113 resultados para Dentista
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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This study presents the results of a cost-effectiveness analysis in a controlled clinical trial on the effectiveness of a modified glass ionomer resin sealant ( Vitremer, 3M ESPE) and the application of fluoride varnish (Duraphat, Colgate) on occlusal surfaces of first permanent molars in children 6-8 years of age (N = 268), according to caries risk (high versus low). Children were examined semiannually by the same calibrated dentist for 24 months after allocation in six groups: high and low risk controls (oral health education every three months); high and low risk with varnish (oral health education every three months + varnish biannually); and high and low risk with sealant (oral health education every three months + a single application of sealant). Economic analysis showed that sealing permanent first molars of high-risk schoolchildren showed a C/E ratio of US$ 119.80 per saved occlusal surface and an incremental C/E ratio of US$ 108.36 per additional saved occlusal surface. The study concluded that sealing permanent first molars of high-risk schoolchildren was the most cost-effective intervention.
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This was a qualitative study with the purpose of designing a meta-model for the work process of the Family Health Strategy (FHS) team. It was based on the experience of six sample groups, composed of their members (physicians, professional nurses, dentists, dental assistants, licensed technical nurses and community health agents) in a city in São Paulo state, Brazil, totaling 54 subjects. Six theoretical models emerged from non-directive interviews. These were analyzed according to Grounded Theory and submitted to the meta-synthesis strategy, which produced the meta-model between the processes of strengthening and weakening of the FHS model: professional-team-community reciprocity as an intervening component. When analyzed in light of the Theory of Complexity (TC), it showed to be a work with a vertical and authoritarian tendency, which is largely hegemonic in the tradition of public health care policies.
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We surveyed subjective symptoms of 600 patients referred to the Occlusion and Craniomandibular Dysfunction Center of the School of Dentistry, Campus of São José dos Campos São Paulo, Brazil. We have only considered those symptoms reported by the patients as major complaints. Our purpose on this project was to draw a profile of the disease considering sex, age and incidence of the symptoms that presented themselves or associated with others. Findings were that we found a significant larger number of women, 82.83%, comparing with 17.17% of men. Most of the patients belonged to the third decade, followed by the fourth and second. The most frequent symptom was pain on TMJ region, 42%, followed by TMJ noises, 26.6%, facial pain, 15.5%, earache, 14.5% and headache, 12.1%. The symptom TMJ noises showed to be statistically more significant in men, while headaches, pain in the neck region and temporary locking were more frequent in women. The most frequent association between two symptoms was: TMJ noises with TMJ pain, earache with headache and TMJ pain with earache. There was no statistical difference between sexes. The most frequent association of three symptoms was: TMJ noises together with TMJ pain and pain or difficulty in chewing
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This is study proposes to evaluate the ergonomic aspects of dental equipments. Based on the characteristics proposed by ISO/FDI, on the existing literature and related researches an evaluating system was devised. Thirty nine dental clinics were examined using the 165 pointssystem proposed, distributed in 12 criteria. None of the dental clinics examined showed a bad ergonomics level, 41% were good and 59% reached excellent levels. The point-supported evaluation system proposed is effective in the analysis of the ergonomic conditions of dental equipments, allowing a quantification of their characteristics. Using this system, the dentist can also know the level of ergonomic satisfaction existing in his equipment, and identify the conditions to be improved. It was concluded that the equipment belonging to dental workplaces evaluated had excellent level of compliance, however corrective measures are needed since even the presence of a few non-conforming items is a sufficient condition to cause injury to users, decreased efficiency and comfort and loss quality of service
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The purpose of this work is to provide quality control requirements and security in dental x-rays in order to obtain good quality image which allows the correct diagnosis, which reduces the dose to the patient, mainly due to the repetition of tests, and decreasing cost. The requirements apply to related activities to quality control and procedures using ionizing radiation for diagnostic imaging in dentistry by evaluating a minimum set of parameters to be tested or verified. Quality control follows the Ordinance No. 453 of the Ministry of Health of 06.01.1998, SS Resolution No. 625 of 12.14.1994 and Resolution No. 64 of the Health Surveillance Center – Department of Health of Sao Paulo and National Health Surveillance Agency – Ministry of Health of Brazil. This study was conducted in the city of Marilia, Sao Paulo, along with the Company P&R Consulting and Medical Physics, in a dental clinic of the University UNIMAR in the x-ray equipment used on that site. The physical parameters of the device were tested with the aid of ionization chambers to measure rates of radiation, electrometer to measure rates of time, kV and doses, radiographic films and positioning devices. Finally, this work demonstrates the need and importance of quality control, which one ensures the proper use of x-ray machines, maintaining efficiency and at the same time it reduces the risks to the patient, to the dentist and to the general public
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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The apnea and hypopnea sleep obstructive syndrome is a disorder that affects part of adult population. Some characteristics can come with this syndrome that cause social problems such as snoring and excessive daytime sleepiness, associated many times with pulmonary hypertension and cardiac insufficiency. The dentist who is inserted into a multidisciplinary team is a professional highly regarded for diagnosis and treatment of sleep disorders. Among treatments recommended, therapy with intraoral appliance shows an excellent non invasive alternative, achieving satisfactory results.
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Necrotizing ulcerative gingivitis is a periodontal disease which suddenly appears and presents an acute clinical course, characterized by patients' pain, discomfort and halitosis. Ulceration on papilla and marginal gingiva can be observed. For this reason, patients presenting this condition may seek dental assistance in Health Units or Graduation Institutions, being the dentist responsible for the adoption of a clinical treatment that minimizes symptomatology. The purpose of this case report is to expose and discuss aspects of clinical treatment for this disease applied to the reality of this service.