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Björksved, M., Arnrup, K., Bazargani, S. M., Lund, H., Magnusson, A., Magnuson, A., . . . Bazargani, F. (2021). Open vs closed surgical exposure of palatally displaced canines: a comparison of clinical and patient-reported outcomes-a multicentre, randomized controlled trial. European Journal of Orthodontics, 43(5), 487-497
Open this publication in new window or tab >>Open vs closed surgical exposure of palatally displaced canines: a comparison of clinical and patient-reported outcomes-a multicentre, randomized controlled trial
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2021 (English)In: European Journal of Orthodontics, ISSN 0141-5387, E-ISSN 1460-2210, Vol. 43, no 5, p. 487-497Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: To compare treatment time, patients' perceptions during orthodontic treatment, dental fear and side effects, between open and closed surgical exposures in patients with palatally displaced canines (PDCs).

TRIAL DESIGN: Multicentre, randomized controlled trial, with random 1:1 allocation of two parallel groups.

MATERIALS AND METHODS: One hundred and twenty patients from three different orthodontic centres were randomized into one of the two intervention arms, open or closed surgical exposure. Both techniques had mucoperiosteal flaps raised and bone removed above the PDCs. In open exposure, tissue was removed above the canine, and glass ionomer - reaching above soft tissue - was built on the crown. The canine was then left to erupt spontaneously, prior to orthodontic alignment. At closed exposure, a chain was bonded to the canine and orthodontic traction was applied under the mucosa until eruption. Orthodontic alignment of the canines was undertaken after eruption into the oral cavity, with fixed appliances in both groups. All participants were treated according to intention to treat (ITT).

BLINDING: Due to the nature of this trial, only outcome assessors could be blinded to the intervention group.

RESULTS: One hundred and seventeen patients completed the trial. All PDCs were successfully aligned. Total treatment time was equal in the two techniques, mean difference -0.1 months (95% CI -3.2 to 2.9, P = 0.93). The closed group experienced more pain and discomfort during the active orthodontic traction. Dental fear, root resorption and periodontal status did not show any clinically significant differences between the groups.

GENERALIZABILITY: Results of this randomized controlled trial (RCT) can be generalized only to a similar population aged 9-16 years, if exclusion criteria are met.

CONCLUSION: The closed exposure group experienced more pain and discomfort mostly during active orthodontic traction. All other studied outcomes were similar between the two exposure groups.

CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov, ID: NCT02186548 and Researchweb.org, ID: 127201.

Place, publisher, year, edition, pages
Oxford University Press, 2021
National Category
Dentistry
Identifiers
urn:nbn:se:oru:diva-92328 (URN)10.1093/ejo/cjab015 (DOI)000707779300002 ()34114630 (PubMedID)2-s2.0-85117297057 (Scopus ID)
Note

Funding Agencies:

Regional Research Council in Uppsala-Örebro

Center for Clinical Research Region Sormland

County Council of Sormland

Available from: 2021-06-14 Created: 2021-06-14 Last updated: 2021-12-02Bibliographically approved
Hasselkvist, A. & Arnrup, K. (2021). Prevalence and progression of erosive tooth wear among children and adolescents in a Swedish county, as diagnosed by general practitioners during routine dental practice. Heliyon, 7(9), Article ID e07977.
Open this publication in new window or tab >>Prevalence and progression of erosive tooth wear among children and adolescents in a Swedish county, as diagnosed by general practitioners during routine dental practice
2021 (English)In: Heliyon, E-ISSN 2405-8440, Vol. 7, no 9, article id e07977Article in journal (Refereed) Published
Abstract [en]

Objectives: To investigate the prevalence and four-year progression of erosive tooth wear (ETW) recorded in general dental practice, and to evaluate the usefulness of a simplified grading scale.

Methods: Four cohorts (aged 3, 7, 11 and 15 years at baseline; n = 735) were followed from 2008 to 2012 during their routine dental examinations. Grading of ETW was performed on permanent upper incisors and first molars, using the scales of Johansson et al. 1996 and Hasselkvist & Johansson 2010.

Results: Valid data were available for 641 individuals, 7-19-years of age, of whom 326 had data allowing analyses of progression. The prevalence of ETW increased with age, although at a lower level than in comparable studies. Progression was found in one-third of the subjects, with higher proportions and higher grades noted among the older cohorts. The simplified scale, that graded only four surfaces, resulted in just a few missed, mainly mild, cases of ETW.

Conclusions: Clinically significant signs of ETW and patterns of progression can be reliably detected if the erosion index used includes a few selected surfaces of permanent teeth as part of the routine dental examination. Early signs of ETW, however, seem to be more difficult to detect and evaluate.

Clinical significance: It is both possible and beneficial to introduce the diagnosing of ETW in routine dental examinations. To reduce the time involved in grading every patient, the simplified 4-surface application, seems to be a useful tool, but which is to be augmented with more extensive grading in individuals considered to be at risk.

Place, publisher, year, edition, pages
Elsevier, 2021
Keywords
Children and adolescents, Dental general practices, Prevalence, Progression, Tooth erosion
National Category
Dentistry
Identifiers
urn:nbn:se:oru:diva-94719 (URN)10.1016/j.heliyon.2021.e07977 (DOI)000697057400024 ()34585005 (PubMedID)2-s2.0-85120859151 (Scopus ID)
Note

Funding agency:

Public Dental Service, Region Örebro County

Available from: 2021-09-30 Created: 2021-09-30 Last updated: 2022-01-18Bibliographically approved
Unell, L., Ström, D., Ekman, K., Johansson, A., Arnrup, K. & Carlsson, G. E. (2019). A 3-year study of patients with tinnitus and jaw muscle tenderness. Cranio, 37(5), 304-309
Open this publication in new window or tab >>A 3-year study of patients with tinnitus and jaw muscle tenderness
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2019 (English)In: Cranio, ISSN 0886-9634, E-ISSN 2151-0903, Vol. 37, no 5, p. 304-309Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: This study evaluated three-year results of treatment with an interocclusal appliance in 89 tinnitus patients with jaw muscle tenderness.

METHODS: Subjective tinnitus severity was recorded using a visual analog scale (VAS). The number of tender muscles was registered. The patients were followed annually. After three years, 64 patients were examined (72%).

RESULTS: Tinnitus severity at baseline was high (mean VAS value 68.3). After one year, the VAS values were substantially lower (mean 37.4; p < 0.001). During the following two years, there were no significant changes in VAS values. The mean number of tender muscles decreased from seven to two after one year and remained at this number for up to three years.

CONCLUSION: In many tinnitus patients with signs of temporomandibular disorders (TMDs), intraoral splint therapy reduced tinnitus severity and jaw muscle symptoms. The favorable results after one year remained for up to three years without significant changes.

Place, publisher, year, edition, pages
Oxfordshire, United Kingdom: Taylor & Francis, 2019
Keywords
Audiology, TMD, VAS, interocclusal appliance, orofacial pain
National Category
Dentistry
Identifiers
urn:nbn:se:oru:diva-64842 (URN)10.1080/08869634.2018.1430097 (DOI)000478902400007 ()29394870 (PubMedID)2-s2.0-85041577379 (Scopus ID)
Note

Funding Agency:

Dental Research Department, Public Dental Health Service, Region Örebro County, Örebro, Sweden

Available from: 2018-02-07 Created: 2018-02-07 Last updated: 2023-02-09Bibliographically approved
Dimberg, L., Arvidsson, C., Lennartsson, B., Bondemark, L. & Arnrup, K. (2019). Agreement between children and parents in rating oral health-related quality of life using the Swedish versions of the short-form Child Perceptions Questionnaire 11-14 and Parental Perceptions Questionnaire. Acta Odontologica Scandinavica, 77(7), 534-540
Open this publication in new window or tab >>Agreement between children and parents in rating oral health-related quality of life using the Swedish versions of the short-form Child Perceptions Questionnaire 11-14 and Parental Perceptions Questionnaire
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2019 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 77, no 7, p. 534-540Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: and P-CPQ, and to evaluate the impact on agreement of oral health including malocclusion and background characteristics (dental fear, family situation, gender of informant).

MATERIAL AND METHODS: and P-CPQ separately in connection with a clinical examination.

RESULTS: The participants comprised 247 child-parent pairs: 116 (47%) boys, 131 (53%) girls, 166 (67%) mothers and 81 (33%) fathers. The agreement between the child and parental ratings of the children's OHRQoL was low, with an ICC of 0.22 (95% CI: 0.04-0.37) for the total scale.

CONCLUSIONS: There was a low agreement between children's and parents' answers. For best care, it is advisable to consider perceptions of both children and parents because they can complement each other in estimating the child's OHRQoL.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
Keywords
OHRQoL, agreement, children, parents
National Category
Dentistry
Identifiers
urn:nbn:se:oru:diva-74318 (URN)10.1080/00016357.2019.1614216 (DOI)000470413200001 ()31094265 (PubMedID)2-s2.0-85066045067 (Scopus ID)
Note

Funding Agency:

Örebro County Council  OLL-394591

Available from: 2019-05-20 Created: 2019-05-20 Last updated: 2023-12-08Bibliographically approved
Fägerstad, A., Lundgren, J., Arnrup, K. & Carlsson, E. (2019). Barriers and facilitators for adolescent girls to take on adult responsibility for dental care: a qualitative study. International Journal of Qualitative Studies on Health and Well-being, 14(1), Article ID 1678971.
Open this publication in new window or tab >>Barriers and facilitators for adolescent girls to take on adult responsibility for dental care: a qualitative study
2019 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 14, no 1, article id 1678971Article in journal (Refereed) Published
Abstract [en]

Purpose: This study aims to explore and describe experiences of the dental care system among adolescent dental patients with a recent history of missed dental appointments at public dental clinics (PDCs) in a Swedish county.

Methods: Twelve adolescent girls participated in the study. Data were collected by individual, semi-structured, open-ended interviews and analysed with qualitative content analysis.

Results: The study findings could be summed into the theme ?Triggers for adolescent girls to take on or not take on adult responsibility for dental care?. The experience of free dental care could be summarized in five main categories: Pain and discomfort; Attractive and healthy teeth; Feeling safe and secure; Taking on the responsibility; and Free of charge. These five categories consisted of 15 subcategories.

Conclusions: The results of this study should increase the knowledge on how to meet and treat adolescent girls in dental care. Knowing what will happen during the dental visit was highlighted by the participants as decisive to whether or not they would attend their dental appointments. Therefore, we should as far as possible ensure that our patients feel safe at their dental visits and by trying to avoid painful treatments.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
Keywords
Dental care, dental attendance, adolescent, content analysis
National Category
Nursing Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:oru:diva-77601 (URN)10.1080/17482631.2019.1678971 (DOI)000490054100001 ()31608818 (PubMedID)2-s2.0-85073161662 (Scopus ID)
Note

Funding Agencies:

Public Dental Service, Region Örebro County, Sweden  

Örebro University, Örebro, Sweden 

Available from: 2019-10-25 Created: 2019-10-25 Last updated: 2023-02-09Bibliographically approved
Fägerstad, A., Lundgren, J., Windahl, J. & Arnrup, K. (2019). Dental avoidance among adolescents: a retrospective case–control study based on dental records in the public dental service in a Swedish county. Acta Odontologica Scandinavica, 77(1), 1-8
Open this publication in new window or tab >>Dental avoidance among adolescents: a retrospective case–control study based on dental records in the public dental service in a Swedish county
2019 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 77, no 1, p. 1-8Article in journal (Refereed) Published
Abstract [en]

Objective: This study aimed to investigate the occurrence of missed dental appointments among 16–19-year-old adolescents in a Swedish county. A second aim was to explore associations between background and concomitant factors and missed appointments and to investigate if these associations differed between areas with different sociodemographic profiles.

Materials and methods: A list of booked, and missed, appointments for 10,158 individuals during 2012 was used for assessments. Based on the total sample, 522 cases with, and 522 matched controls without, dental avoidance behavior in 2012 were identified. Data on previous missed and cancelled appointments, oral health status, dental treatment, fear or behavior problems, and medical, and, where available, psychosocial or lifestyle factors were extracted from the dental records using a preset protocol covering the period 2009–2012.

Results: In 2012, 13.1% of 23,522 booked appointments were missed, with a higher proportion of missed appointments among boys than girls. Cases with avoidance behavior more often had a record of sociodemographic load and dental fear or behavior management problems. They also had more oral health problems, more invasive dental treatments, and, in the past, more missed and canceled appointments.

Conclusion: To enable good oral health and continued regular dental care, we need to pay more attention to adolescents’ individual situation and be observant of early signs of avoidance.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
Keywords
Dental care, utilization, adolescent
National Category
Dentistry
Identifiers
urn:nbn:se:oru:diva-68444 (URN)10.1080/00016357.2018.1489978 (DOI)000455890400001 ()30022701 (PubMedID)2-s2.0-85050359378 (Scopus ID)
Note

Funding Agencies:

Public Dental Service, Region Örebro County, Örebro University, Örebro  

Swedish Dental Hygienist Association (SDHA), Sweden 

Available from: 2018-08-13 Created: 2018-08-13 Last updated: 2023-02-09Bibliographically approved
Barzangi, J., Arnrup, K., Unell, L. & Skovdahl, K. (2019). Experiences and perceptions of infant dental enucleation among Somali immigrants in Sweden: a phenomenographic study. Acta Odontologica Scandinavica, 77(8), 566-573
Open this publication in new window or tab >>Experiences and perceptions of infant dental enucleation among Somali immigrants in Sweden: a phenomenographic study
2019 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 77, no 8, p. 566-573Article in journal (Refereed) Published
Abstract [en]

Objective: The aim of this study was to explore and describe ways of experiencing and perceiving the Eastern African practice of infant dental enucleation (IDE) among immigrants of Somali origin living in Sweden.

Material and methods: Six informants, three men and three women aged 26-54 years, were recruited for semi-structured individual interviews. Phenomenographic analysis of the interview transcripts was performed.

Findings: Informants described four ways of experiencing and perceiving IDE: as an effective, necessary treatment; as a disputed tradition; as an alternative to failure; and as a desperate measure. The experiences and perceptions were highly influenced by the contexts the informants had been in, namely, communities in which traditional treatments were used frequently, in which other people were influential over their daily lives, and in which negative experiences of formal health care were common, as well as other difficult circumstances beyond the informants' individual control.

Conclusions: The findings contribute to deepened understanding of IDE and the importance of context to the practice of it. Further, the findings deepen understanding of the decision to have the practice performed on infants, which may help dental and health care personnel to adequately communicate with individuals of Somali origin about the harmfulness of IDE.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
Keywords
Africa, Infant, canine tooth, qualitative research, traditional medicine
National Category
Nursing
Identifiers
urn:nbn:se:oru:diva-74620 (URN)10.1080/00016357.2019.1620330 (DOI)000471580500001 ()31157573 (PubMedID)2-s2.0-85067083028 (Scopus ID)
Note

Funding Agencies:

Patent Revenue Fund for Research in Preventive Odontology in Gothenburg  

Lennander Foundation in Uppsala  

Public Dental Health Services of the Counties of Västmanland  

Centre for Clinical Research, Västmanland Hospital Västerås/Uppsala University  

Örebro University, Sweden 

Available from: 2019-06-05 Created: 2019-06-05 Last updated: 2023-02-09Bibliographically approved
Björksved, M., Arnrup, K., Lindsten, R., Magnusson, A. & Bazargani, F. (2019). JÄMFÖRELSE AV SLUTEN OCH ÖPPEN KIRURGISK FRILÄGGNING AV PALATINALT FELSTÄLLDA HÖRNTÄNDER: OPERATIONSTID, KOMPLIKATIONER OCH PATIENTERFARENHETER. EN MULTICENTER PROSPEKTIV RANDOMISERAD KONTROLLERAD STUDIE. In: : . Paper presented at Odontologisk riksstämma, Älvsjö, Stockholm, 14 November, 2019..
Open this publication in new window or tab >>JÄMFÖRELSE AV SLUTEN OCH ÖPPEN KIRURGISK FRILÄGGNING AV PALATINALT FELSTÄLLDA HÖRNTÄNDER: OPERATIONSTID, KOMPLIKATIONER OCH PATIENTERFARENHETER. EN MULTICENTER PROSPEKTIV RANDOMISERAD KONTROLLERAD STUDIE
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2019 (Swedish)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Medical and Health Sciences Surgery
Research subject
Surgery
Identifiers
urn:nbn:se:oru:diva-83031 (URN)
Conference
Odontologisk riksstämma, Älvsjö, Stockholm, 14 November, 2019.
Available from: 2020-06-11 Created: 2020-06-11 Last updated: 2020-06-18Bibliographically approved
Dimberg, L., Lennartsson, B., Bondemark, L. & Arnrup, K. (2019). Validity and reliability of the Swedish versions of the short-form Child Perceptions Questionnaire 11-14 and Parental Perceptions Questionnaire. Acta Odontologica Scandinavica, 77(8), 630-635
Open this publication in new window or tab >>Validity and reliability of the Swedish versions of the short-form Child Perceptions Questionnaire 11-14 and Parental Perceptions Questionnaire
2019 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 77, no 8, p. 630-635Article in journal (Refereed) Published
Abstract [en]

Objective: To examine the validity and reliability of the Swedish versions of the short-form Child Perceptions Questionnaire 11-14 (CPQ(11-14)) and Parental Perceptions Questionnaire (P-CPQ) for measuring children's oral health-related quality of life (OHRQoL).

Material and methods: The sample comprised 247 children and parents. OHRQoL was assessed by asking each child and their accompanying parent to complete the relevant questionnaire. To allow test-retest analysis, 30 children and 32 parents were asked to complete the instrument a second time within 2-4 weeks.

Results: In terms of construct validity, significant correlations were observed between CPQ scale scores and the global ratings of oral health and overall well-being for both the CPQ(11-14) and the P-CPQ. Regarding internal consistency, Cronbach's alphas for the total scales were 0.81 and 0.77, respectively, indicating good reliability, and internal consistency for the subscales (two or four dimensions) was acceptable. Test-retest reliability was good for the CPQ(11-14) total scale (ICC 0.77) and acceptable for the P-CPQ total scale (ICC 0.63).

Conclusions: The Swedish versions of the short-form CPQ(11-14) and P-CPQ are both valid and reliable, and can be recommended for use among Swedish children aged 11-14 years for evaluation of OHRQoL.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
Keywords
OHRQoL, children, parents, validation
National Category
Dentistry
Identifiers
urn:nbn:se:oru:diva-75410 (URN)10.1080/00016357.2019.1634282 (DOI)000474981700001 ()31267808 (PubMedID)2-s2.0-85068610222 (Scopus ID)
Note

Funding Agency:

Orebro County Council  OLL-394591

Available from: 2019-07-30 Created: 2019-07-30 Last updated: 2023-02-09Bibliographically approved
Björksved, M., Bazargani, F., Lindsten, R., Magnusson, A. & Arnrup, K. (2018). CLOSED VERSUS OPEN SURGICAL EXPOSURE OF PALATALLY DISPLACED CANINES: ERUPTION TIME, COMPLICATIONS AND PATIENT PERCEPTIONS; A RANDOMIZED CONTROLLED TRIAL. In: : . Paper presented at European Orthodontic Society Congress, Edinburgh, UK, 17-21, 2018..
Open this publication in new window or tab >>CLOSED VERSUS OPEN SURGICAL EXPOSURE OF PALATALLY DISPLACED CANINES: ERUPTION TIME, COMPLICATIONS AND PATIENT PERCEPTIONS; A RANDOMIZED CONTROLLED TRIAL
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2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Medical and Health Sciences Surgery
Research subject
Surgery
Identifiers
urn:nbn:se:oru:diva-83030 (URN)
Conference
European Orthodontic Society Congress, Edinburgh, UK, 17-21, 2018.
Available from: 2020-06-11 Created: 2020-06-11 Last updated: 2020-06-18Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-9616-3688

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