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Moberg Sköld, U., Hesselmar, B., Stensson, M. & Birkhed, D. (2023). Astma hos barn och ungdomar: preventionsstrategier för karies och dental erosion. Tandläkartidningen (5), 48-58
Open this publication in new window or tab >>Astma hos barn och ungdomar: preventionsstrategier för karies och dental erosion
2023 (Swedish)In: Tandläkartidningen, ISSN 0039-6982, no 5, p. 48-58Article in journal (Refereed) Published
Abstract [sv]

Astma och karies är två vanligt förekommande sjukdomar hos barn och ungdomar, och det finns samband mellan sjukdomarna och även mellan astma och dental erosion. En fungerande samverkan mellan barnhälsovården och tandvården är därför viktig så att tandvården tidigt kan sätta in adekvata preventionsstrategier, och vid behov ställa diagnos och behandla eventuell karies och dental erosion.

Place, publisher, year, edition, pages
Tandläkartidningen, 2023
National Category
Dentistry
Identifiers
urn:nbn:se:hj:diva-61145 (URN)POA;;61145 (Local ID)POA;;61145 (Archive number)POA;;61145 (OAI)
Available from: 2023-06-15 Created: 2023-06-15 Last updated: 2023-06-15Bibliographically approved
Stensson, M., Norderyd, J., Van Riper, M., Marks, L. & Björk, M. (2023). Dental health care for children with Down syndrome – parents’ description of their children’s needs in dental health care settings. In: : . Paper presented at The 26th conference of the International Association for Disability and Oral Health (iADH 2022), Paris, France, 23-26 August 2022.
Open this publication in new window or tab >>Dental health care for children with Down syndrome – parents’ description of their children’s needs in dental health care settings
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2023 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

A visit to the dental clinic may be challenging for a child with Downs syndrome due to medical and oral health problems as well as communication problems.

Aim: The aim of the present study was to explore how parents of children with Down syndrome describe their child’s needs in the dental health care setting.

Method: In a online survey concerning parental experiences with dental health care in Sweden, free comments were analysed with content analysis. By answering the survey, parents consented to participate. Ethical approval was obtained by from the Regional Ethics Committee for Human Research at Linköping University, Sweden.

Result: The analyse resulted in five categories: “Need for continuity of care in dental health care”; “Need for dental health care professionals to have knowledge and expertise in caring for children with Down syndrome and other disabilities”; “Need for dental health care professionals to use a caring approach with children with Down syndrome”; “Need for the child with Down syndrome to be prepared to participate in their dental health care visit” “Need for the child with Down syndrome to be given the same rights as typically developing children”.

Conclusion: To support children with Down syndrome in an optimal way, dental health care needs to be tailored to meet the child’s unique needs. When visiting dental health care services, children with Downs syndrome need continuity, and they need to meet professionals who have a caring approach and knowledge and experience of children with Down syndrome.

National Category
Dentistry
Identifiers
urn:nbn:se:hj:diva-62842 (URN)
Conference
The 26th conference of the International Association for Disability and Oral Health (iADH 2022), Paris, France, 23-26 August 2022
Available from: 2023-11-03 Created: 2023-11-03 Last updated: 2023-11-03Bibliographically approved
Shmarina, E., Stensson, M. & Jacobsson, B. (2023). Oral health literacy among migrant mothers in Sweden: A qualitative study. Acta Odontologica Scandinavica
Open this publication in new window or tab >>Oral health literacy among migrant mothers in Sweden: A qualitative study
2023 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850Article in journal (Refereed) Epub ahead of print
Abstract [en]

Objective

This interview study explored the oral health literacy of migrant mothers in Sweden, with special reference to where and why they access information about oral health and how they determine the credibility of such information.

Material and method

In-depth interviews were conducted with seven migrant mothers of children up to 10 years old. The mothers had entered Sweden from 2015 onwards and had been resettled in Kalmar County, Sweden. Their native language was Somalian, Dari or Arabic. The interview questions concerned the participants’ experiences of seeking oral health information, as well as oral health in general and dental health services. The interviews were analysed by qualitative content analysis.

Findings

The main findings indicate that migrant mothers used information sourcing as a pathway to solve oral health literacy tasks. Three main categories were identified, each with subcategories, describing the migrant mothers’ experiences of accessing and evaluating oral health information: ‘accessible source of information’, ‘needs-related purpose of seeking information’ and ‘trustworthiness assessment’. The migrant mothers reported that in case of a dental emergency or general queries, they sought oral health information from professionals and social sources. Moreover, they perceived oral health information to be most reliable when it was provided by dental professionals, was a recurring theme, or constituted majority opinion.

Conclusion

To improve oral health literacy in migrant mothers of young children, it is important not only to provide consistent and recurrent oral health information through accessible information channels, but also to adapt dental care to be more culturally appropriate.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
asylum seekers, dental health, information seeking behaviour, oral health information, refugees
National Category
Dentistry Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hj:diva-63041 (URN)10.1080/00016357.2023.2291206 (DOI)001123484800001 ()38082482 (PubMedID)2-s2.0-85179732175 (Scopus ID)HOA;;920358 (Local ID)HOA;;920358 (Archive number)HOA;;920358 (OAI)
Funder
Forte, Swedish Research Council for Health, Working Life and WelfareRegion Kalmar länRegion Kronoberg
Available from: 2023-12-12 Created: 2023-12-12 Last updated: 2024-01-26
Stensson, M., Norderyd, J., Van Riper, M., Marks, L. & Björk, M. (2022). Dental health care for children with Down syndrome: Parents' description of their children's needs in dental health care settings.. European Journal of Oral Sciences, 130(3), Article ID e12859.
Open this publication in new window or tab >>Dental health care for children with Down syndrome: Parents' description of their children's needs in dental health care settings.
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2022 (English)In: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, Vol. 130, no 3, article id e12859Article in journal (Refereed) Published
Abstract [en]

A visit to the dental clinic may be challenging for a child with Down syndrome due to medical and oral health problems as well as communication problems. The aim of the present study was to explore how parents of children with Down syndrome describe their child's needs in the dental health care setting. In a survey concerning parental experiences with dental health care in Sweden, free comments were analysed with content analysis and resulted in five categories: "Need for continuity of care in dental health care"; "Need for dental health care professionals to have knowledge and expertise in caring for children with Down syndrome and other disabilities"; "Need for dental health care professionals to use a caring approach with children with Down syndrome"; "Need for the child with Down syndrome to be prepared to participate in their dental health care visit" and "Need for the child with Down syndrome to be given the same rights as typically developing children". To support children with Down syndrome in an optimal way, dental health care needs to be tailored to meet the child's unique needs. In addition, dental health care professionals need knowledge of and expertise in the care of children with Down syndrome.

Place, publisher, year, edition, pages
John Wiley & Sons, 2022
Keywords
Down syndrome, children, children's rights, dental health care
National Category
Dentistry Nursing
Identifiers
urn:nbn:se:hj:diva-55953 (URN)10.1111/eos.12859 (DOI)000761263100001 ()35218581 (PubMedID)2-s2.0-85125182216 (Scopus ID)HOA;intsam;797753 (Local ID)HOA;intsam;797753 (Archive number)HOA;intsam;797753 (OAI)
Funder
Futurum - Academy for Health and Care, Jönköping County Council, Sweden
Available from: 2022-02-28 Created: 2022-02-28 Last updated: 2022-09-19Bibliographically approved
Jiang, N., Zhao, Y., Stensson, M. & Mårtensson, J. (2022). Effects of an integrated supportive program on xerostomia and saliva characteristics in patients with head and neck cancer radiated with a low dose to the major salivary glands: a randomized controlled trial. BMC Oral Health, 22(1), Article ID 199.
Open this publication in new window or tab >>Effects of an integrated supportive program on xerostomia and saliva characteristics in patients with head and neck cancer radiated with a low dose to the major salivary glands: a randomized controlled trial
2022 (English)In: BMC Oral Health, ISSN 1472-6831, E-ISSN 1472-6831, Vol. 22, no 1, article id 199Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Xerostomia and changes in saliva characteristics are common side-effects in patients with head and neck cancer (HNC) undergoing radiotherapy, which negatively impact their oral health. However, there are no consensus standards for intervention to manage these problems. The aim of this study was to determine the effect of an integrated supportive program on xerostomia and saliva characteristics at a 1-year follow-up of patients with HNC radiated with a low dose to the major salivary glands.

METHODS: The CONSORT guidelines for a randomized controlled trial were used. Participants with a low overall dose to major salivary glands were randomly allocated to an intervention group (n = 47) or a control group (n = 45). The intervention group received usual care and an integrated supportive program, which included three steps: face-to-face education; face-to-face coaching at 1 month post-radiotherapy; and four telephone coaching sessions at 2, 3, 6, and 9 months post-radiotherapy. The face-to-face education consisted of oral hygiene instruction, oral self-care strategies, facial and tongue muscle exercises, and salivary gland massage. Adherence to the intervention was evaluated using a questionnaire completed during the 9 months follow-up. The control group received usual care. The unstimulated saliva flow rate and xerostomia were assessed in both groups.

RESULTS: A total of 79 participants (40 in the intervention group and 39 in the control group) completed the 12 months follow-up. The intervention group achieved significantly greater relief from xerostomia than the control group after 3 months (intervention group: 35.1 ± 5.9 versus control group: 38.0 ± 5.9, P = 0.027) and 12 months follow-up (intervention group: 18.5 ± 4.1 versus control group: 22.8 ± 4.3, P < 0.001). A higher unstimulated saliva flow rate was observed in the intervention group than the control group at 12 months follow-up (intervention group: 0.16 ± 0.08 versus control group: 0.12 ± 0.07, P = 0.035). Adherence to the intervention was generally good.

CONCLUSION: This integrated supportive program with good adherence relieved xerostomia and had a positive effect on unstimulated saliva flow rate among patients with HNC radiated with a low dose to the major salivary glands during the 12 months of follow-up.

TRIAL REGISTRATION: Chinese Clinical Trial Registry ChiCTR2100051876 (08/10/2021), retrospectively registered.

Place, publisher, year, edition, pages
BioMed Central, 2022
Keywords
Head and neck cancer, Integrated supportive program, Unstimulated saliva flow rate, Xerostomia
National Category
Dentistry
Identifiers
urn:nbn:se:hj:diva-56668 (URN)10.1186/s12903-022-02225-y (DOI)000801214900004 ()35606811 (PubMedID)GOA;intsam;814725 (Local ID)GOA;intsam;814725 (Archive number)GOA;intsam;814725 (OAI)
Available from: 2022-05-31 Created: 2022-05-31 Last updated: 2022-06-10Bibliographically approved
Snögren, M., Pakpour, A. H., Eriksson, I., Stensson, M., Ek, K. & Browall, M. (2022). Psychometric evaluation of a short-form version of the Swedish "Attitudes to and Knowledge of Oral Health" questionnaire. BMC Geriatrics, 22, Article ID 513.
Open this publication in new window or tab >>Psychometric evaluation of a short-form version of the Swedish "Attitudes to and Knowledge of Oral Health" questionnaire
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2022 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 22, article id 513Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Healthcare professionals' attitudes to and knowledge of oral health are fundamental to providing good oral health care to older adults. One instrument that assesses healthcare professionals' attitudes to and knowledge of oral health in a Swedish context is the "Attitudes to and Knowledge of Oral health" (AKO) questionnaire. Two of the three item-groups of the AKO have previously been validated in a Swedish context. However, it is crucial that all three item-groups are validated, and beneficial to design a shorter, easy-to-use questionnaire for healthcare professionals while maintaining adequate integrity of its reliability and validity. Therefore, the present study aims to develop a short-form version of AKO and to secure its psychometric properties.

METHODS: Psychometric evaluation with Classical Test Theory and Item Response Theory to validate and shorten AKO with 611 healthcare professionals from a population of 1159 working in a municipality in an urban area in western Sweden.

RESULTS: Of the original 16 items in the AKO, 13 were shown to warrant retention in the abbreviated/shortened form. These showed acceptable validity and reliability for assessing healthcare professionals' attitudes to and knowledge of oral health.

CONCLUSION: This validated short-form version of AKO shows acceptable validity and reliability after being reduced to 13 items, structured in a 3-part scale. The items are consistent with the total scale, indicating that the internal consistency is acceptable. Future studies should be performed to evaluate AKO in other groups of healthcare professionals, across cultures, languages, and so on, to investigate its use and strengthen its validity and reliability.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2022
Keywords
Attitudes, Healthcare professional, Knowledge, Older adults, Oral health, Oral health care
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Dentistry
Identifiers
urn:nbn:se:hj:diva-57649 (URN)10.1186/s12877-022-03215-z (DOI)000814635400001 ()35733123 (PubMedID)2-s2.0-85132570033 (Scopus ID)GOA;;819440 (Local ID)GOA;;819440 (Archive number)GOA;;819440 (OAI)
Available from: 2022-06-23 Created: 2022-06-23 Last updated: 2023-02-13Bibliographically approved
Sköld, U. M., Birkhed, D., Xu, J.-Z., Lien, K.-H., Stensson, M. & Liu, J.-F. (2022). Risk factors for and prevention of caries and dental erosion in children and adolescents with asthma. Journal of Dental Sciences, 17(3), 1387-1400
Open this publication in new window or tab >>Risk factors for and prevention of caries and dental erosion in children and adolescents with asthma
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2022 (English)In: Journal of Dental Sciences, ISSN 1991-7902, Vol. 17, no 3, p. 1387-1400Article, review/survey (Refereed) Published
Abstract [en]

There are many studies and reviews of the relationship between the asthma disease in young individuals on the one hand and caries and dental erosion on the other. The causes of caries and dental erosion might be related to the asthmatic drugs, low pH and the sweeteners that the inhaled drug contains and perhaps even the lifestyle of children and adolescents with asthma. The main focus of this review is therefore to describe various preventive strategies, based on long experience of preventive dental care in Sweden. Two fact boxes are presented, one on fluoride toothpaste as a population-based intervention for different ages and one on diet counselling in children and adolescents with asthma. The most important thing is to introduce fluoride toothpaste early in the child's life and that the parents brush the child's teeth twice a day, in the morning after breakfast and at night before bedtime, up to the age of 10. Moreover, a high-risk approach with an additional fluoride supply at home is presented, together with the application of fluoride varnish at the clinic. Regarding diet counselling, it is important to make sure that the child has regular meals during the day, maximum five to six times a day, to allow the teeth to rest between meals and restrict sweets and soft drinks to once a week. It is important to identify children and adolescents with asthma as early as possible and to refer them to a dental team for preventive treatment.

Place, publisher, year, edition, pages
Elsevier, 2022
Keywords
Adolescents, Asthma, Caries, Children, Dental erosion, Prevention
National Category
Dentistry
Identifiers
urn:nbn:se:hj:diva-56344 (URN)10.1016/j.jds.2022.03.007 (DOI)000836435400016 ()35784121 (PubMedID)2-s2.0-85127838221 (Scopus ID)HOA;intsam;1655521 (Local ID)HOA;intsam;1655521 (Archive number)HOA;intsam;1655521 (OAI)
Available from: 2022-05-02 Created: 2022-05-02 Last updated: 2022-08-25Bibliographically approved
Samuelsson, N. (2021). Astma ökar risken för hål i tänderna. Allergia (4), 32-32
Open this publication in new window or tab >>Astma ökar risken för hål i tänderna
2021 (Swedish)In: Allergia, no 4, p. 32-32Article in journal (Other (popular science, discussion, etc.)) Published
Abstract [sv]

Ingress: 

Studier visar att det finns ett samband mellan astma och problem med tänderna. Orsakerna till detta är flera och mer forskning i ämnet behövs.

Personer med astma har ökad risk att utveckla karies i såväl mjölktänderna som i de permanenta tänderna. Det går dock inte att säga att det är astman i sig som orsakar karies, utan det kan ha att göra med flera olika faktorer, säger Malin Stensson, tandhygienist och universitetslektor vid Hälsohögskolan i Jönköping.

Place, publisher, year, edition, pages
Riksförbundet mot allergi, 2021
National Category
Dentistry Respiratory Medicine and Allergy
Identifiers
urn:nbn:se:hj:diva-55913 (URN)
Available from: 2022-02-21 Created: 2022-02-21 Last updated: 2022-02-21Bibliographically approved
Havsed, K., Stensson, M., Jansson, H., Carda-Dieguez, M., Pedersen, A., Neilands, J., . . . Mira, A. (2021). Bacterial Composition and Metabolomics of Dental Plaque From Adolescents. Frontiers in Cellular and Infection Microbiology, 11, Article ID 716493.
Open this publication in new window or tab >>Bacterial Composition and Metabolomics of Dental Plaque From Adolescents
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2021 (English)In: Frontiers in Cellular and Infection Microbiology, E-ISSN 2235-2988, Vol. 11, article id 716493Article in journal (Refereed) Published
Abstract [en]

Supragingival dental plaque samples were collected from 40 Swedish adolescents, including 20 with caries lesions (CAR) and 20 caries-free (CF). Fresh plaque samples were subjected to an ex vivo acid tolerance (AT) test where the proportion of bacteria resistant to an acid shock was evaluated through confocal microscopy and live/dead staining, and the metabolites produced were quantified by H-1 Nuclear Magnetic Resonance (H-1 NMR). In addition, DNA was extracted and the 16S rRNA gene was sequenced by Illumina sequencing, in order to characterize bacterial composition in the same samples. There were no significant differences in AT scores between CAR and CF individuals. However, 7 out of the 10 individuals with highest AT scores belonged to the CAR group. Regarding bacterial composition, Abiotrophia, Prevotela and Veilonela were found at significantly higher levels in CAR individuals (p=0.0085, 0.026 and 0.04 respectively) and Rothia and Corynebacterium at significantly higher levels in CF individuals (p=0.026 and 0.003). The caries pathogen Streptococcus mutans was found at low frequencies and was absent in 60% of CAR individuals. Random-forest predictive models indicate that at least 4 bacterial species or 9 genera are needed to distinguish CAR from CF adolescents. The metabolomic profile obtained by NMR showed a significant clustering of organic acids with specific bacteria in CAR and/or high AT individuals, being Scardovia wiggsiae the species with strongest associations. A significant clustering of ethanol and isopropanol with health-associated bacteria such as Rothia or Corynebacterium was also found. Accordingly, several relationships involving these compounds like the Ethanol : Lactate or Succinate : Lactate ratios were significantly associated to acid tolerance and could be of predictive value for caries risk. We therefore propose that future caries risk studies would benefit from considering not only the use of multiple organisms as potential microbial biomarkers, but also their functional adaptation and metabolic output.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2021
Keywords
Streptococcus mutans (S. mutans), NMR, metabolomics (OMICS), Rothia, acid tolerance, caries risk (assessment), dental caries, microbiome
National Category
Dentistry
Identifiers
urn:nbn:se:hj:diva-54339 (URN)10.3389/fcimb.2021.716493 (DOI)000684641700001 ()34395316 (PubMedID)2-s2.0-85112476194 (Scopus ID)GOA;intsam;760218 (Local ID)GOA;intsam;760218 (Archive number)GOA;intsam;760218 (OAI)
Funder
Swedish Research Council, 2016-01994
Available from: 2021-08-26 Created: 2021-08-26 Last updated: 2021-10-14Bibliographically approved
Stensson, M., Norderyd, J., Van Riper, M., Marks, L. & Björk, M. (2021). Parents' perceptions of oral health, general health and dental health care for children with Down syndrome in Sweden. Acta Odontologica Scandinavica, 79(4), 248-255
Open this publication in new window or tab >>Parents' perceptions of oral health, general health and dental health care for children with Down syndrome in Sweden
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2021 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 79, no 4, p. 248-255Article in journal (Refereed) Published
Abstract [en]

AIM: To describe parental perceptions of general health, oral health and received dental health care in Swedish children with Down syndrome (DS).

METHODS: Online questionnaire, quantitative data analysis (Chi-square test).

RESULTS: Parents of 101 children with DS (52 boys, 49 girls, mean age: 9.6 years) participated. Seventy percent rated their child's general health and 74% their child's oral health as good or very good. Parents, who rated their child's oral health as poor (8%), also reported that dental procedures were difficult. Children received dental care at general (55%) and specialist clinics (53%). Ninety-four percent of parents of children receiving specialist dental health care were satisfied compared to 70% of parents with children in general clinics. The parents most valued characteristics of dental professionals were patience (63%) and their ability to engage the child (68%). Parents wanted multidisciplinary collaboration.

CONCLUSION: Most parents rated their child's general and oral health as good or very good. Children with poor oral health were also reported to have difficulties coping with dental procedures. Parents wanted dental care to be tailored to meet their child's unique needs. They wanted dental professionals to have knowledge about children with a need for special care. Lastly, they requested multidisciplinary collaboration.

Place, publisher, year, edition, pages
Taylor & Francis, 2021
Keywords
Dental health care, Down syndrome, dental professions, oral health, parents
National Category
Dentistry Pediatrics
Identifiers
urn:nbn:se:hj:diva-50781 (URN)10.1080/00016357.2020.1824015 (DOI)000575228700001 ()33017197 (PubMedID)2-s2.0-85092117456 (Scopus ID)HOA;intsam;1473652 (Local ID)HOA;intsam;1473652 (Archive number)HOA;intsam;1473652 (OAI)
Funder
Futurum - Academy for Health and Care, Jönköping County Council, Sweden
Available from: 2020-10-06 Created: 2020-10-06 Last updated: 2021-11-13Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-5236-5533

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