Now showing items 1-20 of 34
Next Page| Abstract: | This literature study reviewed papers on caries risk assessment on patients` above 18 years published between 2000 and 2010. In the present study three different methods are discussed: The Cariogram, CAMBRA ( Caries Management By Risk Assessment) and the UIT – method (University of Tromsø). The purpose of caries risk assessments are to find out which risk level the patient has and try to lower the risk. By evaluating the protective and pathologic factors involved in the carious disease the dentist finds the appropriate risk for each patient. This makes it easier to give the right individual treatment. These methods are good ways to find the causes of the carious disease which today has an increasing focus. Treating the cause is a cost – effective approach. Both dentist and patients will benefit from doing a caries risk assessment. |
| URI: | http://hdl.handle.net/10037/4207 |
| Abstract: | Patients with head and neck cancer may experience a broad spectre of debilitating oral complications the after radiotherapy and chemotherapy. The aim of this master thesis was to create information pamphlets in order to inform the patients with head and neck cancer about the possible complications of the cancer treatment and measurers to maintain or establish a good oral hygiene. Material and methods was divided in to two parts. Part one was a collection of relevant literature, with Pub Med search and using the text books in my dental curriculum. In addition several information pamphlets used at different hospitals and institutions was collected. Part two was the creation of information pamphlets trying by using the most updated and evidence based measures. During the work with the pamphlet I was introduced to the health literacy term. According to studies one third of the adult population had problems understanding written health information. As a result the pamphlet was created in plain Norwegian language and the most important information was written first. The pamphlet will be distributed to the patients by the hospital dentist at the special clinic in Tromsø (TkNN). The collaboration between the dental teams and the general health services is in an early phase in Tromsø. Hopefully the multidisciplinary collaboration will be further developed since this is beneficial to the especially vulnerable patients, such as patients with head and neck cancer. |
| URI: | http://hdl.handle.net/10037/4208 |
| Abstract: | There are many possible causes to external apical root resorption (EARR) as a sequela of orthodontic treatment with fixed appliance. This literature review examines root morphology, age, commonly affected teeth, magnitude of force, continuous versus interrupted forces and duration of treatment, in order to evaluate if root resorption can be predicted. Qualitative analysis of a range of studies in this area has been made. All of the contributing factors above had a connection to root resorption of varying extents. It is therefore essential for a clinician to be aware of these factors, to be able to estimate the risk of root resorption individually for each patient.Abnormal root morphology may increase the risk of root resorption. This is specially valid for pipette-shaped roots. Maxillary incisors seem to be the teeth most likely to suffer from EARR. From the root resorption point of view orthodontic treatment should begin as early as possible since there is less risk of root resorption in young and developing teeth. Light orthodontic forces seem to present a smaller risk of resorption than heavy forces. If initial resorption is detected, a pause in treatment of two-three months should be considered. With sustained quality, treatment duration should always be as short as possible. |
| URI: | http://hdl.handle.net/10037/4274 |
| Abstract: | ABSTRACT Background: Considerable variation between and within groups of NEF members and general practitioners (GPs) has been shown in the choice of endodontic retreatment options. However, uniform criteria and consensus in decision-making would be of importance when the clinical training in the dental school is arranged in a community setting by GPs employed as clinical instructors. Objectives: To assess the level of consensus in decision making in endodontic re-treatment among members of the Norwegian Endodontic Society (NEF) and a group of GPs employed at the extern clinics associated with the Institute of Clinical Dentistry at the University of Tromsø, Norway. Methods: All 65 practicing NEF members with valid e-mail addresses and all 39 GPs employed at the 10 extern clinics were addressed. A questionnaire with 26 radiographs from potential endodontic re-treatment cases and a fabricated patient history common to all of them was sent online by Questback internet program. Six treatment options were given, four of them suggesting active treatment. The results were analysed with SPSS (17.0) and Likelihood Ratio was calculated to show the differences between the groups. Results: 42 NEF members (65%) and 26 GPs (66%) responded. Half of the cases showed statistical significant differences (p<0.05) between the groups in the choice of treatment. There was no consensus among either of the groups in any case, but the NEF members showed relative consensus between active and non-active treatment in three cases. The NEF members favoured active treatment in cases where the majority of GPs would have waited another 12 months. Conclusions: The results show lack of consensus in the clinical decision-making in both groups, thus reflecting the need for continuing education in the key literature behind the rationale of various treatment options. |
| URI: | http://hdl.handle.net/10037/4227 |
| Abstract: | Objective: To compare the clinical survival and long-term costs of extensive composite restorations to ceramic inlays and onlays. The hypothesis was that ceramic inlays and onlays can be more tooth substance saving and long-term economic for the patient than composite restorations. Methods: The dental literature, predominantly since 1990, was reviewed for prospective clinical studies of longevity of ceramic inlays/onlays and direct composite restorations in permanent posterior teeth. Only studies lasting at least 1,5 years and with 30 restorations at baseline were accepted, and retrospective studies, case studies and studies performed at universities were excluded. Results: A total of 20 studies met the established inclusion criteria. Failure rates varied from 4-30% in observation times of 1,5 years to 18 years for composite restorations, and from 0-19% during 2-10 years of follow-up for ceramic restorations. The most common reasons for failure were secondary caries (57%) for composite fillings and material fracture (64%) for ceramic inlays and onlays. The initial cost ratio of a typical 3-surface composite filling to that of a similar sized ceramic restoration was found to be 1:4,4. Conclusions: Bulk fracture and secondary caries are the main causes for failures of ceramic inlays/onlays and composite resin restorations, respectively. Oral hygiene, calibration methods and control of the patients drop out are important factors to be accounted for in long-term clinical trials. More RCTs and CCTs with solid study designs are still needed to evaluate the survival and costs of both composite restorations and ceramic inlays/onlays in posterior teeth. |
| URI: | http://hdl.handle.net/10037/4255 |
| Abstract: | This study looks into how the clinics in the three northernmost counties carry out their chairside prophylactic routines, and if it is in accordance with available literature. |
| URI: | http://hdl.handle.net/10037/4246 |
| Abstract: | Introduction: The importance of good oral health in children is well documented. Extensive caries in young children has an impact on both oral and general health, including quality of life. It is important to offer DGA for patients where other options are not sufficient. Preventive measures can in many cases be done to reduce the number of DGA needed, and behaviour shaping techniques for all children will in the long run be cost effective. In Tromsø DGA is performed by two paedodontists. Objective: Investigate patient experiences with dental treatment under GA in Tromsø, with emphasis on preventive measures previous to DGA, information received and patient follow-up. If necessary promote suggestions for improvement. Method and materials: Telephone interviews with the parents of ten children that had received DGA at UNN Tromsø. Conclusion: Most parents were content with overall DGA experience and found the waiting time from referral to treatment acceptble. In most cases, other measures had been tried before DGA. Some improvements could be done regarding parent information. |
| URI: | http://hdl.handle.net/10037/4249 |
| Abstract: | Introduction: The aim of this study was to find the prevalence of oral mucosal lesions in the adult and child populations, examined or treated at external university dental clinics of the University of Tromsø, and then compare these prevalences with prevalences found in previous studies. Methods: A questionnaire was sent to the external University dental clinics (n=14), inviting all dental practitioners and hygienists to participate. During eight weeks the examiners reported all the oral mucosal lesions found during examination or treatment of their patients. Results: Twelve out of 14 clinics participated in the study (86%), and a total of 8088 (3122 adults and 4966 children) patients were examined by 39 examiners. Oral mucosal lesions were found in 7.59% of adult patients and in 2.68% of patients under the age of 18. The prevalence’s of oral mucosal lesions were generally lower compared to previous studies. Conclusion: Some of our results may indicate underregistration of oral mucosal lesions compared to previous studies. However, the previous studies have been conducted in other countries, and may not produce valid estimators of prevalences in Norway. To find the prevalence of oral mucosal lesions in Norway, a study on a general population that is stratified and randomly selected should be carried out. |
| URI: | http://hdl.handle.net/10037/4213 |
| Abstract: | The aim of this study was to evaluate the outcome of treatment of unilateral posterior crossbite and factors related to the treatment outcome in patients treated in the University student clinic. Another aim was to evaluate the adequacy and quality of documentation of the posterior crossbite treatments. |
| URI: | http://hdl.handle.net/10037/4239 |
| Abstract: | Abstract: Objective: The aim was to describe the different bone enhancing techniques for improving the alveolar bone and gingival characteristics prior to implant placement Material and methods: A MEDLINE and PubMed English language peer-reviewed literature search was conducted. Hand searches of the reference lists in some selected articles were also conducted. The literature search was sorted into five different topics; autogenous bone graft, guided tissue regeneration, orthodontic extrusion, and distraction osteogenesis. Results: Forty-seven articles were considered for the review. All, except one, of the selected articles were case reports or case series describing the bone-modifying techniques. Significant improvements in alveolar bone were reported in all cases, resulting in satisfying implant sites. Conclusions: For all five techniques presented there is a need for more research and more precise procedure protocols. Key words: Implant site development, anterior maxilla, autogenous bone graft, guided tissue regeneration, decoronation, orthodontic extrusion, distraction osteogenesis |
| URI: | http://hdl.handle.net/10037/4250 |
| Abstract: | In this thesis we wanted to find out; "Are there guidelines on the use of behaviour guidance techniques in dentistry to prevent the need of General Anesthesia". |
| URI: | http://hdl.handle.net/10037/4404 |
| Abstract: | Introduction: The Public Dental Service in Norway has changed during the last decades. Dental hygienists have increased in numbers, but how this has influenced the organization of the patient treatment at the clinics is not well known. Aim: The aim of this study was to investigate the organization of the work-day in the Public Dental Service in Northern Norway in terms of who is being treated and what treatment is being performed. The aim was also to explore how the patients are distributed between dentists and dental hygienists. Method: A self-report questionnaire was sent to dentists and dental hygienists at three different clinics in each of the three northern counties of Norway. Interviews with some of the clinic managers of the participating clinics were also performed. Results: Time spent on each patient was relatively high. Dentists provided mostly reparative treatments on adult population, but with some variation in treatment provided in different counties. Dental hygienists did more preventive treatments on children (aged 0-18). Conclusions: Treatments performed across the three counties were relatively similar. Dentists mainly provide restorative treatments, dominated by dental fillings. Dental hygienists mainly provided examinations and preventive treatments, with the majority of patients being children. Through the study, it clearly appears that patients of age 18 or below dominate the Public Dental Service. This study shows a need for further studies to reveal what future challenges the Public Dental Service is facing in terms of models of organization and delegation of treatments. |
| URI: | http://hdl.handle.net/10037/4230 |
| Abstract: | You can often hear people within the dental care system in Norway expressing that: “if you take a job in Finnmark you will get to do a lot and gain a lot of experience”. This claim might be based on the fact that there are very few specialists in Finnmark. In addition, low population density with long distances to dental service creates a high degree of independence and self-reliance among dental health personnel in the area. This combined with higher frequency of irregular treatment habits among adults and inferior oral health conditions compared to the rest of the country (St.meld 35) might yield an extra challenge to dentists, particularly in more remote areas of Finnmark. |
| URI: | http://hdl.handle.net/10037/4231 |
| Abstract: | Det finnes ulike oppfatninger angående ortodontisk behandling av tenner som er tidligere rotfylt eller tidligere traumatisert. Noen mener at det finnes mer risiko for resorpsjon ved ortodontisk forflytning av slike tenner enn levende "friske" tenner. Det første målet med dette litteraturstudiet var å se om det finnes vitenskapelige bevis for eventuell risiko for resorpsjon ved ortodontisk forflytning av rotfylte/tidligere traumatiserte tenner. Det andre målet var å finne ut hva praktiserende tannleger mener om temaet. 23 artikler var samlet inn gjennom PubMed og veiledere, samt 6 bøker var valgt fra det Helse- og Naturvitenskapelige Biblioteket ved UiT. Et spørreskjema med påstander ang ortodontisk forflytning av rotfylte tenner og tidligere traumatiserte tenner var delt ut til tannleger/spesialister på Studentklinikken og TkNN. Antall spørreskjema utdelt var 41,og 21 var besvart. Resultatene fra litteraturen var at rotfylte tenner (hvis godt renset og tettet) kan forflyttes med samme sikkerhet som vitale tenner. Når det gjelder tenner med tidligere historie av trauma, så sa mesteparten av litteraturen at det er noe større risiko for resorpsjon ved ortodontisk behandling av slike tenner. Besvarelsene av spørreskjema viste at meningen er delt (50/50) ang mer risiko for resorpsjon av rotfylte tenner. Derimot var de fleste deltakere (95%) enige om at det er mer risikabelt å forflytte tenner med tidligere trauma enn tenner uten trauma. Hovedkonklusjonen er at på grunn av lite tilgjengelige artikler og ingen RCT-studier (randomiserte kontrollerte studier) angående tema diskutert i denne masteroppgaven, trengs det mer forskning for å gjøre opp en sikker mening. Større antall deltakere i spørreundersøkelsen er også ønskelig for å føre resultatene over på allmenheten av praktiserende tannleger i Norge. |
| URI: | http://hdl.handle.net/10037/4343 |
| Abstract: | ABSTRACT: Introduction: Some bleaching modalities include an activation process with the utilization of heat or light to enhance the effect of bleaching gel. Aim: To compare the effect of treatment and the contentment among patients having received bleaching therapy with two different approaches. Methods and Materials: Six men and six women ranging from 22 to 61 years of age were included and divided into two groups. Opalescence 10% carbamide peroxide-gel was administrated in individual bleaching trays in Group I for two hours a day for fourteen days and in Group II for two hours a day for fourteen days and 2x1 hour in-office tooth whitening sessions. In Group II, the same bleaching agent and tray was used plus a light activation with an LED-lamp for forty seconds per tooth being treated. Results: Eleven patients completed the study. Group I had an average colour change of –5,36 steps on a modified VITA-scale and Group II –4,30. The patients in Group II seemed to be more satisfied with the treatment outcome compared to the subjects in Group I. Conclusion: Only speculations regarding the outcome of the study can be made. However, it appears as if patients receiving a more advanced bleaching therapy including the use of light become more satisfied with the end result compared to patients receiving at-home based whitening only. This seems to be the case even if patients given at-home bleaching therapy achieve an objectively better end result of the treatment. |
| URI: | http://hdl.handle.net/10037/4211 |
| Abstract: | Objective: To understand the dental health challenges of recovered drug addicts, and how the system of oral health rehabilitation works and functions as seen from the perspective of recovered addicts. Basic Design: Semi-structured interviews with seven recovered drug addicts from the city of Tromsø, Norway. The audio from the interviews was transcribed and analysed using NVIVO software. Results: All informants had experienced or were experiencing oral health problems related to their history of drug abuse. These problems adversely affect their quality of life. The care-seeking process was perceived as challenging by some informants; both in the case of obtaining emergency treatment when they were active addicts, and in relation to full oral health rehabilitation when enrolled in drug rehabilitation programs. Also, some groups of addicts were found to be left out of the legislative framework of the system. Conclusion: The system of oral health rehabilitation for recovered drug addicts has undergone legislative changes over the later years. This seems to have made the system somewhat more effective and including, but there are still groups left outside the system that, it could be argued, should be included. Also, challenges exist in conveying to drug addicts the possibilities for financial aid for emergency treatment. |
| URI: | http://hdl.handle.net/10037/4198 |
| Abstract: | In this study, a guide for soft tissue surgery has been made, based on a review. The guide should serve as an update and reminder of selected surgical procedures for the general dental practitioner. |
| URI: | http://hdl.handle.net/10037/4247 |
| Abstract: | Objective: The purpose of this study was to find out how screening and referring arrangements of patients with malocclusions was working between different dental professional groups in the public dental health services in Troms County. We also wanted to find out to what extent general dentists in Troms County were involved in interceptive orthodontic treatment. Material and Methods: The study subjects were dental hygienists, dentists and orthodontists in Troms County. All dentists and dental hygienists working in the dental public health care in Troms County were invited to participate in the survey. After several reminders 18 dental hygienists, 39 general dentists and 6 orthodontists responded (total N=63). The data was collected through a questionnaire, which included questions on personal data, orthodontic screening, treatment and referring, and a clinical photo of a unilateral posterior crossbite. Results: The response rate was 64%. The most common age of referring children to orthodontic treatment was at 12-13 years of age. Late referral age (14 years or older) was significantly more often favored by dentists, as compared to the dental hygienists. 71% of dental hygienists preferred referring patients straight to a specialist, and the rest made the decision between dentist and specialist. There was no significant difference (P=0,741) in the approximated number of referrals made by the dentists and dental hygienists. 62% of the dentists and 44% of the hygienists considered that treatment of unilateral posterior crossbite belonged to both dentists and specialists. Almost one third of the dentists reported that they did no orthodontic treatment at all. The most common malocclusion treated by the dentists was unilateral posterior crossbite. The procedures related to orthodontics done by dentists in their daily practice, were screening for malocclusion, preventive palpation of the position of permanent canines and primary tooth extractions due to orthodontic reasons. 83% of the orthodontists consulted dentists regarding interceptive orthodontic treatments and/or planning treatments of patients. Conclusions: The majority of dentists in Troms County were involved in orthodontic treatment, but only to a small extent. Dental hygienists and dentists referred approximately the same number of patients to orthodontic treatment, but general dentists may prioritize later age of referral. Availability of continuing education in orthodontics might enhance the treatment skills and interest in orthodontics among the general practitioners. |
| URI: | http://hdl.handle.net/10037/4197 |
| Abstract: | En sammenligning av de tre utdanningsprogrammene i odontologi i Norge basert på studieplaner og styrende dokumenter. |
| URI: | http://hdl.handle.net/10037/4204 |
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