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Ability to estimate oral health status and treatment need in elderly receiving home nursing--a comparison between a dental hygienist and a dentist.

https://arctichealth.org/en/permalink/ahliterature62818
Source
Swed Dent J. 2000;24(3):105-16
Publication Type
Article
Date
2000
Author
T. Nederfors
G. Paulsson
R. Isaksson
B. Fridlund
Author Affiliation
Oral Health Centre, Central Hospital, Halmstad, Sweden.
Source
Swed Dent J. 2000;24(3):105-16
Date
2000
Language
English
Publication Type
Article
Keywords
Aged
Comparative Study
Dental Care for Aged - methods - statistics & numerical data
Dental Hygienists - statistics & numerical data
Dentists - statistics & numerical data
Diagnosis, Oral - methods - statistics & numerical data
Health Services Needs and Demand - statistics & numerical data
Home Care Services - statistics & numerical data
Humans
Observer Variation
Oral Health
Research Support, Non-U.S. Gov't
Statistics, nonparametric
Sweden
Abstract
The aim of this study was to compare the estimation ability of a dental hygienist to that of a dentist when, independently, recording the oral health status and treatment need in a population of elderly, receiving home nursing. Seventy-three persons, enrolled in a home nursing long-time care programme, were recruited. For the oral examination a newly developed protocol with comparatively blunt measurement variables was used. The oral examination protocol was tested for construct validity and for internal consistency reliability. Statistical analyses were performed using Wilcoxon matched pairs signed rank sum test for testing differences, while inter-examiner agreement was estimated by calculating the kappa-values. Comparing the two examiners, good agreement was demonstrated for all mucosal recordings, colour, form, wounds, blisters, mucosal index, and for the palatal but not the lingual mucosa. For the latter, the dental hygienist recorded significantly more changes. The dental hygienist also recorded significantly higher plaque index values. Also regarding treatment intention and treatment need, the dental hygienist's estimation was somewhat higher. In conclusion, when comparing the dental hygienist's and the dentist's ability to estimate oral health status, treatment intention, and treatment need, some differences were observed, the dental hygienist tending to register "on the safe side", calling attention to the importance of inter-examiner calibration. However, for practical purpose the inter-examiner agreement was acceptable, constituting a promising basis for future out-reach activities.
PubMed ID
11061208 View in PubMed
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Attitudes to the importance of retaining natural teeth in an adult Swedish population.

https://arctichealth.org/en/permalink/ahliterature62824
Source
Gerodontology. 1998;15(2):61-6
Publication Type
Article
Date
1998
Author
T. Nederfors
Author Affiliation
Department of Dentistry, Central Hospital, Halmstad, Sweden. tommy.nederfors@lih.lthalland.se
Source
Gerodontology. 1998;15(2):61-6
Date
1998
Language
English
Publication Type
Article
Keywords
Adult
Age Factors
Aged
Attitude to Health
Chi-Square Distribution
Cross-Sectional Studies
Dental Care - psychology
Female
Humans
Jaw, Edentulous - psychology
Linear Models
Male
Middle Aged
Oral Health
Oral Hygiene - psychology - utilization
Questionnaires
Research Support, Non-U.S. Gov't
Sampling Studies
Sex Factors
Statistics, nonparametric
Sweden
Tooth Loss - psychology
Abstract
OBJECTIVES: To evaluate the attitudes to retaining natural teeth in an adult Swedish population, and to correlate the attitude to retaining natural teeth with some presumed influencing background factors. DESIGN: Cross-sectional study using a newly developed questionnaire. SUBJECTS: From the national census register of four municipalities in the southern part of the province of Holland, Sweden, with a total population of 126,878 adult (> or = 20 years) inhabitants, 4,200 persons were selected at random. The sample was randomised by age and sex, and 300 men and 300 women from the age groups 20, 30, 40, 50, 60, 70, and 80 years were included. INTERVENTION AND MAIN OUTCOME MEASURES: The questionnaire aimed to evaluate the number of remaining natural teeth, the dental care habits, the self-estimated quality of natural teeth, and the attitude to retaining natural teeth in the studied population, and also to evaluate the possible correlation between those factors, in particular, the attitude to retaining natural teeth versus the other factors. RESULTS: It was found that the attitude to the importance of retaining natural teeth was strongly correlated with the number of remaining natural teeth, the dental care habits, and the self-estimated quality of natural teeth. Also sex had an influence on this attitude but not age. CONCLUSIONS: The attitude to the importance of retaining natural teeth in an adult Swedish population is correlated with the number of remaining natural teeth, the dental care habits, the self-estimated quality of natural teeth, and sex, but not with age.
PubMed ID
10530178 View in PubMed
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Evaluation of an oral health education program for nursing personnel in special housing facilities for the elderly. Part II: Clinical aspects.

https://arctichealth.org/en/permalink/ahliterature62814
Source
Spec Care Dentist. 2000 May-Jun;20(3):109-13
Publication Type
Article
Author
R. Isaksson
G. Paulsson
B. Fridlund
T. Nederfors
Author Affiliation
rita.isaksson@lthalland.se
Source
Spec Care Dentist. 2000 May-Jun;20(3):109-13
Language
English
Publication Type
Article
Keywords
Aged
Aged, 80 and over
Attitude of Health Personnel
Dental Care for Aged
Dental Plaque Index
Education, Nursing
Female
Health Education, Dental
Health services needs and demand
Health status
Homes for the Aged - manpower
Humans
Intervention Studies
Long-Term Care
Male
Mass Screening
Middle Aged
Mouth Mucosa - anatomy & histology
Nursing Staff
Oral Health
Oral Hygiene
Outcome Assessment (Health Care)
Research Support, Non-U.S. Gov't
Statistics, nonparametric
Stomatitis - classification
Sweden
Abstract
In Sweden, efforts are being made to create strategies for evaluating realistic dental treatment needs among the elderly, who are retaining more natural teeth. These strategies focus on the importance of maintaining adequate oral hygiene. Elderly in long-term-care facilities often depend on nursing personnel for carrying out daily oral hygiene procedures. Therefore, the nursing personnel's knowledge about and attitudes toward oral health make oral health education for health care professionals an important concern. The purpose of this study was to evaluate the clinical oral health outcome in residents after their caregivers had undergone a one-session, four-hour oral health education program. The study consisted of an intervention with a pre- and a post-test and was carried out in three municipalities in the southwestern part of Sweden. A newly developed oral health screening protocol was carried out for 170 subjects living in long-term-care facilities both before and 3-4 months after nursing personnel had attended an oral health education program. Following the intervention, a statistically significant improvement was recorded for changes in oral mucosal color, a modified plaque index which measured oral hygiene status, and a mucosal index which recorded mucosal inflammation. This study indicated that a limited, one-session, four-hour oral health education, offered to caregivers within long-term-care facilities, had a positive impact on the oral health status of residents.
PubMed ID
11203883 View in PubMed
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Prevalence of perceived symptoms of dry mouth in an adult Swedish population--relation to age, sex and pharmacotherapy.

https://arctichealth.org/en/permalink/ahliterature72728
Source
Community Dent Oral Epidemiol. 1997 Jun;25(3):211-6
Publication Type
Article
Date
Jun-1997
Author
T. Nederfors
R. Isaksson
H. Mörnstad
C. Dahlöf
Author Affiliation
Department of Pharmacology and Clinical Pharmacology, Faculty of Odontology, Göteborg University.
Source
Community Dent Oral Epidemiol. 1997 Jun;25(3):211-6
Date
Jun-1997
Language
English
Publication Type
Article
Keywords
Adult
Age Factors
Aged
Aged, 80 and over
Attitude to Health
Chi-Square Distribution
Drug Therapy - adverse effects
Female
Humans
Logistic Models
Male
Middle Aged
Odds Ratio
Polypharmacy
Prevalence
Research Support, Non-U.S. Gov't
Sex Factors
Sweden - epidemiology
Xerostomia - chemically induced - epidemiology - psychology
Abstract
The aim of the study was to evaluate the prevalence of subjective perception of dry mouth in an adult population and to determine the prevalence of pharmacotherapy in this population. An additional aim was to assess a possible co-morbidity between symptoms of dry mouth and continuing pharmacotherapy. Four-thousand-two-hundred persons were selected at random from the national census register of the adult population of the southern part of the province of Halland, Sweden. The sample was stratified according to age and sex, and 300 men and an equal number of women aged 20, 30, 40, 50, 60, 70 and 80, were included. A newly developed questionnaire was mailed to each individual. In addition to questions about subjective perception of dry mouth, the subjects were asked to report on present diseases and continuing pharmacotherapy. Three-thousand-three-hundred and thirteen (80.5%) evaluable questionnaires were returned. The estimated prevalence of xerostomia in the population was 21.3% and 27.3% for men and women, respectively. This difference between the sexes was statistically significant. In non-medicated subjects, women tended to report a higher prevalence of xerostomia compared with men, 18.8% vs. 14.6%, and also among medicated subjects the estimated prevalence of dry mouth was higher for women than for men, 32.5% vs. 28.4%. There was a strong association between xerostomia and increasing age and also between xerostomia and continuing pharmacotherapy. The average prevalence of dry mouth among medicated and non-medicated subjects was 32.1% and 16.9%, respectively, the difference being statistically significant. There was also a strong association between xerostomia and the number of medications. In a logistic regression, the probability of reporting mouth dryness was significantly greater in older subjects and in women, and the probability increased with the number of medications taken. In conclusion, this epidemiological survey of an adult population has demonstrated that women, independent of age, do report a higher prevalence of xerostomia than men and that the symptom of dry mouth is strongly associated with age and pharmacotherapy. It is, however, not possible to discriminate between disease and pharmacotherapy as causal factors.
PubMed ID
9192149 View in PubMed
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Recall of an oral health education programme by nursing personnel in special housing facilities for the elderly.

https://arctichealth.org/en/permalink/ahliterature62805
Source
Gerodontology. 2001 Jul;18(1):7-14
Publication Type
Article
Date
Jul-2001
Author
G. Paulsson
B. Söderfeldt
B. Fridlund
T. Nederfors
Author Affiliation
Centre for Health Promotion Research, Halmstad University, Halmstad, Sweden. gun.paulsson@halmstad.mail.telia.com
Source
Gerodontology. 2001 Jul;18(1):7-14
Date
Jul-2001
Language
English
Publication Type
Article
Keywords
Attitude of Health Personnel
Attitude to Health
Caregivers - education
Clinical Competence
Comparative Study
Cross-Sectional Studies
Education, Nursing
Follow-Up Studies
Health Education, Dental
Homes for the Aged
Humans
Mental Recall
Nurses
Nurses' Aides - education
Nursing Staff - education
Oral Hygiene
Questionnaires
Self Concept
Statistics, nonparametric
Sweden
Abstract
OBJECTIVES: To investigate the recall of oral health knowledge and confidence by nursing personnel in special housing facilities for the elderly, three years after an education programme. DESIGN: A cross sectional design using a questionnaire. SAMPLE: All nursing personnel, a total of 2,901 subjects, in five municipalities in south-western Sweden; of whom 950 had attended the programme. The response rate was 67% (1930 subjects). INTERVENTION: An oral health education programme consisting of four one-hour lessons. RESULTS: The oral health education programme still had an effect on the participants' attitudes towards oral health three years later. When comparing the trained group (OHEP+) which attended the programme with those who did not have training (OHEP-), the perceived ability, opportunity and the knowledge of oral health were significantly better in the former group, p
PubMed ID
11813391 View in PubMed
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Use of the strip mutans test in the assessment of caries risk in a group of preschool children.

https://arctichealth.org/en/permalink/ahliterature35578
Source
Int J Paediatr Dent. 1994 Dec;4(4):245-50
Publication Type
Article
Date
Dec-1994
Author
S. Twetman
B. Ståhl
T. Nederfors
Author Affiliation
Department of Pedodontics, Medical and Dental Health Centre, Halmstad, Sweden.
Source
Int J Paediatr Dent. 1994 Dec;4(4):245-50
Date
Dec-1994
Language
English
Publication Type
Article
Keywords
Analysis of Variance
Child, Preschool
Colony Count, Microbial
DMF Index
Dental Caries - diagnosis - epidemiology
Dental Caries Activity Tests
Female
Humans
Incidence
Male
Predictive value of tests
Risk assessment
Risk factors
Saliva - microbiology
Sensitivity and specificity
Statistics, nonparametric
Streptococcus mutans - isolation & purification
Sweden - epidemiology
Tooth, Deciduous
Abstract
The purpose of this study was to evaluate the use of a chair-side test involving a count of salivary mutans streptococci (the Strip mutans test) in the assessment of caries risk in a group of preschool children living in an area with a low caries prevalence. A group of 528 4-year-old children were randomly allocated to a study or a control group. In the study group, the baseline microbial data, together with clinical findings of past caries experience, were used for caries risk assessment and for planning subsequent preventive treatment. All children were examined at baseline and after 2 years. Caries experience was assessed according to WHO criteria. There was no difference in caries experience between the study group and the control group at baseline. Within the study group, caries increment was positively correlated (P or = 2 and/or > or = 1 dmfs) developed more new lesions than those considered as 'low risk' (mean dmfs 2.6 v 0.9; P
PubMed ID
7748864 View in PubMed
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Xerostomia: prevalence and pharmacotherapy. With special reference to beta-adrenoceptor antagonists.

https://arctichealth.org/en/permalink/ahliterature11306
Source
Swed Dent J Suppl. 1996;116:1-70
Publication Type
Article
Date
1996
Author
T. Nederfors
Author Affiliation
Department of Pharmacology, Faculty of Odontology Göteborg University.
Source
Swed Dent J Suppl. 1996;116:1-70
Date
1996
Language
English
Publication Type
Article
Keywords
Adrenergic beta-Antagonists - adverse effects
Adult
Age Factors
Aged
Aged, 80 and over
Amylases - analysis - drug effects
Antihypertensive Agents - adverse effects
Atenolol - adverse effects
Comorbidity
Comparative Study
Drug Therapy - adverse effects
Female
Humans
Hypertension - drug therapy - physiopathology
Male
Metoprolol - adverse effects
Middle Aged
Placebos
Polypharmacy
Prevalence
Propranolol - adverse effects
Questionnaires
Research Support, Non-U.S. Gov't
Saliva - chemistry - drug effects - secretion
Salivary Proteins - analysis - drug effects
Secretory Rate - drug effects
Sex Factors
Sweden - epidemiology
Xerostomia - chemically induced - epidemiology
Abstract
The main objective of this thesis was to estimate the prevalence of subjectively perceived dry mouth, xerostomia, in a representative general adult population, and the possible co-morbidity between xerostomia and on-going pharmacotherapy. Further, to evaluate the effects of beta-adrenoceptor antagonists on saliva flow rate and composition. The prevalence of xerostomia was evaluated by means of a questionnaire mailed to a random sample of 4.200 adult subjects living in the southern part of the province of Halland, Sweden. Three hundred men and equally many women aged 20, 30, 40, 50, 60, 70 and 80 years were selected from the national census register. From 3311 (81%) evaluable questionnaires was concluded that, in the studied population, 21.3% of the men and 27.3% of the women reported xerostomia. The difference between the sexes was statistically significant, women reporting higher prevalence of dry mouth than men. It was also found that xerostomia was significantly age-related. Further, it was demonstrated that there was a strong co-morbidity between reported prevalence of dry mouth and on-going pharmacotherapy. Generally, no specific drug or drug-group proved to be especially xerogenic, rather, polypharmacy was strongly correlated to reported symptoms of dry mouth, and it was also a significant correlation between increasing xerostomia and the number of medications taken. The effects of beta-adrenoceptor antagonists on saliva flow rate and composition were evaluated both in healthy volunteers and in hypertensive patients. The effects of one week of treatment with the non-selective (propranolol) and the beta 1-selective (atenolol) adrenoceptor antagonists were compared with that of placebo in three different clinical trials, including 38, 11 and 19 healthy volunteers, respectively. Two of these studies were focused on the effects on whole saliva secretion rate and composition and the third study on the secretions from the parotid and the submandibular-sublingual glands. Salivary composition but not saliva flow rates were affected by the beta-adrenoceptor antagonists, and the most pronounced effects were observed for total protein composition and amylase activity, both being significantly decreased during treatment with any of the antagonists, however, more accentuated during treatment with atenolol. Twelve hypertensive patients who were well-controlled in their blood-pressure by means of monotherapy with metoprolol, a beta 1-selective adrenoceptor antagonist, were observed during four weeks of withdrawal and after re-exposure to this antihypertensive treatment. The observed effects on salivary composition were essentially the same as those found in healthy volunteers. In the hypertensive group, however, whole saliva flow rates increased significantly on drug withdrawal and decreased again on re-exposure to metoprolol.
PubMed ID
8813731 View in PubMed
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7 records – page 1 of 1.