Marjut Korhonen

University of Oulu, Oulu, Oulu, Finland

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Publications (4)6.59 Total impact

  • M Korhonen, M Gundagar, J Suni, S Salo, M Larmas
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    ABSTRACT: Data mining of digital dental records provides possibilities for analysing the variation between dentists when diagnosing caries. A total of 71,317 male and 82,302 female subjects visited the health centres in Vantaa and Kemi during the 'digital era' (1994-2005). As subjects were classified as 'new patients' at the first examination, all re-examinations of the same subjects thereafter by the same dentist produced 'old patients'. A mean number of decayed surfaces (DS) was counted as a function of the age of the subject during the follow-up. The significance of the difference between old and new patients was determined by the Mann-Whitney test for each age cohort at the cross sections, and for the whole follow-up. Caries was seen to affect new patients more than the old ones in both health centres after the age of 20 years. The mean DS values were the same, reaching about 1 for new and old patients at the age of 15 years. The mean DS had a peak for new patients in both health centres at the age of 25 years and another peak around 45-50 years in Kemi. With a few exceptions there was a significant difference between the DS values of new and old patients at most cross sections and for the whole follow-up time. Evidently dentists examine new patients more carefully than their old patients. After the age of 18 years patients may have changed their dentists because they have finished the free-of-charge treatment period.
    Caries Research 09/2009; 43(5):339-44. · 2.51 Impact Factor
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    ABSTRACT: The purpose of this study was to develop and test a data-mining system for the online determination of mean DS, M, and FS or DMFS values per subject at different ages from electronic patient records at two health centers to see if there are north-south differences in oral health in Finland. The mean index values were determined at two health centers using the codes of dental charts and progress notes of electronic dental records during the digital era of more than 10 years in a total of 153,619 subjects of all ages. Extracted teeth, as well as sound, carious, and restored tooth surfaces, were recorded from the dental charts. Treatments were then additionally registered from progress notes of the records when performed. The cumulative DS and FS values were similar in subjects under the age of 20 years at both health centers. In adults, caries was more abundant in northern Finland, where there was a higher number of restored surfaces (>40) registered, compared to only 30 in southern Finland at the age of 40 years. A high increase in the number of extractions began at age 45 in the north compared to age 70 in the south. These changes were clearly reflected in the DMFS index. Online determination of health parameters is a feasible methodology. The results revealed that north-south regional differences in dental health still occur in adults in Finland, but not in subjects younger than 20 years of age.
    Acta Odontologica Scandinavica 09/2007; 65(4):214-8. · 1.36 Impact Factor
  • Marjut Korhonen, Markku Larmas
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    ABSTRACT: The aims of this study were to test the suitability of normal dental records in determining the eruption times of teeth and to compare the retrospective longitudinal DMF values with the statistical cross-sectional means. Patient records for two cohorts (1970 and 1980) were collected from three Finnish towns. The study population comprised 1910 children. The eruption times of the permanent teeth, DMFT and DMFS curves (excluding F due to fractures and M due to orthodontic reasons) were investigated for the year of examination in different study locations. The cross-sectional DMF values were compared to longitudinally calculated data. Tooth eruption was earlier in girls than in boys. However, girls did not have significantly higher DMF values than boys. In all towns, dental health was significantly better in the 1980 cohort than in the 1970 cohort. Comparison of the cross-sectional DMF values in the municipal health center statistics showed that the mean statistics gave considerably higher values than the measured values did after 15 years of age. The inconsistency between measured longitudinal DMF values and the cross-sectional statistical DMF values indicates the importance of creating computer programs for analyzing data longitudinally from normal dental records.
    Acta Odontologica Scandinavica 05/2003; 61(2):105-9. · 1.36 Impact Factor
  • Marjut Korhonen, Taina Käkilehto, Markku Larmas
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    ABSTRACT: The aims of this study were to test the hypothesis that existing patient records serve as a source of data for survival analysis of dental health and to develop a system for routinely conducted survival analysis of dental health from tooth eruption to first caries attack. Patient records for three cohorts were collected from four towns in Finland: Oulu, Turku, Kuopio, and Kemi. The study population comprised 2103 children born and living in these towns. The Kaplan-Meier curves for dental caries were drawn separately for each tooth and for the maxilla and mandible (for each age cohort). Placements of the first restoration of all teeth in each age cohort were investigated. The 1960 cohort had an extremely high post-eruptive morbidity in all teeth. The 1970 cohort had relatively high immediate post-eruptive morbidity in both molars, but much lower than that of the 1960 cohort. The filling increment rates for second molars were lower than those of the first molars in the 1970 cohort. Characteristic of the 1980 cohort was a rapid increase in the caries increment of the premolars and second molars 4 years after eruption. The results indicate a big difference in tooth-by-tooth dental health in Finland. A huge decline in caries attack was seen from the 1960 cohort to the 1980 cohort, but a deterioration of dental health in premolars and second molars is clearly seen in the 1980 cohort in the 1990s.
    Acta Odontologica Scandinavica 03/2003; 61(1):1-5. · 1.36 Impact Factor