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Brogårdh-Roth, Susanne
Publications (10 of 23) Show all publications
Vicente, A., Wiedel, A.-P., Becker, M., Brogårdh-Roth, S., Shi, X.-Q. & Hellén-Halme, K. (2024). Quantitative assessment of cleft volume and evaluation of cleft's impact on adjacent anatomical structures using CBCT imaging. Oral Radiology/Springer, 40(2), 295-303
Open this publication in new window or tab >>Quantitative assessment of cleft volume and evaluation of cleft's impact on adjacent anatomical structures using CBCT imaging
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2024 (English)In: Oral Radiology/Springer, ISSN 0911-6028, E-ISSN 1613-9674, Vol. 40, no 2, p. 295-303Article in journal (Refereed) Published
Abstract [en]

Objectives: To determine pre-operative cleft volume and evaluate cleft´s impact on surrounding anatomical structures in children and adolescents with orofacial clefts using cone bean computed tomography (CBCT) imaging.

Methods: The present retrospective study retrieved CBCT examinations of 68 patients from a previous study. The examinations had been exposed either before (n = 53) or after (n = 15) alveolar bone grafting. Pre-operative volume of cleft was determined, and type and location were evaluated. Morphological changes on the adjacent anatomical structures, including the incisive foramen, the nasal septum and floor, and the inferior turbinate, were assessed.

Results: Mean bilateral cleft volume was 0.76 cm3, while mean unilateral cleft volume was 1.08 cm3; the difference was significant (p < 0.001). Variation in cleft volume, however, was large. The incisive foramen was not visible in the majority of cases with bilateral clefts (71%); the difference was significant (p = 0.001). In cases with unilateral clefts, the nasal septum in 87% was curved towards the cleft or graft side. Also, the mean size of the widest part of the inferior turbinate was 8.8 mm on the cleft or graft side and 10.4 mm on the non-cleft side. The difference was significant (p < 0.001).

Conclusions: When required, CBCT is a feasible method for quantitatively illustrating alveolar clefts and their impact on the morphological development of surrounding structures. Variation in cleft volume was large.

Place, publisher, year, edition, pages
Springer, 2024
Keywords
Orofacial cleft, Cone-beam computed tomography, Cleft volume, Alveolar bone grafting
National Category
Surgery
Identifiers
urn:nbn:se:mau:diva-66087 (URN)10.1007/s11282-023-00736-0 (DOI)001154070100001 ()38302684 (PubMedID)2-s2.0-85183926174 (Scopus ID)
Available from: 2024-02-26 Created: 2024-02-26 Last updated: 2024-04-11Bibliographically approved
Vicente, A., Alward, L., Wiedel, A.-P., Becker, M., Shi, X.-Q., Hellén-Halme, K. & Brogårdh-Roth, S. (2022). Do preterm-born children and adolescents have greater need for dental care as compared to full term-born controls?. BMC Oral Health, 22(1), Article ID 479.
Open this publication in new window or tab >>Do preterm-born children and adolescents have greater need for dental care as compared to full term-born controls?
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2022 (English)In: BMC Oral Health, ISSN 1472-6831, E-ISSN 1472-6831, Vol. 22, no 1, article id 479Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Preterm birth has been shown to cause various long-term health issues. Children who were born preterm have also been observed to have more dental behaviour management problems (DBMP) during dental examinations and treatment than children born full term. It is known that dental radiographic examinations can be uncomfortable and cause anxiety in paediatric patients. Thus, our aims were to retrospectively compare dental care related examinations and treatments carried out in three different age intervals (3-6 years, 7-12 years, and 13-19 years) among preterm- and full-term born children and adolescents.

METHODS: The present study included 311 patient files: 122 very preterm-born and 33 extremely preterm-born children and adolescents (&lt; 32 gestational weeks). A matched control group of 156 full term-born children and adolescents (≥ 37 gestational weeks) was analysed for comparison. Various factors, including DBMP, missed appointments, dental caries, and radiographic examinations, were retrieved from the dental records for three age intervals: 3-6 years, 7-12 years, and 13-19 years.

RESULTS: Extremely preterm-born children missed significantly more dental appointments and presented with more DBMP during dental examinations and treatment than full term-born children in the 3-6-year age group; the same was observed for the very preterm-born in the 7-12-year age group. No significant differences in DBMP during bitewing and periapical examinations or in number of bitewing, periapical and panoramic radiographs occurred between the groups in any age interval.

CONCLUSION: Preterm-born children and adolescents may need more flexibility in booking and receive reminders for scheduled visits with the general dental team. Due to the non-significant differences in dental care related oral examinations and treatments, the same dental care service may be applied to the preterm- and full-term born children and adolescents.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2022
Keywords
Children, Dental radiography, Intraoral imaging, Preterm birth
National Category
Dentistry
Identifiers
urn:nbn:se:mau:diva-56098 (URN)10.1186/s12903-022-02504-8 (DOI)000885083600003 ()36352446 (PubMedID)2-s2.0-85141447605 (Scopus ID)
Available from: 2022-11-17 Created: 2022-11-17 Last updated: 2024-02-26Bibliographically approved
Brogårdh-Roth, S., Paulsson, L., Larsson, P. & Ekberg, E. (2021). Do preterm-born adolescents have a poorer oral health-related quality of life?. BMC Oral Health, 21(1), Article ID 440.
Open this publication in new window or tab >>Do preterm-born adolescents have a poorer oral health-related quality of life?
2021 (English)In: BMC Oral Health, ISSN 1472-6831, E-ISSN 1472-6831, Vol. 21, no 1, article id 440Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: To evaluate oral health-related quality of life (OHRQoL) over a period of five years using the Oral Health Impact Profile (OHIP-14) questionnaire in a population of Swedish adolescents born preterm and full term.

METHODS: In a longitudinal study of adolescents aged 12-14 and 17-19, changes over time in OHRQoL were measured by using OHIP-14. The OHIP-14 score, self-reported chronic illness, temporomandibular disorder (TMD pain) and subjective orthodontic treatment need were compared between 98 extremely and very preterm born (< 32 gestational week) and 93 full-term controls (≥ 37 gestational week) at two ages. The chi-square test was used for comparisons within the extremely-, very-, and full-term control groups, and to contrast the differences of mean scores of OHIP-14, the ANOVA test was used for comparisons within the study groups of extremely preterm, very preterm and full term-born adolescents.

RESULTS: All adolescents reported a good self-perceived OHRQoL. No significant differences in the comparisons of the total mean scores were revealed between the groups, between gender or in domain-specific scores over the 5-year period. Very preterm adolescents with reported chronic illness at 12-14 years of age showed significantly higher mean scores of OHIP-14 compared with those without chronic illness (p = 0.015). At age 17-19, significantly higher mean scores of OHIP-14 were reported by very preterm adolescents with TMD pain compared to those without TMD pain (p = 0.024). Significantly higher mean scores of OHIP-14 were found among the extremely preterm (p = 0.011) and very preterm born adolescents (p = 0.031) with a subjective need of orthodontic treatment compared with those without orthodontic treatment need.

CONCLUSIONS: Poor OHRQoL measured with OHIP-14 in very preterm adolescents aged 12-14 was related to chronic illness and aged 17-19 to TMD pain. In addition, extremely and very preterm-born adolescents with subjective orthodontic treatment need at 17-19 years of age also reported poor OHRQoL. To improve the dentist-patient relationship and achieve more successful treatment results, it is important for dental clinicians to understand the impact that chronic illness, TMD pain and orthodontic treatment need has on OHRQoL in preterm-born adolescents.

Place, publisher, year, edition, pages
BioMed Central, 2021
Keywords
Adolescents, Born preterm, Oral health-related quality of life
National Category
Dentistry
Identifiers
urn:nbn:se:mau:diva-45893 (URN)10.1186/s12903-021-01799-3 (DOI)000694895900002 ()34503481 (PubMedID)2-s2.0-85114670143 (Scopus ID)
Available from: 2021-09-15 Created: 2021-09-15 Last updated: 2024-02-05Bibliographically approved
Hajem, S., Brogårdh-Roth, S., Nilsson, M. & Hellén-Halme, K. (2020). CBCT of Swedish children and adolescents at an oral and maxillofacial radiology department: A survey of requests and indications. (ed.). Acta Odontologica Scandinavica, 78(1), 38-44
Open this publication in new window or tab >>CBCT of Swedish children and adolescents at an oral and maxillofacial radiology department: A survey of requests and indications.
2020 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 78, no 1, p. 38-44Article in journal (Refereed) Published
Abstract [en]

This retrospective study investigated requests and indications for cone-beam computed tomography (CBCT) in children and adolescents over a 3-year period at one oral and maxillofacial radiology department. Specific aims were to determine what technical settings were used, which caregivers write the referrals, and how often and for what reasons re-exposure was necessary. Patients

Place, publisher, year, edition, pages
Taylor & Francis, 2020
National Category
Dentistry
Identifiers
urn:nbn:se:mau:diva-6649 (URN)10.1080/00016357.2019.1645879 (DOI)000480066100001 ()31385739 (PubMedID)2-s2.0-85070522320 (Scopus ID)30465 (Local ID)30465 (Archive number)30465 (OAI)
Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-02-26Bibliographically approved
Ramji, R., Carlson, E., Brogårdh-Roth, S., Olofsson, A. N., Kottorp, A. & Rämgård, M. (2020). Understanding behavioural changes through community-based participatory research to promote oral health in socially disadvantaged neighbourhoods in Southern Sweden.. BMJ Open, 10(4), Article ID e035732.
Open this publication in new window or tab >>Understanding behavioural changes through community-based participatory research to promote oral health in socially disadvantaged neighbourhoods in Southern Sweden.
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2020 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 10, no 4, article id e035732Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: Inequalities in oral health have been on the rise globally. In Sweden, these differences exist not between regions, but among subgroups living in vulnerable situations. This study aims at understanding behavioural change after taking part in participatory oral health promotional activity among families living in socially disadvantaged neighbourhoods in Southern Sweden.

SETTING: The current study involved citizens from a socially disadvantaged neighbourhood in Malmö, together with actors from the academic, public and private sectors. These neighbourhoods were characterised by high rates of unemployment, crime, low education levels and, most importantly, poor health.

PARTICIPANTS: Families with children aged 7-14 years from the neighbourhood were invited to participate in the health promotional activities by a community representative, known as a health promoter, using snowball sampling. Between 8 and 12 families participated in the multistage focus groups over 6 months. Data were analysed using qualitative content analysis.

RESULTS: Three main themes emerged from the analysis, providing an understanding of the determinants for behavioural change, including meaningful social interactions, family dynamics and health trajectories. The mothers in the study valued the social aspects of their participation; however, they believed that gaining knowledge in combination with social interaction made their presence also meaningful. Further, the participants recognised the role of family dynamics primarily the interactions within the family, family structure and traditional practices as influencing oral health-related behaviour among children. Participants reported having experienced a change in general health owing to changed behaviour. They started to understand the association between general health and oral health that further motivated them to follow healthier behavioural routines.

CONCLUSIONS: The results from this study show that oral health promotion through reflection and dialogue with the communities, together with other stakeholders, may have the potential to influence behavioural change and empower participants to be future ambassadors for change.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2020
Keywords
community child health, public health, qualitative research, social medicine
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:mau:diva-17142 (URN)10.1136/bmjopen-2019-035732 (DOI)000538150800098 ()32265249 (PubMedID)
Available from: 2020-04-30 Created: 2020-04-30 Last updated: 2023-08-28Bibliographically approved
Berlin, H., Vall, M., Bergenäs, E., Ridell, K., Brogårdh-Roth, S., Lager, E., . . . Klingberg, G. (2019). Effects and cost-effectiveness of postoperative oral analgesics for additional postoperative pain relief in children and adolescents undergoing dental treatment: Health technology assessment including a systematic review. PLOS ONE, 14(12), Article ID e0227027.
Open this publication in new window or tab >>Effects and cost-effectiveness of postoperative oral analgesics for additional postoperative pain relief in children and adolescents undergoing dental treatment: Health technology assessment including a systematic review
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2019 (English)In: PLOS ONE, E-ISSN 1932-6203, Vol. 14, no 12, article id e0227027Article, review/survey (Refereed) Published
Abstract [en]

Background There is an uncertainty regarding how to optimally prevent and/or reduce pain after dental treatment on children and adolescents. Aim To conduct a systematic review (SR) and health technology assessment (HTA) of oral analgesics administered after dental treatment to prevent postoperative pain in children and adolescents aged 3-19 years. Design A PICO-protocol was constructed and registered in PROSPERO (CRD42017075589). Searches were conducted in PubMed, Cochrane, Scopus, Cinahl, and EMBASE, November 2018. The researchers (reading in pairs) assessed identified studies independently, according to the defined inclusion and exclusion criteria, following the PRISMA-statement. Results 3,963 scientific papers were identified, whereof 216 read in full text. None met the inclusion criteria, leading to an empty SR. Ethical issues were identified related to the recognized knowledge gap in terms of challenges to conduct studies that are well-designed from methodological as well as ethical perspectives. Conclusions There is no scientific support for the use or rejection of oral analgesics administered after dental treatment in order to prevent or reduce postoperative pain in children and adolescents. Thus, no guidelines can be formulated on this issue based solely on scientific evidence. Well-designed studies on how to prevent pain from developing after dental treatment in children and adolescents is urgently needed.

Place, publisher, year, edition, pages
Public Library of Science, 2019
National Category
Dentistry
Identifiers
urn:nbn:se:mau:diva-17235 (URN)10.1371/journal.pone.0227027 (DOI)000515096600052 ()31891621 (PubMedID)2-s2.0-85077390425 (Scopus ID)
Available from: 2020-05-13 Created: 2020-05-13 Last updated: 2024-02-05Bibliographically approved
Brogårdh-Roth, S. & Paulsson, L. (2019). För tidigt född: hur påverkar det oral hälsa? (ed.). Aktuel Nordisk Odontologi, 44(1), 198-211
Open this publication in new window or tab >>För tidigt född: hur påverkar det oral hälsa?
2019 (Swedish)In: Aktuel Nordisk Odontologi, ISSN 1902-3545, Vol. 44, no 1, p. 198-211Article in journal (Refereed) Published
Abstract [sv]

Allt fler för tidigt födda barn överlever tack vare en alltmer utvecklad och framgångsrik intensivvård. Tandvården möter därmed en ny grupp barn som är födda 3 till 4 månader för tidigt. För tidig födsel kan ge hälsoproblem, kognitiva och motoriska svårigheter. Det finns idag kunskap om konsekvenser under småbarnsåren och uppväxtperioden men betydligt mindre kunskap om vad som händer i vuxen ålder. Hittills har studier i tandvården visat att för tidigt födda barn klarar sig väl men framförallt de mycket och extremt för tidigt födda barnen kan behöva uppmärksammas. Dels kan det förekomma problem av psykologisk art och dels avvikelser i tandutveckling såsom mindre tandstorlek, förseningar i tandmognad och ökad förekomst av emaljstörningar. De för tidigt födda barnen kan även ha fler bettavvikelser och ökat behov av tandreglering. Därför behöver tandvården ge dessa barn och ungdomar särskilt omhändertagande för att gruppen ska kunna försäkra sig om en god oral hälsa.

Place, publisher, year, edition, pages
Universitetsforlaget, 2019
Keywords
För tidigt född, behandlingsproblem, tandutvecklingsstörningar, bettavvikelser
National Category
Dentistry
Identifiers
urn:nbn:se:mau:diva-7134 (URN)10.18261/issn.2058-7538-2019-01-16 (DOI)30795 (Local ID)30795 (Archive number)30795 (OAI)
Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-05-06Bibliographically approved
Nilsson, I.-M., Brogårdh-Roth, S., Månsson, J. & Ekberg, E. (2019). Temporomandibular pain in adolescents with a history of preterm birth (ed.). Journal of Oral Rehabilitation, 46(7), 589-596
Open this publication in new window or tab >>Temporomandibular pain in adolescents with a history of preterm birth
2019 (English)In: Journal of Oral Rehabilitation, E-ISSN 1365-2842, Vol. 46, no 7, p. 589-596Article in journal (Refereed) Published
Abstract [en]

AIM: To evaluate the frequency of TMD pain among adolescents with a history of preterm birth compared to a matched control group. METHODS: A group of 192 preterm-born adolescents was followed up at the age of 17-19 years and compared to matched controls. Self-report questionnaires included screening questions about TMD pain, chronic diseases, general health, depression, anxiety, anger, antisocial behavior, and self-concept. TMD pain was defined as answering 'yes' to one or both of the following questions: "Do you have pain in the temple, face, temporomandibular joint, or jaws once a week or more?" and "Do you have pain when you open your mouth wide or chew once a week or more often?" Data analysis was performed using chi-square test and logistic regression model with likelihood ratio test. RESULTS: A TMD pain frequency of 23% of preterm-born adolescents and 26% among the controls was found, with no significant differences between the groups. Neither were there differences regarding anxiety, depression, anger, or self-confidence. Within the preterm group, adolescents with TMD pain registered tension and pain in the body, trouble sleeping, stomach pain, and feelings of hopelessness about the future. The controls with TMD pain, more reported having a bad life, feeling like a failure, and having bodily pain. Among tested background variables only TMJ locking or intermittent locking once a week or more was found to explain TMD pain in adolescents. CONCLUSION: A high frequency of TMD pain was found in both groups, one possible explanation could be TMJ dysfunction.

Place, publisher, year, edition, pages
John Wiley & Sons, 2019
Keywords
Adolescents, TMD pain, case-control study, preterm birth, psychosocial factors, screening questions
National Category
Dentistry
Identifiers
urn:nbn:se:mau:diva-15709 (URN)10.1111/joor.12782 (DOI)000474283800001 ()30807654 (PubMedID)2-s2.0-85063127744 (Scopus ID)28129 (Local ID)28129 (Archive number)28129 (OAI)
Available from: 2020-03-30 Created: 2020-03-30 Last updated: 2024-02-05Bibliographically approved
Brogårdh-Roth, S., Månsson, J., Ridell, K., Alward, L., Hellén-Halme, K. & Ekberg, E. (2017). Five years' follow-up of dental fear and anxiety, experience of dental care and oral health behaviour in Swedish preterm and full-term adolescents (ed.). BMC Oral Health, 17, Article ID 145.
Open this publication in new window or tab >>Five years' follow-up of dental fear and anxiety, experience of dental care and oral health behaviour in Swedish preterm and full-term adolescents
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2017 (English)In: BMC Oral Health, ISSN 1472-6831, E-ISSN 1472-6831, Vol. 17, article id 145Article in journal (Refereed)
Abstract [en]

BACKGROUND: There is rising concern about how preterm birth affects long-term health later in life. The various effects that preterm birth have on developmental outcomes, cognitive profiles and medical health may also affect levels of cooperation in the dental care situation in addition to general oral health and other oral health-related habits. Oral health is an integral part of one's general health and well-being; however, less is known about how prematurity affects oral health and other related areas such as dental care, and including dental fear and anxiety (DFA) in individuals during adolescence and adulthood. This is considered of special interest to study, as preterm children during the preschool and school period were reported to have behavioural problems during dental treatments and less than favourable oral hygiene. METHODS: A questionnaire was used of self-report design and structured into behavioural aspects relating to dental treatment, oral health-related factors, and medical health. This questionnaire at 17-19 years of age was a follow-up from 12 to 14 years of age and considered a predictor for planning future dental care for this group of patients. The 145 participating adolescents were all preterm, born between 23 and 32 weeks of gestation and 140 full-term controls, born ≥37 weeks of gestation. RESULTS: Dental fear and anxiety, oral health behaviour, and intake of sweets and sugary drinks of 17-19-year old adolescents born preterm was comparable to that of the full-term control group. Medical health problems as well as the intake of sweets and sugary drinks increased from the time of early adolescence to late adolescence in both groups. CONCLUSIONS: Preterm as well as full-term adolescents between 17 and 19 years of age are satisfied with their dental care and display low prevalence of dental fear and anxiety (DFA). The findings in this study indicate that adolescents born very preterm and extremely preterm are well prepared for transition to dental care in adult life with expectations of being able to take responsibility for their oral health. KEYWORDS: Adolescent; Born preterm; Dental care; Oral health behaviour

Place, publisher, year, edition, pages
BioMed Central, 2017
Keywords
Adolescent, Born preterm, Dental care, Oral health behaviour
National Category
Dentistry
Identifiers
urn:nbn:se:mau:diva-15719 (URN)10.1186/s12903-017-0431-0 (DOI)000416976100001 ()29202809 (PubMedID)2-s2.0-85037638346 (Scopus ID)23966 (Local ID)23966 (Archive number)23966 (OAI)
Available from: 2020-03-30 Created: 2020-03-30 Last updated: 2024-02-26Bibliographically approved
Klingberg, G., Ridell, K., Brogårdh-Roth, S., Vall, M. & Berlin, H. (2017). Local analgesia in paediatric dentistry: a systematic review of techniques and pharmacologic agents (ed.). European Archives of Paediatric Dentistry, 18(5)
Open this publication in new window or tab >>Local analgesia in paediatric dentistry: a systematic review of techniques and pharmacologic agents
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2017 (English)In: European Archives of Paediatric Dentistry, ISSN 1818-6300, E-ISSN 1996-9805, Vol. 18, no 5Article in journal (Refereed) Published
Abstract [en]

PURPOSE: To evaluate the evidence supporting effects and adverse effects of local analgesia using different pharmacological agents and injection techniques during dental treatment in children and adolescents aged 3-19 years. METHODS: A systematic literature search of databases including PubMed, Cochrane, and Scopus was conducted in November 2016. The PRISMA-statement was followed. Two review authors independently assessed the selected randomised control trials for risk of bias and quality. RESULTS: 725 scientific papers were identified. 89 papers were identified to be read in full text of which 80 were excluded. Finally, 9 papers were evaluated for quality and risk of bias. Many of the included papers had methodological shortcomings affecting the possibility to draw conclusions. Information about ethical clearance and consent were missing in some of the included papers. No alarming adverse effects were identified. One study was assessed as having low risk of bias. This reported inferior alveolar nerve block to be more effective than buccal infiltration for dental treatment of mandibular molars, while no differences were found regarding pharmacological agents. CONCLUSIONS: At present, there is insufficient evidence in support of any pharmacologic agent or injection technique as being superior compared to others. There is a need for more rigorous studies which also handle the ethical issues of including children in potentially painful studies.

Place, publisher, year, edition, pages
Springer, 2017
Keywords
Adolescent, Child, Dental, Local anaesthesia, Local analgesia, Systematic review
National Category
Dentistry
Identifiers
urn:nbn:se:mau:diva-15857 (URN)10.1007/s40368-017-0302-z (DOI)000413470300002 ()28913645 (PubMedID)2-s2.0-85032180077 (Scopus ID)23676 (Local ID)23676 (Archive number)23676 (OAI)
Available from: 2020-03-30 Created: 2020-03-30 Last updated: 2024-02-05Bibliographically approved
Projects
Oral health related quality of life, temporomandibular disorders, malocclusions and oral treatment needs in preterm born Swedish children and adolescents; Malmö University
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