Umeå University's logo

umu.sePublications
Change search
Link to record
Permanent link

Direct link
Häggman-Henrikson, BirgittaORCID iD iconorcid.org/0000-0001-6088-3739
Alternative names
Publications (10 of 52) Show all publications
Manfredini, D., Ahlberg, J., Aarab, G., Bracci, A., Durham, J., Emodi-Perlman, A., . . . Lobbezoo, F. (2024). The development of the Standardised Tool for the Assessment of Bruxism (STAB): an international road map. Journal of Oral Rehabilitation, 51(1), 15-28
Open this publication in new window or tab >>The development of the Standardised Tool for the Assessment of Bruxism (STAB): an international road map
Show others...
2024 (English)In: Journal of Oral Rehabilitation, E-ISSN 1365-2842, Vol. 51, no 1, p. 15-28Article, review/survey (Refereed) Published
Abstract [en]

This paper summarises the background reasoning and work that led to the selection of the items included in the Standardised Tool for the Assessment of Bruxism (STAB), also introducing the list of items. The instrument is currently being tested for face validity and on-field comprehension. The underlying premise is that the different motor activities included in the bruxism spectrum (e.g. clenching vs. grinding, with or without teeth contact) potentially need to be discriminated from each other, based on their purportedly different aetiology, comorbidities and potential consequences. Focus should be on a valid impression of the activities' frequency, intensity and duration. The methods that can be used for the above purposes can be grouped into strategies that collect information from the patient's history (subject-based), from the clinical assessment performed by an examiner (clinically based) or from the use of instruments to measure certain outcomes (instrumentally based). The three strategies can apply to all aspects of bruxism (i.e. status, comorbid conditions, aetiology and consequences). The STAB will help gathering information on many aspects, factors and conditions that are currently poorly investigated in the field of bruxism. To this purpose, it is divided into two axes. Axis A includes the self-reported information on bruxism status and potential consequences (subject-based report) together with the clinical (examiner report) and instrumental assessment (technology report). Axis B includes the self-reported information (subject-based report) on factors and conditions that may have an etiological or comorbid role for bruxism. This comprehensive multidimensional assessment system will allow building predictive model for clinical and research purposes.

Place, publisher, year, edition, pages
John Wiley & Sons, 2024
Keywords
assessment, awake bruxism, bruxism, sleep bruxism, Standardised Tool for the Assessment of Bruxism
National Category
Dentistry
Research subject
Odontology
Identifiers
urn:nbn:se:umu:diva-201259 (URN)10.1111/joor.13380 (DOI)000879617800001 ()36261916 (PubMedID)2-s2.0-85141499235 (Scopus ID)
Note

First published online: 19 October 2022

Available from: 2022-11-24 Created: 2022-11-24 Last updated: 2024-01-17Bibliographically approved
Böthun, A., Lövgren, A., Stålnacke, B.-M., Lampa, E., Österlund, C., Häggman-Henrikson, B. & Hellström, F. (2024). Whiplash trauma did not predict jaw pain after 2 years: an explorative study. Clinical Oral Investigations, 28, Article ID 165.
Open this publication in new window or tab >>Whiplash trauma did not predict jaw pain after 2 years: an explorative study
Show others...
2024 (English)In: Clinical Oral Investigations, ISSN 1432-6981, E-ISSN 1436-3771, Vol. 28, article id 165Article in journal (Refereed) Published
Abstract [en]

Objectives: To explore predictive factors for the development and maintenance of jaw pain over a 2-year period.

Methods: One hundred nineteen cases (73 women) and 104 controls (59 women), mean age 34.9 years (SD 13.9), attended baseline and 2-year follow-up examinations. The whiplash cases visited the emergency department at Umeå University Hospital, Sweden, with neck pain within 72 h following a car accident, and baseline questionnaires were answered within a month after trauma. Controls were recruited via advertising. Inclusion criteria were age 18–70 years, living in Umeå municipality and Swedish speaking. The exclusion criterion was neck fracture for cases and a previous neck trauma for controls. Validated questionnaires recommended in the standardized Research Diagnostic Criteria for temporomandibular disorders were used. Jaw pain was assessed by two validated screening questions answered with “yes” or “no.” A logistic regression analysis was used to predict the outcome variable jaw pain (yes/no) after 2 years.

Results: Whiplash trauma did not increase the odds of development of jaw pain over a 2-year period (OR 1.97, 95% CI 0.53–7.38). However, non-specific physical symptoms (OR 8.56, 95% CI 1.08–67.67) and female gender (OR 4.89, 95% CI 1.09–22.02) did increase the odds for jaw pain after 2 years.

Conclusion: The development and maintenance of jaw pain after whiplash trauma are primarily not related to the trauma itself, but more associated with physical symptoms.

Clinical relevance: The development of jaw pain in connection with a whiplash trauma needs to be seen in a biopsychosocial perspective, and early assessment is recommended.

Place, publisher, year, edition, pages
Springer Nature, 2024
Keywords
Temporomandibular disorders, Whiplash injuries, Facial pain, Jaw pain, Neck pain
National Category
Dentistry
Identifiers
urn:nbn:se:umu:diva-221419 (URN)10.1007/s00784-024-05555-z (DOI)38383824 (PubMedID)2-s2.0-85185695499 (Scopus ID)
Funder
Region Västerbotten, RV-909851Region Västerbotten, VLL-324631
Available from: 2024-02-22 Created: 2024-02-22 Last updated: 2024-03-06Bibliographically approved
Sharma, S., Nilsson, P. M., Östergren, P.-O., Häggman-Henrikson, B., List, T. & Kallen, M. A. (2023). A new instrument for assessing work-related body mechanics and strain in the general population. Journal of Pain, 24(2), 237-250
Open this publication in new window or tab >>A new instrument for assessing work-related body mechanics and strain in the general population
Show others...
2023 (English)In: Journal of Pain, ISSN 1526-5900, E-ISSN 1528-8447, Vol. 24, no 2, p. 237-250Article in journal (Refereed) Published
Abstract [en]

Clinical pain is often linked to poor body mechanics, with individuals sometimes presenting multiple painful disorders. Such disorders may be influenced by behaviors that affect the general resiliency and health of the musculoskeletal system. We aimed to develop a self-reported scale using the Malmö Diet and Cancer Study questions on work-related body mechanical exposures. An expert panel identified 41 variables having content validity for musculoskeletal problems. Exploratory factor analysis was conducted on a random selection of 50% of the cohort (n = 6,789 adults); the remaining was reserved for confirmatory factor analyses (CFA), item response theory (IRT) item calibration, and differential item functioning investigations. Supported by standard measure development methods and fit criteria, the final unidimensional item bank contains 13 items. Overall CFA statistics (root mean square error of approximation = .09; comparative fit index = .96; Tucker-Lewis index = .96; standardized root mean residuals = .05) indicated excellent single-factor model fit and appropriateness of IRT modeling and calibration. Expert review and item information values (score-precision) guided selection of an 8-item short form with acceptable score-level reliabilities (≥.70) for T-scores = 39–80+. This measure provides reliable assessment of body mechanics strain in adults and can be useful when evaluating different contributions to musculoskeletal problems affecting pain-treatment success in future clinical research. Perspective: This article presents the development and psychometric properties of a new measure, "Work-related Body Mechanics and Strain Scale (WR-BMSS)." The scale has 13-items or alternatively an 8-item short form. This measure could potentially help clinicians who seek to assess how musculoskeletal problems may contribute to patient pain and disability.

Place, publisher, year, edition, pages
Elsevier, 2023
Keywords
Body mechanics, Factor analysis, Psychometrics, Strain, Work-place limitation
National Category
Neurology
Identifiers
urn:nbn:se:umu:diva-201759 (URN)10.1016/j.jpain.2022.09.011 (DOI)000969412300001 ()36216127 (PubMedID)2-s2.0-85143487167 (Scopus ID)
Funder
Swedish Cancer SocietyEuropean CommissionMalmö stad
Available from: 2022-12-19 Created: 2022-12-19 Last updated: 2023-06-19Bibliographically approved
Lövgren, A., Ilgunas, A., Häggman-Henrikson, B., Elias, B., Roudini, O. A., Visscher, C., . . . Liv, P. (2023). Associations between screening for functional jaw disturbances and patient reported outcomes on jaw limitations and oral behaviors. Journal of Evidence-Based Dental Practice, 23(3), Article ID 101888.
Open this publication in new window or tab >>Associations between screening for functional jaw disturbances and patient reported outcomes on jaw limitations and oral behaviors
Show others...
2023 (English)In: Journal of Evidence-Based Dental Practice, ISSN 1532-3382, E-ISSN 1532-3390, Vol. 23, no 3, article id 101888Article in journal (Refereed) Published
Abstract [en]

Objectives: Temporomandibular disorders (TMDs) is a collective term for pain and functional disturbances related to the jaw muscles and the temporomandibular joint. In contrast to screening for orofacial pain, knowledge is limited on the association between patient-reported outcomes and screening for joint-related functional jaw disturbances. Therefore, our aim was to evaluate the association between a screening question for functional jaw disturbances, and disease-specific outcome measures for functional jaw limitations and oral behaviors.

Methods: This study included 299 individuals (201 women; 20-69 years, median 37.0) in a general population sample from Västerbotten, Northern Sweden in 2014. A single screening question for functional jaw disturbances “Does your jaw lock or become stuck once a week or more?” was used to categorize individuals as cases or controls. Patient-reported outcomes on functional jaw disturbances were assessed with the 20-item jaw functional limitation scale (JFLS-20) and oral behaviors with the 21-item Oral Behaviors Checklist (OBC-21).

Results: The strongest predictive probability to have a positive screening outcome was functional jaw limitations related to mobility (AUCboot=0.78, 95 CI:0.71-0.86, P <.001), followed by limitations related to communication (AUCboot = 0.74, 95 CI:0.63-0.80, P <.001) and mastication (AUCboot = 0.73, 95 CI:0.66-0.81, P <.001). The frequency of oral behaviors was not significantly associated with a positive screening outcome (AUCboot = 0.65, 95 CI:0.55-0.72, P =.223).

Conclusions: Self-reported functional limitations, but not oral behaviors, are strongly associated with a single screening question for frequent functional jaw disturbances. This finding provides support for incorporating a question on jaw catching/locking once a week or more in screening instruments for TMDs.

Place, publisher, year, edition, pages
Elsevier, 2023
Keywords
Clinical decision-making, Dental, General practice, Screening, Temporomandibular joint disorders
National Category
Dentistry
Identifiers
urn:nbn:se:umu:diva-212835 (URN)10.1016/j.jebdp.2023.101888 (DOI)2-s2.0-85166922410 (Scopus ID)
Available from: 2023-08-15 Created: 2023-08-15 Last updated: 2023-09-28Bibliographically approved
Böthun, A., Häggman-Henrikson, B., Stålnacke, B.-M., Wänman, A., Nordh, E., Lampa, E. & Hellström, F. (2023). Clinical signs in the jaw and neck region following whiplash trauma: A 2-year follow-up. European Journal of Pain, 27(6), 699-709
Open this publication in new window or tab >>Clinical signs in the jaw and neck region following whiplash trauma: A 2-year follow-up
Show others...
2023 (English)In: European Journal of Pain, ISSN 1090-3801, E-ISSN 1532-2149, Vol. 27, no 6, p. 699-709Article in journal (Refereed) Published
Abstract [en]

Background: Pain in the orofacial region is often reported after whiplash trauma. However, prospective studies evaluating clinical signs related to orofacial pain and disability in whiplash populations are rare. The aim of the present study was to evaluate clinical signs related to pain and dysfunction in orofacial and neck regions after whiplash trauma, in a short- and long-term perspective.

Methods: In total, 84 cases (48 women) diagnosed with neck distortion after a car accident and 116 controls (68 women) were examined within 1 month, and 49 cases (27 women) and 71 controls (41 women) were re-examined 2 years later. Outcome measures were pain on palpation of jaw and neck muscles and maximal jaw opening. Analysis was performed using mixed-models.

Results: Cases and women were at higher risk for pain on palpation of jaw muscles (OR:7.7; p < 0.001 and OR:3.2; p = 0.010 respectively) and neck muscles (OR:12.7; p < 0.001 and OR:2.9; p = 0.020 respectively) but with no significant effect of time. Cases and women also had lower maximal jaw opening (−3.1; p = 0.001 and −3.3; p = 0.001 respectively). There was no significant time effect, but a significant interaction between cases and time (2.2; p = 0.004).

Conclusion: Individuals with a whiplash trauma present a higher risk for pain on palpation in jaw and neck muscles both in a short- and long-term perspective, but show normal jaw movements. No time effect suggests that cases do not spontaneously improve nor get worse. Investigating pain on palpation in the jaw and neck muscles after whiplash trauma can identify individuals at risk for developing long-term orofacial pain and dysfunction.

Significance: Orofacial pain is often reported after whiplash trauma but most previous studies concerning orofacial pain in whiplash populations have been questionnaire studies. Cases with a previous whiplash trauma and women, in general, had higher risk for pain on palpation in the jaw and neck region. Investigating pain on palpation after a whiplash trauma can help to identify individuals at risk of developing long-lasting pain in the orofacial region.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
National Category
Dentistry
Research subject
Odontology
Identifiers
urn:nbn:se:umu:diva-205666 (URN)10.1002/ejp.2099 (DOI)000945366500001 ()36806817 (PubMedID)2-s2.0-85150413156 (Scopus ID)
Funder
Region Västerbotten, RV-909851Region Västerbotten, VLL-324631
Available from: 2023-03-13 Created: 2023-03-13 Last updated: 2023-06-20Bibliographically approved
Ilgunas, A., Häggman-Henrikson, B., Visscher, C., Lobbezoo, F., Durham, J., Liv, P. & Lövgren, A. (2023). The longitudinal relationship between jaw catching/locking and pain. Journal of Dental Research, 102(4), 383-390
Open this publication in new window or tab >>The longitudinal relationship between jaw catching/locking and pain
Show others...
2023 (English)In: Journal of Dental Research, ISSN 0022-0345, E-ISSN 1544-0591, Vol. 102, no 4, p. 383-390Article in journal (Refereed) Published
Abstract [en]

Orofacial pain and joint-related dysfunction can negatively affect daily jaw function. A common cause for limitations in jaw movements is joint-related dysfunction such as various forms of catching and locking. However, knowledge is limited regarding the development and natural course of joint-related jaw dysfunction and its relationship to the onset and course of orofacial pain. Therefore, the aim was to evaluate the incidence, prevalence, and gender differences in jaw catching/locking over time and in relation to orofacial pain in the general population. Data from 3 validated screening questions on orofacial pain and jaw catching/locking were collected from all routine dental checkups in the Public Dental Health Services in Västerbotten, Sweden, from 2010 to 2017. Logistic generalized estimating equation was used to account for repeated observations and Poisson regression for incidence analysis. In total, 180,308 individuals (aged 5–104 y) were screened in 525,707 dental checkups. In 2010, based on 37,647 individuals, the prevalence of self-reported catching/locking was higher in women than in men (3.2% vs. 1.5%; odds ratio, 2.11; 95% confidence interval [CI], 1.83–2.43), and this relationship and magnitude remained similar throughout the study period. The annual incidence rate was 1.1% in women and 0.5% in men. Women were at a higher risk than men for reporting both first onset (incidence rate ratio [IRR], 2.29; 95% CI, 2.11–2.49) and persistent (IRR, 2.31; 95% CI, 2.04–2.63) catching/locking. For the onset subcohort (n = 135,801), an independent onset of orofacial pain or jaw catching/locking exclusively was reported by 84.1%, whereas a concurrent onset was reported by 13.4%. Our findings of higher incidence, prevalence, and persistence in women than in men indicate that the gender differences seen for orofacial pain are evident also for jaw catching/locking. The findings also suggest independent onset of self-reported catching/locking and orofacial pain, which reinforces the pathophysiological differences between these conditions.

Place, publisher, year, edition, pages
Sage Publications, 2023
Keywords
cohort studies, dentistry, epidemiology, facial pain, population health, temporomandibular joint disorders
National Category
Dentistry
Identifiers
urn:nbn:se:umu:diva-202140 (URN)10.1177/00220345221138532 (DOI)000893183300001 ()36940290 (PubMedID)2-s2.0-85143637716 (Scopus ID)
Funder
Swedish Dental AssociationUmeå UniversityRegion Västerbotten
Available from: 2023-01-02 Created: 2023-01-02 Last updated: 2023-07-14Bibliographically approved
Böthun, A., Häggman-Henrikson, B., Wiesinger, B., Wänman, A., Hellström, F. & Österlund, C. (2022). Jaw–neck motor strategy during jaw‐opening with resistance load. Journal of Oral Rehabilitation, 49(5), 514-521
Open this publication in new window or tab >>Jaw–neck motor strategy during jaw‐opening with resistance load
Show others...
2022 (English)In: Journal of Oral Rehabilitation, E-ISSN 1365-2842, Vol. 49, no 5, p. 514-521Article in journal (Refereed) Published
Abstract [en]

Background:  The jaw and neck motor systems have a close functional integration but the effect of resistance load to the mandible during jaw opening on the jaw-neck integration is not known.

Objectives:  To evaluate the effect of resistance load compared to no load on integrated jaw and neck motor function in individuals free from pain and dysfunction in the jaw and neck regions.

Methods:  Jaw and head movements during continuous jaw opening were recorded with an optoelectronic system (MacReflex® ) in 26 pain-free individuals (14 women, 12 men, mean age 22 years). Jaw opening was performed with and without resistance load (1600 g) to the mandible. The relationship between jaw movement amplitude, head movement amplitude, head/jaw ratio (quotient of head and jaw movement amplitude) and resistance load were modelled using linear mixed-model analysis. A p-value <.05 was considered statistically significant.

Results:  The expected head/jaw ratio mean was increased by 0.05 (95% CI: 0.03, 0.08, p < .001) with resistance load as compared to no load. This corresponds to an increase in expected mean by 55.6%. With resistance load, expected mean head movement amplitude increased by 1.4 mm (95% CI: 0.2, 2.5, p = .018), and expected mean jaw movement amplitude decreased by 3.7 mm (95% CI: -7.0, -0.5, p = .025).

Conclusion:  There is a compensation and adaptation of integrated jaw-neck motor function with an altered jaw-neck motor strategy during jaw opening with resistance load compared to no load. The head/jaw ratio demonstrates increased proportional involvement of the neck during increased load on the jaw system.

Place, publisher, year, edition, pages
John Wiley & Sons, 2022
Keywords
exercise, jaw, motor activity, motor skills, movement, neck
National Category
Dentistry
Research subject
Odontology
Identifiers
urn:nbn:se:umu:diva-190626 (URN)10.1111/joor.13291 (DOI)000731492000001 ()34878690 (PubMedID)2-s2.0-85121471921 (Scopus ID)
Funder
Region Västerbotten, 7003768
Available from: 2021-12-20 Created: 2021-12-20 Last updated: 2024-01-17Bibliographically approved
Lövgren, A., Visscher, C. M., Lobbezo, F., Yekkalam, N., Vallin, S., Wänman, A. & Häggman-Henrikson, B. (2022). The association between myofascial orofacial pain with and without referral and widespread pain. Acta Odontologica Scandinavica, 80(7), 481-486
Open this publication in new window or tab >>The association between myofascial orofacial pain with and without referral and widespread pain
Show others...
2022 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 80, no 7, p. 481-486Article in journal (Refereed) Published
Abstract [en]

Objectives: Pain referral on palpation has been suggested to be a clinical sign of central sensitization potentially associated with widespread pain conditions. Our aim was to evaluate if myofascial pain with referral is a better predictor for widespread pain when compared to no pain or local myofascial pain.

Materials and methods: Individuals at the Public Dental services in Västerbotten, Sweden, were randomly invited based on their answers to three screening questions for temporomandibular disorders (TMD). In total, 300 individuals (202 women, 20–69 yrs) were recruited, and examined according to the Diagnostic Criteria for TMD (DC/TMD) after completion of a body pain drawing. Widespread pain was considered present when seven or more pain sites were reported on the widespread pain index. A binary logistic regression model, adjusted for the effect of age and gender were used to evaluate the association between myofascial orofacial pain and widespread pain.

Results: Widespread pain was reported by 31.3% of the study sample. There was a 57.3% overlap with myofascial pain. Widespread pain was associated to myofascial orofacial pain with and myofascial orofacial pain (OR 4.83 95% CI 2.62–9.05 and OR 11.62 95% CI 5.18–27.88, respectively).

Conclusion: These findings reinforce the existing knowledge on the overlap between painful TMD and other chronic pain conditions.

Place, publisher, year, edition, pages
Taylor & Francis, 2022
Keywords
General practice dentistry, temporomandibular disorders, myofascial pain, widespread pain
National Category
Dentistry
Identifiers
urn:nbn:se:umu:diva-183181 (URN)10.1080/00016357.2022.2036363 (DOI)000819751800001 ()35776512 (PubMedID)2-s2.0-85133290624 (Scopus ID)
Funder
Umeå UniversityRegion Västerbotten
Note

Originally included in thesis in manuscript form.

Available from: 2021-05-18 Created: 2021-05-18 Last updated: 2022-12-13Bibliographically approved
Lövgren, A., Häggman-Henrikson, B., Fjellman-Wiklund, A., Begic, A., Landgren, H., Lundén, V., . . . Österlund, C. (2022). The impact of gender of the examiner on orofacial pain perception and pain reporting among healthy volunteers. Clinical Oral Investigations, 26, 3033-3040
Open this publication in new window or tab >>The impact of gender of the examiner on orofacial pain perception and pain reporting among healthy volunteers
Show others...
2022 (English)In: Clinical Oral Investigations, ISSN 1432-6981, E-ISSN 1436-3771, Vol. 26, p. 3033-3040Article in journal (Refereed) Published
Abstract [en]

Objectives: Pain on palpation of jaw muscles is a commonly used diagnostic criterion when examining patients with orofacial pain. It is not known, however, if pain reports are affected by the gender of the examiner. Our aim was to investigate if pressure pain threshold (PPT), pressure pain tolerance (PTol), and pain intensity assessed over the masseter muscles in healthy individuals are affected by the gender of the examiner.

Materials and methods: Healthy, pain-free individuals were recruited on a voluntary basis. PPT and PTol were assessed using pressure algometry. At the PTol level, participants also rated pain intensity on a 0–10 numeric rating scale. Assessments of PPT and PTol were conducted with six repeated measurements performed twice, separately by one female and one male examiner, on each participant.

Results: In total, 84 participants (43 women; median age 24, IQR 6) were included. With a female examiner, women reported higher pain intensity than men (Mann Whitney U, p = 0.005). In the multivariable analysis, significantly higher PTol was predicted by male examiner. Also, a higher ratio between PTol and reported pain intensity was predicted by male examiner.

Conclusions: The gender of the examiner influences pain reporting and perception in an experimental setting. This effect on pain perception related to gender of the examiner is probably related to normative gender behaviors rather than to biological alterations within the examined individual.

Clinical relevance: In clinical and experimental settings, gender of the examiner may affect not only pain perception but also pain reporting, with potential implications for diagnostics in patients with pain.

Place, publisher, year, edition, pages
Springer, 2022
Keywords
Experimental pain, Gender roles, Orofacial pain, Pain perception, Pain reporting, Pressure pain
National Category
Dentistry
Identifiers
urn:nbn:se:umu:diva-190826 (URN)10.1007/s00784-021-04286-9 (DOI)000729669700001 ()34902057 (PubMedID)2-s2.0-85121140336 (Scopus ID)
Available from: 2021-12-29 Created: 2021-12-29 Last updated: 2022-11-29Bibliographically approved
Ilgunas, A., Lövgren, A., Fjellman-Wiklund, A., Häggman-Henrikson, B., Karlsson Wirebring, L., Lobbezoo, F., . . . Durham, J. (2021). Conceptualizing the clinical decision-making process in managing temporomandibular disorders: a qualitative study. European Journal of Oral Sciences, 129(5), Article ID e12811.
Open this publication in new window or tab >>Conceptualizing the clinical decision-making process in managing temporomandibular disorders: a qualitative study
Show others...
2021 (English)In: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, Vol. 129, no 5, article id e12811Article in journal (Refereed) Published
Abstract [en]

Management of patients with temporomandibular disorders (TMD) appears to be more challenging than for other dental conditions. This study aimed to explore the decision-making process in TMD management, and thereby to conceptualize the decision-making process in dentistry. Individual semi-structured interviews were conducted during 2018 and 2019 with a purposive sample of 22 general dental practitioners from the Public Dental Healthcare Services and private practices in the Region of Västerbotten, Northern Sweden. The interviews were analysed using the Grounded Theory approach of Charmaz. Data analysis resulted in the core category 'Combining own competence and others' expectations in the desire to do the right thing'. The dentists showed interest in and a desire to apply professional knowledge, but also reflected on challenges and complexity in the decision-making process forTMD. The challenges were primarily related to organisational factors and lack of self-confidence. This identifies a need for re-organisation of daily clinical management in dentistry, and a need for more postgraduate training to improve self-confidence. The complexity of the decision-making process for TMD makes the study findings applicable in other dental situations.

Place, publisher, year, edition, pages
John Wiley & Sons, 2021
Keywords
decision-making, dental health services, evidence-based dentistry, qualitative research, temporomandibular joint disorders
National Category
Dentistry Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Odontology
Identifiers
urn:nbn:se:umu:diva-184795 (URN)10.1111/eos.12811 (DOI)000662824700001 ()34145628 (PubMedID)2-s2.0-85107969782 (Scopus ID)
Projects
ujl
Available from: 2021-06-18 Created: 2021-06-18 Last updated: 2023-12-14Bibliographically approved
Projects
Malmö Offspring Pain Study - MOPSSmartphone application for reporting awake bruxism – development of a Swedish version; Malmö University
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-6088-3739

Search in DiVA

Show all publications