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  • 1.
    Abrahamsson, Agneta
    et al.
    Högskolan i Jönköping, Hälsohögskolan. University College of Kristianstad,Kristianstad.
    Lindmark, Ulrika
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Gerdner, Arne
    Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd). Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering.
    Sense of coherence of reindeer herders and other Samis in comparison to other Swedish citizens2013Inngår i: International Journal of Circumpolar Health, ISSN 2242-3982, E-ISSN 2242-3982, Vol. 72, s. -20633Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background. Samis are indigenous people in north Europe. In the territory called Sa´pmi (Lapland), reindeer herding is the traditional base for the Sami economy. The relation between living conditions and positive health of the Swedish Samis has been sparsely studied. As health is closely linked to sense of coherence (SOC), an understanding of the background factors to SOC may contribute knowledge that might be useful in promoting living conditions and health.

    Methods. The study examines relations between the level of SOC and background factors from surveys in a Sami population (n=613) in comparison to a non-Sami population (n=525) in Sweden, and in comparison between 2 subsamples of Samis, that is, herders and non-herders.

    Results. There are more similarities than differences between the Sami and non-Sami populations. However, dividing the Sami population, reindeer herders had significantly lower SOC, and in specific the subcomponent manageability, that is, less ability to use available resources to meet different demands in life, compared to non-herders.

    Conclusions. In addition to age and health, predictors of SOC are related to the life form of reindeer husbandry and the belonging to the herding community

  • 2. Abrahamsson, K H
    et al.
    Berggren, U
    Hakeberg, Magnus
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Carlsson, S G
    Phobic avoidance and regular dental care in fearful dental patients: a comparative study.2001Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 59, nr 5, s. 273-279Artikkel i tidsskrift (Fagfellevurdert)
  • 3. Abrahamsson, K H
    et al.
    Stenman, J
    Ohrn, K
    Hakeberg, Magnus
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Attitudes to dental hygienists: evaluation of the Dental Hygienist Beliefs Survey in a Swedish population of patients and students.2007Inngår i: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 5, nr 2, s. 95-102Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim was to evaluate and test the psychometric properties of the Dental Hygienist Beliefs Survey (DHBS) in a Swedish sample of different patient groups and students. It was hypothesized that negative dental hygienist beliefs would discriminate between fearful and non-fearful study groups. The DHBS was distributed together with the revised Dental Beliefs Survey (DBS-R) and the Dental Anxiety Scale (DAS). The study sample included 394 subjects (130 students, 144 general dental patients, 90 periodontal patients and 30 patients on a waiting list for dental fear treatment). The results verified that the DHBS discriminates well between dentally fearful and non-fearful study groups. The DHBS had high internal consistency (Cronbach's alpha = 0.96-0.98) in all the groups. The correlation between the DHBS and the DBS-R was high (rho = 0.82, P < 0.001). Furthermore, the DHBS correlated significantly with the DAS, as well as with a low but significant correlation to age (more negative attitudes in younger age groups) and gender (more negative attitudes amongst women). Regression analysis showed that gender and the DHBS items: 23, 16 and 28, i.e. items related to feeling helpless, worries/fears not being taken seriously and fear about 'bad news' possibly preventing treatment, were the most important predictors of dental fear. The results suggest that the DHBS may be a valid and reliable scale to use in order to assess patient's specific attitudes to dental hygienists. However, the psychometric properties including test-retest analysis and the underlying factor structure of the DHBS need to be further explored.

  • 4. Abrahamsson, Kajsa H
    et al.
    Hakeberg, Magnus
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Stenman, Jane
    Ohrn, Kerstin
    Dental beliefs: evaluation of the Swedish version of the revised Dental Beliefs Survey in different patient groups and in a non-clinical student sample.2006Inngår i: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, Vol. 114, nr 3, s. 209-215Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to evaluate and to test the psychometric properties of a Swedish version of the revised Dental Beliefs Survey (DBS-R) in different patient groups and in a non-clinical sample of students. It was hypothesized that negative dental beliefs, assessed using the DBS-R, would discriminate between fearful and non-fearful study groups. The questionnaire was distributed together with the Dental Anxiety Scale (DAS). The sample included 550 adults who responded to the questionnaires (206 students, 177 general dental patients, 105 periodontal patients and 62 patients at a waiting list for dental-fear treatment). The internal drop-out rate was low. The results confirmed that the DBS-R discriminates well between fearful patients and the other study groups. The DBS-R had a high internal consistency in all the study groups. Furthermore, the DBS-R correlated significantly with age (higher values in younger age groups) and the DAS. Regression analyses showed that the DBS-R subdimensions of 'communication' and 'control'/or 'trust', respectively, were significant predictors for dental fear. The results suggest that the DBS-R is a reliable and valid instrument for use in different Swedish patient- and non-clinical population groups in order to assess attitudes to dentists. However, the underlying factor structure of the DBS-R needs to be further explored and established.

  • 5. Abrahamsson, Kajsa Henning
    et al.
    Berggren, Ulf
    Hakeberg, Magnus
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Carlsson, Sven G
    The importance of dental beliefs for the outcome of dental-fear treatment.2003Inngår i: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, Vol. 111, nr 2, s. 99-105Artikkel i tidsskrift (Fagfellevurdert)
  • 6. Adiels, Anne-Marie
    et al.
    Helkimo, Martti
    Magnusson, Tomas
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Tactile stimulation as a complementary treatment of temporomandibular disorders in patients with fibromyalgia syndrome: A pilot study.2005Inngår i: Swedish Dental Journal, ISSN 0347-9994, Vol. 29, nr 1, s. 17-25Artikkel i tidsskrift (Fagfellevurdert)
  • 7. Ahlqwist, M
    et al.
    Bengtsson, C
    Hakeberg, Magnus
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Hägglin, C
    Dental status of women in a 24-year longitudinal and cross-sectional study: Results from a population study of women in Göteborg.1999Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 57, nr 3, s. 162-167Artikkel i tidsskrift (Fagfellevurdert)
  • 8. Alm, A
    et al.
    Wendt, Lill-Kari
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Koch, G
    Birkhed, D
    Prevalence of approximal caries in posterior teeth in 15-year-old Swedish teenagers in relation to their caries experience at 3 years of age2007Inngår i: Caries Research, ISSN 0008-6568, E-ISSN 1421-976X, Vol. 41, nr 5, s. 392-398Artikkel i tidsskrift (Fagfellevurdert)
  • 9.
    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 childhood2012Inngår i: Community Dentistry and Oral Epidemiology, ISSN 0301-5661, E-ISSN 1600-0528, Vol. 40, nr 2, s. 125-133Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 10. 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 age2008Inngår i: International Journal of Paediatric Dentistry, ISSN 0960-7439, E-ISSN 1365-263X, Vol. 18, nr 3, s. 189-196Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 11. 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 prevalence2011Inngår i: Swedish Dental Journal, ISSN 0347-9994, Vol. 35, nr 1, s. 1-8Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 12. Alm, Anita
    et al.
    Wendt, Lill-Kari
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Koch, Göran
    Dental treatment in the primary dentition of 7-12 year-old Swedish schoolchildren.2003Inngår i: Swedish Dental Journal, ISSN 0347-9994, Vol. 27, nr 2, s. 77-82Artikkel i tidsskrift (Fagfellevurdert)
  • 13. Alm, Anita
    et al.
    Wendt, Lill-Kari
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Koch, Göran
    Dental treatment of the primary dentition in 7-12 year-old Swedish children in relation to caries experience at 6 years of age.2004Inngår i: Swedish Dental Journal, ISSN 0347-9994, Vol. 28, nr 2, s. 61-66Artikkel i tidsskrift (Fagfellevurdert)
  • 14. 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 age2008Inngår i: Caries Research, ISSN 0008-6568, E-ISSN 1421-976X, Vol. 42, nr 1, s. 28-36Artikkel i tidsskrift (Fagfellevurdert)
  • 15.
    Anastassaki, Alkisti
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Magnusson, Tomas
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Patients referred to a specialist clinic because of suspected temporomandibular disorders: a survey of 3194 patients in respect of diagnoses, treatments, and treatment outcome.2004Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 62, nr 4, s. 183-192Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aims were to study the patient population at a temporomandibular disorders (TMD) specialist clinic over time, and to try to find variables of importance for treatment outcome. The material consisted of 3194 consecutive patients who were referred to the clinic and underwent a clinical examination during the period 1995-2002. A number of patient and treatment-related variables that had been collected in an electronic database were analyzed retrospectively. The age and sex distribution of the present patient material was in line with several previous investigations of TMD patients. The mean age of both men and women was 42 years, and there was a large preponderance of women. A vast majority of the patients responded positively, and in few visits, on traditional conservative treatment methods. In line with previous studies, no strong predictors for treatment outcome were found. However, the diagnoses of disk displacement without reduction, arthritis in TMJs, and myalgia in masticatory muscles were predictors for a significant improvement, while the diagnosis orofacial pain of unspecified origin predicted a poorer prognosis.

  • 16.
    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 patientgrupper1996Inngår i: Tandläkartidningen, ISSN 0039-6982, Vol. 88, nr 7, s. 404-409Artikkel, forskningsoversikt (Annet vitenskapelig)
  • 17.
    Anastassaki Köhler, Alkisti
    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. Oral hälsa. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Magnusson, Tomas
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Clinical signs indicative of temporomandibular disorders in adults: time trends and associated factors2013Inngår i: Swedish Dental Journal, ISSN 0347-9994, Vol. 37, nr 1, s. 1-11Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The study aimed to examine possible time trends in the prevalence of clinical signs indicative of temporomandibular disorder (TMD) in an adult population, to analyse possible associations between TMD signs and associated factors and to estimate the need for TMD treatment. Three independent, stratified and randomly selected samples of around 100 individuals in the age groups of 20, 30, 40, 50, 60 and 70 years participated in the Jönköping studies in 1983,1993 and 2003. The study material consisted of 1,693 subjects who, after answering a questionnaire and being interviewed about the presence of TMD symptoms, were clinically examined in terms of the presence of TMD signs according to the Clinical Dysfunction Index (Di) by Helkimo. Associations between clinical signs and the Di as dependent variables and each of the independent variables of age group, gender, reported bruxism, trauma, self-perceived healthiness and the year of investigation were analysed in binary logistic regression models. Estimates of the need for TMD treatment were based on the presence of a combination of severe symptoms and clinical signs. The prevalence of severely impaired jaw movement capacity, relating to horizontal movements, had increased in 2003. The prevalence of muscle pain and temporomandibular joint pain upon posterior palpation was found to vary statistically significantly between 1993 and 2003. Gender differences were noted in these changes overtime. Female gender, advancing age, awareness of bruxism, self-perceived health impairment and the wearing of complete dentures were associated with TMD signs and a higher degree of clinical dysfunction. The estimated need for TMD treatment increased from 5% in 1983 to 8% in 2003 and was higher in women than in men. In conclusion, the results indicate that the prevalence of some TMD signs and of estimated treatment need increased during the period 1983-2003.

  • 18.
    Anastassaki Köhler, Alkisti
    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. Oral hälsa. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Magnusson, Tomas
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Prevalence of symptoms indicative of temporomandibular disorders in adults: cross-sectional epidemiological investigations covering two decades2012Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 70, nr 3, s. 213-223Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives. The aims were (1) to study possible secular trends in the prevalence of temporomandibular disorder (TMD) symptoms in adults and (2) to analyse possible associations between TMD symptoms and background factors. Materials and methods. The investigation has a repeated cross-sectional design. Three independent, randomly selected samples of 100 individuals in the age groups of 20, 30, 40, 50, 60 and 70 years, a total of 1704 subjects, participated in the Jönköping studies in 1983, 1993 and 2003. All the subjects were evaluated using a questionnaire and a structured interview relating to the presence of TMD symptoms. Associations between symptoms and the Anamnestic Dysfunction Index (Ai) as dependent variables and each of the independent variables, age group, gender, reported bruxism, trauma (1983), self-perceived health impairment and the year of investigation were analysed in binary logistic regression models. Results. The prevalence of the separate symptoms, apart from for TMJ clicking, did not vary to any statistically significant degree between the different examination years. However, the prevalence of recurrent headache in 20-year-old subjects rose remarkably in 2003 and an increase in the Ai I and Ai II for the whole population was observed during the 20-year period. Reported bruxism, which increased during the study period, and self-perceived health impairment were associated with most of the TMD symptoms and the Ai. Conclusions. An increase in the prevalence of TMD symptoms expressed as Anamnestic Dysfunction Index I and II has been noted over a 20-year period.

  • 19.
    Anastassaki Köhler, Alkisti
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Nydell Helkimo, Anna
    Magnusson, Tomas
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Hugoson, Anders
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Prevalence of symptoms and signs indicative of temporomandibular disorders in children and adolescents: A cross-sectional epidemiological investigation covering two decades2009Inngår i: European Archives of Paediatric Dentistry, ISSN 1818-6300, Vol. 10, nr Suppl. 1, s. 16-25Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    AIM: These were to 1) estimate the prevalence of subjective symptoms and clinical signs of temporomandibular disorders (TMD) in children and adolescents in the city of Jönköping, Sweden, 2) follow possible variations in TMD signs and symptoms over a 20-year period, and 3) study possible associations between TMD symptoms and signs and factors of interest. DESIGN: About 100 individuals in the age groups of 3, 5, 10 and 15 years participated in crosssectional stratified epidemiological investigations in 1983, 1993 and 2003. METHODS: All participants were asked to fill in a questionnaire including questions on general and oral health, dental care habits and some sociodemographic issues. More specific questions recorded the presence or absence of subjective symptoms: tiredness in the jaws on awakening or during chewing; clicking sounds or crepitations from the temporomandibular joints (TMJs); locking/ catching of the mandible; luxation of the mandible; reduced jaw movement capacity; pain during jaw movements; other pain conditions in the jaws or in the TMJ regions. Subjects were examined clinically at each time period for; jaw mobility (maximum jaw opening including vertical overbite, maximum laterotrusion to the right and to the left, maximum protrusion); TMJ function (normal function, deflection on jaw opening of > 2 mm, TMJ clicking or crepitations, TMJ locking, TMJ luxation); pain on jaw movement (no pain on movements, pain on one movement, pain on more than one movement); muscle pain (no muscle pain, pain on palpation in 1-3 sites, pain on palpation in > 3 sites); TMJ pain (no joint pain, pain on lateral palpation of one or both joints, pain on posterior palpation of one or both joints). No functional examination of the masticatory system was performed in children aged 3 and 5 years. RESULTS: TMD-related symptoms were very rare in 3- and 5-year-olds. In the age groups of 10- and 15-yearolds, 5-9% of the participants reported more severe symptoms, up to 50% showed one or more TMD signs, while it was estimated that 1-2% were in need of TMD treatment. Several symptoms and signs increased with age. No gender differences, with the exception of recurrent headache, were noted. Oral parafunctions were reported by 11-47%. Apart from a few variables, no statistically significant changes in the prevalence of TMD symptoms and signs were observed over the 20-year period. Clenching/grinding of teeth and general health factors were found to be associated with TMD symptoms and signs. CONCLUSIONS: The prevalence of more severe TMD symptoms and signs in children and adolescents was generally low in all three examinations and did not change significantly during the 20-year period. Increasing age, general health factors and oral parafunctions were associated with TMD symptoms and signs in 10- and 15-year-olds.

  • 20.
    Anastassaki-Köhler, A
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Hugoson, A
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Magnusson, Tomas
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Clinical signs indicative of temporomandibular disorders in adults: changes over time and associated factors – a preliminary report.2011Konferansepaper (Fagfellevurdert)
  • 21.
    Anastassaki-Köhler, Alkisti
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    On temporomandibular disorders: Time trends, associated factors, treatment need and treatment outcome2012Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    During the last few decades, and especially during the 1990s, an increase in musculoskeletal pain conditions and stress-related ill-health has been observed in Sweden. At the same time, an improvement in the oral health of the population has been noted. The overall aim of this thesis was to acquire knowledge relating to possible time trends for the presence of temporomandibular disorders (TMD) in the population. A further objective was to study factors that possibly influence the presence of these disorders and the outcome of their treatment.

    Studies I–III are based on a series of repeated cross-sectional population-based investigations. Three independent samples of 130 individuals in the age groups of 3, 5, 10, 15, 20, 30, 40, 50, 60 and 70 years were randomly selected from the inhabitants of the city of Jonkoping, Sweden in 1983, 1993 and 2003. The total participation rate was 21%, 22% and 29% respectively. The participants were examined using a questionnaire, interview and a clinical examination of the stomatognathic system regarding the presence of symptoms and signs indicative of TMD. Study IV is a retrospective survey of a clinical sample of patients referred to and treated at the Department of Stomatognathic Physiology, The Institute for Postgraduate Dental Education, Jonkoping, in 1995–2002. The overall frequencies of symptoms and the rates for some clinical signs and consequently of an estimated treatment need in adults increased during the study period. In 2003, the prevalence of frequent headache in 20-year-olds, mainly females, had markedly increased. The reports of bruxism among adults increased from 1983 to 2003. Awareness of bruxism and self-perceived health impairment were associated with TMD symptoms and signs. A favourable treatment outcome was observed for the majority of patients with common TMD sub-diagnoses and no strong predictors of treatment outcome were found.

    In conclusion, the results suggest some time trends towards an increased prevalence in the overall symptoms and some signs indicative of TMD in the Swedish adult population during the time period 1983–2003. A profound understanding of the social determinants of health is recommended when planning public health resources.

  • 22.
    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 indicated2018Inngår i: Biomarkers, ISSN 1354-750X, E-ISSN 1366-5804, Vol. 24, nr 2, s. 180-185Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 23.
    Andersson, Clara
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Gustafsson, Johanna
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Behandlingsmetoders effekt på hyposalivation och oral mukosit efter behandling av huvud- och halscancer: - En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: Huvud- och halscancerbehandling genom strålbehandling/kirurgi kan bidra till olika orala biverkningar. De vanligaste biverkningarna som uppstår under/efter behandling är hyposalivation och oral mukosit. Syfte: Syftet med litteraturöversikten var att sammanställa olika behandlingsmetoders effekt på hyposalivation och oral mukosit efter behandling av huvud- och halscancer. Metod: Studiedesignen var en allmän litteraturöversikt där databaserna Medline, DOSS och Cinahl användes för att finna relevanta vetenskapliga artiklar. Genom inklusions-/exklusionskriterier valdes 15 vetenskapliga artiklar ut. De inkluderade studierna granskades utifrån en modifierad granskningsmall för att enbart studier med starkt/måttligt bevisvärde skulle presenteras. Resultat: Resultatet framställer att Pilokarpin, Cevimelin och TENS visade en positiv effekt på hyposalivation. Salivsubstitut och akupunktur visade inte någon inverkan på salivsekretionen utan påverkade enbart xerostomi positivt. Laserterapi redovisades ha effekt mot mukosit där allvarlighetsgraden av mukosit var lägre hos lasergrupperna i jämförelse med placebogrupperna. Honung kan ha en effekt att lindra mukosit och Aloe Vera visade ingen effekt mot mukosit eller andra biverkningar kopplade till mukosituppkomsten. Slutsats: Pilokarpin, Cevimelin och TENS kan bidra till ökad salivsekretion. Laserterapi och honung kan ha effekt mot oral mukosit. Behandlingar som Aloe Vera, akupunktur och salivsubstitut uppvisade inte någon effekt i resultatet. Fortsatt forskning behövs för att utveckla behandlingsmetoders effekt mot mukosit och hyposalivation.

  • 24. Arnrup, Kristina
    et al.
    Berggren, Ulf
    Broberg, Anders G
    Lundin, Sven-Ake
    Hakeberg, Magnus
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Attitudes to dental care among parents of uncooperative vs. cooperative child dental patients.2002Inngår i: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, Vol. 110, nr 2, s. 75-82Artikkel i tidsskrift (Fagfellevurdert)
  • 25. Baelum, V
    et al.
    van Palenstein Helderman, W
    Hugoson, Anders
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Yee, R
    Fejerskov, O
    A global perspective on changes in the burden of caries and periodontitis: implications for dentistry.2007Inngår i: Journal of Oral Rehabilitation, ISSN 0305-182X, E-ISSN 1365-2842, Vol. 34, nr 12, s. 872-906; discussion 940Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The structure and contents of most oral health care systems and the contents of dental curricula reflect a deep-rooted tradition for attempting to cure oral diseases by refined technological means. However, better oral health conditions for the world's populations necessitate the application of up-to-date scientific knowledge to control the major oral diseases. This review points out that not only should the structure and contents of oral health care delivery systems be based on state-of-the-art knowledge about the biology of the oral diseases; they must also take into account the trends for change in caries and periodontal diseases within and between populations, and acknowledge the impact of changes in treatment philosophies for these trends. The oral disease profiles for populations in low- and high-income countries are briefly described, and it is concluded that the rapidly changing disease profiles observed in high-income countries necessitate re-thinking of the future role and organization of dentistry in such countries. The priorities for low- and middle-income countries must be to avoid repeating the mistakes made in the high-income countries. Instead, these societies might take advantage of setting priorities based on a population-based common risk factor approach. If such an approach is adopted, the training of personnel with oral health care competence must be rethought. The authors suggest three different cadres of dental care providers to be considered for an approach that allows health care planners in different populations around the world to prioritize appropriate oral health care with due respect for the socio-economic conditions prevailing.

  • 26.
    Barnardo, Josefin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Ingvarsson, Malin
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Massmedias påverkan på unga vuxnas attityd och val kring oral hälsa2017Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Syfte: Studiens syfte var att utforska tv och internets påverkan avseende synen på, intresset för samt val kring oral hälsa hos unga vuxna vid Jönköping University. Metod: En pappersenkät delades ut till 100 unga vuxna vid Jönköping University i åldrarna 20-30 år. Av dessa var 66 kvinnor, 33 män och 1 med annan könsidentitet. Enkäten bestod av 10 frågor rörande tidskonsumering av tv och internet samt i vilken grad dessa medier påverkar synen på och intresset för oral hälsa. Frågorna berörde även vilken information kring oral hälsa som intresserar mest, samt i vilken grad tv och internet upplevs som trovärdig och påverkar individens orala hälsoval. Resultat: Resultatet av studien visade att Hela och rena tänder var den orala hälsoinformation som intresserade respondenterna mest. En viss påverkan kunde ses avseende syn på, intresse för samt val kring oral hälsa. Ingen skillnad kunde ses mellan tv och internet avseende påverkan, inte heller någon signifikant skillnad mellan män och kvinnor. Ingen koppling kunde ses avseende respondenternas syn på oral hälsa och konsumtionsgrad av tv och internet. Slutsats: Tv och internet hade en viss påverkan på respondenterna avseende syn på, intresse för samt val kring oral hälsa. 

  • 27.
    Bengtsson, Sandra
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa. 830328-3983.
    Föräldrars attityder till faktorer associerade med karies hos 6- åriga barn2019Independent thesis Advanced level (degree of Master (One Year)), 40 poäng / 60 hpOppgave
    Abstract [sv]

    Bakgrund: År 2018 publicerade Socialstyrelsen ny data som visar på en minskning av barn som är kariesfria i åldersgruppen sex år i Sverige (Sos, 2018).  Även i SkaPa, Svenskt kvalitetsregister för karies och parodontit, ses en markant ökning av karies bland barn i åldrarna sex, sju och åtta år. Syfte: Syftet med studien var att utforska föräldrars attityder kring olika faktorer som anses vara avgörande för uppkomst av karies hos barn i 6-årsåldern. Metod: Kvalitativ intervjustudie genom innehållsanalys. Resultat: I resultatet framkom tre huvudkategorier, Attityd utifrån välbefinnande, Attityd utifrån kunskap och Attityd utifrån ansvar. I de olika kategorierna framkommer attityder som alla på ett eller annat sätt berör ämnena kost, munhygien och fluorid. Kategorierna kompletterar varandra samtidigt som de berör olika problemområden. Konklusion: Brist i kunskap ses i ämnet munhygien där föräldrarna anser att tandborstning är den enskilt viktigaste faktorn för att undvika karies.  Brist i information ses gällande sockerkonsumtion där föräldrarna har en avslappnad attityd mot socker som gör det acceptabelt med socker som en naturlig del i vardagen. Denna studie bidrar till att uppnå WHO:s mål, på grund av att tandvårdspersonal blir medvetna av informationens betydelse till föräldrar som har barn i sex års åldern.

  • 28.
    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 barnpatienter2016Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    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.

  • 29. Bergendal, T
    et al.
    Hugoson, Anders
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Kvint, S
    Lundgren, D
    A radiological inventory of possible sites for cylinder implants in edentulous regions of the jaws: An epidemiological study1994Inngår i: Swedish Dental Journal, ISSN 0347-9994, Vol. 18, nr 3, s. 75-85Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Implant treatment is nowadays requested as an alternative mode of treatment for both total and partial edentulousness. The purpose of the study was to assess the maximum number of possible implant sites in a group of adults. The study material comprised 579 persons divided into the age-groups 20, 30, 40, 50, 60 and 70 years. Based on radiological examination, the subjects were grouped according to Eichner's index. They comprised both dentate and edentulous individuals. Templates, marked with cylinder implants of different dimensions, were placed over edentulous regions. The possible number of cylinder-shaped endosseous implants that could be placed anterior to the second molar was assessed in relation to bone availability and anatomical structures. Gaps treated with fixed bridges were not registered. Altogether 1,048 presumptive fixture sites were marked, of which 78% in the age-groups 60 and 70 years. Eichner groups C 1-3, which comprised the edentulous persons, constituted 12% of the subjects and accounted for 57% of the possible number of implants. All edentulous mandibles and 70% of the edentulous maxillae were judged suitable for placement of implants. On average 5.5 and 5.8 sites were marked per edentulous maxilla and mandible, respectively. Groups B1-4 comprised 21% of the subjects and accounted for 37% of the implants. It is discussed that implant treatment in totally edentulous jaws will increase in relative terms in Sweden as in other Scandinavian countries, i.e. the percentage of edentulous jaws treated with implants will increase. In absolute terms, however, the treatment will probably decrease owing to a marked decrease in the number of edentulous individuals. The future need for implant treatment in the residual dentition will probably increase but it is difficult to predict by how much.

  • 30. Bergendal, T
    et al.
    Magnusson, Tomas
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Changes in signs and symptoms of temporomandibular disorders following treatment with implant-supported fixed prostheses: a prospective 3-year follow up.2000Inngår i: International Journal of Prosthodontics, ISSN 0893-2174, E-ISSN 1139-9791, Vol. 13, nr 5, s. 392-398Artikkel i tidsskrift (Fagfellevurdert)
  • 31.
    Bergenholtz, Gunnar
    et al.
    Högskolan i Jönköping.
    Dahlén, Gunnar
    Ekman, Agneta
    Eriksson, P-O
    Magnusson, Tomas
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Sveriges ledande position inom odontologisk forskning hotas2003Inngår i: Tandläkartidningen, ISSN 0039-6982, Vol. 95, nr 9, s. 60-61Artikkel i tidsskrift (Fagfellevurdert)
  • 32.
    Berggren, Kristina
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Legitimerad tandvårdspersonals erfarenheter kring patienter med obstruktiv sömnapné.: En intervju studie2019Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Sömnen är en naturlig del av människans liv och sömnstörning påverkar den vakna tidens kvalité samt det allmänna välmående. För att bibehålla en god hälsa är det av stor vikt att sova utan avbrott. Obstruktiv sömnapné (OSA) är ett tillstånd som orsakar andningsuppehåll under sömn och stör därmed sömnens effekt vilket ökar risk för andra allmänna sjukdomstillstånd. Tandvården är en organisation som träffar patienter regelbundet för undersökning av den orala hälsan. Patientens egen berättelse samt intra orala markörer kan vara tecken på symtom på OSA. Det finns brist på fördjupad kunskap kring tandvårdens erfarenhet kring patienter med OSA.

    Syftet med studien var att beskriva legitimerad tandvårdspersonals erfarenheter av vuxna tandvårdspatienter med obstruktiv sömnapné (OSA).

    Resultat Resultatet visar att erfarenheter hos tandvårdspersonalen varierar vad det gäller

    patienter med OSA. ”Kliniska erfarenheter av OSA” med underkategorier som patientmötet,

    betydelsen av hälsodeklarationen, kliniska markörer samt ”Omhändertagande” med

    underkategorierna prevention oral hälsa och samarbete med hälso- och sjukvården, var det

    som speglade tandvårdspersonalens erfarenheter.

    Slutsats Legitimerad tandvårdpersonal har en betydande roll för den orala och allmänna hälsan.

    Patienter med OSA symtom kan uppmärksammas i tandvården men mer kunskap och verktyg

    krävs inom området för att ett samarbete med hälso- och sjukvården kan skapas.

  • 33. Berggren, U
    et al.
    Carlsson, S G
    Gustafsson, J E
    Hakeberg, Magnus
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Factor analysis and reduction of a Fear Survey Schedule among dental phobic patients.1995Inngår i: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, Vol. 103, nr 5, s. 331-338Artikkel i tidsskrift (Fagfellevurdert)
  • 34. Berggren, U
    et al.
    Carlsson, S G
    Hakeberg, Magnus
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Hägglin, C
    Samsonowitz, V
    Assessment of patients with phobic dental anxiety.1997Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 55, nr 4, s. 217-222Artikkel i tidsskrift (Fagfellevurdert)
  • 35. Berggren, U
    et al.
    Carlsson, S G
    Hägglin, C
    Hakeberg, Magnus
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Samsonowitz, V
    Assessment of patients with direct conditioned and indirect cognitive reported origin of dental fear.1997Inngår i: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, Vol. 105, nr 3, s. 213-220Artikkel i tidsskrift (Fagfellevurdert)
  • 36. Berggren, U
    et al.
    Hakeberg, Magnus
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Carlsson, S G
    Relaxation vs. cognitively oriented therapies for dental fear.2000Inngår i: Journal of Dental Research, ISSN 0022-0345, E-ISSN 1544-0591, Vol. 79, nr 9, s. 1645-1651Artikkel i tidsskrift (Fagfellevurdert)
  • 37. Bergius, M
    et al.
    Berggren, U
    Bogdanov, O
    Hakeberg, Magnus
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Dental anxiety among adolescents in St. Petersburg, Russia.1997Inngår i: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, Vol. 105, nr 2, s. 117-122Artikkel i tidsskrift (Fagfellevurdert)
  • 38. 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 treatment2008Inngår i: American Journal of Orthodontics and Dentofacial Orthopedics, ISSN 0889-5406, E-ISSN 1097-6752, Vol. 133, nr 3, s. 339.e1-8Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 39. Bergman, B
    et al.
    Hugoson, Anders
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Olsson, C O
    A 25 year longitudinal study of patients treated with removable partial dentures.1995Inngår i: Journal of Oral Rehabilitation, ISSN 0305-182X, E-ISSN 1365-2842, Vol. 22, nr 8, s. 595-599Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    A 25 year longitudinal study was carried out on a number of patients fitted with removable partial dentures (RPDs) in 1969. Before the prosthetic treatment all patients were given oral hygiene motivation and instructions in order to create a high level of co-operation. The RPDs, most of which were lower bilateral distal extension dentures, were carefully planned and designed. During the first 10 years the patients were examined in our clinic at yearly intervals at which time encouragement and reinstruction regarding oral hygiene were given and various treatment procedures were performed as required. After the initial 10 years the patients were advised, for practical reasons, to continue to have yearly controls on their own initiative. Of the initial 30 patients from 1969, 23 were still alive in 1994, all of whom were examined. In five of those 23 the original RPD situation had changed more or less due mainly to general illness contracted and/or change to other therapies. In the remaining 18 patients wearing in total 20 RPDs, 13 (65%) of the original RPDs were still functioning. Seven RPDs were new with principally the same design as the original ones. Among these 18 patients the number of lost teeth, the number of new DF surfaces and the increased number of endodontically treated teeth were few. No apparent changes took place regarding the periodontal condition during the follow-up period.(ABSTRACT TRUNCATED AT 250 WORDS)

  • 40. 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 earlier2008Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 66, nr 2, s. 88-92Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 41. Bjerklin, Krister
    et al.
    Lindsten, Rune
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Tunge, Jannicke Sagevik
    Sjövall, Christine
    Orthodontic treatment need, outcome and residual treatment need in 15- and 20-year-olds2012Inngår i: Swedish Dental Journal, ISSN 0347-9994, Vol. 36, nr 3, s. 157-165Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of the study was to investigate orthodontic treatment need and the outcome of orthodontic treatment in 15-, and 20-year-olds in Jönköping, Sweden, with special reference to residual treatment need. An offer to participate in a clinical investigation was extended to random samples of 130 15-year-olds and 130 20-year-olds. Ninety-six of the 15-year-olds (73.3%; 45 boys and 51 girls) and 82 of the 20-year-olds (62.6%; 47 males and 35 females) accepted and presented for examination The participants filled in a questionnaire and impressions were taken for study models, which were graded according to the ICON index. In all, 39 (40.6%) of the 15-year-olds and 38 (46.3%) of the 20-year-olds had undergone or were currently undergoing orthodontic treatment. Ninety-one per cent of the 15-year-olds and 84% of the 20-year-olds considered that the orthodontic treatment goals had been fully or almost fully attained. Two of the 15-year-olds and two of the 20-year-olds currently wanted orthodontic treatment. This indicates a residual treatment demand of about 2%.

  • 42. 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.2008Inngår i: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 26, nr 3, s. 140-146Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 43.
    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' perceptions2018Inngår i: European Journal of Orthodontics, ISSN 0141-5387, E-ISSN 1460-2210, Vol. 40, nr 6, s. 626-635Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 44.
    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 perspective2018Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 76, nr 5, s. 320-330Artikkel i tidsskrift (Fagfellevurdert)
    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. 

  • 45.
    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 perspective2019Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 77, nr 3, s. 238-247Artikkel i tidsskrift (Fagfellevurdert)
    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. 

  • 46. Bratel, J
    et al.
    Hakeberg, Magnus
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Jontell, M
    Effect of replacement of dental amalgam on oral lichenoid reactions.1996Inngår i: Journal of Dentistry, ISSN 0300-5712, E-ISSN 1879-176X, Vol. 24, nr 1-2, s. 41-45Artikkel i tidsskrift (Fagfellevurdert)
  • 47. Bratel, John
    et al.
    Hakeberg, Magnus
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Jontell, Mats
    The effect of LongoVital on recurrent aphthous stomatitis in a controlled clinical trial.2005Inngår i: Oral Health & Preventive Dentistry, ISSN 1602-1622, Vol. 3, nr 1, s. 3-8Artikkel i tidsskrift (Fagfellevurdert)
  • 48.
    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 ungdomstandvård2019Independent thesis Basic level (degree of Bachelor), 20 poäng / 30 hpOppgave
    Abstract [en]

    Aim: The aim of the study was to compile scientific studies that studied the reliability of the caries risk assessment instruments (CAMBRA, Cariogram and R2) and their capacity to predict future caries development in children and adolescents. Method: The study is a general literature study based on scientific articles obtained from the databases Dentistry & Oral Sciences source (DOSS), PUBMED, CINAHL, SwePub and SveMed+. The articles were selected according to inclusion-/exclusion criteria. The included studies were reviewed with modified review template to present studies of strong value. The result is based on a total of 17 scientific articles that respond to the study's purpose and questions. Result: Caries risk assessment instrument is a useful tool in dental care, as it facilitates work with the risk grouping of patients. However, there is a need for further development of the various instruments in order for these to be considered fully reliable. Conclusion: The common feature of the three caries risk assessment instruments is that these should be reviewed and further developed in order to achieve full reliability.

  • 49.
    Byström, Ann-Louise
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Äldre individers upplevelse av sin orala hälsa - en kvalitativ intervjustudie2010Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
  • 50. Cabrera, Claudia
    et al.
    Hakeberg, Magnus
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Ahlqwist, Margareta
    Wedel, Hans
    Björkelund, Cecilia
    Bengtsson, Calle
    Lissner, Lauren
    Can the relation between tooth loss and chronic disease be explained by socio-economic status?: A 24-year follow-up from the population study of women in Gothenburg, Sweden.2005Inngår i: European Journal of Epidemiology, ISSN 0393-2990, E-ISSN 1573-7284, Vol. 20, nr 3, s. 229-236Artikkel i tidsskrift (Fagfellevurdert)
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