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Nordström, M., Lager, A., Hänsel Petersson, G. & Ericson, D. (2024). Karies: världens vanligaste icke smittsamma sjukdom. Läkartidningen, 121, Article ID 23127.
Open this publication in new window or tab >>Karies: världens vanligaste icke smittsamma sjukdom
2024 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 121, article id 23127Article in journal (Refereed) Published
Abstract [en]

More than 2.8 billion individuals worldwide suffer from untreated caries. Over ninety-five percent of all 50-year-olds in Sweden have caries experience. Caries is the most common cause of dental restorations and tooth loss. Tooth loss is associated with cardiovascular diseases, dementia, and death. Periapical tooth infections caused by caries can spread and cause severe infection, however rarely with lethal outcome. Sugars are a common risk factor for caries and other noncommunicable diseases such as cardiovascular diseases, diabetes, and obesity.  Caries is a consequence of sugar-provoked acid production and dysbiosis in the tooth biofilm (dental plaque). There are several conditions which may increase the risk for dental caries, such as different medical conditions and medications which may cause dry mouth. Treatment costs for caries are high.

National Category
Dentistry
Identifiers
urn:nbn:se:mau:diva-66561 (URN)38470274 (PubMedID)
Available from: 2024-03-28 Created: 2024-03-28 Last updated: 2024-03-28Bibliographically approved
Nordström, M., Carlsson, P., Ericson, D., Lager, A., Jansson, H., Wolf, E. & Hänsel Petersson, G. (2024). Some young adults can maintain good oral health despite socioeconomic challenges. European Journal of Oral Sciences, Article ID e12985.
Open this publication in new window or tab >>Some young adults can maintain good oral health despite socioeconomic challenges
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2024 (English)In: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, article id e12985Article in journal (Refereed) Epub ahead of print
Abstract [en]

The association between dental caries experience and socioeconomic status, as reflected in income and educational level, is well known. However, some individuals maintain good health despite socioeconomic disadvantage. The aim of this qualitative study was to explore salutogenic (health-promoting) factors among healthy caries-free young adults of low socioeconomic status. Seventeen participants (11 women), 19–23 years of age, who were caries-free and of low socioeconomic status were interviewed in-depth. The interviews were transcribed verbatim and analysed using qualitative content analysis with an inductive approach. The theme revealed was ‘Building trust and shifting responsibility from parent to child throughout children's development lays the salutogenic foundation for oral health’, comprising three categories: (i) a basis for health; (ii) creating one's own path by testing wings; and (iii) developing resources for health. A feeling of trust was expressed, participants were confident in the unconditional support of their caregivers, and caregivers were trusting participants to be able to take control over their own oral health. Health-promotive factors were established not only by instilling healthy habits during childhood, but also by parental guidance through adolescence, enabling young adults to develop resources and assets to take control over their own health independently.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2024
Keywords
salutogenesis, health promotion, dental caries, young adults, socioeconomy, resilience, family support, health behaviour, psychology
National Category
Dentistry
Identifiers
urn:nbn:se:mau:diva-66678 (URN)10.1111/eos.12985 (DOI)001189369500001 ()38520668 (PubMedID)
Available from: 2024-04-11 Created: 2024-04-11 Last updated: 2024-04-23Bibliographically approved
Nordström, M., Carlsson, P., Ericson, D., Hedenbjörk-Lager, A. & Hänsel Petersson, G. (2023). Common resilience factors among healthy individuals exposed to chronic adversity: a systematic review. Acta Odontologica Scandinavica, 81(3), 176-185
Open this publication in new window or tab >>Common resilience factors among healthy individuals exposed to chronic adversity: a systematic review
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2023 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 81, no 3, p. 176-185Article, review/survey (Refereed) Published
Abstract [en]

Objective: To identify common resilience factors against non-communicable diseases (dental caries, diabetes type II, obesity and cardiovascular disease) among healthy individuals exposed to chronic adversity.

Materials and methods: The databases MEDLINE (via PubMed), Scopus and CINAHL were searched. Observational studies in English assessing resilience factors among populations living in chronic adversity were included. Intervention studies, systematic reviews, non-original articles and qualitative studies were excluded. There were no restrictions regarding publication year or age. No meta-analysis could be done. Quality assessments were made with the Newcastle-Ottawa scale (NOS).

Results: A final total of 41 studies were included in this systematic review. The investigated health resilience factors were divided into the following domains: environmental (community and family) and individual (behavioural and psychosocial). A narrative synthesis of the results was made according to the domains.

Conclusions: Individual psychosocial, family and environmental factors play a role as health resilience factors in populations living in chronic adversity. However, the inconclusive results suggest that these factors do not act in isolation but interplay in a complex manner and that their interaction may vary during the life course, in different contexts, and over time.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
Dental caries, common risk approach, salutogenesis, resilience, systematic review
National Category
Dentistry
Identifiers
urn:nbn:se:mau:diva-54102 (URN)10.1080/00016357.2022.2095021 (DOI)000825783700001 ()35811490 (PubMedID)2-s2.0-85133691731 (Scopus ID)
Available from: 2022-08-02 Created: 2022-08-02 Last updated: 2023-08-22Bibliographically approved
Shmarina, E., Ericson, D., Götrick, B. & Franzén, C. (2023). Dental professionals' perception of their role in the practice of oral health promotion: a qualitative interview study. BMC Oral Health, 23(1), Article ID 43.
Open this publication in new window or tab >>Dental professionals' perception of their role in the practice of oral health promotion: a qualitative interview study
2023 (English)In: BMC Oral Health, ISSN 1472-6831, E-ISSN 1472-6831, Vol. 23, no 1, article id 43Article in journal (Refereed) Published
Abstract [en]

Objective

To explore dental professionals’ perceptions of their role in the practice of oral health promotion.

Material and method

In-depth interviews were conducted with three dentists, one specialist dentist and seven dental hygienists. All were employed in the public dental service in Kalmar County, Sweden and had at least two years’ work experience. The interview questions addressed the experience and views of dental professionals with reference to their role in the practice of health promotion. The interview data were subjected to qualitative content analysis.

Results

Analysis revealed two themes which capture the essence of the dental professionals’ perception of their role in the practice of oral health promotion. One theme, having person-focused approach, comprised four categories: ‘considering the patient’s life situation’, ‘establishing a trusting relationship with patients’, ’strengthening patients’ commitment to oral health’ and ‘health education’. The other theme, perceiving social responsibility for oral health, comprised three categories: ‘dissemination of oral health knowledge’, ‘interprofessional collaboration’ and ‘equality in oral health care’.

Conclusion

Dental professionals perceived promotion of oral health to be an important aspect of their professional role. They aspired to patient participation in the decisionmaking process and educational activities, as well as practising and evaluating skills development. Although the dental professionals perceived that they undertook health promotion activities, they did not clearly distinguish between oral health promotion and disease prevention. There was intra- and interprofessional agreement among the dentists and dental hygienists with respect to expected outcomes for health promotion activities.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023
Keywords
salutogenesis, Ottawa Charter, helath promotion
National Category
Dentistry
Identifiers
urn:nbn:se:mau:diva-58093 (URN)10.1186/s12903-023-02756-y (DOI)000918442200004 ()36698102 (PubMedID)2-s2.0-85146747153 (Scopus ID)
Available from: 2023-02-07 Created: 2023-02-07 Last updated: 2024-02-08Bibliographically approved
Ericson, D., Carlsson, P., Gabre, P., Wårdh, I., Zimmerman, M. & Sjögren, P. (2023). Effect of a single application of silver diamine fluoride on root caries after 12 months in institutionalised older adults: A randomised clinical trial. Gerodontology, 40(3), 390-397
Open this publication in new window or tab >>Effect of a single application of silver diamine fluoride on root caries after 12 months in institutionalised older adults: A randomised clinical trial
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2023 (English)In: Gerodontology, ISSN 0734-0664, E-ISSN 1741-2358, Vol. 40, no 3, p. 390-397Article in journal (Refereed) Published
Abstract [en]

Objective: Silver diamine fluoride (SDF) has been shown to be highly effective against caries, in particular for arresting root surface caries and for dentine caries in primary teeth. SDF may complement fluoride varnish routines for treatment of root caries in nursing home residents. The aim of this randomised, single-blinded, placebo-controlled trial was to evaluate the additive effect of a single annual application of SDF for prevention and treatment of incipient root caries in older adult nursing home residents.

Method: Four hundred older adult nursing home residents (≥70 years old) with at least one exposed root surface (on teeth 15, 14, 13, 23, 24, or 25) were identified during routine dental examination visits in the domiciliary dental care setting. Eligible patients, who were able to understand the implication of consenting to the study, were invited to participate. Their cleaned root surfaces were randomly allocated to treatment with SDF (Advantage Arrest Silver Diamine Fluoride 38%, Advantage Arrest, LLC, Redmond, OR 97756, USA, Lot 16 152) or with placebo (tap water), each for 1 minute.

Results: Of the 400 eligible individuals, 42 declined to participate and two forms were destroyed. The remaining 356 participants (89.0%; mean age 87.7 years) were randomly allocated, with 174 going to the SDF group and 182 to the placebo group. At 1 year, 273 participants (76.7%) were available for assessment: 135 in the SDF group and 138 in the placebo group. By that time, 109 individuals (39.9%) demonstrated root caries progression or regression. Among those 118 (16.7%) of the 708 included root surfaces had developed caries There were no statistically significant differences in the primary outcome related to treatment with SDF or placebo, at either patient or root surface level.

Conclusion: Based on the finding of this clinical trial, it is concluded that a single SDF application to complement a risk-based preventive programme including fluoride varnish applications did not have a statistically significant additional preventive effect on root caries development in a group of older adult nursing home residents with limited caries activity and cognitive capacity to cooperate in oral care activities.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
Keywords
nursing home, older adults, prevention, root caries, silver diamine fluoride (SDF)
National Category
Dentistry
Identifiers
urn:nbn:se:mau:diva-56306 (URN)10.1111/ger.12668 (DOI)000888356600001 ()36404644 (PubMedID)2-s2.0-85142370263 (Scopus ID)
Available from: 2022-11-30 Created: 2022-11-30 Last updated: 2023-09-20Bibliographically approved
Ericson, D., Carlsson, P., Gabre, P., Wårdh, I., Zimmerman, M. & Sjögren, P. (2023). Response to professor Milgrom. [Letter to the editor]. Gerodontology, 40(3), 407-407
Open this publication in new window or tab >>Response to professor Milgrom.
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2023 (English)In: Gerodontology, ISSN 0734-0664, E-ISSN 1741-2358, Vol. 40, no 3, p. 407-407Article in journal, Letter (Other academic) Published
Place, publisher, year, edition, pages
John Wiley & Sons, 2023
National Category
Dentistry
Identifiers
urn:nbn:se:mau:diva-58468 (URN)10.1111/ger.12674 (DOI)000918879300001 ()36653952 (PubMedID)2-s2.0-85146481426 (Scopus ID)
Available from: 2023-03-02 Created: 2023-03-02 Last updated: 2023-09-18Bibliographically approved
Sayols-Baixeras, S., Dekkers, K. F., Baldanzi, G., Jönsson, D., Hammar, U., Lin, Y.-T., . . . Fall, T. (2023). Streptococcus Species Abundance in the Gut Is Linked to Subclinical Coronary Atherosclerosis in 8973 Participants From the SCAPIS Cohort. Circulation, 148(6), 459-472
Open this publication in new window or tab >>Streptococcus Species Abundance in the Gut Is Linked to Subclinical Coronary Atherosclerosis in 8973 Participants From the SCAPIS Cohort
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2023 (English)In: Circulation, ISSN 0009-7322, E-ISSN 1524-4539, Vol. 148, no 6, p. 459-472Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Gut microbiota have been implicated in atherosclerotic disease, but their relation with subclinical coronary atherosclerosis is unclear. This study aimed to identify associations between the gut microbiome and computed tomography–based measures of coronary atherosclerosis and to explore relevant clinical correlates.

METHODS: We conducted a cross-sectional study of 8973 participants (50 to 65 years of age) without overt atherosclerotic disease from the population-based SCAPIS (Swedish Cardiopulmonary Bioimage Study). Coronary atherosclerosis was measured using coronary artery calcium score and coronary computed tomography angiography. Gut microbiota species abundance and functional potential were assessed with shotgun metagenomics sequencing of fecal samples, and associations with coronary atherosclerosis were evaluated with multivariable regression models adjusted for cardiovascular risk factors. Associated species were evaluated for association with inflammatory markers, metabolites, and corresponding species in saliva.

RESULTS: The mean age of the study sample was 57.4 years, and 53.7% were female. Coronary artery calcification was detected in 40.3%, and 5.4% had at least 1 stenosis with >50% occlusion. Sixty-four species were associated with coronary artery calcium score independent of cardiovascular risk factors, with the strongest associations observed for Streptococcus anginosus and Streptococcus oralis subsp oralis (P<1×10–5). Associations were largely similar across coronary computed tomography angiography–based measurements. Out of the 64 species, 19 species, including streptococci and other species commonly found in the oral cavity, were associated with high-sensitivity C-reactive protein plasma concentrations, and 16 with neutrophil counts. Gut microbial species that are commonly found in the oral cavity were negatively associated with plasma indole propionate and positively associated with plasma secondary bile acids and imidazole propionate. Five species, including 3 streptococci, correlated with the same species in saliva and were associated with worse dental health in the Malmö Offspring Dental Study. Microbial functional potential of dissimilatory nitrate reduction, anaerobic fatty acid β-oxidation, and amino acid degradation were associated with coronary artery calcium score.

CONCLUSIONS: This study provides evidence of an association of a gut microbiota composition characterized by increased abundance of Streptococcus spp and other species commonly found in the oral cavity with coronary atherosclerosis and systemic inflammation markers. Further longitudinal and experimental studies are warranted to explore the potential implications of a bacterial component in atherogenesis.

Place, publisher, year, edition, pages
American Heart Association, 2023
National Category
Cardiac and Cardiovascular Systems
Identifiers
urn:nbn:se:mau:diva-62045 (URN)10.1161/circulationaha.123.063914 (DOI)001048683000002 ()37435755 (PubMedID)2-s2.0-85167471568 (Scopus ID)
Available from: 2023-08-22 Created: 2023-08-22 Last updated: 2023-10-17Bibliographically approved
Shmarina, E., Ericson, D., Åkerman, S. & Axtelius, B. (2022). Exploring salutogenic factors supporting oral health in the elderly. Acta Odontologica Scandinavica, 80(4), 241-251
Open this publication in new window or tab >>Exploring salutogenic factors supporting oral health in the elderly
2022 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 80, no 4, p. 241-251Article in journal (Refereed) Published
Abstract [en]

Aim To explore associations between salutogenic factors and selected clinical outcome variables of oral health in the elderly, combining Antonovsky's salutogenic theory and the Lalonde Health Field concept. Methods The subjects comprised 146 individuals, aged 60 years and older, who had participated in a population-based epidemiological study in Sweden, 2011-2012, using questionnaire and oral examination data. A cross-sectional analysis used the selected outcome variables, such as number of remaining teeth, DMFT-index and risk assessment, and salutogenic factors from the questionnaire, clustered into domains and health fields, as artifactual-material, cognitive-emotional and valuative-attitudinal. This selection was based on findings from our previous analysis using a framework cross-tabulating two health models. The purpose was to facilitate analysis of associations not previously addressed in the literature on oral health. Bivariate and Multiple Linear Regression analyses were used. Results Numerous salutogenic factors were identified. Significant associations between outcome variables and salutogenic factors previously unreported could be added. Regression analysis identified three contributing independent factors for 'low DMFT'. Conclusions This study supports the usefulness of a salutogenic approach for analysing oral health outcomes, identifying university education, the importance of dental health organization recall system and close social network, as important salutogenic factors. The large number of salutogenic factors found supporting oral health among the elderly indicates the complexity of salutogenesis and the need for robust analysing tools. Combining two current health models was considered useful for exploring these covariations. These findings have implications for future investigations, identifying important research questions to be explored in qualitative analyses.

Place, publisher, year, edition, pages
Taylor & Francis, 2022
Keywords
Oral health, salutogenesis, observational study, social determinants of health, elderly
National Category
Dentistry
Identifiers
urn:nbn:se:mau:diva-46767 (URN)10.1080/00016357.2021.1990995 (DOI)000710378500001 ()34693858 (PubMedID)2-s2.0-85118111543 (Scopus ID)
Available from: 2021-11-09 Created: 2021-11-09 Last updated: 2024-02-08Bibliographically approved
Shmarina, E., Ericson, D., Franzén, C. & Götrick, B. (2022). Self-perceived oral health-related salutogenic factors in orally healthy older Swedes. A qualitative interview study.. Acta Odontologica Scandinavica, 80(5), 354-362
Open this publication in new window or tab >>Self-perceived oral health-related salutogenic factors in orally healthy older Swedes. A qualitative interview study.
2022 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 80, no 5, p. 354-362Article in journal (Refereed) Published
Abstract [en]

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

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

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

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

Place, publisher, year, edition, pages
Taylor & Francis, 2022
Keywords
oral health, qualitative research, salutogenesis, sense of coherence, social determinants of health
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:mau:diva-49061 (URN)10.1080/00016357.2021.2014068 (DOI)000729051600001 ()34893001 (PubMedID)2-s2.0-85121376562 (Scopus ID)
Available from: 2021-12-29 Created: 2021-12-29 Last updated: 2024-02-08Bibliographically approved
Alrebdi, A., Ericson, D., Qasim, S. S., Albahoth, A., Al-Sulimani, A. & Baskaradoss, J. K. (2021). Efficacy of fluoride varnish in treating orthodontically-induced white spot lesions: a systematic review and meta-analysis. Australasian Orthodontic Journal, 37(2), 147-156
Open this publication in new window or tab >>Efficacy of fluoride varnish in treating orthodontically-induced white spot lesions: a systematic review and meta-analysis
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2021 (English)In: Australasian Orthodontic Journal, ISSN 2207-7472, Vol. 37, no 2, p. 147-156Article, review/survey (Refereed) Published
Abstract [en]

Objectives: To systematically review the effectiveness of 5% sodium fluoride varnish (FV) in the treatment of orthodontically-induced white spot lesions (WSLs). Methods: A literature search of three independent databases (Medline, Cochrane Library and Web of Science) was performed from inception to November 2020. This systematic review included randomised/quasi-randomised clinical trials (RCTs) that used FV for patients who had at least one WSL as a result of fixed orthodontic treatment. Exclusion criteria were split-mouth study designs or studies that failed to report WSLs as the outcome variable or studies with less than 3 months follow-up. An Inverse Variance fixed-effect method was performed for continuous variables. Changes in the mean difference (MD) for the DIAGNOdent (DD) scores following FV application were calculated at the 95% confidence interval (CI). Results: Three of the four included studies showed significant improvement in the remineralisation of WSL after treatment with FV in comparison to control subjects. Three studies were conducted on patients after fixed orthodontic treatment and one study was conducted during treatment. The studies included a total of 284 participants with the majority in the age range of 10 to 25 years. The distribution of the participants was approximately equal in the FV and control group. When compared with the control group, there was a statistically significant reduction in the mean DD readings for the FV group at the 3-month (MD=-3.43; 95% CI:-4.72 to-2.15; p < 0.001) and at the 6-month (MD =-4.47; 95% CI:-4.72 to-2.15; p < 0.001) follow-up visit. Conclusions: Although few studies have shown the effectiveness of FV application in the treatment of orthodontically-induced WSLs, the limited number of robust clinical trials, makes it difficult to draw a definitive conclusion. (Aust Orthod J 2021; 37: 147 156. DOI: 10.21307/aoj-2021-016)

Place, publisher, year, edition, pages
Australian Society of Orthodontists, 2021
National Category
Dentistry
Identifiers
urn:nbn:se:mau:diva-46307 (URN)10.21307/aoj-2021.016 (DOI)000942991600001 ()2-s2.0-85117705911 (Scopus ID)
Available from: 2021-10-13 Created: 2021-10-13 Last updated: 2023-12-13Bibliographically approved
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ORCID iD: ORCID iD iconorcid.org/0000-0003-0356-2351

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