Estratégias de sustentabilidade na prática odontológica

Dentists have widely discussed environmental issues with a view to the implementation of sustainability strategies in dental practice. It is unacceptable the practice of dentistry today as merely the solution of dental problems. The Dentist has a social responsibility to incorporate into your daily work concrete actions to reduce the impact of its production process. The purpose of this study is to characterize the development and application of performanceoriented model of social responsibility in dental practice, built to preserve the environmental cause in dentistry in order to trace change scenario that allows the environmental management without compromising the quality of services offered.

Conhecimento sobre saúde bucal e práticas desenvolvidas por professores do ensino fundamental e médio

Introduction: The oral health education is a process that aims to transform attitudes and behaviors and to form habits for the benefit of individual health. For this to occur, it is necessary to strengthen and continuous repetition, as possible in the school environment. Objective: To analyze teachers’ knowledge about oral health, practices developed in the school environment, as well as the participation of dentists in guiding teachers of primary and secondary schools. Subjects and method: We used a semi-structured questionnaire with open and closed questions about teacher training, received guidance on oral health during their training, development of oral health issues in the classroom and knowledge on the subject . Results: Of the total respondents (n = 221), only 77 (34.8%) said they had guidance on oral health in their training to be a teacher. 70 (31.7%) said they did not develop oral health issues in the classroom and 91 (41.2%) stated no interaction between dentist and professor. We observed deficiency in teachers’ knowledge about certain issues related to dental health. There was statistically significant association between the dentist’s guidance to teachers and the development of oral health actions and the teacher’s knowledge about the location of the first permanent molar eruption (p <0.01). Conclusion: This study conclude that although most educators develop educational practices on oral health in the school environment, there is a deficiency in understanding by teachers of certain subjects, making it necessary a greater participation of the dentist in the transmission of technical and scientific knowledge to them.

Avaliação dos alunos do programa de pós-graduação em odontologia da UNESP (Araçatuba) na elaboração e execução de programas de saúde bucal em seus municípios

The design of oral health has as its most important to bring knowledge, prevention and treatment for the population of municipalities that have this important means of promoting health in general. These programs are based on socio-educational projects, such as tooth brushing, educational lectures, projects, preventive and, fluoride use, application of sealants in pits and even the prevention of oral cancer. In the area of healing, the centers of dental specialties (CEO) associated with the PSF are responsible for implementing treatment of periodontal diseases, trauma, restoration of teeth affected by dental caries, prosthesis design for functional rehabilitation of the patient, biopsies of oral lesions , among other specialties. This study aims to evaluate the students of the Graduate Program in Dentistry, Universidade Estadual Paulista Julio de Mesquita Filho, Campus de Araçatuba, in order to coordinate a program to promote health in their communities. The result based on parameters in the OMS showed that the majority of graduate students of the Faculty of Dentistry Araçatuba acquired knowledge to a reasonable oral health program in their city as a coordinator.

Necessidades de tratamento odontológico entre nativos brasileiros da reserva indígena Umutina, Estado do Mato Grosso

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Prevalência de acidentes com material biológico em um município do noroeste de São Paulo, Brasil, no período de 2007 a 2011

The objective of this study is to determine the prevalence of reports of accidents involving biological material which affected health professionals, especially dental health ones, in a city in the north­western region of São Paulo State, Brazil. Data collection was con­ducted through the notification of accidents with biological material from 2007 to 2011. There were 377 notifications, in which 353 (93.6%) had female professionals involved. The most reported type of exposure was the percutaneous in 359 cases (95.2%) followed by blood in 334 cases (88.6%) which is the most mentioned biological material in the reports. Only 21 (5.6%) notifications were from den­tal staff and occurred mostly with the dentist, 14 times (66.7%) and 16 times (76.2%) during clinical procedures. The prevalence of bio­logical accidents among dental teams was little in this time, which suggests the possibility of underreporting, in addition to being sub­ject to the partial fulfillment of the same.

Honorários praticados por operadoras de planos odontológicos e pelo SUS em relação aos definidos pelo Conselho Federal de Odontologia

Aim: The present study investigated the fees paid by dental insurance companies to dental surgeons, referrent to groups of dental procedures. Materials and Methods: The fees offered by dental insurance companies were defined according to the average values from the price tables of 5 insurance plans that offered national coverage. These average values and the values paid by the Brazilian Unified Health System (SUS) were compared with those set forth in the VRCC table from Brazilian Federal Dental Council (CFO). For comparison, average values were obtained for the following groups of procedures: preventive, aesthetic, endodontic, and surgical. The values of these preventive procedures were compared with other groups of procedures. Results: The plans applied an average discount of approximately 54.51% upon the prices suggested in the CFO price list. The highest discount was observed within the group of preventive procedures (57.09%, on average). Conclusion: The evaluated health insurance companies in vestigated in the present study are applying an abusive discount upon the prices suggested in the CFO price list. It's necessary to identify alternatives to reverse this situation.

Hipomineralização molar incisivo: qualidade de vida relacionada à saúde bucal e percepção estética em escolares de 8 a 12 anos

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Preditores da realização de consultas odontológicas de rotina e por problema em pré-escolares

OBJETIVO: Estimar a prevalência do uso de serviços odontológicos por pré- escolares e fatores associados. MÉTODOS: Estudo transversal com 1.129 crianças de cinco anos de idade da Coorte de Nascimentos de Pelotas 2004, RS, de setembro de 2009 a janeiro de 2010. Registrou-se o uso de serviço odontológico pelo menos uma vez na vida e o motivo para a primeira consulta odontológica da criança. As categorias do desfecho foram: ter feito a primeira consulta por rotina, para resolver um problema ou nunca ter ido ao dentista. Os exames bucais e as entrevistas foram realizados nos domicílios. Aspectos socioeconômicos e variáveis independentes ligadas à mãe e à criança foram analisados por meio de regressão logística multinomial. RESULTADOS: A prevalência de uso por qualquer motivo foi 37,0%. Os principais preditores para consulta de rotina foram nível econômico mais elevado, mãe com maior escolaridade e ter recebido orientação sobre prevenção. Principais preditores para consulta por problema foram ter sentido dor nos últimos seis meses, mãe com maior escolaridade e ter recebido orientação sobre prevenção. Cerca de 45,0% das mães receberam orientação de como prevenir cárie, principalmente fornecida por dentistas. Filhos de mães com história de maior aderência a programas de saúde tiveram maior probabilidade de ter feito uma consulta odontológica de rotina. CONCLUSÕES: A taxa de utilização dos serviços odontológicos por pré- escolares foi inferior às de consultas médicas (puericultura). Além da renda e da escolaridade, comportamentos maternos têm papel importante no uso por rotina. Relato de dor nos últimos seis meses e número elevado de dentes afetados por cárie, independentemente dos demais fatores, estiveram associados ao uso para resolver problema. É necessária a integração de ações de saúde bucal nos programas materno-infantis.

Assistência odontológica pública e suplementar no município de São Paulo na primeira década do século XXI

Na primeira década do século XXI registra-se a ocorrência de dois movimentos importantes no âmbito da assistência odontológica pública e privada no Brasil: a entrada da saúde bucal na agenda de prioridades políticas do governo federal e o vigoroso crescimento na oferta de serviços odontológicos suplementares. Analisou-se a ocorrência desses fenômenos no município de São Paulo, mediante a busca de dados nos documentos oficiais e nas bases eletrônicas da Prefeitura Municipal de São Paulo, do Ministério da Saúde e da Agência Nacional de Saúde Suplementar (ANS), além de consulta à literatura científica. No período estudado, de janeiro de 2000 a dezembro de 2009, com base em indicadores como a Cobertura de Primeira Consulta Odontológica Programática e a Cobertura Populacional Potencial, verificaram-se percentuais que caracterizam baixa assistência pública e uma situação de grande distanciamento do princípio constitucional do acesso universal aos cuidados odontológicos. O crescimento do número de beneficiários de serviços suplementares, por meio de planos exclusivamente odontológicos e de outros planos foi expressivo em igual período, correspondendo a uma importante ampliação da cobertura populacional nesta modalidade assistencial. Constata-se que, comparativamente ao quadro geral nacional, a situação do município de São Paulo revela precariedade no acesso à assistência odontológica pública, com reduzida oferta de serviços a adultos e idosos. Considerando, ainda, as limitações do mercado de serviços suplementares para prover assistência odontológica para todos os brasileiros, reforça-se a necessidade de continuidade e expansão do Brasil Sorridente, que é a expressão programática da Política Nacional de Saúde Bucal.

[Tobacco-associated lesions of the oral mucosa]

Consumption of tobacco can result not only in a multitude of different general health problems like carcinoma of the lung, ischaemic cardiac diseases, peripheral vascular diseases, stroke, chronic-obstructive pulmonary diseases or peptic ulcers, but also in pathologic lesions of the oral mucosa. Benign oral lesions from smoking or consumption of smokeless tobacco are the so-called smoker's palate and smoker's melanosis. On the other hand, tobacco-associated lesions like oral leukoplakia or oral squamous cell carcinoma are already potentially life-threatening diseases that in general require active treatment. The following review article will present and discuss the typical lesions of the oral mucosa that result from chronic tobacco consumption. The aim of this article is to demonstrate dental health care providers the needs and benefits of tobacco use cessation in a dental setting, especially regarding stomatologic sequelae and consequences. The present article is the first in a series of articles from the Swiss task force "Smoking - Intervention in the private dental office" on the topic "tobacco use and dental medicine".

Prevención de complicaciones orales en personas con discapacidad severa

La salud, como derecho primordial de toda persona, adquiere una connotación especial cuando la persona tiene una discapacidad. El término Discapacidad describe una restricción o ausencia, debido a una deficiencia, de la capacidad de realizar una actividad en la forma o dentro del margen que se considera normal para el ser humano. Si nos referimos concretamente a la salud bucal, podemos decir, que presentan alta incidencia de patologías por lo que constituyen un grupo de riesgo con una gran necesidad de cuidados dentales. Es importante destacar que gran parte de las personas con Discapacidad, no pueden expresar en palabras o determinar claramente su proceso patológico y así toleran importantes dolores demostrados mediante el aumento de la irritabilidad, la inactividad, la pérdida de apetito, los problemas de sueño, la autoagresión, etc. Esta falta de certeza y reacciones adversas genera una situación familiar de alteración de la vida cotidiana y desconcierto, además de comenzar a realizar una serie de consultas a psiquiatra, otorrinolaringólogo, neurólogo, clínico, entre otros especialistas. Dicha situación puede ser previsible mediante controles odontológicos periódicos, derivación temprana a exámenes bucales por parte de médicos y/u otros especialistas tratantes, interconsulta con odontólogo ante cambios de conducta o autoagresión. La prevención y el cuidado de la salud dental en los pacientes con discapacidad favorecen el mantenimiento de la salud general y proporcionan una mayor calidad de vida. La intervención del odontólogo en patologías ya instaladas consiste en la eliminación de la sintomatología, detención y tratamiento de las lesiones, restauración de la función y la estética.

Fluoridation of public water supplies : flouridation history, community organization, questions and answers, bibliography of resource material /

Bibliography: leaves 11-12.

Water fluoridation in Illinois : water operator's manual.

"September, 1991."

A longitudinal index study of orthodontic stability and relapse

Background: Previous studies of stability and relapse after orthodontic treatment report short-term stability is generally followed by slow relapse to the original condition. What these studies do not report is whether this relapse is continuous or interspersed with periods of improvement or stability. Methods: A subjective 0-10 index of malocclusion was used to record post-treatment stability and relapse over 10 to 12 years following fixed appliance orthodontic treatment of 24 patients. The severity scores were plotted on timelines. Results: Episodes of change, both favourable and unfavourable, were interspersed with episodes of stability. Conclusions: Changes in the first 3 and 12 months post-treatment are indicative of the 10 to 12 years post-treatment outcomes. This index may provide a useful instrument to analyze patients and/or their study models longitudinally.

Social and behavioural determinants of early childhood caries

Background: To investigate the association between selected social and behavioural (infant feeding and preventive dental practices) variables and the presence of early childhood caries in preschool children within the north Brisbane region. Methods: A cross sectional sample of 2515 children aged four to five years were examined in a preschool setting using prevalence (percentage with caries) and severity (dmft) indices. A self-administered questionnaire obtained information regarding selected social and behavioural variables. The data were modelled using multiple logistic regression analysis at the 5 per cent level of significance. Results: The final explanatory model for caries presence in four to five year old children included the variables breast feeding from three to six months of age (OR=0.7, CI=0.5, 1.0), sleeping with the bottle (OR=1.9, CI=1.5, 2.4), sipping from the bottle (OR=1.6, CI=1.2, 2.0), ethnicity other than Caucasian (OR=1.9, CI=1.4, 2.5), annual family income $20,000-$35,000 (OR = 1.7, CI=1.3, 2.3) and annual family income less than $20,000 (OR=2.1, CI=1.5, 2.8). Conclusion: A statistical model for early childhood caries in preschool children within the north Brisbane region has been constructed using selected social and behavioural determinants. Epidemiological data can be used for improved public oral health service planning and resource allocation within the region.