Inledning: God vårdhygien är ett centralt begrepp inom all hälso- och sjukvård för att förhindra spridning av sjukdomsframkallande mikroorganismer, vilka kan ge upphov till vårdrelaterade infektioner. Tandvården ska därför följa Hälso- och sjukvårdslagen (1982:763) och Socialstyrelsens föreskrifter om basala hygienrutiner. I samband med Covid-19 pandemin aktualiserades vikten av vårdhygien ytterligare för att förhindra smittspridning av Covid-19 inom tandvården. Munhålan utgör en stor potentiell risk för överföring av SARS-CoV-2, men även andra mikroorganismer, särskilt vid aerosolgenererande procedurer.  Ett tidigare mastersarbete vid Odontologiska fakulteten, Malmö Universitet, påvisade brister i följsamheten med basala hygienrutiner bland tandläkarstudenter. En uppföljning har inte genomförts, vilket uppmärksammades i samband med pandemin och frågeställningen om Covid-19 syn på betydelsen av aseptik och vårdhygien väcktes.  Syfte: Undersöka tandläkarstudenters syn på vårdhygien och självbedömd följsamhet med hygienriktlinjer under Covid-19.  Material och metod: En anonym webbenkät skickades till samtliga tandläkarstudenter på kurs 4–10 vid Odontologiska fakulteten, Malmö Universitet.  Resultat: Den totala svarsfrekvensen var 54%. Resultat visade att samtliga studenter ansåg sig ha tillräckliga kunskaper om hygienrutinerna, men trots detta bröt 20% medvetet mot hygienrutinerna och 4% uppgav att de aldrig följde hygienrutinerna.  Slutsats: Den självbedömda kunskapen om hygienriktlinjer är hög, trots det är inte följsamheten med hygienriktlinjerna optimal, vilket innebär att det finns risk för spridning av vårdrelaterade infektioner. / Introduction: Good hygiene is imperative to prevent the spread of health care associated infections. Dental care must therefore comply with the Health and Medical Services Act (1982: 763) and the National Board of Health and Welfare's regulations on basic hygiene guidelines. In conjunction with the Covid-19 pandemic, the importance of hygiene measures was further emphasized to prevent the spread of Covid-19 in dentistry. The oral cavity poses a high potential risk for transmission of SARS-CoV-2, in addition to other microorganisms, especially in aerosol-generating procedures.  A previous master's thesis at the Faculty of Odontology, Malmö University, showed a deficiency in compliance with hygiene guidelines among dental students. The question if Covid-19 view of the importance of aseptic techniques and hygiene measures in dentistry was therefore raised.  Aim: Investigate dental students' views of healthcare hygiene and self-assessed aseptic measures during Covid-19.  Materials and method: An anonymous web survey was sent to all dental students in courses 4–10 at the Faculty of Odontology, Malmö University.  Results: The overall response rate was 54%. Results showed that all students considered themselves to have sufficient knowledge of the hygiene routines, but despite this, 20% of students deliberately broke the hygiene routines and 4% stated that they never followed the hygiene routines.  Conclusion: The self-assessed awareness of hygiene guidelines and aseptic techniques is high among the students, still the compliance with hygiene protocols is not optimal, meaning there is a risk of spread of healthcare associated infections.

Background: Pericoronitis is an oral condition characterized by inflammation caused by infection in the gingiva surrounding a partially erupted tooth. Terracortril® with Polymyxin B is an ointment with hydrocortisone, oxytetracycline and Polymyxin B that has been observed to occur in treatment of pericoronitis in general dental care, despite recommendations against local antibiotic treatment in dental care. Aim: The aim was to explore to what extent Terracortril® with Polymyxin B is used in the treatment of pericoronitis in general dental care, and to ascertain if the general dentist’s professional experience and degree of difficulty of the pericoronitis affects the choice of treatment. Methods: A survey was sent to general dentists in the Region Västerbotten, consisting of three patient cases with different severity of pericoronitis asking for acute stage treatment. Background questions about Terracortril® with Polymyxin B were included and working years were inquired for.   Results: 81.4% used Terracortril® with Polymyxin B. Usage was associated with professional experience, where dentists with 0-1 and ≥16 working years used Terracortril® with Polymyxin B more frequently than dentists with 2-5 and 6-15 working years.  The severity of symptoms of pericoronitis was decisive for if the dentist used Terracortril® with Polymyxin B, where usage increased with the severity of pericoronitis. Conclusion: Terracortril® with Polymyxin B is frequently used in treatment of pericoronitis. Both the professional experience and the degree of difficulty of the pericoronitis affect the usage. Terracortril® with Polymyxin B should presumably not be used in the treatment of pericoronitis until supporting evidence is available.

Syfte: Studiens syfte var att beskriva oral hälsa hos individer med Parkinson sjukdom (PS). Metod:Studiedesignen var i form av allmän litteraturstudie där tre databaser användes för sökning efter vetenskapliga artiklar (DOSS, CINAHL och MEDLINE). Efter tillämpning av inklusions-, exklusionskriterier, passande sökord samt genomförande av kvalitetsgranskning, valdes totalt 19 vetenskapliga artiklar. Resultat: Oral hygien tenderade till att vara sämre hos individer med PS. Resultatet visade att xerostomi och hyposalivation var vanligt förkommande hos individer med PS. Karies, gingivit och parodontit visades även hos individer med PS där bland annat parodontala mätningar visades vara högre till andel hos dessa individer. Andra orala tillstånd som visades bland individer med PS var dregling, dysfagi, halitosis och angulär cheilit. Slutsats: Hos individer med PS visades orala hälsan var sämre jämfört med individer utan PS. Risken att utsättas för orala sjukdomar exempelvis karies, gingivit och parodontit var högre hos individer med PS, där både läkemedelsintag och nedsatt motorik har en inverkan. / Aim: The aim was to describe oral health in individuals with Parkinson's disease (PD). Method: The study design was a general literature study where three databases were used to search for scientific articles (DOSS, CINAHL and MEDLINE). After applying inclusion, exclusion criteria, proper keywords and conducting a quality review, a total of 19 scientific articles were selected. Result: Oral hygiene tended to be worse in patients with PD. The results showed that xerostomia and hyposalivation are common in patients with PD. Caries, gingivitis and periodontitis were also shown among patients with PD where, among other things, periodontal measurements were shown to be higher in proportion in these individuals. Other oral conditions that were shown among individuals with PD were drooling, dysphagia, halitosis and angular cheilitis. Conclusion: Oral health was shown to be worse among individuals with PD compared to individuals without PD. The risk of being exposed to oral diseases such as caries, gingivitis and periodontitis was higher among these individuals where both drug intake and impaired motor skills have an effect.

Silicon-based electric chip arrays were developed for characterization of Bacillus cereus with respect to the capacity to produce toxins involved in food poisoning and foodborne infections. Bacteria of the B. cereus group contain different sets of four toxins encoded by eight genes. The purpose of this work was to develop a fast method for determination of the presence of these genes in colonies from primary enrichment cultures. The specific DNA detection was based on immobilization of DNA capture probes, which hybridize to specific sites on the target genes. Biotin-labeled detection probes were designed to hybridize with the target DNA adjacent to the capture probes. An extravidin - alkaline phosphatase complex was subsequently bound to the hybridized detection probes. Finally, p-aminophenyl phosphate was added as substrate for the enzyme, and the product p-aminophenol was brought in contact with the interdigitated gold electrode on the silicon chips surface. The p-aminophenol was oxidized at the anode to quinoneimine, which was then reduced back to paminophenol at the cathode. This redox recycling generates a current that was used as the DNA-chip response to the target DNA. Two versions of the assay were used. In the first version the capture probes were immobilized on magnetic beads and all chemical reactions until and including the enzymatic reaction took place in an eppendorf tube while the redox recycling was used to measure the amount of paminophenol produced after transfer from the tube to the silicon chip surface. In the second version a silicon chip array was used with 16 parallel electrode positions, each activated by immobilization of one type of capture probes on the gold electrodes. With this system all chemical reactions took place at the chip surface. The kinetics of cell disruption and DNA fragmentation from B. cereus by ultrasonication was determined. Maximum cell disruption was achieved within 5 min and the chip response increased in proportion to the ultrasonic time. Further ultrasonication up to 10 min resulted in further increasing current although no further cell disruption was observed. If the sonication time was extended above 10 min the signal declined. Based on analysis of the DNA size distribution by early end-point PCR and gel electrophoresis, it is suggested that the first 5 min ultrasonication increased the signal by increasing the release of target DNA molecules. Thereafter the signal was increased by fragmentation of target DNA which increases the diffusion rate and also the accessibility of the hybridization site. Finally, the DNA fragment sizes approached that of the hybridization site (51-bp) which may reduce the signal because of cleavage of the target DNA in the hybridization region. These studies were performed with the bead-based hybridization assay. The assay was highly specific to the target gene (hblC) of both B. cereus and B. thuringiensis with no response from negative control cells of B. subtilis. The 16 positions of the silicon chip array were activated by immobilization of all known toxin-coding genes of B. cereus and also included both a positive control and a negative control electrode positions. When these chips were exposed to ultrasonicated B. cereus, the gold electrodes were fouled by some component in DNA cell lysates. To circumvent this, the released large DNA was first extracted and then ultrasonicated again, since the extract mainly contains large molecular weight DNA. This DNA extract was applied to characterize one “diarrheal” and one “emetic” strain of B. cereus with the DNA chip arrays. The results agreed with PCR control analysis which means that these electric DNA chip arrays can be used to characterize bacterial colonies with respect to the genes coding of all known toxins of B. cereus: haemolysin (hblA, hblC, hblD), non-haemolytic enterotoxin (nheA, nheB, nheC), cytotoxin K-2 (cytK-2), and cereulide (ces). The chip assay required about 30 min after application of DNA samples. Due to the generic properties of the chips, this technique should also be applicable for characterization of the pathogenicity potential of many other organisms. Keywords: Bacillus cereus, haemolysin, non-haemolytic enterotoxin, cytotoxin K-2, cereulide, toxin-coding genes, bacterial colony, electric DNA chip, ultrasonication, DNA fragmentation. / QC 20101111

Problem Based Learning (PBL) has been fully or partly adopted by several medical and dental schools throughout the world, but only few attempts have been made to adjust this method to Distance Learning (DL) environments. It appears that the interaction demands of PBL could not be easily facilitated by the technologies used for DL in the past. The recent introduction of Virtual Learning Environments or Virtual Classrooms, is suggested by many as the development that could allow Distance Learning to utilise highly structured collaborative learning methods such as PBL. A literature review and two pilot studies were undertaken, in an attempt to investigate the possibility of adjusting an existing in-classroom PBL model to Internet-based environments for distance learning. There is a strong need of a conceptual theoretical framework and research results to support the function and effectiveness of distance learning in health education. Drop-out rates are still high in all kinds of distance education. Accreditation, team-work and personal contact, appear to be factors of importance for increasing motivation and minimising drop-out rates in distance learning. During the pilot studies it was evident that both postgraduate and undergraduate students were very positive towards the PBL method, as they experienced it while working over the network. However, it is very difficult to introduce inexperienced students to PBL through distance. Students? competence with computers seems to be an important factor for the success of a virtual classroom and their computer literacy has to be objectively assessed prior to any course. Significant differences were identified between in-classroom and over the Internet communication. These differences, although measured in the quantity of interaction, appear to influence the quality and depth of discussion as well. Tutor involvement was higher in the Internet discussions than the in-classroom ones. It was concluded that an entirely Internet-based PBL course is possible, if properly organised. However, such a model might constitute a compromise over the quality standards of in-classroom PBL, at least with the currently available Internet technology. A hybrid approach, which will combine personal contact with network-based interaction, might be the safest and most beneficial option right now. / <p>Note: The papers are not included in the fulltext online.</p>

Introduktion/bakgrund: Barn kan drabbas av olika sjukdomstillstånd vilket påverkar såväl deras allmänna hälsa som orala hälsa. Diabetes typ 1 är ett sjukdomstillstånd som kräver vård av god kvalitet. Alla barn är olika och personcentrerad vård som teoretisk bas kan bidra till att sätta det unika barnets behov i centrum. Syfte: Syftet med denna litteraturstudie var att beskriva riskfaktorer för orala sjukdomar hos barn med diabetes typ 1. Metod: En litteraturstudie utfördes genom att systematiskt utföra sökningar i databaserna PubMed och CINAHL. Kvalitetsgranskning med granskningsmallar från SBU utfördes i urvalsprocessen. Av totalt 766 antal artiklar inkluderades 11 artiklar. Resultat: Resultatet baseras på 11 vetenskapliga artiklar från 9 länder och redovisas med följande underrubriker; ”Oral sjukdom och okontrollerad diabetes”, ”Oral egenvård” och ”Omgivande faktorer”. Resultatet visade att kost och okontrollerad diabetes, dålig oral egenvård och bristande samhälleliga skyddsfaktorer är riskfaktorer för orala sjukdomar hos barn med diabetes typ 1. Slutsats: Denna litteraturstudie visar att det finns flera riskfaktorer för orala sjukdomar hos barn med diabetes typ 1, både på samhällelig och individuell nivå. Samhället kan bidra till ökade resurser för att öka samverkan mellan de aktuella barnen, vårdnadshavare och hälso- sjukvård, socialtjänst, tandvård och skola. På individnivå behöver vårdprocesser vara förankrade i personcentrerad vård. / Introduction/background: Children can suffer from various medical conditions which affect both their general health and oral health. Diabetes type 1 is a medical condition that requires good quality of care. All children are different and person-centred care as theoretical foundation can contribute to put every child's needs in focus. Aim: The aim of this literature study was to describe risk factors for oral diseases in children with type 1 diabetes. Method: A literature study was performed by systematically searching the databases PubMed and CINAHL. Quality review with review templates from SBU were performed in the process. Out of a total of 766 articles, 11 articles were included. Results: The result is based on 11 scientific articles from 9 countries and is reported with the following subheadings; "Oral disease and uncontrolled diabetes", "Oral self-care" and "Ambient factors". The results showed that diet and uncontrolled diabetes, bad oral self- care and lack of societal preventive factors are risk factors for oral diseases. Conclusion: This literature study shows that there are many risk factors for oral diseases in children with type 1 diabetes, at both societal and individual levels. Society can contribute to increased resources to increase professional collaboration between the children, caregivers and health care, social services, dental care and school in order to offer person-centered care.

Aim: To evaluate different parameters potentially affecting the efficacy of air-polishing devices in disinfecting implant surfaces in a non-surgical treatment approach of peri-implantitis lesions. Material and method: Altogether, 56 turned and 56 moderately rough implants were coated with a simulated biofilm. The implants were mounted in customized resin models simulating peri-implant 30° bone-defects, 3- and 5-mm deep; soft tissues were simulated with ballistic gelatin. Each implant was cleaned for 30 or 90 seconds in total (6 sites pr. implant; 5 or 15 seconds pr. site) with one of two different air-polishing devices (W&amp;H and EMS). Implants were photographed in three different angulations and the amount of residual biofilm on the implant surface was measured digitally. Beta-regression models were used to assess the outcome. Results: Implant surface, treatment time and air-polishing device significantly affected the amount of residual biofilm. Turned implant surface, longer treatment time, and using the EMS device resulted in significantly less residual biofilm. In the most apical part of the defect, both air-polishing devices performed similarly, however, this was also the area with most biofilm left compared to more coronal aspects. Defect depth had no significant effect.  Conclusion: Superior biofilm removal is achieved at implants with turned surface, and when applying longer treatment time. At the deepest aspect of the defect, implant decontamination is compromised. / Syfte: Syftet med denna laborativa studie är att utvärdera olika parametrar som potentiellt kan påverka effekten av air-polishing maskiner vid icke-kirurgisk rengöring av implantat för behandling av peri-implantit. Material och metod: Sammanlagt, 56 turned (maskin bearbetade) och 56 moderately rough (måttlig ytråhet) implantat var belagda med en biofilmimitation. Implantaten var placerade i en specialgjord resin-modell som simulerar en 30° bendefektmodell med 3- respektive 5 mm defektdjup; mjukvävnaden simulerades med ballistiskt gelatin. Varje implantat rengjordes i totalt 30 eller 90 sekunder (6 sidor per implantat; 5 eller 15 sekunder per sida) med en av två air-polishing maskiner (W&amp;H och EMS). Implantaten fotograferades sedan ur tre olika vinklar för att digitalt bedöma kvarstående biofilm. Implantatyta, tillverkare, defektdjup och behandlingstid analyserades som prediktionsvariabler för kvarstående biofilm (%). Beta-regressionsanalys användes för att bedöma resultatet. Resultat: Implantat-yta, tillverkare och behandlingstid påverkade mängden kvarvarande biofilmsimulation signifikant. Maskinbearbetade implantatytor, en längre behandlingstid, användande av EMS maskinen, resulterade alla i signifikant mindre kvarvarande biofilm. De två tillverkarna presterade endast lika i de mest apikala delarna av defekten, men detta var också det område med mest kvarvarande biofilm jämfört med mer koronala aspekter. Defekt djup hade ingen signifikant effekt på resultatet. Slutsats: Man kan förvänta sig bättre borttagning av biofilm när man behandlar maskinbearbetade implantatytor samt när man använder en längre behandlingstid.Vid den djupaste aspekten av defekten, äventyras dekontaminering av implantat

Amalgam has been used as a dental restorative material for centuries, but its potential health effects and biopersistance has lead to a decreased use especially in the Nordic countries. New materials have been introduced, partly to replace the mercury containing amalgam and partly because of esthetical reasons. The possible health effects of amalgam have been studied extensively and the material has been replaced with other less well-examined materials during the last few decades. The prevalence of side effects of dental materials is considered to be low in relation to the vast number of dental treatments undertaken. With the introduction of new and more complex materials, side effects related to dental treatment may increase. Epidemiological data suggest that the side effects of dental resins that have almost completely replaced amalgam fillings in Scandinavia, possess a risk for adverse reactions; however, the causal relation has not been fully established. Therefore, the type and extent of side effects caused by resin-based materials are of great interest. The aims of the study were: - to describe the change in health over time for patients with problems related to their dental materials. The hypothesis was that the patients could be divided into subgroups based on their symptoms and that the ability to recover differs between these groups [Paper I]. Furthermore, to determine whether factors such as the replacement of dental restorative materials and follow-up time had any impact on the perceived health. - to assess the long-term development of symptoms and their social consequences among patients referred for diagnosis and treatment of symptoms related to dental materials [Paper II] - to investigate the possible risks with dental restorative materials other than amalgam [Paper III]. - to describe side effects assessed to be caused by resin-based materials that occurred in a group of patients as well as treatment and long-term consequences of the reactions [Paper IV]. A questionnaire was sent to 614 patients [Paper I and II] that had been referred to the School of Dentistry, Umeå, Sweden, with symptoms allegedly caused by dental materials. The questionnaire contained questions on, among others; civil status, present health, medical and dental treatment and other measures and precautions taken because of psychosocial problems related to current employment situation, feelings, self-image and coping behavior. Moreover, information was collected [Paper III] from the Swedish Dental Materials Register 2003 (DentMr), a compilation of MSDS for 487 materials, and information from the user guide of the materials. The Material Safety Data Sheets (MSDS) included in the DentMR were examined regarding the given composition of the products, the occurrence of CAS-numbers and the risk- and safety phrases of the substances. Information was collected [Paper IV] on 36 patients with reactions to resin-based restorative materials from the Swedish National Register of Side-Effects of Dental Materials. Patients with complex symptoms had a more unfavorable long-term prognosis concerning persistent complaints than those with local symptoms only. Furthermore, the results indicate that the patients might experience health improvements after removal of their dental restorative materials. However, the reason for this improvement was unclear. Replacement of dental restorative materials had no significant impact on the ability to recover completely. Our results also indicate a relationship between patients’ self-related health and social consequences in daily life. Those with remaining complex symptoms had more often stopped working or had decreased their work hours because of their symptoms The information about hazards with dental materials seems insufficiently described in MSDS and there might be materials with side effects unknown to both patients and dental professionals. A literature search indicated that some of the listed substances had possible hazards, e.g. substances with embryotoxic and neurotoxic potential. The patients were very heterogeneous; a few with only local symptom free reactions while other had more complex symptoms. The latter group would gain from a multidisciplinary approach, i.e. dental, medical, as well as social and psychological factors have to be considered when developing care management programs for this group of patients. Furthermore, there is a need for stronger regulations of dental materials, such as those applied to pharmaceutical drugs. Finally, it was found that the majority of symptoms suspected to be caused by resin-based materials were local or a combination of local and extra-oral symptoms that appeared within the first 24 hours after treatment. The most frequent adverse effect reported was skin problems/dermatitis. It appears as though immediate reactions to resin based materials are not uncommon and more prevalent than allergic reactions. Still, we have had, difficulties in verifying associations between the dental restorative materials and adverse reactions and also to identify the offending component.

Syfte: Syftet med studien är att undersöka hur besöksfrekvensen på Odontologiska fakulteten på Malmö Universitet påverkats under COVID-19 pandemin. Material och metod: Registerdata från Odontologiska fakultetens journalsystem T4 analyserades. Samtliga patienter som återfanns i utcheckningslistan och därmed hade besökt Odontologiska fakulteten under perioden januari 2019 till och med december 2021 inkluderades. Fördjupade analyser av tandvårdsbesöken vid avdelningen Oral diagnostik utfördes, där variablerna kön och ålder undersöktes. Resultat: Antalet patientbesök på Odontologiska fakulteten var högre 2019 jämfört med 2020 och 2021. Den största minskningen under de tre undersökta åren skedde 2020. Besöksfrekvensen minskade mest för den äldsta åldersgruppen (65+ år) mellan 2019 och 2020, men ökade igen mellan 2020 och 2021. Det var större andel kvinnliga besökare på Oral diagnostik genom alla de undersökta åren. Slutsats: COVID-19 pandemin har påverkat besöksfrekvensen på Odontologiska fakulteten. Hur stor påverkan pandemin har haft på den orala hälsan är fortfarande oklart och fortsatta studier behövs. / Aim: The aim of the study is to investigate how the frequency of visits at the Faculty of Odontology, Malmö University has been affected during the COVID-19 pandemic. Material and method: The study analyzed register data from the faculty’s journal system T4. All patients that had visited the faculty’s clinic and hence were found in the check-out list during the period January 2019 to December 2021 were included. In-depth analyses of the dental care visits at the Oral Diagnosis department were performed, where the variables gender and age were investigated. Data were compiled and analyzed in tables and charts. Results: The number of patient visits was higher in 2019 compared to 2020 and 2021 at the Faculty of Odontology. The largest decrease during the three examined years occurred in 2020. The largest decrease in frequency of visits was found in the oldest age group (65+ years old) between 2019 and 2020. However, the frequency increased again between 2020 and 2021. There have been more female visitors at Oral Diagnosis through all the investigated years.  Conclusion: The COVID-19 pandemic has affected the frequency of visits in the Faculty of Odontology. How big an impact the pandemic has had on oral health is still unclear and further studies are needed.

Under 2018, mitt i en global miljökris, en nationell ökning av sociala klyftor och segregation, accepterade den svenska regeringen en ny nationell arkitekturpolitik, Politik för Gestaltad livsmiljö (Policy for Designed Living Environment). Politiken är förankrad i en marknadsekonomi och förmedlar olika strategier för hållbar utveckling. De sträcker sig från social hållbarhetsteorier om inkludering och tillgänglighet, ner till resurshantering, lokalt hantverk och återvinning av byggmaterial. Politiken är ett resultat av en förändrad förståelse för arkitektur, arkitekturpolitik, arkitekten och hans eller hennes roll, eller som teoretiker Kaminer och Kossak skulle hävda: roller. Detta arbete i Hållbar samhällsplanering och stadsutformning utforskar och presenterar vad som kan vara ett relevant innehåll i arkitekturbestämmelser i Lidköpings kommun. Det är resultatet av en dokumentstudie som innehåller den svenska nationella arkitekturpolitiken, lokala tolkningar av den i 12 kommuner över hela Sverige och Lidköpings kommuns Stadsutvecklingsplan för staden Lidköping. Samt, en enkät och en utökad dialog i form av en designworkshop med sex ungdomar i Lidköping om Lidköpings framtid. Detta projekt syftar till att stödja utvecklingen av lokala tolkningar av den svenska nationella politiken, och fungera som en bas för diskussion kring ämnet arkitekturpolitik i Sverige. / In 2018, in the midst of a global environmental crisis, a national increase in social gaps and segregation, the Swedish government accepted a new national architectural policy, Politik för Gestaltad livsmiljö (Policy for Designed Living Environment). The policy is situated in a market economy and conveys different strategies for sustainable development. They range from social sustainability theories of inclusion and accessibility, down to resource management, local craftsmanship and recycling of building materials. The policy is a result of a changing understanding of architecture, architectural politics, the architect and his or her role, or as theorists Kaminer and Kossak would argue, roles. This Master’s degree project in Sustainable Urban Planning and Design explores and puts forth what could be a relevant content in an architectural policy in Lidköping municipality. It is the result of a document study containing the Swedish national architectural policy, local interpretations of it by 12 municipalities across Sweden and Lidköping municipality’s City plan. As well as a questionnaire and an extended dialogue in the shape of a design workshop with six teenagers in Lidköping about the future of their town. This project aims to aid the development of local interpretations of the Swedish national policy, and, act as a base for discussion on the topic of architecture politics in Sweden.