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Harrison, P., Madeley, E., Nolan, M., Renvert, S. & Polyzois, I. (2024). A longitudinal analysis of the impact of nonsurgical and surgical treatment of peri-implantitis upon clinical parameters and implant stability quotient values. A 2–3-year follow-up. Clinical and Experimental Dental Research, 10(1), Article ID e833.
Open this publication in new window or tab >>A longitudinal analysis of the impact of nonsurgical and surgical treatment of peri-implantitis upon clinical parameters and implant stability quotient values. A 2–3-year follow-up
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2024 (English)In: Clinical and Experimental Dental Research, E-ISSN 2057-4347, Vol. 10, no 1, article id e833Article in journal (Refereed) Published
Abstract [en]

Objectives: In this study, the aim was to investigate the medium- to long-term impact of peri-implantitis treatment upon clinical parameters and implant stability quotient values and to ascertain if magnetic resonance frequency analysis can be used as a diagnostic tool to demonstrate postoperative healing following treatment of peri-implantitis. Materials and Methods: A total of n = 26 patients (n = 86 implants) diagnosed with peri-implantitis were recruited for this prospective cohort study and four different treatment modalities were used. Baseline measurements of a number of clinical parameters as well as implant stability measurements in the form of ISQ were recorded. These measurements were repeated at 6, 12, and 24–36 months following treatment. Analysis of variance was performed for all implants treated as well as separately for each treatment modality. A regression model was also used to determine factors affecting ISQ measurements over time. Results: Treatment of peri-implantitis resulted in significant improvements of both average PPDs and BOP (p <.0001 and p <.01). ISQ values marginally improved initially for all treatment modalities, but improvement was only maintained for 2–3 years in treatment modalities I (+1.28), III (+1.49), and IV (+2.92). There was a statistically significant negative linear correlation between average PPD and the ISQ values recorded both at baseline (r = −.618, p < 0.0001) and at 2/3 years (r = −.604, p < 0.0001). Conclusion: Over the 2–3-year follow-up period, all four treatment modalities led to improved clinical and radiographic peri-implant parameters but implant stability posttreatment, as indicated by the fact that the recorded ISQ scores remained stable. As a result, use of MRFA as an adjunct to the traditionally used periodontal and radiographic tools for the evaluation of postoperative implant stability following the treatment of peri-implant disease cannot be recommended. © 2023 The Authors. Clinical and Experimental Dental Research published by John Wiley & Sons Ltd.

Place, publisher, year, edition, pages
John Wiley & Sons, 2024
Keywords
dental implants, L-PRF, peri-implantitis, surgical treatment
National Category
Dentistry
Identifiers
urn:nbn:se:bth-25968 (URN)10.1002/cre2.833 (DOI)2-s2.0-85183762646 (Scopus ID)
Available from: 2024-02-16 Created: 2024-02-16 Last updated: 2024-02-16Bibliographically approved
Flyborg, J., Renvert, S., Anderberg, P., Larsson, T. & Sanmartin Berglund, J. (2024). Results of objective brushing data recorded from a powered toothbrush used by elderly individuals with mild cognitive impairment related to values for oral health. Clinical Oral Investigations, 28(1), Article ID 8.
Open this publication in new window or tab >>Results of objective brushing data recorded from a powered toothbrush used by elderly individuals with mild cognitive impairment related to values for oral health
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2024 (English)In: Clinical Oral Investigations, ISSN 1432-6981, E-ISSN 1436-3771, Vol. 28, no 1, article id 8Article in journal (Refereed) Published
Abstract [en]

Objectives: The study aimed to investigate how the objective use of a powered toothbrush in frequency and duration affects plaque index, bleeding on probing, and periodontal pocket depth ≥ 4 mm in elderly individuals with MCI. A second aim was to compare the objective results with the participants’ self-estimated brush use. Materials and methods: Objective brush usage data was extracted from the participants’ powered toothbrushes and related to the oral health variables plaque index, bleeding on probing, and periodontal pocket depth ≥ 4 mm. Furthermore, the objective usage data was compared with the participants’ self-reported brush usage reported in a questionnaire at baseline and 6- and 12-month examination. Results: Out of a screened sample of 213 individuals, 170 fulfilled the 12-month visit. The principal findings are that despite the objective values registered for frequency and duration being lower than the recommended and less than the instructed, using powered toothbrushes after instruction and information led to improved values for PI, BOP, and PPD ≥ 4 mm in the group of elderly with MIC. Conclusions: Despite lower brush frequency and duration than the generally recommended, using a powered toothbrush improved oral health. The objective brush data recorded from the powered toothbrush correlates poorly with the self-estimated brush use. Clinical relevance: Using objective brush data can become one of the factors in the collaboration to preserve and improve oral health in older people with mild cognitive impairment. Trial registration: ClinicalTrials.gov Identifier: NCT05941611, retrospectively registered 11/07/2023. © 2023, The Author(s).

Place, publisher, year, edition, pages
Springer Science+Business Media B.V., 2024
Keywords
Elderly individuals, Mild cognitive impairment, Oral health, Powered toothbrush
National Category
Dentistry
Identifiers
urn:nbn:se:bth-25835 (URN)10.1007/s00784-023-05407-2 (DOI)2-s2.0-85180240432 (Scopus ID)
Available from: 2023-12-30 Created: 2023-12-30 Last updated: 2023-12-30Bibliographically approved
Svärd, A., Kastbom, A., Roos Ljungberg, K., Potempa, B., Potempa, J., Persson, G. R., . . . Söderlin, M. K. (2023). Antibodies against Porphyromonas gingivalis in serum and saliva and their association with rheumatoid arthritis and periodontitis: Data from two rheumatoid arthritis cohorts in Sweden. Frontiers in Immunology, 14, Article ID 1183194.
Open this publication in new window or tab >>Antibodies against Porphyromonas gingivalis in serum and saliva and their association with rheumatoid arthritis and periodontitis: Data from two rheumatoid arthritis cohorts in Sweden
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2023 (English)In: Frontiers in Immunology, E-ISSN 1664-3224, Vol. 14, article id 1183194Article in journal (Refereed) Published
Abstract [en]

Background: Periodontitis and oral pathogenic bacteria can contribute to the development of rheumatoid arthritis (RA). A connection between serum antibodies to Porphyromonas gingivalis (P. gingivalis) and RA has been established, but data on saliva antibodies to P. gingivalis in RA are lacking. We evaluated antibodies to P. gingivalis in serum and saliva in two Swedish RA studies as well as their association with RA, periodontitis, antibodies to citrullinated proteins (ACPA), and RA disease activity. Methods: The SARA (secretory antibodies in RA) study includes 196 patients with RA and 101 healthy controls. The Karlskrona RA study includes 132 patients with RA ≥ 61 years of age, who underwent dental examination. Serum Immunoglobulin G (IgG) and Immunoglobulin A (IgA) antibodies and saliva IgA antibodies to the P. gingivalis–specific Arg-specific gingipain B (RgpB) were measured in patients with RA and controls. Results: The level of saliva IgA anti-RgpB antibodies was significantly higher among patients with RA than among healthy controls in multivariate analysis adjusted for age, gender, smoking, and IgG ACPA (p = 0.022). Saliva IgA anti-RgpB antibodies were associated with RA disease activity in multivariate analysis (p = 0.036). Anti-RgpB antibodies were not associated with periodontitis or serum IgG ACPA. Conclusion: Patients with RA had higher levels of saliva IgA anti-RgpB antibodies than healthy controls. Saliva IgA anti-RgpB antibodies may be associated with RA disease activity but were not associated with periodontitis or serum IgG ACPA. Our results indicate a local production of IgA anti-RgpB in the salivary glands that is not accompanied by systemic antibody production. Copyright © 2023 Svärd, Kastbom, Ljungberg, Potempa, Potempa, Persson, Renvert, Berglund and Söderlin.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2023
Keywords
anti-citrullinated antibodies (ACPAs), gingipain and periodontitis, periodontitis, porphyromonas gingivalis, rheumatoid arthritis, saliva
National Category
Rheumatology and Autoimmunity Dentistry
Identifiers
urn:nbn:se:bth-25062 (URN)10.3389/fimmu.2023.1183194 (DOI)001006380100001 ()2-s2.0-85162055082 (Scopus ID)
Funder
Region BlekingeThe Crafoord FoundationSwedish Rheumatism Association
Available from: 2023-06-30 Created: 2023-06-30 Last updated: 2024-01-17Bibliographically approved
Flyborg, J., Renvert, S., Anderberg, P., Isaksson, U. & Sanmartin Berglund, J. (2023). Measurement of body temperature in the oral cavity with a temperature sensor integrated with a powered toothbrush. SN Applied Sciences, 5(1), Article ID 22.
Open this publication in new window or tab >>Measurement of body temperature in the oral cavity with a temperature sensor integrated with a powered toothbrush
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2023 (English)In: SN Applied Sciences, ISSN 2523-3963, E-ISSN 2523-3971, Vol. 5, no 1, article id 22Article in journal (Refereed) Published
Abstract [en]

This paper presents a method for collecting core body temperature data via a temperature sensor integrated into a powered toothbrush. The purpose is to facilitate the collection of temperature data without any extended effort from the user. Twelve participants use a powered toothbrush with a temperature sensor mounted on the brush head twice daily for two months. The obtained values are compared with those from a conventional fever thermometer approved for intraoral use. The results show that the temperature sensor–integrated powered toothbrush can measure the core body temperature and provide values comparable to those provided by a traditional oral thermometer. The use of the device can facilitate disease monitoring, fertility control, and security solutions for the elderly. © 2022, The Author(s).

Place, publisher, year, edition, pages
Springer Nature, 2023
Keywords
Core body temperature, Powered toothbrush, Thermometer, Data acquisition, Disease control, Physiology, Thermometers, Body temperature, Control solutions, Core body, Disease monitoring, Measurements of, Oral cavity, Security solutions, Temperature data, Temperature sensors
National Category
Dentistry
Identifiers
urn:nbn:se:bth-24175 (URN)10.1007/s42452-022-05250-2 (DOI)000898780700001 ()2-s2.0-85144436915 (Scopus ID)
Note

open access

Available from: 2023-01-12 Created: 2023-01-12 Last updated: 2024-02-08Bibliographically approved
Henricsson, S., Wallin Bengtsson, V., Renvert, S., Sanmartin Berglund, J., Lundegren, N. & Andersson, P. (2023). Self-perceived oral health and orofacial appearance in an adult population, 60 years of age. International Journal of Dental Hygiene
Open this publication in new window or tab >>Self-perceived oral health and orofacial appearance in an adult population, 60 years of age
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2023 (English)In: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037Article in journal (Refereed) Epub ahead of print
Abstract [en]

Objective: The study aimed to compare self-perceived oral health and orofacial appearance in three different cohorts of 60-year-old individuals. Method: A cross-sectional design, based on data obtained from a questionnaire used in the Swedish National Study of Aging and Care. The sample comprised 478 individuals, from baseline, 2001–2003 (n = 191), 2007–2009 (n = 218) and 2014–2015 (n = 69). Comparisons were made within and between the cohorts, with bivariate analysis and Fisher's exact test. Statistical significance was considered at p < 0.05. Results: The result showed that a low number of the participants reported self-perceived problems with oral health. Of the problems reported, a higher proportion in cohort 2014–2015 (39.3%) experienced problems with bleeding gums. The experience of bleeding gums increased between the cohorts 2001–2003 and 2014–2015 (p = 0.040) and between 2007–2009 and 2014–2015 (p = 0.017). The prevalence of discomfort with sensitive teeth was experienced in 7%–32%. Twice as many women compared to men experienced discomfort in all cohorts (no significant differences between the cohorts). Satisfaction with dental appearance was experienced in 75%–84%. Twice as many women compared to men were dissatisfied with their dental appearance in 2001–2003 (p = 0.011) and with discoloured teeth (p = 0.020). No significant differences could be seen between the cohorts regarding discomfort with dental appearance or discoloured teeth. Conclusion: The 60-year-olds irrespective of birth cohort, perceived their oral health and orofacial appearance as satisfactory. © 2023 The Authors. International Journal of Dental Hygiene published by John Wiley & Sons Ltd.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
Keywords
appearance, older adults, oral health, orofacial, self-perceived
National Category
Dentistry
Identifiers
urn:nbn:se:bth-25208 (URN)10.1111/idh.12711 (DOI)001020957000001 ()2-s2.0-85162987983 (Scopus ID)
Projects
SNAC
Available from: 2023-08-06 Created: 2023-08-06 Last updated: 2023-08-09Bibliographically approved
Flyborg, J., Renvert, S., Sanmartin Berglund, J. & Anderberg, P. (2023). Use of a powered toothbrush to improve oral health in individuals with mild cognitive impairment. Gerodontology, 40(1), 74-82
Open this publication in new window or tab >>Use of a powered toothbrush to improve oral health in individuals with mild cognitive impairment
2023 (English)In: Gerodontology, ISSN 0734-0664, E-ISSN 1741-2358, Vol. 40, no 1, p. 74-82Article in journal (Refereed) Published
Abstract [en]

Objectives

The aim of the study is to investigate whether the use of a powered toothbrush could maintain oral health by reducing the dental plaque (PI), bleeding on probing (BOP), and periodontal pocket depth (PPD) ≥4 mm in a group of individuals with MCI and also if changes in oral health affect various aspects of quality of life.

Background

People with cognitive impairment tend to have poor oral hygiene and poorer Quality of life. In the present study, the participants were asked to use a powered toothbrush for at least 2 min morning and evening and no restrictions were given against the use of other oral care products. The participant survey conducted at each examination demonstrated that 61.2% of participants at baseline claimed to have experience of using a powered toothbrush, 95.4% at 6 months and 95% after 12 months. At the same time, the use of manual toothbrushes dropped from 73.3% to 44.7% from baseline to the 12-month check-up. This shows that several participants continue to use the manual toothbrush in parallel with the powered toothbrush, but that there is a shift towards increased use of the powered toothbrush. Removal of dental biofilm is essential for maintaining good oral health. We investigated whether using a powered toothbrush reduces the presence of dental plaque, bleeding on probing and periodontal pockets ≥4 mm in a group of older individuals with mild cognitive impairment.

Materials and methods

Two hundred and thirteen individuals with the mean age of 75.3 years living without official home care and with a Mini-Mental State Examination (MMSE) score between 20 and 28 and a history of memory problems in the previous six months were recruited from the Swedish site of a multicenter project, Support Monitoring And Reminder Technology for Mild Dementia (SMART4MD) and screened for the study. The individuals received a powered toothbrush and thorough instructions on how to use it. Clinical oral examinations and MMSE tests were conducted at baseline, 6 and 12 months.

Results

One hundred seventy participants, 36.5% women and 63.5% men, completed a 12-month follow-up. The use of a powered toothbrush resulted, for the entire group, in a significant decrease in plaque index from 41% at baseline to 31.5% after 12 months (P < .000). Within the same time frame, the values for bleeding on probing changed from 15.1% to 9.9% (P < .000) and the percentage of probing pocket depths ≥4 mm from 11.5% to 8.2% (P < .004). The observed improvements in the Oral Health Impact Profile 14 correlate with the clinical improvements of oral health.

Conclusion

The use of a powered toothbrush was associated with a reduction of PI, BOP and PPD over 12 months even among individuals with low or declining MMSE score. An adequately used powered toothbrush maintain factors that affect oral health and oral health-related Quality of Life in people with mild cognitive impairment.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
Keywords
mild cognitive impairment, oral health, powered toothbrush, quality of life
National Category
Dentistry
Research subject
Applied Health Technology
Identifiers
urn:nbn:se:bth-22572 (URN)10.1111/ger.12619 (DOI)000745467500001 ()2-s2.0-85123501414 (Scopus ID)
Projects
SMART4MD
Funder
EU, Horizon 2020, 643399
Note

open access

Available from: 2022-01-22 Created: 2022-01-22 Last updated: 2023-06-19Bibliographically approved
Criten, S., Andersson, P., Renvert, S., Goetrick, B., Sanmartin Berglund, J. & Bengtsson, V. W. (2022). Oral health status among 60-year-old individuals born in 1941-1943 and 1954-1955 and 81-year-old individuals born in 1922-1924 and 1933-1934, respectively: a cross-sectional study. Clinical Oral Investigations (11), 6733-6742
Open this publication in new window or tab >>Oral health status among 60-year-old individuals born in 1941-1943 and 1954-1955 and 81-year-old individuals born in 1922-1924 and 1933-1934, respectively: a cross-sectional study
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2022 (English)In: Clinical Oral Investigations, ISSN 1432-6981, E-ISSN 1436-3771, no 11, p. 6733-6742Article in journal (Refereed) Published
Abstract [en]

Objective This study aimed to analyze the oral health status of four different birth cohorts: two cohorts of 60-year-olds born in 1941-1943 and 1954-1955 and 2 cohorts of 81-year-olds born in 1920-1922 and 1933-1934. Material and methods The study was based on data from an ongoing longitudinal population project, The Swedish National Study on Aging and Care (SNAC). Oral health status was repeatedly examined clinically and radiographically in 2001-2003 and 2014-2015, including 60- and 81-year-olds, in total 412 individuals. Statistical analyses were performed using independent-samples t test and Pearson's chi(2) test. Results More individuals were dentate in 2014-2015 compared to 2001-2003 in the two age groups: 60 and 81 years (p < 0.001 for both). The mean number of teeth increased in the 60-year-olds from 24.2 to 27.0 and in the 81-year-olds from 14.3 to 20.2. The numbers of at least one intact tooth increased for both age groups (p < 0.001 and p < 0.004, respectively). In the age groups 81 years, there was an increase in having at least one PPD >= 6 mm (p < 0.016) and bone loss >= 5 mm (p < 0.029) between the two examinations. No such differences were found in the age groups of 60 years. Conclusion Over 13 years, oral health improved for both 60- and 81-year-old age groups. The most significant changes were in the 81-year-olds where oral health had improved except for periodontal status.

Place, publisher, year, edition, pages
Springer Berlin/Heidelberg, 2022
Keywords
Aging, Epidemiology, Older, Oral health status
National Category
Dentistry
Identifiers
urn:nbn:se:bth-23528 (URN)10.1007/s00784-022-04632-5 (DOI)000832824500001 ()35906339 (PubMedID)2-s2.0-85141111860 (Scopus ID)
Note

open access

Available from: 2022-08-12 Created: 2022-08-12 Last updated: 2022-12-09Bibliographically approved
Aghazadeh, A., Persson, G. R., Stavropoulos, A. & Renvert, S. (2022). Reconstructive treatment of peri-implant defects - Results after three and five years. Clinical Oral Implants Research, 33(11), 1114-1124
Open this publication in new window or tab >>Reconstructive treatment of peri-implant defects - Results after three and five years
2022 (English)In: Clinical Oral Implants Research, ISSN 0905-7161, E-ISSN 1600-0501, Vol. 33, no 11, p. 1114-1124Article in journal (Refereed) Published
Abstract [en]

Objectives The aim of this study was to assess the long-term efficacy of reconstructive treatment of peri-implantitis intraosseous defects. Material and Methods Peri-implant intraosseous defects were augmented using either an autogenous bone graft (AB) or a bovine-derived xenograft (BDX) in combination with a collagen membrane. Maintenance was provided every third month. Results In the AB group, 16 patients with 25 implants remained at year five. In the BDX group, 23 patients with 38 implants remained. Between baseline and year 5, bleeding on probing (BOP) and probing pocket depth (PPD) scores were reduced in both groups (p < .001). In the AB and BDX groups, mean PPD between baseline and year five was reduced by 1.7 and 2.8 mm, respectively. The difference between groups was significant (p < .001). In the AB group, the mean bone level change at implant level between baseline and years three and five was-0,2 and -0.7 mm, respectively. In the BDX group, the mean bone level change at implant level between baseline and years three and five was 1.6 and 1.6 mm, respectively. The difference between the groups was significant (p < .001). Successful treatment (no bone loss, no probing pocket depth (PPD) > 5 mm, no suppuration, maximum one implant surface with bleeding on probing (BOP) at year five) was obtained in 9/25 implants (36%) in the AB group and in 29/37 implants (78.3%) in the BDX group. Conclusions Reconstructive surgical treatment of peri-implant defects using BDX resulted in more predictable outcomes than using autogenous bone over 5 years.

Place, publisher, year, edition, pages
John Wiley & Sons, 2022
Keywords
bone augmentation, peri-implantitis, reconstructive surgery
National Category
Dentistry
Identifiers
urn:nbn:se:bth-23681 (URN)10.1111/clr.13994 (DOI)000854608700001 ()36062917 (PubMedID)2-s2.0-85137994454 (Scopus ID)
Note

open access

Available from: 2022-09-23 Created: 2022-09-23 Last updated: 2022-12-21Bibliographically approved
Monje, A., Amerio, E., Cha, J. K., Kotsakis, G., Pons, R., Renvert, S., . . . Wang, H.-L. (2022). Strategies for implant surface decontamination in peri-implantitis therapy. International journal of oral implantology, 15(3), 213-249
Open this publication in new window or tab >>Strategies for implant surface decontamination in peri-implantitis therapy
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2022 (English)In: International journal of oral implantology, ISSN 2631-6420, Vol. 15, no 3, p. 213-249Article, review/survey (Refereed) Published
Abstract [en]

Peri-implantitis is an infectious disease that leads to progressive bone loss. Surgical therapy has been advocated as a way of halting its progression and re-establishing peri-implant health. One of the most challenging but crucial tasks in the management of peri-implantitis is biofilm removal to achieve reosseointegration and promote the reduction of peri-implant pockets. A wide var-iety of strategies have been used for implant surface decontamination. Mechanical means have been demonstrated to be effective in eliminating calculus deposits and residual debris; however, the presence of undercuts and the grooves and porosities along the roughened implant surface make it difficult to achieve an aseptic surface. In conjunction with mechanical measures, use of chemical adjuncts has been advocated to dilute bacterial concentrations, destroy the bacteria's organic components and eliminate endotoxins. Pharmacological adjuncts have also been recommended to diminish the bacterial load. Other strategies, such as use of lasers, implantoplasty and electrolysis, have been suggested for implant surface decontamination to promote predictable clinical and radiographic outcomes.

Place, publisher, year, edition, pages
QUINTESSENCE PUBLISHING CO INC, 2022
Keywords
dental implant, dental implantation, peri-implant endosseous healing, peri-implantitis
National Category
Dentistry
Identifiers
urn:nbn:se:bth-23874 (URN)000876394200002 ()36082658 (PubMedID)
Available from: 2022-11-11 Created: 2022-11-11 Last updated: 2022-11-11Bibliographically approved
Aeddula, O., Flyborg, J., Larsson, T., Anderberg, P., Sanmartin Berglund, J. & Renvert, S. (2021). A Solution with Bluetooth Low Energy Technology to Support Oral Healthcare Decisions for improving Oral Hygiene. In: ACM International Conference Proceeding Series: . Paper presented at 5th International Conference on Medical and Health Informatics, ICMHI, Kyoto, Japan, May 14 - 16, 2021 (pp. 134-139). Association for Computing Machinery (ACM), 1
Open this publication in new window or tab >>A Solution with Bluetooth Low Energy Technology to Support Oral Healthcare Decisions for improving Oral Hygiene
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2021 (English)In: ACM International Conference Proceeding Series, Association for Computing Machinery (ACM), 2021, Vol. 1, p. 134-139Conference paper, Published paper (Refereed)
Abstract [en]

The advent of powered toothbrushes and associated mobile health applications provides an opportunity to collect and monitor the data, however collecting reliable and standardized data from large populations has been associated with efforts from the participants and researchers. Finding a way to collect data autonomously and without the need for cooperation imparts the potential to build large knowledge banks. A solution with Bluetooth low energy technology is designed to pair a powered toothbrush with a single-core processor to collect raw data in a real-time scenario, eliminating the manual transfer of powered toothbrush data with mobile health applications. Associating powered toothbrush with a single-core processor is believed to provide reliable and comprehensible data of toothbrush use and propensities can be a guide to improve individual exhortation and general plans on oral hygiene quantifies that can prompt improved oral wellbeing. The method makes a case for an expanded chance to plan assistant capacities to protect or improve factors that influence oral wellbeing in individuals with mild cognitive impairment. The proposed framework assists with determining various parameters, which makes it adaptable and conceivable to execute in various oral care contexts 

Place, publisher, year, edition, pages
Association for Computing Machinery (ACM), 2021
Keywords
Dental Device, Oral health, Oral hygiene, Oral health information system
National Category
Dentistry Communication Systems
Identifiers
urn:nbn:se:bth-22249 (URN)10.1145/3472813.3473179 (DOI)2-s2.0-85118622969 (Scopus ID)978-1-4503-8984-6 (ISBN)
Conference
5th International Conference on Medical and Health Informatics, ICMHI, Kyoto, Japan, May 14 - 16, 2021
Funder
Knowledge Foundation, 20180159
Note

open access

Available from: 2021-10-29 Created: 2021-10-29 Last updated: 2022-03-16Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-0992-2362

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