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  • 51.
    Müller, Görel
    et al.
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    International internet based distance course in community oral health care2010Inngår i: 18th International Symposium on Dental Hygiene, Glasgow, Skottland, 2010Konferansepaper (Fagfellevurdert)
  • 52. Needleman, IG
    et al.
    Binnie, VI
    Ainamo, A
    Carr, A.B.
    Fundak, A
    Koerber, A
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Rosseel, J
    Improving the effectiveness of tobacco use cessation (TUC)2010Inngår i: International Dental Journal, ISSN 0020-6539, E-ISSN 1875-595X, Vol. 60, nr 1, s. 50-59Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 53. Paulsson, Gun
    et al.
    Wårdh, Inger
    Andersson, Pia
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Comparison of oral health assessments between nursing staff and patients in medical wards2008Inngår i: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 17, s. 49-55Artikkel i tidsskrift (Fagfellevurdert)
  • 54. Peterson, Douglas E
    et al.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    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 therapy2013Inngår i: Supportive Care in Cancer, ISSN 0941-4355, E-ISSN 1433-7339, Vol. 21, nr 1, s. 327-332Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 55. Ramseier, CA
    et al.
    Arden, C
    McGowan, J
    McCartan, B
    Minenna, L
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Walter, C
    Tobacco Use Prevention and Cessation in Dental and Dental Hygiene Undergraduate Education2006Inngår i: Oral Health & Preventive Dentistry, ISSN 1602-1622, E-ISSN 1757-9996, Vol. 4, s. 49-60Artikkel i tidsskrift (Fagfellevurdert)
  • 56. Renvert, S
    et al.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Echeverria, J
    Systemic Health and Destructive Periodontal Diseases2003Inngår i: Oral Health & Preventive Dentistry, ISSN 1602-1622, E-ISSN 1757-9996, Vol. 1, nr Supplement, s. 358-359Artikkel i tidsskrift (Annet vitenskapelig)
  • 57. Svanberg, AC.
    et al.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Birgegård, G.
    Cryotherapy in patiens undergoing autologous bone marrow transplantation2004Inngår i: EBMT 30th Annual Meeting of the European Group for Blood and Marrow Transplantation, Barcelona, Spain, 2004Konferansepaper (Fagfellevurdert)
  • 58. Svanberg, Anncarin
    et al.
    Birgegård, Gunnar
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Cryotherapy as pain prevention2005Inngår i: 31st Annual Meeting of the European Group for Blood and Marrow Transplantation, Prag, 2005Konferansepaper (Fagfellevurdert)
  • 59.
    Svanberg, Anncarin
    et al.
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.
    Birgegård, Gunnar
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Oral cryotherapy reduces mucositis and opioid use after myeloablative therapy: a randomized control trial2007Inngår i: Supportive Care in Cancer, ISSN 0941-4355, E-ISSN 1433-7339, Vol. 15, nr 10, s. 1155-1161Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 60. Svanberg, Anncarin
    et al.
    Birgegård, Gunnar
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Oral cryotherapy to prevent infection and use of total parenteral nutrition for patients undergoing bonemarrow transplantation2007Inngår i: MASCC/ISOO 20th International Symposium Supportive Care in Cancer, St Gallen, 2007Konferansepaper (Fagfellevurdert)
  • 61. Svanberg, Anncarin
    et al.
    Birgegård, Gunnar
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Survival rate among patients receiving oral cryotherapy in connection with myeloablative therapy followed by bone marrow transplantation2009Inngår i: MASCC/ISOO International Symposium, Rom, 2009Konferansepaper (Fagfellevurdert)
    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.

  • 62. Svanberg, Anncarin
    et al.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Birgegård, Gunnar
    Caphosol, a calciumphosphate mouthwash, gives no additional protectiion against mucositis inpatients with cryotherapy undergoing stem cell transplantation2012Konferansepaper (Fagfellevurdert)
  • 63.
    Svanberg, Anncarin
    et al.
    Uppsala universitet.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Birgegård, Gunnar
    Uppsala universitet.
    Caphosol® mouthwash gives no additional protection against oral mucositis compared to cryotherapy alone in stem cell transplantation: a pilot study2015Inngår i: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 19, nr 1, s. 50-53Artikkel i tidsskrift (Fagfellevurdert)
  • 64.
    Svanberg, Anncarin
    et al.
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad. Uppsala Univ, Fac Med, Inst Med Sci, Uppsala, Sweden.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    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 concerns2012Inngår i: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 21, nr 6, s. 822-828Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 65.
    Svanberg, Anncarin
    et al.
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad. Uppsala Univ, Fac Med, Inst Med Sci, Uppsala, Sweden.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Birgegård, Gunnar
    Uppsala Univ, Fac Med, Inst Med Sci, Uppsala, Sweden.
    Oral cryotherapy reduces mucositis and improves nutrition: a randomised controlled trial2010Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 19, nr 15-16, s. 2146-2151Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 66. Svanberg, Anncarin
    et al.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Birgegård, Gunnar
    Oral cryotherapy to prevent total parenteral nutrition for patients undergoing bone marrow transplantation2006Inngår i: Bone Marrow Transplantation, ISSN 0268-3369, E-ISSN 1476-5365, Vol. 37, s. s271-s271Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 67.
    Svanberg, Anncarin
    et al.
    Uppsala University.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Brostrom, Hans
    Birgegard, Gunnar
    The effect of cryotherapy on oral mucosa: a study in healthy volunteers2012Inngår i: Medical Oncology, ISSN 1357-0560, E-ISSN 1559-131X, Vol. 29, nr 5, s. 3587-3591Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 68.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Att mäta oral hälsorelaterad munhälsa2005Inngår i: 43:e Odontologiska riksstämman, Göteborg, 2005Konferansepaper (Annet vitenskapelig)
  • 69.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Dental Hygiene as a Global Profession2003Inngår i: FDI, Sydney, Australia, 2003Konferansepaper (Annet vitenskapelig)
  • 70.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Dental hygienist profession - Scope of practice2008Inngår i: FDI Annual World Dental Congress, Stockholm, Sverige, 2008Konferansepaper (Fagfellevurdert)
  • 71.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Dental Hygienists and Research2004Inngår i: The 16th International Symposium on Dental hygiene, Madrid, 2004Konferansepaper (Annet vitenskapelig)
  • 72.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Dental Hygienists and Research2003Inngår i: New Zealand Dental Hygienist Associations' Annual Meeting, Wellington, New Zealand, 2003Konferansepaper (Annet vitenskapelig)
  • 73.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Dental Public Health Practices in Sweden2011Inngår i: 11es Journées de Santé Dentaire Publique du Quebec, Quebec City, Canada, 2011Konferansepaper (Fagfellevurdert)
  • 74.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Educational Strategies to Improve Patient Compliance2004Inngår i: The 16th International Symposium on Dental Hygiene, Madrid, 2004Konferansepaper (Annet vitenskapelig)
  • 75.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Evaluation of a new concept for clinical studies2004Inngår i: Association for Dental Education in Europe 30th Annual Meeting, Cardiff , Wales, UK, 2004Konferansepaper (Annet vitenskapelig)
  • 76.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Evidence Based Practice/Research2011Inngår i: Dental Hygeinists' Association of Australia Inc. National Symposium, Darwin, Australien, 2011Konferansepaper (Fagfellevurdert)
    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

  • 77.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Expansion of Duties2011Inngår i: Dental Hygienists' Association of Australia Inc. National Symposium, Darwin, Australien, 2011Konferansepaper (Fagfellevurdert)
    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

  • 78.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Forskning på det tannpleierfaglige feltet2011Inngår i: Norsk Tannpleierforenings förste forskningskonferense, Oslo, 2011Konferansepaper (Annet vitenskapelig)
  • 79.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    General health care and prevention of oral disease2006Inngår i: 5th World Dental Meeting, ’06 dental Hygienist Symposium, Yokohama, 2006Konferansepaper (Fagfellevurdert)
  • 80.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    How to judge a scientific paper2003Inngår i: Europerio 4, Berlin, Germany, 2003Konferansepaper (Annet vitenskapelig)
  • 81.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Hygiéniste dentaire, un métier de la santé publique2003Inngår i: Objectif Paro, nr Avril, s. 17-19Artikkel i tidsskrift (Fagfellevurdert)
  • 82.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Munhygien2006Inngår i: Munvård inom vård och omsorg / [ed] Öhrn, Kerstin, Studentlitteratur , 2006, s. 41-52Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 83.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Munhälsa - motivation och beteende2005Inngår i: Sveriges tandhygienistförenings fortbildningsdagar, Örebro, 2005Konferansepaper (Annet vitenskapelig)
  • 84.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Munhälsorelaterad livskvalitet hos patienter med parodontit2009Inngår i: Svenska tandläkarsällskapets 45:e Odontologiska riksstämma, Stockholmsmässan, Älvsjö, 2009Konferansepaper (Fagfellevurdert)
  • 85.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Munhälsorelaterad livskvalitet hos patienter med parodontit2009Inngår i: Oral hälsa och livskvalitet – Bidrar tandvården?, Malmö, 2009Konferansepaper (Annet vitenskapelig)
  • 86.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Munproblem2011Inngår i: Perspektiv på onkologisk vård / [ed] Hellbom, Maria; Thomé, Bibbi, Lund: Studentlitteratur , 2011, s. 167-181Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 87.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Munvård inom vård och omsorg2006Bok (Annet vitenskapelig)
  • 88.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Oral care among patients with cancer2003Inngår i: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, nr 1Artikkel i tidsskrift (Fagfellevurdert)
  • 89.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Oral Care and General Health Opportunities for the Dental Hygeinist in Health Education in the New Century2003Inngår i: The British Dental Hygienists´ Association General Assembly and Scientific Meeting, Harrogate, England, 2003Konferansepaper (Annet vitenskapelig)
  • 90.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Oral Health and Experience of Oral Care among Cancer Patients during Radio- or Chemotherapy2003Inngår i: New Zealand Dental Hygienist Associations' Annual Meeting, Wellington, New Zealand, 2003Konferansepaper (Annet vitenskapelig)
  • 91.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Oral health and quality of life2006Inngår i: Europerio 5, Madrid, 2006Konferansepaper (Fagfellevurdert)
  • 92.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Oral health and quality of life2006Inngår i: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 33Artikkel i tidsskrift (Fagfellevurdert)
  • 93.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Oral Health and the Role of Dental Hygienists for the 21th century2003Inngår i: New Zealand Dental Hygienist Associations' Annual Meeting, Wellington, New Zealand, 2003Konferansepaper (Annet vitenskapelig)
  • 94.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Oral health-related quality of life2007Inngår i: 17th International symposium on dental hygiene, Toronto, Canada, 2007Konferansepaper (Fagfellevurdert)
  • 95.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Patienters upplevelser av munhälsa, munstatus och munproblem2007Inngår i: Svenska tandläkarsällskapets 45:e odontologiska riksstämma, Göteborg, 2007Konferansepaper (Fagfellevurdert)
  • 96.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Patients’ perspective on periodontal infection control2009Inngår i: Europerio 6, Stockholm, 2009Konferansepaper (Fagfellevurdert)
  • 97.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Patients report on OHRQoL before and after dental hygiene treatment2008Inngår i: PEF IADR, London, 2008Konferansepaper (Fagfellevurdert)
  • 98.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Preventive and therapeutic approaches to inflammatory risk2008Inngår i: FDI Annual World Dental Congress, Stockholm, Sverige, 2008Konferansepaper (Fagfellevurdert)
  • 99.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Tand- och munsjukdomar2006Inngår i: Munvård inom vård och omsorg / [ed] Öhrn, Kerstin, Studentlitteratur , 2006Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 100.
    Öhrn, Kerstin
    Högskolan Dalarna, Akademin Hälsa och samhälle, Vårdvetenskap med inriktning mot munhälsa.
    Tandhygienist idag och i framtiden2012Konferansepaper (Annet (populærvitenskap, debatt, mm))
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