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Background : Replacing missing teeth with dental implants have a positive impact on the patient ' s quality of life. Most patients are satisfied with the aesthetic result and experience an improved ability to chew. Patients developing peri-implantitis are at risk of losing their implants, which can affect their physical and mental well-being. There are a limited amount of studies looking into patients experiences of the disease as well as its treatment. Aim/Hypothesis : The aim of this study was to gain a deeper understanding of patients' perceptions of the peri-implantitis disease and its treatment with either laser or conventional mucosal flap surgery. Materials and Methods : This qualitative study was based on semi-structured interviews with participants undergoing treatment for periimplantitis with either laser or conventional mucosal flap surgery. The study population was recruited from a specialist clinic in Stockholm. The interview guide had questions within three different themes: living with dental implants, how the disease peri-implantitis affects daily life, and how the patients experience the different treatment methods. The recorded interviews were transcribed and analysed with qualitative content analysis of the manifest and latent content. The patients also graded their pain and discomfort (no to maximum, 0-100) on a visual analogue scale (VAS) at the initial clinical examination, after the treatment and one week after treatment. Comparison between the interview answers and VAS scores was done with a mixed methods approach. Results : 11 women, mean age 65.9 (SD 15.6) years, were included in this pilot study. 6 received laser treatment while 5 underwent conventional flap surgery. Few symptoms of the peri-implantitis disease were expressed, but some expressed a feeling of pounding and some soreness in the area around the implant. This was reflected in their initial VAS discomfort which was between 15-51, whereas those that had not noticed the disease reported 0-3. In the laser group when asked to compare that treatment with their recollection of previous surgical treatments, e.g. of periodontitis, they expressed that the laser caused less discomfort during the first week of healing. The laser group graded their discomfort as a mean of 10.1 (SD 12.4), and the surgery group graded 30.8 (SD 28.6), which was nearly significant with a P-value of 0.55 (Mann-Whitney U-test). Conclusions and Clinical Implications : Within the limitations of this pilot study, it can be concluded that it is important to consider the patient ' s experience of peri-implantitis and its treatment as it seems to vary greatly on an individual basis. Further studies are needed to assess the clinical effects of laser treatment and confirm the finding of less post-treatment discomfort.

ObjectivesThe aim of the present study was to explore peri‐implantitis patients' sensations, expectations, and experiences of dental implants, the disease, as well as undergoing treatment with laser or mucosal flap surgery.MethodsInterviews were conducted with 18 patients who had been referred for treatment of peri‐implantitis at a specialist clinic. The participants underwent either laser treatment or mucosal flap surgery of affected implants. Qualitative content analysis was used for processing the transcribed interviews with coding in categories and subcategories.ResultsThe analysis of the interviews was presented in a narrative way to display the variety of experiences in this patient group. Losing teeth was perceived as frustrating and negatively impacted their quality of life; however, receiving dental implants improved some aspects of the patients' lives. While some have symptoms, others did not seem to notice the incidence and development of peri‐implantitis. Local anaesthesia was the worst part of both treatments and both modalities yielded only minor discomforts.ConclusionThere were a variety of positive and negative sensations and experiences perceived by patients with dental implants as a consequence of peri‐implantitis, including a negative impact on quality of life. These findings emphasize the importance of thoroughly informing the potential and established dental implant patients of the risk of developing disease and its impact. The treatment of peri‐implantitis created in general only slight discomfort for the patient.

Aim: To document oral hygiene and dietary habits in primary school pupils and secondary school students in Stockholm, Sweden. Methodology: A quantitative study, based on two questionnaires, one for primary school pupils aged 9-12 years and the other for secondary school students, aged 16-21 years. The questions covered oral hygiene habits, dietary habits and knowledge of oral health. Results: The participants comprised 42 primary school pupils and 47 secondary school students. The majority, 81% of primary school pupils and 77% of secondary school students, reported brushing their teeth twice daily. Of the primary school pupils, 79% reported that they brushed their teeth unassisted. Nearly 45% consumed sugary sweets three to four times a week. More than half the secondary school students reported consuming sugary drinks and/or sweets three or more times a week. Thirty per cent had received information about the association between diet and oral health, while 30% reported that they had no knowledge of this. With reference to the causes of caries and gingival inflammation, about two-thirds of the participants attributed these conditions to oral bacteria (76% and 67%, respectively), while 17% stated that they did not know the cause. Comparing the frequency and duration of toothbrushing, those who reported brushing their teeth twice a day tended to brush for longer, two minutes or more. Conclusions: The majority of the participants reported good oral hygiene and dietary habits. However, there is still a need for improvement with respect to both oral health knowledge and behaviour. Areas identified as warranting further attention are frequency of toothbrushing, proper use of toothpaste and consumption of sugary drinks and sweets.

Aim: The purpose was to explore dental hygienists and dentists’ experiences of receiving education in motivational interviewing and thereby improving their ability to achieve behavioral changes in patients.