Biomedical subjects
L Jorkjend
Publications and source records attributed to L Jorkjend.
[Dental status of workers at a Norwegian industry. Part I. Mucous membrane lesions in dentulous persons].
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[Dental status of workers at a Norwegian factory. Part III. Erosions].
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[Dental conditions of workers at a Norwegian industry. Part II. Magnesium content of blood and saliva].
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Benefits and prognoses following 10 years of a fluoride mouthrinsing program.
This paper is based upon the mean annual amounts of fillings (filled surfaces) and the DMFS among 6/7- to 15/16-year-old children. Each age group comprised about 450 children. Cross-sectional recordings were available prior to the start of a caries-preventive program based on 2-weekly fluoride rinses. Cross-sectional and longitudinal DMFS recordings were different during the 10 years of observation. This indicates benefits exceeding the present 70% reduction in need for fillings and 50% improved caries prevalence. The ratio fillings needed for giving the DMFS score among 13- to 14-year-old children was found to improve from 1.60 to 1.16. Based on the cumulative amounts of fillings and the ratio of fillings/DMFS, a DMFS of 15 may be expected in 4 years among children 15-16 years old. This caries prevalence is not markedly different from DMFS recordings among Scandinavian children living in fluoride areas.
[Plaque and gingivitis in school children].
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Alveolar bone loss in the permanent first molars of Norwegian schoolchildren receiving systematic dental care.
A distance exceeding 2 mm from the cementoenamel junction (CEJ) to the alveolar bone was observed on the proximal surfaces of the first molars of proportionally more 15-year-olds (101 subjects) than 13-year-olds (99 subjects). The measurements were performed on bitewing radiographs, and the methodologic error amounted to 3%. Recordings in excess of 2 mm were most frequent (0.27 and 0.23) for the distal surfaces of the maxillary molars.
Caries experience as predictor for caries incidence.
The caries increment (filled surfaces) from the ages 7 to 15 years were compared in children with three or fewer (low prevalence group) or eight or more filled surfaces (high prevalence group) at the age of 8. The children participated in a fortnightly fluoride mouthrinsing program (10 ml of 0.2% NaF). Following 8 years of dental treatment and caries prophylaxis, the caries increments were 11.4 (s.d. = 7.7, n = 23 subjects) and 17.1 (s.d. = 9.6, n = 39 subjects) surfaces, i.e. significantly different (t = 2.376). Significantly (t = 4.034) more fillings had been required in the high than in the low prevalence group (31.1 +/- 17.1 vs. 15.5 +/- 9.6). The "risk group" could be identified at the ages of 7 to 8 by high caries prevalence and high ratio fillings/caries increment. Social class and number of teeth accounted more for the initial caries prevalence than for the caries increment. Correlation analyses revealed a significant, but not strong (r = 0.50), association between caries prevalence at the age of 7 and increment of fillings.
An approach to objective assessment of caries prophylactic measures in a dental health program.
In a retrospective survey the mean number of intact proximal surfaces on the first molars of 13-year-old children was found to increase from 2.6 to 4.8 following 7 years of a preventive program with fortnightly fluoride mouthrinsings (0.2% NaF). This improvement was significant and corresponded to a reduction of the totally filled surfaces from 30.0 to 16.6. Caries on the proximal surfaces on the first molars was assessed from bite-wing radiographs. Judged from interexaminer comparisons, the number of filled surfaces was a reliable parameter of the caries prevalence in 13-year-old children. In a group of 54 children aged 13 who participated in the preventive program, the caries experience on the proximal surfaces of the first molars was significantly associated with the total DMFS.
Effect of mouth rinsing and toothbrushing with fluoride solutions on caries among Norwegian schoolchildren.
The caries experience and the plaque and gingival conditions of 14-year-old children participating in fortnightly fluoride (0.2 % NaF) mouth rinsing (88 subjects) were compared with observations in children performing supervised toothbrushing with a fluoride (0.5 % NaF) solution 4-5 times per year (n = 90). Most of the children, 84 and 90% respectively, had participated in these programs for the previous 6 years. Caries was assessed only on radiographs. The mean number of decayed surfaces was 5.8 (s.d. = 4.1, n = 88) and 5.4 (s.d. = 4.1, n = 90). The mean numbers of decayed and filled surfaces were 19.3 +/- 9.2 and 27.9 +/- 10.2 for subjects with rinsing or brushing. This significant difference could not be ascribed to sex, social class, years of residence in the towns, number of dentists performing the previous treatments, toothbrushing habits, use of fluorides at home, or amount of plaque. All children had gingivitis. There were no differences in the mean number of Plaque Index score 2 or the number of Gingival Index score 2 between the children with the different preventive programs. The girls' oral hygiene was better than the boys', but the gingival conditions were the same. Sex, social class, and toothbrushing techniques tended to have a slight influence on the amount of plaque.
The influence of examination of the assessment of the intra-examiner error by using the plaque and gingival index systems.
The plaque situation on 48 surfaces in 31 children 13 years of age was assessed. A re-examination within 2 hours indicated a significant increase in the number of O Plaque Index scores. Following paired comparison of each of the 48 areas, 22 % of the surfaces were found to have changed score. Significantly more scores indicating improvement of the plaque situation were found at the second examination. A re-examination of plaque on consecutive days in a similar group of children showed no significant changes. Re-examination of the gingival conditions within 2 hours indicated a significant increase in the number of scores of 2 and this was confirmed by the paired comparison on the 48 surfaces. The findings indicate systematic errors rather than intra-examiner inconsistency.
[Occurence of dental plaque among Norwegian children with systematic school dental care. A method for identification of patients with special need for dental plaque control].
The prevalence of dental plaque was assessed in 1534 school children 7-12 years old in Porsgrunn, Norway. Only the first molars and the incisors were examined. In each child 48 scorings were carried out by the Plaque Index (Pl I) (Silness & Löe 1964). The frequencies of Pl I score 0, 1 and 2 were calculated per individual, school class and school. Score 0 expresses an optimal situation whereas score 2 is assumed to indicate the need for treatment. These features have been visualized, and the distribution pattern seems to be suitable for dental public health workers. Mean Pl I was 1.50. Score 3 was not observed. 55% of the tooth surfaces was covered with dental plaque corresponding to score 2, whereas score 1 was observed in 40%. Children with score 0 on all tooth surfaces were not registered. Great variation in plaque prevalence was found between the school classes. The 6. grade (aged 12 years) children showed the best condition.