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Browsing Mastergradsoppgaver i odontologi by Author
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Now showing items 30-34 of 34
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Tran, Huy Quoc; Jenssen, Lotte (Master thesis; Mastergradsoppgave, 09-Jun-2011)[+][-]
Abstract: In this literature study, a classification of severe discolorations and a summary over the options for different dental treatments have been described. Various causes of these severe discolorations are presented and how the mechanisms behind tooth discolorations affect the outcome of a treatment or treatment options. Finally, the aesthetic outcome of a possible bleaching treatment of the different classified discolorations is discussed. In the management of patients with stained teeth it is very important to know and understand the mechanisms behind tooth discolorations as well as the clinical features of different types of tooth staining, in order to make a correct diagnosis. The teeth are an integrated part of facial aesthetics and are involved in a complex social, cultural and psychological interaction. For people with severe discolorations, bleaching can be an important and valuable treatment. Brown and yellow staining are easier to change compared to grey and blue stains which are mostly resistant to bleaching. Discolorations located in the gingival area have a poor prognosis. However, recent research has shown that for example tetracycline-stained teeth that often have a grey-blue staining may demand longer bleaching treatments, from one to 12 months, but it is almost impossible to predict the result of such a treatment. Clinical research has shown that it is best to try bleaching first, as a patient may be pleased with the outcome of this treatment and thus the need for veneers or replacement with full crowns will be eliminated. There are no guidelines telling the dental practitioner when it is correct to carry out bleaching or operative treatment. Therefore, in cases with aesthetic problems, it is important to understand the self-perceived opinion of the patient in the treatment planning. URI: http://hdl.handle.net/10037/4210 File(s) in this item: 1
thesis.pdf (1.442Mb) -
Tvermyr, Kathrine; Hoem, Anna Frydendal; Elde, Kine Marlén (Master thesis; Mastergradsoppgave, 07-Jun-2012)[+][-]
Abstract: Abstract Background: Dental anxiety is a prevalent issue which every dental practitioner will face. As dental anxiety involves personal consequences for the affected patients - as well as hampering the clinical performance of the dental profession – this matter should be taken seriously and dealt with accordingly. The treatment of dental anxiety thus should be within the competence of the general practitioner. Aims: To systematically review the literature concerning treatment of adult fearful and anxious patients, in order to find strategies to empower both patient and dentist in the clinical situation. Our hypothesis is that there are measures a general dentist can take to ease the dental treatment of fearful patients. Our goal is to present the general dentist approaches regarding identification and care of these patients. Material and methods: Systematic search of the literature was performed via Pubmed and using Google search engine. We used search terms such as: “dental anxiety”, “fearful dental patients”, “etiology of dental fear” and “adult fearful patients.” The primary selection of articles, books and doctoral theses was based on their title abstract, and time of publication. The inclusion criteria were Scandinavian and English publications presenting knowledge about etiology, prevalence and clinical management of dental anxiety in adults. We also performed interviews with anxious patients at the TkNN (Tannhelsetjenestens kompetansesenter for Nord-Norge). Conclusions: Identifying anxious dental patients can be achieved by the use of a semi-structured interview and/or through psychometric questionnaires, such as Dental Anxiety Scale (DAS), Dental Belief Survey (DBS) and Dental Fear Survey (DFS). There are both general and specific approaches to treating dental anxiety, as well as pharmacological aids. The method of choice should be adapted to the patient’s prerequisites and individual needs. Even though much can be accomplished by the general dentist, some patients may have very complex and comprehensive problems and need care from a specialist. Keywords: dental anxiety, adult anxious patients, identification, treating dental anxiety, behavioral and cognitive approaches URI: http://hdl.handle.net/10037/4240 File(s) in this item: 1
thesis.pdf (554.4Kb) -
Vestjord, Maria; Kjøløymo, Tina; Nerdal, Anne Marte (Master thesis; Mastergradsoppgave, 29-May-2012)[+][-]
Abstract: A major dilemma is that pain free dental treatment using local anaesthesia (LA) is of main importance for avoiding dental fear and anxiety (DFA) at the same time as intraoral injections are strongly associated with DFA. Well-educated dentists and dental hygienists, with a variety of techniques and approaches available, are important to give the patient receiving LA a perception of control. The purpose of this study was to see if clinicians in Norway have heard about, and uses, the steps of anaesthesia (SA) or other forms of cognitive behavioural therapy (CBT). Are there any differences between clinics with (university clinics) and clinics without students from the University in Tromsø in external practise? A questionnaire was sent out using Questback.com to dentists and hygienists in selected clinics in Northern Norway. URI: http://hdl.handle.net/10037/4254 File(s) in this item: 1
thesis.pdf (673.8Kb) -
Vevik, Ingrid; Zakariassen, Aleksandra; Notkevich, Marte; Mandal, Iselin Stallvik (Master thesis; Mastergradsoppgave, 29-May-2012)[+][-]
Abstract: The aim of this study was to assess orthodontic treatment outcome and quality of documentation in patients with different types of anterior crossbite, who had received and finished treatment at the student clinic in Tromsø in the period between 2008 and 2010. A total of 34 subjects fulfilled the inclusion criteria and were enrolled in the study. Existing pre and post treatment records from all subjects, was collected and supplemented by recalling of subjects. The definition of the treatment being successful was that positive overjet was achieved in all four incisors. The treatment was successful in 68 % of the patients included in the study, and the treatment tended to be more successful in patients with only single incisors in crossbite. Important determining parameters for the treatment outcome were the duration of active treatment and patient compliance. The treatment success rate was significantly higher in subjects who were treated 8 months or less as compared to subjects who had longer treatments. Our results suggest that 2 out of 3 anterior crossbites were successfully corrected in the student clinic in Tromsø, and longer treatment time seemed to affect the treatment success negatively. The common lack of post-treatment documentation calls for considerable improvement. URI: http://hdl.handle.net/10037/4258 File(s) in this item: 1
thesis.pdf (1.036Mb) -
Whatley, Edwin Bentinck; Larssen, Andreas Järvinen (Master thesis; Mastergradsoppgave, Jun-2011)[+][-]
Abstract: Objective: To retrospectively evaluate empress crowns/onlays placed in patients treated by dentistry students at the University clinic in Tromsø. Material and methods: A total of 37 empress restorations placed in 26 patients were evaluated according to the California Dental Association´s (CDA) quality evaluation system. All of the reconstructions were luted with resin composite cement. The mean and median age of the restorations was 13.8 and 11 months respectively. Results: All of the 26 patients were satisfied with the treatment process but two patients had complains concerning functional outcome of the treatment. The survival rate according to the Kaplan Meier method was 94.8 %. Based on the CDA criteria, in the category ‘Anatomic form’, 84 % of the reconstructions were given the score SOCO (= restoration is slightly overcontoured). In the category ‘Color’ the CDA code SMM (= mismatch between restoration and tooth) was registered in 54% of the reconstructions. In the category ‘Surface’, 56 % received the code SRO (= surface of restoration is slightly rough or pitted). Conclusions: The majority of the patients were very satisfied with the overall treatment received at the university clinic. The relatively high number of restorations reported as slightly over- contoured might indicate the need for improvement upon the preparation procedures of empress reconstructions. A longer observation period and more restorations are needed to draw any firm long- term conclusions for the overall quality of empress restorations made by dentistry students. Key words: Clinical study, all-ceramic crowns, glass ceramics, survival rate URI: http://hdl.handle.net/10037/4191 File(s) in this item: 1
thesis.pdf (3.190Mb)
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