Acta odontologica Scandinavica
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Acta Odontol. Scand. · Jun 2005
Associations between dental anxiety, dental treatment due to toothache, and missed dental appointments among six to eight-year-old Danish children: a cross-sectional study.
The aims of this study were to estimate the prevalence of missed dental appointments among Danish children at 6 to 8 years of age and to examine the association between dental anxiety, dental treatment due to toothache, and missed dental appointments in a population-based cross-sectional study. The study was conducted in four municipalities in the County of North Jutland, Denmark, and included a total of 1,235 children (response rate 74.1%). ⋯ These proportions did not differ by age or gender. Among children with dental anxiety, the adjusted OR for an association with two or more missed dental appointments was 1.32 (95% CI: 0.72-2.40), and among children who had dental treatment due to toothache, the adjusted OR of two or more missed dental appointments was 2.61 (95% CI: 1.63-4.18).
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Acta Odontol. Scand. · Apr 2005
A prospective investigation over two decades on signs and symptoms of temporomandibular disorders and associated variables. A final summary.
The aim of this summary of a longitudinal investigation on temporomandibular disorders (TMD) was to present the prevalence figures of signs and symptoms of TMD and certain other examined variables, and the correlations between these variables, over a 20-year period. Originally, 402 randomly selected 7-, 11-, and 15-year-olds were examined clinically and by means of a questionnaire. The same examination procedure was repeated three times: after 4-5 years and after 10 and 20 years, respectively. ⋯ In conclusion, a substantial fluctuation of TMD signs and symptoms was observed in this sample of Swedish subjects followed for 20 years from childhood to adult. The demand for TMD treatment was low at all examinations, while the estimated treatment need was larger. One-third of subjects who had some kind of orthodontic treatment did not run a higher risk of developing TMD later in life.
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Acta Odontol. Scand. · Feb 2005
Randomized Controlled Trial Clinical TrialTramadol premedication in operative extraction of the mandibular third molar: a placebo-controlled crossover study.
Anxiolytic drugs are widely used for premedication in oral surgery. Since anxiety is usually associated with the fear of pain, we tested the effects of the analgesic tramadol in premedication before operative extraction of the mandibular third molar under local anesthesia. In a double-blind crossover study, 20 patients were randomized to receive 100 mg oral tramadol or placebo 1 h before operation. ⋯ The operating conditions were better in patients on tramadol premedication than in those on placebo during the first operation (p < 0.05), but no differences were seen in patient well-being between treatments. The second operation was less stressful than the first. Tramadol is recommended only with special indications for premedication of patients undergoing third molar extraction under local anesthesia.
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Acta Odontol. Scand. · Dec 2004
Randomized Controlled Trial Clinical TrialTreatment outcome of appliance therapy in temporomandibular disorder patients with myofascial pain after 6 and 12 months.
To compare the long-term effect of treatment with a stabilization appliance (group T) and treatment with a control appliance (group C) in temporomandibular disorder (TMD) patients with myofascial pain. ⋯ The results support the conclusion that the positive treatment outcome obtained by use of a stabilization appliance to alleviate the signs and symptoms in patients with myofascial pain persisted after 6 and 12 months. Most patients in groups T and M reported positive changes in overall subjective symptoms in this trial. We therefore recommend use of the stabilization appliance in the treatment of TMD patients with myofascial pain.
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Acta Odontol. Scand. · Dec 2004
Comparative StudyPeriodontal disease in a group of Swedish adult snuff and cigarette users.
The aim of this study was to compare the prevalence of periodontal disease in different groups of tobacco users. Participants (n = 1674) were selected from an initial random sample of residents in the Stockholm region. Socio-demographic characteristics and life-time history of tobacco use were registered in a self-completed questionnaire, followed by a clinical examination. ⋯ Plaque was independently associated with periodontal disease, with a dose gradient. Smoking is associated with periodontal disease independently of plaque. Combining cigarette smoking and snuff use during life does not convey a decreased probability of being diagnosed with periodontal disease compared to smoking exclusively.