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  • 1.
    Ashi, H
    et al.
    Department of Cariology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Lara-Capi, C
    Department of Surgery, Microsurgery and Medicine, School of Dentistry, University of Sassari, Italy.
    Campus, G
    Department of Surgery, Microsurgery and Medicine, School of Dentistry, University of Sassari, Italy; WHO Collaborating Centre for Epidemiology and Preventive Dentistry, Milan, Italy.
    Klingberg, Gunilla
    Malmö högskola, Odontologiska fakulteten (OD).
    Lingström, Peter
    Department of Cariology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SE-405 30, Sweden; WHO Collaborating Centre for Epidemiology and Preventive Dentistry, Milan, Italy.
    Sweet Taste Perception and Dental Caries in 13- to 15-Year-Olds: A Multicenter2017Inngår i: Caries Research, ISSN 0008-6568, E-ISSN 1421-976X, Vol. 51, nr 4, s. 443-450Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Dietary habits and, in particular, the intake frequency of sucrose are of major importance for the development of dental caries. The perception of sweet taste is believed to have an influence on sucrose intake and therefore affects the predisposition to dental caries. The aim was to study the caries experience and sweet taste perception and to further analyze the possible relationship between the 2 tested variables in 13- to 15-year-old children from 3 different geographical areas. A cross-sectional survey comprising 669 children (220 Italian, 224 Mexican, and 225 Saudi Arabian) was conducted. The children were examined in their school setting. A sweet taste perception level was determined by the sweet taste threshold (TT) and sweet taste preference (TP). The sweet test was performed with sucrose solutions varying in concentration from 1.63 to 821.52 g/L. The International Caries Detection and Assessment System (ICDAS) and DMFS indices were used to diagnose caries. The highest mean value for TT was found for Italian children followed by Saudi and Mexican. Saudi schoolchildren showed the highest mean values for TP and DMFS, followed by Italian and Mexican. A statistically significant difference for TP, TT, DMFS, and initial caries was found between the 3 countries. A weak yet positive correlation was found between taste perception (TT and TP) versus DMFS and manifest caries in all 3 countries (r = 0.137-0.313). The findings of the present study showed a variation in sweet taste perception between the 3 countries, which may influence the caries outcome of the children in the individual countries.

  • 2.
    Ashi, Heba
    et al.
    Department of Cariology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Public Health, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.
    Campus, Guglielmo
    Klinik für Zahnerhaltung, Präventiv- und Kinderzahnmedizin, Zahnmedizinische Kliniken (ZMK), University of Bern, Switzerland and Department of Surgery, Microsurgery; WHO Collaborating Centre for Epidemiology and Preventive Dentistry, Milan, Italy.
    Klingberg, Gunilla
    Malmö universitet, Odontologiska fakulteten (OD).
    Bertéus Forslund, Heléne
    Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Lingström, Peter
    Department of Cariology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; WHO Collaborating Centre for Epidemiology and Preventive Dentistry, Milan, Italy.
    Childhood obesity in relation to sweet taste perception and dental carie: a cross-sectional multicenter study2019Inngår i: Food & Nutrition Research, ISSN 1654-6628, E-ISSN 1654-661X, Vol. 63, artikkel-id 1682Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Obesity is a multifactorial disease that is increasing worldwide and is caused by different environmental and genetic factors, with an increase in the consumption of high-energy–containing food and a decrease in physical activity constituting two of the main reasons. Sweet taste perception may have an effect on the subject’s dietary choices and affect his or her predisposition to obesity. Objectives: The aim was to study the sweet taste perception and dental caries in relation to body mass index (BMI) in 13–15-year-old schoolchildren from three different countries and to compare the BMI among the countries. Design: The sweet taste perception level, determined as the sweet taste threshold and preference, was assessed in a total of 669 schoolchildren from Italy, Mexico and Saudi Arabia, examined in school settings. Height and weight were collected and BMI was calculated, after which the children were grouped as underweight, normal, overweight, and obese. For caries registration, the International Caries Detection and Assessment System and Decayed Missing Filled Surfaces indices were used. Results: A statistically significant difference was found for BMI among the children from the three countries (p < 0.001), with the highest mean found among Saudi children, followed by Mexican and Italian children. A statistically significant difference regarding sweet taste threshold when comparing the BMI groups was only found for Saudi Arabia (p < 0.01). No significant correlation was found between BMI and sweet taste threshold or preference and dental caries variables, respectively. Conclusions: BMI was found to differ between countries, with a further significant difference among the groups among the Saudi Arabia schoolchildren.

    Fulltekst (pdf)
    FULLTEXT01
  • 3.
    Berlin, Henrik
    et al.
    Malmö universitet, Odontologiska fakulteten (OD).
    Hallberg, Ulrika
    Malmö universitet, Odontologiska fakulteten (OD).
    Ridell, Karin
    Malmö universitet, Odontologiska fakulteten (OD).
    Toft, Danijela
    Colosseum Smile Dental Group, Malmö, Sweden.
    Klingberg, Gunilla
    Malmö universitet, Odontologiska fakulteten (OD).
    A grounded theory study on Swedish 10 to 16-year-olds’ perceptions of pain in conjunction with orthodontically indicated tooth extraction2023Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 81, nr 3, s. 235-240Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: Children frequently experience pain and/or discomfort during dental treatment. Still, pain research in dentistry has mainly been performed on adults using quantitative methods while research on the child's perspective is scarce. This study aims to explore and describe children's experiences and/or thoughts regarding pain in conjunction with tooth extraction.

    Material and methods: Interviews were carried out with twelve Swedish 10-16-year-olds who had recently undergone tooth extractions due to orthodontic reasons. Interviews were transcribed verbatim and analysed according to grounded theory.

    Results: A core category was identified and named 'handling the unavoidable unknown'. The informants recalled experiences of pain and discomfort during extractions. However, instead of focussing on pain, they described an urge for more information about the procedure and what to expect in terms of pain and/or discomfort, during and/or after treatment. They stated that the levels of pain/discomfort were manageable, while the lack of information negatively affected their coping abilities, causing feelings of unease.

    Conclusions: To improve patients' ability to deal with pain in conjunction with dental extraction, the dental team should ensure better and individually tailored information about the treatment. Thus, the use of psychological techniques is a cornerstone in pain management and must be reflected in clinical guidelines.

    Fulltekst (pdf)
    fulltext
  • 4.
    Berlin, Henrik
    et al.
    Malmö universitet, Odontologiska fakulteten (OD).
    List, Thomas
    Malmö universitet, Odontologiska fakulteten (OD).
    Ridell, Karin
    Malmö universitet, Odontologiska fakulteten (OD).
    Davidson, Thomas
    Department of Medical and Health Sciences (IMH), Linköping University, Linköping, Sweden.
    Toft, Danijela
    Colosseum Smile Dental Group, Malmö, Sweden.
    Klingberg, Gunilla
    Malmö universitet, Odontologiska fakulteten (OD).
    Postoperative pain profile in 10-15-year-olds after bilateral extraction of maxillary premolars2019Inngår i: European Archives of Paediatric Dentistry, ISSN 1818-6300, E-ISSN 1996-9805, Vol. 20, nr 6, s. 545-555Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    PURPOSE: To study pain perception in 10-15-year-olds, during and after uncomplicated extractions of bilateral maxillary premolars. The study investigated pain's natural course and made comparisons between the first and second extractions. METHODS: 31 Swedish children in need of orthodontic treatment were identified and consecutively enrolled. Tooth extractions followed a standardised protocol and the two teeth were extracted with at least 10 days between. The participants rated pain intensity using visual analogue scale (VAS) at 14 different time points from treatment and 7 days forward. RESULTS: The pain intensity profile followed the same pattern for all patients. Pain intensity peaked 2 h after extractions (mean VASPI 27.3, SD 20.8; median 23.0) when moderate pain intensity (VASPI >/= 40) was registered for 16 (28%) of 57 cases. After that, there was a rapid decrease in pain intensity notable already at 4 h after extractions. There were no statistically significant differences in any VASPI measurements between the first and second extractions, sexes, or different age groups. CONCLUSIONS: The majority of the participants who undergo uncomplicated bilateral extraction of maxillary premolars experience mild to moderate levels of postoperative pain during a short period of time, with no differences between the first and second extractions. Bilateral tooth extractions is a suitable model for further studies on pain management.

    Fulltekst (pdf)
    FULLTEXT01
  • 5.
    Berlin, Henrik
    et al.
    Malmö universitet, Odontologiska fakulteten (OD).
    List, Thomas
    Malmö universitet, Odontologiska fakulteten (OD).
    Ridell, Karin
    Malmö universitet, Odontologiska fakulteten (OD).
    Klingberg, Gunilla
    Malmö universitet, Odontologiska fakulteten (OD).
    Dentists' attitudes towards acute pharmacological pain management in children and adolescents2018Inngår i: International Journal of Paediatric Dentistry, ISSN 0960-7439, E-ISSN 1365-263X, Vol. 28, nr 2, s. 152-160Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    AIM: This study aimed to investigate Swedish dentists' attitudes regarding pain management strategies for treating children and adolescents. It assessed recommendations for pre- and postoperative analgesics, and use of local anaesthesia, and whether application of these strategies differs between general dental practitioners (GDPs) and specialists in paediatric dentistry (SPDs). DESIGN: We invited all GDPs (n = 807) in southern Sweden (Region Skåne), and all registered SPDs (n = 122) working in Sweden (929 actively practising dentists under age 65 years) to participate in a postal survey on pain management in paediatric dental care. RESULTS: The SPDs reported using all types of pain-reducing strategies more frequently than GDPs except local anaesthesia when extracting a permanent premolar, which SPDs and GDPs used equally often. Preoperative analgesic use was greater among SPDs than GDPs. GDPs used local anaesthesia less frequently for filling therapy in primary teeth than in permanent teeth. CONCLUSIONS: SPDs recommend preoperative analgesics more often than GDPs do. GDPs seem to underuse local anaesthetics when treating children and adolescents. SPDs also use pain management strategies more frequently than GDPs. Among GDPs, pain management is less frequent when treating primary teeth than permanent teeth.

  • 6.
    Berlin, Henrik
    et al.
    Malmö universitet, Odontologiska fakulteten (OD).
    Vall, Martina
    Malmö universitet, Malmö universitetsbibliotek.
    Bergenäs, Elisabeth
    Malmö universitet, Malmö universitetsbibliotek.
    Ridell, Karin
    Malmö universitet, Odontologiska fakulteten (OD).
    Brogårdh-Roth, Susanne
    Malmö universitet, Odontologiska fakulteten (OD).
    Lager, Elisabeth
    Malmö universitet, Odontologiska fakulteten (OD).
    List, Thomas
    Malmö universitet, Odontologiska fakulteten (OD).
    Davidson, Thomas
    Malmö universitet, Odontologiska fakulteten (OD). Linkoping Univ, Dept Med & Hlth Sci IMH, Linkoping, Sweden.
    Klingberg, Gunilla
    Malmö universitet, Odontologiska fakulteten (OD).
    Effects and cost-effectiveness of postoperative oral analgesics for additional postoperative pain relief in children and adolescents undergoing dental treatment: Health technology assessment including a systematic review2019Inngår i: PLOS ONE, E-ISSN 1932-6203, Vol. 14, nr 12, artikkel-id e0227027Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

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

    Fulltekst (pdf)
    fulltext
  • 7.
    Berlin, Marie
    et al.
    National Board of Health and Welfare (Socialstyrelsen), Stockholm, Sweden; Department of Sociology, Stockholm University, Stockholm, Sweden.
    Mensah, Tita
    Malmö universitet, Odontologiska fakulteten (OD).
    Lundgren, Frida
    National Board of Health and Welfare (Socialstyrelsen), Stockholm, Sweden.
    Klingberg, Gunilla
    Malmö universitet, Odontologiska fakulteten (OD).
    Hjern, Anders
    Clinical Epidemiology, Department of Medicine, Karolinska Institutet, Stockholm, Sweden; Centre for Health Equity Studies, Karolinska Institutet/Stockholm University, Stockholm, Sweden.
    Vinnerljung, Bo
    Clinical Epidemiology, Department of Medicine, Karolinska Institutet, Stockholm, Sweden; Department of Social Work, University of Stockholm, Stockholm, Sweden.
    Cederlund, Andreas
    Malmö universitet, Odontologiska fakulteten (OD). National Board of Health and Welfare (Socialstyrelsen), Stockholm, Sweden.
    Dental health care utilization among young adults who were in societal out-of-home care as children: a Swedish national cohort study2018Inngår i: International Journal of Social Welfare, ISSN 1369-6866, E-ISSN 1468-2397, Vol. 27, nr 4, s. 325-336Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    We used Swedish national registers to analyse dental health care among young adults with childhood experience of out‐of‐home care (OHC), in Cox regression analyses. All 1.7 million Swedish residents born in 1980–1994 were included, of whom 4% had been in OHC. The population was followed up in the Dental Health Register from age 20 to 29, during the period 2009–2014. We found that persons with short or long OHC experience made emergency dental care visits more often than their majority‐population peers: 17–23% versus 9–10%, (adjusted Hazard ratios [HR:s] 1.60–2.02); they more often had tooth extractions, 9–12% versus 3% (HR:s 2.33–3.03); but less regularly visited a dentist for planned check‐ups, 61–77% versus 80–87% (HR:s 0.76–0.78). Since dental health in young adulthood reflects dental health and dental care in childhood, the findings of this study call for improved preventive dental health care for children in OHC.

  • 8.
    Boot, Erik
    et al.
    Advisium, 's Heeren Loo Zorggroep, Amersfoort, The Netherlands; The Dalglish Family 22q Clinic, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada; Department of Psychiatry and Neuropsychology, Maastricht University, Maastricht, The Netherlands.
    Óskarsdóttir, Sólveig
    Department of Pediatric Rheumatology and Immunology, Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden; Department of Pediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden..
    Loo, Joanne C.Y.
    The Dalglish Family 22q Clinic, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada.
    Crowley, Terrence Blaine
    22q and You Center, Clinical Genetics Center, and Division of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, PA.
    Orchanian-Cheff, Ani
    Library and Information Services, and The Institute of Education Research (TIER), University Health Network, Toronto, Ontario, Canada.
    Andrade, Danielle M.
    Adult Genetic Epilepsy Program, Toronto Western Hospital and University of Toronto, Toronto, Ontario, Canada.
    Arganbright, Jill M.
    Division of Otolaryngology, Children's Mercy Hospital and University of Missouri Kansas City School of Medicine, Kansas City, MO.
    Castelein, René M.
    Department of Orthopedic Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
    Cserti-Gazdewich, Christine
    Hematology and Transfusion Medicine, University Health Network, Toronto, Ontario, Canada.
    de Reuver, Steven
    Department of Orthopedic Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
    Fiksinski, Ania M.
    Department of Psychiatry and Neuropsychology, Maastricht University, Maastricht, The Netherlands; Department of Pediatric Psychology, University Medical Centre, Wilhelmina Children's Hospital, Utrecht, The Netherlands.
    Klingberg, Gunilla
    Malmö universitet, Odontologiska fakulteten (OD).
    Lang, Anthony E.
    The Edmond J. Safra Program in Parkinson's Disease and the Morton and Gloria Shulman Movement Disorders, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada.
    Mascarenhas, Maria R.
    Division of Gastroenterology and 22q and You Center, Children's Hospital of Philadelphia, Philadelphia, PA; Department of Pediatrics, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA.
    Moss, Edward M.
    Bryn Mawr, PA.
    Nowakowska, Beata Anna
    Department of Medical Genetics, Institute of Mother and Child, Warsaw, Poland.
    Oechslin, Erwin
    Toronto Adult Congenital Heart Disease Program, Peter Munk Cardiac Centre, University Health Network and University of Toronto, Toronto, Ontario, Canada.
    Palmer, Lisa
    The Dalglish Family 22q Clinic, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada.
    Repetto, Gabriela M.
    Rare Diseases Program, Institute for Sciences and Innovation in Medicine, Facultad de Medicina Clinica Alemana Universidad del Desarrollo, Santiago, Chile.
    Reyes, Nikolai Gil D.
    The Edmond J. Safra Program in Parkinson's Disease and the Morton and Gloria Shulman Movement Disorders, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada.
    Schneider, Maude
    Clinical Psychology Unit for Intellectual and Developmental Disabilities, Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland.
    Silversides, Candice
    Toronto ACHD Program, Mount Sinai and Toronto General Hospitals, University of Toronto, Toronto, Ontario, Canada.
    Sullivan, Kathleen E.
    Department of Pediatrics, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA; Division of Allergy and Immunology and 22q and You Center, Children's Hospital of Philadelphia, Philadelphia, PA.
    Swillen, Ann
    Center for Human Genetics, University Hospital UZ Leuven, Department of Human Genetics, KU Leuven, Leuven, Belgium.
    van Amelsvoort, Therese A.M.J.
    Department of Psychiatry and Neuropsychology, Maastricht University, Maastricht, The Netherlands.
    Van Batavia, Jason P.
    Department of Surgery, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA; Division of Urology and 22q and You Center, Children's Hospital of Philadelphia, Philadelphia, PA.
    Vingerhoets, Claudia
    Advisium, 's Heeren Loo Zorggroep, Amersfoort, The Netherlands; Department of Psychiatry and Neuropsychology, Maastricht University, Maastricht, The Netherlands.
    McDonald-McGinn, Donna M.
    22q and You Center, Clinical Genetics Center, and Division of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, PA; Department of Pediatrics, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA; Department of Human Biology and Medical Genetics, Sapienza University, Rome, Italy.
    Bassett, Anne S.
    The Dalglish Family 22q Clinic, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada; Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada; Clinical Genetics Research Program and Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Ontario, Canada; Department of Mental Health and Division of Cardiology, Department of Medicine, and Toronto General Hospital Research Institute, University Health Network, Toronto, Ontario, Canada.
    Updated clinical practice recommendations for managing adults with 22q11.2 deletion syndrome2023Inngår i: Genetics in Medicine, ISSN 1098-3600, E-ISSN 1530-0366, Vol. 25, nr 3, artikkel-id 100344Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    This review aimed to update the clinical practice guidelines for managing adults with 22q11.2 deletion syndrome (22q11.2DS). The 22q11.2 Society recruited expert clinicians worldwide to revise the original clinical practice guidelines for adults in a stepwise process according to best practices: (1) a systematic literature search (1992-2021), (2) study selection and synthesis by clinical experts from 8 countries, covering 24 subspecialties, and (3) formulation of consensus recommendations based on the literature and further shaped by patient advocate survey results. Of 2441 22q11.2DS-relevant publications initially identified, 2344 received full-text review, with 2318 meeting inclusion criteria (clinical care relevance to 22q11.2DS) including 894 with potential relevance to adults. The evidence base remains limited. Thus multidisciplinary recommendations represent statements of current best practice for this evolving field, informed by the available literature. These recommendations provide guidance for the recognition, evaluation, surveillance, and management of the many emerging and chronic 22q11.2DS-associated multisystem morbidities relevant to adults. The recommendations also address key genetic counseling and psychosocial considerations for the increasing numbers of adults with this complex condition.

    Fulltekst (pdf)
    fulltext
  • 9. Broberg, Anders G
    et al.
    Klingberg, Gunilla
    Malmö högskola, Odontologiska fakulteten (OD).
    Child and adolescent psychological development2009Inngår i: Pediatric Dentistry – A clinical approach, 2nd ed, Wiley-Blackwell, 2009, s. 17-31Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 10. Broberg, Anders G
    et al.
    Klingberg, Gunilla
    Malmö högskola, Odontologiska fakulteten (OD).
    Child and adolescent psychological development2017Inngår i: Pediatric dentistry: a clinical approach (third ed.) / [ed] Göran Koch, Sven Poulsen, Ivar Espelid, Dorte Haubek, Wiley-Blackwell, 2017, s. 15-27Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 11.
    Brogårdh-Roth, Susanne
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Klingberg, Gunilla
    Malmö högskola, Odontologiska fakulteten (OD).
    Matsson, Lars
    Malmö högskola, Odontologiska fakulteten (OD).
    Mixed-up results give misguided conclusions regarding enamel defects in permanent teeth in children born preterm2014Inngår i: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, Vol. 122, nr 5, s. 360-360Artikkel i tidsskrift (Annet vitenskapelig)
    Fulltekst (pdf)
    fulltext
  • 12.
    Brogårdh-Roth, Susanne
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Matsson, Lars
    Malmö högskola, Odontologiska fakulteten (OD).
    Klingberg, Gunilla
    Malmö högskola, Odontologiska fakulteten (OD).
    Molar-incisor hypomineralization and oral hygiene in 10- to-12-yr-old Swedish children born preterm2011Inngår i: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, Vol. 1, nr 119, s. 33-39Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Although preterm birth is associated with an increased risk of medical problems and impairments, there is limited knowledge of how this affects oral health. It was hypothesized that when 10-12 yr of age, children who were preterm at birth would present with a higher prevalence of molar-incisor hypomineralization (MIH), more dental plaque, and a higher degree of gingival inflammation than full-term control children. Eighty-two preterm children, born between 24 and 32 wk of gestation, and 82 control children, born between 37 and 43 wk of gestation, were clinically examined for developmental defects in enamel, MIH, dental plaque, and gingival health. In addition, behaviour management problems were evaluated. Information on any aetiological factors with a potential influence on MIH and oral health was collected via questionnaires. Molar-incisor hypomineralization was more common in preterm children than in controls (38% vs. 16%), as were enamel developmental defects (69.5% vs. 51%). Low gestational age and low birth weight increased the risk of MIH. Preterm children had more plaque, a higher degree of gingival inflammation, and more behaviour-management problems than controls. In conclusion, oral health problems were more common in preterm children than in control children.

  • 13.
    Brogårdh-Roth, Susanne
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Matsson, Lars
    Malmö högskola, Odontologiska fakulteten (OD).
    Stjernqvist, Karin
    Klingberg, Gunilla
    Malmö högskola, Odontologiska fakulteten (OD).
    För tidigt födda tonåringar i tandvården2009Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 14.
    Brogårdh-Roth, Susanne
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Stjernqvist, Karin
    Matsson, Lars
    Malmö högskola, Odontologiska fakulteten (OD).
    Klingberg, Gunilla
    Malmö högskola, Odontologiska fakulteten (OD).
    Dental anxiety patterns in adolescents born preterm compared with matched controls2009Inngår i: International Journal of Paediatric Dentistry, ISSN 0960-7439, E-ISSN 1365-263X, Vol. 19, nr Supplement 1, s. 66-170Artikkel i tidsskrift (Annet vitenskapelig)
    Abstract [en]

    Introduction A high frequency of cognitive and behavioural disturbances has been reported in preterm children. It is not known if this affects the children’s apperceptions or behaviours during dental treatment. The aim was therefore to investigate dental behavioural management problems (BMP) and dental anxiety (DA) in preterm children from age 3-14, and to compare with matched controls. Materials and Methods 187 preterm children (23-32 weeks of gestation), born 1994-96 were followed regarding BMP and DA. Comparisons were made with matched full-term controls. Data on BMP were collected from dental records for the ages 3 and 6 yrs. During the school years, parents were interviewed twice regarding BMP in their children. Two periods of time were covered; preschool period, and early school years. Finally, at 12-14 yrs the children filled out the CFSS-DS scale, measuring DA. Results During pre-school years pre-term children showed significantly more BMP at various kinds of dental treatments (32% vs. 15%; p<0.001). This was confirmed in the first interviews of the parents (20%vs. 10%; p=0.028). At the second interviews, covering early school years, no differences were found between the groups. This was also verified by the children’s scorings on CFSS-DS at age 12-14 where no differences in mean scores were revealed. Conclusion Children born preterm seem to have a high prevalence of BMP during preschool years. But this difference decreases with increasing age, possibly reflecting a catch-up. At school years and early adolescence no differences were seen between the groups regarding BMP or DA.

  • 15.
    Brogårdh-Roth, Susanne
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Stjernqvist, Karin
    Matsson, Lars
    Malmö högskola, Odontologiska fakulteten (OD).
    Klingberg, Gunilla
    Malmö högskola, Odontologiska fakulteten (OD).
    Dental fear and anxiety and oral health behaviour in 12-to-14-year-olds born preterm2010Inngår i: International Journal of Paediatric Dentistry, ISSN 0960-7439, E-ISSN 1365-263X, Vol. 20, nr 6, s. 391-399Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: An enhanced frequency of cognitive and behavioural disturbances has been reported in preterm children. It is not known if this affects their perceptions of or behaviour in the dental care situation. HYPOTHESIS: The hypotheses were that preterm (PT) children aged 12-14 years more often exhibit dental fear and anxiety (DFA) than full-term controls (C), while no differences were expected regarding oral health behaviour. METHODS: One hundred and nine PT and 108 C children took part in the present questionnaire study. DFA was assessed using the Children's Fear Survey Schedule - Dental Subscale (CFSS-DS). In addition the questionnaire covered items including satisfaction with received dental care, oral health behaviour and medical health. RESULTS: The children's CFSS-DS scores revealed no differences between the PT and C groups. Regarding oral health behaviour there were no differences, except that PT children more often used dental floss and extra fluoride supplements. PT children reported more medical health problems than C children. CONCLUSIONS: Preterm (PT) children 12- to 14-years-old, as well as C of same age group, seem to be satisfied with their dental care and display low prevalence of DFA. Still, a higher frequency of medical health problems in the PT children suggests that these children should be regarded as potential risk patients for oral health problems.

  • 16.
    Brogårdh-Roth, Susanne
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Stjernqvist, Karin
    Matsson, Lars
    Malmö högskola, Odontologiska fakulteten (OD).
    Klingberg, Gunilla
    Malmö högskola, Odontologiska fakulteten (OD).
    Parental perspectives on preterm children’s oral health behaviour and experience of dental care during pre-school years and early school years.2009Inngår i: International Journal of Paediatric Dentistry, ISSN 0960-7439, E-ISSN 1365-263X, Vol. 19, nr 4, s. 243-250Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Children born preterm (PT) have medical conditions and impairments that may affect their oral health. Hypothesis. Our hypothesis for the study was that PT children display more dental behaviour management problems (BMPs) and less favourable oral health behaviour than controls (C). METHODS: Parents of 153 PT children and 153 C children were interviewed regarding the children's oral health behaviour and experience of dental care on two occasions, 2 years apart. The interviews concerned the preschool period and the early school years, respectively. RESULTS: BMPs were more common in PT children of preschool age, but not during the early school years. Regarding oral health behaviour, there were no differences between the groups, except that PT children had more problems with toothbrushing than C children in the preschool period, in spite of the fact that the PT group reported more medical health problems and more anxious behaviour and indications of cognitive problems than the C group. CONCLUSIONS: Children born PT exhibit several risk factors for both BMP and impaired oral health. It is essential that this group of patients is identified early and receives special attention from the dental services.

  • 17.
    Göransson, Linn
    et al.
    Department of Gynaecology and Obstetrics Eksjö Hospital Eksjö Sweden.
    Ekermann, Sofia
    Primary Care Ystad Sweden.
    Dovik, Christoffer
    Department of Internal Medicine and Emergency Care Skåne University Hospital Lund Sweden.
    Klingberg, Gunilla
    Malmö universitet, Odontologiska fakulteten (OD).
    Ridell, Karin
    Malmö universitet, Odontologiska fakulteten (OD).
    Laurell, Louise
    Department of Paediatrics Skåne University Hospital Lund University, Faculty of Medicine, Department of Clinical Sciences Lund Sweden.
    Children’s advocacy centre fails to respond to dental, mental and physical ill‐health in abused children2022Inngår i: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 111, nr 6, s. 1186-1193Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim

    Sweden´s first multidisciplinary children's advocacy centre (CAC) was founded in 2005 as a collaborative practice between child protection services, the legal system and health care in response to police-reported child abuse. CACs were introduced in the county of Skåne in 2007. The aim of the study was to describe the health of children investigated at the CAC in Lund, and to examine whether the CAC model of collaboration responded to the healthcare needs of these children.

    Methods

    All children aged 0–17 years investigated at the CAC in 2015 were included in this retrospective study. We reviewed the CAC files and the children's medical and dental records from one year prior to, until one year after their assessment at the CAC.

    Results

    Our review of the medical and dental records (n = 298) showed a high prevalence of mental, dental and physical ill-health. After the CAC joint meeting, only 1% of the children were referred for a medical examination and 4% for a focused forensic evaluation.

    Conclusion

    Our study demonstrates limitations in the CAC process in responding to extensive health issues of the young victims of crime. We suggest mental, dental and physical health assessments to be statutory in CACs.

    Fulltekst (pdf)
    fulltext
  • 18.
    Hallberg, Ulkrika
    et al.
    Malmö universitet, Odontologiska fakulteten (OD).
    Klingberg, Gunilla
    Malmö universitet, Odontologiska fakulteten (OD).
    Praktisk tillämpning av den nya LSS-lagen2020 (oppl. 1)Bok (Annet vitenskapelig)
  • 19.
    Hallberg, Ulrika
    et al.
    Malmö universitet, Odontologiska fakulteten (OD).
    Klingberg, Gunilla
    Malmö universitet, Odontologiska fakulteten (OD).
    Children with Special Needs: An Overview of Knowledge on Disability2023 (oppl. 1)Bok (Annet vitenskapelig)
    Abstract [en]

    There can be a lack of understanding of the vulnerable situation of children with disabilities and their families, even among professional caregivers whose mission is to protect the health and wellbeing of these children. Their respectful treatment should include knowledge, empathy, humanity, and an open and sympathetic dialogue. This book provides an overview of knowledge and literature review of children and adolescents with special care needs that contribute to the respect and understanding of children with disabilities and their families. It also explains possible reasons for different outcomes in research studies and why there is a lack of knowledge in some areas concerning these children. 

    Research on children with disabilities is considerable but often can be difficult to access on many levels, which means it does not always benefit those who need this knowledge. This compact book addresses this by presenting the international research in the field in an understandable way for people who work with children with disabilities and their families. The authors provide a broad picture of the background, reality of life, opportunities for professional help and support, as well as outlook of these children and families. Among the topics covered:

    • The Health and Well-being of Children with Disabilities
    • The Health and Well-being of Relatives
    • Occupation
    • On the Road to Adulthood

    Children with Special Needs: An Overview of Knowledge on Disability is pertinent reading for students in all areas of health care (including nursing and psychology), social work, sociology, and education aimed at children and young people. The text also would be of interest to those who practice in these areas and/or encounter children with disabilities in their daily work.

  • 20. Hallberg, Ulrika
    et al.
    Klingberg, Gunilla
    Malmö högskola, Odontologiska fakulteten (OD).
    Oral ohälsa hos personer med kognitiva och/eller fysiska funktionsnedsättningar: ett dolt folkhälsoproblem?2008Rapport (Annet vitenskapelig)
    Abstract [sv]

    Antalet individer med funktionsnedsättning ökar, dels beroende på att numera kan sjukdomar botas som tidigare inte kunde botas och dels beroende på att allt fler för tidigt födda barn kan räddas. Den orala hälsan är ofta negativt påverkad hos personer med funktionsnedsättning och det föreligger risk att dessa personer, trots ett större tandvårdsbehov än andra, erhåller mindre tandvård. Anledningen till detta är inte helt känd. Syftet med våra studier var därför att fördjupa kunskapen om hur personer med funktionsnedsättning och deras anhöriga prioriterar och tänker om oral hälsa. Syftet med studierna var också att fördjupa kunskapen om hur hälso- och sjukvårdspersonal samt tandvårdspersonal tänker om behov avseende bemötande och oral hälsa hos personer med funktionsnedsättning. Den kvalitativa forskningsmetoden grounded theory har valts då den är speciellt lämplig på områden där teorier är sparsamt förekommande eller saknas. Öppna kvalitativa intervjuer har genomförts med 65 informanter. Studierna visade att föräldrar till barn med funktionsnedsättning samt vuxna personer med kognitiva och/eller fysiska funktionsnedsättningar inte prioriterade den orala hälsan på grund av att andra mer akuta problem upplevdes som viktigare. Många personer med funktionsnedsättning vårdas kortare eller längre tid på vårdinrättningar, men kunskapen om oral hälsa var låg och inte prioriterad av personal inom hälso- och sjukvården. Personer med funktionsnedsättning återfinns inom såväl allmäntandvård som specialisttandvård och kunskapen om dessa patienters vårdbehov och bemötande av dem varierade mycket mellan olika kliniker, allmän- och specialisttandvård och mellan olika tandvårdspersonal. Sammantaget utgör dessa resultat en möjlig förklaring till varför personer med funktionsnedsättning löper ökad risk för oral ohälsa. Detta innebär också att en prioriterad, god oral hälsa och ett adekvat bemötande av personer med funktionsnedsättningar snarare kan handla om tur än om en jämlik rättighet.

  • 21.
    Johansson, Kristina
    et al.
    Malmö universitet, Odontologiska fakulteten (OD). Department of Orthodontics, Östersund Hospital, Östersund, Sweden.
    Bokander Matilainen, Linda
    Malmö universitet, Odontologiska fakulteten (OD).
    Wiaderny, Michal
    Department of Orthodontics, Folktandvården Dalarna, Falun, Sweden.
    Berlin, Henrik
    Malmö universitet, Odontologiska fakulteten (OD).
    Klingberg, Gunilla
    Malmö universitet, Odontologiska fakulteten (OD).
    Ghiasi, Houda
    Private Orthodontic Practice, Bernhold Ortodonti, Helsingborg, Sweden.
    Brechter, Anna
    Private Orthodontic Practice, Bernhold Ortodonti, Helsingborg, Sweden.
    Paulsson, Liselotte
    Malmö universitet, Odontologiska fakulteten (OD).
    Self-reported pain during different phases of orthodontic treatment with fixed appliance: A multi-centre randomized controlled trial in adolescents with crowding2024Inngår i: Orthodontics & craniofacial research, ISSN 1601-6335, E-ISSN 1601-6343Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVES: To compare self-reported pain levels across various treatment phases using passive self-ligating (Damon) and conventional (Victory) standardized fixed appliance systems.

    MATERIALS AND METHODS: Adolescents (12-17 years old) with crowding and displaced teeth, planned for non-extraction treatment, were recruited from four orthodontic clinics. They were randomized into stratified blocks (1:1 ratio) using concealed allocation to receive Damon Q™ (34 boys, 28 girls) or Victory™ (39 boys, 31 girls). Pain and analgesic intake were assessed on seven different occasions with validated self-report questionnaires using a 10-grade scale.

    RESULTS: Of the 132 patients included, six were lost to follow up. Clinically relevant mean pain scores (≥4) were registered in both groups after bonding upper and lower arches and after insertion of 0.019 × 0.025 stainless steel archwire. The highest mean scores were reported on day two after bonding the upper arch (Damon 5.96, Victory 7.18, P = .011). In both groups, at least 40% reported taking analgesics during various treatment phases. The Damon group reported a lower intake of analgesics on days one and two (P = .042 and .037) after treatment initiation. In the entire sample, boys reported significantly higher mean pain scores than girls on the second and third days after bonding (P = .008 and .026, respectively).

    CONCLUSIONS: Lower pain levels were reported from the Damon group after bonding. In general, boys reported higher pain than girls did. Clinicians and adolescents need to be aware that clinically relevant pain levels can be expected not only after bonding but also in later phases.

  • 22. Jälevik, Birgitta
    et al.
    Klingberg, Gunilla
    Malmö högskola, Odontologiska fakulteten (OD).
    Pain sensation and injection techniques in maxillary dento-alveolar surgery procedures in children: a comparison between conventional and computerized injection techniques (The Wand)2014Inngår i: Swedish Dental Journal, ISSN 0347-9994, Vol. 38, nr 2, s. 67-75Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Local anesthesia, especially palatal injection, is often associated with fear and anxiety. The aim was to compare the sensation of pain when using palatal block technique with computerized injection technique (CIT), to conventional infiltration technique with traditional syringe in surgical procedures involving the palate. Patients referred for bilateral minor maxillary surgical treatments were randomized for traditional infiltration anesthesia on one side and palatal block anesthesia with CIT on the other side. AMSA and P-ASA approaches were used with CIT. The sensation of pain was scored by the VAS scale. Twenty-eight patients were included in the study, where of 17 (61%) were girls. The median age was 14.8 yrs. (12.6 - 17.8). Bilateral exposure of palatal impacted canines was the most common treatment. The injection pain was significantly lower, (p = 0.009), when using the CIT injection compared to conventional injection. However, with time-consuming surgery, additional CIT analgesic solution had to be injected in the buccal gingiva when suturing, in one fourth of the cases. Patients sedated with nitrous oxide seemed to benefit less from CIT. Computerized injection techniques, including P-ASA and AMSA approaches, reduces the sensation of pain when carrying out less time-consuming palatal dental surgery, especially in non-sedated teenagers.

  • 23.
    Kirkinen, Tita
    et al.
    Malmö universitet, Odontologiska fakulteten (OD). Clinic of Paediatric Dentistry, Region Värmland, Karlstad, Sweden.
    Naimi-Akbar, Aron
    Malmö universitet, Odontologiska fakulteten (OD).
    Cederlund, Andreas
    Forsknings- och utvecklingsavdelningen, Folktandvården Stockholms län AB, Stockholm, Sweden.
    Tranæus, Sofia
    Malmö universitet, Odontologiska fakulteten (OD). Faculty of OdonSBU Assesses and Knowledge gaps, Swedish Agency for Health Technology Assessment and Assessment of Social Services, Stockholm, Sweden.
    Carlson, Christina
    Department of Preventive Dentistry, Region Värmland, Karlstad, Sweden.
    Klingberg, Gunilla
    Malmö universitet, Odontologiska fakulteten (OD).
    Accuracy of the Swedish quality registry for caries and periodontal diseases (SKaPa) – evaluation in 6- and 12-year-olds in the region of Värmland, Sweden2023Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 81, nr 8, s. 615-621Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives This study evaluates the agreement of data on dental caries between electronic dental records and data retrieved from the national SKaPa-registry (Swedish Quality Registry for caries and periodontal disease), with special reference to e/M in deft/DMFT.

    Methods In a random sample of 500 6- and 12-year-old children having received dental care in 2014 in the county region of Värmland, Sweden, the diagnostic accuracy of data in electronic dental records with corresponding data obtained from the SKaPa-registry was compared by using Cohen’s Kappa and Intraclass correlation coefficient (ICC).

    Results For dft/DFT the Kappa was 0.95, and ICC 0.98 (total population). For deft/DMFT in the total population the Kappa was 0.80 and ICC 0.96. For 6-year-olds (deft) the Kappa was 0.89 and ICC 0.99 and for 12-year-olds (DMFT) the Kappa was 0.70, and ICC 0.83. The corresponding figures for Kappa and ICC when excluding individuals without caries (deft/DMFT = 0) were: Total population 0.63 and 0.94; 6-year-olds 0.79 and 0.99; 12-year-olds 0.42 and 0.68.

    Conclusion Agreement between data in the dental records and SKaPa was very high for dft/DFT confirming that transfer from the dental records to the SKaPa-registry is safe and correct. As the accuracy of deft/DMFT was considerably lower than for dft/DFT we advise against using deft/DMFT data from SKaPa for research purposes at this point.

    Fulltekst (pdf)
    fulltext
  • 24.
    Klingberg, Gunilla
    Malmö universitet, Odontologiska fakulteten (OD).
    Children with disabilities2021Inngår i: Wright's Behavior Management in Dentistry for Children / [ed] Ari Kupietzky, Wiley-Blackwell, 2021, 3, s. 127-140Kapittel i bok, del av antologi (Annet vitenskapelig)
    Abstract [en]

    This chapter discusses special child patients with disabilities or chronic health conditions and provides examples to assist with their management in the dental office. It focuses on how the dental team can work together with the child and family to create positive dental appointments and good oral health. The convention noted changing societal views on people with disabilities. Cognitive reasoning, behavioral repertoires, and communicative skills vary, especially in children with disabilities. People with disabilities may be subject to inequality in oral health, in terms of both prevalence of disease and unmet healthcare needs. Children with intellectual disabilities are slower in acquiring self-care life-skills, have difficulty remembering things, and have delayed language development. Interpretation using sign language might be necessary and should be offered if available. The dentist should know how to communicate with sign language. Dentists who are motivated to treat special children will find it both stimulating and rewarding. 

  • 25.
    Klingberg, Gunilla
    Malmö högskola, Odontologiska fakulteten (OD). Mun-H-Center, National Orofacial Resource Centre, Gothenburg, Sweden.
    Dental anxiety and behaviour management problems in paediatric dentistry - a review of background factors and diagnostics2008Inngår i: European Archives of Paediatric Dentistry, ISSN 1818-6300, E-ISSN 1996-9805, Vol. 9, nr Suppl. 1, s. 11-15Artikkel, forskningsoversikt (Annet vitenskapelig)
    Abstract [en]

    Aim: To review the literature concerning dental anxiety and dental behaviour management in children and adolescents with regards to prevalence, measurement and aetiological factors. Study design: Review. Results: Dental anxiety and dental behaviour management problems are two different concepts related to each other but not identical. Each affects approximately 9% of the child and adolescence populations and both have a multifactorial background. Aetiological factors include the dental treatment as such (mainly pain, discomfort and perceived lack of control), general emotional status and temperament. Conclusions: In order to treat children and adolescents, paedatric dentists need to assess the patient in relation to psychological, personality and treatment aspects and assessments may be carried out using well established methods to gain more knowledge about the individual patient.

  • 26.
    Klingberg, Gunilla
    Malmö högskola, Odontologiska fakulteten (OD).
    Editorial2016Inngår i: Swedish Dental Journal, ISSN 0347-9994, Vol. 40, nr 1Artikkel i tidsskrift (Annet vitenskapelig)
  • 27.
    Klingberg, Gunilla
    Malmö högskola, Odontologiska fakulteten (OD).
    Summary of pain: Pain behaviour and distress in children during two sequential dental visits: comparing a computerised anaesthesia delivery system and a traditional syringe2008Inngår i: British Dental Journal, ISSN 0007-0610, E-ISSN 1476-5373, Vol. 205, nr 1, s. 30-31Artikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
    Abstract [en]

    Objective To compare the pain and distress response of children receiving a local anesthesia injection using a computerised device (Wand((R))) or a traditional syringe over two consecutive treatment sessions and to study whether the response to the two injection techniques was different for high or low dentally anxious children.Design Randomised controlled trial.Setting Secondary dental care practice specialised in treating children.Subjects and Methods Children were selected and randomly allocated to the Wand((R)) or traditional injection condition. Parents completed the Dental Subscale of the Children's Fear Survey Schedule (CFSS-ds). Based on video recordings of the injections, for each 15 seconds, the occurrence of five pain related behaviours was registered and a score was given on the Venham distress scale. Children rated their pain after each injection.Intervention Over two consecutive treatment sessions one group received two local anaesthesia injections with the traditional syringe and the other group received two injections with the Wand((R)).Outcome measures The mean number of pain related behaviours, the mean distress scores and the self-reported pain scores were compared. Based on the CFSS-ds subjects were split into highly and low dentally anxious children.Results One hundred and forty-seven subjects participated in the study: aged 4-11 years, 71 girls. Based on the behaviour displayed during the local anaesthesia injection and the self-reported pain after the injection, no difference could be found between an injection with the traditional syringe or the Wand((R)) over the first or second treatment session. However, on the first treatment session, highly anxious children reported more pain (p = 0.001), displayed more pain related behaviour (p = 0.002) and more distress (p <0.001) than low anxious children in reaction to the local anaesthesia injection.Conclusion No clear difference in the response of referred children could be found between an injection with the Wand((R)) or the traditional syringe. Level of dental anxiety was found to be an important factor in the response of children to a local anaesthesia injection.

  • 28.
    Klingberg, Gunilla
    Malmö högskola, Odontologiska fakulteten (OD).
    Tandvård för barn med specifika sjukdomar2015Inngår i: Pediatrisk omvårdnad / [ed] Inger Hallström, Tor Lindberg, Liber, 2015, s. 355-359Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 29.
    Klingberg, Gunilla
    Malmö högskola, Odontologiska fakulteten (OD).
    Tandvård för barn med specifika sjukdomar2009Inngår i: Pediatrisk omvårdnad / [ed] Inger Hallström, Tor Lindberg, Liber, 2009, s. 326-330Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 30.
    Klingberg, Gunilla
    Malmö universitet, Odontologiska fakulteten (OD).
    Tandvård för barn med specifika sjukdomar2023Inngår i: Pediatrisk omvårdnad / [ed] Kristensson Hallström, Inger; Derwig, Mariette, Stockholm: Liber, 2023, 3, s. 411-416Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 31.
    Klingberg, Gunilla
    Malmö högskola, Odontologiska fakulteten (OD).
    Tandvård för dem som inte kan betala: etiska aspekter på tandvård för papperslösa2015Inngår i: Aktuel Nordisk Odontologi, ISSN 1902-3545, Vol. 40, s. 209-221Artikkel i tidsskrift (Annet vitenskapelig)
    Abstract [en]

    Dental treatment for undocumented immigrants – ethical dilemmas

    It is unknown how many people have the status as undocumented immigrants, but in Sweden, the number is estimated to be 35.000 people. This group of people is reported to have more oral health problems than others. However, providing dental care to these immigrants is not always regulated by society or by the social security system. Meeting with and treating these patients may pose ethical dilemmas for the dental health care professionals. Ethical guidelines state that the dentist should act in the best interest of the patient. From an ethical point of view, undocumented immigrants have the right to receive health care, including dental treatment, on equal terms with others. But in order to fully achieve this, society needs to organize and clarify how this should be carried out.

    Fulltekst (pdf)
    FULLTEXT01
  • 32.
    Klingberg, Gunilla
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Andersson-Wenckert, Ingrid
    Grindefjord, Margaret
    Lundin, Sven-Åke
    Ridell, Karin
    Malmö högskola, Odontologiska fakulteten (OD).
    Tsilingaridis, Georgios
    Ullbro, Christer
    Specialist paediatric dentistry in Sweden 2008 - a 25-year perspective2010Inngår i: International Journal of Paediatric Dentistry, ISSN 0960-7439, E-ISSN 1365-263X, Vol. 20, nr 5, s. 313-321Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background. Paediatric dentistry in Sweden has been surveyed four times over the past 25 years. During this period postgraduate training, dental health, and the organization of child dental care have changed considerably. Aim. To investigate services provided by specialists in paediatric dentistry in Sweden in 2008, and to compare with data from previous surveys. Design. The same questionnaire was sent to all 30 specialist paediatric dental clinics in Sweden that had been used in previous surveys. Comparisons were made with data from 1983, 1989, 1996 and 2003. Results. Despite an unchanged number of specialists (N = 81 in 2008), the number of referrals had increased by 16% since 2003 and by almost 50% since 1983. There was greater variation in reasons for referrals. The main reason was still dental anxiety/behaviour management problems in combination with dental treatment needs (27%), followed by medical conditions/disability (18%), and high caries activity (15%). The use of different techniques for conscious sedation as well as general anaesthesia had also increased. Conclusions. The referrals to paediatric dentistry continue to increase, leading to a heavy work load for the same number of specialists. Thus, the need for more paediatric dentists remains.

  • 33.
    Klingberg, Gunilla
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Arnrup, Kristina
    Dental fear and behavior problems2017Inngår i: Pediatric dentistry: a clinical approach / [ed] Göran Koch, Sven Poulsen, Ivar Espelid, Dorte Haubek, Wiley-Blackwell, 2017, s. 55-65Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 34.
    Klingberg, Gunilla
    et al.
    Malmö universitet, Odontologiska fakulteten (OD).
    Benchimol, Daniel
    Karolinska Institutet, Sweden.
    Berlin, Henrik
    Malmö universitet, Odontologiska fakulteten (OD).
    Bring, Johan
    Statisticon AB, Uppsala.
    Gornitzki, Carl
    Swedish Agency for Health Technology Assessment and Assessment of Social Services, Stockholm.
    Odeberg, Jenny
    Swedish Agency for Health Technology Assessment and Assessment of Social Services, Stockholm.
    Tranæus, Sofia
    Malmö universitet, Odontologiska fakulteten (OD). Swedish Agency for Health Technology Assessment and Assessment of Social Services, Stockholm.
    Twetman, Svante
    Department of Odontology, University of Copenhagen, Copenhagen, Denmark.
    Wernersson, Emma
    Swedish Agency for Health Technology Assessment and Assessment of Social Services, Stockholm.
    Östlund, Pernilla
    Malmö universitet, Odontologiska fakulteten (OD). Swedish Agency for Health Technology Assessment and Assessment of Social Services, Stockholm.
    Domeij, Helena
    Malmö universitet, Odontologiska fakulteten (OD). Swedish Agency for Health Technology Assessment and Assessment of Social Services, Stockholm.
    How old are you?: a systematic review investigating the relationship between age and mandibular third molar maturity2023Inngår i: PLOS ONE, E-ISSN 1932-6203, Vol. 18, nr 5, s. 1-14, artikkel-id e0285252Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    Introduction and objective: Radiographic evaluation of the maturity of mandibular third molars is a common method used for age estimation of adolescents and young adults. The aim of this systematic review was to examine the scientific base for the relationship between a fully matured mandibular third molar based on Demirjian's method and chronological age, in order to assess whether an individual is above or below the age of 18 years.

    Methods: The literature search was conducted in six databases until February 2022 for studies reporting data evaluating the tooth maturity using Demirjian´s method (specifically stage H) within populations ranging from 8 to 30 years (chronological age). Two reviewers screened the titles and abstracts identified through the search strategy independently. All studies of potential relevance according to the inclusion criteria were obtained in full text, after which they were assessed for inclusion by two independent reviewers. Any disagreement was resolved by a discussion. Two reviewers independently evaluated the risk of bias using the assessment tool QUADAS-2 and extracted the data from the studies with low or moderate risk of bias. Logistic regression was used to estimate the relationship between chronological age and proportion of subjects with a fully matured mandibular third molar (Demirjian´s tooth stage H).

    Results: A total of 15 studies with low or moderate risk of bias were included in the review. The studies were conducted in 13 countries and the chronological age of the investigated participants ranged from 3 to 27 years and the number of participants ranged between 208 and 5,769. Ten of the studies presented the results as mean age per Demirjian´s tooth stage H, but only five studies showed the distribution of developmental stages according to validated age. The proportion of subjects with a mandibular tooth in Demirjian´s tooth stage H at 18 years ranged from 0% to 22% among males and 0 to 16% in females. Since the studies were too heterogenous to perform a meta-analysis or a meaningful narrative review, we decided to refrain from a GRADE assessment.

    Conclusion: The identified literature does not provide scientific evidence for the relationship between Demirjian´s stage H of a mandibular third molar and chronologic age in order to assess if an individual is under or above the age of 18 years.

    Fulltekst (pdf)
    fulltext
  • 35.
    Klingberg, Gunilla
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Broberg, Anders G
    Dental fear/anxiety and dental behaviour management problems in children and adolescents: a review of prevalence and concomitant psychological factors2007Inngår i: International Journal of Paediatric Dentistry, ISSN 0960-7439, E-ISSN 1365-263X, Vol. 17, nr 6, s. 391-406Artikkel, forskningsoversikt (Annet vitenskapelig)
    Abstract [en]

    OBJECTIVES: The objectives of this article were to examine the literature published from 1982 to 2006 and to evaluate prevalence of dental fear and anxiety (DFA) and dental behaviour management problems (DBMP) in children and adolescents, and their relationships to age, sex, general anxiety, temperament, and general behavioural problems. METHODS: A broad search of the PubMed database was performed using three combinations of search terms. RESULTS: A large proportion of the identified articles could not be used for the review owing to inadequate endpoints, measures or poor study design. Thirty-two papers of acceptable quality were identified and reviewed. The prevalence of both DFA and DBMP were estimated to 9%, with a decrease in prevalence with age. DFA/DBMP were more frequent in girls. DFA/DBMP were related to general fear and both internalizing and externalizing behavioural problems, although these relationships were not clear-cut. Temperament was related to both DFA and DBMP but with different temperamental characteristics, while general behavioural problems mainly correlated with DBMP. CONCLUSIONS: DFA/DBMP are common, and several psychological factors are associated with the development of these problems. In order to better understand these relationships, a number of issues concerning design of research and measurement of DFA/DBMP have to be dealt with.

  • 36.
    Klingberg, Gunilla
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Dahllöf, Göran
    Behandling af børn med langvarig sygdom og funktionsnedsættelse i tandplejen2014Inngår i: Tandlægebladet, ISSN 0039-9353, nr saernummer november, s. 878-883Artikkel, forskningsoversikt (Fagfellevurdert)
  • 37.
    Klingberg, Gunilla
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Espelid, Ivar
    Norderyd, Johanna
    Ethics in pediatric dentistry2017Inngår i: Pediatric dentistry: a clinical approach / [ed] Göran Koch, Sven Poulsen, Ivar Espelid, Dorte Haubek, Wiley-Blackwell, 2017, s. 371-376Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 38.
    Klingberg, Gunilla
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Hagberg, Catharina
    Norén, Jörgen G
    Nietzsche, Sandor
    Aspects on dental hard tissues in primary teeth from patients with Ehlers-Danlos syndrome2009Inngår i: International Journal of Paediatric Dentistry, ISSN 0960-7439, E-ISSN 1365-263X, Vol. 19, nr 4, s. 282-290Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Ehlers-Danlos syndrome (EDS) is a rare hereditary condition affecting connective tissues and dental hard tissues. HYPOTHESES: Primary enamel and dentine from EDS patients were expected to differ from those of healthy subjects regarding morphology and chemical composition. DESIGN: Forty-seven exfoliated primary teeth from 25 patients with EDS were investigated. Morphology was studied using a polarized light microscope, scanning electron microscope, and X-ray microanalysis. Comparisons were made with 36 primary teeth from 36 healthy patients. RESULTS: Morphological analysis of enamel in EDS teeth showed a high frequency of postnatally hypomineralized enamel and postnatally located incremental lines, whereas dentine was normal in all patients. Chemical analysis could not reveal any differences between EDS and control patients except for lower content of C and a higher Ca/P ratio in the enamel in the EDS teeth, indicating porous enamel. Regarding dentine, EDS teeth had a lower content of C, and a higher content of Ca, P, and O. Ratios for Ca/C and Ca/O were also higher compared with controls. CONCLUSIONS: There are several aberrations of booth enamel and dentine in primary teeth from patients with EDS. These could explain the occurrence of both more dental caries and tooth fractures in patients with EDS.

  • 39.
    Klingberg, Gunilla
    et al.
    Malmö universitet, Odontologiska fakulteten (OD).
    Hallberg, Ulrika
    Malmö universitet, Odontologiska fakulteten (OD).
    Anhöriga till personer med funktions­nedsättningar2023Inngår i: Stora anhörigboken / [ed] Gunilla Klingberg; Ulrika Hallberg, Lund: Studentlitteratur AB, 2023, 1, s. 251-272Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 40.
    Klingberg, Gunilla
    et al.
    Malmö universitet, Odontologiska fakulteten (OD).
    Hallberg, Ulrika
    Malmö universitet, Odontologiska fakulteten (OD).
    Att bemöta familjer till barn med särskilda behov: inom vård och omsorg2024Bok (Annet vitenskapelig)
    Abstract [sv]

    Antalet familjer som har barn med särskilda behov ökar både i Sverige och internationellt. Forskning visar att familjemedlemmarna ofta löper stor risk för både psykisk och fysisk ohälsa på grund av den utsatta situation som de lever i. Men vad kan professionella inom vård och omsorg göra för att hjälpa dem? Den här boken utgår från forskning och förmedlar både familjernas utsatthet och på vilket sätt de vill bli bemötta. Hur mår de anhöriga? Vilket stöd efterfrågar de? Och vilket stöd har de rätt att få, från såväl vård och omsorg som från socialtjänsten? I det avslutande kapitlet ger författarna konkreta råd och tips om kommunikation och bemötande till den yrkesverksamme som möter anhöriga till barn med särskilda behov.

    Boken vänder sig till studerande vid utbildningar med fokus på barn och funktionsnedsättningar, till exempel inom socialt arbete och vård. Den kan även användas som ett diskussionsunderlag för vårdpersonal som i sitt dagliga arbete möter och arbetar med barn med särskilda behov och deras anhöriga.

  • 41.
    Klingberg, Gunilla
    et al.
    Malmö universitet, Odontologiska fakulteten (OD).
    Hallberg, Ulrika
    Malmö universitet, Odontologiska fakulteten (OD).
    Att möta barn och unga med psykisk ohäls2024Inngår i: Omvårdnad vid psykisk ohälsa: på grundnivå / [ed] Jenny Molin; Lena Wiklund Gustin, Lund: Studentlitteratur AB, 2024, 4, s. 147--167Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 42.
    Klingberg, Gunilla
    et al.
    Malmö universitet, Odontologiska fakulteten (OD).
    Hallberg, UlrikaMalmö universitet, Odontologiska fakulteten (OD).
    Kvalitativa metoder helt enkelt!2021Collection/Antologi (Annet vitenskapelig)
  • 43.
    Klingberg, Gunilla
    et al.
    Malmö universitet, Odontologiska fakulteten (OD).
    Hallberg, UlrikaMalmö universitet, Odontologiska fakulteten (OD).
    Stora anhörigboken2023Collection/Antologi (Annet vitenskapelig)
    Abstract [sv]

    Stora anhörigboken samlar insikter från en bredd av ledande experter inom området anhörigomsorg. Den belyser anhörigas betydelsefulla roll och den belastning de upplever i sina strävanden att tillhanda­hålla omsorg, kontinuitet och kärlek när samhällets resurser inte räcker till. Boken lyfter fram riskerna för anhörigas egen hälsa, deras ekonomiska utsatthet och sociala stigmatisering samt den betydande överrepresentationen av kvinnor som vårdare. Genom att belysa vikten av ett mer organisera...

  • 44.
    Klingberg, Gunilla
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Hallberg, Ulrika
    Reichenberg, Kjell
    Möller, Aanders
    Living at the edge of one's capability: Experiences of parents of teenage daughters diagnosed with ADHD2008Inngår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 3, nr 1, s. 52-58Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Living with children with a disability is often perceived as a permanent stressor to the family and it affects all aspects of family life including the well-being of family members. Since little is known about parenting teenage daughters diagnosed with ADHD, the aim of the study was to gain a deeper understanding of the main problem involved using a grounded theory approach. Interviews were carried out with 12 parents, 11 mothers and 1 father, of teenage daughters diagnosed with ADHD. The parents´situation was conceptualized as living at the edge of one´s capability with the properties having the sole parental responsibility, fighting for professional support, being on duty around the clock and trying to solve family conflicts. Parents described how their health was negatively affected by their life situation.

  • 45.
    Klingberg, Gunilla
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Norderyd, Johanna
    Etik i børnetandplejen med særligt fokus på børn med funktionsnedsættelse eller langvarig sygdom2016Inngår i: Tandlægebladet, ISSN 0039-9353, Vol. 120, nr 9, s. 800-806Artikkel, forskningsoversikt (Annet vitenskapelig)
    Abstract [en]

    Dental care for children with disabilities – ethical considerations All dental care demands an ethical approach, maybe even more so in child dental care. Today more children with disabilities or longterm illness come to the dentist. How these children should be met and cared for does not differ from other patients, but in dental care for children with disabilities and long-term illness it may be more likely for situations and ethical dilemmas to evolve, where the dentist must stop, reflect, and analyze before continuing with treatment. Autonomy, integrity, and informed consent are important concepts when meeting patients and parents. The dentist also has to be prepared to sometimes step in and substitute autonomy.

  • 46.
    Klingberg, Gunilla
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Nunn, June
    Norderyd, Johanna
    Endrup Jacobsen, Pernille
    Dental care for the child and adolescent with disabilities2017Inngår i: Pediatric dentistry: a clinical approach / [ed] Göran Koch, Sven Poulsen, Ivar Espelid, Dorte Haubek, John Wiley & Sons, 2017, s. 334-350Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 47.
    Klingberg, Gunilla
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Raadal, Magne
    Arnrup, Kristina
    Dental fear and behaviour management problems2009Inngår i: Pediatric Dentistry: A clinical approach / [ed] Göran Koch, Sven Poulsen, Wiley-Blackwell, 2009, s. 32-43Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 48.
    Klingberg, Gunilla
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Ridell, Karin
    Malmö högskola, Odontologiska fakulteten (OD).
    Brogårdh-Roth, Susanne
    Malmö högskola, Odontologiska fakulteten (OD).
    Vall, Martina
    Malmö högskola, Bibliotek och IT (BIT).
    Berlin, Henrik
    Malmö högskola, Odontologiska fakulteten (OD).
    Local analgesia in paediatric dentistry: a systematic review of techniques and pharmacologic agents2017Inngår i: European Archives of Paediatric Dentistry, ISSN 1818-6300, E-ISSN 1996-9805, Vol. 18, nr 5Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

    Fulltekst (pdf)
    FULLTEXT01
  • 49.
    Klingberg, Gunilla
    et al.
    Malmö universitet, Odontologiska fakulteten (OD).
    Ridell, Karin
    Malmö universitet, Odontologiska fakulteten (OD).
    Slåttelid Skeie, Marit
    Universitetet i Bergen, Norge.
    Oral hälsa hos barn i socialt utsatta områden: en utmaning2021Inngår i: Tandläkartidningen, ISSN 0039-6982, nr 3, s. 74-80Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The United Nations (UN) Convention on the Rightsof the Child, states that all children should havethe same right to the highest attainable standardof health. This should be known by everyone whoworks with children. Despite good oral health in theNordic countries, studies show that children livingin socially deprived environments have a greaterincreased risk of poor oral health. These childrenare not reached by preventive measures, they morefrequently do not show up for dental appointmentsand they receive less dental care than others. Therefore, in addition to a more general preventive andpopulation-based method, a special high-risk approach is also needed to reach children in socially deprived areas. It is also important that promotion and preventive efforts start from an early age.There are large knowledge gaps regarding the effects of different preventative and treatment strategies, and health economic analyzes are rare. It is achallenge to systematically document and evaluate oral health promotion and prevention directed atchildren in socially vulnerable environments to enable research. There is a need for interdisciplinaryresearch that includes clinicians. The vision mustbe health equity and that both health promotionand preventive measures contribute to closing theoral health gap between different social groups. l

  • 50.
    Krekmanova, Larisa
    et al.
    Department of Paediatric Dentistry, Institute of Odontology at the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Hakeberg, Magnus
    Department of Behavioural and Community Dentistry, Institute of Odontology at the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Robertson, Agneta
    Department of Paediatric Dentistry, Institute of Odontology at the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Braathen, Gunnar
    Department of Child and Adolescent Habilitation, Unit Göteborg and Södra Bohuslän, Gothenburg, Sweden.
    Klingberg, Gunilla
    Malmö högskola, Odontologiska fakulteten (OD). Department of Paediatric Dentistry, Institute of Odontology at the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Mun-H-Center, National Orofacial Resource Centre for Rare Disorders, Gothenburg, Sweden.
    Perceived oral discomfort and pain in children and adolescents with intellectual or physical disabilities as reported by their legal guardians2016Inngår i: European Archives of Paediatric Dentistry, ISSN 1818-6300, E-ISSN 1996-9805, Vol. 17, nr 4, s. 223-230Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    AIM: This was, firstly, to study the occurrence of oral pain and discomfort, using the Dental Discomfort Questionnaire (DDQ), in children and adolescents with intellectual or physical disabilities, compared with controls. Secondly, was to analyse the relationship between pain and discomfort, as measured by the DDQ, and dental health, as well as oral hygiene habits and dietary habits. METHODS: The study included 135 children and adolescents (12-18 years), registered at the Child and Adolescent Habilitation Unit in Göteborg and Södra Bohuslän, Sweden, and 135 gender- and age-matched controls. The children's legal guardians completed a questionnaire comprising the DDQ and questions on oral hygiene and dietary habits. Data on dental health were retrieved from dental records. RESULTS: The DDQ total mean score was higher for the study group, compared with the control group, 3.2 (SD 2.9) vs. 1.6 (SD 2.0), respectively (p = 0.001). Furthermore, children and adolescents with a severe intellectual disability had higher total mean DDQ scores than children with a mild intellectual disability, 4.8 (SD 4.2) vs. 2.4 (SD 2.9), respectively (p = 0.034), and also higher than children with a physical disability, 2.2 (SD 2.1) (p = 0.012). There were no differences in DMFT between children with disabilities and age-matched controls. There was no relationship between the DDQ scores and oral hygiene/dietary habits in children with disabilities. CONCLUSIONS: Children and adolescents with intellectual or physical disabilities experienced oral discomfort and pain more often than matched controls. Dental health expressed as DMFT could not be related to the DDQ responses.

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