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Biomedical subjects

E Widström

Publications and source records attributed to E Widström.

At least 55 records · Page 3Linked to original sources

Analysis of patients utilizing emergency dental care in two Finnish cities.

The use of emergency dental services was surveyed by interviewing patients seeking treatment during hours of organized emergency service in two large cities in Finland. It was spread rather evenly over all the days of the week. Marked differences were found between the volume of dental emergencies in the two cities. More than 60% of the patients had been in pain for 1 to 3 days and needed immediate help. One-third of the emergency visits were made by 20- to 29-year-olds. No significant differences in use of the services were found between men and women, although a larger proportion of women than men claimed to visit a dentist regularly and to have a dentist of their own. Fourteen per cent had failed to get an appointment with their regular dentist. More than 40% of the patients had used the emergency services previously. These patients, more often than first-time users, visited a dentist irregularly, did not have their own dentist, and were content with the rapid service at the emergency clinic.

Adolescent↗

A retrospective study on the relevance of the dental curriculum in general practice.

The undergraduate dental curriculum in Swedish dental schools has recently been changed. The aim of this study was to estimate the opinions of recently qualified dentists concerning their undergraduate education received according to the old curriculum. A questionnaire was mailed to all graduates who qualified from the dental school in Huddinge between 1981-1983. The response rate was 71%. The respondents indicated that their theoretical knowledge was in general better in subjects closely related to clinical dentistry compared with basic biological subjects or behavioural science subjects. In most subjects clinical competence was closely related to the level of theoretical knowledge. The results of this study suggest that the "old" dental curriculum was successful in imparting knowledge concerning traditional dental subjects and preventive dentistry, but less successful in imparting knowledge concerning basic and medical sciences, behavioural subjects and in relating theoretical and practical skills.

Adult↗

Dental attendance of some of the common immigrant groups in Sweden.

The aim of this study was to see how Greek, Polish, Turkish, Yugoslavian and Finnish immigrants utilized dental services offered, as compared to Swedes. The study covered the years 1976-79, using figures from the National Social Insurance Board (NSIB). All foreign citizens of the aforementioned groups born on the 20th of any month and living in the country of Stockholm were selected, together with a comparison group of Swedish citizens. During the 4 yr in question, only 31% of the Greeks, 50% of the Poles, 28% of the Turks, 40% of the Yugoslavs and 75% of the Finns visited a dentist in Sweden, while 87% of the Swedes did. Few immigrants except some Finns went annually. A great majority of all Greeks, Turks and Yugoslavs either saw a dentist only once or else not at all during the whole period. Emergency treatment was significantly more common for these groups than for Poles, Finns or Swedes. The study revealed a fragmentary and episodic use of the dental services offered to most common immigrant groups in Sweden.

Adult↗

Dietary habits and dental health in 6-year-old Finnish immigrant children in Sweden.

A survey, including a clinical and radiographic examination for dental health, was carried out on 19 6-year-old Finnish immigrant children and 24 Swedish children in a Stockholm suburb. The parents were interviewed about their children's and their own dietary habits. The study showed generally worse dietary habits in the Finnish than in Swedish group. Both the children and the parents in the Finnish group had more food intakes per day than the Swedes. The Finnish children had a significantly more frequent consumption of cariologically unsuitable products such as soft-drinks, sweets, lozenges and chewing-gum than the Swedish children and a majority of the Finnish parents took sugar in their coffee and/or tea. The Finnish children had also more filled and carious teeth. The study revealed a great need for both general dietary and dental health information in the studied group of Finnish immigrant families with pre-schoolchildren.

Child↗

Dentists' experiences of immigrants as patients.

The use of dental services by immigrants in Sweden has been the object of several recent studies, but no investigations have been made about immigrants as patients from the dentist's point of view. A questionnaire, including detailed questions about treatment of adult immigrant patients during 1983, was sent to all private practising dentists and PDS clinics in the 10 local council areas with the highest percentages of immigrants in Stockholm County. The response rate was 93%. All PDS clinics and 84% of the private practitioners had treated immigrants. Language difficulties, poor knowledge of dentistry, difficulties in keeping treatment times and exaggerated expressions of pain were the most frequent problems with immigrant patients. The need for treatment was considered to be generally higher among immigrants than native patients. Prophylaxis and periodontics were unanimously considered to be the most difficult treatment measures for immigrants. Better information to immigrants on dental disease and dental care and a better interpreter service were suggested to improve the situation.

Attitude of Health Personnel↗

Community dentistry in Nordic dental schools.

Approximately a decade after the first plans for the teaching of community dentistry were made in the Nordic countries, a questionnaire survey of Nordic dental schools was conducted to find out to what extent community dentistry subjects had been introduced in undergraduate curricula. Replies were received from the 12 dental schools in Denmark, Finland, Norway and Sweden. These schools admitted 915 students in 1982-83. Seven had a department of community dentistry, and at least two others had plans to start one. About 100 h of teaching were given on community dentistry subjects during the 5-yr course of study, mostly on the traditional subjects of epidemiology, statistics, law and ethics. In some schools health education and other behavioral sciences subjects received a large amount of curriculum time. Decisionmaking theory and political science were not reported taught at any school. Three departments had attached clinics, with widely differing functions. The Nordic textbook in community dentistry was widely used, and separate examinations were held in community dentistry at most schools. Full-time postgraduate courses were offered at three schools. Although schools in all four countries expected the number of dental students to decrease in coming years, several schools expected community dentistry to expand with regard to curriculum time and staff, in keeping with trends in other countries.

Community Dentistry↗

Use of dental services by Finnish immigrants in Sweden assessed by questionnaire.

The purpose of this work was to assess the dental visiting behaviour of Finnish immigrants in Sweden, and factors which determined this. The initial material consisted of a probability sample of 1332 Finnish citizens aged 20 to 59 years, resident in a Stockholm suburb. The response rate was 80%. About 23% of the respondents had never been to a dentist in Sweden. They were mostly newly immigrated and had a poor knowledge of Swedish. About 36% of the subjects visited a dentist in Sweden regularly (at least every second year), a lower rate than reported from studies on Swedish populations. Twenty-three per cent of the subjects had on some occasion been to a dentist in Finland while resident in Sweden. Difficulty in getting an appointment, indifference, fear, language difficulties and poor knowledge of the dental care system in Sweden were mentioned as reasons for not attending a dentist. Thus prevailing attitudes as well as the many other problems in connection with immigration seemed to result in dental health being given low priority by Finnish immigrants in Sweden.

Adult↗

Dental health and perceived treatment needs of Finnish immigrants in Sweden.

The purpose of this study was to analyse the dental health and perceived treatment needs of Finnish immigrants in Sweden, using a representative sample and questionnaire technique. The material consisted of a random sample of 1 332 persons aged 20-59 years, resident in a Stockholm suburb. The response rate was 80%. Validity of the questionnaire was tested in a subgroup by comparing the number of teeth reported present in the questionnaire with the number observed clinically. Correlation coefficient (r) was 0.98. Compared with a study of Swedes, the mean number of remaining teeth was found to be lower and the proportion of edentulous persons higher in this study. The mean number of teeth was, however, higher than that found in a clinical study of Finnish immigrants 5 years previously, indicating a possible slight improvement in the dental health of Finnish immigrants. Almost 70% of the younger and about 45% of the older respondents had a perceived treatment need, primarily for fillings and scaling, older respondents also requiring prostheses. The real treatment need was probably greater than the study indicated. The study shows that Finnish immigrants to Sweden, as a social group, are in great need of dental treatment.

Adolescent↗

Dental visiting patterns of Finns and Swedes in Sweden, 1976-1980.

Information on treatment provided to a random (cluster) sample of all adult patients treated under the dental insurance scheme in Sweden since 1974 is stored at the National Social Insurance Board (NSIB). In this study the use of dental services by settled Finnish immigrants and Swedes over a 5-year period (1976-80) was compared, using this information. The material consisted of 1152 17- to 64-year-old Finnish immigrants, selected in accordance with the same criteria as the NSIB sample, registered on the population register of Stockholm county in 1975 and still on the register in 1982, and a comparison group of individually matched Swedes. Standard NSIB computer programs and a special program for recurrent use of dental services in 1976-79 were used. Because of regulations on confidentiality of personal information, comparisons were based on inter-group differences. Each year about 40% of Finnish immigrants and 50% of Swedes had been to a dentist. In both groups women visited a dentist more frequently. The proportion of persons in the different groups who had used dental services in the period 1976-80 varied only slightly from year to year. In the 4-year period 1976-79, 74% of Finnish immigrants and 87% of Swedes in the studied groups had been to a dentist at least once. Significantly more Swedes than Finnish immigrants had seen a dentist annually. Of those who had been to a dentist, a significantly greater proportion of Finnish immigrants than Swedes had received acute treatment and dentures.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗