{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T16:54:30Z","timestamp":1792169670988,"version":"4.4.0"},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,7,6]],"date-time":"2023-07-06T00:00:00Z","timestamp":1688601600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100014232","name":"Helsedirektoratet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100014232","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical &amp; Exp Dental Res"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The present study aims to describe the dental visiting patterns in a Norwegian adult population and their associations with sociodemographic and oral health variables, including oral pain. We further explore if the utilization of dental health services and oral pain predicts caries and periodontitis, the most common oral diseases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>We use data from the seventh wave of the Troms\u00f8 study performed in 2015\u20132016. In this cross\u2010sectional survey, all residents 40 years or older in Troms\u00f8 municipality in Norway were invited, of whom 21,083 (65%) participated. All participants answered questionnaires assessing sociodemographic characteristics, use of health services, and self\u2010reported health measures, including pain. Almost 4000 participants underwent a dental examination with registration of caries and periodontitis. Associations of dental visiting patterns and utilization of dental services the past 12 months with sociodemographic\u2010, self\u2010reported\u2010, and clinical oral health measures were analyzed by cross\u2010tabulation and Pearson's <jats:italic>\u03c7<\/jats:italic><jats:sup>2<\/jats:sup> tests, as well as with logistic regression analyses with caries and periodontitis as outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A regular, annual dental visiting pattern was the most common, but among respondents with severe dental anxiety and poor dental health, visiting for acute problems only or never (symptomatic visiting) was the most common. Intervals of more than 24 months between visits and a symptomatic visiting pattern were associated with caries, whereas shorter than 12\u2010month intervals and a symptomatic visiting pattern were associated with periodontitis. Many characteristics were shared among respondents with the lowest and the highest utilization of dental services, including oral pain, a difficult financial situation and poorer self\u2010reported and clinical dental health.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Regular dental visits at 12\u201324 month intervals were associated with beneficial oral health parameters, compared with more frequent, rarer, and symptomatic dental visiting patterns. Oral pain was an unreliable predictor of caries and periodontitis.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cre2.753","type":"journal-article","created":{"date-parts":[[2023,7,7]],"date-time":"2023-07-07T04:42:47Z","timestamp":1688704967000},"page":"679-688","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Are dental visiting patterns and oral pain associated with dental disease among Norwegian adults? A cross\u2010sectional study based on the Troms\u00f8 study"],"prefix":"10.1002","volume":"9","author":[{"given":"Hege","family":"Nermo","sequence":"first","affiliation":[{"name":"The Public Dental Health Competence Center of Northern Norway Troms\u00f8 Norway"},{"name":"Department of Clinical Dentistry, Faculty of Health Sciences UiT The Arctic University of Norway Troms\u00f8 Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8476-9439","authenticated-orcid":false,"given":"Elin","family":"Hadler\u2010Olsen","sequence":"additional","affiliation":[{"name":"The Public Dental Health Competence Center of Northern Norway Troms\u00f8 Norway"},{"name":"Department of Medical Biology, Faculty of Health Sciences UiT The Arctic University of Norway Troms\u00f8 Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,6]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/eos.12161"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.1998.tb01933.x"},{"issue":"2","key":"e_1_2_11_4_1","first-page":"106","article-title":"\u2018Toothache stories\u2019: A qualitative investigation of why and how people seek emergency dental care","volume":"20","author":"Anderson R.","year":"2003","journal-title":"Community Dental Health"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12105"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.2011.00281.x"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13037"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2012.110664"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/idj.12245"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jebdp.2015.10.001"},{"key":"e_1_2_11_11_1","article-title":"Recall intervals for oral health in primary care patients","volume":"10","author":"Fee P. A.","year":"2020","journal-title":"The Cochrane Database of Systematic Reviews"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12677"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2011.00659.x"},{"key":"e_1_2_11_14_1","first-page":"1","article-title":"Do Norwegian private dental practitioners with too few patients compensate for their loss of income by providing more services or by raising their fees?","author":"Grytten J.","year":"2022","journal-title":"Community Dentistry and Oral Epidemiology"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.identj.2021.07.004"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-021-01626-9"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016350050217091"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12906"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6831-9-20"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12518"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034517693566"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016357.2019.1634283"},{"issue":"2","key":"e_1_2_11_23_1","first-page":"69","article-title":"Oral health of individuals aged 3\u201080 years in J\u00f6nk\u00f6ping, Sweden during 40 years (1973\u20102013): II. Review of clinical and radiographic findings","volume":"39","author":"Norderyd O.","year":"2015","journal-title":"Swedish Dental Journal"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-publhealth-040119-094318"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2007.060264"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.22-0004"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/204946371100500102"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)60031-2"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000001899"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034509356779"},{"key":"e_1_2_11_30_2","unstructured":"World Health Organization. (2022).Global oral health status report: Towards universal health coverage for oral health by 2030. 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