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  • 1.
    Alm, A.
    et al.
    Kärnsjukhuset, Specialistklinken Pedodonti, Dept Paediat Dent, SE-54185 Skövde, Sweden.
    Wendt, Lill-Kari
    Jönköping University, School of Health Science, HHJ. Oral health.
    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 childhood2012In: Community Dentistry and Oral Epidemiology, ISSN 0301-5661, E-ISSN 1600-0528, Vol. 40, no 2, p. 125-133Article in journal (Refereed)
    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.

  • 2.
    Hakeberg, Magnus
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Berggren, U
    Carlsson, S G
    Prevalence of dental anxiety in an adult population in a major urban area in Sweden.1992In: Community Dentistry and Oral Epidemiology, ISSN 0301-5661, E-ISSN 1600-0528, Vol. 20, no 2, p. 97-101Article in journal (Refereed)
  • 3.
    Hakeberg, Magnus
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Berggren, U
    Gröndahl, H G
    A radiographic study of dental health in adult patients with dental anxiety.1993In: Community Dentistry and Oral Epidemiology, ISSN 0301-5661, E-ISSN 1600-0528, Vol. 21, no 1, p. 27-30Article in journal (Refereed)
  • 4.
    Hugoson, Anders
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Oral health.
    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 1993.2000In: Community Dentistry and Oral Epidemiology, ISSN 0301-5661, E-ISSN 1600-0528, Vol. 28, no 2, p. 83-89Article in journal (Refereed)
    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.

  • 5.
    Hugoson, Anders
    et al.
    Jönköping University, School of Health Science, HHJ. Oral health.
    Koch, G
    Slotte, C
    Bergendal, T
    Thorstensson, B
    Thorstensson, H
    Caries prevalence and distribution in 20-80-year-olds in Jönköping, Sweden, in 1973, 1983, and 19932000In: Community Dentistry and Oral Epidemiology, ISSN 0301-5661, E-ISSN 1600-0528, Vol. 28, no 2, p. 90-96Article in journal (Refereed)
    Abstract [en]

    In 1973, a cross-sectional study on oral health status was performed on 1000 individuals in the age groups 3-70 years in Jönköping, Sweden. In 1983 and 1993, new cross-sectional studies were carried out in the age groups 3-80 years. The aim of the present study was to analyze caries prevalence and distribution in the three investigations 1973, 1983, and 1993 in the age groups 20-80 years. In the younger age groups (20-40 years), a larger proportion of individuals with good oral health was found in 1993 than in 1973 or 1983. A steady increase in the number of teeth in the age groups 40-80 years could be found, which was also reflected in the increasing number of decayed and filled tooth surfaces (DFS) in the same age groups. A marked decrease in proximal DFS in 20-50-year-olds in 1993 compared to 1973 and 1983 was found. However, a rather large and unchanging group of individuals suffering from severe caries was also observed. This situation demands an individualized caries treatment strategy based on risk assessment.

  • 6. Hägglin, C
    et al.
    Hakeberg, Magnus
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Ahlqwist, M
    Sullivan, M
    Berggren, U
    Factors associated with dental anxiety and attendance in middle-aged and elderly women.2000In: Community Dentistry and Oral Epidemiology, ISSN 0301-5661, E-ISSN 1600-0528, Vol. 28, no 6, p. 451-460Article in journal (Refereed)
  • 7.
    Isaksson, Helén
    et al.
    Department of Paediatric Dentistry, The Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Koch, Göran
    Department of Paediatric Dentistry, The Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Alm, Anita
    Department of Preventive and Community Dentistry, Public Dental Health Service, Västra Götaland Region, Göteborg, Sweden.
    Nilsson, Mats
    Futurum, Academy of Health and Care, Region Jönköping County, Jönköping.
    Wendt, Lill-Kari
    Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.
    Birkhed, Dowen
    Malmö University Faculty of Odontology, Department of Oral Diagnostics, Malmö, Sweden.
    Parental factors in early childhood are associated with approximal caries experience in young adults - A longitudinal study2019In: Community Dentistry and Oral Epidemiology, ISSN 0301-5661, E-ISSN 1600-0528, Vol. 47, no 1, p. 49-57Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: To test the hypothesis that parental factors in early childhood influence approximal caries experience in young adults.

    METHODS: A cohort of 494 individuals was followed longitudinally from 1 to 20 years of age. Data were retrieved from parental interviews and questionnaires when the child was 1 and 3 years of age. At age 20, the participants underwent bitewing radiographic examination. Based on the number of approximal caries lesions (Da), stratified into initial (Di ) or manifest caries (Dm ) and approximal fillings (Fa), the participants were divided into two main groups: those with: (a) 0 Dim Fa (n = 244) and (b) >0 Dim Fa (n = 250). A subgroup was also created (≥8 Dim Fa; n = 33).

    RESULTS: Toothbrushing with fluoride toothpaste at 3 years of age less than twice a day (OR 1.6, 95% CI 1.0-2.6) and the participants' mothers' self-estimation of their oral health care as "less than optimal" were important risk factors for developing caries (>0 Dim Fa OR 2.0, 95% CI 1.3-3.1). An interaction effect between toothbrushing at 3 years of age less than twice a day and consumption of caries risk products > 3 times a day further increased the caries experience in young adults (≥8 Dim Fa OR 8.3, 95% CI 1.8-37.8) together with maternal anxiety about dental treatment (OR 7.4 95% CI 1.6-34.6).

    CONCLUSIONS: Parental factors in early childhood are associated with caries experience at 20 years of age.

  • 8.
    Lindmark, Ulrika
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Oral health. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Hakeberg, Magnus
    Hugoson, Anders
    Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Sense of coherence and its relationship with oral health-related behaviour and knowledge of and attitudes towards oral health2011In: Community Dentistry and Oral Epidemiology, ISSN 0301-5661, E-ISSN 1600-0528, Vol. 39, no 6, p. 542-553Article in journal (Refereed)
    Abstract [en]

    Objective:  To investigate the relationship between sense of coherence (SOC), oral health–related behaviour, knowledge of and attitudes towards oral health in an adult Swedish population.

    Methods:  A cross-sectional design with a stratified random sample of 910 individuals aged 20, 30, 40, 50, 60, 70 and 80 years were invited to the study, from Jönköping, Sweden. The investigation used the Swedish short version of the SOC questionnaire comprising 13 items and self-reported questions about oral health habits and knowledge of and attitudes towards oral health. In addition, a self-report questionnaire to elicit demographic information was included.

    Results:  A total of 525 individuals, 261 men and 264 women, answered all the 13-item SOC questions, which constituted the final number of the participants. After adjustment for all the sociodemographic factors included in the analysis, individuals with a stronger SOC had twice as high a chance of having healthier behaviour, including a lower frequency of snacks and drinks between meals, as well as a more positive attitude, such as the importance of having one’s own teeth as one gets older, satisfaction with their own teeth, perceiving their teeth as good and no feeling of dental fear, compared with individuals with a poorer SOC. Moreover, SOC and a good knowledge of caries were significantly associated after adjustment for age and gender.

    Conclusions:  SOC was significantly associated with several oral health–related behaviours, attitudes towards oral health and knowledge of dental caries. When working with oral health promotion, SOC could be a way for promoting a better understanding of the behaviour and attitudes of individuals and for enabling dental personals to use that knowledge for the guidance of the individual.

  • 9.
    Magnusson, Tomas
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine.
    Prevalence of recurrent headache and mandibular dysfunction in patients with unsatisfactory complete dentures.1980In: Community Dentistry and Oral Epidemiology, ISSN 0301-5661, E-ISSN 1600-0528, Vol. 8, no 3, p. 159-164Article in journal (Refereed)
  • 10.
    Magnusson, Tomas
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine.
    Egermark-Eriksson, I
    Carlsson, G E
    Four-year longitudinal study of mandibular dysfunction in children.1985In: Community Dentistry and Oral Epidemiology, ISSN 0301-5661, E-ISSN 1600-0528, Vol. 13, no 2, p. 117-120Article in journal (Refereed)
  • 11.
    Wendt, Lill-Kari
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine.
    Koch, G
    Birkhed, D
    On the retention and effectiveness of fissure sealant in permanent molars after 15-20 years: a cohort study2001In: Community Dentistry and Oral Epidemiology, ISSN 0301-5661, E-ISSN 1600-0528, Vol. 29, no 4, p. 302-7Article in journal (Refereed)
    Abstract [en]

    The aim of the present study was to clinically evaluate fissure sealants on the occlusal fissures and buccal pits of permanent first and second molars after 20 and 15 years, respectively. The population consisted of 72 children, each of whom had had their four first molars sealed between 1977 and 1980. At the annual examinations, all caries-free, newly erupted second molars were sealed. When sealant was applied to the second molars, the first molars were checked and sealant was reapplied to those that had deficient sealants. At the follow-up, when the subjects were 26-27 years of age, 27 in the original group had moved from the community. Thus, the present result is based on 45 subjects. One hundred and fifty-three sealed first molars and 161 sealed second molars were available for inspection. At the follow-up examination of the first molars 20 years after sealant had been applied, 65% showed complete retention, 22% partial retention without caries, and 13% caries or restoration in the occlusal fissures or buccal pits. At the 15-year follow-up of the second molars, the corresponding figures were 65%, 30%, and 5%, respectively Of the restored or carious molars, significantly more were found in the mandible than in the maxilla (P<0.001). This longitudinal study showed that pit and fissure sealants-applied during childhood-have a long lasting, caries-preventive effect.

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