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  • 51.
    Bergenholtz, Gunnar
    et al.
    Jönköping University.
    Dahlén, Gunnar
    Ekman, Agneta
    Eriksson, P-O
    Magnusson, Tomas
    Jönköping University, School of Health Science, HHJ. Oral health.
    Sveriges ledande position inom odontologisk forskning hotas2003In: Tandläkartidningen, ISSN 0039-6982, Vol. 95, no 9, p. 60-61Article in journal (Refereed)
  • 52.
    Berggren, Kristina
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Legitimerad tandvårdspersonals erfarenheter kring patienter med obstruktiv sömnapné.: En intervju studie2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

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

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

    Resultat Resultatet visar att erfarenheter hos tandvårdspersonalen varierar vad det gäller

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

    betydelsen av hälsodeklarationen, kliniska markörer samt ”Omhändertagande” med

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

    som speglade tandvårdspersonalens erfarenheter.

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

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

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

    Download full text (pdf)
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  • 53.
    Berggren, Kristina
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ, Department of Natural Science and Biomedicine.
    Broström, Anders
    Jönköping University, School of Health and Welfare, HHJ, Department of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Firestone, A.
    ivision of Orthodontics, Ohio State University, Columbus, OH, United States.
    Wright, B.
    Division of Dental Hygiene, Ohio State University, Columbus, OH, United States.
    Josefsson, E.
    Odontologiska Institutionen, Department of Orthodontics, Jönköping, Sweden.
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Department 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).
    Oral health problems linked to obstructive sleep apnea are not always recognized within dental care—As described by dental professionals2022In: Clinical and Experimental Dental Research, E-ISSN 2057-4347, Vol. 8, no 1, p. 84-95Article in journal (Refereed)
    Abstract [en]

    Objectives: Obstructive sleep apnea (OSA) has an impact on an individual's quality of life and general health, and can also affect their oral health. The patient's experiences, together with intraoral signs and symptoms could indicate the presence of OSA. Knowledge that the patient has, or is at high risk for having OSA can help the dental healthcare provider maintain the oral health and general health for these patients. The purpose was to explore dentists and dental hygienists' experiences when encountering adult patients with potential, untreated and treated OSA.

    Methods: A qualitative inductive approach was used. Experienced dentists and dental hygienists working within Swedish Public Dental Service were strategically selected. Semi-structured face-to-face interviews were performed followed by qualitative content analysis.

    Results: Interviews from 13 participants, seven dental hygienist and six dentists, led to three areas describing varied experience: Importance of the patient encounter and identifying intraoral signs both of which describe experiences related to the importance of the initial unstructured conversation and focused clinical assessments, and strategies for nurturing care which point to interest about care, treatment, and collaborations with medical health care providers.

    Conclusions: Dental professionals are not able to consistently recognize patients who have, or are at high risk for OSA. During the patient encounter, is it important to determine if a patient is at risk for, or has oral signs of OSA.

  • 54. Berggren, U
    et al.
    Carlsson, S G
    Gustafsson, J E
    Hakeberg, Magnus
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Factor analysis and reduction of a Fear Survey Schedule among dental phobic patients.1995In: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, Vol. 103, no 5, p. 331-338Article in journal (Refereed)
  • 55. Berggren, U
    et al.
    Carlsson, S G
    Hakeberg, Magnus
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Hägglin, C
    Samsonowitz, V
    Assessment of patients with phobic dental anxiety.1997In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 55, no 4, p. 217-222Article in journal (Refereed)
  • 56. Berggren, U
    et al.
    Carlsson, S G
    Hägglin, C
    Hakeberg, Magnus
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Samsonowitz, V
    Assessment of patients with direct conditioned and indirect cognitive reported origin of dental fear.1997In: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, Vol. 105, no 3, p. 213-220Article in journal (Refereed)
  • 57. Berggren, U
    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.
    Carlsson, S G
    Relaxation vs. cognitively oriented therapies for dental fear.2000In: Journal of Dental Research, ISSN 0022-0345, E-ISSN 1544-0591, Vol. 79, no 9, p. 1645-1651Article in journal (Refereed)
  • 58. Bergius, M
    et al.
    Berggren, U
    Bogdanov, O
    Hakeberg, Magnus
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Dental anxiety among adolescents in St. Petersburg, Russia.1997In: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, Vol. 105, no 2, p. 117-122Article in journal (Refereed)
  • 59. Bergius, Marianne
    et al.
    Broberg, Anders G
    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.
    Berggren, Ulf
    Prediction of prolonged pain experiences during orthodontic treatment2008In: American Journal of Orthodontics and Dentofacial Orthopedics, ISSN 0889-5406, E-ISSN 1097-6752, Vol. 133, no 3, p. 339.e1-8Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: In this study, we investigated prolonged pain reactions in teenage orthodontic patients during a common orthodontic treatment. The aim was to examine factors predicting pain at the end of a follow-up week after placement of elastic separators. METHODS: Fifty-five patients (ages, 12-18 years) were included. Baseline assessments were made of perceived intensity of general and dental pain experiences, motivation for treatment, dental anxiety, and personality factors (self-esteem and temperament). Pain intensity was assessed on a visual analog scale, and pain medications were recorded. The patients were separated into pain and no-pain groups according to pain experiences at day 7. RESULTS: The pain group (mainly girls) had significantly higher ratings of treatment pain than in the non-pain group at all times measured except for the treatment day. Bivariate and multiple logistic regressions showed significant predictive power from motivation, dental anxiety, activity temperament, and vaccination pain. CONCLUSIONS: In this adolescent patient sample, low motivation for orthodontic treatment, high ratings of vaccination pain, elevated dental anxiety level, and low activity temperament characterized patients reporting pain 1 week after the elastic separators were placed.

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

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

  • 61. Bergström, Ingalill
    et al.
    List, Thomas
    Magnusson, Tomas
    Jönköping University, School of Health and Welfare, HHJ. Oral health.
    A follow-up study of subjective symptoms of temporomandibular disorders in patients who received acupuncture and/or interocclusal appliance therapy 18-20 years earlier2008In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 66, no 2, p. 88-92Article in journal (Refereed)
    Abstract [en]

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

  • 62. Bjerklin, Krister
    et al.
    Lindsten, Rune
    Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Tunge, Jannicke Sagevik
    Sjövall, Christine
    Orthodontic treatment need, outcome and residual treatment need in 15- and 20-year-olds2012In: Swedish Dental Journal, ISSN 0347-9994, Vol. 36, no 3, p. 157-165Article in journal (Refereed)
    Abstract [en]

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

  • 63.
    Bjorksved, Margitha
    et al.
    Publ Dent Hlth Serv, Dept Orthodont, Eskilstuna, Sweden.;Postgrad Dent Educ Ctr, Dept Orthodont, POB 1126, SE-70111 Orebro, Sweden..
    Arnrup, Kristina
    Publ Dent Hlth Serv, Dent Res Dept, Orebro, Region Orebro C, Sweden.;Orebro Univ, Sch Hlth Sci, Orebro, Sweden..
    Bazargani, Silvia Miranda
    Postgrad Dent Educ Ctr, Dept Oral & Maxillofacial Radiol, Orebro, Sweden..
    Lund, Henrik
    Univ Gothenburg, Sahlgrenska Acad, Inst Odontol, Dept Oral & Maxillofacial Radiol, Gothenburg, Sweden..
    Magnusson, Anders
    Inst Postgrad Dent Educ, Dept Orthodont, Jonkoping, Sweden..
    Magnuson, Anders
    Orebro Univ Hosp, Clin Epidemiol & Biostat Unit, Orebro, Sweden..
    Lindsten, Rune
    Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Inst Postgrad Dent Educ, Dept Orthodont, Jonkoping, Sweden..
    Bazargani, Farhan
    Postgrad Dent Educ Ctr, Dept Orthodont, POB 1126, SE-70111 Orebro, Sweden.;Orebro Univ, Fac Med & Hlth, Sch Med Sci, Orebro, Sweden..
    Open vs closed surgical exposure of palatally displaced canines: a comparison of clinical and patient-reported outcomes-a multicentre, randomized controlled trial2021In: European Journal of Orthodontics, ISSN 0141-5387, E-ISSN 1460-2210, Vol. 43, no 5, p. 487-497Article in journal (Refereed)
    Abstract [en]

    Objectives: To compare treatment time, patients' perceptions during orthodontic treatment, dental fear and side effects, between open and closed surgical exposures in patients with palatally displaced canines (PDCs). Trial design: Multicentre, randomized controlled trial, with random 1:1 allocation of two parallel groups. Materials and methods: One hundred and twenty patients from three different orthodontic centres were randomized into one of the two intervention arms, open or closed surgical exposure. Both techniques had mucoperiosteal flaps raised and bone removed above the PDCs. In open exposure, tissue was removed above the canine, and glass ionomer - reaching above soft tissue - was built on the crown. The canine was then left to erupt spontaneously, prior to orthodontic alignment. At closed exposure, a chain was bonded to the canine and orthodontic traction was applied under the mucosa until eruption. Orthodontic alignment of the canines was undertaken after eruption into the oral cavity, with fixed appliances in both groups. All participants were treated according to intention to treat (ITT). Blinding: Due to the nature of this trial, only outcome assessors could be blinded to the intervention group. Results: One hundred and seventeen patients completed the trial. All PDCs were successfully aligned. Total treatment time was equal in the two techniques, mean difference -0.1 months (95% CI -3.2 to 2.9, P = 0.93). The closed group experienced more pain and discomfort during the active orthodontic traction. Dental fear, root resorption and periodontal status did not show any clinically significant differences between the groups. Generalizability: Results of this randomized controlled trial (RCT) can be generalized only to a similar population aged 9-16 years, if exclusion criteria are met. Conclusion: The closed exposure group experienced more pain and discomfort mostly during active orthodontic traction. All other studied outcomes were similar between the two exposure groups.

  • 64. Björkelund, Cecilia
    et al.
    Andersson-Hange, Dominique
    Andersson, Kate
    Bengtsson, Calle
    Blomstrand, Ann
    Bondyr-Carlsson, Dorota
    Eiben, Gabriele
    Rödström, Kerstin
    Sjöberg, Agneta
    Sundh, Valter
    Weman, Lilian
    Zylberstein, Dimitri
    Hakeberg, Magnus
    Jönköping University, School of Health and Welfare, HHJ. Oral health. Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine.
    Lissner, Lauren
    Secular trends in cardiovascular risk factors with a 36-year perspective: observations from 38- and 50-year-olds in the Population Study of Women in Gothenburg.2008In: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 26, no 3, p. 140-146Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: To study secular trends in cardiovascular risk factors in four different cohorts of women examined in 1968-1969, 1980-1981, 1992-1993 and 2004-2005. DESIGN: Comparison of four representative cohorts of 38- and 50-year-old women over a period of 36 years. SETTING: Gothenburg, Sweden with approximately 450,000 inhabitants. SUBJECTS: Four representative samples of 38- and 50-year-old women were invited to free health examinations (participation rate 59-90%, n =1901). MAIN OUTCOME MEASURES: Body mass index (BMI), systolic and diastolic blood pressure (SBP, DBP), leisure time exercise, use of antihypertensive medication, smoking, levels of haemoglobin, b-glucose, s-cholesterol, s-triglycerides and HDL-cholesterol. RESULTS: There was no significant difference in mean BMI from 1968-1969 versus 2004-2005. Mean leisure time exercise was significantly higher in later born cohorts; in 1968, around 15% were physically active compared with 40% in 2004. SBP and DBP, mean s-cholesterol and s-triglyceride levels were significantly lower in both 38- and 50-year-old cohorts in 2004-2005 versus 1968-1969. HDL-cholesterol (not measured until 1992-1993), showed a significantly higher mean level in 2004-2005. Reduction of risk factors was apparent in women with a high as well as low level of physical activity. Smoking declined most in women with high levels of physical activity. CONCLUSIONS: Several cardiovascular risk factors related to lifestyle have improved in middle-aged women from the 1960s until today. Most of the positive trends are observed in women with both low and high physical activity.

  • 65.
    Björksved, Margitha
    et al.
    Department of Orthodontics, Public Dental Health Service, Eskilstuna, Sweden.
    Arnrup, Kristina
    Dental Research Department, Public Dental Service, Region Örebro County, Örebro, Sweden.
    Lindsten, Rune
    Jönköping University, School of Health and Welfare, HHJ. Oral health. Department of Orthodontics, The Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Magnusson, Anders
    Department of Orthodontics, The Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Sundell, Anna Lena
    Jönköping University, School of Health and Welfare, HHJ. Oral health. Department of Paediatric Dentistry, The Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Gustafsson, Annika
    Department of Paediatric Dentistry, Postgraduate Dental Education Center, Örebro, Sweden.
    Bazargani, Farhan
    Department of Orthodontics, Postgraduate Dental Education Center, Örebro, Sweden.
    Closed vs open surgical exposure of palatally displaced canines: surgery time, postoperative complications, and patients' perceptions2018In: European Journal of Orthodontics, ISSN 0141-5387, E-ISSN 1460-2210, Vol. 40, no 6, p. 626-635Article in journal (Refereed)
    Abstract [en]

    Background: Closed and open surgical techniques are two different main approaches to surgical exposure of palatally displaced canines (PDCs). Because there is insufficient evidence to support one technique over the other, there is a need for randomized controlled trials.

    Objectives: To compare surgery time, complications and patients' perceptions between closed and open surgical techniques in PDCs.

    Trial design: The trial was a multicentre, randomized, controlled trial with two parallel groups randomly allocated in a 1:1 ratio.

    Material and methods: Study participants were 119 consecutive patients from 3 orthodontic centres, with PDCs planned for surgical exposure, randomly allocated according to a computer-generated randomization list, using concealed allocation. Full-thickness mucoperiosteal flap was raised, and bone covering the canine was removed in both interventions. In closed exposure, an attachment with a chain was bonded to the canine and the flap was sutured back with the chain penetrating the mucosa. In open exposure, a window of tissue around the tooth was removed and glass ionomer cement placed on the canine crown, to prevent gingival overgrowth during spontaneous eruption. Patient perceptions were assessed with two questionnaires, for the evening on the day of operation and 7 days post-surgery.

    Blinding: It was not possible to blind either patients or care providers to the interventions. The outcome assessors were blinded and were unaware of patients' intervention group.

    Results: Seventy-five girls and 44 boys, mean age 13.4 years (SD 1.46) participated in the study and got either of the interventions (closed exposure, n = 60; open exposure, n = 59). Surgery time did not differ significantly between the interventions. Complications though were more severe in bilateral cases and the patients experienced more pain and impairment in the open group.

    Conclusion: There were no statistically significant differences regarding surgery time between the groups. Postoperative complications were similar between the groups in unilateral PDCs, but more common in the open group in bilateral cases. More patients in the open group experienced pain and impairment compared to the closed group.

    Trial registration: Trial registration: ClinicalTrials.gov, ID: NCT02186548 and Researchweb.org, ID: 127201.

  • 66.
    Björksved, Margitha
    et al.
    Department of Orthodontics, Public Dental Health Service, Eskilstuna, Sweden; Postgraduate Dental Education Center, Department of Orthodontics, P.O. Box 1126, SE-701 11 Örebro, Sweden; School of Medical Sciences, Örebro University, SE-701 82, Sweden.
    Ryen, Linda
    University Health Care Research Center, Örebro University, SE-701 82, Sweden.
    Lindsten, Rune
    Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. The Institute for Postgraduate Dental Education, Department of Orthodontics, P.O. Box 1030, SE-551 11 Jönköping, Sweden.
    Bazargani, Farhan
    Postgraduate Dental Education Center, Department of Orthodontics, P.O. Box 1126, SE-701 11 Örebro, Sweden; School of Medical Sciences, Örebro University, SE-701 82, Sweden.
    Open and closed surgical exposure of palatally displaced canines: a cost- minimization analysis of a multicentre, randomized controlled trial2021In: European Journal of Orthodontics, ISSN 0141-5387, E-ISSN 1460-2210, Vol. 43, no 5, p. 498-505Article in journal (Refereed)
    Abstract [en]

    Objective: To evaluate the costs of open and closed surgical exposure and subsequent orthodontic treatment for the correction of palatally displaced canines (PDCs).

    Trial design: A multicentre, two-arm parallel group randomized controlled trial.

    Methods: One hundred twenty adolescents between 9 and 16 years of age, from three orthodontic specialist centres, were randomized to one of the two surgical exposure interventions.The randomization was conducted according to a two-arm parallel group 1:1 allocation ratio, using computerized lists with block randomization. In both the surgical techniques, whole mucoperiosteal flaps were raised, and bone covering the PDCs was removed. In the open technique, glass ionomer was built up on the PDC crown reaching above the mucosa through a hole punched in the flap-to allow the canine to erupt autonomously. After eruption, the canine was orthodontically moved above the mucosa. In the closed technique, an eyelet was bonded onto the PDC, the flap was repositioned and the canine was orthodontically moved beyond the mucosa.The trial ended when the PDC was successfully aligned in the dental arch. Cost analysis was performed including costs for surgery, orthodontic treatment, emergency visits, and material, as well as costs for transports and time spent in connection with every appointment.

    Blinding: Patients and caregivers could not be blinded due to obvious limitations of the clinical setting, while outcome assessors and data analysts were blinded.

    Results: A cost-minimization analysis was performed since both exposure groups succeeded equally well in terms of treatment effects. The two different surgical exposures and following orthodontic treatments did not differ significantly in terms of costs.

    Generalizability and limitations: Costs are estimated in the Swedish setting, which needs to be considered if applying the results in other settings. Calculations of total cost do not include finishing, debonding, retention, and follow-up.

    Conclusion: There is no significant difference in costs between closed and open surgical exposure with following orthodontic treatments in PDCs.

  • 67.
    Boström, Anita
    et al.
    Institutionen för hälsovetenskaper, Karlstads universitet.
    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).
    Ludvigsson, Mikael
    Linköpings universitet.
    Saveman, Britt-Inger
    Institutionen för omvårdnad, Umeå universitet.
    Simmons, Johanna
    Medicinska och geriatriska akutkliniken, Universitetssjukhuset i Linköping.
    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).
    Åkerlund, Nina
    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).
    Förekomsten av våld i nära relationer bland äldre personer2022In: Äldre personers utsatthet för våld i nära relationer: Interprofessionella perspektiv / [ed] L. Östlund, Lund: Studentlitteratur AB, 2022, p. 31-64Chapter in book (Other academic)
  • 68.
    Brahm, Carl-Otto
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Oral health. Department of Oral and Maxillofacial Surgery, Institute for Postgraduate Dental Education, Region Jönköping County, Jönköping, Sweden.
    Lundgren, Jesper
    Department of Psychology, University of Gothenburg, Gothenburg, Sweden.
    Carlsson, Sven G.
    Department of Psychology, University of Gothenburg, Gothenburg, Sweden.
    Nilsson, Peter
    Jönköping University, School of Health and Welfare, HHJ. Oral health. Department of Oral and Maxillofacial Surgery, Institute for Postgraduate Dental Education, Region Jönköping County, Jönköping, Sweden.
    Hägglin, Catharina
    Department of Behavioral and Community Dentistry, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Development and evaluation of the Jönköping Dental Fear Coping Model: a health professional perspective2018In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 76, no 5, p. 320-330Article in journal (Refereed)
    Abstract [en]

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

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

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

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

  • 69.
    Brahm, Carl-Otto
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Department of Oral and Maxillofacial Surgery, Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Lundgren, Jesper
    Department of Psychology, University of Gothenburg, Gothenburg, Sweden.
    Carlsson, Sven G.
    Department of Psychology, University of Gothenburg, Gothenburg, Sweden.
    Nilsson, Peter
    Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Department of Oral and Maxillofacial Surgery, Institute for Postgraduate Dental Education, Jönköping, Sweden.
    Hägglin, Catharina
    §Department of Behavioral and Community Dentistry, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Evaluation of the Jönköping dental fear coping model: a patient perspective2019In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 77, no 3, p. 238-247Article in journal (Refereed)
    Abstract [en]

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

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

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

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

  • 70. Bratel, J
    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.
    Jontell, M
    Effect of replacement of dental amalgam on oral lichenoid reactions.1996In: Journal of Dentistry, ISSN 0300-5712, E-ISSN 1879-176X, Vol. 24, no 1-2, p. 41-45Article in journal (Refereed)
  • 71. Bratel, John
    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.
    Jontell, Mats
    The effect of LongoVital on recurrent aphthous stomatitis in a controlled clinical trial.2005In: Oral Health & Preventive Dentistry, ISSN 1602-1622, Vol. 3, no 1, p. 3-8Article in journal (Refereed)
  • 72.
    Brax Österholm, Tintin
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Muric, Emina
    Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Kariesriskbedömning inom barn- och ungdomstandvård2019Independent thesis Basic level (degree of Bachelor), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

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

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  • 73.
    Byström, Ann-Louise
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Äldre individers upplevelse av sin orala hälsa - en kvalitativ intervjustudie2010Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 74. Cabrera, Claudia
    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, Margareta
    Wedel, Hans
    Björkelund, Cecilia
    Bengtsson, Calle
    Lissner, Lauren
    Can the relation between tooth loss and chronic disease be explained by socio-economic status?: A 24-year follow-up from the population study of women in Gothenburg, Sweden.2005In: European Journal of Epidemiology, ISSN 0393-2990, E-ISSN 1573-7284, Vol. 20, no 3, p. 229-236Article in journal (Refereed)
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    Jönköping University, School of Health Science, HHJ. Oral health. Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine.
    Management of Temporomandibular Disorders in the General Practice.: Postgraduate textbook.2000Book (Other academic)
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    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Egermark, I
    Prediction of demand for treatment of temporomandibular disorders based on a 20-year follow-up study.2004In: Journal of Oral Rehabilitation, E-ISSN 1365-2842, Vol. 31, no 6, p. 511-517Article in journal (Refereed)
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    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
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    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
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    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
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    Bilateraler Gesichtsschmerz. Ein Fallbeispiel zur Behandlung temporomandibulärer Funktionsstörungen in der Praxis2000In: Die Quintessenz, ISSN 0033-6580, Vol. 51, p. 829-830Article in journal (Refereed)
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    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
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    Jönköping University, School of Health Science, HHJ. Oral health. Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine.
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    Jönköping University, School of Health Science, HHJ. Oral health. Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine.
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    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
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    Kiefergelenksperre mit verschieden Therapieergebnissen (I). Ein Fallbeispiel zur Behandlung temporomandibulärer Funktionsstörungen in der Praxis2001In: Die Quintessenz, ISSN 0033-6580, Vol. 52, p. 297-298Article in journal (Refereed)
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    Magnusson, Tomas
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
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    et al.
    Magnusson, Tomas
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Kiefergelenksperre mit verschiedenen Therapieergebnissen (III). Ein Fallbeispiel zur Behandlung temporomandibulärer Funktionsstörungen in der Praxis2001In: Die Quintessenz, ISSN 0033-6580, Vol. 52, p. 517-519Article in journal (Refereed)
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    et al.
    Magnusson, Tomas
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Lang anhaltende orofaziale Schmerzen. Ein Fallbeispiel zur Behandlung temporomandibulärer Funktionsstörungen in der Praxis2001In: Die Quintessenz, ISSN 0033-6580, Vol. 52, p. 1283-1284Article in journal (Refereed)
  • 89. Carlsson, G.E
    et al.
    Magnusson, Tomas
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Management of Temporomandibular Disorders in the General Practice2000Book (Other academic)
  • 90. Carlsson, G.E
    et al.
    Magnusson, Tomas
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Offener Biss und häufige Kopfschmerzen. Ein Fallbeispiel zur Behandlung temporomandibulärer Funktionsstörungen in der Praxis2000In: Die Quintessenz, ISSN 0033-6580, Vol. 51, p. 965-966Article in journal (Refereed)
  • 91. Carlsson, G.E
    et al.
    Magnusson, Tomas
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Offener Biss und schwere Zahnerosion. Ein Fallbeispiel zur Behandling temporomandibulärer Funktionsstörungen in der Praxis2000In: Die Quintessenz, ISSN 0033-6580, Vol. 51, p. 1093-1094Article in journal (Refereed)
  • 92. Carlsson, G.E
    et al.
    Magnusson, Tomas
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Orofaziale Schmerzen. Ein Fallbeispiel zur Behandling temporomandibulärer Funktionsstörungen in der Praxis2000In: Die Quintessenz, ISSN 0033-6580, no 51, p. 289-290Article in journal (Refereed)
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    et al.
    Magnusson, Tomas
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Plötzliche Schwierigkeiten bei der Kieferöffnung. Ein Fallbeispiel zur Behandlung temporomandibulärer Funktionsstörungen in der Praxis2001In: Die Quintessenz, ISSN 0033-6580, Vol. 52, p. 823-824Article in journal (Refereed)
  • 94. Carlsson, G.E
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    Magnusson, Tomas
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    "Progressive" Abrasion. Ein Fallbeispiel zur Behandlung temporomandibulärer Funktionsstörungen in der Praxis2001In: Die Quintessenz, ISSN 0033-6580, Vol. 52, p. 71-Article in journal (Refereed)
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    Magnusson, Tomas
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Rechtsseitiger Gesichtsschmerz. Ein Fallbeispiel zur Behandlung temporomandibulärer Funktionsstörungen in der Praxis2000In: Die Quintessenz, ISSN 0033-6580, Vol. 51, p. 733-734Article in journal (Refereed)
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    Magnusson, Tomas
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Rekurrierende Kopfschmerzen bei einer jungen Patientin. En Fallbeispiel zur Behandlung temporomandibulärer Funktionsstörungen in der Praxis2000In: Die Quintessenz, ISSN 0033-6580, Vol. 51, p. 1193-1194Article in journal (Refereed)
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    Magnusson, Tomas
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Schwerer Bruxismus and Abrasionen bei einem Kind. Ein Fallbeispiel zur Behandlung temporomandibulärer Funktionsstörungen in der Praxis2000In: Die Quintessenz, ISSN 0033-6580, Vol. 51, p. 1299-1300Article in journal (Refereed)
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    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
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    Magnusson, Tomas
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Starke Schmerzen im recht Kiefergelen. Ein Fallbeispiel zur Behandlung temporomandibulärarer Funktionsstörunen in der Praxis2001In: Die Quintessenz, ISSN 0033-6580, Vol. 52, p. 631-632Article in journal (Refereed)
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    Magnusson, Tomas
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Starke tägliche Kopfschmerzen. Ein Fallbeispiel zur Behandlung temporomandibulärer Funktionsstörungen in der Praxis2001In: Die Quintessenz, ISSN 0033-6580, Vol. 52, p. 1167-1168Article in journal (Refereed)
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