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- 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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- 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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- 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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- 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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- 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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- Twetman, Svante, et al.
(författare)
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Urinary Fluoride Excretion after a Single Application of Fluoride Varnish in Preschool Children
- 2018
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Ingår i: Oral Health & Preventive Dentistry. - : Quintessence Publishing Co., Ltd. - 1602-1622 .- 1757-9996. ; 16:4, s. 351-354
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: To assess urinary fluoride excretion after topical application of a commercial fluoride varnish in preschool children.MATERIALS AND METHODS: Twelve healthy children, 2.5-6.0 years of age, were enrolled in a placebo-controlled cross-over trial. After a 5-day run-in period, the morning urine was collected as baseline. One hour after breakfast, 0.1 ml of the active (Fluor Protector S; 7,700 ppm F) or the placebo varnish was applied with a microbrush on the buccal surfaces of the primary teeth. Thereafter, a 6-h urine sample was collected and the fluoride content was determined with an ion-sensitive electrode. The parents supervised toothbrushing with a small-fingernail amount of fluoride toothpaste (1000 ppm) twice daily during the entire experiment.RESULTS: One boy failed to comply with the urinary samplings and was excluded. The mean fluoride concentration in the 6-h urine samples was slightly higher after the active varnish compared with the placebo varnish, but the difference was not statistically significant. Likewise, no statistically significant differences were obtained when the post-treatment concentrations were compared with baseline for the two varnishes. No side-effects or adverse events were reported.CONCLUSION: A single topical treatment with the investigated varnish did not significantly increase the urinary fluoride excretion compared with placebo in preschool children with parallel use of fluoride toothpaste.
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- Wallengren, Marie Louise, et al.
(författare)
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Human Leucocyte Antigen Profile and Transmission of Mutans Streptococci in Mother-Child Pairs
- 2015
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Ingår i: Oral Health & Preventive Dentistry. - : Quintessence. - 1602-1622 .- 1757-9996. ; 13:5, s. 449-456
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: To investigate possible association between the transmission of mutans streptococci and sharing the immune system component Human Leucocyte Antigen (HLA) class II in mother-child pairs. Material and Methods: Plaque samples from 43 mother-child pairs were cultivated and screened for mutans streptococci. In 14 pairs where both mother and child harboured the bacteria, the strains were genotyped by Random Amplified Polymorphic DNA and samples were run on PAGE gels. Analysis of genetic identity between mother and child strains was performed with help of software and Dice similarity index. The distribution of HLA of serogroup DR4 (HLA DR4) was studied in relation to maternal transmission and mutans streptococci colonisation in children. The study hypothesis was that in pairs where both mother and child were HLA DR4 positive, transmission of mutans streptococci was more likely. Results: No correlation between the presence of HLA DR4 in mother and child and maternal transmission of mutans streptococci was established. However, the results showed no linkage between mutans streptococci colonisation and HLA DR 4. Of 15 children with mutans streptococci, 12 were HLA DR4 positive. Conclusion: The result suggests that presence of HLA DR4 could be a predisposing factor for colonisation with mutans streptococci in children.
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