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Biomedical subjects

A Hugoson

Publications and source records attributed to A Hugoson.

At least 55 records · Page 3Linked to original sources
PubMed1989

General oral status in adults with rheumatoid arthritis.

The oral status of an adult population of 204 patients with rheumatoid arthritis (RA) was compared with that of an age and sex-matched random sample of non-rheumatic subjects. The percentage of edentulous subjects, number of existing teeth in dentate subjects, prevalence, and quality of fixed and removable prostheses and prevalence of disorders of the stomatognathic system was recorded. The percentage of edentulousness among RA-patients was 17% and among non-RA subjects 19%. Number of remaining teeth was equal. 75% of removable partial and 62% of complete dentures among RA-patients were considered unsatisfactory compared to 25% and 56% respectively among non-RA subjects. Disorders related to the TMJ occurred much more frequently among RA-patients than among non-RA subjects. It is suggested that thorough stomatognathic examination and TMJ-prophylaxis be included in the overall care of RA-patients.

Adult↗
PubMed1989

Periodontal conditions in adults with rheumatoid arthritis.

Periodontal conditions among an adult population of 161 dentate patients with rheumatoid arthritis (RA) were compared with those of an age and sex-matched random sample of non-rheumatic subjects. The number of teeth and prevalence of dental plaque, calculus, gingivitis, and deepened periodontal pockets were recorded. Alveolar bone breakdown and the distribution of subjects according to severity of periodontal disease were also registered. There was a tendency towards better periodontal conditions among RA-patients, severe periodontal breakdown occurring less frequently among RA-patients (12%) than among the controls (16%). The RA-patients had less plaque and calculus than the control group, a finding which could indicate a difference in periodontal care.

Adult↗
PubMed1989

Number of teeth, prevalence of caries and periapical lesions in insulin-dependent diabetics.

Ninety-four long and 86 short duration diabetics and 86 non-diabetics, aged 20-70 yr, participated in the study. The clinical and radiographic examination comprised recordings of the number of teeth, carious lesions, restorations, endodontically treated teeth and periapical lesions. There were no significant differences between long and short duration diabetics and non-diabetics in the number of teeth and the total number of decayed and filled tooth surfaces (DFS %). However, long duration diabetics exhibited more decayed proximal tooth surfaces (D %) than non-diabetics. There were no significant differences between long and short duration diabetics and non-diabetics in the mean number of endodontically treated teeth and periapical lesions. Women with long diabetes duration, however, exhibited more endodontically treated teeth with periapical lesions than women with short diabetes duration and women without diabetes. Long duration diabetics exhibited teeth with periapical lesions to a greater extent than the other groups. On the whole, diabetics and non-diabetics exhibited a similar caries frequency but among the diabetics there was a group of individuals who had more periapical lesions than the non-diabetics.

Adult↗
PubMed1989

Dental care habits and knowledge of oral health in insulin-dependent diabetics.

The aim of this study was to investigate dental care habits and knowledge of oral health in age- and sex-matched adult long and short duration insulin-dependent diabetics and non-diabetics. Ninety-four long and 86 short duration diabetics and 86 non-diabetics, aged 20-70 years, participated in the study. All subjects answered a questionnaire with 38 questions about dental visits, attitudes to and knowledge of dental diseases, toothcleaning, dietary and smoking habits, and oral sensations. Among the diabetics there was a rather large group that did not visit a dentist annually. The diabetics also required more emergency dental care and were not as willing as the non-diabetics to spend time and money on their teeth. The compliance with dietary advice was poor among the diabetics. Oral discomfort such as prickling and burning sensations, metallic and bad taste was rare in both diabetics and non-diabetics. In the diabetics, however, a feeling of mouth dryness was common.

Adult↗
PubMed1989

Some salivary factors in insulin-dependent diabetics.

The aim of the study was to compare salivary flow rate, salivary pH, buffer capacity of the saliva, salivary glucose content, and number of Candida albicans, lactobacilli, and Streptococcus mutans in the saliva in age- and sex-matched adult long- and short-duration insulin-dependent diabetics and non-diabetics. Ninety-four long-duration and 86 short-duration diabetics and 86 non-diabetics, aged 20-70 years, participated in the study. Paraffin-stimulated whole saliva was collected. Both long- and short-duration diabetics had a decreased salivary flow rate and an increased salivary glucose content compared with non-diabetics. However, the differences were small. There were no significant differences between the groups in salivary pH, buffer capacity, or bacterial counts.

Adult↗
PubMed1989

Clinical psychiatric assessment of patients with burning mouth syndrome resisting oral treatment.

Of 100 consecutive patients referred for investigation of symptoms related to oral galvanism, 18 with persisting symptoms of burning mouth syndrome (BMS) remained after investigation and treatment (Hugoson 1986). In addition to the oral and medical treatment, 16 (14 women, 2 men) of these patients underwent psychiatric investigation. The results of this investigation are presented in this report. The psychiatric investigation was performed as a semistructured interview, elucidating current symptoms, the patient's opinion as to the onset and causes, previous illnesses and psycho-social conditions. Two hours were reserved for each patient interviewed with the aim of obtaining a holistic picture of each individual. The patients with refractory burning mouth syndrome did not differ from the others with respect to oral status, salivary secretion or calculated galvanic currents. No patient had burning mouth as the only symptom, all reporting many symptoms from different organs. Three patients had had symptoms for at least 20 years, 9 for 5-10 years and 4 patients for less than 4 years. Seven patients related the onset of symptoms to oral treatment. Thirteen of the patients reported one or more medical diagnoses and 10 patients were taking 1-3 medicines. Ten patients reported significant negative experiences in connection with previous contacts with the health services and several considered themselves wrongly diagnosed and treated. Most of the patients had experienced catastrophes in their lives in the form of stillborn children or children born with various handicaps, children injured in accidents or prolonged social problems. One patient was judged to have somatic causes of the symptoms, 8 patients somatic and psychological causes, 6 patients psychological causes and in 1 patient the cause was unknown. Three cases are presented in more detail.

Adult↗
PubMed1988

Prevalence and severity of incisal and occlusal tooth wear in an adult Swedish population.

The material consisted of 585 randomly selected dentate individuals from the community of Jönköping, Sweden, who in 1983 reached the age of 20, 30, 40, 50, 60, 70, or 80 years. The degree of incisal or occlusal wear was evaluated for each single tooth in accordance with the following criteria: 0 = no wear or negligible wear of enamel; 1 = obvious wear of enamel or wear through the enamel to dentin in single spots; 2 = wear of dentin up to one-third of the crown height; 3 = wear of dentin more than one-third of the crown height and/or excessive wear of tooth restorative material. Among the 20-year-olds 35% of the subjects had no or slight incisal or occlusal wear. The corresponding figures for the 30- to 80-year age groups were 20%, 32%, 18%, 14%, 26%, and 23%, respectively. For the age groups 20-80 years, the percentage of teeth with incisal or occlusal wear in accordance with criteria 1-3 was 13%, 20%, 16%, 24%, 23%, 23%, and 23%, respectively. Men presented more teeth with wear than women, the difference being significant for all age groups except the 20- and 60-year-olds. Among the 20-year-olds 6% had one or more teeth with wear scored 2. Among subjects aged 30 and 70 years 10% and 31%, respectively, showed tooth wear with score 2. Wear with score 3 was only found in 2% of the total population. There was an increase in the number of teeth with incisal or occlusal wear with age. With increasing age, there was also a change in distribution of wear within the dentition.

Adult↗
PubMed1988

Caries prevalence and distribution in individuals aged 3-20 years in Jönköping, Sweden, 1973, 1978 and 1983.

In 1973, 1978, and 1983 epidemiological studies on dental health were performed in the community of Jönköping, Sweden. Each investigation covered about 500 individuals evenly distributed in the age groups 3, 5, 10, 15 and 20 years. The subjects were examined clinically and radiographically. In the present study, caries prevalence and distribution are analysed too. The total number of DFS decreased by about 50 per cent between 1973 and 1983 in all age groups. Most of the changes occurred during the period 1973-1978. The largest percentage reduction in DFS had occurred on the buccal/lingual surfaces. The number of FS-proximal showed a decrease in 1983 compared to 1973, while the number of DS-proximal was almost unchanged during the period. A closer analysis of DS-proximal revealed that there was an increase in the proportion of lesions restricted to the enamel between 1973 and 1983. In the 3 and 5-year-olds, 29 and 32 per cent of the carious lesions were restricted to the enamel in 1973 compared to 58 and 53 per cent, respectively, in 1983. For the groups of 10, 15 and 20 year-olds the numbers were 84, 84 and 78 per cent respectively in 1973, and 89, 90 and 86 per cent in 1983. A change in distribution of individuals according to DFS was found in 1978 compared to 1973. This change was still more pronounced in 1983, most of the subjects showing a low number of DFS. The results of the study show that when caries prevalence is decreasing more refined diagnostic measures should be used in order to make it possible to follow changes.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1988

Caries prevalence and distribution in individuals aged 20-80 years in Jönköping, Sweden, 1973 and 1983.

In 1973 an epidemiological study was performed in the community of Jönköping, Sweden. The study covered 1000 individuals, evenly distributed in the age groups 3, 5, 10, 15, 20, 30, 40, 50, 60 and 70 years. In 1983 a new cross-sectional study was carried out on the age-groups 3-80 years. The aim of the present study was to compare and analyse in detail caries prevalence and distribution in the age-groups 20-80 years at the examinations in 1973 and 1983. The subjects were examined clinically and radiographically regarding number of teeth, caries, restorations, etc. The mean number of teeth increased between 1973 and 1983, especially in the older age-groups. During the same period, the percentage of DFS decreased in the age-groups 20, 30 and 70 years, and was unchanged in the age-groups 40 to 60 years. There were only minor differences in DS in the respective age-group during the 10-year period. The distribution of subjects according to DFS showed that a large proportion of individuals in the age-groups 20 and 30 years had low DFS in 1983 as compared to 1973. For the age-group 40-years, the distribution was unchanged. For the 50, 60 and 70-year-olds, there was a change in distribution towards a larger proportion of individuals with high DFS values in 1983 as compared to 1973. The frequency distribution of individuals with primary and secondary carious lesions respectively was skewed, a small number of individuals having a high number of lesions in each age-group.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1986

Periodontal healing after impacted lower third molar surgery. Precision and accuracy of radiographic assessment of intrabony defects.

The effect of periodontal tissues of impacted lower 3rd molar surgery has been investigated in a retrospective study comprising 215 cases, 2 years postoperatively. In order to evaluate the precision and accuracy of the radiographic assessment of intrabony defects on the distal surface of the lower 2nd molar using conventional free hand technique, a methodological study was performed on 25 patients. The error variance due to variability in the radiographic reproduction and examiner inconsistency was between 3 and 4% of the total variance. In order to evaluate the radiographic assessment of intrabony defects, intraoral radiographs were taken in the deepest part of the intrabony defect with and without a probe as an indicator. Comparing the 2 sets of radiographs, the deviation was 1 mm or less in 87.9% of the cases. The radiopaque marker enhanced the accuracy of assessment of intrabony defects to 96.7%. The study shows the intraoral freehand technique to be sufficiently reliable as regards radiographic reproduction of the mandibular molar area. It also demonstrates that the radiographic method describes the depth of postoperative intrabony defects on the distal surface of the lower 2nd molar more accurately than probing depth measurements alone.

Adolescent↗
PubMed1986

The effects of periodontal treatment on mucous membrane thickening in the maxillary sinus.

This study was performed to elucidate the effect of periodontal treatment on the sinus mucosa. 21 patients with periodontal lesions of the upper molars and/or premolars and chronic mucous membrane thickening in the maxillary sinus diagnosed radiographically participated in the study. No teeth in the regions studied showed pulpal or periapical changes. Altogether, the patients exhibited 36 maxillary sinuses with mucous membrane thickening. 15-20 months after the final periodontal treatment, a marked reduction of the plaque index, gingival index and probing depth was recorded. Radiographic examination of the sinus mucosa before and after periodontal treatment showed that successful periodontal treatment in all quadrants resulted in normalisation of the sinus mucosa. Periodontal treatment was not successful in 2 quadrants. In one of these cases the thickness of the mucosa was unchanged and in the other case, further thickening of the mucosa seemed to have occurred. The study shows that severe periodontitis of the upper molars and/or premolars may initiate mucous membrane thickening in the maxillary sinus, and that successful periodontal treatment results in normalisation of the sinus mucosa.

Adult↗
PubMed1986

Results obtained from patients referred for the investigation of complaints related to oral galvanism.

One hundred consecutive patients, 74 women and 26 men, aged between 18 and 83 years (mean = 54.8 years), referred with complaints related to oral galvanism were investigated and treated and the treatment results were evaluated after 2-3 years. Forty of the patients reported facial pain, pain from the teeth, temporomandibular joints (TMJ) and masticatory muscles and TMJ clicking and locking and 26 reported headache. Smarting in the oral mucosa, smarting of the tongue and xerostomia were reported by 26, 21 and 24 patients, respectively, and 30 patients reported an unpleasant taste, a metallic taste or a battery taste. The same patient often reported several symptoms. The patients also reported various general symptoms, above all joint symptoms, pain in the back, neck and shoulders and general muscular pain but also tiredness, weakness, difficulty in concentrating, depression and insomnia. After clinical and radiological examination, salivary tests, determination of the maximum galvanic current at metallic contacts and screening for contact allergy to dental materials, various oral diagnoses could be established. Most of the patients exhibited functional disturbances of the masticatory system, periodontitis, smarting of the oral mucosa, xerostomia, pulpitis and pulpal necrosis and mucosal lesions. The medical illnesses the patients reported themselves to be suffering from or had been treated for included cardiovascular disorders, high and low blood pressure, asthma, rheumatic disorders, diabetes, pernicious anaemia, gastritis and peptic ulcer. Seventy-six patients took drugs regularly. In most cases there were several oral, dental and medical explanations for the symptoms.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1986

Oral health of individuals aged 3-80 years in Jönköping, Sweden in 1973 and 1983. I. A review of findings on dental care habits and knowledge of oral health.

The aim of the present study was to present data from dental care habits and knowledge of oral health in two cross-sectional studies carried out in 1973 and 1983. A random sample of approximately 1000 individuals evenly distributed in the age groups 3, 5, 10, 15, 20, 30, 40, 50, 60 and 70 years was studied for each of these two years. In the 1983-year examination 80 individuals 80 years of age were also included. All subjects were inhabitants of the community of Jönköping, Sweden. A questionnaire about dental care habits and knowledge was used in combination with a clinical and radiographical examination. The participants answered 23-101 questions. The same questions were raised in 1973 and 1983. For most age groups more then 80 per cent visited a dentist yearly in 1983. This yearly attendance was higher than that for 1973. In the 20-year-old group 14 per cent of the individuals received dental care in the PDS in 1973 compared to 63 per cent in 1983. The main reason to visit a dentist in 1973 was by the patient's own initiative while in 1983 the appointments were based on the dentist's initiative. The number of subjects that felt discomfort in connection with a visit to the dentist had decreased between 1973 and 1983. Knowledge about the etiology of caries had increased between 1973 and 1983 was not the case for gingivitis and periodontitis. An increase had occurred in toothbrushing frequency and the use of toothpicks and disclosing tablets but this between 1973 and 1983. In 1983, 98 to 93 per cent of the subjects in the age groups 10-30 years had been exposed to topical fluorides. The corresponding figure for 30-year-olds in 1973 was 1 per cent. It is obvious that during the period 1973 to 1983 there has been an increase in dental attendance, knowledge of dental diseases, oral health and the use of preventive measures.

Adolescent↗
PubMed1986

Oral health of individuals aged 3-80 years in Jönköping, Sweden, in 1973 and 1983. II. A review of clinical and radiographic findings.

The aim of this study was to present data from clinical and radiographic examinations on oral health in two cross-sectional studies carried out in 1973 and 1983. A random sample of approximately 1000 individuals, evenly distributed in the age groups 3, 5, 10, 15, 20, 30, 40, 50, 60 and 70 years was studied for each of these two years. In the 1983-year examination 80 individuals, 80 years of age, were also included. All subjects were inhabitants of the community of Jönköping, Sweden. The clinical and radiographic examination assessed edentulousness, removable dentures, number of teeth, caries, restorations and overhangs, gingival and periodontal status, oral hygiene and calculus, endodontic treatment and periapical status. A reduction in number of edentulous individuals by 25% was recorded between the two examinations. This was matched by an increase in the mean number of teeth, mainly of molars. The largest difference in mean number of teeth between the 1973 and 1983 examinations was found for the 70-year-olds. These were 8.5 and 11.8 teeth respectively. The younger age groups showed an increase in the proportion of individuals free from caries and restorations. In 1973 the caries-free proportions were 35% for 3-year-olds and 9% for 5-year-olds. In 1983 these values had improved to 70% and 29% respectively. Corresponding to this trend the number of decayed tooth surfaces was lower in 1983. Fewer filled tooth surfaces were present 1983 compared with 1973 for the age groups 10, 15, 20 and 30 years but higher for the age groups 5, 50 and 60 years and unchanged for the remaining groups. For the younger age groups the overall reduction in DFS was about 50% but this increased to 90% for buccal and lingual surfaces. Both secondary caries and overhanging restorations had decreased in the 1983 group for all ages. At least 75-86% of restorations were without overhangs in 1983 compared to 47-65% in 1973. Gingival health had improved over the 10-year period. Sites with plaque and calculus and gingival units exhibiting gingivitis had all decreased in frequency by 1983. Buccal surfaces showed the greatest improvement. The frequency of individuals with one or more periodontal pockets (greater than or equal to 4 mm) increased with age but was of the same distribution in 1983 as in 1973.(ABSTRACT TRUNCATED AT 400 WORDS)

Adolescent↗
PubMed1985

Periodontal healing after impacted lower third molar surgery. A retrospective study.

The effect on periodontal tissues of lower third molar surgery, due to impaction or semi-impaction, has been investigated in a retrospective study comprising 215 cases. The post-operative examination took place 2 years after the surgical treatment and included both clinical and radiographic variables. Clinical registrations included the amount of plaque, and presence of gingivitis and periodontal pockets. The results showed a higher incidence of plaque, gingivitis and pockets on the distal surface of the second molar than on other surfaces of the first and second molars. The alveolar bone level distal to the second molar was registered by radiographic examination with a periodontal probe as indicator. 2 years post-operatively, 43.3% of the cases exhibited pocket depths exceeding 7 mm and 32.1% showed intrabony defects exceeding 4 mm. Some factors affecting the periodontal healing after lower third molar surgery are discussed.

Adolescent↗
PubMed1985

Longitudinal study of dental caries in individuals in Jönköping, Sweden, aged 15 years in 1973 and 20 years in 1978.

The aim of this investigation was to study caries development between the ages of 15 and 20 yr in the same individuals. Data concerning 100 adolescents constituted the basic material. Eighty subjects could be re-examined 5 yr after the first examination. The mean number of teeth per subject was 27.1 both in 1973 and in 1978. Four subjects (4%) in 1973 and three subjects (2.4%) in 1978 showed no decayed and/or filled proximal tooth surfaces. The prevalence of intact tooth regions was higher in the mandible than in the maxilla. Only one of the 73 subjects who were free from caries in the mandibular incisor/canine region at the basic examination developed new carious lesions in this region during the next 5-yr period. Analysis of the frequency distribution of the different caries diagnostic groups revealed that 32 subjects (40%) showed no change during the 5-yr period while 47 (58.7%) now belonged to a higher caries prevalence group. 3538 (80.7%) proximal surfaces were diagnosed as intact at the basic examination. The number of intact surfaces 5 yr later was 3107 (70.9%). In individuals with low and high numbers of decayed and/or filled surfaces, respectively, there was a tendency towards a more pronounced individual caries progression in the group that showed the highest caries prevalence at the basic examination than in the group showing a low caries prevalence.

Adolescent↗