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  • 51.
    Jönsson, Birgitta
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Department of Public Health and Caring Science, Uppsala University, Sweden, Dental Health Care Administration in Uppsala County Council, Sweden.
    Öhrn, Kerstin
    Dalarna University, School of Education, Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Oscarson, Nils
    National Board of Health and Welfare, Stockholm, Sweden.
    Lindberg, Per
    Department of Psychology, Uppsala University, Sweden.
    The effectiveness of an individually tailored oral health educational programme on oral hygiene behaviour in patients with periodontal disease: a blinded randomized-controlled clinical trial (one-year follow-up)2009In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 36, no 12, p. 1025-1034Article in journal (Refereed)
    Abstract [en]

    Aim: To evaluate the effectiveness of an individually tailored oral health educational programme for oral hygiene self-care in patients with chronic periodontitis compared with the standard treatment. 

    Material and method: A randomized, evaluator-blinded, controlled trial with two different active treatments were used with 113 subjects (60 females and 53 males) randomly allocated to an experimental or a control group. The individually tailored oral health educational programme was based on cognitive behavioural principles and the individual tailoring for each participant was based on participants' thoughts, intermediate, and long-term goals, and oral health status. The effect of the programmes on gingivitis [gingival index (GI)], oral hygiene [plaque indices (PlI) and self-report], and participants' global rating of treatment was evaluated 3 and 12months after oral health education and non-surgical treatment. 

    Results: Between baseline and the 12-month follow-up, the experimental group improved both GI and PlI more than the control group. The mean gain-score difference was 0.27 for global GI [99.2% confidence interval (CI): 0.16-0.39, p < 0.001] and 0.40 for proximal GI (99.2% CI: 0.27-0.53, p < 0.001). The mean gain-score difference was 0.16 for global PlI (99.2% CI: 0.03-0.30, p=0.001), and 0.26 for proximal PlI (99.2% CI: 0.10-0.43, p < 0.001). The subjects in the experimental group reported a higher frequency of daily inter-dental cleaning and were more certain that they could maintain the attained level of behaviour change. 

    Conclusion: The individually tailored oral health educational programme was efficacious in improving long-term adherence to oral hygiene in periodontal treatment. The largest difference was for interproximal surfaces.

  • 52.
    Kinnefors Reyment, Britt-Louise
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Den fysiska och psykosociala arbetsmiljön samt arbetstillfredsställelse hos egenföretagande tandhygienister i Sverige: en deskriptiv tvärsnittstudie2009Independent thesis Advanced level (degree of Master (Two Years))Student thesis
    Abstract [sv]

    Syftet med denna studie var att beskriva svenska egenföretagande tandhygienisters (EfTH) arbetsförhållanden för att studera om där fanns samband mellan fysisk och psykosocial arbetsmiljö och arbetstillfredsställelse i gruppen. Samliga tandhygienister i Sveriges tandhygienistförenings sektion för egna företagare (n = 179) inbjöds att deltaga i studien vilken gjordes med hjälp av ett frågeformulär grundat på en förkortad version av the General Nordic Questionnaire for Psychological and Social Factors at Work, QPSNordic 34+. Sextiofem procent (n=108) svarade på enkäten. Resultaten visade att äldre tandhygienister och de som hade fler än 19 yrkesår upplevde högre grad av arbetsskicklighet, var säkrare i sin yrkesroll och kände sig mindre stressade än yngre. Stress var relaterat till fler än trettio arbetstimmar per vecka. Alla frågor i skalorna om arbetstillfredsställelse, arbetsglädje och arbetsstolthet skattades högt och allra högst frågan om arbetsstolthet. Frågor i skalorna om kontroll i arbetet visade på hög kontroll av arbetstakt, pauser och påverkan av beslut i det egna arbetet. Ett statistiskt signifikant samband kunde påvisas mellan kontroll av arbetstakt, påverkansmöjligheter, positiv feedback från patienter och arbetstillfredsställelse. Det fanns också statistiskt signifikanta samband mellan kontroll av arbetstakt, positiv feedback från tandläkare för arbetsresultat, positiv feedback från patienter samt att få tillhöra en (arbets)grupp och arbetsglädje. En slutsats från denna studie är att det förefaller finnas ett samband mellan EfTH:s arbetsförhållanden och hög arbetstillfredsställelse.

  • 53.
    Land, Anna-Karin
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Omvårdnadsaspekter på munvård hos patienter med cancer.: En jämförandestudie2009Independent thesis Advanced level (degree of Master (Two Years))Student thesis
  • 54. Langius-Eklöf, Ann
    et al.
    Öhrn, Kerstin
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Research priorities for cancer care in a Swedish sample of health care professionals2007In: ECCO 14 - The European Cancer Conference, Barcelona, 2007Conference paper (Refereed)
  • 55.
    Larsson, Anna-Britta
    et al.
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Müller, Görel
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Olsson, Christina
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Öhrn, Kerstin
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    A new concept for clinical studies in dental hygiene2010In: 88th International Symposium on Dental Hygiene, Glasgow, Skottland, 2010Conference paper (Refereed)
  • 56. Lundgren, AM
    et al.
    Öhrn, Kerstin
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    The importance of circadian rhythm on oral health2010In: 18th International Symposium on Dental Hygiene, Glasgow, Skottland, 2010Conference paper (Refereed)
  • 57. Lundgren, A-M
    et al.
    Öhrn, Kerstin
    Dalarna University, School of Education, Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Jönsson, Birgitta
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. The Public Dental Health Service Competence Centre of Northern Norway (TkNN), Tromsø, Norway.
    Do adolescents who are night owls have a higher risk of dental caries?: A case-control study2016In: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 14, no 3, p. 220-225Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: The aim was to evaluate the association between circadian rhythm and the risk of caries in adolescents, as well as their dietary and toothbrushing habits.

    METHODS: A group of 196 adolescents (15 and 16 years old) were divided into two equal groups based on caries risk (case = high risk; and control = low risk). Before their dental examinations, they were asked to complete a questionnaire. The questionnaire included questions on circadian rhythm, dietary and oral self-care habits, and demographic variables. The participants were divided into three circadian types: evening types who are alert in the evening and tired in the morning; morning types who are the opposite; and neutral types who are neither particularly alert in the evening nor extremely tired in the morning.

    RESULTS: The most common sleep-cycle group type was neutral (50%). After this came evening types (37%) and finally morning types (13%). Morning and neutral types reported more frequently than evening types that they had breakfast every morning and brushed their teeth twice a day. More evening types were categorized as at high risk of caries. Circadian rhythm, breakfast habits and toothbrushing frequency were associated with a high risk of caries. The predicted probability of being at high risk of caries was almost four times higher for evening types than for morning types (OR 3.8; 95% CI 1.3-10.9).

    CONCLUSION: Adolescents who belonged to the evening circadian rhythm group brushed their teeth more seldom, ate breakfast less regularly and had a higher risk of caries than morning types. A patient's circadian rhythm should be considered when planning oral health education for adolescents with a high risk of caries.

  • 58.
    Lundgren, Ann-Marie
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Dygnsrytmens betydelse för ungdomars munhälsa: en-case-control studie2008Independent thesis Advanced level (degree of Master (Two Years))Student thesis
    Abstract [sv]

    Syftet med studien var att jämföra dygnsrytm samt kost - och munhygienvanor mellan ungdomar som uppvisar en kariesprevalens med dem som är kariesfria. Efter ett konsekutivt urval med jämn fördelning med avseende på kariesprevalens och kön, svarade 196 ungdomar i åldern 15-16 år vid ordinarie tandvårdsbesök på en enkät. Frågeområdena var förutom bakgrundsvariabler, sömn-, kost- och munhygienvanor. Studie visade med avseende på dygnsrytm att 37% var kvällsmänniskor, 13% var morgonmänniskor och hälften var neutrala. Ett samband påvisades mellan kariesprevalens och dygnsrytm, i gruppen kvällsmänniskor fanns en större del med karies. Det var mer vanligt att äta frukost och skolmat i kategorierna morgonmänniska och neutrala än bland kvällsmänniskorna. Måltiderna frukost och skolmat samt mjölk till dessa måltider var mer vanligt att förtära i den kariesfria gruppen än i gruppen med kariesprevalens. Att borsta tänderna två gånger per dag var vanligare bland kategorierna morgonmänniska respektive de neutrala än bland kvällsmänniskorna. Det var även vanligare i den kariesfria gruppen än i gruppen med karies

  • 59.
    Morell, Martina
    et al.
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Csagola, Linda
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Vuxna individers grad av självtillit till att avstå från sockerhaltiga livsmedel i olika situationer2012Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med studien var att testa ett nykonstruerat instrument för att beskriva grad av självtillit till att avstå från sockerhaltiga livsmedel i olika situationer. Syftet var även att beskriva vuxna individers intag av sockerhaltiga livsmedel samt att beskriva skillnaden mellan sockerintag och självtillit. Urvalet bestod av 62 patienter som kommit för undersökning eller behandling till privata och folktandvårdskliniker. Data samlades in via enkät. Resultatet visade att 16 (26,2 %) individer åt sockerhaltiga livsmedel minst en gång per dag och 45 (73,8 %) åt sockerhaltiga livsmedel mer sällan än en gång per dag. Det mest förekommande sockerhaltiga livsmedlet var bullar, sockerkaka och andra mjuka kakor, 5 (8,7 %) individer intog dessa typer av livsmedel minst en gång per dag. Det minst förekommande sockerhaltiga livsmedlet var fruktsoppa och kräm, 40 (67,8 %) individer intog aldrig detta livsmedel. Medelvärdet för graden av självtillit till att avstå från sockerhaltiga livsmedel i olika situationer var 6,4 (SD 2,2) av 10 på en 11-gradig Likertskala. En signifikant skillnad kunde ses i graden av självtillit bland de som intog sockerhaltiga livsmedel minst en gång per dag jämfört med de som mer sällan intog sockerhaltiga livsmedel (t=3.036; p=0.004). Instrumentet hade ett Cronbach´s Alpha värde på 0.94, vilket visar en god reliabilitet. Utifrån de resultat som framkommit tycks individer med lägre grad av självtillit inta sockerhaltiga livsmedel oftare än individer med högre grad av självtillit. Instrumentet visade sig användbart.

  • 60.
    Müller, Görel
    et al.
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Bervell, C
    Hansen, B
    Kuusilehto, TL
    Petrén, V
    Junnila, P
    Öhrn, Kerstin
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    A Nordic course in community dentistry and oral health promotion, an ICT-based distance learning course2004In: The 16th International Symposium on Dental Hygiene, Madrid, 2004Conference paper (Refereed)
  • 61.
    Müller, Görel
    et al.
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Öhrn, Kerstin
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Facilitating and Obstructing Factors for the Development of Learning in Clinical Dental Hygiene Practice2004In: 82nd General Session of the International Association for Dental Research, Honolulu, Hawaii, 2004Conference paper (Refereed)
  • 62.
    Müller, Görel
    et al.
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Öhrn, Kerstin
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    International internet based distance course in community oral health care2010In: 18th International Symposium on Dental Hygiene, Glasgow, Skottland, 2010Conference paper (Refereed)
  • 63. Needleman, IG
    et al.
    Binnie, VI
    Ainamo, A
    Carr, A.B.
    Fundak, A
    Koerber, A
    Öhrn, Kerstin
    Dalarna University, School of Education, Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Rosseel, J
    Improving the effectiveness of tobacco use cessation (TUC)2010In: International Dental Journal, ISSN 0020-6539, E-ISSN 1875-595X, Vol. 60, no 1, p. 50-59Article in journal (Refereed)
    Abstract [en]

    This paper includes an update of a Cochrane systematic review on tobacco use cessation (TUC) in dental settings as well as narrative reviews of possible approaches to TUC and a more detailed discussion of referral for specialist TUC services. On the basis of these reviews we conclude that interventions for tobacco users in the dental setting increase the odds of quitting tobacco. However, the evidence is derived largely from patients using smokeless tobacco. Pharmacotherapy (such as nicotine replacements, bupropion and varenicline) is recommended for TUC in medical settings but has received little assessment in dental applications, although such evidence to date is promising. Whether the dental setting or referral to specialist TUC services is the most effective strategy to help people to quit tobacco use is unclear. An effective specialist service providing best available TUC care alone may not be the answer. Clearly, such services should be both accessible and convenient for tobacco users. Closer integration of specialist services with referrers would also be advantageous in order to guide and support oral health professionals make their referral and to maximise follow-up of referred tobacco users. Future research direction may consider investigating the most effective components of TUC in the dental settings and community-based trials should be a priority. Pharmacotherapy, particularly nicotine replacement therapy, should be more widely examined in dental settings. We also recommend that various models of referral to external and competent in-house TUC specialist services should be examined with both experimental and qualitative approaches. In addition to overall success of TUC, important research questions include facilitators and barriers to TUC in dental settings, preferences for specialist referral, and experiences of tobacco users attempting to quit, with dental professionals or specialist services, respectively.

  • 64.
    Nilsén, Christina
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Förekomst av peri-implantit 3 år efter Implantatinstallationen vid Centrum Oral Rehabilitering Parodontologi: En retrospektiv, beskrivande och jämförande journalstrudie2008Independent thesis Basic level (degree of Bachelor)Student thesis
    Abstract [sv]

    Implantatförankrad protetik har blivit ett vanligt behandlingsalternativ vid tandförlust. Tänder som förlorats på grund av karies, aplasi, trauma (olycksfall) eller parodontit (tandlossning) kan idag på många patienter ersättas med hjälp av implantat det vill säga en konstgjord tandrot av titan. Ett eller flera implantat opereras/installeras in i käkbenet och förses därefter med en krona, en bro eller en protes. Vävnaden runt implantatet kan drabbas av infektion på liknande sätt som vävnaden runt naturliga tänder och kallas då periimplantit. Detta är en reversibel inflammatorisk process i mjukvävnaden runt ett implantat med förlust av benvävnad. Syftet med studien var att beskriva förekomst av periimplantit hos patienter som erhållit implantat åren 2000-2001 vid Centrum Oral Rehabilitering, Parodontologi, samt förekomst av eventuella skillnader i periimplantit med avseende på rökvanor, kön och tidigare parodontal diagnos. Studien var en retrospektiv, beskrivande jämförande journalstudie. Totalt granskades 100 journaler, 80 journaler exkluderades då inte röntgenbilder togs tre år efter fixtur/implantat installation. Resultatet visade att 13 var kvinnor (65 %), 8 rökare (40 %) och 11 (55 %) personer hade remitterats för tidigare förekomst av parodontit. 63 implantat installerades på 20 patienter. Periimplantit uppstod vid 8 implantat (13 %). Dessa implantat fanns hos 8 olika patienter, 5 var kvinnor, 5 rökare och 5 hade remitterats för parodontal diagnos. Något statistiskt samband kunde inte påvisas mellan förekomst av periimplantit och kön, rökvanor eller tidigare parodontal diagnos. Konklusionen: Förekomst av periimplantit under åren 2000-2001 var 13 %, vilket stämmer med tidigare studier.

  • 65. Paulsson, Gun
    et al.
    Wårdh, Inger
    Andersson, Pia
    Öhrn, Kerstin
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Comparison of oral health assessments between nursing staff and patients in medical wards2008In: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 17, p. 49-55Article in journal (Refereed)
  • 66. Peterson, Douglas E
    et al.
    Öhrn, Kerstin
    Dalarna University, School of Education, Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Bowen, Joanne
    Fliedner, Monica
    Lees, Judith
    Loprinzi, Charles
    Mori, Takehiko
    Osaguona, Anthony
    Weikel, Dianna S
    Lalla, Rajesh V
    Systematic review of oral cryotherapy for management of oral mucositis caused by cancer therapy2013In: Supportive Care in Cancer, ISSN 0941-4355, E-ISSN 1433-7339, Vol. 21, no 1, p. 327-332Article in journal (Refereed)
    Abstract [en]

    PURPOSE: This systematic review analyzed the strength of the literature and defined clinical practice guidelines for the use of oral cryotherapy for the prevention and/or treatment of oral mucositis caused by cancer therapy.

    METHODS: A systematic review on relevant oral cryotherapy studies indexed prior to 31 December 2010 was conducted by the Mucositis Study Group of the Multinational Association of Supportive Care in Cancer/International Society for Oral Oncology (MASCC/ISOO) using OVID/MEDLINE, with publications selected for review based on defined inclusion and exclusion criteria. Findings from the reviewed studies were integrated into guidelines based on the overall level of evidence for each intervention. Guidelines were classified into three types: recommendation, suggestion, or no guideline possible.

    RESULTS: Twenty-two clinical studies and two meta-analyses were analyzed. Results were compared with the MASCC/ISOO guidelines published in 2007. The recommendation for the use of oral cryotherapy to prevent oral mucositis in patients receiving bolus fluorouracil (5-FU) was maintained, in agreement with the 2007 guidelines. A suggestion for use of oral cryotherapy to prevent oral mucositis in patients receiving high-dose melphalan as conditioning regimen with or without total body irradiation for HCST was revised from the 2007 guidelines. No guideline was possible for any other intervention, due to insufficient evidence.

    CONCLUSIONS: The evidence continues to support the use of oral cryotherapy for prevention of oral mucositis in patients receiving bolus 5-FU chemotherapy or high-dose melphalan. This intervention is consistent with the MASCC/ISOO guidelines published in 2007. The literature is limited by the fact that utilization of a double-blind study design is not feasible. Future studies that compare efficacy of oral cryotherapy with other mucositis agents in patients receiving chemotherapy with relatively short plasma half-lives would be useful.

  • 67. Ramseier, CA
    et al.
    Arden, C
    McGowan, J
    McCartan, B
    Minenna, L
    Öhrn, Kerstin
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Walter, C
    Tobacco Use Prevention and Cessation in Dental and Dental Hygiene Undergraduate Education2006In: Oral Health & Preventive Dentistry, ISSN 1602-1622, E-ISSN 1757-9996, Vol. 4, p. 49-60Article in journal (Refereed)
  • 68.
    Rejnefelt, Ingrid
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Självupplevd oral hälsorelaterad livskvalitet hos personer som överlevt akut hjärtinfarkt - en fall/kontroll studie2009Independent thesis Advanced level (degree of Master (Two Years))Student thesis
    Abstract [sv]

    Syftet med studien var att undersöka om det förekommer skillnader i upplevelsen av oral hälsorelaterad livskvalitet hos personer som överlevt akut hjärtinfarkt jämfört med personer som inte har haft hjärtinfarkt. Studien genomfördes under åren 2001-2002 och alla personer som sökte vård vid ett mellanstort sjukhus i södra Sverige med diagnosen akut hjärtinfarkt och som överlevt infarkten inkluderades i studien. Kontrollgruppen bestod av vänner (n=69) till personerna som hade överlevt akut hjärtinfarkt samt personer (n=90) från en tidigare undersökning från samma sjukhus och som överensstämde i kön, ålder, socioekonomisk bakgrund och rökstatus. Totalt deltog 154 personer som överlevt akut hjärtinfarkt och 159 personer i kontrollgruppen. Mätinstrumentet som användes i studien var Oral Health Impact Profile (OHIP), vilket är ett frågeformulär för att mäta självupplevd munhälsorelaterad livskvalitet. Formuläret ger mått på dysfunktion, obehag och funktionshinder relaterade till munhålan. OHIP består av 49 frågor, fördelade över sju dimensioner: funktionsbegränsningar, fysisk smärta, psykiska problem, fysisk oförmåga, psykisk oförmåga, social oförmåga och handikapp. Resultatet visar att inga statistiskt säkerställda skillnader fanns mellan de personer som överlevt akut hjärtinfarkt och kontrollgruppen i de sju dimensionerna i OHIP. Det var få personer som upplevde besvär från munhålan som påverkade deras livskvalitet i båda grupperna. I denna studie framkom endast en statistisk säkerställd skillnad mellan de undersökta grupperna i påståendet att de upplevde att mat fastnat mellan tänderna (p-värde 0.024), vilket kan tyda på att användbarheten för OHIP är litet på denna patientgruppen. Fler studier krävs för att undersöka skillnader i upplevelsen av oral hälsorelaterad livskvalitet hos personer som överlevt akut hjärtinfarkt jämfört med personer som inte har haft hjärtinfarkt.

  • 69. Renvert, S
    et al.
    Öhrn, Kerstin
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Echeverria, J
    Systemic Health and Destructive Periodontal Diseases2003In: Oral Health & Preventive Dentistry, ISSN 1602-1622, E-ISSN 1757-9996, Vol. 1, no Supplement, p. 358-359Article in journal (Other academic)
  • 70.
    Sand, Marie
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Munhälsa efter tandhygienistbehandling hos patienter med tandlossning: En utvärderande journalstudie2007Independent thesis Basic level (degree of Bachelor)Student thesis
    Abstract [sv]

    Syftet var att undersöka i vilken grad munhälsan förbättrades hos patienter med tandlossning efter tandhygienistbehandling. Populationen bestod av samtliga patienter, som remitterats till studiens författare för behandling av tandlossning under perioden november 2000 till december 2004 och som uppfyllde vissa inklusions- och exklusionskriterier (n=38 efter bortfall). Tandköttsfickor som var fem millimeter eller djupare fanns initialt på minst tio procent av tandytorna hos samtliga deltagare. Gemensamt för deltagarna var att de tidigare ej behandlats av tandhygienist eller på specialistavdelning för parodontologi. Populationens medelålder var 61 år vid det första tandhygienistbesöket. Studiens resultat visade ett statistiskt säkerställt samband för minskad förekomst av fem till sex millimeter djupa tandköttsfickor, blödning vid sondering och tandsten synlig på bite-wings (p=0,000). Vidare visade studiens resultat ett statistiskt säkerställt samband för minskad förekomst av sju till åtta millimeter djupa tandköttsfickor, nio millimeter eller djupare tandköttsfickor och karies (p=0,003 respektive 0,042 och 0,050). Trots att andelen individer som använde approximala hjälpmedel dagligen ökade med 13,1 procentenheter och andelen individer som var rökfria ökade med 8,6 procentenheter saknade resultaten statistisk signifikans. Studiens resultat visade att tandhygienistbehandling leder till förbättrad munhälsa hos patienter med parodontit, trots att beteendeförändringen ej var statistiskt säkerställd.

  • 71.
    Sandberg, Gun
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Intervju om munhälsa och typ 2 diabetes: Tema Diabetes2003In: Vårdfacket, ISSN 0347-0911, no 3Article in journal (Other academic)
  • 72.
    Sandberg, Gun
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Oral hälsa och diabetes: Studier av hälsa och munvårdsvanor hos personer med typ 2 diabetes2003In: Tandläkartidningen, ISSN 0039-6982, no 5, p. 52-55Article in journal (Other academic)
  • 73.
    Sandberg, Gun
    et al.
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Wikblad, Karin
    Oral dryness and peripheral neuropathy in subjects with type 2 diabetes2003In: Journal of diabetes and its complications, ISSN 1056-8727, E-ISSN 1873-460X, Vol. 17, no 4, p. 192-198Article in journal (Refereed)
  • 74.
    Sandberg, Gun
    et al.
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Wikblad, Karin
    Oral health and health-related quality of life in type 2 diabetic patients and non-diabetic controls2003In: Acta Odontologica Scandinavia, ISSN 1502-3850, no 61, p. 141-148Article in journal (Refereed)
  • 75. Svanberg, AC.
    et al.
    Öhrn, Kerstin
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Birgegård, G.
    Cryotherapy in patiens undergoing autologous bone marrow transplantation2004In: EBMT 30th Annual Meeting of the European Group for Blood and Marrow Transplantation, Barcelona, Spain, 2004Conference paper (Refereed)
  • 76. Svanberg, Anncarin
    et al.
    Birgegård, Gunnar
    Öhrn, Kerstin
    Dalarna University, School of Education, Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Cryotherapy as pain prevention2005In: 31st Annual Meeting of the European Group for Blood and Marrow Transplantation, Prag, 2005Conference paper (Refereed)
  • 77.
    Svanberg, Anncarin
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Birgegård, Gunnar
    Öhrn, Kerstin
    Dalarna University, School of Education, Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Oral cryotherapy reduces mucositis and opioid use after myeloablative therapy: a randomized control trial2007In: Supportive Care in Cancer, ISSN 0941-4355, E-ISSN 1433-7339, Vol. 15, no 10, p. 1155-1161Article in journal (Refereed)
    Abstract [en]

    Introduction. Mucositis is a major complication in myeloablative therapy, which often necessitates advanced pharmacological pain treatment, including i.v. opioids. Attempts to prevent oral mucositis have included oral cryotherapy, which has been shown to reduce mucositis, but there is a lack of knowledge concerning the effect of oral cryotherapy on opioid use by reducing the mucositis for patients treated with myeloablative therapy before bone marrow transplantation (BMT). 

    Aim. The aim of the present study was to evaluate if oral cryotherapy could delay or alleviate the development of mucositis and thereby reduce the number of days with i.v. opioids among patients who receive myeloablative therapy before BMT. 

    Materials and methods. Eighty patients 18 years and older, scheduled for BMT, were included consecutively and randomised to oral cryotherapy or standard oral care. A stratified randomisation was used with regard to type of transplantation. Intensity of pain, severity of mucositis and use of opioids were recorded using pain visual analogue scale (VAS) scores, mucositis index scores and medical and nursing charts. 

    Results. This study showed that patients receiving oral cryotherapy had less pronounced mucositis and significantly fewer days with i.v. opioids than the control group. In the autologous setting, cryotherapy patients also needed significantly lower total dose of opioids. 

    Conclusion. Oral cryotherapy is an effective and well-tolerated therapy to alleviate mucositis and consequently reduce the number of days with i.v. opioids among patients treated with myeloablative therapy before BMT.

  • 78. Svanberg, Anncarin
    et al.
    Birgegård, Gunnar
    Öhrn, Kerstin
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Oral cryotherapy to prevent infection and use of total parenteral nutrition for patients undergoing bonemarrow transplantation2007In: MASCC/ISOO 20th International Symposium Supportive Care in Cancer, St Gallen, 2007Conference paper (Refereed)
  • 79. Svanberg, Anncarin
    et al.
    Birgegård, Gunnar
    Öhrn, Kerstin
    Dalarna University, School of Education, Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Survival rate among patients receiving oral cryotherapy in connection with myeloablative therapy followed by bone marrow transplantation2009In: MASCC/ISOO International Symposium, Rom, 2009Conference paper (Refereed)
    Abstract [en]

    Objectives: Oral cryotherapy has been proven to alleviate symptoms of mucositis, a major complication in myeloablative therapy. In a randomised controlled trial it was shown that patients receiving oral cryotherapy had less mucositis and fewer days with and lower dose of i.v. opioides than a control group receiving routine oral care. It is thus of interest to investigate if oral cryotherapy may be harmful to patients. Objectiv: The objective with the present study was to evaluate if there was a difference in survival rate for patients receiving oral cryotherapy in connection with myeloablative therapy followed by BMT compare to patients receiving routine oral care. Methods: Seventy eight patients (mean age 52.0 (12.9) years, range 19 – 69 years) treated with myeloablative therapy followed by BMT were randomised to oral cryotherapy (n=39) or routine oral care (n=39). Survival data was based on a review of the patient’s medical records after four years. Results: During follow-up, 25 of the patients receiving oral cryotherapy survived while 16 of the patients receiving routine oral care survived (odds ratio 0.39, 95 % CI 0.15-0.97, p<0.05). Conclusions: Oral cryotherapy provides no evidence of harm in patients receiving myeloablative therapy followed by BMT. Further analyses are needed to explore the difference in survival rate.

  • 80. Svanberg, Anncarin
    et al.
    Öhrn, Kerstin
    Dalarna University, School of Education, Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Birgegård, Gunnar
    Caphosol, a calciumphosphate mouthwash, gives no additional protectiion against mucositis inpatients with cryotherapy undergoing stem cell transplantation2012Conference paper (Refereed)
  • 81.
    Svanberg, Anncarin
    et al.
    Uppsala universitet.
    Öhrn, Kerstin
    Dalarna University, School of Education, Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Birgegård, Gunnar
    Uppsala universitet.
    Caphosol® mouthwash gives no additional protection against oral mucositis compared to cryotherapy alone in stem cell transplantation: a pilot study2015In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 19, no 1, p. 50-53Article in journal (Refereed)
  • 82.
    Svanberg, Anncarin
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Uppsala Univ, Fac Med, Inst Med Sci, Uppsala, Sweden.
    Öhrn, Kerstin
    Dalarna University, School of Education, Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Birgegård, Gunnar
    Uppsala Univ, Fac Med, Inst Med Sci, Uppsala, Sweden.
    Five-year follow-up of survival and relapse in patients who received cryotherapy during high-dose chemotherapy for stem cell transplantation shows no safety concerns2012In: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 21, no 6, p. 822-828Article in journal (Refereed)
    Abstract [en]

    We have previously published a randomised controlled study of the efficacy of cryotherapy in preventing acute oral mucositis after high-dose chemotherapy for stem cell transplantation. The present study is a 5-year follow-up safety study of survival in these patients. In the previously published study oral cryotherapy (cooling of the oral cavity) during high-dose chemotherapy significantly reduced mucositis grade and opiate use in the treated group. All patients were followed up for at least 5 years with regard to relapse and death rates. Baseline data, transplant complications and mucositis data were compared. Significantly more patients (25/39) who received oral cryotherapy were alive after 5 years compared to 15/39 in the control group (P= 0.025). Relapse rates were similar. The only baseline difference was a lower proportion of patients in complete remission at transplantation in the control group (6 vs. 13, P= 0.047). This 5-year follow-up study gave no support for safety concerns with cryotherapy.

  • 83.
    Svanberg, Anncarin
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Uppsala Univ, Fac Med, Inst Med Sci, Uppsala, Sweden.
    Öhrn, Kerstin
    Dalarna University, School of Education, Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Birgegård, Gunnar
    Uppsala Univ, Fac Med, Inst Med Sci, Uppsala, Sweden.
    Oral cryotherapy reduces mucositis and improves nutrition: a randomised controlled trial2010In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 19, no 15-16, p. 2146-2151Article in journal (Refereed)
    Abstract [en]

    Aim and objective. To investigate if oral cryotherapy during myeloablative therapy may influence frequency and severity of mucositis, nutritional status and infection rate after bone marrow transplantation.

    Background. Patients treated with intensive myeloablative treatment before bone marrow transplantation are all at risk to develop mucositis. Oral mucositis causes severe pain and oral dysfunction, which can contribute to local and systemic infections and bleeding; it may even interrupt cancer therapy. Oral mucositis also decreases the oral food intake, which increases the risk for malnutrition and infection. Reduced food intake, loss of fat and muscles, alterations in energy and substrate metabolism leads to malnutrition.

    Design. A randomised controlled trial with a random assignment to experimental or control group.

    Method. A stratified randomisation was used with regard to the type of transplantation. Mucositis was measured on WHO mucositis scale. Number of days of total parenteral nutrition, infection rate, weight, albumin levels and days at hospital was compared. Results. There were significantly fewer patients in the experimental group with mucositis grade 3–4 than in the control group and significantly lower number of days in the hospital (allogeneic patients). Less total parenteral nutrition was needed in the experimental group in both settings, and the S-albumin level was significantly better preserved. No significant difference could be found with regard to infection rate.

    Conclusion. Oral cryotherapy reduced mucositis, number of hospital days, the need for total parenteral nutrition and resulted in a better nutritional status.

    Relevance to clinical practice. Nurses caring for patients treated with myeloablative therapy should place high priority to prevent oral mucositis and hereby reduce its side effects.

  • 84. Svanberg, Anncarin
    et al.
    Öhrn, Kerstin
    Dalarna University, School of Education, Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Birgegård, Gunnar
    Oral cryotherapy to prevent total parenteral nutrition for patients undergoing bone marrow transplantation2006In: Bone Marrow Transplantation, ISSN 0268-3369, E-ISSN 1476-5365, Vol. 37, p. s271-s271Article in journal (Refereed)
    Abstract [en]

    Introduction: Mucositis is a major complication in intensive chemotherapy, which often necessitates total parenteral nutrition (TPN). While the side effects of the conditioning regimes vary with regard to degree of severity among individual’s and between transplant types, the gastrointestinal (GI) toxicities have an immense impact on the short-term nutritional status of the transplant patients. Additionally, patients who have undergone allogeneic transplant (related or unrelated) are uniquely susceptible to graft versus host disease (GvHD), which has both short and long-term nutritional consequences. TPN imply an increased risk for infections. There is a lack of knowledge concerning the effect of oral cryotherapy on nutrition for patients treated with superintensive chemotherapy before bone marrow transplantation.

    Objective: The objective with the present study was to evaluate if oral cryotherapy during chemotherapy may reduce number of days with TPN due to less intensity of oral pain from mucositis. Material and metod: All patients 18 years and older, who were scheduled for bone marrow transplantation were included consecutively and randomised to oral cryotherapy or routine oral care. A stratified randomisation was used with regard to type of transplantation. The number of days of total parenteral nutrition was collected from the patient’s medical and nursing record.

    Result: The result showed that fewer patients in the experimental group (41%) than in the control group (51%) received TPN (n = 16 vs 20). There was a tendency to fewer days with TPN in the experimental group (4.2 ± 3.9) compared to the control group (6.6 ± 4.8) among patients with autologous transplantation even though it did not reach a significant level. The kreatinin level was significantly lower in the experimental group at day 3-5, 9 and 9-21.

    Conclusion: Oral cryotherapy indicates that fewer patients are in the need of total parenteral nutrition (TPN) and that the number of days with TPN is reduced for patients treated with superintensive chemotherapy before autologous bone marrow transplantation.

  • 85.
    Svanberg, Anncarin
    et al.
    Uppsala University.
    Öhrn, Kerstin
    Dalarna University, School of Education, Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Brostrom, Hans
    Birgegard, Gunnar
    The effect of cryotherapy on oral mucosa: a study in healthy volunteers2012In: Medical Oncology, ISSN 1357-0560, E-ISSN 1559-131X, Vol. 29, no 5, p. 3587-3591Article in journal (Refereed)
    Abstract [en]

    Oral cryotherapy causes local vasoconstriction, which reduces blood flow and reduces the cytotoxic damage to the oral mucosa, has been shown to reduce oral mucositis after intense cytostatic treatment. The main object of this study was to investigate the effect of oral cryotherapy on the temperature in the oral mucosa, the level of proinflammatory cytokine interleukin-6 (IL-6) in saliva and the effect on blood pressure in healthy volunteers, before and after 1 h of cooling the oral cavity with crushed ice. Twelve healthy volunteers [mean age 32.4 (SD 13.2) (20-56) years] were treated with oral cryotherapy in the form of crushed ice. Temperature measurements were performed in the oral mucosa using infrared thermograph following a flowchart protocol. Blood pressure (BP) was measured with a sphygmomanometer. Saliva was analysed for inflammatory cytokine IL-6, using an enzyme-linked immunosorbent assay (ELISA). All participants fulfilled the cooling session. The temperature in the oral cavity decreased significantly (mean 12.9 degrees C, p < .002). The systolic BP was marginally but significantly higher after cooling (similar to 5 mmHg, p = .019). We could not detect any differences in cytokine IL-6 levels before and after oral cooling. We conclude that cryotherapy during 1 h lowers the mucosal temperature as much as similar to 12.9 degrees C, which explains the significant protective effect against mucosal damage by cytostatic drugs. The cooling caused no increase in IL-6 levels. Systemic blood pressure was marginally increased.

  • 86.
    Yousef Amed, Jwan
    et al.
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Ahmad, Trifa
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Patientens kunskap om parodontit före och efter icke kirurgisk parodontal behandling utförd av tandhygienist: En kvantitativ studie2010Independent thesis Basic level (degree of Bachelor)Student thesis
    Abstract [sv]

    Parodontit är en kronisk inflammatorisk sjukdom, som orsakas av patogena bakterier som fäster på tändernas ytor, där de bildar plack. Sjukdomen kan förebyggas genom god munhygien. Syftet med studien var att beskriva och jämföra parodontit relateradkunskap och dess relation till munhygiensvanor hos patienter före och 1-år efter icke kirurgisk parodontal behandling utförd av tandhygienist samt jämföra om det föreligger någon skillnad i kunskap efter behandling mellan två olika munhälsoundervisningsprogram. Ett ytterligare syfte var att beskriva om det föreligger någon skillnad i kunskap om parodontit med avseende på ålder, kön och utbildningsnivå. Studien var en beskrivande, jämförande studie med kvantitativ ansats och en del av en experimentell tvågruppsstudie. Urvalet bestod av 113 individer, 60 kvinnor och 53 män, i åldern 20-65 år som var remitteras till en specialistklinik i parodontologi. Av de 113 studiedeltagarna randomiserades 57 personer till ett individuell skräddarsydd munhälsoundervisningsprogram och 56 personer till ett standardiserat munhälsoundervisningsprogram. Ett frågeformulär med 11 påståenden gällande kunskap om parodontit och ett påstående om tandborstfrekvens samt ett påstående om approximalrengörning användes. Resultatet visade att patienterna hade mer kunskap efter icke kirurgisk parodontal behandling, men det fanns ingen skillnad mellan undervisningsprogrammen. Inget samband påvisades mellan kunskap om parodontit och utbildningsnivå, kön och ålder. Studien visar att både individuellt skräddarsydd munhälsoundervisning och standard munhälsoundervisning ledar till en ökad kunskap om parodontit mellan deltagarna.

  • 87.
    Öhrn, Kerstin
    Dalarna University, School of Education, Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Att mäta oral hälsorelaterad munhälsa2005In: 43:e Odontologiska riksstämman, Göteborg, 2005Conference paper (Other academic)
  • 88.
    Öhrn, Kerstin
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Dental Hygiene as a Global Profession2003In: FDI, Sydney, Australia, 2003Conference paper (Other academic)
  • 89.
    Öhrn, Kerstin
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Dental hygienist profession - Scope of practice2008In: FDI Annual World Dental Congress, Stockholm, Sverige, 2008Conference paper (Refereed)
  • 90.
    Öhrn, Kerstin
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Dental Hygienists and Research2004In: The 16th International Symposium on Dental hygiene, Madrid, 2004Conference paper (Other academic)
  • 91.
    Öhrn, Kerstin
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Dental Hygienists and Research2003In: New Zealand Dental Hygienist Associations' Annual Meeting, Wellington, New Zealand, 2003Conference paper (Other academic)
  • 92.
    Öhrn, Kerstin
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Dental Public Health Practices in Sweden2011In: 11es Journées de Santé Dentaire Publique du Quebec, Quebec City, Canada, 2011Conference paper (Refereed)
  • 93.
    Öhrn, Kerstin
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Educational Strategies to Improve Patient Compliance2004In: The 16th International Symposium on Dental Hygiene, Madrid, 2004Conference paper (Other academic)
  • 94.
    Öhrn, Kerstin
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Evaluation of a new concept for clinical studies2004In: Association for Dental Education in Europe 30th Annual Meeting, Cardiff , Wales, UK, 2004Conference paper (Other academic)
  • 95.
    Öhrn, Kerstin
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Evidence Based Practice/Research2011In: Dental Hygeinists' Association of Australia Inc. National Symposium, Darwin, Australien, 2011Conference paper (Refereed)
    Abstract [en]

    Evidence based practice is essential to provide best possible oral health care. It is a broad concept including best scientific evidence available, the providers’ clinical experiences and skills and the patients' preferences and expectations. Evidence based practice hereby makes great demands on the care providers. It is necessary to have adequate competence to interpret and translate research findings into clinical practice, but also skills to perform clinical tasks in accordance with current knowledge. Moreover, it is important to be open and attentive to patients' wishes to provide best care possible even if patients cannot afford or do not preferred the treatment that is based on the best scientific evidence. A licensed healthcare provider must have the competence to be able to follow current research in the field in order to suggest various treatment options to patients. The presentation will focus on how to define a clinical problem possible to answer, and how to search for, find and make sense of the evidence. The research process will be discussed with respect particularly to methodology. Finally, how to incorporate the results into clinical practice will be highlighted. Systematic literature reviews are of great importance and are very useful to guide clinical practice, a couple of such reviews will be presented and discussed

  • 96.
    Öhrn, Kerstin
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Expansion of Duties2011In: Dental Hygienists' Association of Australia Inc. National Symposium, Darwin, Australien, 2011Conference paper (Refereed)
    Abstract [en]

    Dental Hygienists are health care professionals with broad competence. The dental hygiene scope of practice is focused on oral health promotion and disease prevention. The tasks can be divided into: assessment procedures, treatment planning, preventive services, therapeutic services and evaluation of services provided.The duties could hereby expand within each of these areas in regard to oral status, general status and age. But duties can also expand in terms of career such as independent practice, manager or research. The presentation will cover discussions on assessment procedures and treatment planning with particular reference to independent practice, the patients’ age and general health. The Dental Hygienist is well prepared to become the primary oral health care provider with responsibility to refer patients further when necessary. Preventive and therapeutic services will be analyzed in light of oral and general status and age. The primary concern is the prevention of oral diseases, but when a disease has occurred the purpose is to prevent from further progress, but also to treat the disease. This means that the Dental hygienist must have knowledge on signs and symptoms of oral diseases and general diseases and skills to treat oral diseases. Evaluation of services provided will be elucidated in relation to research. It is of crucial importance to evaluate the results to fully understand the characteristics of a successful prevention and treatment. Finally, the Dental Hygienist should play a leading role in oral health promotion and prevention in the clinic but also in other health care settings and in addition, Dental Hygienists could have a position as manager of the clinic

  • 97.
    Öhrn, Kerstin
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Forskning på det tannpleierfaglige feltet2011In: Norsk Tannpleierforenings förste forskningskonferense, Oslo, 2011Conference paper (Other academic)
  • 98.
    Öhrn, Kerstin
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    General health care and prevention of oral disease2006In: 5th World Dental Meeting, ’06 dental Hygienist Symposium, Yokohama, 2006Conference paper (Refereed)
  • 99.
    Öhrn, Kerstin
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    How to judge a scientific paper2003In: Europerio 4, Berlin, Germany, 2003Conference paper (Other academic)
  • 100.
    Öhrn, Kerstin
    Dalarna University, School of Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Hygiéniste dentaire, un métier de la santé publique2003In: Objectif Paro, no Avril, p. 17-19Article in journal (Refereed)
1234 51 - 100 of 151
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