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  • 1.
    Abbas, Ismail
    et al.
    Kristianstad University, School of Health and Society.
    Huseni, Saranda
    Kristianstad University, School of Health and Society.
    Tandtrådens effekt på plack och gingivit2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med litteraturstudien var att undersöka tandtrådens effekt på plack och gingivit. Metoden som användes var en kvantitativ allmän litteraturstudie där sökningen av vetenskapliga artiklar gjordes i den medicinska databasen PubMed. Litteraturstudiens resultat sammanställdes utifrån elva vetenskapliga artiklar. Tandtrådens effekt på plack och gingivit utvärderades, i form av reduktion av: plackmängd och blödning hos såväl barn, ungdomar som vuxna individer. Tio av artiklarna visade att tandtråd hade en effekt på ovanstående parametrar medan den kvarstående artikeln inte kunde visa några sådana effekter. Slutsatsen är att användning av tandtråd i samband med tandborstning har en effekt med avseende på reduktion av plackmängd och gingivit. Ytterligare forskning krävs för en noggrann utvärdering av tandtrådens effekt.

  • 2.
    Abdul Jabbar, Mashahel
    et al.
    Kristianstad University, School of Health and Society.
    Elshebani, Noor
    Kristianstad University, School of Health and Society.
    Metoder för tobaksavvänjning2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Patients with tobacco habits visit the dental care regularly, therefore it is well placed to carry out tobacco cessation for those who smoke or use snuff. The purpose of this study was to highlight methods available for tobacco cessation and results of these methods. The authors searched in the database PubMed and was limited to articles published during the last ten years and performed in the dental care. The framework was limited to eight studies which were performed in the dental care. The results showed that there are several different combination methods for tobacco cessation. In three articles, the 5A method was used in combination with nicotine replacement therapy. In other articles five different combination methods with different follow-up times were used. In one of those with

    combined approach two methods are described. In addition a method was used for snuff cessation. The result showed differences in frequency of success to tobacco stop. The best result was shown after twelve months tobacco cessation and a follow up in two of the combination methods and the method for snuff cessation (36%, 25% and 30%). The lowest success rate was 7% after twelve months follow up with one of the 5A methods. The conclusion of the study is that there are few published studies regarding tobacco cessation in the dental care, which are based on evaluation of methods performed among patients. Follow up, counselling and support have essential effects on the result.

  • 3.
    Abushahba, Faleh
    et al.
    School of Dental Science, Trinity College, Dublin.
    Renvert, Stefan
    Kristianstad University, Department of Health Sciences.
    Polyzois, Ioannis
    School of Dental Science, Trinity College, Dublin.
    Claffey, Noel
    School of Dental Science, Trinity College, Dublin.
    Effect of grafting materials on osseointegration of dental implants surrounded by circumferential bone defects: an experimental study in the dog2008In: Clinical Oral Implants Research, ISSN 0905-7161, E-ISSN 1600-0501, Vol. 19, no 4, 329-334 p.Article in journal (Refereed)
    Abstract [en]

    AIMS: This study was designed to evaluate the effect of gap width and graft placement on bone healing around implants placed into simulated extraction sockets in the mandibles of four beagle dogs. MATERIALS AND METHODS: Four Ti-Unite implants (13 mm x 3.3 mm) were placed on each side of the mandible. Three implants were surrounded by a 1.35 mm circumferential and a 5 mm deep gap around the coronal portion of the implants. A fourth implant was inserted conventionally into both sides of the mandibles as a positive control. The gaps were filled with either Bio-Oss, autogenous bone or with a blood clot alone. The study design was balanced for animal, side and modality. Ground sections were prepared from biopsies taken at 3 months, and computer-aided histometric measurements of bone/implant contact and area of bone within threads were made for the coronal 5 mm. Data were analysed using analysis of variance. RESULTS: The mean bone/implant contact was 9.8 mm for the control and ranged from 9.3 to 11.3 mm for the three test modalities. The corresponding values for area within threads were 1 mm(2) and 1-1.2 mm(2). Modality had a significant effect on both bone/implant contact (F=16.9; P<0.0001) and area within threads (F=16.7; P<0.0001). CONCLUSION: The results of this study suggest that both autogenous bone graft and Bio-Oss played an important role in the amount of hard tissue fill and osseointegration occurring within marginal bone defects around implants.

  • 4.
    Ademovski, Seida Erovic
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL).
    Mårtensson, Carina
    Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL). Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap.
    Persson, G. Rutger
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL).
    Renvert, Stefan
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL).
    The effect of periodontal therapy on intra-oral halitosis: a case series2016In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 43, no 5, 445-452 p.Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to evaluate the effects of non-surgical periodontal therapy on intra-oral halitosis 3months after therapy. Material and methods: Sixty-eight adults with intra-oral halitosis were included in a case series. Intra-oral halitosis was evaluated at baseline, and at 3months after treatment using the organoleptic scores (OLS), Halimeter (R), and a gas chromatograph. Results: Significant reductions for OLS (p<0.01), total sum of volatile sulphur compounds (T-VSC) (p<0.01) and methyl mercaptan (MM) (p<0.05) values were found after treatment. Hydrogen sulphide (H2S) levels were not significantly reduced. The numbers of probing pockets 4mm, 5mm and 6mm were significantly reduced as a result of therapy (p<0.001). Bleeding on probing (BOP) and plaque indices were also significantly reduced (p<0.001). For the 34 individuals with successful periodontal treatment (BOP<20% and a 50% reduction of total pocket depth) reductions in OLS (p<0.01) and T-VSC scores (p<0.01) were found. Eleven individuals were considered effectively treated for intra-oral halitosis presenting with a T-VSC value <160ppb, a H2S value <112ppb and a MM value <26ppb. Conclusion: Non-surgical periodontal therapy resulted in reduction of OLS, MM and T-VSC values 3months after therapy. Few individuals were considered as effectively treated for intra-oral halitosis.

  • 5.
    Adriaens, Laurence M
    et al.
    University of Bern, Bern, Switzerland.
    Alessandri, Regina
    University of Bern, Bern, Switzerland.
    Spörri, Stefan
    State Hospital of Fribourg, Fribourg, Switzerland.
    Lang, Niklaus P
    University of Bern, Bern, Switzerland.
    Persson, G. Rutger
    University of Bern, Bern, Switzerland & University of Washington.
    Does pregnancy have an impact on the subgingival microbiota?2009In: Journal of Periodontology, ISSN 0022-3492, E-ISSN 1943-3670, Vol. 80, no 1, 72-81 p.Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: We investigated clinical and subgingival microbiologic changes during pregnancy in 20 consecutive pregnant women > or =18 years not receiving dental care.

    METHODS: Bacterial samples from weeks 12, 28, and 36 of pregnancy and at 4 to 6 weeks postpartum were processed for 37 species by checkerboard DNA-DNA hybridization. Clinical periodontal data were collected at week 12 and at 4 to 6 weeks postpartum, and bleeding on probing (BOP) was recorded at sites sampled at the four time points.

    RESULTS: The mean BOP at week 12 and postpartum was 40.1% +/- 18.2% and 27.4% +/- 12.5%, respectively. The corresponding mean BOP at microbiologic test sites was 15% (week 12) and 21% (postpartum; not statistically significant). Total bacterial counts decreased between week 12 and postpartum (P <0.01). Increased bacterial counts over time were found for Neisseria mucosa (P <0.001). Lower counts (P <0.001) were found for Capnocytophaga ochracea, Capnocytophaga sputigena, Eubacterium saburreum, Fusobacterium nucleatum naviforme, Fusobacterium nucleatum polymorphum, Leptotrichia buccalis, Parvimonas micra (previously Peptostreptococcus micros or Micromonas micros), Prevotella intermedia, Prevotella melaninogenica, Staphylococcus aureus, Streptococcus anginosus, Streptococcus intermedius, Streptococcus mutans, Streptococcus oralis, Streptococcus sanguinis, Selenomonas noxia, and Veillonella parvula. No changes occurred between weeks 12 and 28 of pregnancy. Counts of Aggregatibacter actinomycetemcomitans (previously Actinobacillus actinomycetemcomitans), Porphyromonas gingivalis, Tannerella forsythia (previously T. forsythensis), and Treponema denticola did not change. Counts of P. gingivalis and T. forsythia at week 12 were associated with gingivitis (P <0.001).

    CONCLUSIONS: Subgingival levels of bacteria associated with periodontitis did not change. P. gingivalis and T. forsythia counts were associated with BOP at week 12. A decrease was found in 17 of 37 species from week 12 to postpartum. Only counts of N. mucosa increased.

  • 6.
    Agerbaek, Mette R
    et al.
    University of Bern, Bern, Switzerland.
    Lang, Niklaus P
    University of Bern, Bern, Switzerland.
    Persson, G. Rutger
    University of Bern, Bern, Switzerland & University of Washington, Seattle, WA, USA.
    Comparisons of bacterial patterns present at implant and tooth sites in subjects on supportive periodontal therapy. I. Impact of clinical variables, gender and smoking.2006In: Clinical Oral Implants Research, ISSN 0905-7161, E-ISSN 1600-0501, Vol. 17, no 1, 18-24 p.Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: (I) To compare the oral microflora at implant and tooth sites in subjects participating in a periodontal recall program, (II) to test whether the microflora at implant and tooth sites differ as an effect of gingival bleeding (bleeding on probing (BOP)), or pocket probing depth (PPD), and (III) to test whether smoking and gender had an impact on the microflora.

    MATERIAL AND METHODS: Data were collected from 127 implants and all teeth in 56 subjects. Microbiological data were identified by the DNA-DNA checkerboard hybridization.

    RESULTS: PPD> or =4 mm were found in 16.9% of tooth, and at 26.6% of implant sites (P<0.01). Tooth sites with PPD> or =4 mm had a 3.1-fold higher bacterial load than implant sites (mean difference: 66%, 95% confidence interval (CI): 40.7-91.3, P<0.001). No differences were found for the red, orange, green, and yellow complexes. A higher total bacterial load was found at implant sites with PPD> or =4 mm (mean difference 35.7 x 10(5), 95% CI: 5.2 (10(5)) to 66.1 (10(5)), P<0.02 with equal variance not assumed). At implant sites, BOP had no impact on bacterial load but influenced the load at tooth sites (P<0.01).

    CONCLUSION: BOP, and smoking had no impact on bacteria at implant sites but influenced the bacterial load at tooth sites. Tooth sites harbored more bacteria than implant sites with comparable PPD. The 4 mm PPD cutoff level influenced the distribution and amounts of bacterial loads. The subject factor is explanatory to bacterial load at both tooth and implant sites.

  • 7. Agerbaek, Mette R
    et al.
    Lang, Niklaus P
    Persson, G. Rutger
    University of Bern, Bern, Switzerland & University of Washington, Seattle, WA, USA.
    Microbiological composition associated with interleukin-1 gene polymorphism in subjects undergoing supportive periodontal therapy.2006In: Journal of Periodontology, ISSN 0022-3492, E-ISSN 1943-3670, Vol. 77, no 8, 1397-1402 p.Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Interleukin-1 gene polymorphism (IL-1 gene) has been associated with periodontitis. The present study examined the subgingival microbiota by IL-1 gene status in subjects undergoing supportive periodontal therapy (SPT).

    METHODS: A total of 151 subjects with known IL-1 gene status (IL-1A +4845/IL-1B -3954) (IL-1 gene) were included in this study. Clinical data and subgingival plaque samples (40 taxa) were collected. These taxa were determined by the checkerboard DNA-DNA hybridization method.

    RESULTS: Gender, smoking habits (n-par tests), age, and clinical periodontal conditions did not differ by IL-1 gene status. IL-1 gene-negative subjects had a higher total bacterial load (mean difference, 480.4 x 10(5); 95% confidence interval [CI], 77 to 884 x 10(5); P <0.02). The levels of Actinobacillus actinomycetemcomitans (mean difference, 30.7 x 10(5); 95% CI, 2.2 to 59.5 x 10(5); P <0.05), Eubacterium nodatum (mean difference, 4.2 x 10(5); 95% CI, 0.6 to 7.8 x 10(5); P <0.02), Porphyromonas gingivalis (mean difference, 17.9 x 10(5); 95% CI, 1.2 to 34.5 x 10(5); P <0.05), and Streptococcus anginosus (mean difference, 4.0 x 10(5); 95% CI, 0.2 to 7.2 x 10(5); P <0.05) were higher in IL-1 gene-negative subjects, an observation specifically found at sites with probing depths <5.0 mm.

    CONCLUSIONS: Bleeding on probing did not differ by IL gene status, reflecting clinical SPT efficacy. IL-1 gene-negative subjects had higher levels of periodontal pathogens. This may suggest that among subjects undergoing SPT, a lower bacterial load is required in IL-1 gene-positive subjects to develop the same level of periodontitis as in IL-1 gene-negative subjects.

  • 8.
    Aghazadeh, Ahmad
    et al.
    Uppsala Käkkirurgiska Centrum.
    Persson, G. Rutger
    Kristianstad University, School of Health and Society.
    Renvert, Stefan
    Kristianstad University, School of Health and Society.
    A single-center randomized controlled clinical trial on the adjunct treatment of intra-bony defects with autogenous bone or a xenograft: results after 12 months2012In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 39, no 7, 666-673 p.Article in journal (Refereed)
    Abstract [en]

    Background Limited evidence exists on the efficacy of regenerative treatment of peri-implantitis Materials and methods Subjects receiving antibiotics and surgical debridement were randomly assigned to placement of autogenous bone (AB) or bovine derived xenograft (BDX) with placement of a collagen membrane. The primary outcome was: evidence of radiographic bone fill and the secondary outcomes included reductions of probing depth (PD) bleeding on probing (BOP) and suppuration. Results 22 subjects were included in the AB and 23 subjects in the BDX group. Statistical analysis failed to demonstrate differences for 38/39 variables assessed at baseline. At 12 months, significant better results were obtained in the BDX group for bone levels (p < 0.001), BOP (p = 0.004), PI (p = 0.003), and suppuration (p < 0.01). When adjusting for number of implants treated per subject, a successful treatment outcome PD≤ 5.0 mm, no pus, no bone loss and BOP at 1/4 sites the likelihood of defect fill was higher in the BDX group (LR: 3.2, 95 % CI: 1.0 to 10.6, p < 0.05). Conclusions Bovine xenograft provided more radiographic bone fill than autogenous bone. The success for both surgical regenerative procedures was limited. Decreases in PD, BOP, and suppuration were observed.

  • 9. Akimoto, K
    et al.
    Becker, W
    Persson, G. Rutger
    University of Washington, Seattle, Washington.
    Baker, D A
    Rohrer, M D
    O'Neal, R B
    Evaluation of titanium implants placed into simulated extraction sockets: a study in dogs1999In: International Journal of Oral & Maxillofacial Implants, ISSN 0882-2786, E-ISSN 1942-4434, Vol. 14, no 3, 351-360 p.Article in journal (Refereed)
    Abstract [en]

    The purpose of this study was to evaluate the effect of gap width on bone healing around implants placed into simulated extraction socket defects of varying widths in 10 mongrel dogs. All premolars were removed and the alveolar ridges were reduced to a width of 7 mm. Nine weeks later, a total of 80 implants, 10 mm long by 3.3 mm wide, were placed into osteotomy sites prepared to 3 different diameters in the coronal half, simulating extraction sockets. Three experimental sites, with gap sizes of 0.5 mm, 1.0 mm, and 1.4 mm, were created; the control sites had no gap. The depth of each defect was measured at the time of implant placement. All implants were stable at the time of placement. The dogs were euthanized 12 weeks after implant placement, and blocks containing the implants and adjacent bone were submitted for histologic evaluation. Clinically, all control and test sites healed, with complete bone fill in the defect. Percentages of bone-to-implant contact were measured histologically. As the gap widened, the amount of bone-to-implant contact decreased, and the point of the highest bone-to-implant contact shifted apically. These changes were statistically significant (P < .001). No statistically significant differences in bone-to-implant contact were found between the sites when the apical 4 mm of implants were compared. Within the limits of this study, the simulated extraction socket defects healed clinically, with complete bone fill, regardless of the initial gap size. However, the width of the gap at the time of implant placement had a significant impact on the histologic percentage and the height of bone-to-implant contact.

  • 10.
    Alhag, Mohamed
    et al.
    School of Dental Science, Trinity College, Dublin.
    Renvert, Stefan
    Kristianstad University, Department of Health Sciences.
    Polyzois, Ioannis
    School of Dental Science, Trinity College, Dublin.
    Claffey, Noel
    School of Dental Science, Trinity College, Dublin.
    Re-osseointegration on rough implant surfaces previously coated with bacterial biofilm: an experimental study in the dog2008In: Clinical Oral Implants Research, ISSN 0905-7161, E-ISSN 1600-0501, Vol. 19, no 2, 182-7 p.Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: The purpose of the study was to investigate whether osseointegration can occur on rough implant surfaces that previously had been coated with bacterial biofilm. MATERIALS AND METHODS: The premolars on both sides of the mandible in four beagle dogs were extracted. Following 3 months healing, three titanium implants Ti-Unite, Nobel Biocare were partially inserted in the left side of each mandible. Some threads protruded from the tissues into the oral cavity. Plaque accumulated on the exposed part of the implant. Following a 5-week healing period, the contaminated parts of each implant were treated using three different techniques: (1) swabbing with citric acid for 30 s followed by rinsing with physiological saline, (2) cleansing with a toothbrush and physiological saline for 1 min, and (3) swabbing with 10% hydrogen peroxide for 1 min followed by rinsing with physiological saline. The treated implants and one pristine implant (control) were installed to the full implant length on the contralateral sides of the mandibles. Following 11 weeks of healing, the dogs were sacrificed and biopsies were obtained. Ground sections were prepared for histomorphometric analysis. RESULTS: All treatment modalities were associated with direct bone-to-implant contact on the portion of implant surface previously exposed to the oral environment. CONCLUSIONS: The results demonstrate that rough surfaces, which were plaque contaminated and cleaned by different methods, can re-osseointegrate.

  • 11.
    Alsterlund, Rolf
    et al.
    Department of Infectious Diseases, Central Hospital, Kristianstad.
    Axelsson, Carolina
    Kristianstad University, School of Education and Environment, Avdelningen för Naturvetenskap. Kristianstad University, Forskningsmiljön PRO-CARE.
    Olsson-Liliequist, Barbro
    Unit of Antibiotics and Infection Control, Swedish Institute for Communicable Disease Control, Solna.
    Long-term carriage of extended-spectrum beta-lactamase-producing Escherichia Coli2012In: Scandinavian Journal of Infectious Diseases, ISSN 0036-5548, E-ISSN 1651-1980, Vol. 44, no 1, 51-54 p.Article in journal (Refereed)
    Abstract [en]

    In 2009 we described an outbreak caused by extended-spectrum beta-lactamase (ESBL)-producing Escherichia coli in southern Sweden that occurred during 2005–2006. An important finding from the investigation was the long carriage times of the ESBL-producing E. coli in several of the patients, which in some cases exceeded 30 months. Here we report findings from the continued follow-up of bacterial carriage. In September 2010, 5 of the 42 patients still carried the bacteria after a median of 58 months (range 41–59 months), 18 had had repeatedly negative cultures after shedding bacteria for a median of 7.5 months (range 0–39 months), 16 had died while still shedding the bacteria for a median of 9 months (range 0–38 months), and 3 had been lost to follow-up.

  • 12. Aminoff, Sofie R
    et al.
    Jensen, Jimmy
    University of Oslo & Oslo University Hospital.
    Lagerberg, Trine V
    Andreassen, Ole A
    Melle, Ingrid
    Decreased self-reported arousal in schizophrenia during aversive picture viewing compared to bipolar disorder and healthy controls.2011In: Psychiatry Research, ISSN 0165-1781, E-ISSN 1872-7123, Vol. 185, no 3, 309-314 p.Article in journal (Refereed)
    Abstract [en]

    Both schizophrenia (SCZ) and bipolar disorder (BD) are associated with disturbances in emotion processing. Previous studies suggest that patients with SCZ assess unpleasant pictures as less arousing than healthy controls (HC), while patients with BD assess neutral pictures as more arousing than HC. No previous studies have investigated whether there is a difference in emotional response across all three groups. Our aim was to explore whether there was a difference in the evaluation of valence and in arousal between SCZ, BD and HC for aversive and neutral pictures. We showed 72 pictures (neutral, non-socially aversive and socially aversive) from the International Affective Picture System (IAPS) to 347 subjects. There was a clear interaction effect between the diagnostic group and increasing picture aversiveness for both valence and arousal. There were no significant differences in valence ratings between the different groups or in arousal ratings on any type of stimuli between BD patients and HC. However, SCZ patients reported significantly lower arousal for aversive stimuli, particularly with a social content, when compared to BD patients and HC. This was more pronounced in females. The presence of lifetime psychotic symptoms did not influence emotional responses.

  • 13.
    Andersson, Camilla
    et al.
    Kristianstad University, School of Health and Society.
    Andersson, Kristina
    Kristianstad University, School of Health and Society.
    Existentiell smärta hos patienter med cancer i palliativt skede2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Pain in the end of life means not only the physical discomfort, but can also have psychological, social and existential dimensions. Existential pain plays a major role in palliative care. Dealing with the meaning of life, guilt and death can provide existential pain. The existential needs are as many studies indicate neglected. Health professionals often avoid these issues. The purpose of this study was to describe the existential pain in cancer patients in a palliative setting. Method: A literature review was conducted with qualitative articles. The results showed that existential pain was widespread. The informants experienced loneliness and guilt and the pain was often described in physical terms. The pain was also associated with loss of various functions. There were also thoughts about spirituality and fear of the unknown future. Discussion: It is important that the nurse is attentive to patient’s needs for closeness or lonely moments. Medical professionals can also help patients regain their autonomy by identifying the features that actually exist. Through conversation, the patient may receive strength to live the last days and to face the unknown future. The conclusion is that in order to identify and alleviate existential pain it requires a good knowledge in communication and pain management.

  • 14.
    Andersson, H. Ingemar
    et al.
    Kristianstad University, Department of Health Sciences.
    Ejlertsson, Göran
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    Leden, Ido
    Sektion för reumatologi, Medicinkliniken, Centralsjukhuset Kristianstad.
    Scherstén, Bengt
    Avdelningen för Samhällsmedicinska vetenskaper Lund/Dalby, Lunds Universitet.
    Impact of chronic pain on health care seeking, self care, and medication: results from a population-based Swedish study1999In: Journal of Epidemiology and Community Health, ISSN 0143-005X, E-ISSN 1470-2738, Vol. 53, no 8, 503-509 p.Article in journal (Refereed)
    Abstract [en]

    STUDY OBJECTIVE: To explore individual and social factors that could predict health care utilisation and medication among people with chronic pain in an unselected population. DESIGN: A mailed survey with questions about pain and mental symptoms, disability, self care action, visits to health care providers, and medication. SETTING: General populations in two Swedish primary health care (PHC) districts. Medical care was given in a state health system. PARTICIPANTS: A random sample (from the population register) of 15% of the population aged 25-74 (n = 1806). MAIN RESULTS: Among people reporting chronic pain 45.7% (compared with 29.8 of non-chronic pain persons, p < 0.05) consulted a physician and 7.2% (compared with 1.2%, p < 0.05) a physiotherapist during three months. Primary health care was the most frequent care provider. High pain intensity, aging, depression, ethnicity, and socioeconomic level had the greatest impact on physician consultations. Alternative care, used by 5.9%, was associated with high pain intensity and self care. Use of self care was influenced by high pain intensity, regular physical activity, and ethnicity. Alternative care and self care did not imply lower use of conventional health care. Women reporting chronic pain consumed more analgesics and sedatives than corresponding men. Besides female gender, high pain intensity, insomnia, physician consultation, social network, and self care action helped to explain medication with analgesics. Use of herbal remedies and ointments correlated to self care action, visit to an alternative therapist, high pain intensity, and socioeconomic level. CONCLUSIONS: The presence of chronic pain has an impressive impact on primary health care and medication. Various therapeutic actions are common and are partly overlapping. The use of health care among people with chronic pain depends above all on pain perception and intensity of pain but is also affected by ethnicity, age, socioeconomic level, and depressive symptoms. Among people with chronic pain use of analgesics is common in contrast with other types of pain relief (acupuncture, physiotherapy) suitable for treating chronic pain symptoms.

  • 15.
    Andersson, H. Ingemar
    et al.
    Department of Community Medicine, Lund University.
    Ejlertsson, Göran
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    Leden, Ido
    Department of Medicine, Rheumatology section, Central Hospital, Kristianstad.
    Scherstén, Bengt
    Department of Community Medicine, Lund University.
    Musculoskeletal chronic pain in general practice: studies of health care utilisation in comparison with pain prevalence1999In: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 17, no 2, 87-92 p.Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To study the relations between population prevalence of chronic pain and pain-related diagnoses (musculoskeletal and headaches) in primary health care (PHC) and to examine longitudinal variations in these diagnoses. DESIGN: A population-based mailed survey to catch prevalence data and continuous computerised diagnosis registration in PHC. SETTING: General population in a well-defined Swedish PHC district. SUBJECTS: A random sample of 15% of the population aged 25-74, n = 1101. Annual visitors to district physicians at the health centre. MAIN OUTCOME MEASURES: Rates of pain-related diagnoses in PHC in relation to population prevalence of chronic pain. Comparisons of the number of individuals (annual visiting rates) with pain-related diagnoses 1987-1996. RESULTS: Population pain prevalence and pain-related diagnoses in PHC corresponded as regards the magnitude and distribution of chronic pain by age and partly by pain location. Compared to low-back and widespread pain, neck-shoulder pain and headaches were less frequent in PHC in relation to reported prevalence. From 1987 to 1996 we found an increasing number of individuals seeking primary care with pain-related diagnoses. The increase was mainly assigned to the groups of fibrositis/myalgia and headache. CONCLUSION: Pain-related diagnoses in PHC reflect partly the occurrence of self-reported chronic pain symptoms in the population. The observed increase in visits with pain-related diagnoses in the last 10 years is due to an increased number of individuals with soft-tissue rheumatism and headaches. Future studies will have to elucidate whether these findings are due to an increase in morbidity or changes in care-seeking and social conditions.

  • 16.
    Andersson, H. Ingemar
    et al.
    Kristianstad University, Department of Health Sciences.
    Leden, Ido
    Reumatologsektionen, Medicinska kliniken, Centralsjukhuset Kristianstad.
    Att möta individer med smärta från rörelseapparaten: tidiga överväganden i primärvård2000In: Allmänmedicin, Vol. 21, no 6, 228-231 p.Article in journal (Other academic)
  • 17.
    Andersson, H. Ingemar
    et al.
    Kristianstad University, Department of Health Sciences.
    Leden, Ido
    Sektionen för reumatologi, Medicinska kliniken Centralsjukhuset, Kristianstad.
    Increased serum uric acid - a marker of non-gouty widespread pain?: a study of female patients with inflammatory and non-inflammatory pain2006In: Scandinavian Journal of Rheumatology, ISSN 0300-9742, Vol. 35, no 4, 261-267 p.Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To study the relationship between reported chronic pain and the level of serum urate (SU) among women with various diagnoses of the musculoskeletal system. METHODS: Consecutive female patients (aged 20-70 years, n = 124), at rheumatology and rehabilitation practices, with chronic musculoskeletal pain of different origins were followed for 1 year after an initial survey of pain, lifestyle, quality of life, and disability. Repeated blood samples (including urate, creatinine, cholesterol, and glucose) were analysed. Multiple regression analysis was performed to explain initial variations in SU level in relation to pain and confounding factors. RESULTS: The level of SU was increased among individuals with widespread pain (>5 locations) independent of underlying diagnoses compared to those with fewer pain sites (270.5 vs. 241.2 micromol/L). Serum creatinine, body mass index (BMI), the number of pain locations, and sleep disturbances independently contributed to the SU level and explained 43% of the variation in SU. Individual variation in SU during 4 months was low. CONCLUSIONS: Epidemiological data on the relationship between the extent of body pain and SU were confirmed in a clinical setting. Besides known factors such as impaired renal function and obesity, widespread pain and sleep disturbances were related to an increase in SU. Medication and alcohol intake could not explain the findings. Longitudinal studies are necessary to elucidate whether the level of SU has any implications for the prognosis of chronic pain.

  • 18.
    Andersson, H. Ingemar
    et al.
    Kristianstad University, Department of Health Sciences.
    Leden, Ido
    Reumatologsektionen, Medicinska kliniken, Centralsjukhuset, Kristianstad.
    SBU-rapport Ont i ryggen - ont i nacken. Ambitiös genomgång av stort problemområde. Medicinsk kommentar2000In: Läkartidningen, ISSN 0023-7205, Vol. 97, no 44, 4952-4954 p.Article in journal (Other academic)
  • 19.
    Andersson, Ingemar
    Kristianstad University, School of Health and Society.
    Långvarig smärta - en introduktion2010In: Smärta och smärtbehandling / [ed] Mads Werner, Ido Leden, Stockholm: Liber , 2010, 2, 387-400 p.Chapter in book (Other academic)
  • 20.
    Andersson, Ingemar
    Kristianstad University, School of Health and Society.
    Rehabilitering vid långvarig smärta2010In: Smärta och smärtbehandling / [ed] Mads Werner, Ido Leden, Stockholm: Liber , 2010, 2, 401-409 p.Chapter in book (Other academic)
  • 21.
    Andersson, Ingemar
    et al.
    Kristianstad University, Department of Health Sciences.
    Leden, Ido
    of Medicine, Division of Rheumatology, Kristianstad Central Hospital.
    Comment on: Glucose regulation and chronic pain at multiple sites.2009In: Rheumatology (Oxford, England), ISSN 1462-0332, Vol. 48, no 3, 324- p.Article in journal (Other academic)
  • 22.
    Andersson, Linda
    et al.
    Kristianstad University, School of Health and Society.
    Paulsson, Lina
    Kristianstad University, School of Health and Society.
    Klinikchefens uppfattning om tandhygienistens kompetens2010Independent thesis Basic level (degree of Bachelor), 15 credits / 22,5 HE creditsStudent thesis
    Abstract [en]

    The aim of the study was to examine the competence of dental hygienists among Clinic Director´s within the Public Dental Service and Private dentists in the county of Skåne . The study was quantitative and consisted of an electronic questionnaire sent out to all Clinic Directors in the county of Skåne. A total of five hundred and thirty eight questionnaires were sent out. The inclusion criteria were the Clinic directors who employed dental hygienists who had obtained their professional degree during the last four years. Twenty nine Clinic directors responded to the study.

    The results showed that in general clinic directors are pleased and feel that dental hygienists are proficient in periodontology and dental caries diagnostics. There were two clinic directors who felt that dental hygienists should have more knowledge in the fields of endodontics and pedodontics.

    The Clinic directors were asked if they wanted to add a certain skill or specialty to the competence of dental hygienists. Two of the clinic directors said that they would like to see dental hygienists be able to measure blood and sugar levels if needed.

    In conclusion, this study shows that most of the clinic directors thought that the dental hygienists had good knowledge and skills within their operating range. The result of this study must be interpreted with caution because of the low response rate.

  • 23.
    Andersson, Pia
    Kristianstad University, Department of Health Sciences.
    Användning av en munbedömningsguide på inneliggande sjukhuspatienter2003In: Svensk sjukhustandläkartidning, ISSN 0348-0011, Vol. 28, no 1, 23-25 p.Article in journal (Other (popular science, discussion, etc.))
  • 24.
    Andersson, Pia
    Kristianstad University, Department of Health Sciences.
    Assessments of oral health status in frail patients in hospital2004Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The general aims of this thesis were to evaluate the usefulness of an oral assess¬ment guide and to determine the oral health status among frail patients in hospital settings. A further aim was to analyze possible factors that may be associated with oral health status, with special focus on the relationship between oral health and nutritional status among elderly rehabilitation patients. The Oral Assessment Guide (OAG) was used in patients with haematological malignancies undergoing chemotherapy. In further studies a Revised Oral Assessment Guide (ROAG) was used among geriatric rehabilitation patients. The inter-rater reliability of the OAG between registered nurses at the ward and a dental hygienist (DH) was good, as well as between a registered nurse and a DH using ROAG. Problems in the oral cavity were detected in all patients with haematological malignancies undergoing chemotherapy. Problems related to mucous membranes, teeth and/or dentures were most frequent. Oral health problems were also a frequent finding among the geriatric rehabilitation patients. The frequency of oral health problems was significantly lower at discharge compared to admission. Oral health problems were more often found among patients that stayed for longer periods at the hospital, were more dependent on help with daily activities and suffered for dysphagia, than among the healthier patients. Oral health problems were more common among the patients being at risk of undernourishment, suspected to be or severely undernourished (UN), than among the well-nourished patients. Problems in oral health status were significantly associated with the occurrence of respiratory diseases, living in special accommodation, being UN and being a woman. The highest Odds Ratio (OR) was found in problems with gums in relation to the occurrence of respiratory diseases (OR 8.9; 95 % CI 2.8-27.8). OAG as well as ROAG were found to be useful for assessing oral health status in frail patients at hospital. Oral health problems were a frequent finding among the patients. The use of an oral assessment tool on a routine basis may facilitate the detection of problems which otherwise can be hidden, and can serve as a guide for initiating individualised oral health procedures.

  • 25.
    Andersson, Pia
    Kristianstad University, Department of Health Sciences.
    Bedömning av munstatus2006In: Munvård inom vård och omsorg / [ed] Öhrn, Kerstin, Andersson Pia, Lund: Studentlitteratur , 2006, 23-40 p.Chapter in book (Other (popular science, discussion, etc.))
  • 26.
    Andersson, Pia
    Kristianstad University, Department of Health Sciences.
    Evaluation of oral health status using an oral assessment guide in geriatric rehabilitation patients and in patients with haematological malignancies2002Licentiate thesis, comprehensive summary (Other academic)
  • 27.
    Andersson, Pia
    Kristianstad University, Department of Health Sciences.
    Evaluation of oral health status using an oral assessment guide on geriatric rehabilitation patients and in patients with haematological malignancies2003In: The first national conference on dental hygiene research in Sweden / [ed] Hovius, Marjolin, 2003, 180- p.Conference paper (Refereed)
  • 28.
    Andersson, Pia
    Kristianstad University, Department of Health Sciences.
    Implementering av en munbedömningsguide på äldre patienter inneliggande på sjukhus2004In: Tandläkartidningen, ISSN 0039-6982, Vol. 24, 25-27 p.Article in journal (Other academic)
  • 29.
    Andersson, Pia
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap III. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life.
    Munhälsa2014In: Omvårdnadens grunder: hälsa och ohälsa / [ed] Anna-Karin Edberg, Helle Wijk, Lund: Studentlitteratur AB, 2014, 2, 301-331 p.Chapter in book (Other academic)
  • 30.
    Andersson, Pia
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life.
    Munhälsa2009In: Omvårdnadens grunder: hälsa och ohälsa / [ed] Edberg, Anna-Karin, Wijk, Helle, Lund: Studentlitteratur, 2009, 349-380 p.Chapter in book (Other academic)
  • 31.
    Andersson, Pia
    Kristianstad University, Department of Health Sciences.
    Munhälsa och ätandet2006In: Munvård inom vård och omsorg / [ed] Öhrn Kerstin, Andersson Pia, Lund: Studentlitteratur , 2006, 53-66 p.Chapter in book (Other (popular science, discussion, etc.))
  • 32.
    Andersson, Pia
    Kristianstad University, Department of Health Sciences.
    Munhälsans inverkan på ätandet2003In: Westergren, Albert (red.), Svårigheter att äta, Lund: Studentlitteratur , 2003, 55-66 p.Chapter in book (Other (popular science, discussion, etc.))
  • 33.
    Andersson, Pia
    Kristianstad University, Department of Health Sciences.
    Munhälsostatus hos patienter som vårdas på sjukhus2004In: Tandläkartidningen, ISSN 0039-6982, Vol. 96, no 10, 62-65 p.Article in journal (Other academic)
    Abstract [sv]

    Den 23 april 2004 försvarade tandhygienist Pia Andersson avhandlingen ”Assessments of oral health status in frail patients in hospital” vid odontologiska fakulteten, Malmö högskola. Fakultetsopponent var professor Tony Axéll, Specialisttandvården, Halmstad. Handledare under avhandlingsarbetet har varit professor Stefan Renvert, Högskolan Kristianstad och professor Ingalill Rahm Hallberg, Vårdalinstitutet, Lund. Det övergripande syftet med avhandlingen var att utvärdera ett formulär för att bedöma munhälsan på patienter som låg inne på sjukhus och att undersöka förekomsten av problem i munnen. På äldre patienter inom rehabilitering undersöktes dessutom om det fanns samband mellan munhälsostatus och relaterade faktorer som ålder, kön, boendeform, civilstånd, sjukdomsorsak vid inskrivning till avdelningen, läkemedelsintag, funktionsstatus och nutritionsstatus med fokus på sambandet mellan munhälsostatus och nutritionsstatus.

  • 34.
    Andersson, Pia
    Kristianstad University, Department of Health Sciences.
    Munvård hos äldre vid olika sjukdomstillstånd2006In: Munvård inom vård och omsorg / [ed] Öhrn Kerstin, Andersson Pia, Lund: Studentlitteratur , 2006, 83-100 p.Chapter in book (Other (popular science, discussion, etc.))
  • 35.
    Andersson, Pia
    Kristianstad University, Department of Health Sciences.
    Utvärdering av munhälsostatus med användning av en munbedömningsguide på geriatriska patienter och på patienter med maligna blodsjukdomar2003In: Tandhygienisttidningen, ISSN 1102-6146, Vol. 23, no 1, 23-25 p.Article in journal (Other (popular science, discussion, etc.))
  • 36.
    Andersson, Pia
    Kristianstad University, Department of Health Sciences.
    Vidgade perspektiv inom oral hälsa2011In: Tandhygienisttidningen, ISSN 1102-6146, Vol. 31, no 2, 52-53 p.Article, review/survey (Other academic)
  • 37.
    Andersson, Pia
    et al.
    Kristianstad University, Department of Health Sciences.
    Bjurbrant Birgersson, Ann-Marie
    Kristianstad University, Department of Health Sciences.
    Wårdh, Inger
    Institutionen för odontologi, avdelningen för gerodonti, Karolinska Institutet.
    Kvalitetsindikatorer för munhälsa2007In: Idvall, E. (red), Kvalitetsindikatorer inom omvårdnad, Stockholm: Gothia , 2007, 45-56 p.Chapter in book (Other academic)
  • 38.
    Andersson, Pia
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Oral Hälsa - Allmänhälsa - Livskvalitet.
    Hakeberg, Magnus
    Research Center, Public Dental Service, Region Västra Götaland.
    Abrahamsson, Kajsa H.
    Department of Periodontology, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg.
    Psychometric properties of the Dental Hygienist Anxiety Scale in a group of general dental patients2013In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 71, no 3-4, 877-882 p.Article in journal (Refereed)
    Abstract [en]

    Objective.  The aim of the present study was to evaluate the psychometric properties of the Dental Hygienist Anxiety Scale (DHAS) in a sample of adult general dental patients.  Materials and methods.  The DHAS is a questionnaire adapted to assess fear and anxiety of dental hygienist (DH) treatment. The DHAS contains four items and the sum of scores range from 4 (no anxiety) to 20 (extreme fear). A convenient sample of 80 patients in treatment at two DH programs in Sweden were consecutively included in the study. The DHAS was distributed together with questions regarding self-perceived oral health and experience of dental care at the first visit after a clinical examination performed by a DH. Re-test assessments of DHAS were conducted ∼ 2 weeks later in conjunction with the next visit to the DH before treatment (scaling session).  Results.  The results verified a significant positive correlation between the average DHAS sum of scores and global fear of DH and dentist treatment, perceived pain during the last DH treatment and female gender. The DHAS sum of scores had a high internal consistency, Cronbach's  coefficient of 0.89 and 0.87 at the first and at the second assessment, respectively. The test-re-test reliability of the DHAS sum of scores was acceptable, with an intra-class coefficient of 0.82 and Kappa coefficients between 0.49-0.78 for the four single items in the DHAS. Conclusions.  These results suggest that the DHAS has acceptable psychometric proprieties and is a valid and reliable scale to assess anxiety in DH treatment.

  • 39.
    Andersson, Pia
    et al.
    Kristianstad University, School of Health and Society.
    Hakeberg, Magnus
    University of Gothenburg.
    Karlberg, Gunn
    Karlstad University.
    Östberg, Anna-Lena
    Karlstad University.
    Clinical correlates of oral impacts on daily performances2010In: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 8, no 3, 219-226 p.Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: The aim of this study was to investigate the associations between oral health measures and oral health-related quality of life as captured by OIDP (oral impacts on daily performances).

    METHODS: The study was performed in three dental clinics in Sweden and included 204 patients, 43.8% men and 56.2% women (aged 20-86 years), consecutively recruited in connection with their routine dental examination. The patients were interviewed using the OIDP followed by a clinical examination. Four bite-wing radiographs were taken in two of the clinics (n = 154). A self-administered questionnaire provided information about socio-economic data.

    RESULTS: Subjects >or=60 years had significantly more missing teeth, lesser maximal jaw opening, higher number of sites with alveolar bone loss and proportionally more filled teeth than younger individuals. Impacts related to the oral health that affected their daily life were reported in 39.7%. Multivariate logistic regressions analysis showed that missing teeth (>or=10) and a limited jaw opening (<40 mm) were significantly associated with having one or more impact as measured with the OIDP [odds ratio (OR) 6.50, 95% CI 1.48-28.43 and OR 2.87, 95% CI 1.03-7.96, respectively].

    CONCLUSIONS: Individuals with diminished functional oral health status (missing teeth and limited jaw opening) had significantly more often one or more oral impacts on daily life than those with fewer than 10 missing teeth and a jaw opening >or=40 mm. The OIDP instrument may be valuable for use in routine dental check-ups in patients with related problems to determine possible oral impacts on daily life.

  • 40.
    Andersson, Pia
    et al.
    Kristianstad University, School of Health and Society.
    Johannsen, Annsofi
    Arbete mot tobaksbruk kartläggs2009In: Tandläkartidningen, ISSN 0039-6982, Vol. 101, no 7, 62-63 p.Article in journal (Other academic)
    Abstract [sv]

    Forskning visar att tandvårdspersonal har bristande kunskaper i hur man hjälper patienter att sluta röka och snusa. En studie pågår därför för att öka kunskapen om metoder för tobaksavvänjning.

  • 41.
    Andersson, Pia
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och Folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life.
    Johannsen, Annsofi
    Karolinska Institutet.
    Dental patients' perceptions and motivation in smoking cessation activities2016In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 74, no 4, 285-290 p.Article in journal (Refereed)
    Abstract [en]

    Objective

    The aim of the present study was to investigate smokers' perceptions of and motivation for smoking cessation activities in dentistry.

    Materials and methods

    Patients who smoked were consecutively recruited from general as well as specialist dental care clinics in Sweden. After a dental visit the patients completed a questionnaire about self-perceived oral health, smoking habits, motivation, reasons to quit and not to quit smoking, support to quit, smoking cessation activities and questions about smoking asked by dentists and dental hygienists.

    Results

    The sample consisted of 167 adult patients (≥ 20 years) who smoked daily. During the last 6 months, 81% of the patients had experienced oral health problems. The most common complaints were discolourations of the teeth, periodontal problems and dry mouth (38%, 36% and 33%, respectively). Improved general health was a major reason to quit smoking (89%). It was also stated that it was important to avoid oral health problems. 71% of the patients preferred to quit by themselves and 16% wanted support from dentistry. High motivation to quit smoking was reported by 20%. Occurrence of periodontitis during the last 6 months was significantly associated with being highly motivated to stop smoking (OR = 3.0, 95% CI = 1.03-8.55).

    Conclusions

    This study revealed that, although it was important to quit smoking to avoid oral health problems, the patients were not aware that tobacco cessation activities can be performed in dentistry. Periodontal problems seem to be the most motivating factor among the patients who were highly motivated to stop smoking.

  • 42.
    Andersson, Pia
    et al.
    Kristianstad University, School of Health and Society.
    Lingström, Peter
    Kristianstad University, School of Health and Society.
    Att åldras - ökad risk för karies?2008In: Dentalmagazinet, ISSN 2000-0073, no 1, 33-36 p.Article in journal (Other academic)
  • 43.
    Andersson, Pia
    et al.
    Kristianstad University, Department of Health Sciences.
    Persson, Lena
    Centre for Caring Sciences, Lund University.
    Hallberg, Ingalill
    Centre for Caring Sciences, Lund University.
    Renvert, Stefan
    Kristianstad University, Department of Health Sciences.
    Testing an oral assessment guide during chemotherapy treatmen in a Swedish care setting: a pilot study1999In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 8, no 2, 150-158 p.Article in journal (Refereed)
    Abstract [en]

    Oral complications are common in patients with haematological malignancies who undergo chemotherapy treatment. A pilot study including 16 haematological patients was carried out to evaluate the oral status using an Oral Assessment Guide (OAG) and to test the reliability of the OAG. The oral assessments were made daily by registered nurses at a Department of Internal Medicine in Sweden. Once a week a dental hygienist made the oral assessments independent of the registered nurses in order to provide data for calculations of inter-rater reliability. All patients had varying degrees of alterations in the oral cavity, especially in the mucous membranes, teeth/dentures and gums. The inter-rater agreement between the nurses and the dental hygienist was good for saliva and swallow, and moderate for voice and gums. Assessments to detect alterations in the oral cavity afford the opportunity for early and individualized interventions and may decrease the risk of oral infections. It is necessary to train the nurses to ensure high levels of reliability in the oral assessments. The OAG seems to be a reliable and clinical useful tool for assessing the oral cavity status and determining changes.

  • 44.
    Andersson, Pia
    et al.
    Kristianstad University, Department of Health Sciences.
    Rahm Hallberg, Ingalill
    Lorefält, B.
    Department of Medicine and Care, Division of Nursing Science, Faculty of Health Sciences, Linköping University.
    Unosson, M.
    Department of Medicine and Care, Division of Nursing Science, Faculty of Health Sciences, Linköping University.
    Renvert, Stefan
    Kristianstad University, Department of Health Sciences.
    Oral health problems in elderly rehabilitation patients2004In: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 2, no 2, 70-77 p.Article in journal (Refereed)
    Abstract [en]

    A combination of poor oral hygiene and dry mouth may be hazardous to the oral health status. However, systematic assessments in order to detect oral health problems are seldom performed in the nursing care of the elderly. The aims of this study were to investigate the occurrence of oral health problems measured using the Revised Oral Assessment Guide (ROAG) and to analyse associations between oral health problems and age, gender, living conditions, cohabitation, reason for admission, number of drugs, and functional and nutritional status. One registered nurse performed oral health assessments using ROAG in 161 newly admitted elderly patients in rehabilitation care. Oral health problems were found in 71% of the patients. Thirty per cent of these patients had between four and eight problems. Low saliva flow and problems related to lips were the most frequent oral health problems. Problems in oral health status were significantly associated with presence of respiratory diseases (problems with gums, lips, alterations on the tongue and mucous membranes), living in special accommodation (low saliva flow, problems with teeth/dentures and alterations on the tongue), being undernourished (alterations on the tongue and low saliva flow) and being a woman (low saliva flow). The highest Odds ratio (OR) was found in problems with gums in relation with prevalence of respiratory diseases (OR 8.9; confidence interval (CI) 2.8–27.8; P < 0.0005). This study indicates the importance of standardised oral health assessments in order to detect oral health problems which can otherwise be hidden when the patients are admitted to the hospital ward.

  • 45.
    Andersson, Pia
    et al.
    Kristianstad University, Department of Health Sciences.
    Rahm Hallberg, Ingalill
    Kristianstad University, Department of Health Sciences.
    Renvert, Stefan
    Kristianstad University, Department of Health Sciences.
    Comparison of oral health status on admission and discharge in a group of geriatric rehabilitation patients2003In: Oral Health and Preventive Dentistry, Vol. 1, no 3, 221-228 p.Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to compare oral health status on a geriatric rehabilitation ward among patients who were assessed using the Revised Oral Assessment Guide (ROAG) on admission and at discharge; and to investigate in what respect the oral health procedures (OHP) suggested in ROAG were applied when oral health problems were detected. MATERIALS AND METHODS: Registered nurses on the ward performed oral health assessments using ROAG with 107 patients on admission and at discharge. When oral health problems were detected measures to be taken were suggested using ROAG. RESULTS: Oral health problems were common among the patients on admission (86%), as well as at discharge (51%). The frequency of the problems was significantly lower at discharge compared to admission. The OHP that were recommended in ROAG were completely followed when saliva flow-related problems were detected. Regarding other oral health problems, measures other than the recommended ones were often performed. CONCLUSION: This study demonstrated that the oral health was better at the end of the hospital stay compared to admission.

  • 46.
    Andersson, Pia
    et al.
    Kristianstad University, Department of Health Sciences.
    Rahm Hallberg, Ingalill
    Department of Nursing, Medical Faculty, Lund University.
    Renvert, Stefan
    Kristianstad University, Department of Health Sciences.
    Inter-rater reliability of an oral assessment guide för elderly patients residing in a rehabilitation ward2002In: Special Care in Dentistry, ISSN 0275-1879, Vol. 22, no 5, 181-186 p.Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to test the inter-rater reliability of a revised oral assessment guide (ROAG) for patients residing in a geriatric rehabilitation ward. A consecutive sample of 140 patients was recruited for the study. Oral assessments were performed for 133 newly admitted patients by one registered nurse (RN) during a period of six months. A dental hygienist (DH) carried out 103 oral assessments during the same half-year. For 66 patients, the RN and the DH performed independent assessments. There was an agreement between the RN and the DH in the majority of the independent assessments, except for tongue and teeth/dentures. The percentage agreement exceeded 80 percent. Inter-rater agreement measured by Cohen's Kappa coefficient ranged from moderate to very good and percentage agreement had a range of 58 to 91 percent. The agreement was highest in assessment of voice and swallowing (91%). Assessments of teeth and dentures seemed to be most difficult for the RN to evaluate. ROAG was found to be a clinically useful assessment tool. Additional education and training is needed to improve the reliability of the oral assessments and should include continuous support from a dental hygienist as well as a pictorial manual on how to use the ROAG.

  • 47.
    Andersson, Pia
    et al.
    Kristianstad University, Department of Health Sciences.
    Rejnefelt, Ingrid
    Kristianstad University, Department of Health Sciences.
    Renvert, Stefan
    Kristianstad University, Department of Health Sciences.
    Munhälsa hos äldre med demenssjukdom2005In: Tandhygienisttidningen. 25(3), 2005, Vol. 25, 64- p.Conference paper (Other academic)
  • 48.
    Andersson, Pia
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL). Kristianstad University, Research Platform for Collaboration for Health.
    Renvert, Stefan
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL). Blekinge Institute of Thechology & Trinity College, Dublin.
    Sjögren, P
    Oral Care.
    Zimmerman, M
    Karolinska Institutet.
    Dental status in nursing home residents with domiciliary dental care in Sweden2017In: Community Dental Health, ISSN 0265-539X, Vol. 34, no 4, 203-207 p.Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To describe the dental health status of elderly people in nursing homes receiving domiciliary dental care.

    DESIGN: Case note review.

    CLINICAL SETTING: Nursing homes in 8 Swedish counties.

    PARTICIPANTS: Care dependent elderly people (≥65 years).

    METHODS: Clinical data, including the number of remaining natural teeth, missing and decayed teeth (manifest dental caries) and root remnants, recorded by dentists according to standard practices. Medical and dental risk assessments were performed.

    RESULTS: Data were available for 20,664 patients. Most were women (69.1%), with a mean age of 87.1 years (SD 7.42, range 65-109). The mean age for men was 83.5 years (SD 8.12, range 65-105). Two or more medical conditions were present in most of the population. A total of 16,210 individuals had existing teeth of whom 10,974 (67.7%) had manifest caries. The mean number of teeth with caries was 5.0 (SD 5.93) corresponding to 22.8% of existing teeth. One in four individuals were considered to have a very high risk in at least one professional dental risk assessment category.

    CONCLUSIONS: Care dependent elderly in nursing homes have very poor oral health. There is a need to focus on the oral health-related quality of life for this group of frail elderly during their final period of life.

  • 49.
    Andersson, Pia
    et al.
    Kristianstad University, School of Health and Society.
    Westergren, Albert
    Kristianstad University, School of Health and Society.
    Johannsen, Annsofi
    Karolinska institutet.
    Strategier för tobaksavvänjning: det osynliga munhälsoarbetet2011In: Tandhygienisttidningen, ISSN 1102-6146, no 3, 26-27 p.Article in journal (Other academic)
  • 50.
    Andersson, Pia
    et al.
    Kristianstad University, Department of Health Sciences.
    Westergren, Albert
    Department of Nursing, Medical Faculty, Lund University.
    Karlsson, Siv
    North-east Skåne Health Care District, Central Hospital, Kristianstad.
    Rahm Hallberg, Ingalill
    Department of Nursing, Medical Faculty, Lund University.
    Renvert, Stefan
    Kristianstad University, Department of Health Sciences.
    Oral health and nutritional status in a group of geriatric rehabilitation patients2002In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 16, no 3, 311-318 p.Article in journal (Refereed)
    Abstract [en]

    The aims of this study were to evaluate the oral health status and nutritional status in a group of geriatric rehabilitation patients, and to analyse the relationship between these two parameters. Nurses at the ward performed structured assessments of oral and nutritional status using the Revised Oral Assessment Guide and the Subjective Global Assessment form in 223 newly admitted patients. Most oral health problems were found among patients who stayed longer at the hospital and were more dependent on help as compared with the healthier patients. Thirty-four per cent of the patients were either severely undernourished, at risk or suspected to be undernourished (UN). Oral health problems were more common among UN patients (p < 0.0005) compared with well-nourished patients. The most frequent oral health problem was found on teeth or dentures (48%). Problems related to the tongue and lips were also common among UN patients (56 and 44%, respectively). Oral health status was correlated (r = 0.32) to nutritional status. Problems with swallowing had the strongest association to the nutritional status (OR 6.05; 95% CI 2.41-15.18). This study demonstrated that poor oral health status was related to undernourishment.

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