MATERIALS AND METHODS: Clinical data obtained from 8 previously performed phase III studies, carried out to document the clinical efficacy of a mouthwash of delmopinol HCl 0.2% with respect plaque and gingivitis, were used to analyse the use of concomitant medication. In these 8 randomised double-blind clinical phase III studies the patients were - in addition to their normal oral hygiene measures - treated for 2-6 months with mouthwashes containing delmopinol HCl 0.2%, delmopinol HCl 0.1%, chlorhexidine digluconate 0.2% or placebo. The number of visits in each study was three. Each time the patients visited the dentist for efficacy determinations, other data were also recorded. One of these was whether the patient had used any other medication during the study. In this paper, the number of treatments of different types of concomitant medication (antibiotics, nasal decongestants and others) was used as a basis for statistical comparisons between the different test groups.RESULTS: For antibiotics (all indications), a 27% lower number of treatments was obtained in the delmopinol 0.2% group in comparison with the placebo group, and a 41% decrease was observed for treatments with antibiotics for respiratory infections. For nasal decongestants, the number of treatments was 53% lower in the delmopinol 0.2% group.CONCLUSIONS: The delmopinol HCl 0.2% solution in patients with gingivitis provided a statistically significant reduction of concomitant use of antibiotics and nasal decongestants.
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