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Arnrup, Kristina
Publications (10 of 22) Show all publications
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: 2019-02-05Bibliographically approved
Unell, L., Ström, D., Ekman, K., Johansson, A., Arnrup, K. & Carlsson, G. E. (2018). A 3-year study of patients with tinnitus and jaw muscle tenderness. Cranio, 1-6
Open this publication in new window or tab >>A 3-year study of patients with tinnitus and jaw muscle tenderness
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2018 (English)In: Cranio, ISSN 0886-9634, E-ISSN 2151-0903, p. 1-6Article in journal (Refereed) Epub ahead of print
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, 2018
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)29394870 (PubMedID)
Available from: 2018-02-07 Created: 2018-02-07 Last updated: 2018-08-20Bibliographically approved
Björksved, M., Arnrup, K., Lindsten, R., Magnusson, A., Sundell, A. L., Gustafsson, A. & Bazargani, F. (2018). Closed vs open surgical exposure of palatally displaced canines: surgery time, postoperative complications, and patients' perceptions: a multicentre, randomized, controlled trial. European Journal of Orthodontics, 40(6), 626-635
Open this publication in new window or tab >>Closed vs open surgical exposure of palatally displaced canines: surgery time, postoperative complications, and patients' perceptions: a multicentre, randomized, controlled trial
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2018 (English)In: European Journal of Orthodontics, ISSN 0141-5387, E-ISSN 1460-2210, Vol. 40, no 6, p. 626-635Article in journal (Refereed) Published
Abstract [en]

Background: Closed and open surgical techniques are two different main approaches to surgical exposure of palatally displaced canines (PDCs). Because there is insufficient evidence to support one technique over the other, there is a need for randomized controlled trials.

Objectives: To compare surgery time, complications and patients' perceptions between closed and open surgical techniques in PDCs.

Trial design: The trial was a multicentre, randomized, controlled trial with two parallel groups randomly allocated in a 1:1 ratio.

Material and methods: Study participants were 119 consecutive patients from 3 orthodontic centres, with PDCs planned for surgical exposure, randomly allocated according to a computer-generated randomization list, using concealed allocation. Full-thickness mucoperiosteal flap was raised, and bone covering the canine was removed in both interventions. In closed exposure, an attachment with a chain was bonded to the canine and the flap was sutured back with the chain penetrating the mucosa. In open exposure, a window of tissue around the tooth was removed and glass ionomer cement placed on the canine crown, to prevent gingival overgrowth during spontaneous eruption. Patient perceptions were assessed with two questionnaires, for the evening on the day of operation and 7 days post-surgery.

Blinding: It was not possible to blind either patients or care providers to the interventions. The outcome assessors were blinded and were unaware of patients' intervention group.

Results: Seventy-five girls and 44 boys, mean age 13.4 years (SD 1.46) participated in the study and got either of the interventions (closed exposure, n = 60; open exposure, n = 59). Surgery time did not differ significantly between the interventions. Complications though were more severe in bilateral cases and the patients experienced more pain and impairment in the open group.

Conclusion: There were no statistically significant differences regarding surgery time between the groups. Postoperative complications were similar between the groups in unilateral PDCs, but more common in the open group in bilateral cases. More patients in the open group experienced pain and impairment compared to the closed group.

Trial registration: Trial registration: ClinicalTrials.gov, ID: NCT02186548 and Researchweb.org, ID: 127201.

Place, publisher, year, edition, pages
Oxford University Press, 2018
National Category
Dentistry Surgery
Identifiers
urn:nbn:se:oru:diva-69578 (URN)10.1093/ejo/cjy070 (DOI)000456177500008 ()30321323 (PubMedID)2-s2.0-85059502726 (Scopus ID)
Note

Funding Agencies:

County Council of Sörmland  DLL-393721 

Uppsala - Örebro Regional Research Council  RFR-387041 

Available from: 2018-10-16 Created: 2018-10-16 Last updated: 2019-02-04Bibliographically approved
Barzangi, J., Unell, L., Skovdahl, K. & Arnrup, K. (2018). Knowledge, experiences and attitudes of dental and health care personnel in Sweden towards infant dental enucleation. European Archives of Paediatric Dentistry, 19(4), 229-237
Open this publication in new window or tab >>Knowledge, experiences and attitudes of dental and health care personnel in Sweden towards infant dental enucleation
2018 (English)In: European Archives of Paediatric Dentistry, ISSN 1818-6300, E-ISSN 1996-9805, Vol. 19, no 4, p. 229-237Article in journal (Refereed) Published
Abstract [en]

To examine self-rated knowledge of clinical experiences and attitudes towards the practice of infant dental enucleation among dental and health care personnel in Sweden.

A questionnaire survey was performed among 776 licensed dental and health care personnel working in emergency departments, midwifery, child health centres, school health services and public dental health services in 10 Swedish cities. The response rate was 56.2% (n = 436).

Fewer than a fifth of the respondents reported self-rated knowledge of the practice. Approximately 13% of personnel encountering children professionally believed they had seen subjected patients in their clinical practice. Personnel with self-rated knowledge and clinical experience worked mostly in dental care. Additionally, the personnel had diverging attitudes regarding agreement and disagreement concerning professional responsibility for patients subjected to or at risk of infant dental enucleation.

The study indicated there is need for increased knowledge about the practice and for clarification of obligatory responsibilities among dental and health care personnel regarding management and prevention of cases of infant dental enucleation.

Place, publisher, year, edition, pages
Springer, 2018
Keywords
Traditional medicine, Africa, Dental staff, Medical staff, Surveys and questionnaires, Emigrants and immigrants
National Category
Dentistry
Identifiers
urn:nbn:se:oru:diva-68769 (URN)10.1007/s40368-018-0351-y (DOI)000442689500003 ()29987668 (PubMedID)2-s2.0-85052202235 (Scopus ID)
Note

Funding Agencies:

Centre for Clinical Research, Västmanland Hospital Västerås/Uppsala University in Västerås  

Lennander Foundation in Uppsala  

Örebro University in Örebro  

Public dental health services of the counties of Västmanland and Örebro, Sweden 

Available from: 2018-09-06 Created: 2018-09-06 Last updated: 2018-09-06Bibliographically approved
Ghanei, M., Arnrup, K. & Robertson, A. (2018). Procedural pain in routine dental care for children: a part of the Swedish BITA study. European Archives of Paediatric Dentistry, 19(5), 365-372
Open this publication in new window or tab >>Procedural pain in routine dental care for children: a part of the Swedish BITA study
2018 (English)In: European Archives of Paediatric Dentistry, ISSN 1818-6300, E-ISSN 1996-9805, Vol. 19, no 5, p. 365-372Article in journal (Refereed) Published
Abstract [en]

AIM: To investigate the frequency and reported intensity levels of dental treatment pain and discomfort in children, in conjunction with regular dental visits.

METHODS: The study included 2363 children in four different age cohorts. Data was collected from structured interviews by dental personnel regarding pain experiences or discomfort after treatments, including analgesia, extractions, operative treatments and radiographic examinations.

RESULTS: One-third of all treatment occasions were experienced as painful and/or causing discomfort. Treatment sessions including analgesia were assessed as painful in 49.7% of occasions, with injection being the most common given reason for pain. Extraction was painful in 62.4% of occasions, with injection as the main reason for pain. Operative treatments were assessed as painful in 38.8% of occasions, with drilling as the most common reason for pain and discomfort. Pain was reported in approximately 19% of all radiographic examinations.

CONCLUSIONS: Injection was the major reason for pain during treatment, including injection and extraction, while drilling was the most common cause of pain during restorative treatment. Dentists should try to minimise the experience of pain and discomfort by using all available measures to perform pain-free and effective dental injections.

Place, publisher, year, edition, pages
Springer, 2018
Keywords
Children, Dental, Discomfort, Pain
National Category
Dentistry Pediatrics
Identifiers
urn:nbn:se:oru:diva-68797 (URN)10.1007/s40368-018-0368-2 (DOI)000447659500009 ()30194611 (PubMedID)2-s2.0-85055029199 (Scopus ID)
Available from: 2018-09-10 Created: 2018-09-10 Last updated: 2018-11-01Bibliographically approved
Jönson Ring, I., Nevéus, T., Markström, A., Arnrup, K. & Bazargani, F. (2017). Nocturnal enuresis impaired children's quality of life and friendships. Acta Paediatrica, 106(5), 806-811
Open this publication in new window or tab >>Nocturnal enuresis impaired children's quality of life and friendships
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2017 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 106, no 5, p. 806-811Article in journal (Refereed) Published
Abstract [en]

Aim: There have not been any continence-specific measurement tools in Swedish that have allowed clinicians to investigate the quality of life (QoL) in children with bladder dysfunction. This study evaluated the QoL in Swedish children with nocturnal enuresis and tested the reliability of a Swedish translation of the Paediatric Incontinence Questionnaire (PinQ).

Methods: This prospective study comprised 46 children aged 6-18 years with nocturnal enuresis, who completed the PinQ after it was translated into Swedish. It was completed twice by 33 patients and these responses were included in the test re-test evaluation.

Results: The self-reported mean sum score for the whole group was 26.3 ± 13.37 (range 5-58) and the most affected domains were social relations with peers and self-esteem. The highest individual scores were four, three or two for 71.7%, 17.4%, and 10.9% of the study population, respectively. Cronbach's alpha was 0.87 for the whole questionnaire, indicating good internal consistency. The test re-test stability was excellent, with an intra-class correlation coefficient of 0.76.

Conclusion: Children with nocturnal enuresis had impaired self-esteem and their impaired QoL affected their relationships with friends. The Swedish version of the PinQ proved to be a reliable tool that will be used in further studies.

Place, publisher, year, edition, pages
John Wiley & Sons, 2017
Keywords
Nocturnal enuresis, quality of life, questionnaire, self-esteem, urinary incontinence
National Category
Pediatrics
Research subject
Pediatrics
Identifiers
urn:nbn:se:oru:diva-55957 (URN)10.1111/apa.13787 (DOI)000398859300021 ()28199734 (PubMedID)2-s2.0-85014739093 (Scopus ID)
Note

Funding Agencies:

Uppsala County Council  LUL-344551  FTV-LUL 347391

Public Dental Service  

Capio Research Foundation  2013-2538 

Gillberg Foundation 

Available from: 2017-03-10 Created: 2017-03-10 Last updated: 2017-09-06Bibliographically approved
Dimberg, L., Arnrup, K. & Bondemark, L. (2016). Letters to the Editor [Letter to the editor]. European Journal of Orthodontics, 38(2), 223-223
Open this publication in new window or tab >>Letters to the Editor
2016 (English)In: European Journal of Orthodontics, ISSN 0141-5387, E-ISSN 1460-2210, Vol. 38, no 2, p. 223-223Article in journal, Letter (Refereed) Published
Place, publisher, year, edition, pages
Oxford, United Kingdom: Oxford University Press, 2016
National Category
Dentistry
Identifiers
urn:nbn:se:oru:diva-49661 (URN)10.1093/ejo/cjv066 (DOI)000374414300016 ()26378086 (PubMedID)
Available from: 2016-04-13 Created: 2016-04-05 Last updated: 2018-07-10Bibliographically approved
Dimberg, L., Lennartsson, B., Bondemark, L. & Arnrup, K. (2016). Oral health-related quality-of-life among children in Swedish dental care: The impact from malocclusions or orthodontic treatment need. Acta Odontologica Scandinavica, 74(2), 127-133
Open this publication in new window or tab >>Oral health-related quality-of-life among children in Swedish dental care: The impact from malocclusions or orthodontic treatment need
2016 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 74, no 2, p. 127-133Article in journal (Refereed) Published
Abstract [en]

Objectives: To describe oral health-related quality-of-life (OHRQoL) and the impact of malocclusions or orthodontic treatment need in a cohort of children in Swedish dental care, using the Swedish version of the Child Perceptions Questionnaire-Impact Short Form (CPQ(11-14)-ISF:16).

Subjects and methods: Two hundred and fifty-seven children (mean age = 11.5 years, SD = 0.8, range = 9.8-13.5 years) completed the CPQ(11-14)-ISF:16 in conjunction with a clinical examination. In addition to malocclusions and orthodontic treatment need (based on the Index of Orthodontic Treatment Need-Dental Health Component), possible confounders (caries, enamel defects, dental trauma, headache and socio-economic markers) were recorded. Children also rated their own dental fear on the Children's Fear Survey Schedule-Dental Sub-scale (CFSS-DS).

Results: The mean total CPQ(11-14)-ISF:16 score was 9.31. The logistic regression analyses revealed an impact of orthodontic treatment need on OHRQoL (CPQ), but no clear association between higher severity and higher impact on OHRQoL was seen. Dental fear and headache appeared to discriminate for poorer OHRQoL. No impact from caries, enamel defects, dental trauma, or socio-economic markers was revealed.

Conclusions: This cohort of children reported good self-perceived OHRQoL. Effects on OHRQoL from malocclusions or orthodontic treatment need were limited and inconsistent. Dental fear and headache were found to be more distinct impact factors on OHRQoL than were malocclusions or orthodontic treatment need.

Place, publisher, year, edition, pages
Taylor & Francis, 2016
Keywords
Child, cross-sectional study, orthodontics
National Category
Dentistry
Identifiers
urn:nbn:se:oru:diva-47349 (URN)000366811600008 ()26206412 (PubMedID)2-s2.0-84951754962 (Scopus ID)
Note

Funding Agencies:

Örebro County Council

Swedish Dental Association

DOI 10.3109/00016357.2015.1059485

Available from: 2016-01-08 Created: 2016-01-08 Last updated: 2018-09-04Bibliographically approved
Fägerstad, A., Windahl, J. & Arnrup, K. (2016). Understanding avoidance and non-attendance among adolescents in dental care: an integrative review. Community Dental Health, 33(3), 195-207
Open this publication in new window or tab >>Understanding avoidance and non-attendance among adolescents in dental care: an integrative review
2016 (English)In: Community Dental Health, ISSN 0265-539X, Vol. 33, no 3, p. 195-207Article in journal (Refereed) Published
Abstract [en]

Objective: To review articles exploring manifestations of avoidance of or non-attendance to dental care, to identify background and concomitant factors specifically associated with dental avoidance among adolescents.

Methods: PubMed, CINAHL and PsychINFO were searched using MeSH terms and keywords covering dental avoidance, non-attendance and non-utilization. Searches were limited to peer-reviewed studies in English, published in 1994– 2014. Twenty-one research articles were included. Data were extracted, ordered, coded, categorized, and summarized according to the integrative review method.

Results: The identified factors formed three common major themes: Environmental, Individual and Situational factors. Only seven studies, all from Sweden or Norway, investigated factors associated with dental avoidance. The remaining 14 studies were geographically widespread. Regarding avoidance, the main focus was found to be on individual and situational factors, while environmental factors were more often investigated for the outcome non-attendance.

Conclusions: Although a wide variety of environmental, individual and situational factors could be summarized in this review, factors specifically associated with dental avoidance in a context of free dental care still need to be investigated. The possible impacts of cultural background, of tobacco, alcohol or drug use and of psycho-social circumstances deserve further research. Clinical implications of today’s knowledge may be to pay attention to the adolescents’ individual background and everyday life situation, to offer agreed and individualized treatment, taking fears and attitudes into consideration, to avoid painful treatments, and to be alert for early signs of avoidance.

Place, publisher, year, edition, pages
Suffolk, United Kingdom: FDI World Dental Press Ltd., 2016
Keywords
Dental health services, health care utilization, adolescent, review
National Category
Dentistry
Identifiers
urn:nbn:se:oru:diva-47374 (URN)10.1922/CDH_3829Fagerstad13 (DOI)000390932100005 ()
Note

Funding Agency:

Public Dental Service, Region Orebro County, Sweden

Available from: 2016-01-11 Created: 2016-01-11 Last updated: 2017-12-01Bibliographically approved
Fägerstad, A., Lundgren, J. & Arnrup, K. (2015). Dental fear among children and adolescents in a multicultural population: a cross-sectional study. Swedish Dental Journal, 39(2), 109-120
Open this publication in new window or tab >>Dental fear among children and adolescents in a multicultural population: a cross-sectional study
2015 (English)In: Swedish Dental Journal, ISSN 0347-9994, Vol. 39, no 2, p. 109-120Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to explore dental fear in a multicultural population of child and adolescent dental patients, with background, gender, age, and socioeconomic status taken into account. A specific aim was to investigate whether the level of DF differed between patients with a non- Swedish background and patients with a Swedish background.

In conjunction with a routine visit to the dental clinic, 301 patients (8-19 years old) assessed their dental fear on the Children's Fear Survey Schedule - Dental Subscale, using self-ratings. Following an interview protocol, patients' and their parents' country of birth, and parents' education and occupation/employment were registered. An interpreter was present when needed.

Self-rated dental fear was almost equal among patients coming from a non-Swedish background and patients with a Swedish background. Girls scored higher than boys and younger children scored slightly higher compared to older children, but the pattern of dental fear variation was inconsistent. Socioeconomic status differed between the groups with a non- Swedish vs. a Swedish background, but no impact on dental fear was revealed. When children and adolescents with a non-Swedish vs. a Swedish background were modelled separately, female gender and younger age had an impact on dental fear only in the group with a Swedish background.

No differences in dental fear were found between children and adolescents from non-Swedish vs. Swedish backgrounds. Dental fear variations according to gender and age were more pronounced in the group with a Swedish background compared to the group with a non-Swedish background. No impact of socioeconomic status could be revealed.

Place, publisher, year, edition, pages
Stockholm: Swedish Dental Journal, 2015
Keywords
Dental fear, questionnaires, cultural diversity
National Category
Dentistry
Identifiers
urn:nbn:se:oru:diva-51417 (URN)000377057900006 ()26529836 (PubMedID)2-s2.0-84937907216 (Scopus ID)
Note

Funding Agency:

Public Dental Service of Örebro County Council, Örebro, Sweden

Available from: 2016-07-27 Created: 2016-07-19 Last updated: 2017-11-28Bibliographically approved
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