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  • 1. Abrahamsson, K H
    et al.
    Berggren, U
    Hakeberg, Magnus
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Carlsson, S G
    Phobic avoidance and regular dental care in fearful dental patients: a comparative study.2001Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 59, nr 5, s. 273-279Artikkel i tidsskrift (Fagfellevurdert)
  • 2.
    Ahl, Magnus
    et al.
    Department of Oral and Maxillofacial Surgery, The Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Marcusson, Agneta
    Maxillofacial Unit, and Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
    Ulander, Martin
    Department of Clinical Neurophysiology, Linköping University Hospital, Linköping, Sweden.
    Magnusson, Anders
    Jönköping University, Hälsohögskolan, HHJ. Centrum för oral hälsa. Department of Orthodontics, The Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Cardemil, Carina
    Department of Oral and Maxillofacial Surgery, Karolinska University Hospital, Stockholm, Sweden.
    Larsson, Pernilla
    Department of Prosthodontics, Faculty of Odontology, Malmö University, Malmö, Sweden.
    Translation and validation of the English-language instrument Orthognathic Quality of Life Questionair into Swedish2021Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 79, nr 1, s. 19-24Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Introduction: In orthognathic surgery, understanding the patient’s motives for treatment is a key factor for postoperative patient satisfaction and treatment success. In countries/systems where orthognathic surgery is funded by public means, patients are referred mainly due to functional problems, although studies of quality of life related changes after treatment indicate that psychosocial and aesthetic reasons might be equal or more important for the patient. There is no available validated condition specific instruments in the Swedish language for quality of life evaluation of patients with dentofacial deformities.

    Aims/objectives: Cross cultural translation and adaptation of the English-language instrument ‘Orthognathic Quality of Life Questionnaire’ (OQLQ) into Swedish.

    Methods: OQLQ was translated into Swedish. A total of 121 patients in four groups were recruited and the Swedish version of the OQLQ (OQLQ-S) was tested by psychometric methods. Reliability was assessed by internal consistency and test–retest reliability. Validity was evaluated by face, convergent and discriminant validity.

    Results/findings and conclusions: OQLQ-S is reliable and showed good construct validity and internal consistency and can be used in a Swedish speaking population as a complement to clinical variables to evaluate patients with dentofacial deformity. 

  • 3. Ahlqwist, M
    et al.
    Bengtsson, C
    Hakeberg, Magnus
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Hägglin, C
    Dental status of women in a 24-year longitudinal and cross-sectional study: Results from a population study of women in Göteborg.1999Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 57, nr 3, s. 162-167Artikkel i tidsskrift (Fagfellevurdert)
  • 4.
    Anastassaki, Alkisti
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Magnusson, Tomas
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Patients referred to a specialist clinic because of suspected temporomandibular disorders: a survey of 3194 patients in respect of diagnoses, treatments, and treatment outcome.2004Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 62, nr 4, s. 183-192Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 5.
    Anastassaki Köhler, Alkisti
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Hugoson, Anders
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Magnusson, Tomas
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Prevalence of symptoms indicative of temporomandibular disorders in adults: cross-sectional epidemiological investigations covering two decades2012Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 70, nr 3, s. 213-223Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 6.
    Angelhoff, Charlotte
    et al.
    Crown Princess Victoria’s Child and Youth Hospital, and Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
    Faresjö, Tomas
    Department of Health, Medicine and Caring Sciences, Community Medicine, Linköping University, Linköping, Sweden.
    Sundell, Anna Lena
    Jönköping University, Hälsohögskolan, HHJ. Centrum för oral hälsa. Department of Pediatric Dentistry, Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Measuring hair cortisol concentration, insomnia symptoms and quality of life in preschool children with severe early childhood caries–a case-control pilot study2023Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 81, nr 7, s. 508-516Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: This study aimed to 1) investigate the relationships between hair cortisol concentration (HCC), insomnia symptoms, Health-Related Quality of Life (HRQoL) and Oral Health-Related Quality of Life (OHRQoL) in preschool children with severe early childhood caries, 2) compare HCC, insomnia symptoms, HRQoL and OHRQoL in preschool children with severe early childhood caries with these factors in children without clinical signs of dental caries, and 3) explore correlations between caries scores and HCC, insomnia symptoms, HRQoL and OHRQoL.

    Material and Methods: A case-control pilot study, including 12 children with severe early childhood caries and 28 controls, aged 3-5 years. Dental examination was performed and hair samples for cortisol were taken. Parents filled out questionnaires about their child’s insomnia symptoms, HRQoL and OHRQoL. Interpreters were used in families with language difficulties.

    Results: The key findings in this pilot study were tendencies that children with severe early childhood caries had more insomnia symptoms, and poorer OHRQoL than the controls. Caries scores was correlated with insomnia symptoms and OHRQoL.

    Conclusions: Dentists should include questions about the child’s sleep when they see the child, as insomnia related to dental caries may lead to several physical, mental, and social problems.

  • 7.
    Bergendal, Birgitta
    et al.
    Högskolan i Jönköping, Hälsohögskolan. National Oral Disability Centre for Rare Disorders, The Institute for Postgraduate Dental Education, Jönköping, Sweden.
    McAllister, Anita
    CLINTEC, Division of Speech and Language Pathology, Karolinska Institutet, Stockholm, Sweden.
    Orofacial function and monitoring of oral care in amyotrophic lateral sclerosis2017Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 75, nr 3, s. 179-185Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

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

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

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

  • 8. Berggren, U
    et al.
    Carlsson, S G
    Hakeberg, Magnus
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Hägglin, C
    Samsonowitz, V
    Assessment of patients with phobic dental anxiety.1997Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 55, nr 4, s. 217-222Artikkel i tidsskrift (Fagfellevurdert)
  • 9. Bergström, Ingalill
    et al.
    List, Thomas
    Magnusson, Tomas
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    A follow-up study of subjective symptoms of temporomandibular disorders in patients who received acupuncture and/or interocclusal appliance therapy 18-20 years earlier2008Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 66, nr 2, s. 88-92Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 10.
    Brahm, Carl-Otto
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa. Department of Oral and Maxillofacial Surgery, Institute for Postgraduate Dental Education, Region Jönköping County, Jönköping, Sweden.
    Lundgren, Jesper
    Department of Psychology, University of Gothenburg, Gothenburg, Sweden.
    Carlsson, Sven G.
    Department of Psychology, University of Gothenburg, Gothenburg, Sweden.
    Nilsson, Peter
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa. Department of Oral and Maxillofacial Surgery, Institute for Postgraduate Dental Education, Region Jönköping County, Jönköping, Sweden.
    Hägglin, Catharina
    Department of Behavioral and Community Dentistry, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Development and evaluation of the Jönköping Dental Fear Coping Model: a health professional perspective2018Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 76, nr 5, s. 320-330Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

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

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

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

  • 11.
    Brahm, Carl-Otto
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Centrum för oral hälsa. Department of Oral and Maxillofacial Surgery, Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Lundgren, Jesper
    Department of Psychology, University of Gothenburg, Gothenburg, Sweden.
    Carlsson, Sven G.
    Department of Psychology, University of Gothenburg, Gothenburg, Sweden.
    Nilsson, Peter
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Centrum för oral hälsa. Department of Oral and Maxillofacial Surgery, Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Hägglin, Catharina
    §Department of Behavioral and Community Dentistry, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Evaluation of the Jönköping dental fear coping model: a patient perspective2019Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 77, nr 3, s. 238-247Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

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

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

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

  • 12. Carlsson, Gunnar E
    et al.
    Egermark, Inger
    Magnusson, Tomas
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Predictors of signs and symptoms of temporomandibular disorders: a 20-year follow-up study from childhood to adulthood.2002Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 60, nr 3, s. 180-185Artikkel i tidsskrift (Fagfellevurdert)
  • 13. Egermark, I
    et al.
    Carlsson, G E
    Magnusson, Tomas
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    A 20-year longitudinal study of subjective symptoms of temporomandibular disorders from childhood to adulthood.2001Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 59, nr 1, s. 40-48Artikkel i tidsskrift (Fagfellevurdert)
  • 14.
    Einarson, Susanne
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Hugoson, Anders
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Wärnberg Gerdin, Elisabeth
    Oral health impact on quality of life in an adult Swedish population2009Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 67, nr 2, s. 85-93Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 15.
    Ericsson, Iréne
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi. Högskolan i Jönköping, Hälsohögskolan, HHJ. Åldrande - livsvillkor och hälsa.
    Aronsson, Kerstin
    Folkhälsovetenskapligt centrum., Landstinget Östergötland.
    Cedersund, Elisabet
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. Åldrande - livsvillkor och hälsa.
    Hugoson, Anders
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Jonsson, Margareta
    Landstinget Jönköpings län.
    Wärnberg Gerdin, Elisabeth
    Folkhälsovetenskapligt centrum., Landstinget Östergötland.
    The meaning of oral health-related quality of life for elderly persons with dementia2009Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 67, nr 4, s. 212-221Artikkel i tidsskrift (Fagfellevurdert)
  • 16. Forslund, Heléne Bertéus
    et al.
    Lindroos, Anna Karin
    Blomkvist, Klas
    Hakeberg, Magnus
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Berggren, Ulf
    Jontell, Mats
    Torgerson, Jarl S
    Number of teeth, body mass index, and dental anxiety in middle-aged Swedish women.2002Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 60, nr 6, s. 346-352Artikkel i tidsskrift (Fagfellevurdert)
  • 17.
    Frisk, Fredrik
    et al.
    Department of Endodontology, Sahlgrenska Academy, Göteborg University, Göteborg, Sweden; Department of Endodontology, Institute for Postgraduate Dental Education, Jönköping, Sweden .
    Hakeberg, Magnus
    Jönköping University, Hälsohögskolan, HHJ, Avdelningen för klinisk diagnostik. Jönköping University, Hälsohögskolan, HHJ. Centrum för odontologi och oral hälsa.
    Socio-economic risk indicators for apical periodontitis2006Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 64, nr 2, s. 123-128Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective. The aim of this study was to reveal possible socio-economic risk indicators for apical periodontitis.

    Material and Methods. In 1992–93 a representative sample of women in Göteborg, Sweden, aged 38–84 years, participated in a medical and dental survey (n=981) which included dental and medical examinations and dental radiographic examination (OP). The dependent variable was apical periodontitis (AP = 0, AP > 0). The independent variables were age, number of teeth, number of restored teeth, number of root-filled teeth, number of teeth with carious lesions, satisfactory masticatory function, and dental esthetics as crude measures of self-reported dental health, dental anxiety, time elapsed since last visit to a dental office, regular dental visiting habits, smoking, alcohol habits, and marital status. A subjective evaluation of economy, health and life situation (acceptable or poor) was accounted for as socio-economic variables. The oldest age group, women born 1908, and edentulous individuals were omitted, leaving 844 subjects for analysis. Statistical analysis included multivariate logistic regression, chi-squared test, and independent t-test for comparison of group characteristics (AP = 0 vs AP > 0).

    Results. For socio-economic variables there was a significant association between acceptable health and apical periodontitis (OR = 1.72 (CI = 1.09–2.70)). For oral-related variables, root-filled teeth (OR = 1.17 (CI = 1.10–1.23)) and teeth with carious lesions (OR = 1.48 (CI = 1.19–1.85)) were predictive of apical periodontitis.

    Conclusions. In the present study, socio-economic variables and dental visiting habits did not appear to have obvious implications for periapical health, whereas root-filled teeth and carious lesions were associated with apical periodontitis.

  • 18.
    Frisk, Fredrik
    et al.
    Department of Endodontology/Oral Diagnosis, Sahlgrenska Academy, Göteborg University, Göteborg, Sweden.
    Hakeberg, Magnus
    Jönköping University, Hälsohögskolan, HHJ, Avdelningen för klinisk diagnostik. Jönköping University, Hälsohögskolan, HHJ. Centrum för odontologi och oral hälsa.
    Ahlqwist, Margareta
    Bengtsson, Calle
    Endodontic variables and coronary heart disease2003Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 61, nr 5, s. 257-262Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This cross-sectional study was designed to explore a possible association between endodontic disease variables and coronary heart disease (CHD). Dental infections are hypothesized to be linked to atherosclerosis and could be a cause of vascular changes crucial for the development of CHD. Most studies have focused on periodontal disease. To our knowledge, no one has specifically studied endodontic variables as risk factors for the development of CHD. In 1992-93, a representative sample (n = 1056) of women in Göteborg, Sweden, aged between 38 and 84 years, took part in a combined dental and medical survey. The dependent variable was CHD, i.e. subjects with angina pectoris and/or a history of myocardial infarction (n = 106). The independent variables were number of root-filled teeth (RF), number of teeth with periapical radiolucencies (PA), tooth loss (TL), age, life situation, marital status, smoking, alcohol habits, body mass index, waist-hip ratio, serum cholesterol and triglyceride concentrations, hypertension and diabetes. The multivariate logistic regression analysis did not prove the endodontic variables to be predictive of CHD. Only age and tooth loss were significantly associated with CHD, with OR = 1.07 (CI = 1.03-1.12) and OR = 2.70 (CI = 1.49-4.87), respectively. The bivariate logistic regression analysis showed a positive significant association between subjects with RF = 2 and CHD, but for PA the bivariate analysis did not support an association with CHD. This cross-sectional study did not reveal a significant association between endodontically treated teeth and CHD nor between teeth with periapical disease and CHD.

  • 19.
    Frisk, Fredrik
    et al.
    Institute of Postgraduate Dental Education, Jönköping, Sweden; Research Centre, Public Dental Service, Region Västra Götaland, Sweden.
    Merdad, Khalid
    Reit, Claes
    Hugoson, Anders
    Jönköping University, Hälsohögskolan, HHJ, Avdelningen för klinisk diagnostik. Jönköping University, Hälsohögskolan, HHJ. Centrum för odontologi och oral hälsa.
    Birkhed, Down
    Root-filled teeth and recurrent caries: A study of three repeated crodd-sectional samples from the city of Jönköping, Sweden2011Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 69, nr 6, s. 401-405Artikkel i tidsskrift (Fagfellevurdert)
    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

  • 20.
    Hakeberg, Magnus
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Berggren, U
    Dimensions of the Dental Fear Survey among patients with dental phobia.1997Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 55, nr 5, s. 314-318Artikkel i tidsskrift (Fagfellevurdert)
  • 21.
    Hakeberg, Magnus
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Berggren, U
    Carlsson, S G
    Gustafsson, J E
    Repeated measurements of mood during psychologic treatment of dental fear.1997Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 55, nr 6, s. 378-383Artikkel i tidsskrift (Fagfellevurdert)
  • 22.
    Hakeberg, Magnus
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Cunha, Luciette
    Dental anxiety and pain related to dental hygienist treatment2008Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 66, nr 6, s. 374-379Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 23.
    Hakeberg, Magnus
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Heidari, E
    Norinder, M
    Berggren, U
    A Swedish version of the Dental Visit Satisfaction Scale.2000Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 58, nr 1, s. 19-24Artikkel i tidsskrift (Fagfellevurdert)
  • 24.
    Hakeberg, Magnus
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Hägglin, C
    Berggren, U
    Carlsson, S G
    Structural relationships of dental anxiety, mood, and general anxiety.2001Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 59, nr 2, s. 99-103Artikkel i tidsskrift (Fagfellevurdert)
  • 25.
    Hakeberg, Magnus
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Klingberg, G
    Noren, J G
    Berggren, U
    Swedish dentists' perceptions of their patients.1992Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 50, nr 4, s. 245-252Artikkel i tidsskrift (Fagfellevurdert)
  • 26.
    Hugoson, Anders
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Dental caries in relation to smoking and the use of Swedish snus: epidemiological studies covering 20 years (1983-2003)2012Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 70, nr 4, s. 289-296Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 27.
    Hugoson, Anders
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Ekfeldt, A
    Koch, G
    Hallonsten, A L
    Incisal and occlusal tooth wear in children and adolescents in a Swedish population.1996Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 54, nr 4, s. 263-270Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 28.
    Isaksson, Helén
    et al.
    Department of Paediatric Dentistry, The Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Birkhed, Dowen
    Department of Cariology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Sweden.
    Wendt, Lill-Kari
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Alm, Anita
    Department of Paediatric Dentistry, Kärnsjukhuset, Skövde, Sweden.
    Nilsson, Mats
    Futurum – The Academy of Healthcare, County Hospital, Jönköping, Sweden.
    Koch, Göran
    Department of Paediatric Dentistry, The Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Prevalence of dental erosion and association with lifestyle factors in Swedish 20-year olds2014Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 72, nr 6, s. 448-457Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective. To investigate the prevalence, distribution and severity of dental erosion and its association with lifestyle, oral and general health in young adults. Materials and methods. Four hundred and ninety-four individuals, 20-years of age, participated. Dental erosion in molars and maxillary incisors was evaluated. Caries, plaque and gingivitis were registered. Saliva samples were taken and the subjects were interviewed about behavioural and dietary habits and oral and general health. Body mass index (BMI) was calculated. The individuals were sub-divided into two groups according to the presence and absence of dental erosion: within the group with erosion was a sub-group of individuals with extensive erosion. Results. Of the individuals 25% had no erosion, 75% had erosion and 18% had extensive erosion. Erosion was found in molars in 74% of the individuals and on buccal and palatal surfaces in maxillary incisors in 4% and 7%, respectively. Cupping was seen in 65% of individuals and severe erosion in molars in 1.6%. Compared to subjects with no erosion, those with extensive erosion had a higher consumption of soft drinks (p = 0.05), caries prevalence (p < 0.01), prevalence of mutans Streptococci (p < 0.01) and BMI (p < 0.05). Furthermore, subjects with erosion had higher caries prevalence (p < 0.01) and BMI (p < 0.01) than those with no erosion. Conclusions. Swedish young adults have a high prevalence of dental erosion, but the level of severe erosion is low. The study disclosed a relationship between dental erosion and behavioural factors, oral health and BMI.

  • 29.
    Josefsson, Eva
    et al.
    Jönköping University, Hälsohögskolan, HHJ. Centrum för oral hälsa.
    Lindsten, Rune
    Jönköping University, Hälsohögskolan, HHJ. Centrum för oral hälsa.
    Hallberg, Lillemor R-M.
    Högskolan i Halmstad.
    A qualitative study of the influence of poor dental aesthetics on the lives of young adults2010Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 68, nr 1, s. 19-26Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: Although many countries offer some publicly funded orthodontic treatment for children, not all conditions receive treatment and some adolescents enter adulthood with persisting poor dental aesthetics or malocclusions. The aim of this study was to generate a theory highlighting the main concerns of young adults, either native-born or of immigrant background, with poor dental aesthetics and the measures they adopt to manage their condition in everyday life.

    Material and methods: A qualitative method, classic grounded theory, was applied in order to generate a substantive theory highlighting the main concerns and managing mechanisms of 13 strategically selected 19- and 20-year-olds with poor dental aesthetics. Open interviews were conducted with each participant, the topics covering different aspects of social and dental conditions.

    Results: A core category and three conceptual categories were generated. The core category was labelled "Being under the pressure of social norms" and was related to categories explaining three different ways in which these young adults handle their main concern: (1) avoiding showing their teeth; (2) minimizing the importance of appearance; and (3) seeking orthodontic treatment. The theory offers the potential for improved understanding of young adults who, despite poor dental aesthetics, are managing well with life, and also of those who have not adjusted well.

    Conclusions: In early adolescence it may be problematic to make decisions about orthodontic treatment. Undisclosed dental fear can be an important barrier. Some of the young adults in the present study would probably benefit from treatment.

  • 30.
    Lindfors, Erik
    et al.
    Department of Stomatognathic Physiology, Public Dental Health Service, Uppsala, Sweden.
    Tegelberg, Åke
    Department of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Malmö, Sweden.
    Magnusson, Tomas
    Jönköping University, Hälsohögskolan, HHJ. Centrum för oral hälsa.
    Ernberg, Malin
    Department of Dental Medicine, Karolinska Institutet, Scandinavian Center for Orofacial Neuroscience (SCON), Huddinge, Sweden.
    Treatment of temporomandibular disorders – knowledge, attitudes and clinical experience among general practising dentists in Sweden2016Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 74, nr 6, s. 460-465Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: The aim of the study was to investigate the self-perceived level of knowledge, attitudes and clinical experience in treatment of temporomandibular disorders (TMD) among general practising dentists (GPDs).

    Material and methods: A web-based questionnaire was sent to all GPDs in the public dental health service in the County of Uppsala in 2010 (n = 128) and 2014 (n = 113). The GPDs were asked to answer questions in the following categories: Demographic information, Quality assurance, Clinical experience and treatment, Need for specialist resources in the field of TMD and Attitudes. Between the two questionnaires, the GPDs were offered TMD education and an examination template including three TMD questions was introduced in the computer case files. The results were also compared with a previous questionnaire from 2001.

    Results: The response rate was 71% (2010) and 73% (2014). The majority of the GPDs were women (70% in 2010 and 72% in 2014). The reported frequency of taking a case history of facial pain and headache increased between 2010 and 2014. In 2014, the GPDs were more secure and reported higher frequency of good clinical routines in treatment with jaw exercises and pharmacological intervention compared to 2001. Interocclusal appliance was the treatment with which most dentists felt confident and reported good clinical routines.

    Conclusions: The GPDs felt more insecure concerning TMD diagnostics, therapy decisions and treatment in children/adolescents compared to adults. There is a high need for orofacial pain/TMD specialists and a majority of the GPDs wants the specialists to offer continuing education in TMD.

  • 31.
    Lindmark, Ulrika
    et al.
    Jönköping University, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Jönköping University, Hälsohögskolan, HHJ. Centrum för oral hälsa.
    Hakeberg, Magnus
    2Department of Behavioral and Community Dentistry, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg.
    Hugoson, Anders
    Jönköping University, Hälsohögskolan, HHJ. Centrum för oral hälsa.
    Sense of coherence and oral health status in an adult Swedish population2010Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 69, s. 12-20Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective. To investigate sense of coherence in relation to oral health status in an adult Swedish population in order to better understand the determinants of positive oral health-promoting behavior and differences in oral health.

    Material and methods. A stratified random sample of 910 individuals from Jönköping, Sweden aged 20, 30, 40, 50, 60, 70 and 80 years was obtained. The investigation used the Swedish short version of the Sense of Coherence (SOC) questionnaire comprising 13 items and a self-report questionnaire to elicit demographic information. In addition, a clinical and radiographic oral examination was performed.

    Results. A total of 525 individuals, 261 men and 264 women, consented to participate in the study. Bivariate analysis revealed that higher mean SOC scores were statistically significantly associated with more decayed and filled surfaces (DFS) and filled surfaces (FS), fewer decayed surfaces (DS), fewer teeth with calculus and periodontal health. Multivariate analysis showed that higher SOC scores represented a predictor of fewer occurrences of a periodontal probing pocket depth of ‡4 mm and a lower risk of plaque in different regression models.

    Conclusions. Higher SOC scores may be a protective determinant of plaque and periodontal disease, indicating an association between SOC and oral health.

  • 32. Magnusson, C
    et al.
    Nilsson, M
    Magnusson, Tomas
    Jönköping University, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Jönköping University, Hälsohögskolan, HHJ. Centrum för oral hälsa.
    Degenerative changes in human temporomandibular joints in relation to occlusal support.2010Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 68, s. 305-311Artikkel i tidsskrift (Fagfellevurdert)
  • 33.
    Magnusson, Cecilia
    et al.
    Public Dental Health, Jönköping County Council, Jönköping , Sweden.
    Nilsson, Mats
    Futurum, The Academy for Health and Care, Jönköping County, Jönköping , Sweden.
    Magnusson, Tomas
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Degenerative changes of the temporomandibular joint. Relationship to ethnicity, sex and occlusal supporting zones based on a skull material2012Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 70, nr 3, s. 207-212Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective. The first aim of this study was to examine a contemporary human skull material for possible ethnic differences in respect of degenerative changes in the temporomandibular joints (TMJs). A second aim was to see if there was any correlation between such changes and occlusal support in any of the two groups and, if so, if this correlation was sex-related. Materials and methods: The material consisted of 129 Caucasian skulls and 76 skulls from Afro-Americans. Ninety-four of the Caucasian skulls came from males (73%) and the corresponding figure for the Afro-Americans was 40 (53%). Their mean age at death was 46 years (range: 19–89 years) and 37 years (range: 18–70 years), respectively. Results. Dental status was in general poor and 13% of the Afro-Americans and 26% of the Caucasians were edentulous. Form and surface changes of the TMJs were more common in the present material compared to most previous studies. No differences could be found between the two ethnic groups in respect of degenerative joint changes in the TMJs. In men, no correlation of clinical relevance could be found between severity of joint changes and occlusal support. However, in both Caucasian and Afro-American women, such a correlation was obvious, especially in higher age. Conclusions. The present findings give no evidence for any differences in the prevalence of degenerative changes in the TMJs in Caucasians and Afro-Americans. The strong correlation found between such changes and occlusal support in women but not in men might be explained by hormonal differences.

  • 34.
    Magnusson, Tomas
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Carlsson, G E
    Changes in recurrent headaches and mandibular dysfunction after various types of dental treatment.1980Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 38, nr 5, s. 311-320Artikkel i tidsskrift (Fagfellevurdert)
  • 35.
    Magnusson, Tomas
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Carlsson, G E
    Recurrent headaches in relation to temporomandibular joint pain-dysfunction.1978Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 36, nr 6, s. 333-338Artikkel i tidsskrift (Fagfellevurdert)
  • 36.
    Magnusson, Tomas
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Egermarki, Inger
    Carlsson, Gunnar E
    A prospective investigation over two decades on signs and symptoms of temporomandibular disorders and associated variables: A final summary.2005Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 63, nr 2, s. 99-109Artikkel i tidsskrift (Fagfellevurdert)
  • 37.
    Magnusson, Tomas
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Enbom, L
    Signs and symptoms of mandibular dysfunction after introduction of experimental balancing-side interferences.1984Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 42, nr 3, s. 129-135Artikkel i tidsskrift (Fagfellevurdert)
  • 38.
    Najim, U.
    et al.
    Department of Periodontology, The Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Norderyd, Ola
    Department of Periodontology, The Institute for Postgraduate Dental Education, Jönköping, Sweden; Faculty of Odontology, Malmö University, Malmö, Sweden.
    Prevalence of intrabony defects in a Swedish adult population. A radiographic epidemiological study2017Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 75, nr 2, s. 123-129Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: The purpose of this radiographic study was to evaluate the prevalence of intrabony defects and to study the correlation between these defects and clinical variables in a Swedish adult population. Another aim was to study the combined relationship of intrabony defects and furcation involvement with clinical variables.

    Materials and methods: The present study was performed using bitewing and apical radiographs from 329 subjects. The clinical and radiographic data were collected from the study that was carried out in Jönköping 2003. Intrabony defects were measured from the bottom of the pocket to the highest point of alveolar bone crest. Furcations were considered healthy if the furcation was filled with bone up to the fornix. SPSS was used to analyze the results.

    Results: 2014 molars and 5898 non-molars were included in the study. The prevalence of intrabony defects was 2.2% in the whole population. Multivariate analysis showed that periodontal pockets (p < 0.0001), plaque (p < 0.001), age (p < 0.02) and gender (p < 0.03) had a significant relationship with the occurrence of intrabony defects. On the other hand, gingivitis, smoking habits and education level were not associated with intrabony defects. Multivariate analysis showed that the only variable associated with presence of intrabony defects and furcation involvement was presence of periodontal pockets (p < 0.0001). Whilst, gingivitis, education level, plaque, gender, age and smoking habits were not associated with the outcome.

    Conclusions: Mandibular second molars were most likely to display intrabony defects, whilst mandibular incisors were the least likely to do so.

  • 39. Paulsson, G
    et al.
    Söderfeldt, B
    Nederfors, T
    Fridlund, Bengt
    Högskolan i Halmstad.
    Nursing personnel's views on oral health from a health promotion perspective: a grounded theory analysis2002Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 60, nr 1, s. 42-49Artikkel i tidsskrift (Fagfellevurdert)
  • 40.
    Risolo, Massimo
    et al.
    Jönköping University, Hälsohögskolan, HHJ, Avdelningen för odontologi och oral hälsa. Department of Periodontology, Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Cevik-Aras, Hulya
    Department of Oral Pathology and Medicine, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; NÄL Hospital, Trollhättan, Sweden.
    Sayardoust, Shariel
    Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden; Center for Oral Rehabilitation, Linköping, Sweden.
    The effect of reconstructive techniques as treatment modality for peri-implant osseous defects: a systematic review and meta-analysis2023Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 81, nr 7, s. 569-577Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    Objectives

    The aim of this systematic review is to compare conventional peri-implant flap surgery and reconstructive surgical techniques regarding evidence of remission from peri-implantitis.

    Material and methods

    Searches were made among randomized controlled trials evaluating clinical aspects and the changes in marginal bone level before and after surgical treatment of peri-implantitis, with and without bone substitute.

    Results

    Nine published articles and 442 patients were eligible for inclusion in the study. Reconstructive techniques exhibited a greater extent of defect fill than conventional surgical techniques alone. No significant differences could be found for clinical measures of peri-implant disease (bleeding on probing and reduction of probing depth) from baseline to the 12-month follow-up.

    Conclusions

    With regards to the clinical measures of disease, our review shows that there are no differences between open flap debridement and regenerative surgery. From an esthetic standpoint, it may however be that regenerative measures may lead to improvement but further publications with this focus will be necessary to verify this.

  • 41.
    Rolander, Bo
    et al.
    Jönköping University, Hälsohögskolan, HHJ, Avd. för socialt arbete. Futurum, Academy for Health and Care, Jönköping County Council, Jönköping, Sweden.
    Lindmark, Ulrika
    Jönköping University, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Jönköping University, Hälsohögskolan, HHJ. Centrum för oral hälsa. Jönköping University, Hälsohögskolan, HHJ. ADULT. Jönköping University, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping).
    Johnston, V.
    School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.
    Wagman, Petra
    Jönköping University, Hälsohögskolan, HHJ, Avd. för rehabilitering. Jönköping University, Hälsohögskolan, HHJ. ADULT.
    Wåhlin, C.
    Department of Clinical and Experimental Medicine, Occupational and Environmental Medicine Center, Linköping University, Linköping, Sweden.
    Organizational types in relation to exposure at work and sickness - a repeated cross-sectional study within public dentistry2020Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 78, nr 2, s. 132-140Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: Organizations and state agencies that provide dental care continuously face various and novel demands related to the need for dental care. However, rearrangements of work tasks by reducing the number of tasks performed by dental personnel might make the work more monotonous, repetitive, and static within an organization. The aim of this study is to compare how two dental work organizations, with different staffing and clinic size, are perceived by dental personnel focusing on physical and psychosocial conditions, leadership, work ability and presenteeism in 2012 and 2014.

    Material and Methods: This repeated cross-sectional study included personnel from the Public Dental Service in Sweden. There were 282 dentists, dental hygienists, and dental nurses who answered a questionnaire 2012 and 299 in 2014.

    Results and conclusion: In 2012, nine per cent of medium clinics reported poor leadership compared with 27% in 2014. For large clinics, 17% perceived poor leadership in 2012 compared with 31% in 2014. A higher proportion of the employees reported presenteeism due to high physical load (43%) and high psychosocial load (21%) in 2014 compared with 31% and 13% in 2012. These results indicate the need for work place interventions promoting health among dental employees.

  • 42.
    Rolander, Bo
    et al.
    Jönköping University, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd). Jönköping University, Hälsohögskolan, HHJ, Avd. för socialt arbete. Futurum, Academy for Health and Care, Jönköping County Council, Sweden.
    Wåhlin, Charlotte
    Department of Clinical and Experimental Medicine, Occupational and Environmental Medicine Center, Linköping University, Linköping, Sweden.
    Johnston, Venerina
    Intervention and Implementation Research Unit, Karolinska Institutet, Stockholm, Sweden.
    Wagman, Petra
    Jönköping University, Hälsohögskolan, HHJ, Avd. för rehabilitering. Jönköping University, Hälsohögskolan, HHJ. ADULT.
    Lindmark, Ulrika
    Jönköping University, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Jönköping University, Hälsohögskolan, HHJ. Centrum för oral hälsa.
    Changes in division of labour and tasks within public dentistry: relationship to employees work demands, health and work ability2016Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 74, nr 6, s. 471-479Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: By 2023, fewer dentists are expected in Sweden, at the same time as the demand for dental care is expected to increase. Older people, in particular, are expected to require more dental health than previous generations. To meet this demand, the public sector dentistry in Sweden is moving towards changes in division of labour among dental professionals, including dentists, dental hygienists and dental nurses. However, the impact of this reallocation on the physical and psychosocial wellbeing of employees is unknown. The aim of this study was to compare workplaces with an equal or larger proportion of dental hygienists than dentists (HDH) with workplaces with a larger proportion of dentists than dental hygienists (HD) on the physical and psychosocial work load, musculoskeletal and psychosomatic disorders and sickness presence.

    Material: A total of 298 persons employed in the Public Dental Service in a Swedish County Council participated in this study.

    Conclusion: The medium large clinics HDH reported 85% of employee’s with considerably more high psychosocial demands compared to employees in medium HD (53%) and large HD (57%). Employees in medium large clinics HDH also reported sleep problems due to work (25%) compared with employees in medium large clinics HD (6%), large clinics HD (11%) and small clinics HDH (3%). Clinic size does not seem to influence the outcome of the HD and HD clinics to any great extent. Of all employees, about 94–100% reported high precision demands and 78–91% poor work postures.

  • 43.
    Shmarina, Elena
    et al.
    Malmö universitet, Odontologiska fakulteten (OD).
    Ericson, Dan
    Malmö universitet, Odontologiska fakulteten (OD).
    Franzén, Cecilia
    Malmö universitet, Odontologiska fakulteten (OD).
    Götrick, Bengt
    Malmö universitet, Odontologiska fakulteten (OD).
    Self-perceived oral health-related salutogenic factors in orally healthy older Swedes: A qualitative interview study2022Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 80, nr 5, s. 354-362Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: This study aimed to explore oral health-related salutogenic factors in orally healthy older Swedish people, applying the three components of Antonovsky's Sense of Coherence (SOC) concept: comprehensibility, manageability and meaningfulness.

    MATERIAL AND METHOD: Interviews were conducted with 12 orally healthy patients, aged 75 years and older, enrolled at public dental clinics. The interviews were subjected to qualitative content analysis, applying the SOC concept as the theoretical framework.

    RESULTS: Three themes were formulated under the predefined SOC components, describing the central meaning of the informants' perception of factors favourable to their good oral health. The theme 'comprehension of cause and effect' consisted of three categories, for example importance of oral hygiene, and reflected the component comprehensibility. The theme 'living in confidence and trust in supporting society' consisted of five categories, for example self-esteem, and reflected the component manageability. The theme 'good oral health as a basis for satisfaction and social confidence' consisted of two categories, for example social norms, and reflected the component meaningfulness.

    CONCLUSION: This study discloses how orally healthy elderly Swedish people perceive the lifelong impact of salutogenic factors in response to lifelong stressors on their oral health and highlights the important roles of their internal resources, dental professionals, family and society in supporting and reinforcing lifelong oral health.

  • 44.
    Shmarina, Elena
    et al.
    Malmö universitet, Odontologiska fakulteten (OD).
    Ericson, Dan
    Malmö universitet, Odontologiska fakulteten (OD).
    Åkerman, Sigvard
    Malmö universitet, Odontologiska fakulteten (OD).
    Axtelius, Björn
    Malmö universitet, Odontologiska fakulteten (OD).
    Exploring salutogenic factors supporting oral health in the elderly2022Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 80, nr 4, s. 241-251Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim

    To explore associations between salutogenic factors and selected clinical outcome variables of oral health in the elderly, combining Antonovsky's salutogenic theory and the Lalonde Health Field concept.

    Methods

    The subjects comprised 146 individuals, aged 60 years and older, who had participated in a population-based epidemiological study in Sweden, 2011-2012, using questionnaire and oral examination data. A cross-sectional analysis used the selected outcome variables, such as number of remaining teeth, DMFT-index and risk assessment, and salutogenic factors from the questionnaire, clustered into domains and health fields, as artifactual-material, cognitive-emotional and valuative-attitudinal. This selection was based on findings from our previous analysis using a framework cross-tabulating two health models. The purpose was to facilitate analysis of associations not previously addressed in the literature on oral health. Bivariate and Multiple Linear Regression analyses were used.

    Results

    Numerous salutogenic factors were identified. Significant associations between outcome variables and salutogenic factors previously unreported could be added. Regression analysis identified three contributing independent factors for 'low DMFT'.

    Conclusions

    This study supports the usefulness of a salutogenic approach for analysing oral health outcomes, identifying university education, the importance of dental health organization recall system and close social network, as important salutogenic factors. The large number of salutogenic factors found supporting oral health among the elderly indicates the complexity of salutogenesis and the need for robust analysing tools. Combining two current health models was considered useful for exploring these covariations. These findings have implications for future investigations, identifying important research questions to be explored in qualitative analyses.

  • 45.
    Shmarina, Elena
    et al.
    Malmö universitet, Odontologiska fakulteten (OD).
    Ericson, Dan
    Malmö universitet, Odontologiska fakulteten (OD).
    Åkerman, Sigvard
    Malmö universitet, Odontologiska fakulteten (OD).
    Axtelius, Björn
    Malmö universitet, Odontologiska fakulteten (OD).
    Salutogenic factors for oral health among older people: an integrative review connecting the theoretical frameworks of Antonovsky and Lalonde2021Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 79, nr 3, s. 218-231Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective

    The aim of this integrative review was to describe salutogenic factors associated with oral health outcomes in older people, from the theoretical perspectives of Antonovsky and Lalonde.

    Material and methods

    This study was based on a primary selection of 10,016 articles. To organize reported salutogenic factors, the Lalonde health field concept and Antonovsky's salutogenic theory were cross tabulated.

    Results

    The final analysis was based on 58 studies. The following oral health outcome variables were reported: remaining teeth, caries, periodontal disease, oral function and oral health related quality of life (OHRQoL). We could identify 77 salutogenic factors for oral health and OHRQoL. Salutogenic factors were identified primarily within the fields of Human Biology (such as 'higher saliva flow', 'BMI < 30 kg/m(2)' and 'higher cognitive ability at age 11'), Lifestyle (such as 'higher education level', 'social network diversity' and 'optimal oral health behaviour') and Environment (such as 'lower income inequality', 'public water fluoridation' and 'higher neighbourhood education level'). In the age group 60 years and over, there was a lack of studies with specific reference to salutogenic factors.

    Conclusions

    The results provide an overview of salutogenic factors for oral health from two theoretical perspectives. The method allowed concomitant disclosure of both theoretical perspectives and examination of their congruence. Further hypothesis-driven research is needed to understand how elderly people can best maintain good oral health.

  • 46.
    Shmarina, Elena
    et al.
    Department of Oral Diagnostics, Faculty of Odontology, Malmö University, Malmö, Sweden; Kalmar County Council, Public Dental Service, Oskarshamn, Sweden.
    Stensson, Malin
    Jönköping University, Hälsohögskolan, HHJ, Avdelningen för odontologi och oral hälsa. Jönköping University, Hälsohögskolan, HHJ. Centrum för odontologi och oral hälsa. Jönköping University, Hälsohögskolan, HHJ. CHILD.
    Jacobsson, Brittmarie
    Jönköping University, Hälsohögskolan, HHJ, Avdelningen för klinisk diagnostik. Jönköping University, Hälsohögskolan, HHJ. Centrum för odontologi och oral hälsa. Jönköping University, Hälsohögskolan, HHJ. CHILD.
    Oral health literacy among migrant mothers in Sweden: A qualitative study2023Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective

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

    Material and method

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

    Findings

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

    Conclusion

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

  • 47.
    Silnovic, Zlatan
    et al.
    Specialist clinic of Endodontology, Public Dental Health Service, Västra Götaland Region, Gothenburg, Sweden.
    Kvist, Thomas
    Department of Endodontology, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Frisk, Fredrik
    Jönköping University, Hälsohögskolan, HHJ, Avdelningen för klinisk diagnostik. Department of Endodontology, Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Periapical status and technical quality in root canal filled teeth in a cross sectional study in Jönköping, Sweden2023Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 81, nr 3, s. 249-254Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective

    To investigate the quality of root canal fillings and frequency of apical periodontitis (AP) in root canal filled teeth in a Swedish population.

    Material and methods

    This study used data from a cross-sectional survey conducted in 2013. The root canal filling quality and periapical status were assessed in 491 root canal filled teeth in 196 individuals aged 20-70 years, randomly selected from the population of Jonkoping, Sweden. All root canal filled teeth were examined with periapical radiographs. Three calibrated observers recorded length and density in root canal fillings as well as periapical status according to the Periapical Index. A root filling ending within 0.5-2 mm from the radiographic apex without lateral or apical voids was considered adequate. Data were analyzed in a generalized estimating equation (GEE) model with AP as dependent variable and gender, age, number of teeth, number of root filled teeth, tooth type, and root filling quality as independent variables.

    Results

    Teeth with technically inadequate root fillings were associated with AP in a simple GEE-analysis. In the multiple GEE-model, the association between technical quality and apical peridontitis was nonsignificant when controlling for tooth type and gender.

    Conclusions

    The quality of root canal fillings is poor and the prevalence of AP in root canal filled teeth is high, particularly in molar teeth, in a Swedish population.

  • 48.
    Stenebrand, Agneta
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Wide Boman, Ulla
    Odontologen Göteborg.
    Hakeberg, Magnus
    Odontologen Göteborg.
    Dental anxiety and temperament in 15-year olds2013Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 71, nr 1, s. 15-21Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: The aim of the present study was to analyse the prevalence of dental anxiety and its association with temperament, sociodemographic factors and previous painful and unpleasant experiences of dental care among 15-year old individuals. Material and methods: The sample included 263 randomly selected 15-year old individuals living in the municipality of Jönköping, Sweden. The school, parental and adolescent consent was acquired. Three self-reported questionnaires were used, one included items of sociodemography, while the others dealt with dental anxiety assessed by the Dental Fear Survey (DFS) and temperament assessed by an adapted version of The EAS Temperament Survey for Children modified for adults, the EASI temperament survey. Results: The results showed that 6.5 % of the  adolescents were classified as dentally anxious and with girls proportionally more fearful than boys. The three temperaments activity, impulsivity and emotionality were significantly correlated with dental anxiety. A hierarchical multiple linear regression analysis showed that pain at the last dental appointment or previous pain experiences during dental care treatment were the strongest predictors regarding dental anxiety in 15-year olds. The temperament dimensions activity and impulsivity were also significantly predictive of dental anxiety. Conclusions: Although some of the temperament dimensions are correlated with dental anxiety, which may emphasize an important finding with regard to personality, this study showed that previous pain experiences during dental care treatment is a strong predictor for high dental anxiety in 15-year olds.

  • 49. Stenman, U
    et al.
    Wennstrom, A
    Ahlqwist, M
    Bengtsson, C
    Bjorkelund, C
    Lissner, L
    Hakeberg, Magnus
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Association between periodontal disease and ischemic heart disease among Swedish women: A cross-sectional study2009Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850Artikkel i tidsskrift (Fagfellevurdert)
  • 50.
    Stensson, Malin
    et al.
    Jönköping University, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Jönköping University, Hälsohögskolan, HHJ. Centrum för oral hälsa. Jönköping University, Hälsohögskolan, HHJ. CHILD.
    Norderyd, Johanna
    Jönköping University, Hälsohögskolan, HHJ. CHILD. National Oral Disability Centre for Rare Disorders, The Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Van Riper, M.
    School of Nursing, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
    Marks, L.
    Centre of Special Care in Dentistry, Ghent University Hospital, Gent, Belgium.
    Björk, Maria
    Jönköping University, Hälsohögskolan, HHJ, Avd. för omvårdnad. Jönköping University, Hälsohögskolan, HHJ. CHILD.
    Parents' perceptions of oral health, general health and dental health care for children with Down syndrome in Sweden2021Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 79, nr 4, s. 248-255Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

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

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

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

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