Change search
Refine search result
12 1 - 50 of 75
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the Create feeds function.
  • 1.
    Anastassaki Köhler, Alkisti
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Hugoson, Anders
    Jönköping University, School of Health and Welfare, HHJ. Oral health. Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine.
    Magnusson, Tomas
    Jönköping University, School of Health and Welfare, HHJ. Oral health. Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine.
    Clinical signs indicative of temporomandibular disorders in adults: time trends and associated factors2013In: Swedish Dental Journal, ISSN 0347-9994, Vol. 37, no 1, p. 1-11Article in journal (Refereed)
    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.

  • 2.
    Anastassaki Köhler, Alkisti
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Hugoson, Anders
    Jönköping University, School of Health Science, HHJ. Oral health. Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine.
    Magnusson, Tomas
    Jönköping University, School of Health Science, HHJ. Oral health. Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine.
    Prevalence of symptoms indicative of temporomandibular disorders in adults: cross-sectional epidemiological investigations covering two decades2012In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 70, no 3, p. 213-223Article in journal (Refereed)
    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.

  • 3.
    Anastassaki Köhler, Alkisti
    et al.
    Jönköping University, School of Health Science, HHJ. Oral health.
    Nydell Helkimo, Anna
    Magnusson, Tomas
    Jönköping University, School of Health Science, HHJ. Oral health.
    Hugoson, Anders
    Jönköping University, School of Health Science, HHJ. Oral health.
    Prevalence of symptoms and signs indicative of temporomandibular disorders in children and adolescents: A cross-sectional epidemiological investigation covering two decades2009In: European Archives of Paediatric Dentistry, ISSN 1818-6300, Vol. 10, no Suppl. 1, p. 16-25Article in journal (Refereed)
    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.

  • 4.
    Anastassaki-Köhler, A
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Hugoson, A
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Magnusson, Tomas
    Jönköping University, School of Health Science, HHJ. Oral health. Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine.
    Clinical signs indicative of temporomandibular disorders in adults: changes over time and associated factors – a preliminary report.2011Conference paper (Refereed)
  • 5. Baelum, V
    et al.
    van Palenstein Helderman, W
    Hugoson, Anders
    Jönköping University, School of Health Science, HHJ. Oral health.
    Yee, R
    Fejerskov, O
    A global perspective on changes in the burden of caries and periodontitis: implications for dentistry.2007In: Journal of Oral Rehabilitation, ISSN 0305-182X, E-ISSN 1365-2842, Vol. 34, no 12, p. 872-906; discussion 940Article in journal (Refereed)
    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.

  • 6. Bergendal, T
    et al.
    Hugoson, Anders
    Jönköping University, School of Health Science, HHJ. Oral health.
    Kvint, S
    Lundgren, D
    A radiological inventory of possible sites for cylinder implants in edentulous regions of the jaws: An epidemiological study1994In: Swedish Dental Journal, ISSN 0347-9994, Vol. 18, no 3, p. 75-85Article in journal (Refereed)
    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.

  • 7. Bergman, B
    et al.
    Hugoson, Anders
    Jönköping University, School of Health Science, HHJ. Oral health.
    Olsson, C O
    A 25 year longitudinal study of patients treated with removable partial dentures.1995In: Journal of Oral Rehabilitation, ISSN 0305-182X, E-ISSN 1365-2842, Vol. 22, no 8, p. 595-599Article in journal (Refereed)
    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)

  • 8.
    Einarson, Susanne
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine.
    Hugoson, Anders
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine.
    wärnberg Gerdin, elisabeth
    Folkhälsovetenskapligt centrum i landstinget Östergötland.
    Munhälsorelaterad livskvalitet i en vuxen svensk befolkning - en epidemiolgisk studie2008In: Munhälsorelaterad livskvalitet i en vuxen svensk befolkning - en epidemiolgisk studie, 2008Conference paper (Other academic)
    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.

  • 9.
    Einarson, Susanne
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Hugoson, Anders
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Wärnberg Gerdin, Elisabeth
    Oral health impact on quality of life in an adult Swedish population2009In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 67, no 2, p. 85-93Article in journal (Refereed)
    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.

  • 10.
    Einarson, Susanne
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine.
    Wärnberg Gerdin, Elisabeth
    Folkhälsovetenskapligt centrum landstinget i Östergötland.
    Hugoson, Anders
    HHJ, Avd. för naturvetenskap och biomedicin, Dep. of Natural Science and Biomedicine.
    Distribution of oral health impact profile in an adult population An epidemiological study2005In: Distribution of oral health impact profile in an adult population An epidemiological study, 2005Conference paper (Refereed)
    Abstract [en]

    Objective: The study focus on oral health-related quality of life (OHRQOL) and how oral health effect individuals quality of life. The aim of this presentation was to describe the distribution of oral health impact profile (OHIP-14) in a population in the city of Jönköping, Sweden. Research Methods: A random selected sample of 572 (276 male, 296 female) individuals in age groups 20, 30, 40, 50, 60, 70 and 80 years answered a OHIP-14questioinnaire. The questionnaire capture five dimensions and 14 items. The dimensions are “functioning”, “discomfort”, “psychological aspects”, “social aspects” and “disabilities”. Results: 423 individuals answered all 14 items and 95 individuals answered 1-13 items. Of the individuals that had answered all items 23% were without problems. Highest frequency of answers with problems was found within the dimension “functioning” and the item “pain problems” (43% of individuals) and lowest frequency of answers with problems was found in the dimension “disability” and the item “totally unable to function”, (11% of individuals). Within the dimension “discomfort” the item “been self-consious during the last year” got answered from 39% of the individuals. Seventeen % of these individuals answered that they had problems “very often” or “quite often”. Outcomes: The results from this epidemiological study covering a random sample of a normal adult swedish population is expected to increase the knowledge about OHIP-14 and the possibility to study factors of importants for oral health-related quality of life.

  • 11.
    einarson, susanne
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine.
    wärnberg gerdin, elisabeth
    hugoson, anders
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine.
    Oral health impact on quality of life in an adult Swedish population2010Conference paper (Refereed)
    Abstract [en]

    Objectives: Quality of life is an  expression with many meanings  and it creates positive associations  for most people. Oral health has a major impact on general quality of life. The aim of this study was to describe  oral health-related quality of life measured with Oral Health Impact  profile with 14 questions (OHIP-14)  in an Swedish adult population. Methods: This is an epidemiological study and it comprised a stratified random sample of 260 men and 259 women, 20-80 years of age. The OHIP-14 questionnaire was used. Results: Twenty-one percent of the respondents stated that they had no oral problems that were negative related to their 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). Of the individuals who stated that they had oral problems, the majority were among women aged 20-yearsInternal reliability of the OHIP scale showed good internal consistency with a Cronbach alpha coefficient of 0.90. Conclusions: In this Swedish population, a number of individuals, young and old, experienced oral problems that had a negative impact on their well-being.

  • 12.
    Einarson, Susanne
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Wärnbring Gerdin, Elisabeth
    Landstinget i Östergötland.
    Hugoson, Anders
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine.
    Oral health-related quality of life and its relationship to self-reported oral discomfort and clinical status2014In: Swedish Dental Journal, ISSN 0347-9994, Vol. 38, no 4, p. 169-178Article in journal (Refereed)
    Abstract [en]

    The impact of oral health on quality of life is one aspect when it comes to understanding the significance of oral health. The aim of this sudy was to analyse the self-reported oral discomfort and clincial status of individuals reporting oral problems never/very seldom affexting quality of life during the last year and compar ehem with individuals who reported oral problems hardly ever/occasiaonally or often/very often during the same period. The study comprised a stratified random sample of 515 individuals who lived in four parishes in the City of Jönköping, Sweden, and tyrned 20, 30, 40, 50, 60, 70 and 80 years of age in 2003. The impact of oral health on quality of life was examined using the OHIP-14 questionnaire. The individuals were also examined clinically and radiographically. Of the participants, 21 % reorted no experience of impaired quality of life and 20 % of the indivudals reported that they had expperienced impaires quality of life often or very often during the last year. The highest frequency of oral problems was found among individuals aged 20 and 80 years. Subjective symptoms, such as grinding/clenching and headache, were found among 20- and 30-year-olds. Edentulous individuals with many missing teeth, individuals with severe periodontal disease or subjective dry mouth answered that they experienced problems accordning to the OHIP-14 often or very often. A number of individuals, young and old, had thus experienced subjective or clinically verified oral conditions associated with a negative experience of quality of life. This complementary information will provide a deeper understanding of the importance of oral health in the population.

  • 13.
    Ericsson, Iréne
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health.
    Aronsson, Kerstin
    Folkhälsovetenskapligt centrum., Landstinget Östergötland.
    Cedersund, Elisabet
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Social Work. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health.
    Hugoson, Anders
    Jönköping University, School of Health and Welfare, HHJ. Oral health. Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine.
    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 dementia2009In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 67, no 4, p. 212-221Article in journal (Refereed)
  • 14. Frisk, Fredrik
    et al.
    Hugoson, Anders
    Jönköping University, School of Health and Welfare, HHJ. Oral health. Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine.
    Hakeberg, Magnus
    Jönköping University, School of Health and Welfare, HHJ. Oral health. Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine.
    Technical quality of root fillings and periapical status in root filled teeth in Jönköping, Sweden2008In: International Endodontic Journal, ISSN 0143-2885, E-ISSN 1365-2591, Vol. 41, no 11, p. 958-968Article in journal (Refereed)
  • 15. Frisk, Fredrik
    et al.
    Merdad, Khalid
    Reit, Claes
    Hugoson, Anders
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Birkhed, Down
    Root-filled teeth and recurrent caries: A study of three repeated crodd-sectional samples from the city of Jönköping, Sweden2011In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 69, no 6, p. 401-405Article in journal (Refereed)
    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

  • 16. Hellqvist, L
    et al.
    Rolandsson, M
    Birkhed, D
    Hugoson, Anders
    Jönköping University, School of Health and Welfare, HHJ. Oral health. Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine.
    Tobacco use in relation to socioeconomic factors and dental care habits among Swedish individuals 15-70 years of age, 1983-20032009In: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 7, no 1, p. 62-70Article in journal (Refereed)
  • 17.
    Hugoson, Anders
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Dental caries in relation to smoking and the use of Swedish snus: epidemiological studies covering 20 years (1983-2003)2012In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 70, no 4, p. 289-296Article in journal (Refereed)
    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.

  • 18.
    Hugoson, Anders
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine.
    Tandlöshet och tänder, munhygien, gingivit och parodontit2008Other (Other (popular science, discussion, etc.))
  • 19.
    Hugoson, Anders
    et al.
    Jönköping University, School of Health Science, HHJ. Oral health.
    Ekfeldt, A
    Koch, G
    Hallonsten, A L
    Incisal and occlusal tooth wear in children and adolescents in a Swedish population.1996In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 54, no 4, p. 263-270Article in journal (Refereed)
    Abstract [en]

    The material consisted of 527 randomly selected children and adolescents from the community of Jönköping, Sweden, who in 1983 reached the age of 3, 5, 10, 15, or 20 years. The degree of incisal or occlusal tooth wear was evaluated for each single tooth in accordance with the following criteria: score 0 = no wear or negligible wear of enamel; score 1 = obvious wear of enamel or wear through the enamel to the dentin in single spots; score 2 = wear of the dentin up to one-third of the crown height; and score 3 = wear of the dentin more than one-third of the crown height. In the age groups 3 and 5 years the primary dentition was studied, and in the age groups 10, 15, and 20 years the permanent dentition. In the 3-year-old children 63% and in the 5-year-olds 19% had no or slight incisal or occlusal wear in the primary dentition. In the permanent dentition the corresponding figures for the 10-, 15-, and 20-year-olds were 78%, 51%, and 35%, respectively. The 5-year-olds had the highest percentage of primary teeth with incisal or occlusal wear related to existing teeth in accordance with criteria 1-3 (32.2%), and the 10-year-olds had the lowest score for permanent teeth (2.5%). There were small or no differences in tooth wear between the sexes in these age groups. Eighteen children (17%) among the 5-year-olds had one or more teeth with wear scored 2 in the primary dentition, and one individual had 4 primary teeth scored 3. The corresponding figures for the 3-, 10-, 15-, and 20 year-olds were 2%, 1%, 7% and 6%, respectively. No permanent teeth with wear scored 3 were found in these age groups. The number of teeth with incisal or occlusal wear increased with age both in the primary and in the permanent dentition.

  • 20.
    Hugoson, Anders
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Hellqvist, Lena
    Boström, Anita
    Lingström, Peter
    Rolandsson, Margot
    Birkhed, Dowen
    Effect of nicotine-free and nicotine-containing snus on plaque pH in vivo2012In: Swedish Dental Journal, ISSN 0347-9994, Vol. 36, no 4, p. 187-194Article in journal (Refereed)
  • 21.
    Hugoson, Anders
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Koch , Göran
    Odontologiska Institutionen i Jönköping.
    Norderyd, Ola
    Odontologiska Institutionen.
    Sondell, Katarina
    Odontologiska Institutionen.
    Jönköpingsundersökningarna: unika och omtalade2008In: Tandläkartidningen, ISSN 0039-6982, Vol. 100, no 15, p. 50-54Article, review/survey (Other academic)
    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.

  • 22.
    Hugoson, Anders
    et al.
    Jönköping University, School of Health Science, HHJ. Oral health.
    Koch, G
    Bergendal, T
    Hallonsten, A L
    Slotte, C
    Thorstensson, B
    Thorstensson, H
    Oral health of individuals aged 3-80 years in Jönköping, Sweden in 1973, 1983, and 1993: I. Review of findings on dental care habits and knowledge of oral health1995In: Swedish Dental Journal, ISSN 0347-9994, Vol. 19, no 6, p. 225-241Article in journal (Refereed)
    Abstract [en]

    The aim of the present study was to compare data on dental care habits and knowledge of oral health in three cross-sectional studies carried out in 1973, 1983, and 1993. The 1973 study constituted a random sample of 1000 individuals evenly distributed in the age groups 3, 5, 10, 15, 20, 30, 40, 50, 60, and 70 years. The same age groups with addition of a group of 80-year-olds were included in the 1983 and 1993 studies which comprised 1104 and 1078 individuals, respectively. A questionnaire (23-101 questions) about dental care habits and knowledge of oral health was used in connection with a clinical and radiographic examination. The same questions were used in all the three studies. An addition to the 1993 investigation was questions concerning ethnographic background. In 1993 approximately 95% of all individuals were visiting the dentist on a regular basis every or every second year. The 30-year-olds, however, did not visit a dentist as regularly in 1993 as in 1983. The 70- and 80-year-olds visited a dentist more regularly in 1993 than in 1983. An increased number of adults in all age groups, except for the 70-year-olds, received their dental care in the Public Dental Service in 1993 compared to 1983 and 1973. Most 40-year-olds and older, however, received their dental care by private practitioners. About 80% of all adults in 1993 were enrolled in a recall system on the dentist's initiative while in 1973 most appointments were based on the patient's own initiative. The number of individuals who felt discomfort at the prospect of an appointment with the dentist was more or less the same in 1973, 1983, and 1993. The knowledge of the etiology of dental diseases has not changed much between 1973 and 1993. The frequency of toothbrushing has increased since 1973 and in 1993 more than 95% of all individuals brushed their teeth daily. The use of dental floss and toothpicks as well as disclosing tablets decreased in 1993 compared to 1983. Almost all individuals in 1993 used fluoride toothpaste. The use of topical fluorides and fluoride tablets in children had decreased considerably in 1993 compared to 1983.

  • 23.
    Hugoson, Anders
    et al.
    Jönköping University, School of Health Science, HHJ. Oral health.
    Koch, G
    Bergendal, T
    Hallonsten, A L
    Slotte, C
    Thorstensson, B
    Thorstensson, H
    Oral health of individuals aged 3-80 years in Jönköping, Sweden in 1973, 1983, and 1993: II. Review of clinical and radiographic findings1995In: Swedish Dental Journal, ISSN 0347-9994, Vol. 19, no 6, p. 243-260Article in journal (Refereed)
    Abstract [en]

    The aim of this epidemiological study was to analyse various clinical and radiographic data on oral health and compare the results to those of two cross-sectional studies carried out in 1973 and 1983. In 1973, 1983, and 1993 a random sample of 1000, 1104, and 1078 individuals, respectively were studied. The individuals were evenly distributed in the age groups 3, 5, 10, 15, 20, 30, 40, 50, 60, and 70 years. In 1983 and 1993 80-year-olds were also included. All subjects were inhabitants of the community of Jönköping, Sweden. The clinical and radiographic examination assessed edentulousness, removable dentures, implants, number of teeth, caries, restorations and overhangs, oral hygiene, calculus, periodontal status, endodontic treatment, and periapical status. The number of edentulous individuals was reduced by half from 1973 to 1993 and is now 8% in the age groups 40-70 years. The mean number of teeth has increased and up to the age of 50 years the individuals had more or less complete dentitions. During the 20-year period there was generally decreasing number of carious lesions and restorations. In the 15- and 20-year-olds, however, there was an increasing number of decayed/filled tooth surfaces in 1993 compared to 1983. Furthermore, after the age of 50 there was an increase in number of restored tooth surfaces. As regards secondary caries there was an increase for the 10- and 15-year-olds between 1983 and 1993. For all other age groups there were only minor differences. Generally restorations exhibited a high quality and 85-90% had no proximal overhangs. In 1973 this figure was about 60%. Concerning the frequency of tooth surfaces exhibiting plaque and gingival inflammation there was a considerable decrease from 1973 to 1983, but during the period from 1983 to 1993 there seems to be no improvement. In some age groups there was even a significant increase in plaque (15-year-olds) and gingivitis (3-, 5-, 15-, 20-, and 60-year-olds). The frequency of individuals with one or more periodontal pockets (> 4 mm) increased with age. In 1993 the bone level at the age of 40 years corresponded to the bone level at the age of 20 years in 1973. The percentage of endodontically treated teeth was lower in 1993 in all age groups than in 1973 and 1983. The percentage of endodontically treated teeth with periapical or juxtaradicular destructions was unchanged in all three studies. The comparison of the three studies from 1973, 1983, and 1993 shows that there has been a great improvement in oral health over this 20-year period. In 1993, however, the increasing number of decayed/filled tooth surfaces in the 15- and 20-year-olds and an increase in plaque and gingivitis in some younger age groups calls for special attention.

  • 24.
    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.

  • 25.
    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.

  • 26.
    Hugoson, Anders
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Koch, Göran
    Thirty year trends in the prevalence and distribution of dental caries in Swedish adults (1973-2003)2008In: Swedish Dental Journal, ISSN 0347-9994, Vol. 32, no 2, p. 57-67Article in journal (Refereed)
    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.

  • 27.
    Hugoson, Anders
    et al.
    Jönköping University, School of Health Science, HHJ. Oral health.
    Koch, Göran
    Göthberg, Catharina
    Helkimo, Anna Nydell
    Lundin, Sven-Ake
    Norderyd, Ola
    Sjödin, Bengt
    Sjödin, Katarina
    Oral health of individuals aged 3-80 years in Jönköping, Sweden during 30 years (1973-2003): II. Review of clinical and radiographic findings.2005In: Swedish Dental Journal, ISSN 0347-9994, Vol. 29, no 4, p. 139-155Article in journal (Refereed)
    Abstract [en]

    The aim of this epidemiological study was to analyze various clinical and radiographic data on oral health and compare the results to those of three cross-sectional studies carried out in 1973 and 1983, and 1993. In 1973, 1983, 1993, and 2003 a random sample of 1,000; 1,104; 1,078; and 987 individuals, respectively, were studied. The individuals were evenly distributed in the age groups 3, 5, 10, 15, 20, 30, 40, 50, 60, 70, and 80 years. In 1973 80-year-olds were not included. All subjects were inhabitants of the City of Jönköping, Sweden. The clinical and radiographic examination assessed edentulousness, removable dentures, implants, number of teeth, caries, restorations and overhangs, oral hygiene, calculus, periodontal status, endodontic treatment, and periapical status. The number of edentulous individuals in the age groups 40-70 years was reduced from 16 per cent in 1973 to 8 per cent in 1993, and to 1 per cent in 2003. The mean number of teeth increased, and up to the age of 60 years, individuals had more or less complete dentitions. During the 30-year period,the number of carious lesions and restorations decreased in general. In the 15-year-olds the decrease in number of restored tooth surfaces was 900 per cent and the corresponding figure for 30-year-olds was 79 per cent. The age groups 60-800 years showed an increase in number of restored tooth surfaces and had as a mean 50 filled tooth surfaces. The oral health among 3-5-year-olds improved markedly between 1973 and 1993. In 2003, however, there was no further improvement in 3- and 5-year-olds compared to 1993. Generally, restorations in 2003 exhibited a high quality and 90-95 per cent had no proximal overhangs. In 1973 this figure was about 60 per cent. In the age groups 20-50 years there were continuously fewer teeth fitted with crowns or bridges during the 30-year period. In 1973 the 50-year-olds had a mean of 24.5 per cent of the teeth crowned and in 2003 6.8 percent. Compared to data from 1973 there was a reduction by half concerning occurrence of plaque and gingivitis in 2003. The frequency of individuals with one or more periodontal pockets (> or = 4 mm) increased with age. In 2003 the bone level at the age of 60 years corresponded to the bone level at the age of 40 years in 1973. The percentage of endodontically treated teeth was lower in 2003 in all age groups compared to 1973, 1983, and 1993. The percentage of endodontically treated teeth with periapical orjuxtaradicular destructions was generally lower in 2003 than in the earlier surveys, about 20 per cent in 2003 compared to 25-30 per cent in 1973,1983, and 1993. The comparison of the four studies shows that there has been a great overall improvement in oral health over this 30-year period.

  • 28.
    Hugoson, Anders
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Koch, Göran
    Göthberg, Catharina
    Helkimo, Anna Nydell
    Lundin, Sven-Ake
    Norderyd, Ola
    Sjödin, Bengt
    Sondell, Katarina
    Oral health of individuals aged 3-80 years in Jönköping, Sweden during 30 years (1973-2003): I. Review of findings on dental care habits and knowledge of oral health2005In: Swedish Dental Journal, ISSN 0347-9994, Vol. 29, no 4, p. 125-138Article in journal (Refereed)
    Abstract [en]

    The aim of the present study was to compare data on dental care habits and knowledge of oral health in four cross-sectional epidemiological studies carried out in 1973,1983,1993, and 2003. The 1973 study constituted a random sample of 1,000 individuals evenly distributed in the age groups 3, 5, 10, 15, 20, 30, 40, 50, 60, and 70 years. The same age groups with addition of a group of 80-year-olds were included in the 1983, 1993 and 2003 studies, which comprised 1,104, 1,078, and 987 individuals, respectively. A questionnaire about dental care habits and knowledge of oral health was used in connection with a clinical and radiographic examination. The same questions were used in all the four studies. An addition to the 1993 and 2003 investigations were questions concerning ethnic background. In 2003 approximately 90-95 per cent of all individuals were visiting the dentist on a regular basis every or every second year. The 30- and 40-yea r-olds, however, did not visit a dentist as regularly in 2003 as in 1993. In these age groups 21-24 per cent of the individuals, respectively, reported that they had not visited a dentist in the last 2 years. Almost all children 3-15 years old received their dental care within the Public Dental Service (PDS). During the period 1973-2003 an increase in percentage of individuals aged 20-50 years treated by the PDS was seen compared to private practice, while among 60-80 year-olds there were only minor changes. Most so-year-olds and older received their dental care by private practitioners. About 70-80 per cent of all adults in 2003 were enrolled in a recall system on the dentist's initiative while in 1973 most appointments were based on the patient's own initiative. The number of individuals who were frightened, 5-17 per cent, or felt discomfort at the prospect of an appointment with the dentist was more or less the same during the whole period. The knowledge of the etiology of dental diseases did not changed much between 1973 and 2003. The frequency of toothbrushing increased since 1973 and in 2003 more than 90 per cent of all individuals brushed their teeth twice or once a day. The use of dental floss and toothpicks decreased in 2003 compared to 1983 and 1993. Almost all individuals in 2003 used fluoride toothpaste. It was obvious that the dental team constituted the main source of dental health information. For the age groups 20 and 30 years information from friends and relatives was also important. In the age groups 3-20 years up to 45 per cent of the individuals were consuming soft drinks every day or several times a week.

  • 29.
    Hugoson, Anders
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Koch, Göran
    Helkimo, Anna Nydell
    Lundin, Sven-Ake
    Caries prevalence and distribution in individuals aged 3-20 years in Jönköping, Sweden, over a 30-year period (1973-2003)2008In: International Journal of Paediatric Dentistry, ISSN 0960-7439, E-ISSN 1365-263X, Vol. 18, no 1, p. 18-26Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Oral health status of individuals aged 3-80 years in the city of Jönköping, Sweden, has been assessed in a series of epidemiological studies over a 30-year period. AIM: To analyse the changes in caries prevalence and caries distribution in child population sample groups, based on studies performed in 1973, 1978, 1983, 1993, and 2003. DESIGN: Each time point included 500 randomly sampled individuals, divided into age groups of 3, 5, 10, 15, and 20 years. Results. Thirty-five per cent of 3-year-olds were caries free in 1973, compared with 69% 30 years later. Decayed and filled primary (dfs) and permanent surfaces (DFS) were reduced by 50-80% between 1973 and 2003. Adolescents aged 10 and 15 years exhibited the most pronounced reduction in DFS on the occlusal surfaces. By 2003, 90% of the proximal carious lesions in 15-year-olds were initial carious lesions. In 2003, about 60% of 15-year-olds had a DFS of < or = 5, while about 7% exhibited a DFS of > or = 26. CONCLUSIONS: Despite the dramatic decline in the prevalence of caries, caries remains a health problem among children, particularly those of preschool age. Continuous epidemiological studies are recommended to evaluate preventive measures.

  • 30.
    Hugoson, Anders
    et al.
    Jönköping University, School of Health Science, HHJ. Oral health.
    Laurell, L
    Lundgren, D
    Frequency distribution of individuals aged 20-70 years according to severity of periodontal disease experience in 1973 and 1983.1992In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 19, no 4, p. 227-32Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to compare changes in periodontal status of a Swedish population over a 10-year period expressed as frequency distributions of individuals according to severity of periodontal disease experience. The study involved 600 randomly selected individuals evenly distributed into age groups 20, 30, 40, 50, 60 and 70 years, examined in 1973 and another randomly selected group of 597 individuals similarly age distributed and examined in 1983. Based on clinical data and full mouth intraoral radiographs all individuals were classified into 5 groups according to severity of periodontal disease experience. In 1983, 23% of the individuals were classified as having healthy periodontal tissues, group 1, compared to 8% in 1973. The changes were most pronounced in the age groups 20 and 30 years, among whom 58% and 35%, respectively, were registered as having healthy periodontium in 1983. The prevalence of individuals with gingivitis without signs of lowered periodontal bone level, group 2, was 22% in 1983 compared to 41% in 1973. In all, 49% of the dentate population in 1973 and 45% in 1983 showed no marginal alveolar bone loss. Moderate periodontal bone loss, group 3, was found in 41% of the population in 1983 compared to 47% in 1973. Among 30-, 40-, and 50-year-olds, there were more, and among 60- and 70-year-olds, fewer individuals in this group in 1983 compared to 1973. 96% of the dentate population were classified as belonging to groups 1, 2 or 3 in 1973 compared to 86% in 1983.(ABSTRACT TRUNCATED AT 250 WORDS)

  • 31.
    Hugoson, Anders
    et al.
    Jönköping University, School of Health Science, HHJ. Oral health.
    Ljungquist, B
    Breivik, T
    The relationship of some negative events and psychological factors to periodontal disease in an adult Swedish population 50 to 80 years of age2002In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 29, no 3, p. 247-53Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Clinical observations and epidemiological studies suggest that experiences of negative life events, especially those manifested as depression, may contribute to an increased susceptibility to periodontal disease. OBJECTIVE: In the present study, the prevalence of some negative life events and psychological factors and their relation to periodontal disease were investigated. The sample consisted of individuals 50-80 years of age from an extensive cross-sectional epidemiological study performed in 1993 in the city of Jönköping, Sweden. METHOD: 298 dentate individuals from the Jönköping study were randomly selected. Clinical and radiographic examinations included registration of the number of existing teeth, plaque index, gingival index, pocket depth, and alveolar bone loss. In addition, a questionnaire about socioeconomic status, life events, and psychological and stress-related factors was used. RESULTS: The results revealed that, in addition to the well-documented periodontal disease risk factors such as increased age, oral hygiene status, and smoking, the loss of a spouse (being a widow or widower) and the personality trait of exercising extreme external control were also associated with severe periodontal disease. CONCLUSION: The findings support recent studies suggesting that traumatic life events such as the loss of a spouse may increase the risk for periodontal disease. Above all, the present results indicate that an individual's ability to cope with stressful stimuli (coping behavior), as measured by the beliefs of locus of control of reinforcements may play a role in the progression of periodontal disease.

  • 32.
    Hugoson, Anders
    et al.
    Jönköping University, School of Health Science, HHJ. Oral health.
    Lundgren, Dan
    Asklöw, Barbro
    Borgklint, Gun
    Effect of three different dental health preventive programmes on young adult individuals: a randomized, blinded, parallel group, controlled evaluation of oral hygiene behaviour on plaque and gingivitis.2007In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 34, no 5, p. 407-415Article in journal (Refereed)
    Abstract [en]

    AIM: To evaluate, in young adults, the effect of different preventive programmes on oral hygiene and to determine whether the variables investigated are predictors of gingival health. MATERIAL AND METHODS: This randomized, blinded, parallel, controlled clinical study examined the effectiveness of three dental health programmes. Four hundred subjects aged 20-27 years, 211 males and 189 females, participated in the study. They were recruited from a Public Dental Service clinic and from a private dental practice in Jönköping, Sweden. The effect of the programmes on plaque and gingivitis was evaluated over a 3-year period. The programmes included activities that were adapted for individuals as well as for groups. The plaque indices (PLI) and gingival indices (GI) were used to evaluate the programmes. RESULTS: All programmes resulted in a decrease in PLI and GI. The greatest decrease was found in the group that was followed-up every 2 months. Professional tooth cleaning was non-significant for the clinical result. Gingival health at baseline, participation in any of the test programmes, and knowledge of the dental diseases caries, gingivitis or periodontitis were significant predictors of good gingival health. CONCLUSIONS: The study confirms the efficacy of three different preventive programmes in reducing supragingival plaque and gingival inflammation. Professional tooth cleaning provided no clinical benefit beyond that derived from individual and group-based health education.

  • 33.
    Hugoson, Anders
    et al.
    Jönköping University, School of Health Science, HHJ. Oral health.
    Lundgren, Dan
    Asklöw, Barbro
    Borgklint, Gun
    The effect of different dental health programmes on young adult individuals: A longitudinal evaluation of knowledge and behaviour including cost aspects2003In: Swedish Dental Journal, ISSN 0347-9994, Vol. 27, no 3, p. 115-130Article in journal (Refereed)
    Abstract [en]

    The goal of this study was to report the long-term effect of different dental health programmes on young adult individuals' knowledge and behaviour relative to oral health. Over a 3 years period, the effect of three different dental health programmes on caries, gingivitis/periodontitis, and knowledge and behaviour concerning oral health in 400 Swedish young adults was evaluated. During the following 2 years, additional prophylactic measures--now based on the individual's symptoms and the prophylaxis previously received--were conducted and evaluated. Five years later still one follow-up was made. The evaluations were based on clinical and radiographic examinations and on a questionnaire survey whose purpose was to study the short- and long-term effects of the different preventive measures, including cost aspects. At the end of the 3 years period, the three test groups exhibited better knowledge and significantly improved behaviour compared with the control group concerning approximal cleaning, from approximately 50% of the individuals at the baseline examination to approximately 90% at the end of the period. Improvement was observed as early as the first year. There were no differences between the test groups. The intensified, individual-related prophylaxis carried out in the following 2 years did not significantly increase knowledge in the test groups; a significant increase in approximal cleaning, however, was found in the control group during this time. At the 10-year follow-up, the individuals' knowledge was undiminished while behaviour concerning approximal cleaning had sunk from 90% to approximately 70% of the individuals. A slight behavioural change concerning number of snacks was found in the course of the study with a shift towards fewer snacks per day. In conclusion, it can be said that simple prophylactic models have an effect on and maintain young adult individuals' knowledge and behaviour concerning oral health and that new knowledge is remembered for long periods of time while changes in behaviour are maintained less well. Moreover, it was found that the scope of the prophylactic programme measured in time and cost had little effect on the long-term result.

  • 34.
    Hugoson, Anders
    et al.
    Jönköping University, School of Health Science, HHJ. Oral health.
    Norderyd, O
    Slotte, C
    Thorstensson, H
    Distribution of periodontal disease in a Swedish adult population 1973, 1983 and 1993.1998In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 25, no 7, p. 542-548Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to compare changes in periodontal status in a Swedish population over a period of 20 years. Cross-sectional studies were carried out in Jönköping County in 1973, 1983, and 1993. Individuals were randomly selected from the following age groups: 20, 30, 40, 50, 60, and 70 years. A total of 600 individuals were examined in 1973, 597 in 1983, and 584 in 1993. The number of dentate individuals was 537 in 1973, 550 in 1983, and 552 in 1993. Based on clinical data and full mouth intra-oral radiographs, all individuals were classified into 5 groups according to the severity of the periodontal disease experience. Individuals were classified as having a healthy periodontium (group 1), gingivitis without signs of alveolar bone loss (group 2), moderate alveolar bone loss not exceeding 1/3 of the normal alveolar bone height (group 3), severe alveolar bone loss ranging between 1/3 and 2/3 of the normal alveolar bone height (group 4), or alveolar bone loss exceeding 2/3 of the normal bone height and angular bony defects and/or furcation defects (group 5). During these 20 years, the number of individuals in groups 1 and 2 increased from 49% in 1973 to 60% in 1993. In addition, there was a decrease in the number of individuals in group 3, the group with moderate periodontal bone loss. Groups 4 and 5 comprised 13% of the population and showed no change in general between 1983 and 1993. The individuals comprising these groups in 1993, however, had more teeth than those who comprised these groups in 1983; on the average, the individuals in disease group 4 had 4 more teeth and those in disease group 5, 2 more teeth per subject. In 1973, these 2 groups were considerably smaller, probably because of wider indications for tooth extractions and fewer possibilities for periodontal care which meant that many of these individuals had become edentulous and were not placed in a group. Individuals in groups 3, 4, and 5 were subdivided according to the number of surfaces (%) with gingivitis and periodontal pockets (> or =4 mm). In 1993, 20%, 42%. and 67% of the individuals in groups 3, 4, and 5 respectively were classified as diseased and in need of periodontal therapy with >20% bleeding sites and >10% sites with periodontal pockets > or =4 mm. In conclusion, an increase in the number of individuals with no marginal bone loss and a decrease in the number of individuals with moderate alveolar bone loss can be seen. The prevalence of individuals in the severe periodontal disease groups (4, 5) was unchanged during the last 10 years; however, the number of teeth per subject increased.

  • 35.
    Hugoson, Anders
    et al.
    Jönköping University, School of Health Science, HHJ. Oral health.
    Norderyd, O
    Slotte, C
    Thorstensson, H
    Oral hygiene and gingivitis in a Swedish adult population 1973, 1983 and 1993.1998In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 25, no 10, p. 807-812Article in journal (Refereed)
    Abstract [en]

    The periodontal condition of the inhabitants of Jönköping County, Sweden was followed for 20 years by means of 3 cross-sectional investigations performed in 1973, 1983, and 1993. The study comprised individuals in the age groups 20, 30, 40, 50, 60, and 70 years. The number of dentate individuals was 537 in 1973, 550 in 1983, and 552 in 1993. All individuals participating in the studies were examined clinically and radiographically. They also filled out a questionnaire about dental care habits, socio-economic status, and general health. A clear reduction in the plaque score was seen between 1973 and 1983 in all age groups. With one exception, no further significant change in plaque levels was found between 1983 and 1993: the increase in plaque among the 20-year-olds was significant. In 1993 the mean % of surfaces with plaque was between 30% and 40% in all age groups. Gingivitis values corresponded well with the values of dental plaque; the same pattern with a clear reduction in gingivitis score was seen in all age groups between 1973 and 1983, and an increase in the mean frequency of gingival inflammation between 1983 and 1993 was seen in the 20-year age group. 30% of the individuals in this age group had more than 50% gingivitis in 1993 compared with 9% of the individuals in 1983. The 20-year-olds were further analyzed in a linear regression model using gingivitis as a dependent variable against some socio-economic, general health, and dental care variables associated with poor oral hygiene and gingivitis. In 1993, the most important explanatory variable was gender: significantly more males than females had higher gingivitis scores. The second most important explanatory variable was toothbrushing habits. Together they explained 10.9% of the variance. The multivariate analysis did not reveal approximal cleaning habits to be significant, probably due to their strong connection to gender and toothbrushing habits. In the 1983 sample, no significant explanatory variables were found. It was concluded from this data that it is important not only to renew but also to direct preventive guidelines more towards young adults who have no previous extensive experience of oral disease so that they will not be excluded from dental care and their dental health thereby jeopardised. In addition to preventive programmes aimed at the population as a whole, individual programmes based on risk targeting are also necessary to reduce the number of people developing dental disease and to increase the quality of dental care.

  • 36.
    Hugoson, Anders
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Norderyd, Ola
    Has the prevalence of periodontitis changed during the last 30 years?2008In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 35, no 8 Suppl, p. 338-345Article in journal (Refereed)
    Abstract [en]

    AIM: This paper reviews global trends in the change in prevalence of periodontitis over the last 30 years. MATERIAL AND METHODS: The epidemiology of periodontal disease is briefly reviewed together with the current classification system and the clinical and radiographic diagnostic methodology in periodontal disease. RESULTS: This review identifies the very limited number of studies that provide prevalence data over time, and this data is discussed in comparison with those stemming from a few corresponding studies from countries outside Europe. CONCLUSIONS: The data indicate a possible trend of a lower prevalence of periodontitis in recent years.

  • 37.
    Hugoson, Anders
    et al.
    Jönköping University, School of Health Science, HHJ. Oral health.
    Ravald, N
    Fornell, J
    Johard, G
    Teiwik, A
    Gottlow, J
    Treatment of class II furcation involvements in humans with bioresorbable and nonresorbable guided tissue regeneration barriers: A randomized multi-center study1995In: Journal of Periodontology, ISSN 0022-3492, E-ISSN 1943-3670, Vol. 66, no 7, p. 624-634Article in journal (Refereed)
    Abstract [en]

    In this multi-center study 38 patients with contralateral molar Class II furcation defects were treated with GTR therapy using a bioresorbable matrix barrier (test) and a nonresorbable expanded polytetrafluoroethylene (ePTFE) barrier (control). Following flap elevation, scaling, root planing, and removal of granulation tissue, each device was adjusted to cover the furcation defect. The flaps were repositioned and sutured to complete coverage of the barriers. A second surgical procedure was performed at control sites after 4 to 6 weeks to remove the nonresorbable barrier. Before treatment and 12 months postsurgery all patients were examined and probing depths, clinical attachment levels, and position of the gingival margin were recorded. The primary response variable was the change in clinical attachment level in a horizontal direction (CAL-H change). Both treatment procedures reduced the probing depths (P < or = 0.001). Statistically significant gain of clinical attachment level in both horizontal and vertical direction was found at the test sites. At control sites gain of attachment in horizontal direction was statistically significant. The gain of CAL-H was 2.2 mm at test sites compared to 1.4 mm at control sites (P < or = 0.05). At test sites, the gingival margin was maintained close to the pre-surgical level (0.3 mm), whereas at control sites gingival recession was evident (0.9 mm), the difference being statistically significant (P < or = 0.01). Postsurgical complications, such as swelling and pain were more frequent following the control treatment (P < or = 0.05).

  • 38.
    Hugoson, Anders
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Rolandsson, Margot
    Periodontal disease in relation to smoking and the use of swedish snus: epidemiological studies covering 20 years (1983-2033)2011In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 38, no 9, p. 809-816Article in journal (Refereed)
    Abstract [en]

    ABSTRACT: Aim: The aim of the present study was to examine how deleterious current smoking and the use of Swedish moist snuff (snus) is for periodontal health compared with non-tobacco users. Materials and Methods: The studies comprised three epidemiological cross-sectional studies, in 1983, 1993 and 2003, of stratified random samples aged 20, 30, 40, 50, 60 and 70 years. The numbers of dentate participants were 550, 552 and 523, respectively. The participants were examined clinically and radiographically. Diagnostic criteria were the number of teeth, plaque, gingival status, probing pocket depth (PPD)4 mm, height of the alveolar bone level and classification by periodontal disease experience. In addition, participants were asked about their tobacco habits. Results: Multiple logistic regression shows, after adjusting for age, gender and sociodemographic variables, that relative to non-tobacco users, cigarette smokers had statistically significant less gingivitis, a higher frequency of PPD4 mm and a higher incidence of severe periodontitis. There was no significant association between gingivitis, frequency of PPD4 mm and periodontal disease experience and snus use. Conclusions: Cigarette smokers were found to have a statistically significant higher risk of severe periodontitis than non-tobacco users and users of snus. Using snus did not seem to be a risk factor for periodontitis.

  • 39.
    Hugoson, Anders
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Sjödin, Bengt
    Norderyd, Ola
    Trends over 30 years, 1973-2003, in the prevalence and severity of periodontal disease.2008In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 35, no 5, p. 405-414Article in journal (Refereed)
    Abstract [en]

    AIM: The present investigation presents findings of the prevalence and distribution of gingivitis and periodontitis in a Swedish population over the 30 years 1973-2003. MATERIAL AND METHODS: Four cross-sectional epidemiological studies in 1973, 1983, 1993, and 2003 were performed in Jönköping, Sweden. Random samples of individuals aged 20, 30, 40, 50, 60, 70, and 80 years were examined clinically and radiographically. Diagnostic criteria were edentulousness, number of teeth, plaque, gingival status, probing pocket depth, gingival recession, alveolar bone level, and classification according to periodontal disease status. RESULTS: In all age groups, the number of edentulous individuals decreased dramatically and the number of teeth increased. Oral hygiene improved considerably. Over the 30 years, the proportion of periodontally healthy individuals increased from 8% in 1973 to 44% in 2003 and the proportion of individuals with gingivitis and moderate periodontitis decreased. There was a non-significant trend for the proportion of individuals with severe periodontal disease experience (Group 4) to decrease, while the proportion of individuals with advanced periodontitis (Group 5) remained unchanged. CONCLUSION: Oral hygiene and periodontal health improved significantly in the 20-80-year age groups over the 30 years 1973-2003.

  • 40.
    Jacobsson, Brittmarie
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Ho Thi, T
    Hoang Ngoc, C
    Hugoson, Anders
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Oral Health of Children in Da Nang, Vietnam: Dental caries, caries associated factors and gingivitisManuscript (preprint) (Other academic)
  • 41.
    Jacobsson, Brittmarie
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Ho Thi, T
    Hoang Ngoc, C
    Hugoson, Anders
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Oral Health of Children in Da Nang, Vietnam: Sociodemographic conditions, knowledge of dental diseases, dental care and dietary habitsManuscript (preprint) (Other academic)
  • 42.
    Jacobsson, Brittmarie
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine.
    Hugoson, Anders
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine.
    Ho Thi, Thanh
    National Technical College of Medicine No II.
    Knowledge, attitudes and behaviour about dental diseases and dental care habits in adolescents in Jönköping, Sweden and in Da Nang, Vietnam2008In: Knowledge, attitude and behaviour in oral health care among 10-15 year olds in Jönköping, Sweden and DaNang, Vietnam, 2008Conference paper (Refereed)
    Abstract [en]

    The aim of this article was to present data about oral hygiene and knowledge about dental diseases and dental care habits in 10-15 year olds in Jönköping, Sweden and 10-11 year-olds in Da Nang, Vietnam in 2003. Methods A random sample of 206 individuals 10 and 15 year olds, from the City of Jönköping and 369 individuals from the City of Da Nang, were asked about their attitudes towards and knowledge of teeth and dental care habits. Results In Jönköping 9% answered that gingivitis is the same as inflammation of the gum. In Da Nang study 40% knew about early sign of gingivitis (easily gum bleeding).  67% in Jönköping answered that bacteria and sugar cause the acid that gives caries. In Da Nang 47% could answer correctly the cause of dental caries. The percentage of children who brush their teeth twice a day was the same, around 80 %, in both studies. In Jönköping 100% of the children used fluoride toothpaste. In Da Nang 73 % always used Fluoride toothpaste and 14 % did not know if the toothpaste they used contained Fluoride or not.

  • 43.
    Jacobsson, Brittmarie
    et al.
    Jönköping University, School of Health Science, HHJ. Oral health.
    Koch, Göran
    Magnusson, Tomas
    Jönköping University, School of Health Science, HHJ. Oral health.
    Hugoson, Anders
    Jönköping University, School of Health Science, HHJ. Oral health.
    Oral health and coherent determinants in children and adolescents with foreign background compared to Swedish youth2010In: Oral health - new concepts for the new millenium: Glasgow 1/3 July 2010 / [ed] Marjolijn Hovius, 2010Conference paper (Refereed)
    Abstract [en]

    Aim: The aim of this study was to investigate oral health status and coherent determinants in children and adolescents with foreign background compared to children with Swedish background. Methods: In 1993 and 2003 cross-sectional studies with random samples of individuals in the age groups 3-,5-,10- and 15-years were performed in Jönköping, Sweden. All individuals were personally invited to a clinical and radiographic examination of oral health status. They were also asked about their attitudes and knowledge about teeth and oral health care habits. The final study cohort comprised 739 children and adolescents, 154 with Foreign background (F-cohort) and 585 with Swedish background (S-cohort). Results: Both in 1993 and 2003 more 3- and 5-year-olds in the S-cohort were caries-free compared to the F-cohort. In 1993 dfs/DFS was higher among 3- and 5-year-olds in the F-cohort (p=0.01). In 2003 dfs/DFS was significantly higher in all age groups in the F-cohort compared to the S-cohort. The cumulative percentage of proximal caries-free, initial and manifest lesions and restorations among 10-year-olds in the F-cohort were in 1993 55%, 23%, 4% and 18%. The corresponding figures for the S-cohort were 69%, 20%, 6% and 5%, respectively. In 2003 figures in the F-cohort were 54%, 29%, 4% and 13% compared to 82%, 12%, 1% and 5% in the S-cohort (p=0.037). Among males with foreign background and lived in families with low education, the odds was four times higher (OR=4.0 +95%CI; 2.2-7.2) to be exposed to dental caries, then among their Swedish counterparts. Conclusions: There had been a decline in caries prevalence between 1993 and 2003 in all age-groups except among the 3-year-olds. However the improvement of dfs/DFS was stronger in the S-cohort in all age-groups and the gap between the F- and S-cohorts was considerable larger in 2003 compared to 10 years earlier.

  • 44.
    Jacobsson, Brittmarie
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Koch, Göran
    The Institute for Postgraduate Dental Education.
    Magnusson, Tomas
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Hugoson, Anders
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Oral Health in young individuals with foreign and Swedish backgrounds - a ten-year perspective2011In: European Archives of Paediatric Dentistry, ISSN 1818-6300, E-ISSN 1996-9805, Vol. 12, no 3, p. 151-158Article in journal (Refereed)
    Abstract [en]

    AIM:

    To investigate oral health status and coherent determinants in children with foreign backgrounds compared with children with a Swedish background, during a ten year period.

    DESIGN AND METHODS:

    In 1993 and 2003, cross-sectional studies with random samples of individuals in the age groups 3, 5, 10 and 15 years were performed in Jönköping, Sweden. All the individuals were personally invited to a clinical and radiographic examination of their oral health status. They were also asked about their attitudes to and knowledge of teeth and oral health care habits. The final study sample comprised 739 children and adolescents, 154 with a foreign background (F cohort) and 585 with a Swedish background (S cohort).

    RESULTS:

    In both 1993 and 2003, more 3- and 5 year olds in the S cohort were caries-free compared with the F cohort. In 1993, dfs was higher among 3- and 5 year olds in the F cohort (p<0.01) compared with the S cohort. In 2003, dfs/DFS was statistically significantly higher in all age groups among children and adolescents in the F cohort compared with the S cohort. When it came to proximal tooth surfaces, the percentages of individuals who were caries-free, with initial carious lesions, with manifest carious lesions and with restorations among 10-year-olds in the F cohort were 55%, 23%, 4% and 18% in 1993. The corresponding figures for the S cohort were 69%, 20%, 6% and 5% respectively. In 2003, the values for the F cohort were 54%, 29%, 4% and 13% compared with 82%, 12%, 1% and 5% in the S cohort. In 2003, the odds of being exposed to dental caries among 10- and 15-yearolds in the F cohort, adjusted for gender and age, were more than six times higher (OR=6.3, 95% CI:2.51-15.61; p<0.001) compared with the S cohort.

    CONCLUSIONS:

    There has been a decline in caries prevalence between 1993 and 2003 in all age groups apart from 3-year-olds. However, the improvement in dfs/DFS was greater in the S cohort compared with the F cohort in all age groups. The difference between the F and S cohorts in terms of dfs/ DFS was larger in 2003 compared with 10 years earlier. In 2003, the odds ratio for being exposed to dental caries was almost six times higher for 10- and 15-year-olds with two foreign-born parents compared with their Swedish counterparts.

  • 45.
    Jacobsson, Brittmarie
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Thanh, Ho Thi
    Dental Department, Da Nang University of Medical Technology and Pharmacy, Da Nang, Vietnam.
    Chuong, Hoang Ngoc
    Dental Department, Da Nang University of Medical Technology and Pharmacy, Da Nang, Vietnam.
    Hugoson, Anders
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Oral health of children and adolescents in Da Nang2014In: Oral Hygiene & Health, ISSN 2332-0672, Vol. 2, no 4, p. 1-6Article in journal (Refereed)
    Abstract [en]

    This is a cross-sectional epidemiological study comprising 840 randomly selected children in the age groups of 3, 5, 10 and 15 year-olds. All children were clinically examined for number of teeth, dental caries, dental fillings, plaque, gingivitis and probing pocket depth. Dental care and dietary habits were collected using a self-reported questionnaire. Among 3 and 5 year olds, 98% suffered from dental caries, compared to 91% of 10 and 15 year olds. The mean (SD) of decayed (initial and manifest) and filled tooth surfaces (dfs/DFS) in the different age groups was: 18.2 (14.1), 23.0 (15.4), 5.1 (4.2) and 6.9 (6.0), respectively. There was an average of ~ 30% in all age groups with plaque and gingivitis. Consuming milk with sugar more than 2–3 times a week (3 and 5 year olds) and eating sweets between principal meals twice a day (in 10 and 15 year olds) were statistically significant with caries prevalence. It is concluded that dental caries and gingivitis are significant public health problems among children in Da Nang, Vietnam.

  • 46. Karapataki, S
    et al.
    Hugoson, Anders
    Jönköping University, School of Health Science, HHJ. Oral health.
    Kugelberg, C F
    Healing following GTR treatment of bone defects distal to mandibular 2nd molars after surgical removal of impacted 3rd molars2000In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 27, no 5, p. 325-332Article in journal (Refereed)
    Abstract [en]

    AIM: The purpose of this study was to study the healing, following guided tissue regeneration (GTR) treatment, of bone defects distal to mandibular 2nd molars (M2s) after surgical removal of impacted mesioangularly or horizontally inclined third molars (M3s) in patients > or = 25 years. METHOD: 20 patients with bilateral soft tissue impacted M3s were included in the split-mouth study. The 2 sites to be treated in each patient were randomised before the 1st operation as to which would undergo the test procedure and which would be the control site. After surgical removal of M3 at test sites, a resorbable polylactic acid (PLA) barrier was attached to M2 to cover the post-surgical bone defect. The flap was then replaced and sutured to cover the barrier. Control sites underwent the same procedure, as did the test sites, with the exception that no barrier was placed. The clinical examinations performed were oral hygiene pre- and 12 months postoperatively and probing pocket depth 12 months postoperatively. The alveolar bone level (ABL) at the distal surface of the M2, as determined from radiographs taken at suture removal and 12 months postsurgery, was chosen to be the primary response variable. RESULTS: Most bone defects showed healing up to 10%-20% of the tooth length at both test and control sites. 2 test and 2 control sites showed no improvement in the bone level. The mean values of bone healing registered in mm from the cemento-enamel junction (CEJ) were 2.6 +/- 2.19 SD and 3.0 +/- 2.20 SD for test and control sites, respectively. Different factors affecting the healing result are discussed.

  • 47. Laurell, Lars
    et al.
    Romao, Cristina
    Hugoson, Anders
    Jönköping University, School of Health Science, HHJ. Oral health.
    Longitudinal study on the distribution of proximal sites showing significant bone loss2003In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 30, no 4, p. 346-352Article in journal (Refereed)
    Abstract [en]

    BACKGROUND, AIMS: In 1973, a random sample of 574 dentate individuals aged 15, 20, 30, 40, 50, and 60 years in the city of Jönköping, Sweden, were examined clinically and radiographically to assess oral health and overall treatment needs. Periodontal examination included registration of plaque, gingivitis, probing depths at four aspects of each tooth, and interproximal bone height measurements on full-mouth intraoral radiographs. In 1990, 17 years later, the same individuals were invited to participate in a new investigation. Of these, 433 (75%) agreed to participate in the investigation and were re-examined (Hugoson & Laurell 2000). The proximal alveolar bone height at all interproximal sites was measured and expressed as per cent of tooth length. Only teeth that were present in both 1973 and 1990 were included in the assessment of changes in bone score. From the age of 30 years, about 80% of the population had one or more sites with a bone loss of 2-3 mm or more. Seventeen per cent of the individuals had more than six such sites, indicating destructive periodontal disease. Bone loss occurred at sites both with and without previous bone loss. The present study was undertaken to test the hypothesis that sites with a bone loss of 10% or more of the tooth length (2-3 mm) during the 17 years were randomly distributed in the dentition. MATERIAL AND METHODS: Of the 13,197 sites examined in individuals 20-60 years at baseline, 1201 sites (9.0%) in 998 teeth with a bone loss corresponding to 10% or more of the tooth length were found and included in the analysis. A probability test for binomial distribution was used to test the null hypothesis that all teeth had the same risk of losing bone regardless of its position in the dentition. The valid risk for each tooth was 3.571% and the null hypothesis was rejected at the 95% confidence interval. RESULTS: Although all tooth types were affected by tooth loss, some teeth, namely 17, 16, 42, 41, and 31, showed a higher incidence of sites losing bone, whereas 46, 45, 44, and 36 had a lower incidence. Loser sites in smokers appeared more at random. CONCLUSION: Sites that will develop periodontal break-down over time may appear at random, although with higher risk at maxillary molars and lower incisors. For the early detection of destructive periodontitis, periodontal examination that includes all teeth should be made routine in every dental check-up.

  • 48.
    Lindmark, Ulrika
    et al.
    Jönköping University, School of Health Science, HHJ. Oral health.
    Hakeberg, Magnus
    Jönköping University, School of Health Science, HHJ. Oral health.
    Hugoson, Anders
    Jönköping University, School of Health Science, HHJ. Oral health.
    Is Sense of coherence (SOC) a determinant to oral health status in adults?: a cross sectional population study2009In: Oral hälsa och livskvalitet - bidrar tandvården?: 22-23 april 2009 Malmö, 2009Conference paper (Refereed)
    Abstract [en]

    Objectives The Sense of coherence (SOC) questionnaire estimate an individual’s degree of an inside strength leading to a health promoting behaviour. The aim was to investigate sense of coherence in relation to oral health status. Method A stratified random sample of 910 individuals from Jönköping, Sweden, aged 20,30,40,50,60,70 and 80 years old, was used. The investigation contained the Swedish short version of  the SOC questionnaire with 13-items and a self-reported questionnaire about demographic information, oral health related behaviour and attitudes to oral health. In addition a clinical and radiographical examination was performed. Results A total of 525 individuals participated in the study, 261 men and 264 women. Socioeconomic factors such as age, marital status, income and education had a statistical significant association to SOC.  Bivariate analyse showed that higher mean SOC scores had a statistically significant relationships with more decayed filled surfaces (DFS) and filled surfaces (FS), less caries severity, less teeth with calculus and a better periodontal health. Logistic regression analysis showed that Individuals with high SOC score were predictive of high DFS (OR=3.3, CI 1.14-9.36) and FS  (OR=2.1, CI 0.98-4.31) but low gingivitis scores (OR=0.54, CI 0.30-0.95). After controlling for age, high SOC scores showed a protective effect for gingivitis (OR=0.52,  CI 0.29-0.94) and plaque (OR=0.61, CI 0.36-1.04). Conclusions Socioeconomic factors had an association with SOC. Statistical associations were found between SOC scores and oral health status with regard to several  important oral clinical variables and high SOC scores may indicate a protective determinant for gingivitis and plaque.

  • 49.
    Lindmark, Ulrika
    et al.
    Jönköping University, School of Health Science, HHJ. Oral health.
    Hakeberg, Magnus
    Avdelning för Beteende och Samhällsodontologi, Institutionen för Odontologi, Sahlgrenska Akademin, Göteborgs Universitet.
    Hugoson, Anders
    Jönköping University, School of Health Science, HHJ. Oral health.
    Kan känsla av sammanhang ha betydelse för beteende, kunskap och attityder relaterat till oral hälsa?2010In: Tandhygienisttidningen, ISSN 1102-6146, Vol. 30, no 2, p. 55-Article in journal (Other academic)
    Abstract [sv]

    Abstrakt – Syfte: Att studera sambandet mellan känsla av sammanhang (KASAM), oralt hälsorelaterat beteende, kunskap om och attityd till oral hälsa i en vuxen svensk befolkning. Metod: En tvärsnittsstudie där ett stratifierat urval av 910 individer, i åldrarna 20, 30, 40, 50, 60, 70 och 80 år erbjöds att delta i studien. I undersökningen användes den svenska kortversionen (13 frågor) av Antonovsky’s livsfrågeformulär som mäter känslan av sammanhang samt ett frågeformulär gällande oralt hälsorelaterat beteende, kunskap om samt attityder till oral hälsa. Dessutom ingick frågor gällande sociodemografiska faktorer. Totalt var det 589 individer som samtyckte att delta i studien. Resultat: Totalt var det 525 individer, 261 men och 264 kvinnor, som besvarade alla 13 frågorna i SOC frågeformuläret, vilket utgjorde det slutliga materialet vid analyserna. Bivariata analyser visade på samband mellan högre KASAM medel poäng och beteende såsom färre söta drycker och färre antal mellanmål/ dag, jämfört med individer med lägre KASAM medel poäng. Individer med högre KASAM hade också en mer positive attityd såsom påståenden om att vara nöjd med tandvården, betydelsen av att ha egna tänder när man blir äldre, nöjd med egna tänder, anser sig ha bra tänder samt ingen känsla av obehag att uppsöka tandvården. Individer med högre KASAM poäng hade även ett signifikant samband med kunskap om karies. Dessa samband, förutom variabeln söta drycker, kvarstod efter kontrollering för alla sociodemografiska faktorerna (kön, ålder, civilstånd, inkomst, utbildning och yrkesnivå). Stark KASAM och god kunskap om karies var statistiskt signifikant, efter kontrollering för ålder och kön. Sammanfattning: KASAM hade ett statistiskt signifikant samband med oralt hälsoorelaterat beteende, attityder till oral hälsa samt kunskap om karies. I arbetet med oralt hälsofrämjande arbete, skulle KASAM kunna vara ett verktyg för att främja en större förståelse för individers beteende, attityder till och kunskap om oral hälsa och  möjliggöra för tandvårdspersonal att använda denna kunskap i kommunikation med individer och grupper.

  • 50.
    Lindmark, Ulrika
    et al.
    Jönköping University, School of Health Science, HHJ. Oral health.
    Hakeberg, Magnus
    Jönköping University, School of Health Science, HHJ. Oral health.
    Hugoson, Anders
    Jönköping University, School of Health Science, HHJ. Oral health.
    Känslan av sammanhang (KASAM) och oralt status bland vuxna: en epidemiologisk tvärsnittsstudie2009In: Tandhygienisttidningen, ISSN 1102-6146, Vol. 29, no 2, p. 61-61Article, review/survey (Other academic)
    Abstract [sv]

    Känslan av sammanhang (KASAM) är ett frågeformulär som skattar förmågan till ett hälsofrämjande beteende. Syftet var att analysera sambandet mellan KASAM, sociodemografiska faktorer samt oralt status. Material och Metod: Populationen bestod av ett stratifierat slumpmässigt urval bestående av 910 individer från Jönköping, i åldrarna 20, 30, 40, 50, 60, 70 och 80 år. Instrument som användes var den korta versionen av KASAM (13 frågor) samt ett frågeformulär innehållande sociodemografiska frågor. En klinisk och röntgenologisk undersökning genomfördes i anslutning till utlämnandet av enkäterna. Resultat: Totalt deltog 525 individer, 261 men och 264 kvinnor. Sociodemografiska faktorer som ålder, civilstånd, inkomst och utbildning hade en statistisk signifikant association med KASAM. Bivariat analys visade att individer med högre KASAM medelvärde hade statistiskt signifikant fler karierade och fyllda ytor (DFS) och fyllda ytor (FS), färre karierade ytor, färre tänder med tandsten och bättre parodontal hälsa. Efter kontrollering för bakgrundsfaktorer såsom kön, civilstånd, inkomst, utbildning och yrkesnivå, visade det sig att individer med hög KASAM poäng hade en större risk för högre DFS och FS men mindre risk för gingivit. Efter justering för ålder, visades hög KASAM poäng ha en förklarande betydelse för gingivit och plack. Konklusion: Sociodemografiska faktorer hade ett samband med KASAM. Dessutom visade analyserna samband mellan KASAM och fler viktiga orala variabler. Ytterligare studier rekommenderas avseende sambanden mellan KASAM och oral hälsa, där bl a oralt hälsobeteende och attityder till tandvård studeras.

12 1 - 50 of 75
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf