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  • 1. Aldasoki, Hanin
    et al.
    Jasseh, Awa
    Nyutexaminerade tandhygienisters upplevelse av introduktionsprogram2017Självständigt arbete på grundnivå (högskoleexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 2.
    Alm, A.
    et al.
    Kärnsjukhuset, Specialistklinken Pedodonti, Dept Paediat Dent, SE-54185 Skövde, Sweden.
    Wendt, Lill-Kari
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Koch, G.
    Inst Postgrad Dent Educ, Dept Paediat Dent, Jönköping, Sweden.
    Birkhed, D.
    Gothenburg Univ, Dept Cardiol, Sahlgrenska Acad, Gothenburg, Sweden.
    Nilsson, M.
    Cty Hosp, Futurum Acad Healthcare, Jönköping, Sweden.
    Caries in adolescence - influence from early childhood2012Ingår i: Community Dentistry and Oral Epidemiology, ISSN 0301-5661, E-ISSN 1600-0528, Vol. 40, nr 2, s. 125-133Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: To analyse the relationship between caries determinants in early childhood and caries prevalence in proximal surfaces in adolescents at the age of 15 years. Methods: The present longitudinal study is part of a series of surveys of oral health in 671 children followed from 1 to 15 years of age. Data were selected from examinations, interviews and questionnaires at 1, 3 and 6 years and bitewing radiographs at 15 years of age. Uni- and multivariable logistic regression analyses were performed to identify caries-related determinants. The outcome variable was carious lesions and fillings (DFa) in approximal tooth surfaces at 15 years of age. Statistical comparisons were made between caries-free teenagers, DFa = 0 and teenagers with DFa > 0, DFa 4 and DFa 8, respectively. Results: In the final logistic regression analyses, caries experience at 6 years and mother's self-estimation of her oral health care as being less good to poor remained statistically significant and were related to caries in all three caries groups (i.e. DF > 0, 4 and 8) at 15 years of age. The consumption of sweets at 1 year remained statistically significant, with a caries experience of DF 4 and 8. The variables 'parents born abroad' and female gender were statistically significantly associated with DFa 4 and DFa 8, respectively. Furthermore, infrequent toothbrushing habits at 3 years of age and failure to attend the examination at 1 year were statistically significantly associated with caries at 15 years in the univariable analyses. Conclusion: Early caries experience, consumption of sweets at an early age and mother's self-estimation of her oral health care as being less good to poor are associated with approximal caries in adolescents. The study indicates that caries determinants identified during early childhood have a strong impact on approximal caries in adolescence.

  • 3. Alm, Anita
    et al.
    Fåhraeus, Christina
    Wendt, Lill-Kari
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Koch, Göran
    Andersson-Gäre, Boel
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Birkhed, Dowen
    Body adiposity status in teenagers and snacking habits in early childhood in relation to approximal caries at 15 years of age2008Ingår i: International Journal of Paediatric Dentistry, ISSN 0960-7439, E-ISSN 1365-263X, Vol. 18, nr 3, s. 189-196Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: The prevalence of overweight and obesity in children is steadily increasing in many countries. Dental caries and obesity are both multifactorial diseases and are associated with dietary habits.

    OBJECTIVE: The purpose of this study was to investigate the relationship between body weight status in adolescents and snacking habits in early childhood to approximal caries prevalence at 15 years of age.

    METHODS: This study is part of a series of surveys of oral health in children followed from the ages of 1 year to 15 years. Body adiposity status was estimated at 13.5-16.4 years using the International Obesity Task Force cut-off values [age-specific body mass index (isoBMI)]. Information about snacking habits in early childhood was collected from interviews conducted at 1 year and 3 years. Approximal caries information was obtained from bitewing radiographs at 15 years. Data related to isoBMI and approximal caries were available in 402 teenagers.

    RESULT: Adolescents with isoBMI > or = 25 (n = 64) had an approximal caries prevalence that was a mean of 1.6 times higher than those with isoBMI < 25 (n = 338) (4.64 vs. 2.94; P = 0.014). Furthermore, children's snacking habits at an early age were associated with approximal caries at 15 years.

    CONCLUSION: Overweight and obese adolescents had more approximal caries than normal-weight individuals. Moreover, the frequent consumption of snacking products during early childhood appears to be a risk indicator for caries at 15 years. Future preventive programmes should therefore include, on a multidisciplinary level, strategies to prevent and reduce both obesity and dental caries at an early age.

  • 4. Alm, Anita
    et al.
    Isaksson, Helen
    Fåhraeus, Christina
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Koch, Göran
    Andersson-Gäre, Boel
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete. Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare.
    Nilsson, Mats
    Birkhed, Dowen
    Wendt, Lill-Kari
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    BMI status in Swedish children and young adults in relation to caries prevalence: BMI and caries prevalence2011Ingår i: Swedish Dental Journal, ISSN 0347-9994, Vol. 35, nr 1, s. 1-8Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Overweight and obesity are increasing as health problems at global level. Dental caries and obesity are both multifactorial diseases and are associated with dietary habits. The aim of the present study was to investigate the relationship between body weight status and caries prevalence in an unselected population followed from pre-school years to young adulthood. The present investigation was designed as a longitudinal analysis of the association between overweight/obesity and dental caries in one population at 3, 6, 15 and 20 years of age. The result shows that adolescents (15 years) and young adults (20 years) who are overweight/obese had a statistically significantly higher caries prevalence than normal-weight young people. At 6 years of age, the odds (OR) of having caries among obese children are 2.5 times higher than the odds for caries among six-year-old children of normal weight (p = 0.04). At 3 years of age, no association between overweight/obesity and caries was found. To conclude, overweight and obese adolescents and young adults had more caries than normal-weight individuals. The present study emphasises the need for multidisciplinary approaches to change the lifestyle factors causing both overweight/obesity and dental caries.

  • 5. Alm, Anita
    et al.
    Wendt, Lill-Kari
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Koch, Göran
    Birkhed, Dowen
    Oral hygiene and parent-related factors during early childhood in relation to approximal caries at 15 years of age2008Ingår i: Caries Research, ISSN 0008-6568, E-ISSN 1421-976X, Vol. 42, nr 1, s. 28-36Artikel i tidskrift (Refereegranskat)
  • 6.
    Anastassaki, Alkisti
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete.
    Öster, Anders
    Helkimo, Martti
    Magnusson, Tomas
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Globus pharyngeus: Litteraturöversikt och jämförande studie av två patientgrupper1996Ingår i: Tandläkartidningen, ISSN 0039-6982, Vol. 88, nr 7, s. 404-409Artikel, forskningsöversikt (Övrigt vetenskapligt)
  • 7.
    Andersson, Bengt-Åke
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Biomedicinsk plattform. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa. Department of Laboratory Medicine, Ryhov County Hospital, Jönköping, Sweden.
    Sayardoust, Shariel
    Department of Periodontology, Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Löfgren, Sture
    Department of Laboratory Medicine, Ryhov County Hospital, Jönköping, Sweden.
    Rutqvist, Lars Erik
    Scientific Affairs Group, Swedish Match AB, Stockholm, Sweden.
    Laytragoon-Lewin, Nongnit
    Department of Laboratory Medicine, Ryhov County Hospital, Jönköping, Sweden.
    Cigarette smoking affects microRNAs and inflammatory biomarkers in healthy individuals and an association to single nucleotide polymorphisms is indicated2018Ingår i: Biomarkers, ISSN 1354-750X, E-ISSN 1366-5804, Vol. 24, nr 2, s. 180-185Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Cigarette smoke induces inflammation and remodels immune response. Genetic and epigenetic alterations might be involved in the pathogenesis of smoking related diseases. In this study, we investigated the effect of smoking on systemic inflammation biomarkers and epigenetic changes at microRNA (miRNA) expression level. We also examined if the levels of inflammatory biomarkers were associated with selected single nucleotide polymorphisms (SNPs).

    METHOD: From 39 smokers and 101 non-smokers, levels of total white blood cells (WBCs) and its subpopulations, plasma cytokines/chemokines/proteins and miRNAs were analysed. For three biomarkers, C-reactive protein (CRP), MCP-1 and IFN-γ that were affected by smoking, the influence of SNPs was analyzed.

    RESULT: Elevated levels of total WBCs, neutrophils, monocytes, lymphocytes, CRP, MCP-1, IFN-γ and lower levels of miR-21 were detected in smokers. The elevated levels of IFN-γ in smokers was only statistically significantly associated with rs2069705 AG/GG SNP-genotype.

    CONCLUSIONS: A lower level of oncomir miRNA-21 and a higher level of immune modelling cytokine IFN-γ detected in smokers could be a protective immune response to cigarette smoke. The higher level of IFN-γ in smokers with a specific SNP genotype also suggests that a genetic interaction with smoking might predict the pathobiology of smoking related disease.

  • 8.
    Andersson, Ida
    et al.
    Högskolan i Jönköping.
    Teow, Lilly
    Högskolan i Jönköping.
    Oral hälsa hos barn med Downs syndrom: En litteraturöversikt2018Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 9.
    Berbic, Jasmina
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Omeirat, Sara
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Tandhygienisters användning av bildstöd vid möte med barnpatienter2016Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Syfte: Syftet med studien var att undersöka tandhygienisters användning av alternativ kompletterande kommunikation i form av bildstöd i möte med barnpatienter. Metod och material: En digital enkät bestående av 15 frågor skickades ut till samtliga (102 stycken) verksamma tandhygienister i Region Jönköpings län. Antal deltagare var totalt 57 stycken, 54 kvinnor och 3 män. Resultatet redovisades i absoluta – och relativa frekvenser, samt medelvärde. p-värde ≤ 0,05 ansågs statistiskt signifikant. Chi2test användes för jämförelse mellan grupper. Resultat: Intresse för användning av bildstöd fanns bland tandhygienisterna. Totalt var det 32 % som använde bildstöd. Inom specialisttandvård använde samtliga tandhygienister bildstöd och bland tandhygienisterna inom allmäntandvård användes bildstöd av 23,5%.. Resultatet visade även att 55,6% av tandhygienisterna använde bildstöd på alla barn inte bara enstaka grupper. Det fanns inget statistisk signifikant samband mellan användning av bildstöd och längden på tandhygienistutbildningen, men tandhygienister med en treårig utbildning använde sig av bildstöd i större utsträckning än tandhygienister med kortare utbildning. Slutsats: Bildstöd har visat sig vara ett bra hjälpmedel vid möte med barnpatienter inom tandvården. Trots detta använder inte alla tandhygienister sig av bildstöd pga. bland annat tidsbrist. Därför behövs mer kunskap om bildstöd samt om deras användning och fördelar inom tandvården.

  • 10.
    Berg, Stig
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi. Högskolan i Jönköping, Hälsohögskolan, HHJ. Åldrande - livsvillkor och hälsa.
    Äldre och åldrande: Om befolkningsutveckling, hälsa och sociala förhållanden i ett framtidsperspektiv1991Ingår i: Tandhälsotillståndet hos olika befolkningsgrupper i Sverige: sammanställning av consensuskonferens i Hook 9-11 april, 1991 / [ed] Anders Hugoson, Göran Koch, Gunilla Svensson, Solna: LIC Förlag , 1991, s. 180-192Konferensbidrag (Övrigt vetenskapligt)
  • 11.
    Bergendal, Birgitta
    et al.
    Högskolan i Jönköping, Hälsohögskolan. National Oral Disability Centre for Rare Disorders, The Institute for Postgraduate Dental Education, Jönköping, Sweden.
    McAllister, Anita
    CLINTEC, Division of Speech and Language Pathology, Karolinska Institutet, Stockholm, Sweden.
    Orofacial function and monitoring of oral care in amyotrophic lateral sclerosis2017Ingår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 75, nr 3, s. 179-185Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: The aim was to assess orofacial function and monitor oral care in patients with amyotrophic lateral sclerosis (ALS) to maintain oral comfort and oral health.

    MATERIALS AND METHODS: A case series of 14 patients newly diagnosed with ALS accepted to participate in a quality improvement project. After initial examinations, baseline oral conditions were obtained and the patients were seen every 3 months. Nordic Orofacial Test-Screening (NOT-S) was used for evaluation of orofacial function.

    RESULTS: Patients were grouped according to initial symptoms in a bulbar group and a spinal group with eight and six patients, respectively. The mean age at diagnosis was 62.8 years. All were dentate with a mean of 26.7 natural teeth. Most patients had very good oral and dental conditions. As expected, orofacial functions were differently affected in the two groups; at initial NOT-S registration, the mean total score was 5.6 (range 3-8 domains) in the bulbar group and 0.7 (0-2 domains) in the spinal group. At final registration, the corresponding figures were 6.1 and 3.2. Oral and dental aids were introduced according to need.

    CONCLUSIONS: In the bulbar group, several orofacial functions became impaired at an early stage of disease development, and at final registrations many vital orofacial functions were severely compromised. The spinal group was less severely affected orally. However, all individuals irrespective of type of initial symptoms needed assistance in performing oral hygiene measures in the latter part of the disease period. Good oral health and oral comfort could be maintained in all participants and no other dental treatment was needed.

  • 12.
    Bergendal, Birgitta
    et al.
    Odontologiska Institutionen i Jönköping.
    Norderyd, Johanna
    Odontologiska Institutionen i Jönköping.
    Bågesund, Mats
    Center for Orthodontics and Paediatric Dentistry, Linköping, Sweden.
    Holst, Annalena
    Department of Paediatric Dentistry, Kalmar, Sweden.
    Signs and symptoms from ectodermal organs in young Swedish individuals with oligodontia2006Ingår i: International Journal of Paediatric Dentistry, ISSN 0960-7439, E-ISSN 1365-263X, Vol. 16, nr 5, s. 320-326Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objectives. The aim was to assess signs and symptoms from other ectodermal organs in addition to teeth in young individuals with oligodontia and to establish the prevalence of oligodontia.

    Sample and methods.  Children born 1981–94 reported by dental teams in the Public Dental Service to have oligodontia were asked to participate in a clinical study. The examinations comprised a structured interview on symptoms from ectodermal organs, and testing of salivary secretion.

    Results.  One hundred and sixty-two individuals met the inclusion criteria, and 123 individuals (75·9%) participated in the clinical study. Half of the individuals had one to four signs or symptoms from ectodermal organs beside oligodontia. The most common sign was low salivary secretion. Twelve individuals (9·6%) with isolated oligodontia reported impaired function of the sweat glands, hair, or nails. The prevalence of oligodontia was 0·090%.

    Conclusions.  An early identification of individuals with oligodontia can be made in a majority of cases by checking that all permanent incisors have erupted at the age of 8 years. The validity in asking individuals about normal and abnormal function of ectodermal organs was found to be low. This indicates that there is a strong need to establish routine clinical criteria for dysplasia of ectodermal organs.

  • 13.
    Bergendal, Birgitta
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. National Oral Disability Centre for Rare Disorders, The Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Norderyd, Johanna
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. National Oral Disability Centre for Rare Disorders, The Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Zhou, Xiaolei
    Uppsala University, Department of Immunology, Genetics and Pathology, Uppsala, Sweden.
    Klar, Joakim
    Uppsala University, Department of Immunology, Genetics and Pathology, Uppsala, Sweden.
    Dahl, Niklas
    Uppsala University, Department of Immunology, Genetics and Pathology, Uppsala, Sweden.
    Abnormal primary and permanent dentitions with ectodermal symptoms predict WNT10A deficiency2016Ingår i: BMC Medical Genetics, ISSN 1471-2350, E-ISSN 1471-2350, Vol. 17, nr 1, artikel-id 88Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: The WNT10A protein is critical for the development of ectodermal appendages. Variants in the WNT10A gene may be associated with a spectrum of ectodermal abnormalities including extensive tooth agenesis.

    METHODS: In seven patients with severe tooth agenesis we identified anomalies in primary dentition and additional ectodermal symptoms, and assessed WNT10A mutations by genetic analysis.

    RESULTS: Investigation of primary dentition revealed peg-shaped crowns of primary mandibular incisors and three individuals had agenesis of at least two primary teeth. The permanent dentition was severely affected in all individuals with a mean of 21 missing teeth. Primary teeth were most often present in positions were succedaneous teeth were missing. Furthermore, most existing molars had taurodontism. Light, brittle or coarse hair was reported in all seven individuals, hyperhidrosis of palms and soles in six individuals and nail anomalies in two individuals. The anomalies in primary dentition preceded most of the additional ectodermal symptoms. Genetic analysis revealed that all seven individuals were homozygous or compound heterozygous for WNT10A mutations resulting in C107X, E222X and F228I.

    CONCLUSIONS: We conclude that tooth agenesis and/or peg-shaped crowns of primary mandibular incisors, severe oligodontia of permanent dentition as well as ectodermal symptoms of varying severity may be predictors of bi-allelic WNT10A mutations of importance for diagnosis, counselling and follow-up.

  • 14. Bergius, Marianne
    et al.
    Broberg, Anders G
    Hakeberg, Magnus
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Berggren, Ulf
    Prediction of prolonged pain experiences during orthodontic treatment2008Ingår i: American Journal of Orthodontics and Dentofacial Orthopedics, ISSN 0889-5406, E-ISSN 1097-6752, Vol. 133, nr 3, s. 339.e1-8Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    INTRODUCTION: In this study, we investigated prolonged pain reactions in teenage orthodontic patients during a common orthodontic treatment. The aim was to examine factors predicting pain at the end of a follow-up week after placement of elastic separators. METHODS: Fifty-five patients (ages, 12-18 years) were included. Baseline assessments were made of perceived intensity of general and dental pain experiences, motivation for treatment, dental anxiety, and personality factors (self-esteem and temperament). Pain intensity was assessed on a visual analog scale, and pain medications were recorded. The patients were separated into pain and no-pain groups according to pain experiences at day 7. RESULTS: The pain group (mainly girls) had significantly higher ratings of treatment pain than in the non-pain group at all times measured except for the treatment day. Bivariate and multiple logistic regressions showed significant predictive power from motivation, dental anxiety, activity temperament, and vaccination pain. CONCLUSIONS: In this adolescent patient sample, low motivation for orthodontic treatment, high ratings of vaccination pain, elevated dental anxiety level, and low activity temperament characterized patients reporting pain 1 week after the elastic separators were placed.

  • 15. Bergström, Ingalill
    et al.
    List, Thomas
    Magnusson, Tomas
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    A follow-up study of subjective symptoms of temporomandibular disorders in patients who received acupuncture and/or interocclusal appliance therapy 18-20 years earlier2008Ingår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 66, nr 2, s. 88-92Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: To evaluate the presence of symptoms of temporomandibular disorders (TMDs) in patients referred to a specialist clinic because of muscular problems 18-20 years earlier and who had received mainly acupuncture and/or interocclusal appliance therapy. MATERIAL AND METHODS: Sixty-five subjects who had received therapy at a TMD specialist clinic 18-20 years earlier were mailed a questionnaire with questions about TMD symptoms, their attitude towards the therapy, and their opinion about the outcome. Fifty-five subjects (85%) answered and returned the questionnaire. RESULTS: Before therapy, 87% had had severe TMD symptoms, but this figure decreased to 38% at the long-term follow-up. The mean values of the subjects' complaints at worst and at best before treatment, measured with a visual analog scale, were 66 (range 26-100) and 31 (range 0-100), respectively. The corresponding figures at the long-term follow-up were 32 (range 0-96) and 16 (range 0-70). Headache at least once a week was originally reported by 73% of the women and by 77% of the men. Headache prevalence 18-20 years later was 35% in women and 54% in men. The majority of patients were positive about the therapy they had received, and would recommend it to a friend with similar complaints. CONCLUSIONS: A majority of the patients reported a lasting improvement in their symptoms. Patients' overall opinions of the therapy received were positive.

  • 16. Björkelund, Cecilia
    et al.
    Andersson-Hange, Dominique
    Andersson, Kate
    Bengtsson, Calle
    Blomstrand, Ann
    Bondyr-Carlsson, Dorota
    Eiben, Gabriele
    Rödström, Kerstin
    Sjöberg, Agneta
    Sundh, Valter
    Weman, Lilian
    Zylberstein, Dimitri
    Hakeberg, Magnus
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Lissner, Lauren
    Secular trends in cardiovascular risk factors with a 36-year perspective: observations from 38- and 50-year-olds in the Population Study of Women in Gothenburg.2008Ingår i: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 26, nr 3, s. 140-146Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES: To study secular trends in cardiovascular risk factors in four different cohorts of women examined in 1968-1969, 1980-1981, 1992-1993 and 2004-2005. DESIGN: Comparison of four representative cohorts of 38- and 50-year-old women over a period of 36 years. SETTING: Gothenburg, Sweden with approximately 450,000 inhabitants. SUBJECTS: Four representative samples of 38- and 50-year-old women were invited to free health examinations (participation rate 59-90%, n =1901). MAIN OUTCOME MEASURES: Body mass index (BMI), systolic and diastolic blood pressure (SBP, DBP), leisure time exercise, use of antihypertensive medication, smoking, levels of haemoglobin, b-glucose, s-cholesterol, s-triglycerides and HDL-cholesterol. RESULTS: There was no significant difference in mean BMI from 1968-1969 versus 2004-2005. Mean leisure time exercise was significantly higher in later born cohorts; in 1968, around 15% were physically active compared with 40% in 2004. SBP and DBP, mean s-cholesterol and s-triglyceride levels were significantly lower in both 38- and 50-year-old cohorts in 2004-2005 versus 1968-1969. HDL-cholesterol (not measured until 1992-1993), showed a significantly higher mean level in 2004-2005. Reduction of risk factors was apparent in women with a high as well as low level of physical activity. Smoking declined most in women with high levels of physical activity. CONCLUSIONS: Several cardiovascular risk factors related to lifestyle have improved in middle-aged women from the 1960s until today. Most of the positive trends are observed in women with both low and high physical activity.

  • 17.
    Björksved, Margitha
    et al.
    Department of Orthodontics, Public Dental Health Service, Eskilstuna, Sweden.
    Arnrup, Kristina
    Dental Research Department, Public Dental Service, Region Örebro County, Örebro, Sweden.
    Lindsten, Rune
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa. Department of Orthodontics, The Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Magnusson, Anders
    Department of Orthodontics, The Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Sundell, Anna Lena
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa. Department of Paediatric Dentistry, The Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Gustafsson, Annika
    Department of Paediatric Dentistry, Postgraduate Dental Education Center, Örebro, Sweden.
    Bazargani, Farhan
    Department of Orthodontics, Postgraduate Dental Education Center, Örebro, Sweden.
    Closed vs open surgical exposure of palatally displaced canines: surgery time, postoperative complications, and patients' perceptions2018Ingår i: European Journal of Orthodontics, ISSN 0141-5387, E-ISSN 1460-2210, Vol. 40, nr 6, s. 626-635Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Closed and open surgical techniques are two different main approaches to surgical exposure of palatally displaced canines (PDCs). Because there is insufficient evidence to support one technique over the other, there is a need for randomized controlled trials.

    Objectives: To compare surgery time, complications and patients' perceptions between closed and open surgical techniques in PDCs.

    Trial design: The trial was a multicentre, randomized, controlled trial with two parallel groups randomly allocated in a 1:1 ratio.

    Material and methods: Study participants were 119 consecutive patients from 3 orthodontic centres, with PDCs planned for surgical exposure, randomly allocated according to a computer-generated randomization list, using concealed allocation. Full-thickness mucoperiosteal flap was raised, and bone covering the canine was removed in both interventions. In closed exposure, an attachment with a chain was bonded to the canine and the flap was sutured back with the chain penetrating the mucosa. In open exposure, a window of tissue around the tooth was removed and glass ionomer cement placed on the canine crown, to prevent gingival overgrowth during spontaneous eruption. Patient perceptions were assessed with two questionnaires, for the evening on the day of operation and 7 days post-surgery.

    Blinding: It was not possible to blind either patients or care providers to the interventions. The outcome assessors were blinded and were unaware of patients' intervention group.

    Results: Seventy-five girls and 44 boys, mean age 13.4 years (SD 1.46) participated in the study and got either of the interventions (closed exposure, n = 60; open exposure, n = 59). Surgery time did not differ significantly between the interventions. Complications though were more severe in bilateral cases and the patients experienced more pain and impairment in the open group.

    Conclusion: There were no statistically significant differences regarding surgery time between the groups. Postoperative complications were similar between the groups in unilateral PDCs, but more common in the open group in bilateral cases. More patients in the open group experienced pain and impairment compared to the closed group.

    Trial registration: Trial registration: ClinicalTrials.gov, ID: NCT02186548 and Researchweb.org, ID: 127201.

  • 18.
    Bohm, Niklas
    et al.
    Department of Oral Microbiology and Immunology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Karlsson, Charlott
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Skoogh Andersson, Jessica
    Department of Periodontology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Almståhl, Annica
    Department of Oral Microbiology and Immunology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Variations in odontological care routines for patients undergoing treatment for head and neck cancer in county councils/regions of Sweden2019Ingår i: Clinical and Experimental Dental Research, ISSN 2057-4347Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective

    To investigate current odontological care routines for patients treated for head and neck cancers in the county councils/regions (C/Rs) of Sweden.

    Methods

    An invitation to fill in a web-based questionnaire was sent to dentists/dental hygienists working in dental clinics in the 12 C/Rs, treating and responsible for the odontological care of patients undergoing treatment for cancer of the head and neck. The questionnaire started with two mandatory and one non-mandatory questions, followed by questions regarding routines before (n = 28), during (n = 23), and after (n = 9) treatment, plus two additional questions, totalling 65 questions.

    Results

    Four dental hygienists and six dentists in 10 of the 12 C/Rs answered the questionnaire. Three C/Rs stated that they measure both the unstimulated and stimulated salivary secretion rate, and another C/R stated that they measure the stimulated secretion rate only. Similar recommendations were given regarding oral hygiene, salivary stimulants and substitutes, and extra fluoride. However, great variations were seen regarding recommendations for preventing and relieving oral mucositis. There were also discrepancies regarding information about the importance of avoiding smoking and alcohol. In seven C/Rs, patients visited the dental hygienist once a week during cancer treatment.

    Conclusion

    The results suggests that there are great variations in odontological care given to patients undergoing treatment for cancer of the head and neck region in different county councils/regions in Sweden. There is a need to develop and implement evidence-based guidelines to decrease the risk of oral complications and increase both the quality of life and the quality of care.

  • 19.
    Brahm, Carl-Otto
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa. Department of Oral and Maxillofacial Surgery, Institute for Postgraduate Dental Education, Region Jönköping County, Jönköping, Sweden.
    Lundgren, Jesper
    Department of Psychology, University of Gothenburg, Gothenburg, Sweden.
    Carlsson, Sven G.
    Department of Psychology, University of Gothenburg, Gothenburg, Sweden.
    Nilsson, Peter
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa. Department of Oral and Maxillofacial Surgery, Institute for Postgraduate Dental Education, Region Jönköping County, Jönköping, Sweden.
    Hägglin, Catharina
    Department of Behavioral and Community Dentistry, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Development and evaluation of the Jönköping Dental Fear Coping Model: a health professional perspective2018Ingår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 76, nr 5, s. 320-330Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: The purpose of this study was to design a structured treatment model focusing on all levels of adult’s dental fear, the Jönköping Dental Fear Coping Model (DFCM). The aim was to study the DFCM from a dental health professional perspective.

    Material and methods: The DFCM was studied by means of quantitative and qualitative analyses. Nine dental clinics participated in Period I (pre-intervention/standard care), and 133 dental health professionals (dentists, dental hygienists, dental assistants) and 3088 patients were included. After completion of Period I, four of the clinics were randomized to Period II (intervention), beginning with the professionals undergoing DFCM training. Following that, 51 dental health professionals treated 1417 patients according to the DFCM. The other five clinics served as controls.

    Results: Half or more of the dental health professionals assessed the model as better than standard care, regarding anamnesis and diagnostics, communication and contact, and understanding of patients and dental fear. The dental health professionals reported higher tension in their fearful patients in Period II compared with Period I, possibly due to their increased awareness of dental fear.

    Conclusions: The qualitative data suggest that dental health professionals find the DFCM beneficial in routine dental care. The model promotes a holistic approach to the treatment of adult patients. However, stress among the professionals was not reduced when measured, neither quantitatively nor qualitatively. It is important to evaluate the model in further studies to make it possible to draw generalizable conclusions. 

  • 20.
    Brahm, Carl-Otto
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Centrum för oral hälsa. Department of Oral and Maxillofacial Surgery, Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Lundgren, Jesper
    Department of Psychology, University of Gothenburg, Gothenburg, Sweden.
    Carlsson, Sven G.
    Department of Psychology, University of Gothenburg, Gothenburg, Sweden.
    Nilsson, Peter
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Centrum för oral hälsa. Department of Oral and Maxillofacial Surgery, Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Hägglin, Catharina
    §Department of Behavioral and Community Dentistry, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Evaluation of the Jönköping dental fear coping model: a patient perspective2019Ingår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 77, nr 3, s. 238-247Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: This study is a part of a project with the aim to construct and evaluate a structured treatment model (the Jönköping Dental Fear Coping Model, DFCM) for the treatment of dental patients. The aim of the present study was to evaluate the DFCM from a patient perspective.

    Material and methods: The study was performed at four Public Dental Clinics, with the same 13 dentists and 14 dental hygienists participating in two treatment periods. In Period I, 1351 patients were included and in Period II, 1417. Standard care was used in Period I, and in Period II the professionals had been trained in and worked according to the DFCM. In the evaluation, the outcome measures were self-rated discomfort, pain and tension, and satisfaction with the professionals.

    Results: In comparison with standard care, less tension was reported among patients treated according to the DFCM, (p =.041), which was also found among female patients in a subgroup analysis (p =.028). Additional subgroup analyses revealed that patients expecting dental treatment (as opposed to examination only) reported less discomfort (p =.033), pain (p =.016) and tension (p =.012) in Period II than in Period I. Patients with low to moderate dental fear reported less pain in Period II than in Period I (p =.014).

    Conclusions: The DFCM has several positive effects on adult patients in routine dental care. In a Swedish context, the differences between standard care and treatment according to the model were small but, in part, statistically significant. However, it is important to evaluate the model in further studies to allow generalization to other settings. 

  • 21.
    Brax Österholm, Tintin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Muric, Emina
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Kariesriskbedömning inom barn- och ungdomstandvård2019Självständigt arbete på grundnivå (kandidatexamen), 20 poäng / 30 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Syfte: Syftet med litteraturstudien var att sammanställa vetenskapliga studier som studerat tillförlitligheten av kariesriskbedömningsinstrumenten (CAMBRA, Cariogram och R2) och deras kapacitet att förutse framtida kariesutveckling hos barn och ungdomar. Metod: Studien är en allmän litteraturstudie baserad på vetenskapliga artiklar hämtade från databaserna Dentistry & Oral Sciences source (DOSS), PUBMED, CINAHL, SwePub och SveMed+. Artiklarna har valts ut med hjälp av inklusion- och exklutionskriterier. De inkluderade artiklarna granskades med hjälp av en modifierad kvalitetsgranskningsmall för att fastställa att studierna vara av hög validitet, reliabilitet och kvalitet. Resultatet baseras på totalt 17 vetenskapliga artiklar som svarar på studiens syfte och frågeställning. Resultat: Användning av de tre kariesriskbedömningsinstrumenten är ett bra hjälpmedel inom tandvården, då det underlättar vid riskgruppering av patienter. Dock finns ett stort behov av vidareutveckling av de olika instrumenten för att dessa ska anses fullt tillförlitliga. Slutsats: Gemensamt för de tre kariesriskbedömningsinstrumenten är att dessa bör granskas och vidareutvecklas för att full tillförlitlighet ska kunna uppnås.

  • 22. Carlsson, G.E
    et al.
    Magnusson, Tomas
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Orofaziale Schmerzen. Ein Fallbeispiel zur Behandling temporomandibulärer Funktionsstörungen in der Praxis2000Ingår i: Die Quintessenz, ISSN 0033-6580, nr 51, s. 289-290Artikel i tidskrift (Refereegranskat)
  • 23. Carlsson, Gunnar E
    et al.
    Magnusson, Tomas
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Klinisk bettfysiologi för allmäntandläkaren: med liten ordbok "från abrasion till öronsusningar"1982Bok (Övrigt vetenskapligt)
  • 24.
    Dzidic, Majda
    et al.
    Department of Health and Genomics, Center for Advanced Research in Public Health, Valencia, Spain.
    Collado, Maria C.
    Institute of Agrochemistry and Food Technology (IATA-CSIC), Department of Biotechnology, Unit of Lactic Acid Bacteria and Probiotics, Valencia, Spain.
    Abrahamsson, Thomas
    Department of Clinical and Experimental Medicine, Division of Pediatrics, Linköping University, Linköping, Sweden.
    Artacho, Alejandro
    Department of Health and Genomics, Center for Advanced Research in Public Health, Valencia, Spain.
    Stensson, Malin
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ. Biomedicinsk plattform.
    Jenmalm, Maria C.
    Department of Clinical and Experimental Medicine, Division of Autoimmunity and Immune Regulation, Linköping University, Linköping, Sweden.
    Mira, Alex
    Department of Health and Genomics, Center for Advanced Research in Public Health, Valencia, Spain.
    Oral microbiome development during childhood: an ecological succession influenced by postnatal factors and associated with tooth decay2018Ingår i: The ISME Journal, ISSN 1751-7362, E-ISSN 1751-7370, Vol. 12, nr 9, s. 2292-2306Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Information on how the oral microbiome develops during early childhood and how external factors influence this ecological process is scarce. We used high-throughput sequencing to characterize bacterial composition in saliva samples collected at 3, 6, 12, 24 months and 7 years of age in 90 longitudinally followed children, for whom clinical, dietary and health data were collected. Bacterial composition patterns changed through time, starting with “early colonizers”, including Streptococcus and Veillonella; other bacterial genera such as Neisseria settled after 1 or 2 years of age. Dental caries development was associated with diverging microbial composition through time. Streptococcus cristatus appeared to be associated with increased risk of developing tooth decay and its role as potential biomarker of the disease should be studied with species-specific probes. Infants born by C-section had initially skewed bacterial content compared with vaginally delivered infants, but this was recovered with age. Shorter breastfeeding habits and antibiotic treatment during the first 2 years of age were associated with a distinct bacterial composition at later age. The findings presented describe oral microbiota development as an ecological succession where altered colonization pattern during the first year of life may have long-term consequences for child's oral and systemic health. 

  • 25.
    Edlund Johansson, Pia
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    The efficacy of power driven interdental tools as an addition to tooth-brushing on plaque removal and gingivitis in humans: A systematic review of randomized trials2017Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Syfte: Syftet med studien var att söka evidens för maskinella interdentala hjälpmedels effekt på plackborttagning, gingivit och blödning och om de har en tilläggseffekt utöver tandborstning jämfört med endast tandborstning eller tandborstning i kombination med manuella interdentala hjälpmedel på människor.

     

    Introduktion: Daglig plackborttagning är viktig för att uppnå god oral hälsa. Tandborstning är den vanligaste metoden för att ta bort plack men har endast en marginell åtkomst till det interdentala utrymmet mellan tänderna, därför behövs specielle hjälpmedel för plackborttagning i dessa utrymmen. Tandtråd har länge betraktats som ”en gyllene standard” för rengöring mellan tänderna och rekommenderas oftast av tandvården. Maskinella hjälpmedel är ett alternativ som i vissa studier har visat sig vara effektiva mot plack och blödning.

     

    Metod: Två databaser genomsöktes (PubMed och Cochrane Central) för studier av maskinella interdentala hjälpmedel och deras effektivitet på plack, gingivit och blödning i jämförelse med tandborstning, eller tandborstning med manuella interdentala hjälpmedel. Ett protokoll för systematiska litteraturstudier (PRISMA 2009) följdes och inkluderade studier bearbetades med avseende på resultat och risk för systematiska fel med hjälp av en mall från SBU.

     

    Resultat: Totalt 14 artiklar som var relevanta för syftet inkluderades i studien och data för plack, gingivit och blödning analyserades. Studierna grupperades i enlighet med vilken typ av hjälpmedel de utgjorde. Grupperna bestod av vattenflossers (oral irrigators) använda av patienter med egna tänder och/eller med fast tandställning samt en grupp övriga maskinella hjälpmedel. Resultatet pekar på att maskinella interdentala hjälpmedel har en signifikant effekt på plack, gingivit och blödning och kan rekommenderas till patienter som alternativ till manuella hjälpmedel.

  • 26.
    Eianrson, Susanne
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Wärnberg Gerdin, Elisabeth
    Folkhälsovetenskapligt centrum i landstinget Östergötland.
    Johansson, Ingegerd
    Tandläkarhögskolan, avd för cariologi, Umeå.
    Muntorrhet och munhälsorelaterad livskvalitet hos äldre2009Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

    Objective: The aim of the present study was to evaluate the impact of dry mouth conditions on oral health-related quality of life in frail old people, residents at community care centers. Further, reliability and validity of a visual analogue scale (VAS) for dry mouth symptoms were determined within the study cohort.

    Background: In old people functional, social and psychological impacts of oral conditions are associated with an overall sense of well being and general health. Subjective dry mouth and reduced saliva flow are common disorders in old people caused by disease and medication. Thus, dry mouth conditions may be determinants for compromised oral health-related quality of life in old people.

    Method: In total, 50 people living at service homes for the old people were asked to answer qustionnaires on subjective dry mouth (VAS) and Oral Health Impact Profile (OHIP-14) for oal health-related quality of life. Saliva flow was estimated by absorbing saliva into a pre-weighed cotton roll.

    Results: The final study cohort comprised 41 old people (aged 83-91 years). Significant associations were identified between both objective and subjective dry mouth and overall or specific aspects of oral health-related quality of life.

    Conclusion: Dry mouth (objective and subjective) is significantly associated with oral health-related quality of life strengthening the value of monitoring dry mouth conditions in the care of frail old people.

  • 27.
    Einarson, Susanne
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Oralhälsorelaterad livskvalitet i en vuxen svensk population2010Konferensbidrag (Refereegranskat)
    Abstract [en]

    Syftet med studiev var att beskriva oralhälsorelaterad livskvalitet mätt med OHIP-14 i en svensk vuxen population. Material och metod: Materialet är hämtat från 2003 års Jönköpingsundersökning. I studiendeltor 519 indivder 20-80 år gamla, utgörande ett stratifierat slumpmässigt urval av individer från Jönköpings kommun. Detagarna undersöktes kliniskt och radiologiskt och fick fylla i ett omfattande frågeformulär om bl.a. socioekonomi, tandvårdsvanor, tandhälsa och där även OHIP-14 ingick för mätning av oralhälsorelaterad livskvalitet. Resultat: Av deltagarna uppgav 21% att de inte hade några orala problem som påverkade deras välbefinnande (0 poäng). Medelvärdet för OHIP-14 var 6.4 (SD=7.1) för hela populationen; 5.9 (SD=7.1) för män och 6.8 (SD=7.2) för kvinnor. De indvider som rapporterade frekventa upplevelser av orala problem i förhållande till den orala hälsan, med en totalsumma av 16-41 poäng var 10%. Slutsats: I alla åldersgrupper återfanns individer somupplevde sig ha besvär från munnen som påverkade deras livskvalitet negativt.

  • 28.
    Einarson, Susanne
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Hugoson, Anders
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    wärnberg Gerdin, elisabeth
    Folkhälsovetenskapligt centrum i landstinget Östergötland.
    Munhälsorelaterad livskvalitet i en vuxen svensk befolkning - en epidemiolgisk studie2008Ingår i: Munhälsorelaterad livskvalitet i en vuxen svensk befolkning - en epidemiolgisk studie, 2008Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

    Bakgrund: Munhälsan har stor betydelse för den allmänna hälsan och välbefinnandet och påverkar därmed livskvaliteten .Syftet med studien var att beskriva munhälsorelaterad livskvalitet i en svensk vuxen population.

    Metod: Munhälsorelaterad livskvalitet mättes med frågeformuläret Oral Health Impact Profile (OHIP-14). Med OHIP-14 poängsätts munbesvär (0-56 p). Mer besvär ger högre poäng. Ett slumpmässigt urval av 910 individer, 20-80 år tillfrågades att delta

    Resultat: Totalt 516 individer deltog. 78% uppgav att de hade någon form av orala besvär relaterat till livskvaliteten.  20-åriga kvinnor var de som hade mest besvär. 20% av 30-åriga män och 59% av 70-åriga kvinnor uppgav att de haft besvär från munnen som inneburit att livet varit mindre tillfredställande. Andelen individer med svåra besvär, 17-41 poäng, var 9 %.

    Slutsatser: Den studerade populationen uppvisade i sin helhet en god munhälso-   relaterad livskvalitet. Det förekom ett relativt stort antal både unga och äldre individer med munbesvär som påverkade livskvaliteten.

  • 29.
    Einarson, Susanne
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Hugoson, Anders
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Wärnberg Gerdin, Elisabeth
    Oral health impact on quality of life in an adult Swedish population2009Ingår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 67, nr 2, s. 85-93Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objectives. Oral health has a major impact on general quality of life. The aspects of oral health that are most important for each individual vary, and quality of life is a construct and not a measurable variable. The aim of this study was to describe the impact of oral health on quality of life in an adult Swedish population. Material and methods. The study comprised a stratified random sample of 519 individuals. The OHIP-14 questionnaire was used and the answers were rated on a scale of 0-4. Results. Twenty-one percent of the respondents stated that they had no oral problems related to well-being, and 79% had some form of problem related to quality of life. The mean value for the entire population was 6.4 (SD=7.1); 5.9 (SD=7.1) for men and 6.8 (SD=7.2) for women. Of individuals who stated that they had oral problems, the majority were women aged 20 years. Nineteen percent of 30-year-old men and 53% of 70-year-old women stated that they had had problems that had made life less satisfactory. Individuals who frequently experienced problems related to oral health, with scores of 16-41 points, accounted for 10%. Conclusion. In this Swedish population, a number of individuals, young and old, experienced oral problems that had an impact on their well-being.

  • 30.
    Einarson, Susanne
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Wärnberg Gerdin, Elisabeth
    Folkhälsovetnskapligt centrum i landstinget Östergötland.
    Johansson, Ingegerd
    Tandläkarhögskolan, avd för cariologi Umeå.
    Muntorrhet och munhälsorelaterad livskvalitet hos äldre2007Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

     

    Objective: The aim of the present study was to evaluate the impact of dry mouth conditions on oral health-related quality of life in frail old people, residents at community care centers. Further, reliability and validity of a visual analogue scale (VAS) for dry mouth symptoms were determined within the study cohort.

    Background: In old people functional, social and psychological impacts of oral conditions are associated with an overall sense of well being and general health. Subjective dry mouth and reduced saliva flow are common disorders in old people caused by disease and medication. Thus, dry mouth conditions may be determinants for compromised oral health-related quality of life in old people.

    Method: In total, 50 people living at service homes for the old people were asked to answer qustionnaires on subjective dry mouth (VAS) and Oral Health Impact Profile (OHIP-14) for oal health-related quality of life. Saliva flow was estimated by absorbing saliva into a pre-weighed cotton roll.

    Results: The final study cohort comprised 41 old people (aged 83-91 years). Significant associations were identified between both objective and subjective dry mouth and overall or specific aspects of oral health-related quality of life.

    Conclusion: Dry mouth (objective and subjective) is significantly associated with oral health-related quality of life strengthening the value of monitoring dry mouth conditions in the care of frail old people.

     

  • 31.
    Ek, Kristina
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Browall, Maria
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare). Högskolan i Skövde, Institutionen för hälsa och lärande.
    Eriksson, Monika
    Skaraborg Hospital, Skövde, Sweden.
    Eriksson, Irene
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Healthcare providers’ experiences of assessing and performing oral care in older adults2018Ingår i: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 13, nr 2, artikel-id e12189Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aims and objectives

    The purpose of this study was to describe healthcare providers’ experiences, knowledge and attitudes in relation to the assessment of oral health in older adults.

    Background

    Oral health is an important element in the care of older adults. An increasing proportion of older people need the help and support of community‐based healthcare services, which are responsible for providing oral health assessment for this group. Although oral care is an important part of nursing care, studies show that it is often an overlooked area in the care of older people.

    Design

    An inductive qualitative description design was used.

    Methods

    The participating healthcare providers were selected from a municipality in western Sweden. Purposeful sampling was employed and data were collected through focus‐group interviews and were analysed with content analysis.

    Results

    The analysis resulted in four categories: healthcare providers’ knowledge and attitudes to oral health; routines affect flexibility; challenges in assessing and performing oral care and ethical dilemmas. The results showed that oral health was neglected because of several factors. Lack of knowledge, inadequate procedures and time constraints were most prominent. The healthcare providers’ own attitudes affected the performing of oral health assessments. Ethical dilemmas related to the attitudes of those people in receipt of care and their relatives, and their integrity and autonomy, could be seen as complicating factors.

    Conclusions

    The healthcare providers expressed that they did not have the necessary knowledge of oral health that was required in their area of responsibility. In addition, they described their own attitudes as being important when attending to the patients’ oral health.

    Implications for practice

    The healthcare providers themselves identified lack of knowledge and their own attitudes as being especially important factors in the oral care of older adults, and further research in this area is needed.

  • 32.
    Ekström, Jörgen
    et al.
    Department of Pharmacology, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden.
    Sayardoust, Shariel
    Department of Pharmacology, Sahlgrenska Academy Göteborg University, Göteborg, Sweden.
    Çevik, Hülya
    Nitric oxide-dependent mitotic activity in salivary glands of the rat upon sympathetic stimulation2004Ingår i: Archives of Oral Biology, ISSN 0003-9969, E-ISSN 1879-1506, Vol. 49, nr 11, s. 889-894Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Incorporation of [3H]thymidine into trichloroacetic acid (TCA)-insoluble material of the parotid and submandibular glands was used as an index of mitotic activity following unilateral electrical stimulation of the sympathetic innervation (20 Hz, 4 min every fifth minute over 34 min). Stimulation under β-adrenoceptor blockade (propranolol 2 mg/kg, intravenous) alone or combined with α-adrenoceptor blockade (phentolamine 2 mg/kg, intravenous) did not increase the rate of [3H]thymidine incorporation into the two types of glands. However, under α-adrenoceptor blockade the [3H]thymidine incorporation increased into the parotid glands, by 122% (compared to the glands on the contralateral side), but not into the submandibular glands. In the presence of the neuronal type NO-synthase (nNOS) blocker N-PLA (30 mg/kg, intravenous) or the unselective NO-synthase blocker L-NAME (30 mg/kg, intravenous), this increase was reduced to 49 and 47%, respectively. Thus, the major part of the sympathetically nerve-evoked β-adrenoceptor-mediated mitotic response was found to depend on the activity of neuronal type NO-synthase to generate NO. Since the sympathetic nerve fibres of the parotid gland lack NO-synthase, the neuronal type NO-synthase subjected to the inhibitors is likely to be of parenchymal origin. © 2004 Elsevier Ltd. All rights reserved.

  • 33.
    Ericsson, Iréne
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi. Högskolan i Jönköping, Hälsohögskolan, HHJ. Åldrande - livsvillkor och hälsa.
    Aronsson, Kerstin
    Folkhälsovetenskapligt centrum., Landstinget Östergötland.
    Cedersund, Elisabet
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. Åldrande - livsvillkor och hälsa.
    Hugoson, Anders
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Jonsson, Margareta
    Landstinget Jönköpings län.
    Wärnberg Gerdin, Elisabeth
    Folkhälsovetenskapligt centrum., Landstinget Östergötland.
    The meaning of oral health-related quality of life for elderly persons with dementia2009Ingår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 67, nr 4, s. 212-221Artikel i tidskrift (Refereegranskat)
  • 34. Flygare, L
    et al.
    Norderyd, J
    Kubista, J
    Ohlsson, J
    Vallo-Christiansen, J
    Magnusson, B
    Chronic recurrent multifocal osteomyelitis involving both jaws: report of a case including magnetic resonance correlation1997Ingår i: Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics, ISSN 1079-2104, E-ISSN 1528-395X, Vol. 83, nr 2Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    A case of chronic recurrent multifocal osteomyelitis in a 14-year-old girl is presented. The disease had an initial aggressive osteolytic appearance involving both the maxilla and the mandible. Conservative treatment with minimal surgical intervention has been successful in this case during a 2-year follow-up period. The value of magnetic resonance imaging and bone scintigraphy in this case and the cause of chronic recurrent multifocal osteomyelitis is discussed.

  • 35.
    Fridman, Fanny
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Betydelsen av kommunikation ur ett kulturellt och språkligt perspektiv inom tandvården: – En litteraturöversikt2017Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Summary

    Importance of communication from a cultural and linguistic perspective in dental care

    -A literature review

    The aim of this literary review was to describe dental care situations where communication difficulties arise due to various cultural and linguistic aspects. This was investigated by the following questions: – What cultural aspects need to be taken into account in order to achieve satisfactory communication in healthcare/dental care? –How is healthcare/dental care affected by the use of verbal and non-verbal communication? – What evidence is there of the usage of alternative methods of communication when language barriers exist in dental care situations? Method was screened in the literary study, and was done as a literary review. Scientific articles have been sought out according to a three-step selection process to search for answers to the research questions. The results showed that the availability of a qualified interpreter ensures the establishment of good communication with dental care patients that have language problems. There is evidence of a significant difference in the use of a qualified interpreter and an interpreter without formal training. The creation of good dialogues and true communication is only possible when cultural and language barriers are broken by using a professional interpreter. In summary, dental care staff needs to meet every individual patient with interest and empathy, regardless of background or communicative ability.Keywords: Cultural Barriers, Dental Care, Foreign Background, Non-Verbal Communication.

  • 36. Frisk, Fredrik
    et al.
    Hugoson, Anders
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Hakeberg, Magnus
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Technical quality of root fillings and periapical status in root filled teeth in Jönköping, Sweden2008Ingår i: International Endodontic Journal, ISSN 0143-2885, E-ISSN 1365-2591, Vol. 41, nr 11, s. 958-968Artikel i tidskrift (Refereegranskat)
  • 37. Frisk, Fredrik
    et al.
    Merdad, Khalid
    Reit, Claes
    Hugoson, Anders
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Birkhed, Down
    Root-filled teeth and recurrent caries: A study of three repeated crodd-sectional samples from the city of Jönköping, Sweden2011Ingår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 69, nr 6, s. 401-405Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective. The aim of the study was to test the hypothesis that root-filled teeth are at a higher caries risk than non-root-filled teeth. Materials and methods. Two sub-samples from epidemiologically obtained data collected in 1983, 1993 and 2003 in the city of Jönköping, Sweden, were analysed. All the participants were examined clinically and radiographically and the type of filling and the presence or absence of caries were recorded. Sub-sample 1 comprised 832 individuals (9202 teeth) aged 20–70 years with at least eight premolars/molars. In sub-sample 2, 163 subjects (577 teeth) with only one or two decayed tooth surfaces and at least one tooth with full crown coverage were analysed. Results . Logistic regression analysis found that root-filled teeth were predictive of recurrent caries when controlling for the type of restoration in sub-sample 1 (OR = 1.68; 1.41–2.0; CI 95%) and sub-sample 2 (OR = 2.20; 1.07–4.52; CI 95%). Conclusion . In support of the suggested hypothesis, the data revealed a significant association between root-filled teeth and recurrent caries.Read More: http://informahealthcare.com/doi/abs/10.3109/00016357.2011.572291

  • 38.
    Gnauck, Maja
    et al.
    Department of Stomatognathic Physiology, Specialist Dental Care Center, Public Dental Service, Växjö, Sweden.
    Magnusson, Tomas
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Ekberg, EwaCarin
    Department of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Malmö, Sweden.
    Knowledge and competence in temporomandibular disorders among Swedish general dental practitioners and dental hygienists2017Ingår i: Acta Odontologica Scandinavica, Vol. 75, nr 6, s. 429-436Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE:

    The aim of this study was to investigate knowledge and competence in temporomandibular disorders (TMD) among dentists and dental hygienists working in the public dental service (PDS) in Sweden.

    MATERIALS AND METHODS:

    The study population comprised all general dentists (n = 110) and dental hygienists (n = 80) working in the PDS in two Swedish counties: Kronoberg (K) and Blekinge (B). The participants filled out a questionnaire comprised of 15 questions.

    RESULTS:

    The results of these questions are presented. The overall response rate for the general dentists was 87%, while the rate for the dental hygienists was 71%. Statistically significant differences between the general dentists in the two counties were found regarding the following: education in the field of TMD over the last 5 years (K: 37%, B: 73%), evaluation of occlusion when examining patients with suspected TMD ('always': K: 61%, B: 82%), and a desire for consultation of the OFP (orofacial pain)/TMD specialist by telephone (K: 71%, B: 44%). Regarding the dental hygienists, there was a statistically significant difference concerning the use of the treatment modality 'reassurance' (K: 41%, B: 7%).

    CONCLUSIONS:

    The majority of the dental care providers in both counties - irrespective of professional category - had a positive attitude towards patients with TMD. Knowledge and competence in the field are sparse and require postgraduate education. There is a great need of an OFP/TMD specialist for more complicated patients and a need to implement updated knowledge and competence in the PDS in these two counties.

  • 39.
    Göthberg, C.
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Centrum för oral hälsa. Department of Prosthetic Dentistry, Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Gröndahl, K.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Centrum för oral hälsa. Department of Oral & Maxillofacial Radiology, Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Omar, O.
    Department of Biomaterials, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Thomsen, P.
    Department of Biomaterials, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Slotte, C.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Centrum för oral hälsa. Department of Periodontology, Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Bone and soft tissue outcomes, risk factors, and complications of implant-supported prostheses: 5-Years RCT with different abutment types and loading protocols2018Ingår i: Clinical Implant Dentistry and Related Research, ISSN 1523-0899, E-ISSN 1708-8208, Vol. 20, nr 3, s. 313-321Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Data on risk factors and complications after long-term implant treatment is limited. The aims were to evaluate the role of various fixation modes and to analyze complications and risks that affect long-term use of implant-supported partial fixed dental prostheses.

    Materials and Methods: Fifty partially edentulous subjects received three Brånemark TiUnite™ implants. Superstructures were attached directly at implant level (IL) or via abutments: machined surface (AM) and an oxidized surface (AOX, TiUnite™). Implants were immediately loaded (test) or unloaded for 3 months (control). Examinations occurred over a 5-year period.

    Results: Forty-four subjects were re-examined after 5 years. Cumulative survival rates in test and control groups were 93.9% and 97.0%, respectively. Marginal bone loss (MBL; Mean [SEM]) was significantly lower at superstructures connected to AM (1.61 [0.25] mm) than at sites with no abutment IL (2.14 [0.17] mm). Peri-implantitis occurred in 9.1% of subjects and in 4.0% of implants. Multiple linear regression indicated that increased probing pocket depth (PPD), periodontal disease experience, deteriorating health, and light smoking (≤10 cigarettes/day) predict greater MBL, whereas increased buccal soft tissue thickness and higher ISQ predict lower MBL.

    Conclusions: The results show that MBL was influenced by the connection type. A machined abutment, instead of connecting the superstructure directly at the implant level, was beneficial. The following factors influenced MBL: PPD, periodontal disease experience, deteriorating health, light smoking, buccal soft tissue thickness, and ISQ. The results on peri-implantitis underscore the need for long-term maintenance care. Further, the abutment material surface properties constitute additional target for strategies to minimize MBL.

  • 40.
    Hakeberg, Magnus
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Cunha, Luciette
    Dental anxiety and pain related to dental hygienist treatment2008Ingår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 66, nr 6, s. 374-379Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: To evaluate different groups of patients' self-reported assessments of dental anxiety and pain related to various routine dental hygienist treatment procedures, and to investigate the relationship between anxiety concerning dental and dental hygienist treatment. MATERIAL AND METHODS: A consecutive sample of 393 patients participated in the study (59.7% F, age range 20 to 85 years, mean 47.6 years). Periodontology (PC), oral medicine (OM), student and general practice (GP) clinics were included. Each patient was asked to answer a questionnaire which included different demographic information, self-reported levels of dental anxiety, and experience of pain in relation to different dental hygienist treatments. RESULTS: Higher dental anxiety was found in relation to gender (women), dentist treatment, and PC and OM patients. Experiences of high or extreme pain were reported by between 7.1% and 9.7% of participants for all dental hygienist procedures except polishing (0.8%). There were significant correlations between dental hygienist fear levels and reported extreme pain experiences among all five treatment procedures. Patients treated at the PC clinic scored significantly higher on pain compared with patients at the other clinics, with the exception of the OM clinic. CONCLUSIONS: Patients reported higher dental anxiety levels for dentist treatment as compared with dental hygienist treatment. Moreover, dental anxiety was significantly associated with perceived pain related to different dental hygienist treatment procedures.

  • 41.
    Hakeberg, Magnus
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Jonsson, Roland
    Läppbiopsi av submukösa spottkörtlar i diagnostiken av sarkoidos1987Ingår i: Tandläkartidningen, ISSN 0039-6982, Vol. 79, nr 20, s. 1085-1087Artikel i tidskrift (Refereegranskat)
  • 42. Haraldson, Torgny
    et al.
    Magnusson, Tomas
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Enkätundersökning: Vem bör ansvara för det bettfysiologiska specialistomhändertagandet?1987Ingår i: Tandläkartidningen, ISSN 0039-6982, Vol. 79, nr 17, s. 881-886Artikel i tidskrift (Övrigt vetenskapligt)
  • 43. Hausmann, E
    et al.
    Allen, K
    Norderyd, J
    Ren, W
    Shibly, O
    Machtei, E
    Studies on the relationship between changes in radiographic bone height and probing attachment1994Ingår i: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 21, nr 2Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this investigation was to determine the relationship between loss of radiographic crestal bone height and probing attachment loss. As part of this aim, we are introducing a new method for determination of a threshold for significant probing attachment loss which takes into account the error contributed by alteration in tissue tone. 57 adults with established periodontitis were selected. Radiographs were taken using the Rinn alignment system. Crestal change was determined from bone height measurements on digitized images of pairs of radiographs using the "side-by-side" technique of analysis developed recently by us. Probing attachment loss was measured using the Florida electronic probe system. Radiographic and probing measurements were made at baseline and after 1 year. No treatment was given during this period. A direct and significant relationship was observed between radiographic bone loss and probing attachment loss on a site basis (p = 0.0001, r2 = 0.018) and between subject means (p = 0.0014, r2 = 0.16). Radiographic and probing attachment change at all categories of sites, dichotomously classified as to not changing or loosing indicated 13% of sites were loosing by measurement of radiographic change and 9.6% were loosing by measurement of attachment change. Concordance in radiographic and attachment level change was found in 82% of sites examined. The relative diagnostic import of change in probing attachment or change in radiographic bone height requires treatment outcome studies based on use of diagnostic information of the 2 measuring techniques used singly and in combination.

  • 44.
    Havsed, Kristian
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa. Department of Pediatric Dentistry, Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Helkimo, Anna N.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa. Department of Pediatric Dentistry, Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Kjær, Inger
    Institute of Odontology, Faculty of Health Sciences, University of Copenhagen, Denmark.
    The etiology behind a complicated case with arrested root formation: More questions than answers2018Ingår i: Dental Hypotheses, ISSN 2155-8213, E-ISSN 2155-8213, Vol. 9, nr 1, s. 25-28Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This case focuses on dental deviations in a girl now 14 years of age. It is questioned in the article if an accident caused by the girl's fall into a cactus at the age 1 year and 2 months could possibly result in local dental disorders in the permanent dentition. The disorders were the short roots and small crowns. It is discussed in this paper if it is the pins from the cactus or the many medical and operative procedures for the removal of the pins that caused the disorders. Nine questions concerning etiology are raised and discussed and only partly answered. This case gives new information concerning the normal eruption and resorption processes. It demonstrates how the teeth without roots or with short roots can erupt normally and even earlier than the contralateral teeth. Furthermore, it is demonstrated that a second premolar with short root is able to resorb the overlying primary molar. In this dentition with severely malformed teeth, the treatment plan scheduled for the girl still takes into account these normal developmental conditions.

  • 45. Hellqvist, L
    et al.
    Rolandsson, M
    Birkhed, D
    Hugoson, Anders
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Tobacco use in relation to socioeconomic factors and dental care habits among Swedish individuals 15-70 years of age, 1983-20032009Ingår i: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 7, nr 1, s. 62-70Artikel i tidskrift (Refereegranskat)
  • 46.
    Hugoson, Anders
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Dental caries in relation to smoking and the use of Swedish snus: epidemiological studies covering 20 years (1983-2003)2012Ingår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 70, nr 4, s. 289-296Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective. The aim of this study was to evaluate some intra-oral caries-associated variables and tobacco use on dental caries. Materials and methods. The participants were randomly recruited from three cross-sectional studies in Jönköping, Sweden, in 1983, 1993 and 2003. Each study consisted of 130 individuals in each of the 20, 30, 40, 50, 60 and 70-year age groups. Of these, 550, 552 and 523 dentate individuals attended respective year of examination. They were all examined both clinically and radiographically. A questionnaire was completed in conjunction with the examination. In the studies, 345 were smokers, 104 snus users and 1142 non-tobacco users, in total 1591 individuals. Results. In 1983 and 1993, there were no significant differences in mean DFS between non-users and smokers, but a statistically significantly higher mean DFS in comparison with snus users. In 2003, there was no statistically significant difference in mean DFS between the groups. Multiple regressions showed that, after adjusting for age, gender and socio-demographic variables, there was a statistically significant association between DFS and smoking in 1983 (smoking excluded in favour of lactobacilli when further analysed) and DFS and plaque index (PLI) in 1993. In 2003, there was no association, apart from buffer capacity (Power rising) between DFS and the examined intra-oral caries-associated variables and tobacco use. Conclusions. The results of these epidemiological studies, performed in 1993 and 2003, indicate that daily smoking or snus use does not increase the risk of dental caries.

  • 47.
    Hugoson, Anders
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Hellqvist, Lena
    Boström, Anita
    Lingström, Peter
    Rolandsson, Margot
    Birkhed, Dowen
    Effect of nicotine-free and nicotine-containing snus on plaque pH in vivo2012Ingår i: Swedish Dental Journal, ISSN 0347-9994, Vol. 36, nr 4, s. 187-194Artikel i tidskrift (Refereegranskat)
  • 48.
    Hugoson, Anders
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Koch , Göran
    Odontologiska Institutionen i Jönköping.
    Norderyd, Ola
    Odontologiska Institutionen.
    Sondell, Katarina
    Odontologiska Institutionen.
    Jönköpingsundersökningarna: unika och omtalade2008Ingår i: Tandläkartidningen, ISSN 0039-6982, Vol. 100, nr 15, s. 50-54Artikel, forskningsöversikt (Övrigt vetenskapligt)
    Abstract [sv]

    I slutet av 1960-talet och början av 1970-talet skapade den odontologiska forskningen en bättre förståelse för de stora tandsjukdomarnas etiologi, prevention och behandling. Forsknignens framsteg ökade intresset för förebyggande åtgärder, bättre dignostik och förbättrad kvalitet i det rastaurativa arbetet. Samtidigt fanns en brist på både allmäntandläkare och specialister. Jönköpingsundersökningarna är i första hand exempel på tvärsnittsstudier som fångar upp de förändringar som sker inte bara inom tandvåden utan i hela samhället.

  • 49.
    Hugoson, Anders
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Koch, G
    Hallonsten, A L
    Norderyd, J
    Aberg, A
    Caries prevalence and distribution in 3-20-year-olds in Jönköping, Sweden, in 1973, 1978, 1983, and 1993.2000Ingår i: Community Dentistry and Oral Epidemiology, ISSN 0301-5661, E-ISSN 1600-0528, Vol. 28, nr 2, s. 83-89Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Four cross-sectional studies were carried out in 1973, 1978, 1983, and 1993 to collect clinical and radiographic epidemiological data on the dental health status of the inhabitants of Jönköping, Sweden. The aim of the present paper was to use these data to analyze trends in the development of caries among children and adolescents between 1973 and 1993. Approximately 500 randomly selected individuals evenly distributed among the age groups 3, 5, 10, 15, and 20 years participated in each study. The main results show that the numbers of caries-free individuals increased in all age groups. In 1993, the mean number of decayed and filled tooth surfaces in the primary (dfs) and the permanent (DFS) dentition in all age groups was less than half of that found in 1973. Most of this decrease took place during the first 5 years, i.e., between 1973 and 1978. Between 1978 and 1983, only minor changes were observed. There was a further reduction of approximately 30%-50% in dfs/DFS between 1983 and 1993 in 3-, 5-, 10-, and 20-year-olds. The frequency distributions of dfs/DFS for 5- and 15-year-olds revealed an increasing skewness over time: in 1993, a large majority of the children and adolescents had a low or moderate caries severity while only a small group had high scores of dfs/DFS.

  • 50.
    Hugoson, Anders
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Koch, Göran
    Thirty year trends in the prevalence and distribution of dental caries in Swedish adults (1973-2003)2008Ingår i: Swedish Dental Journal, ISSN 0347-9994, Vol. 32, nr 2, s. 57-67Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of the present investigation is to report on the trends in the prevalence and severity of dental caries and dental status in an adult Swedish population over a 30-year period (1973-2003). Four cross-sectional epidemiological studies in 1973, 1983, 1993, and 2003 were performed in Jönköping, Sweden.A random sample of individuals aged 20, 30, 40, 50, 60, 70, and 80 years were examined clinically and radiographically, a total of 2521 individals. Diagnostic variables were edentulousness, number of teeth, initial and manifest caries lesions, restorations, fissure sealants, and quality of restorations (secondary caries and overhangs). The percentage of edentulous 40- to 70-year-old individuals decreased during the 30-year period from 16% to 1%. The distribution of individuals by DFS in the age groups 20-50 years showed a gradual shift towards a positively skewed distribution between the years 1973 to 2003. There was a steady decrease in mean number of DFS in the age groups 20-50 years. In the 20-year-olds the mean number of DFS decreased by 72% and for 50-year-olds, by 37%. In conclusion there has been a marked decrease in DFS in adults up to middle age and a marked reduction in edentulousness over a thirty year period. This shows that the decrease in caries levels in children and adolescents is also occurring among adults.

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