The aim of the present study was to examine smoking behaviour and motivation for smoking cessation in patients at a dental clinic. Another aim was to examine if the patients had been asked by the dental staff regarding their smoking habits. Twenty-two patients from a student clinic and twenty-one patients from a Swedish Public Dental Service Clinic in southern of Sweden participated in the study. Participants consisted of eighteen women and twenty-five men. Data collection was carried out using a questionnaire that was directed at smokers. The questionnaire was answered in connection with the visit to the dental hygienist. The patients smoked between eight and twelve cigarettes per day and had on average smoked between 5 -15 years. More than half of the patients started smoking because of pressure from friends. In the future the patients would consider quitting smoking to avoid oral health diseases. Most of the patients wanted to try without external aid. The general health and oral health was perceived as good, or very good by 43 respondents. The most common oral health problems were dry mouth, dark brown coating on the teeth and gingivitis. This survey shows that many of those who currently smoke started smoking because of their surroundings. Giving up smoking to avoid oral health diseases was very important / important to the respondents. The motivation for smoking cessation was different among the patients. It was difficult for many patients to stop smoking. The survey also showed that more dental hygienists than dentists asked their patients about smoking habits and informing them about smoking cessation. / Syftet med denna studie var att undersöka rökvanor och motivation till rökavvänjning hos patienter vid tandvårdsklinik. Ytterligare ett syfte var att undersöka om patienterna blivit tillfrågade av tandvårdspersonalen om sina rökvanor. Tjugutvå patienter från en studentklinik och tjuguen patienter från en folktandvårdsklinik i södra Sverige deltog i studien. Deltagarna bestod av 58 % män och 42 % kvinnor. Datainsamlingen genomfördes med användning av en enkät som var riktad till rökare. Enkäten besvarades i samband med ett tandhygienistbesök. Patienterna uppgav att de rökte mellan åtta och tolv cigaretter per dag och hade rökt mellan  5-15 år. Mer än hälften av patienterna började röka på grund av grupptryck eller kompisar. Patienterna kunde tänka sig att sluta röka i framtiden, för att undvika munhälsoskador och dem flesta av rökarna vill försöka sluta röka utan hjälp. Den allmänna hälsan respektive munhälsan upplevdes som bra eller mycket bra av samtliga 43 respondenter. De vanligaste problemen med munhälsan var muntorrhet, svarta bruna beläggningar på tänderna samt gingivit. Denna enkätstudie visar att många av dem som rökte började röka på grund av att personer i deras omgivning rökte. Att sluta röka för att undvika munhälsoskador var mycket viktigt/viktigt för patienterna. Motivationen till rökstopp varierade bland patienterna. Det var svårt för många av de att hålla sig rökfria. Studien visar även att det var fler tandhygienister än tandläkare som frågade patienterna om deras rökvanor och informerade om rökavvänjning.

Bakgrund: Tandhygienistprofessionen har en betydande roll i svenska tandvården och arbetar främst förebyggande och hälsofrämjande. Tandläkarens och tandhygienistens arbetsområden kompletterar varandra, vilket gör att samarbetet är av stor vikt för en patientsäker vård. Syftet: Att studera vilken kunskap tandläkarstudenter i termin tio har avseende tandhygienistens kompetens. Metod: Studien var en kvantitativ tvärsnittsstudie med enkät som mätinstrument. Urvalet bestod av tandläkarstudenter (termin 10) från Malmö- och Göteborgs universitet som erbjuder två- respektive treårig tandhygienistutbildning. Materialet bearbetades i SPSS. Variablerna analyserades genom deskriptiv statistik samt utfördes jämförelser mellan lärosätena genom Chi2-tester. Resultatet baserades på 51 deltagare från Malmö och 26 från Göteborg. Statistisk signifikanta skillnader fanns avseende frågorna om att diagnostisera pericoronit, arbeta med beteendeförändringar, avlägsna suturer, arbeta med bettfysiologiska patienter, utföra avtryckstagning och inneha röntgenutrustning. Totalt var det 39 deltagare i Malmö och 18 i Göteborg som ansåg att de inte har tillräcklig kunskap om tandhygienisters kompetensområden. Samband mellan studenternas kunskap och tandhygienisternas utbildningslängd på respektive lärosäte kan dock inte påvisas. Slutsats: Det finns kunskap hos tandläkarstudenterna om tandhygienistens kompetens, men med viss variation. Skillnader i kunskap om tandhygienisters kompetens finns mellan lärosätena. Majoriteten av deltagarna ansåg att tandläkarutbildningen inte gett tillräcklig kunskap om tandhygienistens kompetensområden. / Background: Dental hygienist profession plays a significant role in Swedish dentistry and works primarily with prevention/health promotion. Dentists and dental hygienist's professions complete each other, which makes co-operation necessary to obtain a safe care for the patient. The aim was to study dental students (semester 10) knowledge regarding dental hygienists competence. Method: A cross-sectional study with questionnaire as measuring instrument was performed. The sample consisted of dentistry students from Malmo- and Gothenburg’s University, with two respective three years of dental hygienist education. Variables were analyzed by descriptive statistics. Comparisons between institutions, through Chi2-test were performed in SPSS. The result was based on 51 (Malmo) respective 26 (Gothenburg) participants. Statistically significant differences occurred regarding questions of diagnosing pericoronitis, behavioral changes, removing sutures, working with temporomandibular disorders, bite-impressions and responsibility of radiographic equipment. Malmo had 39 participants and Gothenburg 18 that reported they had not received enough knowledge. The relationship between the students knowledge and dental hygienists’ length of education cannot be established. Conclusion: There is a knowledge about dental hygienist’s competence, but with some variation. Differences in knowledge exists between the institutions. The majority of participants felt that the education did not give them sufficient knowledge about the dental hygienist's competence.

Bakgrund: Kariessjukdomen hör till en av världens vanligaste sjukdomar med flertalet kända orsaks- och riskfaktorer. För att bevara en god oral hälsa utgör förebyggande tandvård en betydelsefull del bland äldre och kan ha en stor inverkan på en individs livskvalitet. Karies kan förebyggas och behandlas med stöd av patientutbildning och förebyggande tandvård, en hälsoinsats som främjar framförallt individen men även samhället med minskade resurs- och vårdkostnader. Syfte: Övergripande syftet med studien var att kartlägga förekomst och fördelning av registrerade förebyggande åtgärder i relation till karies bland individer 65 till 70 år, bofasta i Värmland 2017. Metod: Studiens design var en tvärsnittsstudie av individdata (n=2738) från 65- till 70-åriga individer bosatta i Värmland och undersökta i tandvården, Region Värmland 2017. Data baseras på Svenskt Kvalitetsregister för Karies och Parodontit (SKaPa) åren 2017 och 2018. Resultat: Närmare trefjärdedelar av individerna hade ingen tillståndskod för karies registrerad (72,1%). Det var ungefär dubbelt så vanligt med tillståndskoder för sekundärkaries jämfört med primärkaries, 684 respektive 291 registreringar. Totalt registrerades 742 sjukdomsförebyggande åtgärder (200-serien) och 3495 sjukdomsbehandlande åtgärder (300-serie). ”Icke-operativ behandling” var den åtgärd som starkast associerades till individer med kariestillstånd (OR 3,83; CI 3,04–4,83). ”Information vid risk för sjukdom” var starkast associerad till individer utan kariestillstånd.  Antalet erhållna förebyggande åtgärder var snedfördelad och kunde variera från en upp till nio behandlingar per individ. Konklusion: Resultatet i denna studie talar för betydelsen av ytterligare studier inom förebyggande tandvård som hälsofrämjande insats för att främja oral hälsa bland äldre individer med kariessjukdom. Beteendemedicinsk prevention är en underutnyttjad åtgärd som behöver övervägas inom den förebyggande tandvården. / Introduction: Dental caries is one of the most common diseases worldwide with well-known risk factors. In order to maintain a good oral health, preventive dental care is an important part for elderly people and impacts on an individual´s quality of life. Dental caries can be prevented and treated with patient support, education and preventive dental care. Health promotion activities within dental care contributes to the individual’s well-being and reduces costs for the society.   Aim: The overall aim was to identify the occurrence and distribution of registered preventive dental care in relation to caries, among individuals aged 65 to 70 years resident in the county of Värmland in 2017.  Method: A cross-sectional register-based study of individual data (n= 2738) from 65 to 70-year-old individuals resident and dental examined, in the county of Värmland in 2017. Data was obtained from The Swedish Quality Registry for Caries and Periodontal Diseases (SKaPa) from years 2017 and 2018.  Results: Nearly three-quarters of the individuals had no caries conditions registered (72,1%). Secondary caries-conditions were about twice as common compared to primary caries, 684 and 291 registrations, respectively.  A total of 742 preventive-treatments and 3495 preventive disease-treatments were registered. “Non-invasive treatment” had the strongest association to individuals with caries conditions (OR 3,83; CI 3,04-4,83). The treatment “information when risk for disease” had the strongest association to individuals without caries conditions. The number of obtained preventive treatments were skewed and could vary from one up to nine treatments per individual. Conclusion; The results of this study indicate the importance of further studies of preventive dental care as a health promotion achievement to promote oral health among older individuals with dental caries disease. Behavioral medical prevention is underused and needs to be considered in preventive dental care in the future.

No description available.

Submitted by Mario Mesquita (mbarroso@fiocruz.br) on 2014-11-18T18:05:37Z No. of bitstreams: 1 Nélia_Ribeiro_EPSJV_Mestrado_2010.pdf: 1223435 bytes, checksum: 927723f533d457cd487a61775942e494 (MD5) / Approved for entry into archive by Mario Mesquita (mbarroso@fiocruz.br) on 2014-11-18T18:13:38Z (GMT) No. of bitstreams: 1 Nélia_Ribeiro_EPSJV_Mestrado_2010.pdf: 1223435 bytes, checksum: 927723f533d457cd487a61775942e494 (MD5) / Made available in DSpace on 2014-11-18T18:13:38Z (GMT). No. of bitstreams: 1 Nélia_Ribeiro_EPSJV_Mestrado_2010.pdf: 1223435 bytes, checksum: 927723f533d457cd487a61775942e494 (MD5) Previous issue date: 2010 / Fundação Oswaldo Cruz. Escola Politécnica de Saúde Joaquim Venâncio. Programa de Pós-Graduação em Educação Profissional em Saúde. / Este estudo tem como objetivo investigar em que medida a formação oferecida pelo curso Técnico em Higiene Dental da Escola de Formação Técnica em Saúde “Enf Izabel dos Santos” (ETIS) contribui para a prática do cuidado, superando o significado de procedimento técnico, buscando identificar se os profissionais egressos valorizam também as diversas dimensões da atenção em saúde, reafirmando o compromisso com os princípios do Sistema Único de Saúde (SUS). Para tanto, inicialmente apresenta uma discussão sobre as diferentes dimensões do cuidado. A seguir, uma revisão de conceitos da educação, com apresentação dos fundamentos da proposta pedagógica da ETIS. Por fim, a apresentação da análise dos dados obtidos por meio do trabalho de campo. Este estudo se deu sob uma abordagem qualitativa, tomando como sujeitos da pesquisa egressos do curso para formação de Técnico em Higiene Dental realizado em Nova Iguaçu, no período entre agosto de 2006 a junho de 2007. Como técnicas de pesquisa a autora adota a realização de grupo focal e entrevistas semi-estruturadas com egressos do curso, e ainda entrevistas com cirurgiões-dentistas, seus supervisores, além da revisão bibliográfica de concepções de educação/educação profissional e cuidado em saúde para construir o referencial teórico. O tratamento do material obtido no trabalho de campo foi orientado pela Análise de Conteúdo, sob a modalidade Análise Temática. A pesquisa apontou que a ETIS contribui para a prática do cuidado numa dimensão individual, ficando os aspectos políticos e sociais do cuidar incompletos, o que sugere ser apropriado trabalhar mais intensamente no curso pesquisado as diversas dimensões da integralidade. / This study aims at investigating to which extent the professional training offered by the Technical Course in Dental Hygiene at the “Enfª Izabel dos Santos” School of Technical Training in Health (ETIS) contributes to the practice of dental care beyond the meaning of technical procedures and verifies if its former students also value the several dimensions of attention in dental health care in accordance to the principles established by the Publich Health System (Sistema Único de Saúde - SUS). This study initially discusses the different dimensions of health care, followed by a review of educational concepts with the presentation of the pedagogical fundaments proposed by ETIS. Lastly, this study presents the analysis of the data obtained through fieldwork. This study has a qualitative approach whose subject are students who graduated in Technical Training in Dental Hygiene in Nova Iguaçu from August 2006 and June 2007. The author of this study uses the “focus group” technique with semi-structured interviews with former students, as well as interviews with dentists, who are their supervisors, together with a bibliographic review on educational concepts, professional education and health care in order to build up theoretical reference. The data analysis was performed through Content Analysis in Theme Analysis. This study indicates that while ETIS contributes to the practice of care in an individual dimension, it seems to overlook some important political and social aspects, which suggests that more intense integrating work needs to be done in the social dimension in the training course offered by ETIS.

Although tobacco cessation is an uphill battle for almost everyone who attempts to quit, it is important that dental hygienists do not assume that patients are not interested. Dental hygienists are in an ideal position to offer cessation help to their tobacco using patients. The purpose of this study was to gain a better understanding of the tobacco cessation practices among central Texas dental hygienists. Specifically, dental hygienists were asked about beliefs, motivation, and confidence with regard to their tobacco cessation practice. A positive significant, moderate, relationship was found between beliefs and confidence (r=0.647), beliefs and practices (r=0.704), knowledge and capability (r=0.579), motivation and capability (r=0.529), motivation and practice (r=0.605), and years of practice and capability (r=0.699). The mean confidence scores for hygienists with more than 20 years of experience differed from those with 1-5 years of experience (p=.003) and 6-10 years of experience (p=.025).