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Orofacial pain and tooth wear in swedish adults: cross-sectional studies in southern Sweden
Malmö University, Faculty of Odontology (OD).
2019 (English)Licentiate thesis, comprehensive summary (Other academic)
Abstract [en]

Aim. The present licentiate thesis investigated the prevalence of TMDpainand related factors, the prevalence and severity of tooth wear, andthe etiology and factors related to tooth wear in adults in southern Sweden.Methods. The methods used included a questionnaire, history, clinical examination,intraoral photographs, and saliva sample. In Paper I, twoscreening questions for TMD pain were used to query a study samplecomprising 6123 questionnaire participants about their pain experience.In Paper II, a clinical examination and intraoral photographs helped determinethe presence and severity of tooth wear. Information from a questionnaire,patient histories, and participant saliva samples were analyzedregarding tooth wear-related factors. The study sample comprised 831 individuals.Results. Paper I found a prevalence of TMD pain once a week or moreoften in 11% of the study sample. Related factors were female gender,subjects under 50 years of age, weekly headache, self-reports of poor generalhealth, impaired oral health-related quality of life, and tooth wear.Paper II showed tooth wear in all individuals. Attrition, the most commontooth wear, was found in over 90% of the study sample. Signs of erosionwere found in almost 80% of the individuals. Men had more tooth wearthan women, but none of the factors that were investigated as related factorsdiffered between the genders. Only some of the individuals, includingthe group with severe tooth wear reported having received information about tooth wear from their clinician. Participants reported receiving informationabout tooth wear due to extensive tooth brushing more thanabout erosion.Conclusions. Paper I found a prevalence of TMD pain in 11% of the studysample. In Paper II, attrition was found in over 90% of the study sample.Almost 80% of the individuals exhibited signs of erosion. Only a few reportedhaving received information about tooth wear due to erosion fromtheir clinician.

Place, publisher, year, edition, pages
Malmö university, Faculty of Odontology , 2019. , p. 48
Series
Malmö University Odontological Dissertations, ISSN 1650-6065
Keywords [en]
TMD, Tooth abrasion, Tandnedslitning, Smärta, Etiologi
National Category
Dentistry
Identifiers
URN: urn:nbn:se:mau:diva-7757DOI: 10.24834/isbn.9789178770496Local ID: 30351ISBN: 9789178770489 (print)ISBN: 9789178770496 (print)OAI: oai:DiVA.org:mau-7757DiVA, id: diva2:1404698
Note

Paper I is not included in the fulltext online

Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-03-14Bibliographically approved
List of papers
1. Temporomandibular Disorder Pain and Related Factors in an Adult Population: A Cross-Sectional Study in Southern Sweden
Open this publication in new window or tab >>Temporomandibular Disorder Pain and Related Factors in an Adult Population: A Cross-Sectional Study in Southern Sweden
2017 (English)In: Journal of Oral & Facial Pain and Headache, ISSN 2333-0384, Vol. 31, no 1, p. 37-45Article in journal (Refereed)
Abstract [en]

Aims: To measure the prevalence of temporomandibular disorder (TMD) pain and examine its association with gender and other factors in an adult population in southern Sweden. Methods: In 2006, a questionnaire was sent to randomly selected individuals (n = 10,000) aged 20 to 89 years. Two specific questions were used to screen individuals with TMD pain, and an additional 16 questions were analyzed regarding the subjects' relation to TMD pain. The chi-squared test was used to compare the distribution of categorical variables, and factors possibly related to TMD pain were analyzed by using logistic regression models with a likelihood-ratio test. Results: The response rate was 63%. The prevalence of TMD pain (once a week or more) was 11.0% (95% confidence interval [CI]: 10.2% to 11.8%). Women reported experiencing TMD pain more frequently than men. Further, the prevalence of TMD pain increased significantly in adults < 50 years of age. Those with TMD pain reported headaches much more frequently than those without TMD pain, and individuals with TMD pain self-reported poorer general health than those without it. Individuals with TMD pain also had higher scores on the oral health impact profile (OHIP-14). Moreover, the TMD pain group was three times more likely to have had a dentist or hygienist comment on their tooth wear than the non TMD pain group. Conclusion: The prevalence of TMD pain in the adult population in southern Sweden was 11%. Factors related to TMD pain were female gender, age < 50 years, headaches, self-reported poor general health, high scores on the OHIP-14, and tooth wear. Age was the only factor that showed a significant difference between genders for TMD pain.

Place, publisher, year, edition, pages
Quintessence, 2017
Keywords
adults, pain, prevalence, related factors, temporomandibular joint disorders
National Category
Dentistry
Identifiers
urn:nbn:se:mau:diva-6475 (URN)10.11607/ofph.1517 (DOI)000393626700005 ()28118419 (PubMedID)2-s2.0-85012226130 (Scopus ID)23485 (Local ID)23485 (Archive number)23485 (OAI)
Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-02-05Bibliographically approved
2. Tooth wear in Swedish adults: A cross-sectional study
Open this publication in new window or tab >>Tooth wear in Swedish adults: A cross-sectional study
2020 (English)In: Journal of Oral Rehabilitation, E-ISSN 1365-2842, Vol. 47, no 2, p. 235-245Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Tooth wear has been recognised as a growing oral health problem in children and adolescents, with erosion often cited as the main cause of the tooth wear. Most studies on tooth wear have been conducted on children and adolescents, and only few studies focus on adults. Our aim was to study the prevalence of different types of tooth wear in an adult population and investigate related factors to tooth wear.

METHODS: A total of 831 adults in Sweden participated in the study by completing a questionnaire about oral health, a clinical examination, saliva sample and intraoral photographs. Tooth wear was estimated according to the Basic Erosive Wear Examination index, and the aetiology was determined based on the clinical appearance.

RESULTS: Almost 80% of the individuals had signs of erosion, and over 90% had signs of attrition. A high level of tooth wear was found in 4.6% of the individuals, few of who reported having received information about both attrition and erosion. Significantly, more men had tooth wear. Daily consumption of fruit had a stronger correlation to tooth wear than acidic drinks.

DISCUSSION & CONCLUSION: A high level of tooth wear was found in 4.6% of the individuals, and it was more common in men than women. Aside from attrition, tooth wear due to erosion was a frequent finding in adults. Only a few of the individuals with a high level of tooth wear reported to have received information about tooth wear from their dentist or dental hygienist.

Place, publisher, year, edition, pages
John Wiley & Sons, 2020
Keywords
adult, cross-sectional studies, epidemiologic factors, prevalence, tooth attrition, tooth erosion, tooth wear
National Category
Dentistry
Identifiers
urn:nbn:se:mau:diva-14286 (URN)10.1111/joor.12887 (DOI)000491013000001 ()31520545 (PubMedID)2-s2.0-85074350555 (Scopus ID)
Available from: 2020-03-30 Created: 2020-03-30 Last updated: 2024-02-05Bibliographically approved

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Gillborg, Susanna

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