Acta Odontologica Scandinavica最新文献

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Endodontic operative field asepsis: a comparison between general dentists and specialists. 牙髓手术现场无菌:普通牙医和专家的比较。
IF 2 4区 医学
Acta Odontologica Scandinavica Pub Date : 2023-11-01 Epub Date: 2023-07-07 DOI: 10.1080/00016357.2023.2232855
Leona Malmberg, Catherine Benavente Hansson, Johan Grönqvist, Malin Brundin, Annika Elisabeth Björkner
{"title":"Endodontic operative field asepsis: a comparison between general dentists and specialists.","authors":"Leona Malmberg,&nbsp;Catherine Benavente Hansson,&nbsp;Johan Grönqvist,&nbsp;Malin Brundin,&nbsp;Annika Elisabeth Björkner","doi":"10.1080/00016357.2023.2232855","DOIUrl":"10.1080/00016357.2023.2232855","url":null,"abstract":"<p><strong>Objective: </strong>The aim was to evaluate the establishment of an aseptic endodontic operative field in general dentistry by assessing general dentists' ability to reduce the amount of contamination to a non-cultivable level, and to compare the operative field asepsis at a general dentistry clinic with that at an endodontic specialist clinic.</p><p><strong>Materials and methods: </strong>A total of 353 teeth were included in the study (153 in general dentistry, 200 at the specialist clinic). After isolation, control samples were taken, the operative fields disinfected with 30% hydrogen peroxide (1 min) followed by 5% iodine tincture or .5% chlorhexidine solution. Samples were collected from the access cavity area and buccal area, placed in a fluid thioglycolate medium, incubated (37°, 7 d), evaluated for growth/non-growth.</p><p><strong>Results: </strong>Significantly more contamination was observed at the general dentistry clinic (31.6%, 95/301), than at the endodontic specialist clinic (7.0%, 27/386) (<i>p</i> <.001). In general dentistry, significantly more positive samples were collected in the buccal area than in the occlusal area. Significantly more positive samples were collected when the chlorhexidine protocol had been used, both in general dentistry (<i>p</i> <.001) and at the specialist clinic (<i>p</i> =.028).</p><p><strong>Conclusions: </strong>The result from this study shows insufficient endodontic aseptic control in general dentistry. At the specialist clinic, both disinfection protocols were able to reduce the amount of microorganisms to a non-cultivable level. The observed difference between the protocols may not reflect a true difference in the effectiveness of the antimicrobial solutions, as confounding factors may have contributed to the result.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9762228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Features of Dental Anomaly Patterns in Finnish children as seen in panoramic radiographs at the late mixed stage. 芬兰儿童牙齿畸形模式的特征,如晚期混合期全景X线片所示。
IF 2 4区 医学
Acta Odontologica Scandinavica Pub Date : 2023-11-01 Epub Date: 2023-07-07 DOI: 10.1080/00016357.2023.2232859
Jenni Ristaniemi, Kati Kujasalo, Eelis Rytkönen, Eeva Melaluoto, Jenni Iivari, Paula Pesonen, Raija Lähdesmäki
{"title":"Features of Dental Anomaly Patterns in Finnish children as seen in panoramic radiographs at the late mixed stage.","authors":"Jenni Ristaniemi,&nbsp;Kati Kujasalo,&nbsp;Eelis Rytkönen,&nbsp;Eeva Melaluoto,&nbsp;Jenni Iivari,&nbsp;Paula Pesonen,&nbsp;Raija Lähdesmäki","doi":"10.1080/00016357.2023.2232859","DOIUrl":"10.1080/00016357.2023.2232859","url":null,"abstract":"<p><strong>Objective: </strong>To describe the prevalence of the developmental abnormalities involved in Dental Anomaly Patterns (DAP) and investigate their co-occurrence in an age cohort of children with late mixed dentition.</p><p><strong>Material and methods: </strong>Retrospective, register-based study focused on 1315 panoramic radiographs of children aged 8.5-10.5 years. The features examined were absent teeth, peg-shaped maxillary lateral incisor, delayed dental age, infraocclusion of primary molars, transposition and distal angulation of unerupted mandibular second premolar.</p><p><strong>Results: </strong>Feature involved in DAP was detected in 29.8% of the children, most common being infraocclusion of primary molars (17.5%), followed by absent teeth (8.4%), delayed dental age (7.6%), distal angulation of unerupted mandibular second premolar (7.3%), peg-shaped maxillary lateral incisor (2.4%) and transposition (0.5%). Two DAP features occurred together in 4.7% of children, while three occurred in 0.7%. Infraocclusion (<i>p</i>=.040) and absent teeth (<i>p</i>=.001) occurred more commonly in girls. Phenotypic variations in maxillary lateral incisor more often occurred together (<i>p</i>=.004). Absent teeth, peg-shaped maxillary lateral incisor and delayed dental age more often occurred together (<i>p</i><.01) as did transposition and absent teeth (<i>p</i>=.016).</p><p><strong>Conclusion: </strong>Almost third of the children had dental developmental abnormalities involved in DAP. Absent teeth, peg-shaped lateral incisors and delayed dental age more often occurred together.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9977073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Associations between pain-related temporomandibular disorders and dental anxiety at 46 years of age in the Northern Finland Birth Cohort 1966. 1966年芬兰北部出生队列中46岁时疼痛相关颞下颌关节紊乱与牙齿焦虑的关系。
IF 2 4区 医学
Acta Odontologica Scandinavica Pub Date : 2023-11-01 Epub Date: 2023-07-19 DOI: 10.1080/00016357.2023.2236229
Jarno Knuutila, Satu Lahti, Kirsi Sipilä, Mimmi Tolvanen
{"title":"Associations between pain-related temporomandibular disorders and dental anxiety at 46 years of age in the Northern Finland Birth Cohort 1966.","authors":"Jarno Knuutila,&nbsp;Satu Lahti,&nbsp;Kirsi Sipilä,&nbsp;Mimmi Tolvanen","doi":"10.1080/00016357.2023.2236229","DOIUrl":"10.1080/00016357.2023.2236229","url":null,"abstract":"<p><strong>Objectives: </strong>The aims were (1) to study the association between dental anxiety (DA) and temporomandibular disorders (TMDs) and whether subgroups formed differ in psychological symptoms and pain sensitivity in the Northern Finland Birth Cohort 1966 and (2) to confirm the factor structure of the Hopkins Symptom Checklist-25 assessing psychological symptoms.</p><p><strong>Materials and methods: </strong>Data were acquired using questionnaires and clinical examinations at age 46 years (<i>n</i> = 1889). Dental anxiety was assessed with Modified Dental Anxiety Scale (MDAS). Pain-related TMD (myalgia, arthralgia) were assessed according to modified diagnostic criteria for temporomandibular disorders. Pressure pain threshold and tolerance were measured with an algometer. Explanatory factor analysis revealed three factors, named 'depression', 'anxiety' and 'distress'.</p><p><strong>Results: </strong>Those with high DA and myalgia and/or arthralgia reported higher depression (mean = 1.52), anxiety (mean = 1.61) and distress (mean = 2.06) scores, and lower pressure pain threshold (mean = 496 kPa) and tolerance (mean = 741 kPa) values than those with only DA (1.22; 1.56; 1.84; 613; 875), TMD (1.21; 1.39; 1.83; 600; 908) or neither (1.12; 1.29; 1.58; 707; 1006), respectively.</p><p><strong>Conclusions: </strong>Patients with DA and/or myalgia/arthralgia have similar profiles regarding pain sensitivity and psychological symptoms, the burden being highest among those with DA and a TMD diagnosis.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9831932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of self-rated pain and salivary alpha-amylase and cortisol levels during early stages of fixed orthodontic and clear aligner therapy. 固定正畸和透明矫正器治疗早期阶段的自评疼痛、唾液α-淀粉酶和皮质醇水平的比较。
IF 2 4区 医学
Acta Odontologica Scandinavica Pub Date : 2023-11-01 Epub Date: 2023-07-19 DOI: 10.1080/00016357.2023.2236214
Dena Ali, Hassan Abdal, Mubarak Alsaeed
{"title":"Comparison of self-rated pain and salivary alpha-amylase and cortisol levels during early stages of fixed orthodontic and clear aligner therapy.","authors":"Dena Ali,&nbsp;Hassan Abdal,&nbsp;Mubarak Alsaeed","doi":"10.1080/00016357.2023.2236214","DOIUrl":"10.1080/00016357.2023.2236214","url":null,"abstract":"<p><strong>Objectives: </strong>To compare self-rated orthodontic pain (OP) and whole salivary alpha-amylase (αA) and cortisol levels (CL) during early stages of fixed orthodontic and clear aligner therapy (CAT).</p><p><strong>Methods: </strong>In groups 1 and 2, malocclusions were treated using fixed orthodontic appliances and CAT, respectively. In Group-3, individuals had normal occlusion and had never undergone orthodontic therapy. Self-rated OP was assessed using the visual-analogue-scale at baseline (T0); after 24-hours (T1) of appliance activation; and after 30 days (T2). Unstimulated whole saliva was collected and αA and CL were measured using enzyme-linked immunosorbent assay. <i>p</i> < .01 was considered statistically significant.</p><p><strong>Results: </strong>Twenty-four (Group-1), 24(Group-2) and 25 (Group-3) patients were included. In groups 1 and 2, participants had Class-I malocclusion with anterior-crowding in both arches. At baseline (T0) none of the participants reported pain on mastication. In groups 1 (<i>p</i> < .01) and 2 (<i>p</i> < .01), OP was higher at T1 than T2. In groups 1 and 2, αA and CL were higher at T1 (<i>p</i> < .01) than T0 and T2. At T1 and T2, salivary αA and CL were higher in groups 1 (<i>p</i> < .01) and 2 (<i>p</i> < .01) than Group-3. In groups 1 and 2, a significant correlation was recorded between OP and αA (<i>p</i> < .01) and CL (<i>p</i> < .01) at T1 interval.</p><p><strong>Conclusion: </strong>Self-rated OP and salivary αA and CL during the early stages of fixed OT and CAT are similar. Whole salivary αA and CL and OP and are high during the first 24 hours of fixed OT and CAT activation.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9831935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Accuracy of the Swedish quality registry for caries and periodontal diseases (SKaPa) - evaluation in 6- and 12-year-olds in the region of Värmland, Sweden. 瑞典龋齿和牙周病质量登记(SKaPa)的准确性——对瑞典Värmland地区6岁和12岁儿童的评估。
IF 2 4区 医学
Acta Odontologica Scandinavica Pub Date : 2023-11-01 Epub Date: 2023-07-20 DOI: 10.1080/00016357.2023.2235422
Tita Kirkinen, Aron Naimi-Akbar, Andreas Cederlund, Sofia Tranæus, Christina Carlson, Gunilla Klingberg
{"title":"Accuracy of the Swedish quality registry for caries and periodontal diseases (SKaPa) - evaluation in 6- and 12-year-olds in the region of Värmland, Sweden.","authors":"Tita Kirkinen,&nbsp;Aron Naimi-Akbar,&nbsp;Andreas Cederlund,&nbsp;Sofia Tranæus,&nbsp;Christina Carlson,&nbsp;Gunilla Klingberg","doi":"10.1080/00016357.2023.2235422","DOIUrl":"10.1080/00016357.2023.2235422","url":null,"abstract":"<p><strong>Objectives: </strong>This study evaluates the agreement of data on dental caries between electronic dental records and data retrieved from the national SKaPa-registry (Swedish Quality Registry for caries and periodontal disease), with special reference to e/M in deft/DMFT.</p><p><strong>Methods: </strong>In a random sample of 500 6- and 12-year-old children having received dental care in 2014 in the county region of Värmland, Sweden, the diagnostic accuracy of data in electronic dental records with corresponding data obtained from the SKaPa-registry was compared by using Cohen's Kappa and Intraclass correlation coefficient (ICC).</p><p><strong>Results: </strong>For dft/DFT the Kappa was 0.95, and ICC 0.98 (total population). For deft/DMFT in the total population the Kappa was 0.80 and ICC 0.96. For 6-year-olds (deft) the Kappa was 0.89 and ICC 0.99 and for 12-year-olds (DMFT) the Kappa was 0.70, and ICC 0.83. The corresponding figures for Kappa and ICC when excluding individuals without caries (deft/DMFT = 0) were: Total population 0.63 and 0.94; 6-year-olds 0.79 and 0.99; 12-year-olds 0.42 and 0.68.</p><p><strong>Conclusion: </strong>Agreement between data in the dental records and SKaPa was very high for dft/DFT confirming that transfer from the dental records to the SKaPa-registry is safe and correct. As the accuracy of deft/DMFT was considerably lower than for dft/DFT we advise against using deft/DMFT data from SKaPa for research purposes at this point.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9837441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of the COVID-19 pandemic on orthodontic care in Finland. 新冠肺炎大流行对芬兰口腔正畸护理的影响。
IF 2 4区 医学
Acta Odontologica Scandinavica Pub Date : 2023-11-01 Epub Date: 2023-06-15 DOI: 10.1080/00016357.2023.2223635
Robert Riekkinen, Auli Suominen, Anna-Liisa Svedström-Oristo
{"title":"Effects of the COVID-19 pandemic on orthodontic care in Finland.","authors":"Robert Riekkinen,&nbsp;Auli Suominen,&nbsp;Anna-Liisa Svedström-Oristo","doi":"10.1080/00016357.2023.2223635","DOIUrl":"10.1080/00016357.2023.2223635","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the measures that were taken to limit the risk of COVID-19 contagion, how the risk of adverse effects on patient treatment outcomes was mitigated in orthodontic practices in Finland during the COVID-19 pandemic, and how these measures affected the course of orthodontic treatment.</p><p><strong>Materials and methods: </strong>In January 2021, an online questionnaire was sent by email to the members of the Orthodontic Division of the Finnish Dental Association Apollonia (<i>n</i> = 361). An additional inquiry was sent to the chief dental officers of 15 health centers.</p><p><strong>Results: </strong>A total of 99 clinically active members (39.8%) responded to the questionnaire. Of them, 97.0% had made changes in their practices, e.g. using additional protective gear such as visors (82.8%), incorporating preoperative mouthwashes (70.7%), and limiting the use of turbines (68.7%) and ultrasonics (47.5%). Two in three respondents reported temporary lockdowns (mean 1.9 months, range 0.3-5.0 months), during which some occlusions slightly regressed (30.2%) and some relapsed to a previous stage of treatment (9.5%). During this study, 59.6% of respondents reported that some treatments were still behind schedule. One in three respondents had used teleorthodontics because of the pandemic.</p><p><strong>Conclusions: </strong>Preventive measures and changes in treatment procedures were implemented according to the local COVID-19 situation. Some treatments were prolonged, e.g. because of lockdowns or patient's fear of contracting COVID-19 whilst receiving treatment. New methods like teleorthodontics were introduced for coping with the increased workload.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9995532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors affecting number of third molars extracted in a single visit. 影响单次拔除第三磨牙数量的因素。
IF 2 4区 医学
Acta Odontologica Scandinavica Pub Date : 2023-11-01 Epub Date: 2023-07-11 DOI: 10.1080/00016357.2023.2228882
Abiel Noro, Johanna Snäll, Irja Ventä
{"title":"Factors affecting number of third molars extracted in a single visit.","authors":"Abiel Noro,&nbsp;Johanna Snäll,&nbsp;Irja Ventä","doi":"10.1080/00016357.2023.2228882","DOIUrl":"10.1080/00016357.2023.2228882","url":null,"abstract":"<p><strong>Objective: </strong>This cross-sectional study evaluated the number and characteristics of third molars extracted in a single visit in primary care and their associations with patient's age and sex and operator's experience.</p><p><strong>Materials and methods: </strong>The data included all appointments where routine and surgical extractions of third molars were performed in 2016 in primary care of the City of Helsinki. Statistics included <i>χ</i><sup>2</sup> and Mann-Whitney <i>U</i> tests, and binomial logistic regression.</p><p><strong>Results: </strong>In total of 10,894 appointments, the number of extracted third molars was 12,728, yielding an average of 1.2 third molars per visit. Mean age of patients (55% women, 45% men) at extraction was 32.2 years (range 12 - 97 years). Most appointments (83.7%, <i>n</i> = 9,118) comprised extraction of one, 15.8% two, 0.4% three, and 0.1% four third molars. Number of teeth extracted at a time did not differ by sex. Increasing age was associated with a reduction in the likelihood of several third molar extractions in a visit (OR 0.96; 95% confidence interval (CI) 0.96-0.97). Multiple third molars were extracted significantly more likely if the operator was experienced (OR 2.32; 95%CI 1.90-2.84). Multiple extractions were also associated with the mandible, operative extractions, unerupted teeth and caries.</p><p><strong>Conclusions: </strong>Third molars were typically extracted one at a time. In health care units, it is appropriate to consider extraction of several third molars in a single visit, if need for extraction of other third molars exist. Concentrating the extractions of younger patients on experienced operators would reduce the number of patients' visits.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9757546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tactile misfit detection ability at the implant-abutment interface of internal connection dental implants: an in-vitro study. 内连接牙种植体种植体-基牙界面的触觉错配检测能力:一项体外研究。
IF 2 4区 医学
Acta Odontologica Scandinavica Pub Date : 2023-11-01 Epub Date: 2023-06-15 DOI: 10.1080/00016357.2023.2223715
Pedro Molinero-Mourelle, Lukas Peter, Ana Sol Gaviria, Manrique Fonseca, Martin Schimmel, Joannis Katsoulis
{"title":"Tactile misfit detection ability at the implant-abutment interface of internal connection dental implants: an in-vitro study.","authors":"Pedro Molinero-Mourelle,&nbsp;Lukas Peter,&nbsp;Ana Sol Gaviria,&nbsp;Manrique Fonseca,&nbsp;Martin Schimmel,&nbsp;Joannis Katsoulis","doi":"10.1080/00016357.2023.2223715","DOIUrl":"10.1080/00016357.2023.2223715","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this <i>in-vitro</i> study was to investigate the tactile assessment ability at the implant impression-taking stage.</p><p><strong>Methods: </strong>Thirty clinicians (18 novices, 12 experts) were included for a tactile fit assessment by using a used/new probe (tip diameter 100 µm/20 µm). Six implant replicas and related impression copings of two internal connection implant systems were used, each with a perfect fit (0 µm) and defined vertical micro gaps of 8, 24, 55, 110 and 220 µm at the interface. Statistical analysis was performed using descriptive methods and non-parametric tests with a focus on specificity (ability to detect perfect fit), sensitivity (ability to detect misfit), and predictive values. P-values <5% were considered statistically significant.</p><p><strong>Results: </strong>The tactile assessment showed a mean total sensitivity for the Straumann and Nobel Biocare systems of 83% and 80% with a used probe, and 91% and 92% with a new probe, respectively. The mean total specificities were 33% and 20% with a used probe and 17% and 3% with a new probe, respectively. No statistical significance was observed between novice and expert clinicians concerning their tactile assessment ability.</p><p><strong>Conclusions: </strong>The ability to detect a perfect fit (specificity) with a probe was very poor for both implant systems and impaired with the use of a new probe. The use of a new probe improved the gap detection ability (sensitivity) significantly at the expense of the specificity. A combination of additional chairside techniques with training and calibration could improve clinicians' ability to correctly assess the fit/misfit at the implant-abutment interface.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9995533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The experiences of Finnish dental professionals in handling child abuse and neglect issues in their daily work. 芬兰牙科专业人员在日常工作中处理虐待和忽视儿童问题的经验。
IF 2 4区 医学
Acta Odontologica Scandinavica Pub Date : 2023-10-01 Epub Date: 2023-05-08 DOI: 10.1080/00016357.2023.2209641
Heikki Alapulli, My Blomqvist, Sarimari Tupola, Elisa Valkama, Eeva Nikkola
{"title":"The experiences of Finnish dental professionals in handling child abuse and neglect issues in their daily work.","authors":"Heikki Alapulli,&nbsp;My Blomqvist,&nbsp;Sarimari Tupola,&nbsp;Elisa Valkama,&nbsp;Eeva Nikkola","doi":"10.1080/00016357.2023.2209641","DOIUrl":"10.1080/00016357.2023.2209641","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess the experiences, attitudes and knowledge of child abuse and neglect (CAN) among dentists, dental hygienists and dental nurses in Finland.</p><p><strong>Material and methods: </strong>A web-based CAN survey was sent to 8500 Finnish dental professionals, covering demographic characteristics, dental education, suspicion of CAN, actions taken and reasons for inaction as well as training on CAN issues. The chi-squared (χ<sup>2</sup>) test was used to analyse associations.</p><p><strong>Results: </strong>In total, 1586 questionnaires with valid data were completed. Among respondents, 25.8% had received at least some undergraduate training and 36.3% had received postgraduate training on child maltreatment issues. In addition, 43% of respondents had at least one suspicion of CAN at some point during their career. Of those, 64.3% did not refer to social services. Training positively associated with the identification of CAN and referral frequencies. Uncertainty about an observation (80.1%) and a lack of knowledge regarding procedures (43.9%) were the most frequently reported barriers.</p><p><strong>Conclusions: </strong>Finnish dental professionals need more education on child abuse and neglect issues. Competence related to CAN is fundamental to their skills given that all dental professionals regularly work with children and are obligated to report their concerns to proper authorities.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9433571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of rapid maxillary expansion on anchorage alveolar bone meta-analysis. 上颌快速扩张对牙槽骨锚定的影响荟萃分析。
IF 2 4区 医学
Acta Odontologica Scandinavica Pub Date : 2023-10-01 Epub Date: 2023-04-19 DOI: 10.1080/00016357.2023.2199862
Ruijun Chen
{"title":"Effects of rapid maxillary expansion on anchorage alveolar bone meta-analysis.","authors":"Ruijun Chen","doi":"10.1080/00016357.2023.2199862","DOIUrl":"10.1080/00016357.2023.2199862","url":null,"abstract":"<p><strong>Purpose: </strong>Rapid maxillary expansion (RME) is a routine method for correcting transverse maxillary deficiency. This paper investigated the effect of RME on anchorage alveolar bone and examined the differences between micro-implant-assisted RME and conventional RME.</p><p><strong>Methods: </strong>Relevant articles were selected from the PubMed, EMBASE and Cochrane Central Register of Controlled Trials databases. Review Manager software (v.5.3) was used for the pooled analysis and Cochran <i>Q</i> and <i>I</i><sup>2</sup> statistic tests were used to assess the heterogeneity.</p><p><strong>Results: </strong>Following conventional RME, the distal buccal alveolar bone thickness and the mesiobuccal alveolar thickness of the maxillary first molars were significantly reduced. Hyrax (standard mean difference [SMD]: -0.93, 95% confidence interval [CI]: -1.20-0.66) and Haas procedures (SMD: -0.88, 95% CI: -1.40-0.36) significantly reduced the buccal vertical alveolar height of the maxillary first molars. Similar results were obtained for the maxillary first premolars following RME. The thickness of the buccal alveolar bone decreased with conventional RME compared to when using the method assisted by micro-implants.</p><p><strong>Conclusions: </strong>Conventional RME can reduce the thickness and vertical height of maxillary alveolar bone, and there is less loss of alveolar bone when using micro-implant-assisted RME. Further research is needed to validate the findings.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9384615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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