Acta Odontologica Scandinavica最新文献

{"title":"Use of oral health care services by family caregivers and care recipients: the LENTO intervention.","authors":"Shanza Razzaq, Irma Nykänen, Tarja Välimäki, Sohvi Koponen, Roosa-Maria Savela, Ursula Schwab, Anna Liisa Suominen","doi":"10.2340/aos.v83.40687","DOIUrl":"10.2340/aos.v83.40687","url":null,"abstract":"<p><strong>Objective: </strong>We aimed to evaluate the impact of an individually tailored preventive oral health intervention on the use of oral health care services by older family caregivers (FCs) and their care recipients (CRs).</p><p><strong>Material and methods: </strong>A randomized controlled six and 12-month oral health intervention study included FCs and CRs aged ≥65 years living in Eastern Finland. The participants were randomly assigned to an intervention (FCs n = 53, CRs n = 47) and a control (FCs n = 39, CRs n = 35) group. Individually tailored oral health interventions for the FCs provided by a dental hygienist focused on oral hygiene and self-care. Generalized estimating equations were used to analyze the impact of intervention on the change in the use of oral health care services.</p><p><strong>Results: </strong>The intervention had no significant effect on the use of oral health care services by the FCs or their CRs. Traditional factors such as female gender, a higher number of teeth, toothache, no dental fear, and higher morbidity were significantly (p < 0.05) associated with an increased use of oral health care services in the FCs, but not among the CRs.</p><p><strong>Conclusions: </strong>Individually tailored preventive oral health intervention showed no effect on the use of oral health care services. To promote oral health among the elderly, specific interventions focusing on use of oral health care services are needed.</p><p><strong>Trial registration: </strong>clinicaltrials.gov/study/NCT04003493.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"83 ","pages":"317-326"},"PeriodicalIF":1.4,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11302500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141074760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Classification of Indonesian adult forensic gender using cephalometric radiography with VGG16 and VGG19: a Preliminary research.","authors":"Vitria Wuri Handayani, Ahmad Yudianto, Mieke Sylvia M A R, Riries Rulaningtyas, Muhammad Rasyad Caesarardhi","doi":"10.2340/aos.v83.40476","DOIUrl":"10.2340/aos.v83.40476","url":null,"abstract":"<p><strong>Background: </strong>The use of cephalometric pictures in dental radiology is widely acknowledged as a dependable technique for determining the gender of an individual. The Visual Geometry Group 16 (VGG16) and Visual Geometry Group 19 (VGG19) algorithms have been proven to be effective in image classification.</p><p><strong>Objectives: </strong>To acknowledge the importance of comprehending the complex procedures associated with the generation and adjustment of inputs in order to obtain precise outcomes using the VGG16 and VGG19 algorithms.</p><p><strong>Material and method: </strong>The current work utilised a dataset including 274 cephalometric radiographic pictures of adult Indonesians' oral health records to construct a gender classification model using the VGG16 and VGG19 architectures using Python.</p><p><strong>Result: </strong>The VGG16 model has a gender identification accuracy of 93% for females and 73% for males, resulting in an average accuracy of 89% across both genders. In the context of gender identification, the VGG19 model has been found to achieve an accuracy of 0.95% for females and 0.80% for men, resulting in an overall accuracy of 0.93% when considering both genders.</p><p><strong>Conclusion: </strong>The application of VGG16 and VGG19 models has played a significant role in identifying gender based on the study of cephalometric radiography. This application has demonstrated the exceptional effectiveness of both models in accurately predicting the gender of Indonesian adults.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"83 ","pages":"308-316"},"PeriodicalIF":1.4,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11302625/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141069703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The antecedents of oral care in nursing facilities - a qualitative interview study among supervisor nurses.","authors":"Hannaleena Jämsä, Marja-Liisa Laitala, Pirjo Kaakinen, Pekka Ylöstalo, Anna-Maija Syrjälä","doi":"10.2340/aos.v83.40686","DOIUrl":"10.2340/aos.v83.40686","url":null,"abstract":"<p><strong>Objectives: </strong>This qualitative study describes the views of supervisor nurses related to antecedents of oral care in Finnish nursing facilities.</p><p><strong>Methods: </strong>In the six largest cities in Finland, 19 supervisor nurses were interviewed and asked five semi-structured questions related to the antecedents of oral care in the units. The interviews were analyzed using inductive content analysis.</p><p><strong>Results: </strong>Qualitative content analysis revealed five main categories: awareness of nurses (3 categories, 9 subcategories), attitude and motivation (3 categories, 10 subcategories), supporting quality of life and health (4 categories, 11 subcategories), the meaning of oral health in the unit (3 categories, 10 subcategories), and the role of the supervisor nurse in oral health care (4 categories, 14 subcategories). The awareness of nurses regarding oral health was in most cases good. Nurses' attitudes towards oral health and their motivation to oral care vary but were mostly good. Nurses were aware that oral care enhances the quality of life. The role of the supervisor nurse in organizing oral care was crucial.</p><p><strong>Conclusions: </strong>The performed analysis identified five main categories to describe antecedents for oral care in Finnish nursing facilities. The categories that needed to be improved were knowledge and attitude, and motivation related to oral care.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"83 ","pages":"302-307"},"PeriodicalIF":1.4,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11302639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140920173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Radiation exposure during orthodontic treatment: risk to children and adolescents.","authors":"Christina Stervik, Agneta Lith, Annika Ekestubbe","doi":"10.2340/aos.v83.40571","DOIUrl":"10.2340/aos.v83.40571","url":null,"abstract":"<p><strong>Objectives: </strong>To estimate radiation risk to children and adolescents during orthodontic treatment by retrieving number and type of radiographs from the patient records.</p><p><strong>Material and methods: </strong>Radiographs, along with justifications for radiation exposure, were obtained retrospectively from the patient records of 1,790 children and adolescents referred to two Swedish orthodontic clinics. Data were grouped according to treatment stage: treatment planning, treatment, and follow-up. Estimated risk was calculated using the concept of effective dose.</p><p><strong>Results: </strong>Each patient had received around seven radiographs for orthodontic purposes. The most common exposures during treatment planning were one panoramic, one lateral, and three intraoral periapical radiographs. A small number of patients received a tomographic examination (8.2%). Few justifications for treatment planning and follow-up, but more in the actual treatment stage, had been recorded. The most common examinations were to assess root resorption and the positions of unerupted teeth, or simply carry out an unspecified control. The estimated risk of developing fatal cancer was considered low. The radiation risk from orthodontic treatment was equivalent to about 5-10 days of natural background radiation.</p><p><strong>Conclusions: </strong>Children and adolescents sometimes undergo multiple radiographic examinations, but despite the low radiation burden, accumulated radiation exposure should be considered and justified in young patients.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"83 ","pages":"296-301"},"PeriodicalIF":1.4,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11302648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140920124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Traumatic dental injuries among children attending the public after-hours emergency dental clinic in Bergen, Norway.","authors":"Faiza D Sælen, Jorma I Virtanen, Marit S Skeie, Gerhard Sulo, Dorina S Thelen","doi":"10.2340/aos.v83.40622","DOIUrl":"10.2340/aos.v83.40622","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate traumatic dental injuries (TDIs) among children who for 1 year attended a Norwegian public after-hours emergency public dental (EPD) clinic.</p><p><strong>Materials and methods: </strong>The study included 7-18-year-olds (n = 312) who presented at the EPD clinic, underwent a clinical dental examination, and consented to the disclosure of clinical information. Recording of TDIs was restricted to anterior permanent teeth. Potential TDI predictors were also analysed.</p><p><strong>Results: </strong>Almost half (n = 148) of the children were assessed with TDIs in permanent teeth, showing a mean age of 11.0 (standard deviation [SD]: 3.5) years. Males constituted 54.7%. The children experienced TDIs often outside school hours (43.9%), and the majority (58.1%) were caused by falls/accidents. Sixty of them experienced only one TDI. The most common location was the maxillary central incisors. Assessment of TDIs according to severity, could only be done in 131 individuals, involving 253 TDIs. Of these, 81.8% were mild. The odds of visiting the emergency clinic for a TDI were higher (odds ratio [OR] = 2.64, confidence interval [CI]: 1.61-4.31) among children with previous TDIs and lower (OR = 0.28, CI: 0.12-0.68) among those with poor dental attendance.</p><p><strong>Conclusions: </strong>Traumatic dental injuries were a common reason for seeking emergency care. Milder injuries dominated and involved mostly one maxillary central incisor. Previous episodes of TDIs and attendance patterns seemed to be associated with seeking care for TDIs.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"83 ","pages":"290-295"},"PeriodicalIF":1.4,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11302655/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140920175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Periodontitis and the risk of oral cancer: a meta-analysis of case-control studies.","authors":"Yan Ma, Nijiati Tuerxun, Gulibaha Maimaitili","doi":"10.2340/aos.v83.40478","DOIUrl":"10.2340/aos.v83.40478","url":null,"abstract":"<p><strong>Objective: </strong>The current studies have yielded inconclusive findings regarding the connection between periodontitis  and oral cancer (OC). Therefore, our goal is to elucidate this relationship.</p><p><strong>Materials and methods: </strong>We conducted a thorough search of electronic databases (EMBASE, PubMed, Web of Science, and Cochrane Library) up to September 2023. The Newcastle-Ottawa Scale (NOS) was applied to assess study quality. To evaluate potential publication bias, both a funnel plot and Egger's test were employed. Additionally, a sensitivity analysis was conducted to explore the source of heterogeneity when the I2 statistic exceeded 50%.</p><p><strong>Results: </strong>This systematic review encompassed 16 studies, involving a total of 6,032 OC patients and 7,432 healthy controls. Our meta-analysis, incorporating data from nine studies, revealed a significant correlation between periodontitis and the risk of OC (OR [odds ratio] = 2.94, 95% CI [confidence interval] (2.13, 4.07); five studies, 6,927 participants; low certainty of evidence). Findings also suggested that individuals with more than 15 missing teeth may have a heightened risk of OC (OR = 1.91, 95% CI (1.01, 3.62)). Furthermore, clinical attachment loss (CAL) and decayed, missing, and filled teeth (DMFT) in OC patients were more pronounced compared to the control group (CAL, SMD = 1.94, 95% CI (0.22, 3.66); DMFT, SMD = 0.65, 95% CI (0.12, 1.18)).</p><p><strong>Conclusion: </strong>Periodontitis may serve as a potential risk factor for OC. However, caution is warranted in interpreting these findings due to the substantial level of heterogeneity.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"83 ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11302657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140920122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical treatment of intracapsular temporomandibular disorders.","authors":"Bailing Chen, Xinhua Qu","doi":"10.2340/aos.v83.40633","DOIUrl":"10.2340/aos.v83.40633","url":null,"abstract":"<p><strong>Objective: </strong>Temporomandibular joint (TMJ) pathologies are prevalent, affecting approximately 40% of the worldwide population, with nearly 80% involving intracapsular disorders. Despite this, standardized treatment protocols are lacking. This study aimed to compare the efficacy of conservative and surgical approaches in managing intracapsular TMJ disorders.</p><p><strong>Methods: </strong>Eighty-six patients diagnosed with intracapsular TMJ disorders were included in the study, with 40 males and 46 females, averaging 52.4 ± 4.7 years. Patients were recruited from polyclinics in Beijing, China (n = 36), and Kyiv, Ukraine (n = 50). A comprehensive examination protocol was conducted, including assessment of patient complaints, medical history, jaw mobility measurements, TMJ palpation, and magnetic resonance imaging (MRI) screening.</p><p><strong>Results: </strong>The main outcomes of our study revealed significant improvements in patients undergoing surgical intervention for intracapsular TMJ disorders, particularly in cases of disc displacement. Conservative mouth guard/occlusal splint treatment showed limited effectiveness, primarily improving joint effusion and disc displacement. Surgical intervention led to notable enhancements in various TMJ parameters, with significant improvements observed in joint function and pain reduction. Based on these findings, orthodontic rehabilitation was recommended to ensure long-term efficacy, focusing on optimizing occlusion and restoring TMJ function. These results highlight the importance of tailored treatment approaches for managing intracapsular TMJ disorders, emphasizing the role of surgical intervention coupled with comprehensive rehabilitation strategies.</p><p><strong>Conclusions: </strong>Future research should consider demographic factors and explore innovative examination methods, such as optical systems, to enhance understanding and management of intracapsular TMJ disorders.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"83 ","pages":"273-280"},"PeriodicalIF":1.4,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11302635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140856271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enamel remineralisation prospect of Moringa Oleifera hydrogel, eggshell hydrogel versus sodium fluoride varnish on artificially demineralised primary teeth: in vitro study.","authors":"Mona Essam Eliwa, Yousra Mohamed, Ehsan Hossam","doi":"10.2340/aos.v83.40623","DOIUrl":"10.2340/aos.v83.40623","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the present in vitro study is to investigate and compare the remineralising potential of Moringa Oleifera extract, eggshell, and sodium fluoride varnish on microhardness of artificially demineralised enamel of primary teeth with biomimetic minimally invasive approach following the world paradigm shift towards natural products in paediatric dentistry.</p><p><strong>Material and methods: </strong>Sample size included 44 primary molars. The mineral content and surface microhardness of all specimens were initially assessed using energy dispersive x-ray examination (EDX) and Vickers microhardness. The specimens were artificially demineralised for 96 h at a temperature of 37°C and then reassessed directly after demineralisation. The demineralised enamel specimens were randomly divided into four groups according to the remineralisation regimen utilised. Group 1: Artificial saliva (control); Group 2: Sodium fluoride varnish; Group 3: Eggshell hydrogel; and Group 4: Moringa Oleifera hydrogel. The specimens were stored for 8 days and then subsequently evaluated using EDX and microhardness assessment by Vickers microhardness test and scanning electron microscope (SEM).  Results: Regarding the microhardness test, there was a significant difference between the Moringa Oleifera group and Eggshell group compared to fluoride varnish (p < 0.05). Regarding EDX analysis, there was a statistically significant difference (p < 0.05) between Moringa Oleifera group and Eggshell group compared to fluoride varnish as the highest values were for Moringa Oleifera and Eggshell. On the other hand, there was no statistically significant difference (p > 0.05) between Moringa Oleifera and Eggshell in both the measurements.</p><p><strong>Conclusion: </strong>Moringa Oleifera and Eggshell might be considered as a biomimetic natural material capable of guiding enamel tissue remineralisation in early carious lesion of primary teeth.</p><p><strong>Clinical relevance: </strong>This research demonstrated the capability for early enamel caries to be remineralised using novel materials with a naturally counterpart implicated in biomineralisation as proved to be more effective than traditionally used fluoride varnish in primary teeth.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"83 ","pages":"264-272"},"PeriodicalIF":1.4,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11302495/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140850650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Skeletal maturation evaluation: which is the reliability of dental calcification Demirjian method versus hand-wrist X-ray in growing subjects? A systematic review.","authors":"Martina Ferrillo, Mario Migliario, Claudio Curci, Filippo Renò, Amerigo Giudice, Alessandro De Sire","doi":"10.2340/aos.v83.40485","DOIUrl":"10.2340/aos.v83.40485","url":null,"abstract":"<p><strong>Objectives: </strong>This systematic review aimed at evaluating the reliability of dental maturation (DM) according to Demirjian method compared to hand and wrist maturation (HWM) to assess skeletal maturity (SM) in growing subjects, to identify the teeth and the corresponding mineralisation stages related to the pubertal growth spurt (PGS).</p><p><strong>Materials and methods: </strong>PubMed, Scopus, and Web of Science were systematically searched until January 5th, 2024, to identify observational cross-sectional studies that assessed the reliability of Demirjian method compared to the HWM methods (i.e., Grave and Brown and Fishman) in growing subjects. The quality assessment was evaluated using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist.</p><p><strong>Results: </strong>Out of 136 papers suitable for title/abstract screening, 19 included studies. Of them, 17 papers showed the reliability of Demirjian DM method compared to HWM Fishman and Grave and Brown methods to assess SM in growing subjects. According to JBI Critical Appraisal Checklist, 12 papers were high-quality studies and 7 papers were medium-quality studies.  Conclusions: The mandibular second molar might be considered as the best indicator compared to other teeth and that the peak of growth occurs no earlier than stage F in females and stage G in males according to Demirjian method. Also, the mandibular canine might be analysed as indicator of SM in males, and results suggest that the peak of growth occurs no earlier than maturation stage F according to Demirjian method, only in male subjects. Further studies are needed to confirm these findings.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"83 ","pages":"230-237"},"PeriodicalIF":1.4,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11302501/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140846741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-perceived oral health and orofacial appearance in older adults - an 18-year follow-up study in Karlskrona, Sweden.","authors":"Sara Henricsson, Viveca Wallin Bengtsson, Stefan Renvert, Johan Sanmartin Berglund, Nina Lundegren, Pia Andersson","doi":"10.2340/aos.v83.40574","DOIUrl":"10.2340/aos.v83.40574","url":null,"abstract":"<p><strong>Objectives: </strong>To analyze whether self-perceived oral health and orofacial appearance change with increasing age.</p><p><strong>Methods: </strong>This longitudinal study is based on data from a questionnaire used in the Swedish National Study of Aging and Care. The sample comprises 160 participants 60 years of age at baseline 2001-2003. The same participants were re-examined at 66-, 72-, and 78 years of age. To analyze whether perceptions of oral health and orofacial appearance changed with increasing age, Cochran's Q test was conducted. Statistical significance was considered at p  ≤  0.05, and the calculated value Q must be equal to or greater than the critical chi-square value (Q ≥ 7.82). Significance values have been adjusted for the Bonferroni correction for multiple tests.</p><p><strong>Results: </strong>Self-perceived mouth dryness, both day (Q = 7.94) and night (Q = 23.41), increased over the 18-year follow-up. When divided by gender, significant differences were only seen for mouth dryness at nighttime. A decrease in sensitive teeth was perceived with increasing age, and an increase in self-perceived satisfaction with dental appearance, and a decrease in self-perceived problems with dental gaps between the ages of 60 and 78. These changes were, however, not statistically significant. Men experienced a higher proportion of discomfort with discolored teeth at age 78 than at 60 (Q = 9.09).</p><p><strong>Conclusions: </strong>Self-perceived oral health and orofacial appearance were relatively stable, with few changes over an 18-year follow-up.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"83 ","pages":"255-263"},"PeriodicalIF":1.4,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11302640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140847153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}