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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.
Öppna denna publikation i ny flik eller fönster >>Some young adults can maintain good oral health despite socioeconomic challenges
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2024 (Engelska)Ingår i: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, artikel-id e12985Artikel i tidskrift (Refereegranskat) 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.

Ort, förlag, år, upplaga, sidor
Wiley-Blackwell, 2024
Nyckelord
salutogenesis, health promotion, dental caries, young adults, socioeconomy, resilience, family support, health behaviour, psychology
Nationell ämneskategori
Odontologi
Identifikatorer
urn:nbn:se:mau:diva-66678 (URN)10.1111/eos.12985 (DOI)001189369500001 ()38520668 (PubMedID)
Tillgänglig från: 2024-04-11 Skapad: 2024-04-11 Senast uppdaterad: 2024-04-23Bibliografiskt granskad
Wolf, E. & Priebe, G. (2024). The self-perceived impact of sexual abuse on daily life and general health - an issue to consider in dental care. Dental Traumatology, 40(S2), 43-52
Öppna denna publikation i ny flik eller fönster >>The self-perceived impact of sexual abuse on daily life and general health - an issue to consider in dental care
2024 (Engelska)Ingår i: Dental Traumatology, ISSN 1600-4469, E-ISSN 1600-9657, Vol. 40, nr S2, s. 43-52Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background/Aim: To analyse, from the perspective of adults with a history of sexual abuse, the impact of the experience on their general health and well-being.Material and Methods: The participants comprised 12 strategically selected informants (10 women), aged 19-56; all sexually abused during child- and/or adulthood. They were interviewed in-depth and encouraged to describe the impact of the sexual abuse on their daily lives. The consequences of sexual abuse on oral health have previously been reported. The interviews were recorded digitally, transcribed verbatim and analysed according to qualitative content analysis with an inductive approach.Results: The overall theme illustrating the latent content was Sexual abuse experience-limiting long-term consequences, always present in body and mind. The first category covering the manifest content was 'A lost foothold', with two subcategories: (i) emotional repercussions and (ii) physical health repercussions. The second category was 'The significance of distance to trauma', with two subcategories (i) keeping a distance and tending to escape and (ii) processing the trauma experience-a struggle towards balance.Conclusions: A history of sexual abuse cannot be understood in isolation: the long-term repercussions pervade daily life. However, after disclosure of the abuse and processing the trauma, it is possible to ameliorate some of the negative effects. In this context, the dental setting emerges as a potentially important venue for disclosure as almost every person, sooner or later, visits the dentist.

Ort, förlag, år, upplaga, sidor
John Wiley & Sons, 2024
Nyckelord
dentistry, health consequences, qualitative
Nationell ämneskategori
Odontologi
Identifikatorer
urn:nbn:se:mau:diva-63503 (URN)10.1111/edt.12890 (DOI)001083740800001 ()37818985 (PubMedID)2-s2.0-85173720401 (Scopus ID)
Tillgänglig från: 2023-11-07 Skapad: 2023-11-07 Senast uppdaterad: 2024-04-11Bibliografiskt granskad
Olsson, J., Wolf, E. & Ljunggren, A. (2023). Pre-medical assessment of root canal-filled teeth with asymptomatic apical periodontitis: a multifaceted balancing act. International Endodontic Journal, 56(9), 1063-1076
Öppna denna publikation i ny flik eller fönster >>Pre-medical assessment of root canal-filled teeth with asymptomatic apical periodontitis: a multifaceted balancing act
2023 (Engelska)Ingår i: International Endodontic Journal, ISSN 0143-2885, E-ISSN 1365-2591, Vol. 56, nr 9, s. 1063-1076Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

AIM: Prior to certain medical therapies, dental assessment and treatment of oral foci of infection are recommended. The aim of the present study was to acquire a deeper understanding of the decision-making process regarding pre-medical management of root canal-filled teeth with asymptomatic apical periodontitis.

METHODOLOGY: Hospital-affiliated dentists in Sweden were contacted for a semi-structured, in-depth interview. The absolute inclusion criterion was that the dentists had experienced and could recount at least two authentic cases involving root canal-filled teeth with asymptomatic apical periodontitis - one case having resulted in pre-medical treatment, and one having resulted in expectancy. Fourteen interviews, with fourteen informants, were conducted and included in the study. During the interviews, open-ended questions and comments encouraging the informants to elaborate and clarify their experiences were offered. The interviews were digitally recorded, transcribed verbatim and analyzed using Qualitative Content Analysis with an inductive approach.

RESULTS: A theme describing the latent content was identified through interpretation of the collected data: A multifaceted balancing act characterized by a sometimes-difficult risk-benefit-estimation, where an increased uncertainty entails an increased reliance on external opinions. Three main categories, comprising four subcategories, describing the manifest content were recognized: The tipping scale, The team effort and The frame of reference.

CONCLUSION: The current interview study found pre-medical decision-making regarding root canal-filled teeth with asymptomatic apical periodontitis to be a multifactorial and contextual process marked by uncertainty and collaborative measures. Further research, resulting in the development of evidence-based treatment guidelines, is suggested necessary.

Ort, förlag, år, upplaga, sidor
John Wiley & Sons, 2023
Nyckelord
Decision-making, dentistry, qualitative research, uncertainty
Nationell ämneskategori
Odontologi
Identifikatorer
urn:nbn:se:mau:diva-61396 (URN)10.1111/iej.13941 (DOI)001004859900001 ()37269098 (PubMedID)2-s2.0-85161820839 (Scopus ID)
Tillgänglig från: 2023-06-27 Skapad: 2023-06-27 Senast uppdaterad: 2023-09-18Bibliografiskt granskad
Wolf, E., Leonard, K., Vidigsson, M., Tegelberg, Å. & Koch, M. (2022). Adoption of change in endodontic practice after an educational program: A qualitative study. Clinical and Experimental Dental Research, 8(3), 781-792
Öppna denna publikation i ny flik eller fönster >>Adoption of change in endodontic practice after an educational program: A qualitative study
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2022 (Engelska)Ingår i: Clinical and Experimental Dental Research, E-ISSN 2057-4347, Vol. 8, nr 3, s. 781-792Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objectives: The aim was to define the characteristics of successful implementation of new clinical endodontic routines within a public dental health organization, following an educational program. Materials and Methods: Fifteen staff members were strategically selected for the interview. All had completed a theoretical educational intervention including a complementary endodontic treatment strategy and, for the dentists, comprising training in the nickel-titanium-rotary-technique. All experienced the successful acceptance of new clinical routines. Two thematic in-depth audiotaped interviews were conducted, wherein the informants described the implementation process in their own words. The interviews were transcribed verbatim and analyzed according to Qualitative Content Analysis. Results: A theme was identified: A multiple flexible process with governance support and gradual reinforcement of motivation, with the following main categories: Firstly, contextual facilitation, with two subcategories (i) a multifaceted organizational foundation and (ii) a tolerance of flexibility. Secondly, emotional facilitation, with two subcategories (i) an experience of simplification and (ii) an experience of improvement. Conclusion: The results improve the understanding of a multifaceted process underlying the acceptance of changes to clinical endodontic procedures by dentists in a public dental health organization. Important contributing factors identified were governance support, a committed resource person with contextual knowledge, tolerance of flexibility in implementation, and permissive informal communication channels within the local workplace. These findings might be a valuable contribution to an evidence base, facilitating the selection of the most appropriate educational strategy and structure for a specified purpose.

Ort, förlag, år, upplaga, sidor
John Wiley & Sons, 2022
Nyckelord
implementation, rotary endodontics
Nationell ämneskategori
Odontologi
Identifikatorer
urn:nbn:se:mau:diva-50457 (URN)10.1002/cre2.542 (DOI)000757406200001 ()35179317 (PubMedID)2-s2.0-85124716128 (Scopus ID)
Tillgänglig från: 2022-03-08 Skapad: 2022-03-08 Senast uppdaterad: 2023-12-27Bibliografiskt granskad
Wolf, E., Månsson, S., Wallin, L. & Priebe, G. (2022). Child Sexual Abuse-Challenging Conditions for Adult Oral Health: A Qualitative Study.. JDR clinical and translational research, 8(1), Article ID 23800844211053775.
Öppna denna publikation i ny flik eller fönster >>Child Sexual Abuse-Challenging Conditions for Adult Oral Health: A Qualitative Study.
2022 (Engelska)Ingår i: JDR clinical and translational research, ISSN 2380-0852, Vol. 8, nr 1, artikel-id 23800844211053775Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

The aim was to analyze perceptions of oral health in adults who have been exposed to child sexual abuse. Eleven participants (10 women), 19 to 56 y of age, who had experienced sexual abuse as children were purposively selected and interviewed in-depth. The participants were encouraged to describe how they perceived the effect of the sexual abuse on their oral health as adults. The interviews were recorded digitally and transcribed verbatim. The collected material was analyzed according to qualitative content analysis. The theme "challenging conditions for maintaining oral health" was identified, comprising 2 categories: first, "the emotional significance," with the subcategories 1) emotional barriers and 2) powerful relief, and second, "the obstacles to oral health," with the subcategories 1) daily self-care with complications and 2) dental appointments with difficulties. The findings indicate that the experience of sexual abuse during childhood can have a negative impact on oral care in adulthood. The informants stated that oral health was of utmost importance but also associated with strong emotions. There were obstacles to maintenance of oral health that were difficult to surmount.Knowledge Transfer Statement:The study provides access to the attitudes of survivors of child sexual abuse regarding oral health and the needs and obstacles that they experience. This is important knowledge for dental professionals to optimize dental care.

Ort, förlag, år, upplaga, sidor
Sage Publications, 2022
Nyckelord
access to care, anxiety, child molestation, dental care, dental fear, dental public health
Nationell ämneskategori
Odontologi
Identifikatorer
urn:nbn:se:mau:diva-46583 (URN)10.1177/23800844211053775 (DOI)000712459800001 ()34704485 (PubMedID)2-s2.0-85117887256 (Scopus ID)
Tillgänglig från: 2021-11-04 Skapad: 2021-11-04 Senast uppdaterad: 2024-02-05Bibliografiskt granskad
Dawson, V., Fransson, H. & Wolf, E. (2021). Coronal restoration of the root filled tooth: a qualitative analysis of the dentists' decision-making process. International Endodontic Journal, 54(4), 490-500
Öppna denna publikation i ny flik eller fönster >>Coronal restoration of the root filled tooth: a qualitative analysis of the dentists' decision-making process
2021 (Engelska)Ingår i: International Endodontic Journal, ISSN 0143-2885, E-ISSN 1365-2591, Vol. 54, nr 4, s. 490-500Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

AIM: To describe the decision-making process of the general dental practitioner (GDP) underlying the choice of coronal restoration of a root filled tooth.

METHODOLOGY: GDPs were strategically selected with respect to gender, age, undergraduate dental school, service affiliation and duration of professional experience. Semi-structured in-depth interviews were conducted, focusing on the informant's personal experience of the process which leads to a decision as to how to restore a root filled tooth. The informants were invited to describe in their own words the latest two cases involving decisions of direct or full crown restorations respectively. The interviews were digitally recorded and transcribed verbatim. Interviews from 14 informants, aged 27 - 64 (mean age 46 years), were included and analyzed according to Qualitative Content Analysis.

RESULTS: A theme (latent content) was identified: Clinical factors were considered important but were overruled by context and patient opinions, if in conflict. Three main categories, including seven sub-categories (manifest content), were identified. The categories were clinical factors, contextual factors and patient´s views. Clinical factors underlying the GDPs´ decision included the current dental status and the estimated longevity of the intended restoration. In certain cases contextual factors were also of importance, either supporting the GDPs´ decision or modifying it. However, the patient´s views played a decisive role in the final choice of coronal restoration, leading to either mutual acceptance or a compromise, taking into account the patient´s economic status and opinions.

CONCLUSIONS: With respect to coronal restoration of a root filled tooth, the GDPs' decision-making process was based not only on clinical factors, but also on decisive contextual factors and consideration of the patients' views.

Ort, förlag, år, upplaga, sidor
John Wiley & Sons, 2021
Nyckelord
Crowns, Decision making, Dental Restoration, Endodontics, Permanent, Qualitative Research
Nationell ämneskategori
Odontologi
Identifikatorer
urn:nbn:se:mau:diva-36770 (URN)10.1111/iej.13442 (DOI)000595471100001 ()33159810 (PubMedID)2-s2.0-85097049632 (Scopus ID)
Tillgänglig från: 2020-11-11 Skapad: 2020-11-11 Senast uppdaterad: 2024-06-17Bibliografiskt granskad
Wolf, E., Grinneby, D., Nilsson, P. & Priebe, G. (2021). Dental care of patients exposed to sexual abuse: Need for alliance between staff and patients. European Journal of Oral Sciences, 129(3), Article ID e12782.
Öppna denna publikation i ny flik eller fönster >>Dental care of patients exposed to sexual abuse: Need for alliance between staff and patients
2021 (Engelska)Ingår i: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, Vol. 129, nr 3, artikel-id e12782Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

The aim was to explore the experiences of sexually abused individuals as dental patients. Purposively selected were 13 informants (11 women) aged 19-56. All had experienced sexual abuse as children or adults and memories of this abuse had been triggered and expressed during a dental appointment. They were encouraged to relate in their own words their experiences of the dental appointment. The interviews were recorded digitally, transcribed verbatim, and analysed according to Qualitative Content Analysis. The overall theme illustrating the latent content was The dental appointment - a volatile base requiring predictability and a secure working alliance. The first category covering the manifest content was The dental care provider "assumes responsibility," with two subcategories: (i) contradictory disclosure, and (ii) alliance formation - a levelling of power. The second category was The patient is "in focus," with two subcategories: (i) alertness to signs of discomfort, and (ii) attention to obvious but subtle expressions of needs. On an understanding that the patient has been sexually abused, an individually tailored, patient-centered approach to treatment is suggested. Dental care providers may also need to be aware of and reflect on their position of power, in relation to the patient and its possible chairside implications.

Ort, förlag, år, upplaga, sidor
John Wiley & Sons, 2021
Nyckelord
dental fear, dissociation, patient-centered, power, sexual abuse disclosure
Nationell ämneskategori
Odontologi
Identifikatorer
urn:nbn:se:mau:diva-41665 (URN)10.1111/eos.12782 (DOI)000631911100001 ()33760322 (PubMedID)2-s2.0-85102921748 (Scopus ID)
Tillgänglig från: 2021-04-08 Skapad: 2021-04-08 Senast uppdaterad: 2024-02-05Bibliografiskt granskad
Milosavljevic, A., Wolf, E., Englander, M., Stavropoulos, A. & Götrick, B. (2021). The lived experience of performing a periodontal treatment in the context of general dentistry. BDJ Open, 7, Article ID 7.
Öppna denna publikation i ny flik eller fönster >>The lived experience of performing a periodontal treatment in the context of general dentistry
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2021 (Engelska)Ingår i: BDJ Open, E-ISSN 2056-807X, Vol. 7, artikel-id 7Artikel i tidskrift (Övrigt vetenskapligt) Published
Abstract [en]

Aim: To describe what characterises the lived experience of performing a periodontal treatment in the context of general dentistry.

Materials and methods: Three dental hygienists from general dentistry in Sweden, were purposively selected as participants and interviewed. The participants described a situation in which they had performed a periodontal treatment. The descriptions were analysed using the descriptive phenomenological psychological method.

Results: The general meaning structure of the lived experience of performing a periodontal treatment comprised five constituents, (a) an established treatment routine, (b) importance of oral hygiene, (c) self-awareness and motivation of the patient, (d) support and doubt, and (e) mechanical infection control. The periodontal treatment is perceived as being set prior to its commencement and as following established routines, in which the patients’ oral hygiene is experienced as a crucial part. The patients’ self-awareness and a supportive clinician are seen as important factors in motivating the patient towards positive behavioural change, although there is a presence of doubt in patients’ ability to maintain this positive change. Mechanical infection control is perceived as successful but sometimes difficult to perform.

Conclusions: Important, patient-related, factors are constituting the phenomenon of performing a periodontal treatment but an experience that the pre-existing standardised workflow influences patient management was also present.

Ort, förlag, år, upplaga, sidor
Nature Publishing Group, 2021
Nationell ämneskategori
Odontologi
Forskningsämne
Hälsa och samhälle; Hälsa och samhälle
Identifikatorer
urn:nbn:se:mau:diva-17784 (URN)10.1038/s41405-021-00059-4 (DOI)000616408800003 ()33510136 (PubMedID)2-s2.0-85100008225 (Scopus ID)
Tillgänglig från: 2020-07-14 Skapad: 2020-07-14 Senast uppdaterad: 2024-05-21Bibliografiskt granskad
Wolf, E., McCarthy, E. & Priebe, G. (2020). Dental care: an emotional and physical challenge for the sexually abused. European Journal of Oral Sciences (128), 317-324
Öppna denna publikation i ny flik eller fönster >>Dental care: an emotional and physical challenge for the sexually abused
2020 (Engelska)Ingår i: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, nr 128, s. 317-324Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

The aim was to explicate persistent psychological and bodily memories of sexualabuse and how they are expressed during dental appointments. The participantscomprised 13 sexually abused individuals (11 women), who recalled and expressedthese experiences during a dental appointment. They were encouraged to describe,in detail, aspects of the appointment which triggered memories of the sexual abuse.The interviews were recorded, transcribed verbatim, and analyzed using QualitativeContent Analysis. The identified overall theme illustrating the latent content was‘An echo of sexual abuse transformed into (dys) functional reactions’. The first categorycovering the manifest content was ‘The inner invisible struggle’, with two subcategories:(i) mental inscriptions of the abuse experience; and (ii) consequences ofthe dental encounter. The second category was ‘The discoverable manifestations’,with two subcategories: (i) enigmatic communication; and (ii) expressions of bodilymemories. The dental appointment arouses similar psychological stressful reactionsas the episodes of abuse; both implicit and explicit expressions are recognizable.Dental staff can contribute to disclosure by improved understanding of the strain adental appointment can cause in patients who have been subjected to sexual abuseand familiarity with the associated bodily expressions.

Ort, förlag, år, upplaga, sidor
John Wiley & Sons, 2020
Nationell ämneskategori
Odontologi
Identifikatorer
urn:nbn:se:mau:diva-18161 (URN)10.1111/EOS.12720 (DOI)000561859300006 ()33856710 (PubMedID)2-s2.0-85089436193 (Scopus ID)
Tillgänglig från: 2020-09-01 Skapad: 2020-09-01 Senast uppdaterad: 2024-04-04Bibliografiskt granskad
Wolf, E., Dragicevic, M. & Fuhrmann, M. (2019). Alleviation of acute dental pain from localised apical periodontitis: A prospective randomised study comparing two emergency treatment procedures (ed.). Journal of Oral Rehabilitation, 46(2), 120-126
Öppna denna publikation i ny flik eller fönster >>Alleviation of acute dental pain from localised apical periodontitis: A prospective randomised study comparing two emergency treatment procedures
2019 (Engelska)Ingår i: Journal of Oral Rehabilitation, E-ISSN 1365-2842, Vol. 46, nr 2, s. 120-126Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objective: To compare the outcomes of two emergency treatment procedures to alleviate pain from localised symptomatic apical periodontitis: complete chemo‐mechanical disinfection (CMD) of the root canal system, or removal of necrotic tissue from the pulp chamber (RNT), that is without instrumentation of the root canals. Methods: Fifty‐seven consecutive patients from the emergency clinic at Malmö University met the inclusion criteria: spontaneous pain and/or pain on percussion and palpation, non‐bleeding pulp in the canal orifice, pain ≥4 on a Numeric Rating Scale and ≥18 years of age. The diagnosis was symptomatic apical periodontitis, in the absence of swelling and/or fever. Pre‐operative pain levels and intake of analgesics were registered. The patients were randomised to one of the two treatment groups. Three to five days post‐operatively, the patients were contacted by telephone and asked to grade their current pain level and report any post‐operative intake of analgesics and antibiotics. Results: Of the patients treated with CMD of the root canal system, 26/30 (87%) reported satisfactory pain relief, compared with 22/27 (81%) of those treated by RNT. There was no mean difference in pain relief between the two groups (P = 0.879). Post‐operatively, 37% in each group reported using analgesics and one in each group reported using antibiotics. Conclusion: Three to five days after treatment, a majority (>80%) in both groups reported adequate pain relief, in some cases in combination with analgesics. Removal of necrotic and infected tissue from the pulp chamber might therefore be a cost‐effective emergency treatment alternative to complete chemo‐mechanical disinfection.

Ort, förlag, år, upplaga, sidor
John Wiley & Sons, 2019
Nyckelord
chemo-mechanical disinfection, necrotic tissue, pain, root canal infection, rubber dam, symptomatic
Nationell ämneskategori
Odontologi
Identifikatorer
urn:nbn:se:mau:diva-15704 (URN)10.1111/joor.12730 (DOI)000455483300003 ()30307640 (PubMedID)2-s2.0-85055937647 (Scopus ID)26980 (Lokalt ID)26980 (Arkivnummer)26980 (OAI)
Tillgänglig från: 2020-03-30 Skapad: 2020-03-30 Senast uppdaterad: 2024-06-17Bibliografiskt granskad
Projekt
Tandvården som arena för upptäckt av sexuella övergrepp; Malmö universitet, Odontologiska fakulteten (OD)
Organisationer
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0001-7425-1038

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