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  • 1.
    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 preterm2014Ingår i: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, Vol. 122, nr 5, s. 360-360Artikel i tidskrift (Övrigt vetenskapligt)
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    fulltext
  • 2.
    Brogårdh-Roth, Susanne
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Matsson, Lars
    Malmö högskola, Odontologiska fakulteten (OD).
    Preterm birth does not increase the risk of traumatic dental injuries or unintentional injuries2014Ingår i: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 103, nr 3, s. 331-336Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIM: To evaluate the prevalence of traumatic dental injuries (TDIs) and unintentional injuries (UIs) in Swedish children from 0 to 12 years of age, comparing those who were born preterm with matched full-term controls. The associations between TDI and UI and medical health problems or socio-demographic characteristics were also studied. METHODS: This cross-sectional, case-control study used dental record reviews and interviews to obtain TDI data on 187 matched pairs aged from 0 to 6 (Sample I) and a structured questionnaire to study TDI and UI among 82 matched pairs aged from 0 to 12 (Sample II). RESULTS: Reports of TDI in the primary teeth and permanent teeth from 0 to 12 years of age were significantly more common in the control than preterm born children (p = 0.032). No significant differences were seen in the 0-6 age group. When it came to UI, there were no statistical significant differences between the preterm and control groups and no correlations between TDI and UI and medical health problems or socio-demographic characteristics. CONCLUSION: The study indicates that preterm children are no more exposed to TDI or UI than matched full-term controls. In fact, the control group parents reported significantly higher prevalence of TDI in the primary and permanent teeth.

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    FULLTEXT01
  • 3.
    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 preterm2011Ingår i: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, Vol. 1, nr 119, s. 33-39Artikel i tidskrift (Refereegranskat)
    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.

  • 4.
    Brogårdh-Roth, Susanne
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Matsson, Lars
    Malmö högskola, Odontologiska fakulteten (OD).
    Stjernqvist, K
    Behandlingsproblem och kariesförekomst hos 3-6 år gamla, för tidigt födda barn2007Konferensbidrag (Övrigt vetenskapligt)
  • 5.
    Brogårdh-Roth, Susanne
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Matsson, Lars
    Malmö högskola, Odontologiska fakulteten (OD).
    Stjernqvist, K
    Behavioural problems and caries prevalence in 3-6 year-old children born preterm2007Konferensbidrag (Övrigt vetenskapligt)
  • 6.
    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 tandvården2009Konferensbidrag (Övrig (populärvetenskap, debatt, mm))
  • 7.
    Brogårdh-Roth, Susanne
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Stjernqvist, Karin
    Matsson, Lars
    Malmö högskola, Odontologiska fakulteten (OD).
    Dental behavioural management problems and dental caries prevalence in 3- to 6-year-old Swedish children born preterm2008Ingår i: International Journal of Paediatric Dentistry, ISSN 0960-7439, E-ISSN 1365-263X, Vol. 18, nr 5, s. 341-347Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Abstract: Background. Today, most children born preterm survive without major impairments. But high frequencies of cognitive and behavioural difficulties arise. Studies on dental behaviour management problems (BMP) in these children are lacking. In addition, studies on caries prevalence are few and inconclusive. Aim. To compare the frequency of behavioural problems and poor compliance with dental treatment in preschool children born preterm with those born full-term. The prevalence of caries was also studied. Methods. The study group included 187 children born between 23 and 32 weeks of gestation. The control group constituted full-term children matched by age, sex, immigrant background, and dental operator. BMP, number of dental visits, missed appointments, and caries between ages 3 and 6 were noted. Results. At age 3, but not at age 6, the prevalence of BMP at clinical examinations was significantly higher in preterm children compared with the control group. Of the children who received dental treatments during preschool years, preterm children displayed significantly more BMP. No significant difference in dental visits or in caries prevalence was found. Preterm children, however, missed significantly more dental appointments. Conclusion. Children born preterm display a higher prevalence of BMP at dental examinations and treatments during preschool years.

  • 8.
    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 controls2009Ingår i: International Journal of Paediatric Dentistry, ISSN 0960-7439, E-ISSN 1365-263X, Vol. 19, nr Supplement 1, s. 66-170Artikel i tidskrift (Övrigt vetenskapligt)
    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.

  • 9.
    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 preterm2010Ingår i: International Journal of Paediatric Dentistry, ISSN 0960-7439, E-ISSN 1365-263X, Vol. 20, nr 6, s. 391-399Artikel i tidskrift (Refereegranskat)
    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.

  • 10.
    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.2009Ingår i: International Journal of Paediatric Dentistry, ISSN 0960-7439, E-ISSN 1365-263X, Vol. 19, nr 4, s. 243-250Artikel i tidskrift (Refereegranskat)
    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.

  • 11.
    Eckersten, Charlotte
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Pylvänen, Lena
    Schröder, Ulla
    Malmö högskola, Odontologiska fakulteten (OD).
    Twetman, Svante
    Wennhall, Inger
    Malmö högskola, Odontologiska fakulteten (OD).
    Matsson, Lars
    Malmö högskola, Odontologiska fakulteten (OD).
    Prevalence of dental fluorosis in children taking part in an oral health programme including fluoride tablet supplements from the age of 2 years2010Ingår i: International Journal of Paediatric Dentistry, ISSN 0960-7439, E-ISSN 1365-263X, Vol. 20, nr 5, s. 347-352Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIM: To investigate the prevalence of dental fluorosis in children who had participated in an oral health programme between the ages 2-5 years, including fluoride tablets from the age of 2 years. DESIGN: The study group consisted of 135 10- to 11-year-old children who had participated in the programme, including parent education, tooth-brushing instruction and prescribed fluoride tablets (0.25 mg NaF) (2-3 years: 1 tablet/day; 3-5 years: 2 tablets/day). The prevalence of dental fluorosis in the study group was compared with that in a nonintervention reference group consisting of 129 children of the same ages. The analysis was based on photos of the permanent maxillary front teeth using the Thylstrup & Fejerskov (TF) Index. RESULTS: No statistically significant difference in prevalence of dental fluorosis was seen between the two groups. Forty-three percent of the children in the study group and 38% in the reference group had fluorosis, the majority of a mild nature (TF-score 1). None had a TF score above 2. The pattern was the same after correction for parent reported intake of tablets at 3 and 5 years of age. CONCLUSION: Introduction of fluoride tablets at the age of 2 years did not result in increased prevalence of dental fluorosis

  • 12. Ernberg, Malin
    et al.
    Bergenholtz, Gunnar
    Dahlén, Gunnar
    Ekman, Agneta
    Eriksson, Per-Olof
    Grøndahl, Kerstin
    Klinge, Björn
    Malmö högskola, Odontologiska fakulteten (OD).
    Lerner, Ulf
    Magnusson, Tomas
    Matsson, Lars
    Malmö högskola, Odontologiska fakulteten (OD).
    Pälvärinne, Raimo
    Rohlin, Madeleine
    Malmö högskola, Odontologiska fakulteten (OD).
    Examina och utbildning inom svensk odontologisk forskning: lägesrapport2003Ingår i: Tandläkartidningen, ISSN 0039-6982, Vol. 95, nr 9, s. 54-59Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [sv]

    En internationell utvärdering visade för några år sedan att Sverige riskerar att förlora sin position som världsledande nation inom odontologisk forskning. För att få en uppfattning om förändringarna inom forskarutbildningen och den postdoktorala meriteringen samlades data för 1990–2001 in från fakulteterna, Statistiska Centralbyrån samt Högskoleverket. Avsikten var att undersöka antalet forskarutbildade tandläkare, mångfalden bland doktoranderna och de som disputerat samt deras nuvarande anställningsform. Materialet jämfördes sedan med tidigare data. I medeltal avlade 25 personer per år doktorsexamen åren 1990–2001. Antalet har minskat under senare år. En majoritet av dem som avlade doktorsexamen hade odontologisk bakgrund. Relativt få har meriterat sig för en fortsatt akademisk karriär. 32 studerande påbörjade forskarutbildning åren 1991–2001. Andelen doktorander med annan akademisk grundexamen än odontologisk ökar. Sedan 1999 har forskningsvolymen minskat med motsvarande en hel fakultets forskningsvolym. Vi drar därför slutsatsen att kunskapsutvecklingen inom svensk odontologi riskerar att stagnera samt att fakulteternas behov av lärare till högre akademiska tjänster liksom folktandvårdens behov av handledare inom specialistutbildningen inte kommer att kunna tillgodoses i framtiden.

  • 13.
    Matsson, Lars
    Malmö högskola, Odontologiska fakulteten (OD).
    Tandhälsan bland barn i Malmö2012Ingår i: Barn i Malmö: skilda livsvillkor ger ojämlik hälsa / [ed] Marie Köhler, Kommission för ett socialt hållbart Malmö, Malmö stad , 2012, s. 68-72Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [sv]

    Artikeln beskriver utvecklingen av tandhälsan bland Malmöbarn under de senaste 100 åren. Tandhälsan har förbättrats dramatiskt under de senaste 30-40 åren, men idag ser vi en ökning av kariesförekomsten, särskilt i områden med låg socio-ekonomisk nivå och hög arbetslöshet. Faktum är att situationen i stadsdelen Rosengård liknar den man såg i Sverige under 1960-talet. Artikeln beskriver ett preventionsprogram hos förskolebarn i Rosengård och presenterar ett antal förslag på hur man kan förbättra situationen i Malmö, särskilt i utsatta områden.

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    FULLTEXT01
  • 14.
    Matsson, Lars
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Hallström Stalin, Ulla
    Möller, H
    Olavi, G
    Hur går det sedan för våra narkospatienter? Uppföljning av tandbehandling under narkos utförd på barn2007Rapport (Övrigt vetenskapligt)
  • 15.
    Matsson, Lars
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Hallström Stalin, Ulla
    Möller, H
    Olavi, G
    Hur går det sedan för våra narkospatienter? Uppföljning av tandbehandling under narkos utförd på barn2007Konferensbidrag (Övrig (populärvetenskap, debatt, mm))
  • 16.
    Matsson, Lars
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Poulsen, Sven
    Case history and clinical examination2009Ingår i: Pediatric Dentistry: A Clinical Approach / [ed] Göran Koch, Wiley-Blackwell, 2009, s. 71-78Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 17. Norberg, Carina
    et al.
    Hallström-Stalin, Ulla
    Matsson, Lars
    Malmö högskola, Odontologiska fakulteten (OD).
    Thorngren-Jerneck, Kristina
    Klingberg, Gunilla
    Malmö högskola, Odontologiska fakulteten (OD).
    Body mass index (BMI) and dental caries in 5-year-old children from southern Sweden2012Ingår i: Community Dentistry and Oral Epidemiology, ISSN 0301-5661, E-ISSN 1600-0528, Vol. 40, nr 4, s. 315-322Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES: The aim of the present survey was to study the association between dental caries and body mass index (BMI) in Swedish preschool children (born in 1999). METHODS: A population-based and cross-sectional study design was used comprising all 920 5-year-old children in a defined area in and around the city of Lund. Anthropometric measures for the calculation of BMI were retrieved for each child from recordings at Child Health Care Centers (CHC). The occurrence of caries and fillings in the primary dentition, defined as deft (decayed, extracted, or filled primary teeth) and dt (decayed primary teeth), was collected from the children's dental records. RESULTS: The mean BMI was 16.1 (no differences between boys and girls). About 19.2% were overweight, of which 5.1% were obese. Overweight or obese children did not have higher deft or dt than others. However, children with low BMI (below -1 SD of national mean values for Swedish 5-year-olds) had statistically significantly higher deft and dt than children with normal BMI. CONCLUSIONS: Children with low BMI may be at risk of caries development. Low BMI may be associated with eating habits endangering dental health.

  • 18.
    Olofsson, A
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Lindberg, Pia
    Malmö högskola, Odontologiska fakulteten (OD).
    Lanke, J
    Matsson, Lars
    Malmö högskola, Odontologiska fakulteten (OD).
    Kinnby, B
    Malmö högskola, Odontologiska fakulteten (OD).
    Relationship between fibrinolytic activity and gingival inflammatory reaction in young individuals2003Ingår i: Journal of Periodontal Research, ISSN 0022-3484, E-ISSN 1600-0765, Vol. 38, nr 1, s. 104-108Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    The fibrinolytic system (the plasminogen activating system) is involved in several physiological and pathological processes. Through the transformation of plasminogen to the aggressive broad spectrum protease plasmin, potent enzymatic activity is released. Plasmin acts directly on connective tissue components, and indirectly by activating proforms of the metalloproteinases. The destructive potential of the fibrinolytic system may thus be of importance for the initiation and progression of periodontal diseases. Earlier studies have shown high concentrations of the plasminogen activator t-PA and its inhibitor PAI-2 in gingival crevicular fluid (GCF) as well as enhanced concentrations in areas of gingival inflammation. The aim of this study was to investigate a possible relationship between the gingival inflammatory reactivity and the fibrinolytic activity in gingival crevicular fluid. Thirty-one young individuals took part in the study. Gingival Index scores and Plaque Index scores were assessed and used to formulate a score expressing an individuals’ inflammatory response to microbial plaque levels (Relative G/P score). The fibrinolytic activity of GCF was assessed with a fibrin gel lysis assay, and the levels of t-PA and PAI-2 were assayed with ELISAs. All samples showed fibrinolytic activity. A positive correlation between the fibrinolytic activity and Relative G/P score was found. Thus, in individuals with an enhanced reactivity to dental plaque, a higher plasminogen activating activity in GCF was seen. This indicates a higher potential for tissue proteolysis in these individuals, possibly facilitating spread and deeper involvement of the lesions.

  • 19.
    Ridell, Karin
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Borgström, Margareta
    Lager, Elisabeth
    Magnusson, Gunilla
    Brogårdh-Roth, Susanne
    Malmö högskola, Odontologiska fakulteten (OD).
    Matsson, Lars
    Malmö högskola, Odontologiska fakulteten (OD).
    Oral health-related quality-of-life in Swedish children before and after dental treatment under general anesthesia2015Ingår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 73, nr 1, artikel-id 73Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective. This study evaluated oral health-related quality-of-life (OHRQoL) in children and families before and after dental treatment under general anesthesia because of severe caries or molar-incisor hypomineralization (MIH). Materials and methods. A consecutive sample of the parents/caregivers of children (3–14 years) in need of treatment under general anesthesia participated in the study. The children were divided into two groups: 3–6 years and 7–14 years. The 49-item questionnaire that was administered before and after general anesthesia comprised the Child Oral Health Quality of Life-components of the Parental-Caregivers Perception Questionnaire (P-CPQ), the Family Impact Scale (FIS) and two global questions concerning oral health and general well-being. The P-CPQ domains were Oral symptoms, Functional limitations, Emotional well-being and Social well-being. The FIS items assessed impact on family life. Results. In both age groups, a significant decrease (p < 0.001) occurred in overall P-CPQ and the Oral symptoms, Functional limitations and Emotional limitations domains of the P-CPQ. Mean values for the Social well-being domain decreased significantly in the older (p < 0.05) but not the younger age group. Mean values for FIS decreased significantly in the younger (p < 0.001) and the older (p < 0.05) age groups. Conclusions. Dental treatment of severe caries or MIH, performed under general anesthesia, had an immediate effect on the oral health-related quality-of-life in the children in this study and a positive impact on the family situation.

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    fulltext
  • 20.
    Ridell, Karin
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Matsson, Lars
    Malmö högskola, Odontologiska fakulteten (OD).
    Mejàre, Ingegerd
    Malmö högskola, Odontologiska fakulteten (OD).
    Background factors associated with endodontic treatment due to caries in young permanent teeth2007Ingår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 65, nr 4, s. 219-223Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective. The aim of this retrospective cohort study was to assess the association between background factors and future endodontic treatment due to caries in young permanent teeth. Material and methods. The material comprised all 19-year-olds born in 1979 in a city in Sweden who had experienced endodontic treatment due to caries in permanent teeth and a control group with no endodontic treatment. From dental records, the following independent variables were derived from age 7 to age 19: immigrant background, caries prevalence (DMFT values) at age 10, occurrence of dental anxiety, and missed or cancelled appointments before endodontic treatment. The outcome variable was presence or absence of endodontic treatment due to caries. Bivariate analysis and a multiple logistic regression model were used to analyse the data. Results. In the bivariate analyses, all independent variables except cancelled appointments were statistically significantly associated with future endodontic treatment. Of these, immigrant background did not remain as a statistically significant factor in the multiple regression model. The highest odds ratios were 4.3 for DMFT at age 10 and 4.1 for 20% missed appointments. Conclusion. In the present sample, with a relatively high proportion of individuals with an immigrant background, DMFT at age 10, many missed appointments and dental anxiety were all risk indicators for future endodontic treatment due to caries up to age 19. Key Words: Dental anxiety, dental avoidance, dental caries, immigrants, risk assessment

  • 21.
    Ridell, Karin
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Petersson, Arne
    Malmö högskola, Odontologiska fakulteten (OD).
    Matsson, Lars
    Malmö högskola, Odontologiska fakulteten (OD).
    Mejàre, Ingegerd
    Malmö högskola, Odontologiska fakulteten (OD).
    Periapical status and technical quality of root-filled teeth in Swedish adolescents and young adults: A retrospective study2006Ingår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 64, nr 2, s. 104-110Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    Objective. The aim was to study periapical status and the technical quality of root-filled teeth in Swedish adolescents and young adults in Malm, Sweden. Material and Methods. The sample, collected from dental records in the Public Dental Service, consisted of notes and radiographs of all root-filled permanent teeth in all 19-year-olds born in 1979 (mean age at root filling = 16.2 years). The sample for assessing periapical status and technical quality consisted of 124-153 teeth. The criterion for inclusion for assessing periapical status was a follow-up time of at least one year. Periapical status was assessed with the Periapical Index (PAI). Technical quality was analyzed from radiographs in two respects: sealing quality of the root canal and distance from the root filling to the radiographic apex. The radiographs were analyzed independently by two observers with inter-examiner kappa values of 0.82-0.85. Results. Apical periodontitis was found in 52% of the teeth and occurred significantly more often among molars than among anterior teeth. As judged radiographically, 51% of the teeth were inadequately sealed. In 38%, the distance to the apex was >2 mm and overfilling was registered in 14% of the teeth. Compared with anterior teeth, significantly more root fillings of molars had a distance to the apex of >2 mm. Technical quality was statistically significantly correlated with periapical status at follow-up. Conclusions. The technical quality and periapical status of root-filled teeth in adolescents and young adults were unsatisfactory in about half of the teeth.

  • 22.
    Ridell, Karin
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Sundin, Birgitta
    Matsson, Lars
    Malmö högskola, Odontologiska fakulteten (OD).
    Endodontic treatment during childhood and adolescence. A survey of 19-year-olds living in the city of Malmö, Sweden2003Ingår i: Swedish Dental Journal, ISSN 0347-9994, Vol. 27, nr 2, s. 83-89Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    The aim of the present study was to determine the prevalence and reasons for endodontic treatment in a sample of 19-year-old adolescents living in the city of Malmö, Sweden. Dental records and available radiographs of all 19-year-olds (1,971) registered at the 20 Public Dental Service (PDS) clinics in Malmö were reviewed and data were collected on the following: endodontic treatment, number and type of teeth involved, and diagnosis leading to treatment. Endodontic treatment had been performed in 180 (9.1%) patients. The percentage of 19-year-olds at a PDS clinic who had undergone such treatment varied between 1.2% and 25.2%. One tooth had been treated endodontically in 138 (76.7%) of these patients. In three patients four teeth and in two patients five teeth had needed treatment. The molars were the teeth most frequently treated (46.5%), followed by the anteriors (39.5%), and the premolars (14.0%). The most commonly treated tooth was the maxillary central incisor and the most common diagnosis was caries (56.4%) followed by trauma (22.2%) and tooth developmental disturbances (1.6%). In conclusion, endodontic treatment seems to be fairly common among 19-year-olds in the city of Malmo. The great variation seen between the different PDS clinics most likely reflected variations in the socio-economic structure of the catchment areas of the clinics.

  • 23. Sjödin, Bengt
    et al.
    Matsson, Lars
    Malmö högskola, Odontologiska fakulteten (OD).
    Periodontal conditions2009Ingår i: Pediatric dentistry. A clinical approach / [ed] Göran Koch, Sven Poulsen, Wiley-Blackwell, 2009, s. 166-181Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 24.
    Sonesson, Mikael
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Eliasson, Lars
    Matsson, Lars
    Malmö högskola, Odontologiska fakulteten (OD).
    Minor salivary gland secretion in children and adults2003Ingår i: Archives of Oral Biology, ISSN 0003-9969, E-ISSN 1879-1506, Vol. 48, nr 7, s. 535-539Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The minor salivary glands are of great importance in the physiology and pathology of the oral cavity. So far, studies of the minor glands have concentrated on adults. In the present study, minor salivary gland secretion was studied in the buccal and labial mucosa of 3-year-old children, adolescents and young adults. In addition, the number of glands per surface area was assessed in the labial mucosa. A total of 90 individuals were included, 30 in each age-group. Saliva was collected on filter paper discs and the salivary secretion rate was measured using a Periotron 8000. The number of secreting labial glands was assessed on PAS-stained filter paper discs under a microscope. Salivary secretion in the buccal mucosa was found to be age-related, with a statistically significant lower rate of secretion (P=0.003) in the 3-year-olds (mean 7.7 microl x cm(-2) x min(-1)) compared with the young adults (11.9 microl x cm(-2) x min(-1)). No significant differences between the sexes were noted. For the labial glands, no age- or sex-related differences were found. In all age-groups, salivary secretion was significantly higher in the buccal than in the labial mucosal area. A statistically significant difference in number of secreting glands was found between all age-groups, with a decreasing number of glands per surface unit with age. The number of glands was significantly lower in males compared with females in the group of adults. The lower rate of buccal salivary secretion in the young children may imply that the oral mucosa is more vulnerable to external injury and that caries protection on the buccal molar surfaces is lower. Previous studies indicate that adults with a reduced rate of minor salivary gland secretion are more susceptible to caries.

  • 25.
    Sonesson, Mikael
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Hamberg, Kristina
    Malmö högskola, Odontologiska fakulteten (OD).
    Lundin Wallengren, Marie Louise
    Malmö högskola, Odontologiska fakulteten (OD).
    Matsson, Lars
    Malmö högskola, Odontologiska fakulteten (OD).
    Ericson, Dan
    Malmö högskola, Odontologiska fakulteten (OD).
    Salivary IgA in minor-gland saliva of children, adolescents, and young adults2010Ingår i: Swedish Dental Journal, ISSN 0347-9994, Vol. 34, nr 4, s. 236-236, artikel-id 12Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    Immunoglobulin A (IgA) is the principal immunoglobulin in human saliva and minor salivary glands contribute with approximately 30-35 % of the total salivary IgA in whole saliva. Salivary IgA is considered to be a vital component of the defence of the oral tissues and the concentration seems to increase with age. However, data on the salivary IgA-concentration in minor gland saliva of children, compared to adults, is not available. Objectives: To study the salivary IgA-concentration in minor gland saliva in defined mucosal areas, and in un-stimulated whole saliva, in children in different ages and young adults. Methods: 90 individuals were recruited: 3-year-old children (n = 30), 14-year-old children (n = 30), and young adults (n = 30). Minor gland saliva was collected on labial and buccal mucosa with filter papers and the volume was determined using a Periotron 8000. The whole saliva was collected by draining into a tube. Assessment of the salivary IgA-concentration was carried out in a sandwich ELISA. One-way ANOVA was used testing the differences between the age-groups (at the 0.05 level of significance). Results: The salivary IgA-concentration in labial gland saliva was significantly lower (p<0.05) in the 3-year-olds (3.7 mg/100 ml +/- 3.5) compared with the 14-year-olds (12.6 mg/100ml +/- 12.8) and the adults (12.8 mg/100ml +/- 13.4). In the un-stimulated whole saliva, a significantly lower salivary IgA-concentration was noted for the youngest group (9.0 mg/100ml +/-9.1) compared with the 14-year-olds (17.9 mg/100ml +/-14.9) and the adults (17.0 mg/100ml +/-9.9). Conclusion: The salivary IgA-concentration in labial and un-stimulated whole saliva seems to increase with age. This may reflect a developing specific immune response in saliva of young children. Approved by the ethical committee, Lund University. Funded by The Crafoord foundation (20090733), Swedish Patent Revenue Foundation and Faculty of Odontology, Malmö University (OD27-2009/275).

  • 26.
    Sonesson, Mikael
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Hamberg, Kristina
    Malmö högskola, Odontologiska fakulteten (OD).
    Lundin Wallengren, Marie Louise
    Malmö högskola, Odontologiska fakulteten (OD).
    Matsson, Lars
    Malmö högskola, Odontologiska fakulteten (OD).
    Ericson, Dan
    Malmö högskola, Odontologiska fakulteten (OD).
    Salivary IgA in minor-gland saliva of children, adolescents, and young adults2011Ingår i: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, Vol. 119, nr 1, s. 15-20Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    According to previous studies, minor glands produce about 35% of the total salivary immunoglobulin A (salivary IgA). The age-dependent increase in whole-saliva salivary IgA concentrations has been studied extensively, but we found no published reports comparing the minor-gland saliva concentrations of salivary IgA in children, adolescents, and adults. In this study we measured the concentration of salivary IgA in saliva from the labial and the buccal minor glands of children, adolescents, and adults. Three age groups donated saliva for analysis: 3-yr-old children, 14-yr-old adolescents, and 20- to 25-yr-old adults. Minor-gland saliva was collected on filter paper and unstimulated whole saliva was collected by draining into a tube, and the salivary IgA concentration was determined by ELISA. The salivary IgA concentration in labial saliva was significantly lower among 3-yr-old children (0.037 mg 100 ml(-1), SD = 0.035) than among 14-yr-old adolescents (0.126 mg 100 ml(-1), SD = 0.128) and adults (0.128 mg 100 ml(-1), SD = 0.13). The 3-yr-old children also had significantly lower whole-saliva salivary IgA values compared with the other age groups (0.09 mg 100 ml(-1), SD = 0.091; 0.179 mg 100 ml(-1), SD = 0.149; and 0.170 mg 100 ml(-1), SD = 0.099, respectively). This increase in salivary IgA concentrations with age might reflect a developing immune response in the growing child.

  • 27.
    Sonesson, Mikael
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Hamberg, Kristina
    Malmö högskola, Odontologiska fakulteten (OD).
    Lundin Wallengren, Marie Louise
    Malmö högskola, Odontologiska fakulteten (OD).
    Matsson, Lars
    Malmö högskola, Odontologiska fakulteten (OD).
    Ericson, Dan
    Malmö högskola, Odontologiska fakulteten (OD).
    Secretory IgA in Minor Gland Saliva of Children and Adults2010Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

    This study determined the concentration of salivary immunoglobulin A (salivary IgA) in saliva from labial and buccal minor glands of children, adolescents, and adults. According to previous studies minor glands produce about 35% of total salivary IgA. Age-dependent increase in whole-saliva salivary IgA concentrations has been studied extensively, but we found no reports comparing minor-gland saliva concentrations of salivary IgA in children, adolescents, and adults. Three age groups donated saliva for analysis: 3-yr-olds (n = 28), 14-yr-olds (n = 27), and 20 to 25-yr-olds (n = 26). Minor-gland saliva was collected on filter paper and unstimulated whole saliva by draining into a tube and salivary IgA concentration was determined by ELISA. Salivary IgA concentration in labial saliva was significantly lower (P < 0.01) among 3-yr-olds (3.7 mg 100 ml-1, SD 3.5) compared to 14-yr-olds (12.6 mg 100ml-1, SD 12.8) and adults (12.8 mg 100ml-1, SD 13.4). The 3-yr-olds also had significantly lower (P < 0.05) whole-saliva salivary IgA values compared to the other age groups (9.0 mg 100ml-1, SD 9.1; 17.9 mg 100ml-1, SD 14.9; and 17.0 mg 100ml-1, SD 9.9, respectively). This increase in salivary IgA concentrations with age might reflect a developing immune response in the growing child

  • 28.
    Sonesson, Mikael
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Wickström, Claes
    Malmö högskola, Odontologiska fakulteten (OD).
    Kinnby, Bertil
    Malmö högskola, Odontologiska fakulteten (OD).
    Ericson, Dan
    Malmö högskola, Odontologiska fakulteten (OD).
    Matsson, Lars
    Malmö högskola, Odontologiska fakulteten (OD).
    Mucins MUC5B and MUC7 in minor salivary gland secretion of children and adults2008Ingår i: Archives of Oral Biology, ISSN 0003-9969, E-ISSN 1879-1506, Vol. 53, nr 6, s. 523-527Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: The study was designed to investigate the relative amount of MUC5B and MUC7 in minor salivary glands in children and adults, in order to test the hypothesis that secretion of salivary mucins changes between childhood and adulthood. METHODS: Ninety individuals in the age-groups 3-year-olds, 14-year-olds, and young adults 20-25 year-olds were recruited. Sialopapers were applied on the labial and the buccal mucosa and then placed in the Periotron 8000 (Proflowtrade mark) for calculation of the amount of saliva. The assessment of MUC5B and MUC7 was carried out in an ELISA using the LUM5B-2 and the LUM7-1 antiserum, respectively. RESULTS: MUC5B and MUC7 were detected in the labial minor gland saliva in all age groups. In buccal gland saliva, only a few individuals in each age group showed detectable amounts of the mucins. In the labial area, a significantly lower level of MUC7 was noted in 3-year-olds compared with adults. CONCLUSION: The results indicate a site-dependent difference in minor gland mucin secretion and an age-related difference in the labial gland secretion of MUC7.

  • 29.
    Svensson, Inger
    et al.
    Publ Dent Hlth Serv, Växjö, County Kronober, Sweden.
    Gustafsson, Jorgen
    Publ Dent Hlth Serv, Växjö, County Kronober, Sweden.
    Uleskog, Emmeli
    Publ Dent Hlth Serv, Växjö, County Kronober, Sweden.
    Mathisson, Carola
    Publ Dent Hlth Serv, Växjö, County Kronober, Sweden.
    Molla, Neriman
    Publ Dent Hlth Serv, Växjö, County Kronober, Sweden.
    Kahlmeter, Annika
    Publ Dent Hlth Serv, Växjö, County Kronober, Sweden.
    Matsson, Lars
    Malmö högskola, Odontologiska fakulteten (OD).
    Oral condition and background factors in Somali immigrant children newly arrived in Sweden2016Ingår i: Swedish Dental Journal, ISSN 0347-9994, Vol. 40, nr 2, s. 153-164Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of the present study was to obtain baseline information about oral health, oral health behaviours and knowledge about prevention of oral diseases in newly arrived Somali children. All 310 Somali children arriving in four municipalities in Kronoberg County, Sweden, during 2013 participated. We collected interview data (background factors related to oral health) and performed a clinical examination (oral hygiene, marginal bone loss, malocclusion, dental caries) within the first two months after arrival. The children were analysed in three age groups: 3-6 years (n=49),7-11 years (n=125), and 12-17 years (n=136). The interview revealed that 78-82% of the children in the three groups had never visited a dental clinic in Somalia.Toothache was reported by 18-28% of the children. In the youngest group, 71% of the parents did not assist with tooth -cleaning and children commonly used a Miswak stick for cleaning. About half the children had poor oral hygiene while 25-33% reported daily intake of sugary snacks. Malocclusion affected 4o% of the 7 -11 -year -olds and 5o% of the 12 -17 -year -olds. Bone loss affected 13% of the 12-17-year-olds.The 3 -6 -year -olds had a high prevalence (37%) of missing primary, lower cuspids.Their mean number of decayed, extracted and filled primary teeth (deft) was 2.3, and 43% were free from caries. In the 7 -11 -year -olds, mean decayed and filled permanent teeth (DFT) was o.8, while in the 12 -17 -year -olds DFT was 2.2 with 4o% caries -free. Comparison with resident children indicates substantially higher caries prevalence among the Somali children. The study has shown that newly arrived Somali children often present with oral diseases and are in urgent need of treatment and have great need for oral health promotion.

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  • 30. Ullbro, Christer
    et al.
    Kinnby, Bertil
    Malmö högskola, Odontologiska fakulteten (OD).
    Lindberg, Pia
    Malmö högskola, Odontologiska fakulteten (OD).
    Matsson, Lars
    Malmö högskola, Odontologiska fakulteten (OD).
    Tissue Plasminogen Activator (t-PA) and Placental Plasminogen Activator Inhibitor (PAI-2) in Gingival Crevicular Fluid from Patients with Papillon-Lefevre Syndrome2004Ingår i: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 31, nr 9, s. 708-712Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES: Numerous patients with Papillon-Lefevre syndrome (PLS) express a severe periodontal inflammation that results in prema-ture loss of deciduous and permanent teeth. The plasminogen activat-ing (PA) system is involved in physiological and pathological processes including epithelial healing, extracellular proteolysis and local in-flammatory reactions. The aim of the study was to explore a possible role of the PA system in patients with PLS. MATERIAL AND METHODS: Samples of gingival crevicular fluid (GCF) were collected from areas with gingival infection in 20 patients with PLS and in 20 healthy controls. The concentration of tissue plasminogen activator (t-PA) and inhibitor (PAI-2) was measured with ELISA. RESULTS: The median level of PAI-2 was significantly higher (p < 0.01) in PLS pa-tients than in the controls, while the median value of t-PA did not dif-fer between the groups. No difference in t-PA or PAI-2 levels was found regarding age, gender or presence of active periodontal disease. CONCLUSION: The findings indicate an atypical activity of the PA system with a disturbed epithelial function in PLS patients, suggesting that the periodontal destruction seen in patients with PLS is secondary to a hereditary defect in the defense system.

  • 31.
    Wennhall, Inger
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Martensson, Eva Marie
    Sjunnesson, Ingalill
    Matsson, Lars
    Malmö högskola, Odontologiska fakulteten (OD).
    Schröder, Ulla
    Malmö högskola, Odontologiska fakulteten (OD).
    Twetman, Svante
    Caries-Preventive Effect of an Oral Health Program for Preschool Children in A Low Socio-economic, Multicultural Area in Sweden: Results after one Year2005Ingår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 63, nr 3, s. 163-167Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to evaluate the caries-preventive effect of an oral health program for preschool children living in a multicultural, low socio-economic area. In total, 804 2-year-old children were in-vited and recalled every 3rd month to an outreach facility for parent education and toothbrushing instruction. In addition, fluoride tablets (0.25?mg/day) were provided free of charge. A clinical examination and questionnaire were completed at baseline and at age 3 years. The results of the intervention were compared with a non-intervention Reference group of 3-year-old children (n=217) from the same area. In the Intervention group, the 1-year attrition rate was 8.2%, and more than 90% of the children attended at least 4 of their scheduled ap-pointments. The parents' daily assistance with toothbrushing and the use of fluoride toothpaste and tablets improved significantly during the intervention. Compared with the Reference group when the chil-dren were 3 years old, the number of children in the Intervention group who consumed frequent in-between meals and sweet drinks at night was significantly lower. Caries prevalence at age 3 was signifi-cantly lower in the Intervention group than in the Reference group (3.0 deft versus 4.4 deft; p<0.01). The number of caries-free children after the 1-year intervention was 37% in the Intervention group com-pared with 15% in the Reference group. The relative risk (RR) was calculated to be 2.5 (95% CI 1.8-3.4) and the number needed to treat (NNT) 4.6. In conclusion, this study demonstrated that the oral health program significantly affected the prevalence of caries and various risk factors for caries development.

  • 32.
    Wennhall, Inger
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Matsson, Lars
    Malmö högskola, Odontologiska fakulteten (OD).
    Schröder, Ulla
    Malmö högskola, Odontologiska fakulteten (OD).
    Twetman, Svante
    Outcome of an oral health outreach programme for preschool children in a low socioeconomic multicultural area2008Ingår i: International Journal of Paediatric Dentistry, ISSN 0960-7439, E-ISSN 1365-263X, Vol. 18, nr 2, s. 84-90Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Despite a significant reduction in the prevalence of dental caries, childhood tooth decay is still a public health problem in both developed and developing countries. OBJECTIVE: The aim of this study was to evaluate the caries preventive effect of an oral health programme for preschool children living in a low socioeconomic multicultural area in the city of Malmö, Sweden. METHODS: Eight hundred and four 2-year-old children were enrolled and recalled every third month between ages 2 and 3 and semi-annually between ages 3 and 5 years. From an outreach facility, parents were instructed on oral health with a focus on toothbrushing and diet, and provided fluoride tablets free of charge. Participants completed a clinical examination and a structured interview at age of 5 years, at which point 651 children (81%) remained in the programme. The results of the intervention group were compared with a non-intervention reference group consisting of 201 5-year-old children from the same district. RESULTS: In the intervention group, 96% attended four or more of their scheduled appointments, and mean caries prevalence was significantly lower than in the reference group (5.4 deft vs. 6.9 deft; P < 0.001). The prevented defs fraction was 27%. Parents' daily assistance with toothbrushing and administering fluoride tablets was significantly better in the intervention group than in the reference group (P < 0.05). CONCLUSION: This study demonstrated that the early start of oral health programme had a significant beneficial effect on caries prevalence after 3 years.

  • 33.
    Wennhall, Inger
    et al.
    Malmö högskola, Odontologiska fakulteten (OD).
    Matsson, Lars
    Malmö högskola, Odontologiska fakulteten (OD).
    Twetman, Svante
    Salivary mutans streptococci in 6-year-old children from a multicultural suburban area after attending an oral health program2008Ingår i: European Archives of Paediatric Dentistry, ISSN 1818-6300, E-ISSN 1996-9805, Vol. 9, nr 2, s. 94-97Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIM: To investigate the prevalence of salivary mutans streptococci (MS) in children from a low socioeconomic multicultural suburban area and to evaluate if a 3-year comprehensive oral health education (OHE) program, initiated at the age of two years, had an impact on the saliva levels. STUDY DESIGN: Prospective clinical trial. METHODS: The material consisted of two cohorts of 6-year-old children from a suburban area in southern Sweden. One cohort (n=804) had participated in a OHE program with a focus on tooth brushing with fluoride toothpaste and flouride tablets added to the regular preventive care provided by the Public Dental Service. The second cohort (n=217) consisted of reference children only attending for regular dental care. Both cohorts were dominated by children with Arabic background. Salivary MS were evaluated by a chair-side test and caries was scored through clinical examinations. STATISTICS: Analyses were performed with Chi square tests, Pearson correlation coefficients and odds ratio calculations. RESULTS: The prevalence of salivary MS was high in both cohorts with approximately 90% harbouring the bacteria. One third of the children exhibited high counts (>10(6) CFU/ml) and there were no statistically significant differences between the groups. A statistically significant positive relationship between the levels of MS colonisation and caries prevalence was found in both cohorts. CONCLUSIONS: A 3-year OHE program implemented at the age of two years did not affect the high levels of salivary MS displayed in 6-year-olds living in a multicultural high-caries area.

  • 34.
    Wennhall, Inger
    et al.
    Malmö högskola, Odontologiska fakulteten (OD). Public Dental Service, Region Skåne, Malmö, Sweden.
    Norlund, Anders
    Swedish Council on Technology Assessment in Health Care, Stockholm, Sweden.
    Matsson, Lars
    Malmö högskola, Odontologiska fakulteten (OD).
    Twetman, Svante
    Department of Cariology and Endodontics, Faculty of Health Sciences, University of Copenhagen, DK-2200 Copenhagen N, Nørre Allé 20, Denmark; Maxillofacial Unit, County Hospital, Halmstad, Sweden.
    Cost-analysis of an oral health outreach program for preschool children in a low socioeconomic multicultural area in Sweden.2010Ingår i: Swedish Dental Journal, ISSN 0347-9994, Vol. 34, nr 1, s. 1-7Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim was to calculate the total and the net costs per child included in a 3-year caries preventive program for preschool children and to make estimates of expected lowest and highest costs in a sensitivity analysis. The direct costs for prevention and dental care were applied retrospectively to a comprehensive oral health outreach project for preschool children conducted in a low-socioeconomic multi-cultural urban area. The outcome was compared with historical controls from the same area with conventional dental care. The cost per minute for the various dental professions was added to the cost of materials, rental facilities and equipment based on accounting data. The cost for fillings was extracted from a specified per diem list. Overhead costs were assumed to correspond to 50% of salaries and all costs were calculated as net present value per participating child in the program and expressed in Euro. The results revealed an estimated total cost of 310 Euro per included child (net present value) in the 3-year program. Half of the costs were attributed to the first year of the program and the costs of manpower constituted 45% of the total costs. When the total cost was reduced with the cost of conventional care and the revenue of avoided fillings, the net cost was estimated to 30 Euro. A sensitivity analysis displayed that a net gain could be possible with a maximal outcome of the program. In conclusion, the estimated net costs were displayed and available to those considering implementation of a similar population-based preventive program in areas where preschool children are at high caries risk

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