Publikationer från Malmö universitet
Ändra sökning
Avgränsa sökresultatet
1 - 47 av 47
RefereraExporteraLänk till träfflistan
Permanent länk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Träffar per sida
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sortering
  • Standard (Relevans)
  • Författare A-Ö
  • Författare Ö-A
  • Titel A-Ö
  • Titel Ö-A
  • Publikationstyp A-Ö
  • Publikationstyp Ö-A
  • Äldst först
  • Nyast först
  • Skapad (Äldst först)
  • Skapad (Nyast först)
  • Senast uppdaterad (Äldst först)
  • Senast uppdaterad (Nyast först)
  • Disputationsdatum (tidigaste först)
  • Disputationsdatum (senaste först)
  • Standard (Relevans)
  • Författare A-Ö
  • Författare Ö-A
  • Titel A-Ö
  • Titel Ö-A
  • Publikationstyp A-Ö
  • Publikationstyp Ö-A
  • Äldst först
  • Nyast först
  • Skapad (Äldst först)
  • Skapad (Nyast först)
  • Senast uppdaterad (Äldst först)
  • Senast uppdaterad (Nyast först)
  • Disputationsdatum (tidigaste först)
  • Disputationsdatum (senaste först)
Markera
Maxantalet träffar du kan exportera från sökgränssnittet är 250. Vid större uttag använd dig av utsökningar.
  • 1.
    Bondemark, Lars
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Brown, George
    A Self-directed Summative Examination in Problem-based Learning in Dentistry: a New Approach2004Ingår i: Medical teacher, ISSN 0142-159X, E-ISSN 1466-187X, Vol. 26, nr 1, s. 46-51Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    This paper describes and evaluates a new method of assessment in PBL, which was developed with two cohorts of dental students. The method involves students in PBL groups designing PBL problems and assessment tasks that are in line with the objectives of the course and the principles of PBL. Construction of tasks and feedback were provided. The student groups based the summative assessment on a selection of the PBL assessments provided. The evaluation indicates that senior students are capable of designing challenging PBL assessment tasks that are in line with course objectives and PBL principles. This experience raised the pass rates of the students compared those of with earlier cohorts of students. The students rated the method favourably; they considered it enabled them to demonstrate their competences and that it was more closely in line with PBL principles than other methods of assessment that they had experienced. The method is a promising innovation, which could be used in a variety of PBL courses.

  • 2. Ellervall, Eva
    et al.
    Björklund, Fredrik
    Rohlin, Madeleine
    Malmö högskola, Odontologiska fakulteten (OD).
    Vinge, Ellen
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Antibiotic Prophylaxis in Oral Health Care: Administration Strategies of General Dental Practitioners2005Ingår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 63, nr 6, s. 321-329Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective. To examine the strategies that general dental practitioners (GDPs) use to administer antibiotic prophylaxis and to study the agreement between the administration strategies of GDPs and local recommendations. Methods. Postal questionnaires in combination with telephone interviews were used. Two hundred GDPs in two Swedish counties, Skåne and Örebro, were asked to participate. The response rate was 51 % (n=101). The GDPs were presented with eight simulated cases of patients with different medical conditions for which antibiotic prophylaxis might be considered necessary when performing dental procedures (scaling, tooth removal, root canal treatment). The administration strategies of the GDPs were compared with local recommendations. Results. In general, the variation in the administration strategies of the GDPs was large. For two medical condi-tions, type 1 diabetes that was not well controlled and hip prosthesis, significantly more GDPs in Skåne than in Örebro administered antibiotic prophylaxis for tooth removal. Agreement between the administration strategies of the GDPs and local recommendations was low. Differences between the two counties were non-significant. Furthermore, within Örebro, GDPs who did not have formal access to local recommendations did not differ in their administration strategies from those who did. The choice of substance was seldom in agreement with the substance recommended, while the majority followed the recommended duration of treatment. Conclusion. Although recommendations existed, their impact appeared to be limited. This is significant, since the implementation of recommendations is crucial in making clinical practice more effective and in promoting the health of patients.

  • 3. Ellervall, Eva
    et al.
    Brehmer, Berndt
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    How confident are general dental practitioners in their decision to administer antibiotic prophylaxis?2008Ingår i: BMC Medical Informatics and Decision Making, E-ISSN 1472-6947, Vol. 8, artikel-id 57Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Common dental procedures induce bacteremia. To prevent infectious complications from bacteremia in patients with specific medical conditions, antibiotic prophylaxis is considered. Recommendations are often unclear and ambiguous. In a previous study we reported wide variations in general dental practitioners’ (GDPs’) administrations of antibiotic prophylaxis. We hypothesized that within such a conflicting clinical area, decisions are made with a high level of personal uncertainty. This study examined GDPs’ confidence in their decisions and analyzed the extent to which case-related factors might explain individual variations in confidence. Methods: Postal questionnaires in combination with telephone interviews were used. The response rate was 51% (101/200). There were no significant differences between respondents and non-respondents regarding sex, age, or place of work. The GDPs were presented to patient cases of different medical conditions, where some should receive antibiotic prophylaxis according to recommendations when performing dental procedures that could cause gingival bleeding. The GDPs assessed on visual analogue scales how confident they were in their decisions. The extent to which case-related factors, medical condition and dental procedure, could explain individual variation in confidence was analyzed. Results: Overall the GDPs exhibited high confidence in their decisions regardless of whether they administered antibiotic prophylaxis or not, or whether their decisions were in accordance with recommendations or not. The case-related factors could explain between 30–100% of the individual variation in GDPs’ confidence. For 46%, the medical condition significantly explained the individual variation in confidence. However, for most of these GDPs, lower confidence was not presented for conditions where recommendations are unclear and higher confidence was not presented for conditions where recommendations are more clear. For 8% the dental procedure significantly explained the variation, although all procedures could cause bacteremia. For 46% neither the medical condition nor the dental procedure could significantly explain the individual variation in confidence. Conclusions: The GDPs presented high confidence in their decisions, and the majority of GDPs did not present what could be considered a justified varied level of confidence according to the clarity of recommendations. Clinicians who are overconfident in their decisions may be less susceptible to modifications of their behavior to more evidence-based strategies.

    Ladda ner fulltext (pdf)
    FULLTEXT01
  • 4.
    Ellervall, Eva
    et al.
    Health Evidence Network, World Health Organization Regional Office for Europe, Copenhagen, Denmark..
    Brehmer, Berndt
    Department of War Studies, Swedish National Defence College, Stockholm, Sweden.
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Risk Judgment by General Dental Practitioners: Rational but Uninformed2010Ingår i: Biomedical Informatics Insights, E-ISSN 1178-2226, Vol. 2010, nr 3, s. 11-17Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Decisions by dentists to administer antibiotic prophylaxis to prevent infectious complications in patients involves professional risk assessment. While recommendations for rational use have been published, several studies have shown that dentists have low adherence to these recommendations. Objective: To examine general dental practitioners’ (GDPs’) assessments of the risk of complications if not administering antibiotic prophylaxis in connection with dental procedures in patients with specific medical conditions. Methods: Postal questionnaires in combination with telephone interviews. Risk assessments were made using visual analogue scales (VAS), where zero represented “insignificant risk” and 100 represented a “very significant risk”. Results: Response rate: 51%. The mean risk assessments were higher for GDPs who administered antibiotics (mean = 54, SD = 23, range 26–72 mm on the VAS) than those who did not (mean = 14, SD = 12, range 7–31 mm) (P < 0.05). Generally, GDPs made higher risk assessments for patients with medical conditions that are included in recommendations than those with conditions that are not included. Overall, risk assessments were higher for tooth removal than for scaling or root canal treatment, even though the risk assessments should be considered equal for these interventions. Conclusions: GDPs’ risk assessments were rational but uninformed. They administered antibiotics in a manner that was consistent with their risk assessments. Their risk assessments, however, were overestimated. Inaccurate judgments of risk should not be expected to disappear in the presence of new information. To achieve change, clinicians must be motivated to improve behaviour and an evidence- based implementation strategy is required.

    Ladda ner fulltext (pdf)
    fulltext
  • 5. Ellervall, Eva
    et al.
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Brehmer, B
    General dental practitioners’ certainty in administration of antibiotic prophylaxis (Boston)2006Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

    Introduction: Treatment approaches within health care are highly variable. This is an unavoidable characteristic of clinical practice and could be characterised either by uncertainty of information or outcome or by concern for a person’s preferences or both. Accordingly, several studies have reported large variations in general dental practitioners’ (GDPs’) administration strategies of antibiotic prophylaxis in patients with specific medical conditions. Objectives: To study GDPs' certainty in administration of antibiotic prophylaxis in patients with specific medical conditions, and secondly, to evaluate GDPs’ assessment of risk for complications if antibiotics were not administered. Methods: Postal questionnaires in combination with telephone interviews were used. A total of 101 GDPs participated. The GDPs’ were presented with three simulated cases of patients with specific medical conditions (moderate hypertension, not well-controlled type 1 diabetes, and heart valve prosthesis) for which antibiotic prophylaxis might be considered necessary when performing dental procedures (scaling, tooth removal, and root canal treatment). The GDPs were asked to mark their assessments of certainty and risk on a 100 mm VAS. Differences were analyzed with t-test. The study was supported by the Swedish Research Council (grant 521-2001-6341). Results: Generally, the GDPs presented high certainty in all their decisions independent on whether they administered antibiotic prophylaxis or not (P>0.05). However, when they assessed the risk for complication if not administering antibiotic prophylaxis, the values were much higher for GDPs that would administer antibiotics compared to those that would not (P<0.05). Conclusions: The GDPs presented high certainty in their decisions, independent on whether they administered antibiotic prophylaxis or not. This could implicate that GDPs are less susceptible to modify their behaviour and that implementation of evidence into practice would be difficult.

  • 6. Ellervall, Eva
    et al.
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Brehmer, B
    General dental practitioners’ certainty in administration of antibiotic prophylaxis (Dublin)2006Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

    Introduction: Treatment approaches within health care are highly variable. This is an unavoidable characteristic of clinical practice and could be characterised either by uncertainty of information or outcome or by concern for a person’s preferences or both. Accordingly, several studies have reported large variations in general dental practitioners’ (GDPs’) administration strategies of antibiotic prophylaxis in patients with specific medical conditions. Objectives: To study GDPs’ certainty in administration of antibiotic prophylaxis in patients with specific medical conditions, and secondly, to evaluate GDPs’ assessment of risk for complications if antibiotics were not administered. Methods: Postal questionnaires in combination with telephone interviews were used. A total of 101 GDPs participated. The GDPs’ were presented with three simulated cases of patients with specific medical conditions (moderate hypertension, not well-controlled type 1 diabetes, and heart valve prosthesis) for which antibiotic prophylaxis might be considered necessary when performing dental procedures (scaling, tooth removal, and root canal treatment). The GDPs were asked to mark their assessments of certainty and risk on a 100 mm VAS. Differences were analyzed with t-test. The study was supported by the Swedish Research Council (grant 521-2001-6341). Results: Generally, the GDPs presented high certainty in all their decisions independent on whether they administered antibiotic prophylaxis or not (P>0.05). However, when they assessed the risk for complication if not administering antibiotic prophylaxis, the values were much higher for GDPs that would administer antibiotics compared to those that would not (P<0.05). Conclusions: The GDPs presented high certainty in their decisions, independent on whether they administered antibiotic prophylaxis or not. This could implicate that GDPs are less susceptible to modify their behaviour and that implementation of evidence into practice would be difficult.

  • 7. Ellervall, Eva
    et al.
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Brehmer, B
    Hur övertygade är tandläkare i sina beslut vid förskrivning av antibiotikaprofylax2007Konferensbidrag (Övrigt vetenskapligt)
  • 8. Ellervall, Eva
    et al.
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Vinge, Ellen
    Rohlin, Madeleine
    Malmö högskola, Odontologiska fakulteten (OD).
    Antibiotic prophylaxis in oral healthcare - the agreement between Swedish recommendations and evidence2010Ingår i: British Dental Journal, ISSN 0007-0610, E-ISSN 1476-5373, Vol. 208, nr 3, artikel-id E5Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Almost all (17/20) Swedish counties have pharmaceutical committees that establish recommendations for the use of antibiotic prophylaxis in oral healthcare.Objective To evaluate the evidence for the use of antibiotic prophylaxis in oral healthcare and the agreement between Swedish recommendations and evidence. MATERIAL AND METHODS: We conducted a systematic literature search in PubMed and the Cochrane Controlled Trials Register. The MeSH terms 'antibiotic prophylaxis' and 'dentistry' were used in the database search. Abstracts were reviewed according to specific inclusion and exclusion criteria. A total of 186 articles were read in full text by the four authors independently. Data extraction and interpretation of data was carried out using a pre-defined protocol. In the end, one case-control study was included for evaluation of evidence. RESULTS: The case-control study included patients with specific cardiac conditions. The study reported a 49% protective efficacy (odds ratio: 0.51) of antibiotic prophylaxis for first-time episodes of endocarditis within 30 days of procedure. This result was not statistically significant. The quality of the evidence was low. No studies were evaluated on patients with other medical conditions. The recommendations included several cardiac and other medical conditions for which there is a lack of evidence or no evidence to support the use of antibiotic prophylaxis. CONCLUSIONS: There is a lack of evidence to support the use of antibiotic prophylaxis. To avoid the risk of adverse events from antibiotics and the risk of developing resistant bacterial strains, the use of antibiotic prophylaxis should be minimised and recommendations in Sweden should be revised to be more evidence-based.

  • 9. Hudson, Jean
    et al.
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Lucander, Henriette
    Malmö högskola, Teknik och samhälle (TS).
    Skedinger-Jacobson, M
    Svensson, H
    Bedömning av studenternas prestationer2006Ingår i: Kvalitetsarbete på Malmö högskola då och nu - med sikte på framtiden, Malmö högskola, 2006, s. 63-87Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Ladda ner fulltext (pdf)
    FULLTEXT01
  • 10.
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Development of education for PhD- supervision.2007Konferensbidrag (Övrig (populärvetenskap, debatt, mm))
  • 11.
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Diagnostic efficacy of direct digital intraoral radiography in caries detection.2007Konferensbidrag (Övrig (populärvetenskap, debatt, mm))
  • 12.
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Education for PhD-supervision at Malmö University2007Konferensbidrag (Övrig (populärvetenskap, debatt, mm))
  • 13.
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Evidence and practice within Odontology2006Konferensbidrag (Övrig (populärvetenskap, debatt, mm))
  • 14.
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    How confident are dentists in the decision to administer antibiotic prophylaxis?2006Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

    Purpose: Our aim was to examine dentists' confidence in their decisions on whether or not to administer antibiotic prophylaxis and to analyze the effects of factors that might explain the interindividual variation in confidence. Methods: Postal questionnaires in combination with telephone interviews were used. The response rate was 51% (101/200). Eight simulated patient cases with a medical history that might imply an increased risk of infection following three different dental procedures were described in the questionnaire. The dentists were asked to assess on a 100-millimetre visual analogue scale how confident they were in their decisions of whether or not to administer antibiotic prophylaxis. We also analyzed the extent to which the interindividual variation in dentists' confidence assessments could be explained by the medical conditions and/or the dental procedures (R2), and divided the dentists into different categories. A discriminant analysis was then used to examine differences in background variables (sex, age, years of professional experience, place of work) between the categories of dentists. Result: Overall, the dentists exhibited high confidence in their decisions, regardless of whether they administered antibiotic prophylaxis (P>0.05). There was a wide variation in R2-values (range 0.293-0.996), explained by the medical conditions and/or the dental procedures. Individual variations in confidence were explained by the medical conditions in 46 % of the dentists (P<0.05), by the dental procedures in 8% (P<0.05), and by neither the medical conditions nor the dental procedures in 46% (P>0.05). Differences in background variables between the three categories of dentists were nonsignificant (P>0.05). Conclusions: Regardless of whether the dentists administered antibiotics, or whether their decisions were evidence-based, they exhibited high confidence. This may indicate that dentists are less likely to modify their behavior and that implementation of evidence into practice would be difficult. For nearly half the dentists, the individual variation in confidence could not be explained by the medical conditions or the dental procedures. This suggests that decisions might be intuitive and not based on adequate information. The analysis of background variables yielded no differences among the three categories, which suggests that other characteristics, perhaps personality, may explain the interindividual variation in confidence among dentists.

  • 15.
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Inga belägg för att tandvården botar eller hindrar tandlossning2008Ingår i: Dentalmagazinet, nr 3 2008, s. 10-10Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 16.
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Professionsforskning2007Konferensbidrag (Övrigt vetenskapligt)
  • 17.
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    "Sunt förnuft kan ersätta brister i kunskap"2008Ingår i: Tandläkartidningen, ISSN 0039-6982, Vol. 100, nr 14, s. 65-66Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 18.
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    The initiating of education for PhD-supervision at Malmö University.2007Konferensbidrag (Övrig (populärvetenskap, debatt, mm))
  • 19.
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Tveksamma behandlingseffekter mot tandlossning kostar miljoner2008Ingår i: Tandhygienisttidningen, ISSN 1102-6146, Vol. 28, s. 15-17Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 20.
    Knutsson, Kerstin
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Ohlsson, Bodil
    Troein, Margareta
    Clinicians' Management Strategies for Patients with Dyspepsia: a Qualitative Approach2005Ingår i: BMC Gastroenterology, ISSN 1471-230X, E-ISSN 1471-230X, Vol. 5, artikel-id 15Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Symptoms from the upper gastrointestinal tract are frequently encountered in clinical practice and may be of either organic or functional origin. For some of these conditions, according to the literature, certain management strategies can be recommended. For other conditions, the evidence is more ambiguous. The hypothesis that guided our study design was twofold: Management strategies and treatments suggested by different clinicians vary considerably, even when optimal treatment is clear-cut, as documented by evidence in the literature. Clinicians believe that the management strategies of their colleagues are similar to their own. METHODS: Simulated case histories of four patients with symptoms from the upper gastrointestinal tract were presented to 27 Swedish clinicians who were specialists in medical gastroenterology, surgery, and general practice and worked at three hospitals in the southern part of Sweden. The patients' histories contained information on the patient's sex and age and the localisation of the symptoms, but descriptions of subjective symptoms and findings from examinations differed from history to history. Interviews containing open-ended questions were conducted. RESULTS: For the same patient, the management strategies and treatments suggested by the clinicians varied widely, as did the strategies suggested by clinicians in the same speciality. Variation was more pronounced if the case history noted symptoms but no organic findings than if the case history noted unambiguous findings and symptoms. However, even in cases with a consensus in the scientific literature on treatment, the variations in clinicians' opinion on management were pronounced. CONCLUSION: Despite these variations, the clinicians believed that the decisions made by their colleagues would be similar to their own. The overall results of this study indicate that we as researchers must make scientific evidence comprehensible and communicate evidence so that clinicians are able to interpret and implement it in practice. Of particular significance is that scientific evidence leads to an evidence-based care which is effective clinical practice and to the promotion of health from the perspective of the patient, together with cost-effectiveness as a priority.

  • 21.
    Leisnert, Leif
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Hallström, Hadar
    Maxillofacial Unit, Halmstad Hospital, Halmstad, Sweden.
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    What findings do clinicians use to diagnose chronic periodontitis?2008Ingår i: Swedish Dental Journal, ISSN 0347-9994, Vol. 32, nr 3, s. 115-123Artikel i tidskrift (Refereegranskat)
    Abstract [sv]

    Kronisk sjukdom har ett eller flera av följande karakteristika: sjukdomen är varaktig, lämnar kvarvarande invaliditet, orsakar irreversibla patologiska förändringar och fordrar återkommande stöd i form av någon slags intervention eller instruktion. Detta innebär att diagnosen kronisk parodontit med stor sannolikhet medför personella och ekonomiska insatser från patient och tandvård. Majoriteten av alla patienter med parodontit har kronisk parodontit. Vilka fynd som används för att diagnostisera sjukdomen kan vara av central betydelse för val av behandling. Tidigare forskningsresultat visar att det finns stora variationer inom hälso- och sjukvård avseende vilka fynd som används för att ställa diagnos och hur man omhändertar patienter med likartade diagnoser/symptom. Målet med studien var att undersöka vilka fynd olika kategorier av kliniker använder för att ställa diagnosen kronisk parodontit och om det finns skillnader mellan de olika kategorierna. En enkät distribuerades som innehöll frågan: "Vilka fynd eller kombinationer av fynd använder du för att ställa diagnosen kronisk parodontit?". De undersökta kategorierna av kliniker utgjordes av sista terminens tandläkarstuderande och tandhygieniststuderande, kliniska lärare på Tandvårdshögskolan i Malmö och VFU (verksamhetsförlagd utbildning) -handledare i folktandvården dvs. tandläkare som är ansvariga för tandläkarstuderande när de fullgör sin obligatoriska tjänstgöring i folktandvården. Sjuttiosex kliniker, som representerade de olika kategorierna, angav tjugofem olika fynd för att ställa diagnosen kronisk parodontit. De fynd som angavs mest frekvent av samtliga kategorier var blödning, fördjupad tandköttsficka och förlust av marginal benvävnad. Tandhygieniststuderande angav signifikant fler fynd (P<0.05) än övriga kategorier och var mer benägna att använda irrelevanta fynd, dvs. fynd som inte per definition beskriver själva sjukdomen, t.ex. tandsten, plack och rökning, jämfört med övriga kategorier (P<0.05). Stor variation inom en och samma kategori av kliniker sågs också avseende vilka fynd som användes för att ställa diagnosen kronisk parodontit, dvs. om man angav fynd som påvisar inflammation i tandens stödjevävnad, förlust av tandens stödjevävnad eller om fynden var irrelevanta. Anmärkningsvärt var att de flesta deltagarna använde fynden solitärt, dvs. de angav antingen ett fynd som påvisade inflammation i tandens stödjevävnad eller ett fynd som påvisade förlust av tandens stödjevävnad eller ett fynd som var irrelevant. Endast 12 av de 76 deltagarna angav att de kombinerade fynden för att ställa diagnosen, dvs. en kombination av fynd som beskrev både förlust och inflammation av tandens stödjevävnad. Variationerna i vilka fynd man använde för att ställa diagnosen kronisk parodontit medför kanske att patienter med samma diagnos och sjukdomsbild får olika behandling av olika kliniker, om fyndet som användes för att ställa diagnos också ligger till grund för behandlingen. Detta kan i sin tur leda till icke kostnadseffektiv behandling. Vi avser att belysa detta i framtida studier.

  • 22.
    Liedholm, Rolf
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Henricsson, Vincent
    Lysell, Leif
    Norlund, Anders
    Rohlin, Madeleine
    Malmö högskola, Odontologiska fakulteten (OD).
    Rosenquist, Bo
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Patient Flows in the Care Process of Mandibular Third Molar Surgery2005Ingår i: Swedish Dental Journal, ISSN 0347-9994, Vol. 29, nr 3, s. 97-104Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    Our aim was to describe patient flows in mandibular third molar surgery at oral and maxillofacial specialist units. Our hypothesis was that there are variations in how care is delivered and that the variations could be explained by inter-individual variations in surgeons’ practice, the quality of the radiographs appended to the referral, and the staffing of the specialist units. A flow chart was constructed to simulate all possible patient flows in the care process. The chart begins with treatment planning, which was drawn up based on documents from the referring dentist or another caregiver; continues with the care process at the oral and maxillofacial surgery unit, including surgical consultations and radiological examinations; and ends with surgery. Surgeons at four oral and maxillofacial surgery units in the National Health Service in southern Sweden participated. The intention was to collect data on at least 100 patients who had undergone mandibular third molar surgery at each unit. Data on 361 patients were collected. The radiographs appended to the referral were judged to be inappropriate for the majority of the patients (61%). For 13% of these patients, supplementary radiographic examinations were made at the radiology clinic included in the unit, whilst 48% were examined at the oral and maxillofacial surgery clinic. There were eight different patient flow patterns. In one unit with three surgeons, eight different flow patterns were recorded, indicating an interindividual variation among the surgeons. In a second unit, six different flow patterns were recorded. In the last two units, the patient flows appeared to be the same at each unit, although the predominant patient flows in these two units differed. The number of patient visits to the specialist units ranged between one and three. In three specialist units, most patients were called twice whilst in one specialist unit most patients were called only once, to have the third molar removed. Differences existed in the care process. Overall, the number of patient visits seemed not to depend on whether the preoperative radiographic examination was judged to be appropriate or whether the additional radiographs were made at the radiology clinic.

  • 23.
    Liedholm, Rolf
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Visdomstanden - ska den tas bort?2007Konferensbidrag (Övrig (populärvetenskap, debatt, mm))
  • 24.
    Liedholm, Rolf
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Lysell, L
    Department of Oral Surgery, Central Hospital, Kristianstad.
    Rohlin, Madeleine
    Malmö högskola, Odontologiska fakulteten (OD).
    Mandibular third molars: oral surgeons' assessment of the indications for removal1999Ingår i: British Journal of Oral & Maxillofacial Surgery, ISSN 0266-4356, E-ISSN 1532-1940, Vol. 37, nr 6, s. 440-443Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim was to examine oral surgeons' assessment of the indications for removal of mandibular third molars. Questionnaires were distributed to seven oral and maxillofacial surgery clinics. The oral surgeons were asked to record whether or not there was associated disease. Three other factors were recorded: patient's age, and angular position and extent of eruption of the molars. The strength of the indication for removal was rated on a visual analogue scale (VAS) where 0 = weakest and 100 = strongest indication for removal. The results were based on data from 666 molars: 118 (18%) had no disease, 465 (70%) had one associated disease, 77 (11%) had two and 6 (1%) had three. The indication for removal as expressed by the mean VAS for molars with no disease was assessed to be weaker (P < 0.05) than that for molars with one, two, or three diseases. The only; factor that influenced the indication for removal in molars with no disease was the patient's age.

  • 25.
    Liedholm, Rolf
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Lysell, Leif
    Rohlin, Madeleine
    Malmö högskola, Odontologiska fakulteten (OD).
    Brickley, Mark
    Shepherd, Jonathan P
    The outcomes of mandibular third molar removal and non-removal: a study of patients' preferences using a multi-attribute method2000Ingår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 58, nr 6, s. 293-298Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim was to study patients' preferences about outcomes of mandibular third molar removal and non-removal using multi-attribute utility (MAU) methodology. The study comprised three stages. Stage 1: Elicitation of domains, i.e. main areas of patients' lives which could be affected by third molar removal and non-removal. Stage 2a: Interdomain weighting was obtained by relative weighting of the domains elicited in Stage 1. Stage 2b: Intradomain weighting obtained by patients' designation of values for different health slates of each domain. Stage 3: Rating of outcomes. The patients were asked to imagine experiencing a variety of outcomes of mandibular third molar removal and non-removal, described in 19 short vignettes. The numbers of patients interviewed for the three stages were 30, 78, and 55, respectively. Five domains were identified. The mean relative weightings were approximately equal for the domains "Home and social life" and "General health and well-being", followed in order of importance by "Job and studies" and "Health and comfort of mouth, teeth and gums". "Your appearance" received the lowest mean relative weighting. The vignette, which described the presence of a fluid-filled sac and suggested that this tooth must be removed, received the highest mean preference (least effect on patients' lives). The lowest mean preference (most effect on patients' lives) was generated by the vignette, which stated that the jaw was broken and that the teeth must be wired together for 6 weeks. We conclude that, from the patient's perspective, outcomes of non-removal were preferable to outcomes of mandibular third molar removal.

  • 26.
    Liedholm, Rolf
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Norlund, Anders
    Economic aspects of mandibular third molar surgery2010Ingår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 68, nr 1, s. 43-48Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective. The aim of this study was to make estimates from a dental care and societal perspective on costs of mandibular third molar surgery. Material and methods. A total of 64 patients were recruited from three Swedish oral and maxillofacial specialist clinics. Calculations were made prospectively on utilization of labor time, specific medical services and materials, and standardized utilization of other direct costs. Indirect costs were identified from patient surveys. Results. The base case average direct cost of surgery was 217 Euro. Adding the patient's average cost due to absence from work and transportation of 333 Euro increased overall costs to 550 Euro per patient. About 86% of the patients reported some absence following surgery. Conclusions. The indirect costs were on average higher than the direct costs, i.e. the patient's loss of time caused higher costs than the intervention per se. Appropriate indications for mandibular third molar removal can minimize the risks of complications and individual or societal costs.

  • 27.
    Liedholm, Rolf
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Lysell, Leif
    Rohlin, Madeleine
    Malmö högskola, Odontologiska fakulteten (OD).
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Brickley, Mark
    Shepherd, Jonathan
    Third molar treatment outcome: a comparison of patients' preferences in Sweden and Wales2005Ingår i: British Dental Journal, ISSN 0007-0610, E-ISSN 1476-5373, Vol. 199, nr 5, s. 287-291Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: To elucidate and compare patients’ outcome preferences with regard to removal and retention of mandibular third molars in Sweden and Wales. Subjects and Method: The subjects comprised patients referred for and scheduled for removal of one or both mandibular third molars in both Sweden and Wales. To study patients’ preferences for outcomes of removal and retention of the mandibular third molar, the Multi-attribute utility (MAU) methodology was applied to these patients. Results: Relative weighting of domains was similar in the two countries. “Home and social life” received the highest relative weighting in Sweden and “General health and well-being” in Wales. “Your appearance” received the lowest relative weighting in Sweden and Wales. In both Sweden and Wales operative jaw fracture was considered to be the outcome with most impact and dentigerous cyst and imbricated incisors the least impact. Outcome ranking was similar in the two countries and operative outcomes were considered by patients to be more detrimental to health than retention outcomes. Conclusions: This European comparison showed that patients’ preferences in Sweden and Wales were similar and that the outcomes of surgery were considered worse after third molar removal than retention. Patient-orientated treatment decisions are less subject to variation than clinician-orientated decisions.

  • 28.
    List, Thomas
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Petersson, Arne
    Malmö högskola, Odontologiska fakulteten (OD).
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Wiese, Mie
    Svensson, P
    Bakke, M
    Hintze, H
    Wenzel, A
    Associations between TMJ signs and symptoms and radiographic findings2007Konferensbidrag (Övrig (populärvetenskap, debatt, mm))
  • 29.
    Lucander, Henriette
    et al.
    Malmö högskola, Teknik och samhälle (TS).
    Bondemark, Lars
    Malmö högskola, Odontologiska fakulteten (OD).
    Brown, George
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    The structure of observed learning outcome (SOLO) taxonomy: a model to promote dental students’ learning2010Ingår i: European journal of dental education, ISSN 1396-5883, E-ISSN 1600-0579, Vol. 14, nr 3, s. 145-150Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Selective memorising of isolated facts or reproducing what is thought to be required – the surface approach to learning – is not the desired outcome for a dental student or a dentist in practice. The preferred outcome is a deep approach as defined by an intention to seek understanding, develop expertise and relate information and knowledge into a coherent whole. The aim of this study was to investigate whether the structure of observed learning outcome (SOLO) taxonomy could be used as a model to assist and promote the dental students to develop a deep approach to learning assessed as learning outcomes in a summative assessment. Thirty-two students, participating in course eight in 2007 at the Faculty of Odontology at Malmo¨ University, were introduced to the SOLO taxonomy and constituted the test group. The control group consisted of 35 students participating in course eight in 2006. The effect of the introduction was measured by evaluating responses to a question in the summative assessment by using the SOLO taxonomy. The evaluators consisted of two teachers who performed the assessment of learning outcomes independently and separately on the coded material. The SOLO taxonomy as a model for learning was found to improve the quality of learning. Compared to the control group significantly more strings and structured relations between these strings were present in the test group after the SOLO taxonomy had been introduced (P < 0.01, one tailed test for both results). The SOLO taxonomy is recommended as a model for promoting and developing a deeper approach to learning in dentistry.

  • 30.
    Lucander, Henriette
    et al.
    Malmö högskola, Fakulteten för teknik och samhälle (TS), Institutionen för datavetenskap (DV).
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Salé, Hanna
    Malmö högskola, Odontologiska fakulteten (OD).
    Jönsson, Anders
    Malmö högskola, Fakulteten för lärande och samhälle (LS).
    “I’ll Never Forget This”: evaluating a pilot workshop in effective communication for dental students2012Ingår i: Journal of Dental Education, ISSN 0022-0337, E-ISSN 1930-7837, Vol. 76, nr 10, s. 1311-1316Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study evaluated a pilot workshop for teaching communication skills to dental students. The methodology is based on an experiential learning approach, the use of realistic clinical scenarios, simulated patients, and an integrated teaching team of both educational researchers and dentists. Furthermore, the methodology was adapted for short workshops, which is thought to offer better possibilities for frequent and effective training of communication skills throughout the curriculum. The workshop was piloted with groups of six to ten students from the sixth and tenth semesters (n=94). Results show that the majority of students found the tasks meaningful and well aligned with how they perceived their future profession as dentists. Most students also thought that they learned from the task. An interesting finding is that students not only found it instructive to practice how to communicate in authentic situations, but that they generally found the workshop to be thought-provoking while at the same time providing structure and intellectual tools for the future. A possible explanation for this finding is the sharing of explicit criteria for high-quality communication.

    Ladda ner fulltext (pdf)
    FULLTEXT01
  • 31.
    Mattheos, Nikos
    et al.
    Malmö högskola, Odontologiska fakulteten (OD). Department of Periodontology and Fixed Prosthodontics, Dental Faculty, Bern University, Switzerland.
    Attström, Rolf
    Malmö högskola, Odontologiska fakulteten (OD). Department of Periodontology and Fixed Prosthodontics, Dental Faculty, Bern University, Switzerland.
    Fundak, Angela
    Oral B Laboratories, Gillette International, Geneva, Switzerland.
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Padrutt, Susan
    CEFOPS - School of Dental Hygiene, Geneve, Switzerland.
    Polychronopoulou, Argy
    Department of Preventive and Community Dentistry, Dental Faculty, University of Athens, Greece.
    Scoonheim-Klein, Meta
    Department of Periodontology, ACTA, Netherlands.
    Saxer, Ulrich Peter
    Prophylaxe Zentrum Zürich, Switzerland.
    Assessing behavioural change support abilities of the oral healthcare team2006Ingår i: Oral Health & Preventive Dentistry, ISSN 1602-1622, E-ISSN 1757-9996, Vol. 4, nr 1, s. 71-77Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Competent behavioural change intervention can be learned, practised and developed. Therefore, the teaching and assessment of this ability should be within the scope of both the undergraduate and post-graduate curriculum. Assessment should target knowledge base and skills in the areas of counselling, communication and behaviour. Assessment of the knowledge base should ideally be conducted in a comprehensive, multidisciplinary, centrally based manner in the pre-clinical curriculum. Assessment of skills in the areas of communication, counselling and behaviour change is a wider aim that should be integral throughout the curriculum. In continuing education (CE) environments, an initial 'screening' assessment would help educators to adjust the course to the participants' background and needs. Furthermore, three major assessment schemes are proposed: (1) assessment of knowledge and skills, (2) evaluation of the whole course by the participants, and (3) assessment of the implementation process, four to six months after completion.

  • 32.
    Milosavljevic, Aleksandar
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Götrick, Bengt
    Malmö högskola, Odontologiska fakulteten (OD).
    Hallström, Hadar
    Malmö högskola, Odontologiska fakulteten (OD).
    Jansson, Henrik
    Malmö högskola, Odontologiska fakulteten (OD).
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Different treatment strategies are applied to patients with the same periodontal status in general dentistry2014Ingår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 72, nr 4, s. 290-297Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Abstract Objective. To analyse how general dental practitioners (GDPs) and dental hygienists judge and plan to treat patients with different periodontal conditions. Materials and methods. Seventy-seven GDPs and 50 dental hygienists in a Swedish county, Halland, participated in a questionnaire study. The response rate was 94%. The questionnaire consisted of four simulated patient cases and an attached answer sheet. The patient cases had different periodontal status, ranging from healthy to moderate bone loss with general inflammation. The clinicians judged the periodontal status as healthy or diseased. If judged as diseased the clinicians suggested a diagnosis, selected treatment options and estimated the number of treatment sessions for each patient case. The clinicians were compared to each other regarding their judgement, as healthy or diseased, diagnostics and treatment. Results. Three out of four patients were judged both as healthy and diseased by different clinicians. If judged as diseased the patients were diagnosed as having gingivitis or periodontitis. Regardless of the clinicians' former judgement and diagnostics there were no differences (p > 0.05) in the selected treatment options but there was a difference (p < 0.05) in the suggested number of treatment sessions. Conclusions. Clinicians' judgement of the same periodontal condition, as healthy or diseased, varies, which partly results in different treatment decisions considering the number of treatment sessions. The suggested number of treatment sessions varied also between clinicians even if they judged and diagnosed the condition likewise. The willingness to treat and suggested treatment options were not influenced by the variation in judgement and diagnostics.

  • 33.
    Milosavljevic, Aleksandar
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Götrick, Bengt
    Malmö högskola, Odontologiska fakulteten (OD).
    Hallström, Hadar
    Malmö högskola, Odontologiska fakulteten (OD).
    Stavropoulos, Andreas
    Malmö högskola, Odontologiska fakulteten (OD).
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Assessment of Prognosis and Periodontal Treatment Goals Among General Dental Practitioners and Dental Hygienists2016Ingår i: Oral Health & Preventive Dentistry, ISSN 1602-1622, E-ISSN 1757-9996, Vol. 14, nr 5, s. 433-441Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: To evaluate general dental practitioners' (GDPs) and dental hygienists' (DHs) assessment of prognosis, suggested treatment goals, and estimated number of treatment sessions in patients with varying severity of periodontal disease. Materials and Methods: Seventy-seven GDPs and fifty DHs in a Swedish county participated in a questionnaire study, based on three patient cases: a patient with generalised bone loss but no clinical signs of inflammation (well-maintained); a patient with clinical signs of inflammation and generalised bone loss (periodontitis); and a patient with clinical signs of inflammation but no bone loss (gingivitis). In open-ended questions, the clinicians assessed the prognosis in case of no treatment and proposed treatment goals. Furthermore, based on given fixed-alternative options, they estimated the number of treatment sessions needed for successful management of the condition. Results: Based on a response rate of 94%, the majority of clinicians expected a worsening of the periodontal condition in all three patients (well-maintained: 80%; periodontitis: 94%; gingivitis: 60%). The most common treatment goal in all 3 cases was to improve oral health awareness. The majority of clinicians estimated that the periodontitis case needed slightly more treatment sessions (mean: 3.04, 95% CI: 2.83-3.24) compared to the gingivitis (mean: 1.93, 95% CI: 1.75-2.11) or well-maintained patient case (mean: 1.84, 95% CI: 1.60-2.07). Conclusions: The majority of included clinicians did not perform an individualised risk assessment and did not individually match the number of appointments to the actual periodontal treatment needs of the patient. This may result in overtreatment in some cases and in undertreatment in others, and possibly in suboptimal use of resources.

  • 34.
    Milosavljevic, Aleksandar
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Götrick, Bengt
    Malmö högskola, Odontologiska fakulteten (OD).
    Hallström, Hadar
    Malmö högskola, Odontologiska fakulteten (OD).
    Stavropoulos, Andreas
    Malmö högskola, Odontologiska fakulteten (OD).
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Assessment of prognosis and treatment goals among general dental practitioners and dental hygienists2014Rapport (Övrigt vetenskapligt)
    Abstract [en]

    Introduction: Clinicians are expected to base their treatment strategies of periodontal diseases on patient history, clinical appearance, and previous experience of periodontal disease. Treatment decisions are influenced by their prognostic assessment and treatment goals. Therefore the aim was to study patterns regarding general dental practitioners (GDPs) and dental hygienists (DHs) a) assessment of prognosis, b) setting of treatment goals, and c) estimation of amount of treatment of cases with varying severity of periodontal disease. Material and Methods: Seventy-seven GDPs and 50 DHs in a Swedish county were invited to participate in a questionnaire study. The response rate was 94 %. The questionnaire included patient history, clinical charts and radiographs, of three patient cases with a varying degree of periodontal diseases. Clinicians that judged these patients as diseased assessed the prognosis, proposed treatment goals and estimated amount of treatment, i.e. number of treatment sessions. The clinicians were compared to each other regarding their prognostic assessment and estimated amount of treatment. ANOVA and Tukey´s test compared the differences in estimated amount of treatment. Results: The majority of clinicians (58-95%) assessed that a worsening of the periodontal condition (assessment of prognosis) should occur. They had different treatment goals. Regardless of the clinicians’ former prognostic assessment there were almost no differences, overall, in estimated number of treatment sessions (p>0.05). The estimated number of treatment sessions ranged from 2 to 3 sessions in all patients. Conclusions: Most clinicians assessed the prognosis as negative. All patients were estimated to require the same amount of treatment even if their periodontal condition differed significantly in severity. This could mean that patients are over- or undertreated in relation to their periodontal condition and indicates that resources are ineffectively used.

    Ladda ner fulltext (pdf)
    FULLTEXT01
  • 35. Mota de Almeida, Fernando José
    et al.
    Flygare, Lennart
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Wolf, Eva
    Malmö högskola, Odontologiska fakulteten (OD).
    Circumstances behind the use of Cone Beam Computed Tomography for endodontic reasons in Sweden from the perspective of the referring dentist2017Ingår i: International Endodontic Journal, ISSN 0143-2885, E-ISSN 1365-2591, Vol. 50, nr S1, artikel-id R007Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    Aim: To study the circumstances preceding the CBCT examination referral for endodontic reasons in Sweden. Methodology: Fourteen dentists (8 female) 33–58 years of age (mean =44), practicing in Sweden were strategically selected. Ten of the dentists were specialists in endodontics. The absolute inclusion criterion was experience of referring patients for CBCT for endodontic reasons. The included dentists provided a variation concerning gender, age, work experience, education background, location of practice, service affiliation and accessibility to CBCT. Data was obtained through thematic, semi-structured interviews exposing the context of their last self-reported three referrals. Dentists were encouraged to describe their experiences of the circumstances in their own words, aided by the interviewer’s openended questions. The interviews were audio recorded and transcribed verbatim. Qualitative content analysis was used to analyze the text. Results: The preliminary results may indicate that high clinical diagnostic standards, clinical common sense and a willingness of helping the patient with minimal harm may restrict the use of CBCT to address complex diagnostic judgements or therapeutic decisions, which comply with existing European guidelines on the use of CBCT in endodontics. Knowledge of guidelines was however limited among the interviewed dentists. Conclusions: Common sense and high professional standards seem to lead dentists in Sweden to comply with current European guidelines for the use of CBCT in endodontics even when the den tists lack knowledge of the guidelines. Acknowledgements: This work is funded by the Norrbotten County Council.

  • 36. Mota de Almeida, Fernando José
    et al.
    Flygare, Lennart
    Knutsson, Kerstin
    Malmö universitet, Odontologiska fakulteten (OD).
    Wolf, Eva
    Malmö universitet, Odontologiska fakulteten (OD).
    'Seeing is believing': a qualitative approach to studying the use of cone beam computed tomography in endodontics in Sweden.2019Ingår i: International Endodontic Journal, ISSN 0143-2885, E-ISSN 1365-2591, Vol. 52, nr 10, s. 1519-1528Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: To gain insight into the decision processes of dentists when requesting a cone beam computed tomography (CBCT) examination in endodontic settings. Methodology: Fourteen dentists (eight female) 33–58 years of age (mean = 44) practising in Sweden were interviewed. Ten of the dentists were specialists in Endodontics. The absolute inclusion criterion was experience of referring patients for CBCT for endodontic reasons. The included dentists comprised a strategically selected diverse sample in terms of gender, age, work experience, educational background, location of practice, service affiliation and accessibility to CBCT. Data were obtained through semistructured interviews exposing the context of their last three self‐reported referrals. Dentists were encouraged to describe their experiences of the circumstances in their own words, aided by the interviewer's open‐ended questions. The interviews were audio‐recorded and transcribed verbatim. The text was analysed by qualitative content analysis. Results: The manifest content was organized into three categories that were defined as visualization as a desire, facilitating tough decisions and allocating responsibility. Conclusion: An overall theme (covering the latent content) was identified: A balance between clinical common sense and a ‘better safe than sorry’ attitude guides the use of CBCT in endodontic settings. Informants had high clinical standards, knowledge concerning radiation risks and good sense, which could compensate for their lack of knowledge of guidelines. The national radiation regulatory system was perceived to work as a slightly porous gatekeeper for over‐usage.

  • 37. Mota de Almeida, Fernando José
    et al.
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Flygare, Lennart
    Diagnostic thinking and therapeutic decision confidence after cone beam computed tomography in endodontics measured by a visual analogue scale (VAS)2014Ingår i: International Endodontic Journal, ISSN 0143-2885, E-ISSN 1365-2591, Vol. 47, nr 1, s. 52-52, artikel-id R10Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    Aim To determine if Cone Beam Computed Tomography (CBCT) used in accordance with the European Commission guidelines has an impact on the diagnostic thinking confidence and therapeutic decision confidence in a population referred for endodontic problems. Methodology The study includes data collected from October 2011 until December 2012. From two different endodontic clinics consecutive patients were referred to a CBCT examination using criteria in accordance with the European Commission guidelines. The CBCT examinations were performed with similar equipment and standardized between clinics. After a thorough clinical examination and before CBCT examination, the endodontist scored the confidence for both diagnosis and therapeutic decision on a 100 mm visual analogue scale (VAS). After the CBCT examination both diagnosis and therapy plan were revised by the same dentist and a new VAS-score of confidence was performed. The VAS-scores before and after the CBCT examination were plotted for all teeth. Before and after assessments were analyzed with paired samples t-test. Results Fifty-seven patients were referred for a CBCT examination, representing 4% of all patients examined by both endodontic clinics during the study period. Four patients were excluded from the analysis as the protocol was not followed. The final data included 53 patients, and 81 teeth. For all teeth the mean score for diagnostic confidence before CBCT examination was 63 mm (SD 30). After CBCT-examination, the mean of the changes in diagnostic confidence for each patient was 23 mm (SD 27) (P < 0.01). The mean therapeutic decision confidence score Before CBCT was 67 mm (SD 25). The mean of the changes in therapeutic decision confidence after CBCT was 22 mm (SD 28) P < 0.01. Conclusions CBCT examination used in accordance with the European Commission guidelines increased the clinician’s confidence in both diagnostic thinking and therapeutic decision in a population with endodontic problems.

    Ladda ner fulltext (pdf)
    FULLTEXT01
  • 38. Mota de Almeida, Fernando José
    et al.
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Flygare, Lennart
    The effect of cone beam CT (CBCT) on therapeutic decision-making in endodontics2014Ingår i: Dento-Maxillo-Facial Radiology, ISSN 0250-832X, E-ISSN 1476-542X, Vol. 43, nr 4, artikel-id 20130137Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES: The aim was to assess to what extent cone beam CT (CBCT) used in accordance with current European Commission guidelines in a normal clinical setting has an impact on therapeutic decisions in a population referred for endodontic problems. METHODS: The study includes data of consecutively examined patients collected from October 2011 to December 2012. From 2 different endodontic specialist clinics, 57 patients were referred for a CBCT examination using criteria in accordance with current European guidelines. The CBCT examinations were performed using similar equipment and standardized among clinics. After a thorough clinical examination, but before CBCT, the examiner made a preliminary therapy plan which was recorded. After the CBCT examination, the same examiner made a new therapy plan. Therapy plans both before and after the CBCT examination were plotted for 53 patients and 81 teeth. As four patients had incomplete protocols, they were not included in the final analysis. RESULTS: 4% of the patients referred to endodontic clinics during the study period were examined with CBCT. The most frequent reason for referral to CBCT examination was to differentiate pathology from normal anatomy, this was the case in 24 patients (45% of the cases). The primary outcome was therapy plan changes that could be attributed to CBCT examination. There were changes in 28 patients (53%). CONCLUSIONS: CBCT has a significant impact on therapeutic decision efficacy in endodontics when used in concordance with the current European Commission guidelines.

    Ladda ner fulltext (pdf)
    FULLTEXT01
  • 39.
    Mota de Almeida, Fernando José
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Flygare, Lennart
    The impact of cone beam computed tomography on the choice of endodontic diagnosis2015Ingår i: International Endodontic Journal, ISSN 0143-2885, E-ISSN 1365-2591, Vol. 48, nr 6, s. 564-572Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIM: To determine whether the outcome of cone beam computed tomography (CBCT) examinations performed in accordance with the European Commission guidelines in a clinical setting has an impact on choosing diagnoses in endodontics. METHODOLOGY: A prospective observational study was conducted. Fifty-three consecutive patients (81 teeth) from two different endodontic specialist clinics in Sweden were followed. After performing a thorough clinical examination (based on the history, clinical findings, and diagnostic tests such as intra-oral radiography), the examiner wrote down a preliminary diagnosis before CBCT examination. After the CBCT examination, a new diagnosis was made by the same examiner. Both the pre- and the post-CBCT examination diagnoses were plotted according to patients and teeth. The CBCT examinations were performed using similar equipment and protocols that were standardized amongst the clinics. RESULTS: The diagnoses were changed for at least one tooth in 22 patients (41%); overall, the diagnoses were changed for 28 teeth (35%). CONCLUSION: CBCT has a substantial impact on diagnostic thinking in endodontics when used in accordance with the European Commission guidelines.

  • 40. Rawski Åkerblom, Anna
    et al.
    Brehmer, Berndt
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Petersson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Reit, Claes
    Rohlin, Madeleine
    Malmö högskola, Odontologiska fakulteten (OD).
    The major factors that influence endodontic retreatment decisions2003Ingår i: Swedish Dental Journal, ISSN 0347-9994, Vol. 27, nr 1, s. 23-29Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The presence of a new or persistent periapical radiolucency adjacent to a rootfilled tooth is often used as a criterion of endodontic treatment “failure”. However, clinicians’ suggested management of such cases is subject to substantial interindividual variation. Several components that might influence endodontic retreatment decision making have been explored, but data on which factors dentists actually think they consider, are missing. The aim was to interview 20 general dental practitioners (GPDs) and 20 endodontists about factors they thought would influence the prescription of endodontic retreatment. Six simu-lated cases were presented as cartoons accompanied with a clinical his-tory. In two of the cases the teeth were planned to serve as an abut-ment tooth in a fixed prosthodontic construction. The status of the periapical bone tissue and the quality of rootfilling seal were varied. Between 1 and 6 factors per case were reported to influence decision making. In cases not planned to serve as abutment teeth most dentists considered that the periapical condition was the most important fac-tor, whilst they considered the fixed prosthodontic construction to be the most important factor in cases planned as abutment teeth. Gener-ally, endodontists seem to be more inclined to retreat and act on the mere presence of a periapical lesion regardless of size than GDPs. In a real clinical setting in direct contact with patients, additional factors like economy and patients’ preferences might be expected to exert a major influence. The majority of the dentists stated that they thought that their colleagues would make similar decisions as they did them-selves.

  • 41.
    Rohlin, Madeleine
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Levi, Ragnar
    Från evidens till bättre praxis: tillämpning av evidens2005Ingår i: Tandläkartidningen, ISSN 0039-6982, Vol. 97, nr 6, s. 58-63Artikel i tidskrift (Refereegranskat)
    Abstract [sv]

    Om vården ska göra största möjliga nytta måste bästa tillgängliga vetenskapliga kunskap – evidens – tillämpas systematiskt. Ineffektiva kliniska rutiner måste förändras och bevisat effektiva behandlingar spridas. Men forskningen ger inget enkelt svar på hur sådana förändringar ska åstadkommas. Studier av praxispåverkan visar dels att åtgärder som syftar till att förändra praxis bör skräddarsys efter budskap, målgrupp och nuläge, dels att enskilda insatser oftast endast har liten eller måttlig effekt. En effektiv praxispåverkan kräver ofta ett paket av samordnade åtgärder som är anpassade till sammanhanget. Dessutom krävs en strategi för att hantera tänkbara hinder för en evidensbaserad tandvård.

  • 42.
    Rohlin, Madeleine
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Lindh, Christina
    Malmö högskola, Odontologiska fakulteten (OD).
    Petersson, Arne
    Malmö högskola, Odontologiska fakulteten (OD).
    Systematic reviews - avenues to improved quality in oral health care and research2009Ingår i: Programme and abstract book, 2009, s. 70-70, artikel-id O70Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

    Introduction Systematic reviews comprise a synthesis of scientific evidence that is a key in three approaches to improve the quality of care - evidence-based medicine, health technology assessment, and clinical guidelines. Analysis of the scientific literature also reveals issues that require further research as knowledge gaps will be identified. These can be used to improve the research agenda in health care. Objectives To analyse evidence from systematic reviews on imaging methods in oral health care. Materials and methods Common features of five systematic reviews, which we performed, were analysed. The reviews elucidated methods used to diagnose chronic periodontitis (one review), jaw bone tissue in dental implant planning (two reviews), and temporomandibular joint disorders (two reviews). Our analysis of original studies included and excluded in the reviews focussed on the study design and outcomes using the Thornbury's ladder (1). Results Overall there is room for improvement. There was a wide heterogeneity in study design and reported outcome variables. Most studies reported outcomes on the level of diagnostic ability. No study presented how any diagnostic method influenced patient care in terms of changed treatment and change in patient outcome. Evidence was limited also on outcomes of combinations of imaging methods with other diagnostic methods as used in clinical care. Conclusions and discussion To improve the accuracy and completeness of studies on diagnostic methods, the Standards for Reporting of Diagnostic Accuracy (STARD) statement should be applied. Evidence to support clinical effectiveness of imaging methods is required to improve oral health care. (1) Fryback DG, Thornbury JR. The efficacy of diagnostic imaging. Med Decis Making 1991;11:88-94. Rohlin M1, Knutsson K1, Lindh C1, Petersson A1 1 Malmö University, Malmö, Sweden Introduction Systematic reviews comprise a synthesis of scientific evidence that is a key in three approaches to improve the quality of care - evidence-based medicine, health technology assessment, and clinical guidelines. Analysis of the scientific literature also reveals issues that require further research as knowledge gaps will be identified. These can be used to improve the research agenda in health care. Objectives To analyse evidence from systematic reviews on imaging methods in oral health care. Materials and methods Common features of five systematic reviews, which we performed, were analysed. The reviews elucidated methods used to diagnose chronic periodontitis (one review), jaw bone tissue in dental implant planning (two reviews), and temporomandibular joint disorders (two reviews). Our analysis of original studies included and excluded in the reviews focussed on the study design and outcomes using the Thornbury's ladder (1). Results Overall there is room for improvement. There was a wide heterogeneity in study design and reported outcome variables. Most studies reported outcomes on the level of diagnostic ability. No study presented how any diagnostic method influenced patient care in terms of changed treatment and change in patient outcome. Evidence was limited also on outcomes of combinations of imaging methods with other diagnostic methods as used in clinical care. Conclusions and discussion To improve the accuracy and completeness of studies on diagnostic methods, the Standards for Reporting of Diagnostic Accuracy (STARD) statement should be applied. Evidence to support clinical effectiveness of imaging methods is required to improve oral health care. (1) Fryback DG, Thornbury JR. The efficacy of diagnostic imaging. Med Decis Making 1991;11:88-94.

  • 43.
    Svensäter, Gunnel
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Davies, Julia
    Malmö högskola, Odontologiska fakulteten (OD).
    Hänsel Petersson, Gunnel
    Malmö högskola, Odontologiska fakulteten (OD).
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Neilands, Jessica
    Malmö högskola, Odontologiska fakulteten (OD).
    Rohlin, Madeleine
    Malmö högskola, Odontologiska fakulteten (OD).
    Mejàre, Ingegerd
    Malmö högskola, Odontologiska fakulteten (OD).
    Petersson, Lars G
    Sahlin, Nils-Eeic
    Carlén, Annette
    Dahlén, Gunnar
    Risk, riskbedömning och prevention2008Ingår i: Tandläkartidningen, ISSN 0039-6982, Vol. 100, nr 9-10, s. 70-76Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
    Abstract [sv]

    Biologiska markörer som baserar sig på egenskaper och aktivitet hos bakterier i dentala biofilmer skulle kunna användas för att identifiera patienter med hög risk för karies och parodontit. Genom att studera hur tandläkare gör riskbedömningar och tar beslut om åtgärder kan man få ett bra underlag för att förbättra praxis.

  • 44.
    Wiese, Mie
    et al.
    Univ Aarhus, Dept Oral Radiol, Sch Dent, Fac Hlth Sci, Aarhus, Denmark.
    Svensson, Peter
    Univ Aarhus, Sch Dent, Fac Hlth Sci, Dept Clin Oral Physiol, DK-8000 Aarhus C, Denmark.
    Bakke, Merete
    Univ Copenhagen, Dept Oral Med Clin Oral Physiol Oral Pathol & Ana, Sch Dent, Fac Hlth Sci, Copenhagen, Denmark.
    List, Thomas
    Malmö högskola, Odontologiska fakulteten (OD).
    Hintze, Hanne
    Univ Aarhus, Dept Oral Radiol, Sch Dent, Fac Hlth Sci, Aarhus, Denmark.
    Petersson, Arne
    Malmö högskola, Odontologiska fakulteten (OD).
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Wenzel, Ann
    Univ Aarhus, Dept Oral Radiol, Sch Dent, Fac Hlth Sci, Aarhus, Denmark.
    Association Between Temporomandibular Joint Symptoms, Signs, and Clinical Diagnosis Using the RDC/TMD and Radiographic Findings in Temporomandibular Joint Tomograms2008Ingår i: Journal of Orofacial Pain, ISSN 1064-6655, E-ISSN 1945-3396, Vol. 22, nr 3, s. 239-251Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: To identify associations between clinical symptoms of temporomandibular joint disorders and radiographic findings. Methods: Two hundred four adult patients (156 women, 48 men, mean age 40 years) with temporomandibular joint (TMJ) pain/sounds or changes in mandibular motion were examined according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Bilateral sagittal corrected TMJ tomograms in closed and open positions were assessed fo the presence of flattening, erosion, osteophytes, and sclerosis in the joint components and the range of mandibular motion. Logistic regression analyses were performed with the radiographic findings as the dependent variables and the following clinical variables as independent variables: opening pattern, maximal jaw opening, TMJ sounds, number of painful muscle/TMJ sites, duration of pain, presence of arthritic disease, depression and somatisation scores, graded chronic pain, and age and gender. Resluts: Coarse crepitus on opening/closing (odds ratio [OR] ≥ 3.12), on lateral excursions (odds ratio ≥ 4.06), and on protrusion (OR ≥ 5.30) was associated with increased risk of degenerative findings in tomograms. A clinical diagnosis of osteoarthritis increased the risk of radiographic findings (OR ≥ 2.95) and so did increasing age (OR ≥ 1.03 per year) and the female gendera (OR ≥ 2.36). Maximal assisted opening and maximal opening without pain (< 40 mm) was associated with a posterior condyle-to-articular tubercle position (OR ≥ 2.60). No other significant associations were observed. Conclusion: Age, gender, and coarse crepitus, but no pain-related variables, were associated with increased risk of degenerative findings in TMJ tomograms. Maximal opening < 40 mm was associated with at posterior condyle-to-articular tubercle relation on opening.

  • 45. Wiese, Mie
    et al.
    Wenzel, A
    Hintze, H
    Petersson, Arne
    Malmö högskola, Odontologiska fakulteten (OD).
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Bakke, M
    List, Thomas
    Malmö högskola, Odontologiska fakulteten (OD).
    Svensson, Peter
    Malmö högskola, Odontologiska fakulteten (OD).
    Influence of cross-sectional temporomandibular joint (TMJ) tomography on diagnosis and management of patients with temporomandibular disorders (TMD)2008Konferensbidrag (Refereegranskat)
    Abstract [en]

    Objectives: To describe changes in diagnosis and management of TMD patients after radiographic examination and to evaluate the associations between specific TMJ tomographic findings and changes in management. Methods: 204 adult patients (48 males, 156 females, mean age 40 years) with TMJ pain/sounds or problems with mandibular motion were examined according to the Research Diagnostic Criteria (RDC/TMD) by one of six calibrated orofacial pain specialists. Diagnoses and management strategy reached without the aid of radiographs were recorded. It was possible to select from seven management categories (pharmacology, physiotherapy, psychological, occlusal stabilization, surgical, other examinations and referrals) each with a number of sub-categories. Bilateral sagittal corrected TMJ tomograms in closed position were obtained using conventional film in a Cranex Tome or a Scanora tomographic X-ray unit. The tomograms were assessed for the presence of flattening, erosion, osteophyte and sclerosis in the TMJ components and the condyle-to-mandibular fossa relation by one of five calibrated oral radiologists blinded to the clinical diagnosis and initial management strategy. After gaining access to the results from the radiographic examination the orofacial pain specialists re-evaluated their diagnoses and management strategy. All changes were calculated. Logistic regression analyses (with odds ratio (OR) and significance level (p)) were performed with changes in management as the dependent variable and with age and radiographic findings as the independent variables. Results: 41% of the clinical arthralgia diagnoses were changed into osteoarthritis after radiographic examination and the number of osteoarthrosis diagnoses increased with 200% (from 13 to 39). One or more changes in the management strategy were found for 27% (55) of the patients. Most often changes occurred in pharmacology and physiotherapy (29 and 28 patients respectively) followed by changes in psychological (13 patients), occlusal stabilization (8 patients), referrals (7 patients), other examinations (6 patients) and surgical (2 patients). For pharmacology, physiotherapy and psychological the changes were adjustments within the sub-categories in 51 out of 70 patients. For the other management categories most of the changes were addition or omission of the management category (in 20 out of 23 patients). The chance of “any change” in management (removal or addition of one or more sub-categories in one or more management categories) was more than twice as high with a finding of flattening (OR=2.28) and erosion (OR=2.03) compared to not having these radiographic findings. Increased chance of “any change” in management was also found with >1 radiographic finding (regardless of type) (OR=2.64) compared to having no radiographic findings. The chance of change in pharmacology was increased more than three times with erosion (OR=3.60) and more than two times with flattening (OR=2.56). The chance of change in physiotherapy was increased with >1 radiographic finding (OR=2.79). No statistically significant (p≤0.05) associations between osteophyte, sclerosis and age and changes in management were found. Conclusion: 27% of the patients had changes in management after radiographic examination. Radiographic findings did increase the chance of changes in management. However, as the changes were mostly adjustments in sub-categories radiography may have a minor impact on management of most TMD patients.

  • 46. Wiese, Mie
    et al.
    Wenzel, Ann
    Hintze, Hanne
    Petersson, Arne
    Malmö högskola, Odontologiska fakulteten (OD).
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Bakke, Merete
    List, Thomas
    Malmö högskola, Odontologiska fakulteten (OD).
    Svensson, Peter
    Malmö högskola, Odontologiska fakulteten (OD).
    Influence of cross-sectional temporomandibular joint tomography on daignosis and management decisions of patients with temporomandibular joint disorders2011Ingår i: Journal of Orofacial Pain, ISSN 1064-6655, E-ISSN 1945-3396, Vol. 25, s. 223-231Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIM: To assess whether changes in diagnoses and management of temporomandibular joint disorder (TMJD) patients are influenced by radiographic findings and if there is an association between specific radiologic alterations and management strategy changes. METHODS: A total of 204 patients with TMJ symptoms were examined using the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Diagnoses and management were first decided without the aid of radiographs. Management categories were: pharmacology, physiotherapy, counseling and behavioral treatment, occlusal stabilization, surgery, additional examinations, and referrals, each with subcategories. Sagittal TMJ tomograms were assessed for the presence of flattening, erosion, osteophyte, and sclerosis in the TMJ components. Diagnoses and management were reevaluated after gaining access to the radiographs and radiographic classifications. Logistic regression analyses were performed with changes in management as the dependent variable and age and radiographic findings as the independent variables. RESULTS: Diagnosis was changed for 56 patients, mainly from arthralgia to osteoarthritis. Management was changed for 55 patients. Most changes occurred in pharmacology and physiotherapy followed by counseling and behavioral treatment, occlusal stabilization, referrals, additional examinations, and surgery. Changes were mostly within the categories, and the highest number of changes was seen in pharmacology, physiotherapy, and counseling and behavioral treatment. Radiographic degenerative findings increased the chance of change (any change) (odds ratio [OR] ⋝ 2.03) and the chance of change in pharmacology (OR ⋝ 2.56) and physiotherapy (OR = 2.48) separately. No other significant associations were found. CONCLUSION: Radiographic degenerative findings increased the chance of changes in management strategy. However, 73% of the TMJD patients had no changes in management after radiographic examination. In cases with changes, these were mainly adjustments within management categories.

  • 47. Wiese, Mie
    et al.
    Wenzel, Ann
    Hintze, Hanne
    Petersson, Arne
    Malmö högskola, Odontologiska fakulteten (OD).
    Knutsson, Kerstin
    Malmö högskola, Odontologiska fakulteten (OD).
    Bakke, Merete
    List, Thomas
    Malmö högskola, Odontologiska fakulteten (OD).
    Svensson, Peter
    Malmö högskola, Odontologiska fakulteten (OD).
    Osseous changes and condyle position in TMJ tomograms: impact of RDC/TMD clinical diagnoses on agreement between expected and actual findings2008Ingår i: Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics, ISSN 1079-2104, E-ISSN 1528-395X, Vol. 106, nr 2, s. 52-63Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
    Abstract [en]

    The objective of this study was to evaluate the impact of clinical TMJ diagnosis, gender, and age on the agreement between expected and actual radiographic findings. STUDY DESIGN: A total of 204 patients with TMJ symptoms were examined using the Research Diagnostic Criteria (RDC/TMD). Expected radiographic findings were recorded. TMJ tomograms in closed and open mouth position were assessed for osseous changes and condyle position. Expected and actual findings were compared. Logistic regression analyses were performed with agreement on radiographic findings as the dependent variable and with clinical RDC/TMD diagnoses, gender and age as the independent variables. RESULTS: The number of radiographic findings was mostly underestimated. A clinical diagnosis of osteoarthritis and age increased the chance of overestimating osseous changes. Disc displacement and age decreased the chance of agreement on certain condyle positions. CONCLUSION: Tomography often revealed unexpected findings. It was not possible to select particular patient groups who would benefit more or less from a radiographic examination.

1 - 47 av 47
RefereraExporteraLänk till träfflistan
Permanent länk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf