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  • 201. Hägglin, C
    et al.
    Hakeberg, Magnus
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Ahlqwist, M
    Sullivan, M
    Berggren, U
    Factors associated with dental anxiety and attendance in middle-aged and elderly women.2000In: Community Dentistry and Oral Epidemiology, ISSN 0301-5661, E-ISSN 1600-0528, Vol. 28, no 6, p. 451-460Article in journal (Refereed)
  • 202. Hägglin, C
    et al.
    Hakeberg, Magnus
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Hällström, T
    Berggren, U
    Larsson, L
    Waern, M
    Pálsson, S
    Skoog, I
    Dental anxiety in relation to mental health and personality factors: A longitudinal study of middle-aged and elderly women.2001In: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, Vol. 109, no 1, p. 27-33Article in journal (Refereed)
  • 203. Hägglin, Catharina
    et al.
    Berggren, Ulf
    Hakeberg, Magnus
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Edvardsson, Anna
    Eriksson, Marina
    Evaluation of a Swedish version of the OHIP-14 among patients in general and specialist dental care.2007In: Swedish Dental Journal, ISSN 0347-9994, Vol. 31, no 2, p. 91-101Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to investigate the Swedish version of an oral health-related quality of life (OHRQL) instrument, the short form of the Oral Health Impact Profile (OHIP-14), and to assess OHRQL among patients in general dental care and specialist clinics (periodontics, TMD and implant dentistry) in Göteborg, Sweden. Consecutively selected patients were asked to answer the OHIP-14, the General Oral Health Assessment Index (GOHAI) and a questionnaire including socio-demographic, general health and oral health questions. 153 patients (50-89 years old) out of 237 (65%) returned the questionnaires. Cronbach's Alpha among the OHIP items was high (0.93) and the corrected item-scale correlation varied between 0.51 and 0.79. The correlation between the OHIP-14 score and the GOHAI was high (-0.83) indicating good criterion validity. The mean additive OHIP-14 score was 22.6 (SD = 10.5). Implant patients scored significantly higher than other patient groups with respect to missing teeth, dentures and mobile teeth. High scores were also associated with perceived poor general health and dissatisfaction with life-situation. The test-retest reliability was assessed in a separate sample (n = 47) and the correlation coefficient was 0.85. The Swedish version of OHIP-14 demonstrated good reliability and validity. The poorer OHRQL reported by the implant patients reflects the strong association found between OHIP score and dentures and missing teeth, while OHIP-14 did not show similar sensitivity to other impacts of oral disorders.

  • 204.
    Imeraj, Lily
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Majed, Noor
    Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Sjuksköterskestudenters kunskap om oral hälsa2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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  • 205.
    Isaksson, H.
    et al.
    Department of Paediatric Dentistry, Institute for Postgraduate Dental Education, Jönköping.
    Alm, A.
    Department of Paediatric Dentistry, Kärnsjukhuset, Skövde.
    Koch, G.
    Department of Paediatric Dentistry, Institute for Postgraduate Dental Education, Jönköping.
    Birkhed, D.
    Department of Cariology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Wendt, Lill-Kari
    Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.
    Caries prevalence in Swedish 20-year-olds in relation to their previous caries experience2013In: Caries Research, ISSN 0008-6568, E-ISSN 1421-976X, Vol. 47, no 3, p. 234-242Article in journal (Refereed)
    Abstract [en]

    Background/Aim: There are few studies of caries development and caries-related factors from early age to young adulthood. The aim of the present study is to analyse caries prevalence in 20-year-olds in relation to their previous caries experience. Method: Oral health from 3 to 20 years of age was followed longitudinally in a cohort of 499 individuals. The clinical and radiographic incidence of caries and restorations in 494 20-year-olds was related to caries data at 3, 6 and 15 years of age. Results: Twenty-six per cent of the 20-year-olds were caries-free. The mean number of initial and manifest lesions and restorations (Di + mFS) was 5.8. Initial lesions comprised 40% of the Di + mFS. Of the occlusal surfaces of molars and premolars, 12 and 4%, respectively, had manifest caries or restorations. Compared with individuals who had been caries-free during childhood (primary dentition) and adolescence, those with a history of caries activity while growing up had statistically significantly more approximal lesions at the age of 20 (DmFSa 0.6 vs. DmFSa 4.6, respectively). Those with manifest caries during childhood but caries-free at 15 years had a low caries prevalence at 20 years of age (DmFSa 1.3). Few new lesions developed after age 15. However, 50% of initial lesions at this age had progressed to manifest lesions at age 20. Conclusion: There is a relationship between caries prevalence at age 20 and early caries experience.

  • 206.
    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
    Jönköping University, School of Health and Welfare, HHJ. Oral health.
    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 olds2014In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 72, no 6, p. 448-457Article in journal (Refereed)
    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.

  • 207.
    Isaksson, Helén
    et al.
    Department of Paediatric Dentistry, The Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Koch, Göran
    Department of Paediatric Dentistry, The Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Alm, Anita
    Department of Preventive and Community Dentistry, Public Dental Health Service, Västra Götaland Region, Göteborg, Sweden.
    Nilsson, Mats
    Futurum, Academy of Health and Care, Region Jönköping County, Jönköping.
    Wendt, Lill-Kari
    Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.
    Birkhed, Dowen
    Malmö University Faculty of Odontology, Department of Oral Diagnostics, Malmö, Sweden.
    Parental factors in early childhood are associated with approximal caries experience in young adults - A longitudinal study2019In: Community Dentistry and Oral Epidemiology, ISSN 0301-5661, E-ISSN 1600-0528, Vol. 47, no 1, p. 49-57Article in journal (Refereed)
    Abstract [en]

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

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

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

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

  • 208.
    Isaksson, Helén
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Department of Paediatric Dentistry, The Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Koch, Göran
    Department of Paediatric Dentistry, The Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Bakland, Leif K.
    Department of Endodontics, School of Dentistry, Loma Linda University, Loma Linda, CA, USA.
    Andreasen, Jens Ove
    Department of Oral and Maxillo-Facial Surgery, Resource Center for Rare Oral Diseases, University Hospital (Rigshospitalet), Copenhagen, Denmark.
    Effect of splinting times on the healing of intra-alveolar root fractures in 512 permanent teeth in humans: A Scandinavian multicenter study2021In: Dental Traumatology, ISSN 1600-4469, E-ISSN 1600-9657, Vol. 37, no 5, p. 672-676Article in journal (Refereed)
    Abstract [en]

    Background/Aim

    Long-term splinting of teeth with intra-alveolar root fractures has been considered important for the deposition of hard tissue between the root fragments. The aim of this study was to compare the healing outcomes in teeth with intra-alveolar root fractures relative to splinting times in three dental centers in Scandinavia, using historical data.

    Materials and methods

    A total of 512 maxillary and mandibular incisors from three dental trauma centers were included in the study. Two of the centers used long-term splinting protocols of two to three months while the other center used a short-term splinting protocol of one month or less. Three outcomes were evaluated: (1) Healing with hard tissue (dentin and/or cementum). (2) Healing with connective tissue (periodontal ligament) interposition with or without bone between the fragments. (3) Non-healing due to the coronal pulp being necrotic and infected with granulation tissue interposed between the fragments.

    Results

    The mean splinting times were 18, 81, and 110 days in the three centers. Long-term splinting resulted in hard tissue healing more frequently than short-term splinting. Short-term splinting resulted in more connective tissue/bony healing than long-term splinting, while there was no difference in the frequency of non-healing between long-term and short-term splinting protocols.

    Conclusions

    While the results suggest that long-term splinting favors hard tissue deposition, one cannot, however, conclude that long-term splinting definitely favors hard tissue healing since the treatment protocols were not randomized among the three centers. More clinical studies on the role of splinting time need to be done.

  • 209.
    Ismail Jama, kos
    Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Attityd och kunskap om tandhälsa samt kost och munhygienvanor hos nyanlända ungdomar: En enkätstudie2017Independent thesis Advanced level (degree of Master (One Year)), 40 credits / 60 HE creditsStudent thesis
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  • 210.
    Ivarsson, Clara
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.
    Flink, Alma
    Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.
    Upplevelser av organisatorisk och social arbetsmiljö hos tandhygienister inom privat sektor: En kvantitativ enkätstudie för tandhygienister inom en region i södra Sverige2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Systemically work environment enhancing work can prevent illness and accidents among employees at workplaces. Maintaining a good working environment can improve the quality of performed work, become more sustainable and increase patient safety. Aim: To investigate how dental hygienists in private dental sector experience their organizational and social work environment. Method: A cross-sectional study with questionnaire as measuring instrument was performed. The sample consisted of dental hygienists in private dental sector in Sweden. Data were processed in SPSS through Spearman’s Rho correlation analysis. Results: 28 dental hygienists responded to the questionnaire and reported positive experiences regarding organizational and social work environment [OSA] in general. A higher number of employed dental hygienists reported more positive experiences of work development ( = 0,404, p = 0,033) and required to work beyond working hours ( =–0,477, p = 0,010). More professional years as dental hygienist increased positive experiences of meaningful work ( = 0,404, p = 0,033). Conclusion: In addition to the identified salutogenic factors in the results, protentional for development regarding OSA was found in the dimension reorganization. To gain understanding and reasons for experienced OSA, research via qualitative approach would be valuable to identify salutogenic factors that may contribute to improved OSA.

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  • 211.
    Jacobsson, Brittmarie
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Karies och kariesassocierade faktorer bland svenska 15-åringar med invandrarbakgrund2004Report (Other academic)
    Abstract [en]

    Objectives: The aim of the present study was to evaluate the prevalence of caries and caries associated variables in 15-year-olds with a foreign background in relation to Swedish 15-year-olds and to examine differences in the prevalence of caries in immigrant adolescents according to their length of residence in Sweden. Methods: All 15-year-old adolescents (n=143) at one public school in the city of Jönköping, Sweden, were asked to participate in the study. The adolescents were divided into two groups according to their background: immigrants and non-immigrants. The final study cohort comprised 117 adolescents: 51 immigrants and 66 non-immigrants. All participants were interviewed individually in a structed interview on background data, diet, oral hygiene habits and fluor exposure. Data on caries prevalence were extracted from the dental records of the examination made when the participants were 15 years old. Results: Immigrant adolescents had significantly more surfaces affected by enamel and dentine caries than non-immigrants, but the proportions of immigrants and non-immigrants who had symptoms of enamel or dentine caries were equal. Adolescents born in Sweden of immigrant parents or who had arrived before 1 year of age had caries prevalence similar to those of non-immigrant adolescents, whereas children who had immigrated to Sweden after seven years of age had a caries prevalence that was 2–3 times higher. Among immigrant adolescents, compared with non-immigrants, a lower proportion ate breakfast regularly and had a higher intake of snack products, and sucrose intake was positively correlated with caries prevalence among immigrants. There were no statistically significant differences in toothbrushing or flossing frequency or use of fluorides between immigrants and non-immigrants, but immigrant adolescents who brushed their teeth only once a day had more than twice as many proximal surfaces affected by caries as immigrants who brushed twice a day. Conclusion: Caries prevalence is higher in immigrant than in Swedish adolescents, especially in adolescents who immigrated to Sweden. After seven years of age. As caries was mainly restricted to the enamel. Immigrant adolescents had on average more caries associated factors than non-immigrants.

  • 212.
    Jacobsson, Brittmarie
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    On Oral Health in Young Individuals with a Focus on Sweden and Vietnam: A Cultural Perspective2013Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    AIM: The overall aim of this thesis was to study culture as an oral health determinant for dental caries and gingivitis in children living in Jönköping, Sweden, in relation to children living in Da Nang, Vietnam.

    MATERIALS AND METHODS: In 1993 and 2003, cross-sectional studies with clinical examinations and questionnaires were performed in Jönköping, Sweden, with a random sample of 130 children from each of four age groups; 3, 5, 10 and 15 years. The final study sample comprised 739 children, 154 (21%) with two foreign-born parents and 585 (79%) with two Swedish-born parents (Paper I). In 2000, all 15-year-olds (n=143) at one school in Jönköping, Sweden, were asked to participate in a questionnaire study connected to clinical data. The final sample comprised 117 individuals, 51 (44%) with foreign-born parents and 66 (56%) with Swedish-born parents (Paper II). In 2008, a cross-sectional study with clinical examinations and questionnaires was performed in Da Nang, Vietnam with 840 randomly selected children, 210 in each of four age groups; 3, 5, 10 and 15 years. The final sample comprised 745 individuals (Papers III and IV).

    RESULTS: In 2003, the mean number of decayed (initial and manifest) and filled tooth surfaces was significantly higher in all age groups in children with foreign-born parents compared with children with Swedish-born parents. The gap between children with foreign-born parents and Swedish-born parents increased over the ten-year period from 1993 to 2003. The odds ratio of dental caries development among 10- and 15-year-old children with foreign-born-parents was more than six times higher than for their counterparts with Swedish-born parents (Paper I). Fifteen-year-olds born in Sweden of foreignborn parents and those who had immigrated before one year of age had a caries prevalence similar to 15-year-olds with Swedish-born parents, whereas the caries prevalence in children who had immigrated to Sweden after 7 years of age was 2-3 times higher (Paper II). Among the 3- and 5-year-olds in Vietnam, 98% suffered from dental caries, compared with 91% of 10- and 15-year-olds (Paper IV). The distribution of the most frequent values of decayed and filled primary tooth surfaces (dfs) in 5-year-olds was 16–20, and of decayed and filled permanent tooth surfaces (DFS) in 15-year-olds was 1–5. The maximum dfs was 76–80, and significant numbers of children had dfs between 20 and 50. The percentage of tooth sites with plaque and gingivitis was higher for children in all age groups with foreign-born parents compared with children with Swedish-born parents, except among the 15-year-olds in 2003. In Vietnam, the prevalence of plaque and gingivitis was high in all age groups, especially in 10- and 15-year-olds. Fifteen-yearolds in Sweden with foreign-born parents had a higher intake of snack products between principal meals compared with 15-year-olds with Swedish-born parents (Paper II). In Sweden, most children in all age groups brushed their teeth themselves or with help from their parents twice or more than twice a day (Paper I). Among 3- and 5-year-olds in Vietnam, about half of the parents reported that their children brushed their teeth themselves or with help from parents twice or more than twice a day (Paper III). All 3-year-olds and 99% of 5-year-olds in Sweden brushed their teeth with fluoride toothpaste (Paper I). Among 15-year-olds in Sweden with foreign-born parents, 88% reported that they brushed their teeth with fluoride toothpaste at least twice a day compared with 98% of 15-year-olds with Swedish-born parents (Paper II). In Vietnam, 44–78% of the children used fluoride toothpaste for toothbrushing and 51% consumed sweets between principal meals at least once a day (Paper III). Sweetened milk was the most common source of this sugar intake for the 3- and 5-year-olds (Paper III).

    CONCLUSIONS: Culture is an important oral health determinant for dental caries and gingivitis in children. There is an urgent need to improve oral health care promotion and preventive programmes for children with foreign-born parents in Sweden, but also a great need for such programmes for children in Vietnam.

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  • 213.
    Jacobsson, Brittmarie
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    On oral health in young individuals with foreign and Swedish backgrounds2011Licentiate thesis, comprehensive summary (Other academic)
    Abstract [en]

    In Sweden, children and adolescents with two foreign-born parents constitute 17% of all children in the Swedish population.

    AIMS: The aims of this thesiswere to collect knowledge of the prevalence of gingivitis, caries and caries associated variables, in the 3-, 5-, 10- and 15-year age groups with two foreign born parents compared with their counterparts with Swedish-born parents in a ten-year perspective (Study I). To investigate the prevalence of caries and caries-associated variables in 15-year-olds in relation to foreign backgrounds and to examine differences in the prevalence of caries in adolescents with foreign backgrounds according to their length of residence in Sweden (StudyII).

    MATERIAL AND METHODS: In 1993 and 2003, cross-sectional studies with random samples of individuals in the age groups of 3, 5, 10 and 15 years were performed in Jönköping, Sweden. The oral health status of all individuals was examined clinically and radiographically. The children or their parents also answered a questionnaire about their attitudes to, and knowledge of, teeth and oral health care habits. The final study sample comprised 739 children and adolescents, 154 with two foreign-born parents (F cohort) and 585 with two Swedish-born parents (S cohort) (Study I). In Study II, all 15-year-olds(n=143) at one school in the city of Jönköping were asked to participate in the study. The final sample comprised 117 individuals, 51 with foreign-born parents and 66 with Swedish-born parents. All the individuals were interviewed using a structured questionnaire with visualisation e.g. food packages, sweets and snacks. Information about DFS was collected from case records at the Public Dental Service.

    RESULTS: In both 1993 and 2003, more 3- and 5-yearolds 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. In 2003, the odds ratio of being exposed to dental caries among 10- and 15-year-olds in the F cohort, adjusted for gender and age, was more than six times higher (OR=6.3, 95% CI:2.51-15.61; p<0.001) compared with the S cohort (Study I). Fifteen-year-olds born in Sweden with foreign-born parents, or who had arrived before one year of age, had a caries prevalence similar to that of adolescents with Swedish-born parents, whereas children who had immigrated to Sweden after seven years of age had a caries prevalence that was two to three times higher (p <0.06) (Study II). Both in 1993 and 2003, the mean of the percentage of tooth sites with plaque and gingivitis was numerically higher in all age groups in individuals with foreign backgrounds compared with Swedish background, except between the 15-year-olds (Study I).

    CONCLUSIONS: The decrease in caries prevalence, in a ten-year perspective, was less among children and adolescents with foreign-born parents compared with children and adolescents with Swedish-born parents. In 2003, there was statistically significantly more caries in all age groups among children and adolescents with foreign-born parents compared with children and adolescents with Swedish-born parents. Children who immigrated to Sweden at age seven or later had a two to three times higher caries prevalence compared with their Swedish counterparts. The odds ratio for being exposed to dental caries was almost six times higher for 10- and 15-year olds with foreign-born parents compared with their Swedish counterparts. The intake of carbohydrate-rich food was higher among 15-year olds with foreign backgrounds compared to those with Swedish background. There is an obvious need to improve the promotion of oral health care programmes among children and adolescents with foreign-born parents.

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  • 214.
    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.
    Ho, Thanh Thi
    Da Nang University of Medical Technology and Pharmacy, Da Nang, Vietnam.
    Chuong, Hoang Ngoc
    Da Nang University of Medical Technology and Pharmacy, Da Nang, Vietnam.
    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.
    Sociodemographic conditions, knowledge of dental diseases, dental care, and dietary habits2015In: Journal of Public Health Dentistry, ISSN 0022-4006, E-ISSN 1752-7325, Vol. 75, no 4, p. 308-316Article in journal (Refereed)
    Abstract [en]

    Objectives

    This study's aim was to present data on the sociodemographic conditions, knowledge of dental diseases, dental care, and dietary habits among children aged 3, 5, 10, and 15 years in Da Nang, Vietnam.

    Methods

    A cross-sectional epidemiological questionnaire study was conducted in a population of 840 children randomly selected by their year and month of birth (January to July), including 210 individuals in each age group. A self-reported questionnaire was completed by the parents of 3- and 5-year-olds, and a modified questionnaire was given to 10- and 15-year-olds to complete by themselves.

    Results

    Mass media constituted the main source of oral healthcare information. Parents assisted with tooth brushing in 86 percent of 3-year-olds and 71 percent of 5-year-olds. Fluoride toothpaste was used by 44-78 percent of children, with no clear age-related trend. Within the past year, 60 percent of 3- and 5-year-olds, 20 percent of 10-year-olds, and 49 percent of 15-year-olds reported they had not visited a dental professional. Sweets were consumed between principal meals by 70-80 percent of children. Milk with sugar was regularly consumed by 71 percent of 3-year-olds and 91 percent of 5-year-olds.

    Conclusions

    Children showed frequent sugar consumption and insufficient frequency of brushing their teeth with fluoride toothpaste. Food-based dietary guidelines should play a significant role in nutrition and oral health. It is especially important that oral health prevention programs reach preschool children before they establish unhealthy dietary habits. Parental education about oral health and access to oral healthcare services are also needed to improve children's oral health.

  • 215.
    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)
  • 216.
    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)
  • 217.
    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.

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  • 218.
    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.

  • 219.
    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.

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  • 220.
    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.
    Wendt, Lill-Kari
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Johansson, Ingegerd
    Dental caries and caries associated factors in Swedish 15-year-olds in relation to immigrant background.2005In: Swedish Dental Journal, ISSN 0347-9994, Vol. 29, no 2, p. 71-79Article in journal (Refereed)
    Abstract [en]

    The aim of the present study was to evaluate the prevalence of caries and caries associated variables in 15-year-olds in relation to foreign background and to examine differences in the prevalence of caries in immigrant adolescents according to their length of residence in Sweden. All 15-year-old adolescents (n=143) at one public school in the city of Jönköping, Sweden were asked to participate in the study. The adolescents were divided into two groups according to their background: immigrants and non-immigrants. Data on caries prevalence were extracted from the dental records of the examination made when the participants were 15 years old. The proportions of immigrants and non-immigrants free from carious lesions were equal. Immigrant adolescents, however, had on average more enamel carious lesions. Adolescents born in Sweden of immigrant parents or who had arrived before 1 year of age had a caries prevalence similar to those of non-immigrant adolescents, whereas children who had immigrated to Sweden after 7 years of age had a caries prevalence that was 2-3 times higher. As the caries carious lesions in immigrant adolescents is mainly restricted to the enamel, and possibly reversible, early introduction of preventive programmes seems essential.

  • 221.
    Jasseh, Awa
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Aldasoki, Hanin
    Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Nyutexaminerade tandhygienisters upplevelse av introduktionsprogram2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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  • 222.
    Jiang, Nan
    et al.
    Jönköping University, School of Health and Welfare, HHJ. ADULT. School of Nursing, Tianjin Medical University, Tianjin, China.
    Zhao, Yue
    School of Nursing, Tianjin Medical University, Tianjin, China.
    Jansson, Henrik
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Oral health. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jönköping University, School of Health and Welfare, HHJ. ADULT. Department of Periodontology, Centre for Oral Health, Malmö University, Malmö, Sweden.
    Chen, Xiaocen
    Departments of Radiotherapy, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China.
    Mårtensson, Jan
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Experiences of xerostomia after radiotherapy in patients with head and neck cancer: A qualitative study2018In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 1-2, p. e100-e108Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: To describe the experiences of radiation-induced xerostomia in patients with head and neck cancer.

    BACKGROUND: Xerostomia is the most commonly occurring complication during and following radiotherapy. It can persist for several months or years and can have a significant impact on patients' quality of life.

    DESIGN: This was a qualitative descriptive study.

    METHODS: Semi-structured interviews were conducted with a sample of 20 participants. Inductive content analysis was used to analyse the qualitative data.

    RESULTS: Analysis of the manifest content identified five categories: communication problems, physical problems, psychosocial problems, treatment problems and relief strategies. The latent content was formulated into a theme: due to lack of information from professionals, the patients had to find their own solutions for their problems.

    CONCLUSIONS: Xerostomia is not only a biophysical symptom but also has a profound effect on the emotional, intellectual and sociocultural dimensions of life. The majority of patients continued to suffer from xerostomia and its associated symptoms after radiotherapy, in part, because of a lack of professional support, including the inability of nurses to provide oral health care.

    RELEVANCE TO CLINICAL PRACTICE: Nurses need to be knowledgeable about the effects of radiotherapy on oral mucosa and about appropriate interventions. The healthcare system requires a symptom management platform for radiation-induced complications, to help patients, their families and healthcare professionals obtain information about self-care, treatments and relief strategies.

  • 223.
    Jiang, Nan
    et al.
    Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Zhao, Yue
    Mårtensson, Jan
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Stensson, Malin
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ. CHILD.
    The effects of an integrated supportive program on oral health and quality of life in patients with head and neck cancer undergoing radiotherapy: a randomized controlled trialManuscript (preprint) (Other academic)
  • 224.
    Jiang, Nan
    et al.
    Jönköping University, School of Health and Welfare, HHJ. ADULT. School of Nursing, Tianjin Medical University, Tianjin, China.
    Zhao, Yue
    School of Nursing, Tianjin Medical University, Tianjin, China.
    Stensson, Malin
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ. CHILD.
    Mårtensson, Jan
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Effects of an integrated supportive program on xerostomia and saliva characteristics in patients with head and neck cancer radiated with a low dose to the major salivary glands: a randomized controlled trial2022In: BMC Oral Health, ISSN 1472-6831, E-ISSN 1472-6831, Vol. 22, no 1, article id 199Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Xerostomia and changes in saliva characteristics are common side-effects in patients with head and neck cancer (HNC) undergoing radiotherapy, which negatively impact their oral health. However, there are no consensus standards for intervention to manage these problems. The aim of this study was to determine the effect of an integrated supportive program on xerostomia and saliva characteristics at a 1-year follow-up of patients with HNC radiated with a low dose to the major salivary glands.

    METHODS: The CONSORT guidelines for a randomized controlled trial were used. Participants with a low overall dose to major salivary glands were randomly allocated to an intervention group (n = 47) or a control group (n = 45). The intervention group received usual care and an integrated supportive program, which included three steps: face-to-face education; face-to-face coaching at 1 month post-radiotherapy; and four telephone coaching sessions at 2, 3, 6, and 9 months post-radiotherapy. The face-to-face education consisted of oral hygiene instruction, oral self-care strategies, facial and tongue muscle exercises, and salivary gland massage. Adherence to the intervention was evaluated using a questionnaire completed during the 9 months follow-up. The control group received usual care. The unstimulated saliva flow rate and xerostomia were assessed in both groups.

    RESULTS: A total of 79 participants (40 in the intervention group and 39 in the control group) completed the 12 months follow-up. The intervention group achieved significantly greater relief from xerostomia than the control group after 3 months (intervention group: 35.1 ± 5.9 versus control group: 38.0 ± 5.9, P = 0.027) and 12 months follow-up (intervention group: 18.5 ± 4.1 versus control group: 22.8 ± 4.3, P < 0.001). A higher unstimulated saliva flow rate was observed in the intervention group than the control group at 12 months follow-up (intervention group: 0.16 ± 0.08 versus control group: 0.12 ± 0.07, P = 0.035). Adherence to the intervention was generally good.

    CONCLUSION: This integrated supportive program with good adherence relieved xerostomia and had a positive effect on unstimulated saliva flow rate among patients with HNC radiated with a low dose to the major salivary glands during the 12 months of follow-up.

    TRIAL REGISTRATION: Chinese Clinical Trial Registry ChiCTR2100051876 (08/10/2021), retrospectively registered.

  • 225.
    Jiang, Nan
    et al.
    Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Zhao, Yue
    Stensson, Malin
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ. CHILD.
    Mårtensson, Jan
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    The effects of an integrated supportive program on xerostomia and salivary characteristics in patients with head and neck cancer undergoing radiotherapy: a randomized controlled trialManuscript (preprint) (Other academic)
  • 226.
    Johansson, Charlotte
    Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Hälso- och sjukvårdspersonals kunskap om karies samt vilken patientinformation som ges om oral hälsa i möten med barn och ungdomar med astma.: En pilotstudie2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: För att främja en god oral och allmän hälsa så har nationella och internationella mål utarbetats. Ett sätt för att uppnå målen kan vara att samarbeta och samverka mellan olika yrkeskategorier.

    Syfte: Syftet för studien var att undersöka hälso- och sjukvårdspersonals kunskap om oral hälsa vid astma hos barn och ungdomar.

    Resultat: Totalt besvarade trettiosju personer enkäten. Hälften av deltagarna svarar att astmasjukdom innebär en ökad risk för försämrad munhälsa. Resultatet visar att patientinformationen som ges av hälso- och sjukvårdspersonalen främst innehåller information om medicinering, lungfunktion och den allmänna hälsan. Resultatet visade att sjuksköterskor i lägre grad än läkare innefattar oral hälsa i sin patientinformation. Resultatet uppvisar både kunskap och okunskap för kliniska symptom, tecken, åtgärder och behandlingar aktuella vid karies och muntorrhet. Hälften av deltagarna ser vikten av mer kunskap om oral hälsa.

    Slutsats: Läkare och sjuksköterskor har delvis kunskap om de orala hälsoriskerna som finns. Samverkan mellan tandvård och hälso- och sjukvårdspersonal kan resultera i gemensamt preventiva åtgärder som främjar oral hälsa hos barn och ungdomar med astma. En undersökning i en större population förordas för att kunna generalisera resultatet.

     

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  • 227.
    Johansson, Emma
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Classon, Lisa
    Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Förekomst av riskfaktorer för och attityder till dentala erosionsskador bland högskolestudenter2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Objective: The aim of this study was to examine occurrence of risk factors and attitudes to erosive tooth wear among university students. Method: This study was a prospective cross-sectional study where data were collected by a group survey through a cluster sampling of students at a university in southern Sweden. Results: Risk factors that the 99 students showed were fruit-, fruit juice consumption, time in front of computer/tv/tablet computer and exercise. A total of 24,2 % consumed fruit and 17,2 % consumed fruit juice more than three times/week. A statistically difference that woman ate more fruit then men could be demonstrated. It was a total of 23,5 % who spent time in front of the computer/tv/tablet more than five hours/day. It was a total of 25,5 % who exercised more than three times/week which men exercised statistically significantly more than woman. The participants were more doubtful to changes in their habits if they had risk to develop erosive tooth wear then when a trouble occurred like pain in form of tooth sensitivity. Participants in the older age group (22-42 years old) were statistically more doubtful to change a habit if the color of the teeth would be affected by erosive tooth wear.

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    Dentala erosionsskador
  • 228.
    Johansson, Isabelle
    Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.
    Dental- and nursing care collaborations in Sweden – A way to support nursing staff in oral hygiene care for older people2019Licentiate thesis, comprehensive summary (Other academic)
    Abstract [en]

    Background: Oral health is an integral part of the general health and quality of life. Yet oral health among older people requiring nursing care is often poor. Despite this group’s frequent contact with health care services, they tend to lose contact with dental care. In nursing care, nursing staff are tasked to assist with oral hygiene care, but this has become more demanding as many older people retain more teeth or have advanced prosthetic constructions. Previous research in the field emphasised the need of collaboration between dental- and nursing care to support the nursing staff in this task. However, there is a lack of evidence regarding the effects of these collaborations.

    Aim: The overall aim of the thesis is to examine two oral health programmes used within nursing care with different design regarding support from and collaboration with dental care.

    Methods: Quantitative research methods was used. The data in Study I comes from an oral health assessments guide (ROAG-J) performed by nursing staff in a national health register. Oral health, assessed at two occasions from older people with nursing care, were used. Study II was a controlled intervention study performed at a nursing home. The intervention involved individual coaching of nursing staff in oral hygiene care by dental hygienist for four hours per week at the ward for a period of three months. Oral assessments of older people were performed by dental hygienists and questionnaires to nursing home staff were used.

    Result: In Study I, 667 individuals aged 65 years or older, receiving nursing care services and assessed using ROAG-J between November 2011 and March 2014 were included. No statistically significant difference in any of the oral health variables was found between the first and subsequent assessments. At the first assessments, less than one third of participants had oral health problems. At the first assessment, status of the tongue differed in men and women (p < .01); at the subsequent assessment, gender differences were found in voice (p < .05), mucous membranes (p < .003), tongue (p < .01), and saliva (p < .006).

    In Study II, 33 nursing staff and 48 residents participated at the baseline measurement and 22 and 32 respectively at the 9-month follow-up. The nursing staff changed in knowledge and attitudes related to gum disease, approximal cleaning, usage of fluoride and the likelihood that older persons would express the need for oral health support. The most frequently reported oral health problems among the residents pertained to teeth and gums. The residents relatively high level of oral health was stable during the study period.

    Conclusions: The participants in the oral health programmes were able to maintain an acceptable level of oral health during the study periods although health was likely to decline. The nursing staff maintained a high level of knowledge and attitudes about oral health. However, there seems to be a discrepancy regarding the prevalence of oral health problems among older people. A collaboration between dental- and nursing care providers indicates a positive influence on providing oral hygiene care.

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  • 229.
    Johansson, Isabelle
    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. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Jansson, Henrik
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Oral health. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health.
    Oral health status of older adults in Sweden receiving elder care: Findings from nursing assessments2016In: Nursing Research, ISSN 0029-6562, E-ISSN 1538-9847, Vol. 65, no 3, p. 215-223Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Frail elderly people often have poor oral hygiene, contributing to oral health problems that can detract significantly from quality of life.

    OBJECTIVE: The aim of this study was to describe oral health status of frail elderly individuals using the Revised Oral Assessment Guide-Jönköping (ROAG-J), a mouth assessment instrument that can be used in daily nursing care.

    METHODS: Data were obtained from the Swedish Senior Alert quality registry in one Swedish municipality. ROAG-J assessments on admission to elder care and one subsequent occasion were used. ROAG-J measurements documented oral health in nine areas: voice, lips, oral mucosa, tongue, gums, teeth, saliva, swallowing, and presence of any prostheses or implants. Assessments were made by nursing staff during the course of daily nursing care.

    RESULTS: Individuals 65 years of age or older and receiving elder care services (N = 667) were involved; 1,904 assessments made between November 2011 and March 2014 were used for the analysis. On the basis of both assessments, less than one third of participants had oral health problems. No significant difference in any of the oral health variables was found between first and subsequent assessments. At first assessment, men and women differed in tongue health (p < .01); at the subsequent assessment, gender differences in voice (p < .05), mucous membranes (p < .003), tongue (p < .01), and saliva (p < .006) were observed.

    DISCUSSION: Most participants had good oral health. Assessments made by nursing staff using the ROAG-J demonstrate that this tool can be used in daily nursing care, where different, important oral conditions may be encountered. However, knowledge about oral health conditions and the ROAG-J instrument is important to ensure high validity. The ROAG-J enables nursing staff to detect problems in the mouth and to guide decisions related to oral health interventions.

  • 230.
    Johansson, Isabelle
    et al.
    Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Torgé, Cristina Joy
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Jansson, Henrik
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Oral health. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ. Oral health. Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Effekt på munhälsa av samarbete mellan tandhygienist och personal i äldreomsorg2017Conference paper (Other academic)
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  • 231.
    Johansson, Isabelle
    et al.
    Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Torgé, Cristina Joy
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Is an oral health coaching programme a way to sustain oral health for elderly people in nursing homes: A feasibility study2020In: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, p. 107-115Article in journal (Refereed)
    Abstract [en]

    Objectives

    This study examines the feasibility of an oral health coaching programme involving practical support on individual level to staff in a nursing home in Sweden, aiming to improve oral health care‐related beliefs of nursing staff and the oral health of residents.

    Methods

    This intervention study consisted of three wards from one nursing home, and both staff (n = 48) and residents (n = 58) were invited. In the control ward, 9 staff and 16 residents participated; in test ward 1, 10 staff and 13 residents participated; and at test ward 2, 14 staff and 17 residents participated. An oral health coaching programme was performed 4 h/wk for 3 months. The staff completed the nursing Dental Coping Beliefs Scale at baseline and after 9 months. Oral health of the residents was assessed using the Revised Oral Assessment Guide and mucosal‐plaque score at baseline and after 3, 6 and 9 months.

    Results

    At baseline, 33 staff participated and 22 at 9 months follow‐up. For the residents, the figures were 48 and 32, respectively. After the intervention, the nursing DCBS revealed changes related to usage of fluoride, oral health support, gum disease and approximal cleaning. The most frequently reported oral health problems among the residents pertained to teeth and gums. The residents’ relatively high level of oral health was stable during the study period.

    Conclusions

    Despite limitations in the programme, an oral health coaching programme can support nursing staff in maintaining a high level of oral health in residents. The programme was shown feasible, although design improvements are needed.

  • 232.
    Johansson, Lena
    Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Upplevelsen av arbete och arbetsplats bland tandhygienister och tandläkare - ett salutogent perspektiv.2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim with this study was, at two occasions, year 2012 and 2014, examine how dental hygienist and dentist in a specific region in south of Sweden experience their work and workplace from a salutogenic approach, and if physical and psychological requirements effects their satisfaction with work. To systematically examine the health promoting resources at the workplace the Work Experience Measurement Scale (WEMS) was used. A total of 486 dental staff in public dentistry was invited to participate to the web based survey, a consecutive selection of dental hygienist and dentist who answered both year was selected to the data analysis (n=72).

    The result generally reported high values ​​in the experience of work and workplace. Statistically significant difference in WEMS was noted with more positive responses in 2012 (p<0,001). The WEMS category with the most difference in mean was “leadership” (p<0.013). A significant correlation between positive WEMS answers and positive answers concerning job satisfaction and working environment. Over 80 % considered themself satisfied in correlation to the physical and psychological requirements at their workplace.

    In conclusion, during a two year follow up, the experience of work and workplace deteriorated among dental hygienists and dentists in a region in Sweden. The majority felt satisfied with the relationships between job satisfaction and working environment with physical and psychological requirements.

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  • 233.
    Johansson, Linda
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Finkel, Deborah
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Department of Psychology, Indiana University Southeast, New Albany, IN, USA.
    Lannering, Christina
    Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Region Jönköping County, Futurum, Ryhov, Jönköping, Sweden.
    Dahl Aslan, Anna K.
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
    Andersson-Gäre, Boel
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare). Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Region Jönköping County, Futurum, Ryhov, Jönköping, Sweden.
    Hallgren, Jenny
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). School of Health Sciences, University of Skövde, Skövde, Sweden.
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Ernsth-Bravell, Marie
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Using aggregated data from Swedish national quality registries as tools to describe health conditions of older adults with complex needs2021In: Aging Clinical and Experimental Research, ISSN 1594-0667, E-ISSN 1720-8319, Vol. 33, p. 1297-1306Article in journal (Refereed)
    Abstract [en]

    Background: Combining National Quality Registries (NQRs) with existing National Health Registries (NHRs) might make it possible to get a wider picture of older adults health situation. The aim was to examine the feasibility of aggregating data across different NQRs and existing NHRs to explore the possibility to investigate trajectories and patterns of disease and care, specifically for the most ill older adults.

    Method: A Swedish twin population (N = 44,816) was linked to nine NQRs and four NHRs. A descriptive mixed-method study was performed. A manifest content analysis identified which health parameters were collected from each NQR. Factor analysis identified patterns in representation across NQRs. Two case studies illustrated individual trajectories of care by using NQRs and NHRs.

    Results: About 36% of the population was registered in one or more NQRs. NQRs included 1849 variables that were sorted into 13 categories with extensive overlap across the NQRs. Health and function variables were identified, but few social or cognitive variables. Even though most individuals demonstrated unique patterns of multi-morbidities, factor analysis identified three clusters of representation in the NQRs with sufficient sample sizes for future investigations. The two cases illustrated the possibility of following patterns of disease and trajectories of care.

    Conclusions: NQRs seem to be a significant source for collecting data about a population that may be underrepresented in most research on aging because of their age and poor health. However, NQRs are primarily disease related, and further development of the registries to maximize coverage and utility is needed. 

  • 234.
    Johansson, Linda
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Siverskog, Anna
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Social Work. Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue). Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Äldre personer och våldsutsatthet2022In: Äldre personers utsatthet för våld i nära relationer: Interprofessionella perspektiv / [ed] L. Östlund, Lund: Studentlitteratur AB, 2022, p. 17-30Chapter in book (Other academic)
  • 235. Johansson, P
    et al.
    Berggren, U
    Hakeberg, Magnus
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Hirsch, J M
    Measures of dental beliefs and attitudes: their relationships with measures of fear.1993In: Community Dental Health, ISSN 0265-539X, Vol. 10, no 1, p. 31-39Article in journal (Refereed)
  • 236.
    Johansson, Therese
    Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Användning av Distraktion eller Midazolam för att behandla barn med tandvårdsrädsla/ångest: En allmän litteraturstudie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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  • 237.
    Josefsson, Eva
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Immigrant background and orthodontic treatment need: Quantitative and qualitative studies in Swedish adolescents2010Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    During the last three decades there has been an increased influx of refugees and immigrants into Scandinavia. The overall aim of this thesis was primarily to improve our knowledge of malocclusion and orthodontic treatment need, both normative and self-perceived, in adolescents of varying geographic origin. A further aim was to determine whether any differences with respect to perception of general appearance and psychosocial well-being were related to geographic origin.

    Papers I and II concerned self perceived and normative orthodontic treatment need. About 500 12-13 year-old subjects, stratified into different groups: A-Sweden, B-Eastern/Southeastern Europe, C-Asia and D-other countries, answered a questionnaire and underwent clinical examination by the author. In paper III the association between the two variables in papers I and II was investigated. Paper IV was a follow up study, at 18-19 years of age, of the relationship between geographic origin and prevalence of malocclusion, self-perceived treatment need, temporomandibular symptoms and psychosocial wellbeing. In Paper V a qualitative study of 19-20 year old subjects was conducted, to identify the strategies they had adopted to handle the issue of persisting poor dental aesthetics.

    The main findings were that at 12-13 years of age, immigrant subjects had a lower perceived orthodontic treatment need than subjects of Swedish background. Girls of Swedish background had the highest self perceived treatment need, whilst girls of non-Swedish background were most concerned that fixed appliance therapy would be painful. In a few of the clinical variables measured at 12-13 years of age, the Swedish group exhibited the greatest space deficiency and irregularity in both the maxillary and mandibular anterior segments and greater overjet, compared to the Eastern/Southeastern European and Asian groups. The clinical implications were negligible. The orthodontic treatment need according to “Index of Orthodontic Treatment Need - Dental HealthComponent” (IOTN-DHC) grades 4 and 5, ranged from 30 to 40 percent, without any inter-group differences. There were strong associations between subjects perceiving a need for orthodontic treatment and 6IOTN-DHC grades 4 and 5, anterior crossbite and avoiding smiling because they were self-conscious about their teeth. At the age of 18-19 years, the frequency of malocclusion was similar in all groups. Subjects of Asian origin had a higher self-perceived orthodontic treatment need than their Swedish counterparts and a higher frequency of headache than those of Eastern/Southeastern European origin. Psychological wellbeing was reduced in nearly one quarter of the sample, more frequently in girls than boys. No association was found between self-perceived orthodontic treatment need and psychological wellbeing.

    The theory “Being under the pressure of social norms” was generated in Paper V, and it can be applied to improve our understanding of young adults who have adjusted to living with poor dental aesthetics and also aid to identify those who are not as well-adjusted and would probably benefit from treatment. Undisclosed dental fear is an important barrier to acceptance of orthodontic treatment in early adolescence. Despite demographic changes due to immigration, no major change in the prevalence of malocclusion and normative orthodontic treatment need has been disclosed. This does not apply to adolescents and adults who immigrated at an older age.

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  • 238.
    Josefsson, Eva
    et al.
    Jönköping University, School of Health Science, HHJ. Oral health.
    Bjerklin, Krister
    Jönköping University, School of Health Science.
    Halling, A
    Self-perceived orthodontic treatment need and culturally related differences among adolescents in Sweden2005In: European Journal of Orthodontics, ISSN 0141-5387, E-ISSN 1460-2210, Vol. 27, no 2, p. 140-147Article in journal (Refereed)
  • 239.
    Josefsson, Eva
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Bjerklin, Krister
    Lindsten, Rune
    Factors determining perceived orthodontic treatment need in adolescents of Swedish and immigrant background2009In: European Journal of Orthodontics, ISSN 0141-5387, E-ISSN 1460-2210, Vol. 31, no 1, p. 95-102Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to evaluate the association between self-perceived orthodontic treatment need and malocclusion in 12 to 13-year-old-adolescents of Swedish and immigrant background. The sample consisted of 379 students, stratified according to geographic background: both parents born in A/Sweden (n = 269), B/Eastern Europe (n = 56), and C/the Middle East (n = 54). Registrations were based on a questionnaire, a clinical examination, radiographs, and patient records. Treatment need was classified according to the Dental Health Component (DHC) of the Index of Orthodontic Treatment Need (IOTN). Logistic regression analysis was used for comparison of the results.

  • 240.
    Josefsson, Eva
    et al.
    Jönköping University, School of Health Science, HHJ. Oral health.
    Bjerklin, Krister
    Lindsten, Rune
    Malocclusion frequency in Swedish and immigrant adolescents: influence of origin on orthodontic treatment need2007In: European Journal of Orthodontics, ISSN 0141-5387, E-ISSN 1460-2210, Vol. 29, no 1, p. 79-87Article in journal (Refereed)
    Abstract [en]

    Sweden has become increasingly multicultural, In the year 2000, almost 25 per cent of the child and adolescent population was of foreign origin. Such a major change in demographics may lead to altered orthodontic treatment need in the community, with implications for planning appropriate levels of orthodontic resources. The aim of this study was to compare the frequency of malocclusion and orthodontic treatment need in 12- and 13-year olds of Swedish and immigrant background. The subjects, n = 493, were stratified into four groups according to family origin: (A) subject and both parents born in Sweden, and subject or at least one parent born in (B) Eastern Europe, (C) Asia, or (D) other countries. Registrations were based on available radiographs, patient records, and a clinical examination. Normative treatment need was based on a number of variables. Treatment need was expressed according to the dental health component (DHC) and aesthetic component (AC) of the Index of Orthodontic Treatment Need (IOTN).

    Group A exhibited the greatest space deficiencies and irregularities in the maxillary and mandibular anterior segments and also the greatest overjet. More primary molars had been extracted in groups B and C, with a positive correlation between early extraction of primary molars and retention of permanent successors. Self-assessed orthodontic treatment need, IOTN-AC, was highest in group A. For all four groups, the orthodontist's estimate of treatment need was significantly higher than the subjects' self-assessed need.

    This study confirms that, despite the change in demographics, variations in frequencies of malocclusion and treatment need among children of different cultural background are only minor and the overall orthodontic treatment need remains unchanged.

  • 241.
    Josefsson, Eva
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Bjerklin, Krister
    Lindsten, Rune
    Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Self-perceived orthodontic treatment need and prevalence of malocclusion in 18- and 19-year-olds in Sweden with different geographic origin2010In: Swedish Dental Journal, ISSN 0347-9994, Vol. 34, no 2, p. 95-106Article in journal (Refereed)
    Abstract [en]

    Orthodontic treatment need and demand in 19-year-olds in Sweden has not previously been analysed in relation to geographic origin. The aim of this follow-up study was to examine the prevalence of self-perceived treatment need, malocclusion, earlier orthodontic treatment, self-perceived dental aesthetics and prevalence of symptoms indicative oftemporomandibular disorders in 18-19 year-olds and to analyze any differences between native born and immigrants. Body esteem and psychological wellbeing were also evaluated. The subjects, n=316, were grouped according to family origin: Group A: both parents born in Sweden (98 girls, 80 boys); Group B:the subject or at least one parent born in Eastern /South Eastern Europe (24 girls, 26 boys) and Group C: Asia (44 girls, 44 boys). Two hundered and sixty-eight participants presented for clinical examination and answered the full questionnaire, and 48 who rejected clinical examination,were interviewed by telephone using selected questions from a questionnaire. The results show that adolescents of Asian origin had a higher self-perceived treatment need than adolescents of Swedish origin. There were negligible inter-group differences with respect to frequency of malocclusion. Forty-four per cent of all participants had previously undergone orthodontic treatment, significantly more Swedish than Asian subjects. Dissatisfaction with dental aesthetics was attributed primarily to tooth colour (38 per cent) and irregular anterior teeth (34 per cent). Adolescents of Asian origin had a higher frequency of headache than those of Eastern/South Eastern European origin. Compared to boys, girls had a higher self-perceived treatment need, a higher frequency of headache and TMD and were more concerned about body appearance. Psychological wellbeing was reduced in nearly one quarter of the participants, predominantly girls: girls of Asian origin had the highest frequency. No association was found between self-perceived orthodontic treatment need and psychological wellbeing.

  • 242.
    Josefsson, Eva
    et al.
    Department of Orthodontics, The Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Lindsten, Rune
    Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Department of Orthodontics, The Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Treatment of missing maxillary lateral incisors: a clinical and aesthetic evaluation2019In: European Journal of Orthodontics, ISSN 0141-5387, E-ISSN 1460-2210, Vol. 41, no 3, p. 273-278Article in journal (Refereed)
    Abstract [en]

    Objective: The aim of this study was to evaluate whether implant therapy or orthodontic space closure was the best treatment option for patients with missing maxillary lateral incisors.

    Subjects and methods: The implant group (I group) consisted of 22 patients aged <26 years who had one or both maxillary lateral incisors substituted by a single implant-supported crown. The space-closure group (SC group) consisted of patients matched with I group patients based on diagnosis, gender, and number. Examinations were performed by one examiner and occurred at least 5 years after the prosthetic therapy or orthodontic treatment was finished. Clinical examination of the 44 patients involved assessing the aesthetics and gingival conditions of the implant-supported crown and the replacement canine, the occlusal morphology and the extraoral characteristics. Both the patient and examiner answered a question about their satisfaction with the aesthetic result.

    Results: Of the 12 variables analysed by the examiner, one variable was significantly improved in the I group and five variables were improved in the SC group. There were no significant differences between the treatment groups for the remaining six variables. Gingival colour and crown length were better in the SC group, and crown colour was better in the I group. There were no significant differences between the groups with regards to the patient's and examiner's overall aesthetic satisfaction of the maxillary anterior teeth or between the patient's and examiner's opinion.

    Conclusion: If both treatment alternatives are available, space closure is preferable.

  • 243.
    Josefsson, Eva
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.
    Lindsten, Rune
    Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.
    Hallberg, Lillemor R-M.
    Högskolan i Halmstad.
    A qualitative study of the influence of poor dental aesthetics on the lives of young adults2010In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 68, no 1, p. 19-26Article in journal (Refereed)
    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.

  • 244.
    Jönsson, Anna
    Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Bildstöd och samtalsmatta i specialisttandvård för barn och ungdomar2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: För att underlätta kommunikationen med barn och ungdomar i tandvården används ibland bilder. I vilken utsträckning det används är dock relativt okänt. Syftet med examensarbetet var att kartlägga användandet av bildstöd och metoden samtalsmatta på specialistavdelningar för barn- och ungdomstandvård i Sverige. Metod: Arbetets design var en tvärsnittsstudie med en kvantitativ ansats där mätinstrumentet var en enkät som skickades till klinikchefer vid respektive specialistavdelning, vid tillfället 41 till antalet. Enkäten bestod av nitton egenformulerade frågor om bildstöd/samtalsmatta, femton slutna och fyra öppna frågor. Det insamlade materialet analyserades i Microsoft Excel och deskriptiv statistik presenterades i text och figurer. Resultat: Antal returnerade enkäter var 37 stycken, vilket gav en svarsfrekvens på 90%. En klar majoritet av respondenterna, 36 av 37 (97%) svarade att bildstöd användes i verksamheten och att det upplevdes som ett mycket bra hjälpmedel. Samtalsmatta användes endast på 5 (13%) av de 37 specialistavdelningar för barn och ungdomstandvård som medverkade i studien. Båda metoderna används främst vid behandling av barn med funktionsnedsättning. Slutsats: Klinikchefer skattade att bildstöd förekommer i mycket hög grad på specialistavdelningar för barn och ungdomstandvård i Sverige. Metoden samtalsmatta användes i liten utsträckning.

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  • 245.
    Karami, Shams
    Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Tandvårdsrädsla hos barn och ungdomar: En litteraturstudie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: To examine the factors which have causal relationship with dental fear among children and adolescents.

    Material and methods: This study is a literature review of published scientific articles that concerns the dental fear and its causes among children and adolescents. The searching and assessment of the relevant scientific articles have been made with the intention to find answers to the study's purpose. Quantitative studies were included in the study. Articles that were published before the 2000s were excluded.

    Results: Showed that child dental fear is associated with parental dental fear. Unpleasant experience at dental visits contribute to dental fear. Pain and irregular dental visits are associated with dental fear among children and adolescents.

    Conclusions: There are different causal relationship to dental fear among children and adolescents. Several studies noted that girls had a higher level of dental anxiety than boys. Most common factors which associates with dental fear among children and adolescents are distressing painful experience, previous experience of toothache, injection, drilling and the sound of drilling.

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  • 246. 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.

  • 247.
    Karlsson, Charlott
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Association between Oral mucositis, oral symtoms and problems in patients undergoing radiotherapy and chemoradiotherapy for head- and neckcancer2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 248.
    Karlsson, Elisabeth
    Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Ungdomars attityder till oral hälsa och upplevelse av att ha fått ta del av en beteendevetenskaplig intervention samt dess effekt på munhygienbeteende.2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Pröva en integrerad metod av den transteoretiska modellen och begreppet känsla av sammanhang hos ungdomar gällande munhygienbeteende och upplevelse av intervention och reflektioner kring oral hälsa.

    Metod: Studien utfördes med en mixad metod. Urvalet bestod av 20 ungdomar där 11 valde att delta. Deltagarna randomiserades till två grupper där experimentgrupp vid base-line fick ta del av den beteendevetenskapliga interventionen och kontrollgrupp av en mer traditionell tandvårdsbehandling. Plack och gingivit mättes vid base-line och efter en månad. Experimentgrupp intervjuades vid uppföljning om upplevelse av att ha fått ta del av intervention och inställningar till oral hälsa. Statistiska analyser av kvantitativa data gjordes för att räkna ut skillnader inom respektive grupper samt mellan dem gällande plack och gingivit. Dataanalysen utfördes med deskriptiv statistik och icke-parametriska test. En kvalitativ innehållsanalys gjordes av intervjuerna och sedan jämfördes kvantitativa och kvalitativa resultat och presenterades i en metaslutsats.

    Resultat: Mellan base-line och en-månads uppföljning minskade plack och gingivit signifikant hos experimentgruppen. I jämförelse mellan grupperna minskade plack och gingivit mer hos experimentgrupp än kontrollgrupp. Frågeställningen kring deltagarnas upplevelse av interventionen resulterade i huvudkategorierna ”positivt bemötande” och ”begriplig och motiverande kunskap”, med fyra underkategorier. Frågeställningen om reflektioner kring oral hälsa resulterade i ”oral hälsa ur en social kontext” och ”munnens betydelse för att fungera och se bra ut” också med fyra underkategorier.

    Slutsats: Den integrerade beteendevetenskapliga interventionen gav ett bättre resultat på munhygienbeteende hos deltagarna än den mer traditionella tandvårdsbehandlingen. Upplevelsen av att ha tagit del av interventionen var positiv vilket stärker interventionens användbarhet. Mer forskning behövs för att utreda nyttan och användbarheten av interventionen inom tandvården.

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  • 249. Karlsson, Ewelina
    et al.
    Lymer, Ulla-Britt
    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.
    Periodontitis from the patient's perspective, a qualitative study2009In: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 7, no 1, p. 23-30Article in journal (Refereed)
  • 250.
    Karlsson, Frida
    et al.
    Public Dental Service, Region Kronoberg, Lammhult, Sweden..
    Stensson, Malin
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.
    Jansson, Henrik
    Department of Periodontology, Faculty of Odontology, Malmö University, Malmö, Sweden..
    Caries incidence and risk assessment during a five-year period in adolescents living in south-eastern Sweden2020In: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 18, no 1, p. 92-98Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: The aim was to examine the caries incidence in adolescents using the Public Dental Service (PDS) during a 5-year period in relation to their caries experience at baseline and risk classification.

    METHODS: A five-year retrospective cohort study based of the dental records from 17 PDS clinics in southeastern Sweden was conducted; 159 individuals born in 1997 were included, and their caries risk was classified at 12 and 17 years of age. Caries prevalence and documented risk groups were assessed at baseline and after five years.

    RESULTS: The increment of caries (both initial and manifest caries) was higher, to a statistically significant degree, after five years in adolescents who were recorded as caries-free at baseline compared to individuals with caries at baseline (p<0.001). In individuals with caries at baseline, the greatest increment of caries was found at approximal sites (p<0.001). At baseline, individuals were classified as low (94%), medium (6%) and high risk (0%). After five years, the figures were 74%, 20% and 6%, respectively. Although classified in a low-caries-risk group, 9% had ≥ 6 decayed or filled surfaces at baseline, and 23% did after five years. Approximately 62% of individuals were registered as caries-free at baseline, and 45% were after five years.

    CONCLUSIONS: There was an increase in caries over five years, especially among adolescents without caries experience at baseline. The majority of adolescents had the same risk classification after five years. Further research with a larger sample size is needed to evaluate risk assessment for caries.

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