oru.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Infant dental enucleation in an East African population in Sweden: a cross-sectional study on dental records
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Publ Dent Serv, Västmanland Cty Council, Västerås, Sweden.
Örebro University Hospital. Sch Hlth & Med Sci, Univ Örebro, Örebro, Sweden; Publ Dent Serv, Örebro Cty Council, Örebro, Sweden.
Publ Dent Serv, Örebro Cty Council, Örebro, Sweden; Fac Odontol, Dept Oral Publ Hlth, Malmö Univ, Malmö, Sweden .
Publ Dent Serv, Örebro Cty Council, Örebro, Sweden.
Show others and affiliations
2014 (English)In: International Journal of Paediatric Dentistry, ISSN 0960-7439, E-ISSN 1365-263X, Vol. 24, no 3, p. 209-214Article in journal (Refereed) Published
Abstract [en]

Aim: To examine the prevalence of infant dental enucleation (IDE) of primary canines, an East African traditional remedial procedure, in a multiethnic population of children in Sweden.

Design: A cross-sectional study was conducted of dental records of 1133 patients (mean age 4.6years, SD +/- 1.4) attending one public dental service clinic in Sweden. The clinic was located in an area with a large multiethnic community. All were born within the years 2002-2006 and had received a check-up in one of the years 2007-2009. A registry was made of missing primary canines where no reason could be found. In documented cases, information about ethnic origin was extracted. Statistical grouping was made according to known East African ethnicities.

Results: At least 36 ethnicities were recorded. Twenty-four (2.1%) patients were missing one or more canines according to the criteria for IDE. Significant difference was seen when comparison was made between patients of known East African ethnicities, of whom 20.8% (21/101) manifested findings consistent with the criteria, and the rest of the population (3/1032; P<0.001).

Conclusions: Prevalence of cases suggestive of IDE among patients of East African origin points to a need for increased awareness within dental and healthcare communities.

Place, publisher, year, edition, pages
Hoboken: Wiley-Blackwell, 2014. Vol. 24, no 3, p. 209-214
Keywords [en]
NORTHERN UGANDA; WEST ETHIOPIA; CHILD HEALTH; MUTILATION; MORBIDITY; MORTALITY; MAASAI; SUDAN; EBINO; JUBA
National Category
Dentistry
Research subject
Medicine
Identifiers
URN: urn:nbn:se:oru:diva-34940DOI: 10.1111/ipd.12063ISI: 000333828800007OAI: oai:DiVA.org:oru-34940DiVA, id: diva2:715590
Note

Funding Agency:

Public Dental Services of Västmanland and Örebro in Sweden

Available from: 2014-05-05 Created: 2014-05-05 Last updated: 2018-06-05Bibliographically approved
In thesis
1. Infant Dental Enucleation in Sweden: Perspectives on a Practice among Residents of Eastern African Origin
Open this publication in new window or tab >>Infant Dental Enucleation in Sweden: Perspectives on a Practice among Residents of Eastern African Origin
2017 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Infant dental enucleation (IDE) is a practice consisting of the removal of deciduous canine tooth buds in infants. Practiced mainly in Eastern Africa, the purpose is to treat or to prevent bodily symptoms and diseases. IDE can cause both general and oral complications. The occurrence of IDE among Eastern African immigrants in a few European countries has been reported. However, knowledge surrounding the practice in Sweden was poor. The overall aim of this work was to explore IDE in the Swedish context. Four studies were conducted. Paper I presents a review of scientific publications. An overview of IDE was gained, and some knowledge gaps were identified. Paper II describes a cross-sectional study to determine the prevalence of IDE in small children. Dental records of 1133 children (mean age 4.6 years, SD 1.4) from a multi-ethnic area were studied. Missing deciduous canines without any registered reason were documented. One or more deciduous canines were missing in 21% of the children with known Eastern African origin (n=101), compared to only three children in the rest of the population (n=1032). Six adults of Somali origin were interviewed to explore their experiences and perceptions of IDE (paper III). These experiences and perceptions were categorised in four essentially different ways: an effective and necessary treatment, a disputed tradition, an option to failure and a desperate measure. Their experiences and perceptions were found to be highly influenced by contexts. In the final study (paper IV), the knowledge, experiences and attitudes among dental and health care personnel were examined. Questionnaires were sent to licensed personnel working in emergency departments, midwifery and child health centres, school health services and public dental health services in ten municipalities. Less than 20% had any knowledge of IDE, while 12.5% of the respondents encountering children had seen at least one patient subjected to IDE. Different attitudes were reported between clinical settings regarding responsibilities and possibilities concerning the management and prevention of IDE. From the findings presented in this thesis, it was concluded that there is a need for initiatives to increase awareness of and knowledge on IDE among dental and health care professionals. Legally obligated responsibilities in these professions regarding IDE need to be clarified, and initiatives should include guidelines regarding both the management of IDE and its prevention in Sweden. Educational programmes should also be produced for residents of Eastern African origin to change their perceptions of IDE, and a culturally sensitive approach should be adopted to ensure that such programmes are effective.

Place, publisher, year, edition, pages
Örebro: Örebro University, 2017. p. 92
Series
Örebro Studies in Care Sciences, ISSN 1652-1153 ; 68
Keywords
Infant, Africa, Traditional Medicine, Cuspid, Postoperative Complications, Child Advocacy, Emigrants and Immigrants, Sweden
National Category
Other Health Sciences
Identifiers
urn:nbn:se:oru:diva-53504 (URN)978-91-7529-170-3 (ISBN)
Public defence
2017-02-03, Campus USÖ, hörsal C3, Södra Grev Rosengatan 30, Örebro, 09:00 (English)
Opponent
Supervisors
Available from: 2016-11-15 Created: 2016-11-15 Last updated: 2017-10-18Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full text

Authority records BETA

Barzangi, JirArnrup, Kristina

Search in DiVA

By author/editor
Barzangi, JirUnell, LennartArnrup, Kristina
By organisation
School of Health and Medical Sciences, Örebro University, SwedenÖrebro University Hospital
In the same journal
International Journal of Paediatric Dentistry
Dentistry

Search outside of DiVA

GoogleGoogle Scholar

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 513 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf