Bodil Lund

Bodil Lund

Professor/Senior Dentist | Head of department
Telephone: +46852488004
Visiting address: Alfred Nobels Allé 8, 14104 Huddinge
Postal address: OF Odontologi, 171 77 Stockholm
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About me

  • Bodil Lund is Professor of Oral and Maxillofacial Surgery and Head of he Department of Dental Medicine.

Research

  • I. Antibiotic stewardship in odontology

    Short project summary

    Antimicrobial stewardship can be defined as the optimal usage of antibiotics. The components required to attain antibiotic stewardship are guidelines and educational efforts based on evidence of efficacy, safety aspects on restrictive policy as well as prescribers’ attitudes, knowledge and utilization. The current project addresses these aspects and has the overall aim to provide results that can improve antibiotic stewardship within odontology.

    The general hypothesis is that there is a potential for improvement of antibiotic utilization in odontology and that restrictive policies regarding antibiotic prophylaxis is not in conflict with patient safety. Furthermore, antibiotic prescription is unequally distributed putting subgroups of patients at greater risk of negative side effects.

    The research group is translational collaborating to cover the identified knowledge gaps within antibiotic usage in dentistry by combining epidemiological studies with clinical trials and basic science. Implementation of the results in the dental community will be aided by the group members’ experience and active participation in the strategic work to reduce antibiotic usage in dentistry by collaboration with the Swedish Strategic Program Against Antibiotic Resistance (Strama), the Public Health Agency of Sweden and Swedish Medical Product Agency regarding guidelines and educational efforts.

    II. Temporomandibular joint disorders; diagnostic classification, patient characteristics and treatment

    Short project summary

    Temporomandibular disorders (TMD), including internal derangements of the temporomandibular joint (TMJ), affects approximately 20 % of the population, with a strong unexplained female predominance. The condition may present as a mechanical or inflammatory disturbance such as monoarthritis or systemic rheumatic disease affecting the TMJ, where it is frequently observed that the TMJ does not respond to disease-modifying anti-rheumatic drugs (DMARDs). Other diagnosis of the TMJ that require treatment are osteoarthritis, recurrent mandibular dislocation and ankylosis. The main complaints are TMJ pain and impaired function including reduced mouth opening and inability to chew properly, which may have significant impact on subjective rating of pain and quality of life.

    Patients not responding to conservative treatment may be subjected to surgery. The reported overall success rate for the TMJ surgical interventions is approximately 80%. The suggested surgical treatments ranges from joint injections and arthroscopy to open joint surgery with or without autologous or alloplastic reconstruction. However, both diagnostics and which surgical intervention will be most beneficial for the different patient categories is a matter of vivid debate. Thus, the etiology, classification, preferred treatment, risk factors for deterioration and non-responding out-come of treatment are current knowledge-gaps in oral and maxillofacial surgery according to a recent systematic review. Furthermore, the group not responding to surgical treatment is largely uncharacterized.

    The project aims at characterizing the patients with TMJ disorders clinically and tissue based to improve diagnostics, treatment planning, prediction of out-come and open up for new non-surgical treatment options. By improving the oral and maxillofacial surgery care of these patients the results are expected to significantly reduce patient suffering, lower costs for health care and society and also reduce the health burden on related areas where these patients often seek help, such as rheumatology, anesthesiology (pain clinics), neurology, oral physiology, general dentistry and physiotherapy.

Articles

All other publications

Employments

  • Professor/Senior Dentist, Department of Dental Medicine, Karolinska Institutet, 2021-

Degrees and Education

  • Docent, Karolinska Institutet, 2011
  • Doctor Of Philosophy, Department of Laboratory Medicine, Karolinska Institutet, 2003

Leadership and responsibility assignments

  • Head of department, Department of Dental Medicine, Karolinska Institutet, 2021-
  • Head of department, University Dental Clinic, Karolinska Institutet, 2021-

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