Odontologia adesiva atual: uma revisão de literatura

Over the decades, there was an evolution in dentistry, specifically in filling technique, and Buonocore (1955) has been the introducer of Adhesive Era. Thus, this paper aims to review the literature about the current adhesive systems. Was performed a literature review about the 5th and 6th adhesive system generations. The titles and abstracts of published articles were analyzed in PubMed database over the past 5 years. However, there are still different views about the technique used, therefore, because the diversity of these materials, it is impossible to highlight one that presents the best efficiency in all situations, being the responsibility of the professional the knowledge of the techniques and clinical applicability of each material.

Nível de satisfação dos pacientes edêntulos reabilitados com prótese total na faculdade de odontologia de Adamantina FAI

The population’s life expectancy is growing every year. This fact highlights the importance of the elderly for the dentistry. The oral cavity quality has great influence on quality of life at both the biological and the psychological and social factors by maintaining a self-esteem, self-expression, communication and satisfactory facial aesthetics. Unfortunately, the number of edentulous elderly population is also high, which may create problems to their social life. Therefore, the objective of this study was to demonstrate and evaluate the difficulties of treating edentulous patients, comparing data prior to treatment to post data after treatment by complete dentures made to the patients undergoing oral rehabilitation in the Dental Clinic of the Faculty of Dentistry of Adamantina – FAI. For this study, questionnaires were filled in the form of answers developed alternative focused on the degree of patient satisfaction, the current situation of occlusion, and outcome of treatment. The results showed that 96% of patients were satisfied with the results obtained in the treatment, all of whom believed that the prosthesis helped them feel better aesthetically and improved self-esteem. By this methodology, it was concluded that the degree of satisfaction was high, but the services provided must be constantly reevaluated, once the elderly population presents a wide labor market for dental professionals and demand level services will certainly increase each year.

Odontologia baseada em evidências: otimizando a prática e a pesquisa

Clinical decisions in dentistry are often based on the knowledge obtained during graduation, clinical experience, information shared with colleagues and professor, textbooks, seminars, conferences and continuing education courses. However, it is necessary to know if this information is derived from scientifically validated researches since too much information may complicate this process. Initially in medicine and later in other health areas a method which enables a critical evaluation of scientific papers related to a specific issue and also, whenever it is possible, an evaluation of the results by meta-analysis,was developed by Cochrane in order to reduce the bias towards all information obtained. The aim of this work is to present some aspects of the Evidence Based Dentistry (EBD) and to show how this methodology can be used to better substantiate scientifically the clinical decision of the dentist and improve researches design with scientific validity. The paper discusses editorial trends focused on the EBD, shows the differences between a systematic and a conventional review, describes data about Cochrane and the advantages of scientific evidence synthesis and the implications of EBD for clinical practice and research as well as recommendation grades and evidence levels of general scientific studies.

Humanização na assistência odontológica de pessoas com deficiência, através do projeto Cão Cidadão-Unesp

The Araçatuba School of Dentistry along with the Veterinary Medical Course, both from UNESP, develop the Extension Project called “Cão Cidadão UNESP” (Unesp Citizen Dog), which is accomplished in some assistance societies, including the Dental Assistance Center to Persons with Disabilities (“Centro de Assistência Odontológica à Pessoa com Deficiência” - CAOE-UNESP). This project develops a multidisciplinary work involving professionals and students from health sciences. The project aims at developing activities to relieve stress, fear and anxiety of patients with disabilities in the moment that precedes the dental treatment. The team performs procedures such as walking with the dogs and patients, toothbrushing the dogs so the patients can see it, in order to learn and motivate themselves, dressing the dogs with some accessories such as white clothes, mask and cap, to associate with image of the dentist, making this relationship more pleasant and welcoming. It is evidenced, through reports of professionals, that the patients become calmer and more collaborative with the dentists, distracting them from the treatment focus and creating a positive bond. It should be noted that this experience has contributed to motivate the professionals to introduce new techniques for dental approach, such as Animal Assisted Therapy. It also shows that animals can be very helpful in treating people with disabilities, because they offer a lot of love, companionship and provide moments of joy and happiness to the participants.

Percepção de acadêmicos de odontologia sobre o envelhecimento

The changes on learning space where Dentistry Students stay in front of social reality, by university extension, represent a strategy to form dentists according to Brazilian Curricular Directresses. In Araçatuba Dental School (FOA-UNESP), one of alternatives to add students on real locals of dentistry practices is the “Always Smiling Project – Dental Attention for institutionalized elderly in Araçatuba City, São Paulo State – Brazil”. The aim of this study was to verify the self-perception of dentistry students about aging before and after participation in this Project during one school year. To data collection, an instrument with 3 opened questions was performed and applied on 45 students, in the beginning of activities in 2009 and after 8 months. The answers were analyzed by content categorization. The results showed that the perception of students about old people was negative relating them with frail person that needs help and the students’ expectations were higher about clinical aspects of attention. In the end of school year was clear the difference of students’ comprehension about aging and their thoughts demonstrated the empathy resulting from relation. Besides, students related knowledge gain and noted that health attention involve others aspects that are over than biological space. It was possible to conclude that insertion of students in “Always Smiling” contributed to reflection and learn about aging process and suggest that practices like these should be added in Brazilian Universities.

Representação da odontologia junto a agência nacional de saúde suplementar - ANS

The sector of health insurance is the entrance of 42 millions Brazilian people for health services. Passed a lot of years until regulations appears. The objective of this article was made an analysis of dental institutions participation at the national agency of health insurance – ANS, response for regulation and investigation in Brazil. Through an documental analysis of texts described in meeting registration of ANS, from 1998 to 2006, was made an identification of dental citations, try to describe a standard of dental representation in the meetings. The dentistry was present in 135 citations, the dentistry representatives institutional made 77 citations (57%), 19 was about dentistry proceeds and 7 of those was to ask resolutions; others 35 citations was about manager and standard of services offer by insurance companies, 5 was ask resolutions; others 3 asks was about taxes and fees, and 10 others was about relationship between companies and employs. The results show that dentistry has a good presence by their institutional representatives in ANS meetings.

Saúde do trabalhador na odontologia: o cirurgião-dentista em foco

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Projeto pedagógico e estrutura curricular de um curso de odontologia: análise crítica fundamentada na percepção acadêmica

Considering that the current pedagogical project for the Dentistry course at FOA-Unesp was structured in 2001, a year before the national resolution that introduced the new curricular guidelines for the dental field, the aim of this study was to analyze critically this document and assess the academic perception of the pedagogical project, as well as the current curricular structure. A previously tested and validated semi-structured questionnaire was used to obtain the needed information, and a documentary analysis was conducted. The questionnaire was drafted based on data from the National Curricular Guidelines (DCN) and Unified Health System (SUS) guidelines. The sample consisted of almost all the graduating students of 2007 (n = 61). Of these, 95% had no knowledge of the pedagogical project for the undergraduate course; 53% found the integration between the disciplines offered by the course insufficient; 66% pointed out that there was duplication of the revised contents; 41% said that the interdisciplinary relation was unsatisfactory, and 67.2% said they preferred the modular system of teaching. Furthermore, 55.7% of the students said that that the course does not fully cover the principles of completeness and resolution of actions, and 37.7% pointed out that clinical care was not humanized. As for the competence and skills needed to exercise the profession, the students admitted feeling secure about carrying out preventivecurative clinical actions, and feeling insecure about developing broad ranging actions, like managing and planning. Analysis of the documents showed a certain disagreement in the organization of the pedagogical project and the curricular structure, when confronted with the course of action set down by the National Curricular Guidelines. The data prove the urgent need to restructure the FOA-Unesp curriculum and confirm the importance of a continuous evaluation in higher education.

Odontologia baseada em evidência: etapas e métodos de uma revisão sistemática

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Publicidade em odontologia: avaliação dos aspectos éticos envolvidos

Objective: To verify whether the professionals who make use of advertising in Dentistry by means of billboards respect the ethical aspects determined by the Federal Council of Dentistry Resolution No 71, 2006. Methods: This was an observational study in which 178 billboards of dental clinics in the municipality of São Paulo were assessed. Results: Among the billboards analyzed, 91.4% belonged to private persons and 9.6% to corporate bodies. With regard to the ethical aspects related to the advertisement, only 44.9% of the billboards presented all the mandatory items in accordance with the Federal Council of Dentistry. The item found the least number of times in the advertisements was the registration number in the Regional Council of Dentistry (34.8%). Among the items allowed by the Federal Council of Dentistry, the telephone number (65.2%) was the most commonly found. Among the ethical infractions, 1.7% of the billboards advertised the terms of payment. Conclusion: Professionals are not following the ethical precepts established by the Code of Ethics in Dentistry, and awareness of these professionals needs to be aroused, so that information about their services is communicated and divulged in an ethical manner.

Educação em saúde bucal na visão de acadêmicos de odontologia

Aim: To analyze dental students' view concerning Oral Health Education. Materials and Methods: The present research, using both qualitative and quantitative approaches, addresses aspects related to dental students' understanding of Oral Health Education, the value that they attach to this practice in the school environment, as well as the importance of their participation in these and other activities during their studies in dentistry. Results: Although dental students recognize the importance of Oral Health Education in the school environment,as well as the importance of their own participation within these activities, their perception of "Oral Health Education" is reductionist and focused primarily on the disease. Conclusion: It is well-known that these findings are reflections and consequences of an established context within a university education. It is therefore necessary that these professional educators perform an in-depth rethinking of the dental practice, in an attempt to develop methodologies based on Health Education in their own teaching practices.

Actitud de los docentes de las facultades de Odontologia Brasilenas ante los aspectos bioeticos, eticos y legales del tratamiento odontológico

The study consist on an analysis of attitude by professors of Brazilian Dental Schools before the aspects bioethical, ethic and legal dental treatment aspects. The data collect occurred by semi-structured questioners send by e-mail and correspondence. It was applied the content analysis, by categorical analysis technique, according to Bardin. About bioethical aspects, 94,6% cited that the decision of treatment should be realized between professional and patient, because it don t interfere on negative form (100%). Everybody consider important the interaction professional/patient, because it establishes the respect and mutual agreement between them (61,8%). Tangent at ethic aspects, 95,5% show all alternatives for determined case, even knowing that can lost patient, explaining on the technique and laical form to clear doubts(61,9%). About legal aspects, 82,4% allege that dental surgeon should treat his patient like consumer whereas offer techniques, materials and know through profession. And, like legal prove on occasional lawsuit, 57,1% mentioned that professional don t need of contract necessarily, but a good documentation about patient and e assigned by him. It concluded that these aspects should be teached always to Dentistry academics, whereas they re inherent at profession, to not stay vulnerable at future ethic, judges and other problems.

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.

Reflexões sobre o conceito de atendimento humanizado em Odontologia

Humanization at dental care is highly important due to uneven relation between scientific / technical advances in dentistry and thequality of human contact. The dental treatment goes beyond the field of scientific knowledge. Therefore, the dental treatment requiresbalance among technical skill, scientific training, and humanist vision of health promotion. Contemporarily, humanization is understoodas tripod based on user's rights, dental practice and organization of a humanized model. Curriculum integration of ethical, humanistic,scientific and technical contents is an important and current challenge on teaching / learning process for professionals at Dentistry. Thispaper aims to, guided by the literature review, to present some considerations on human care in dentistry, with emphasis on theimportance of professional /patient relationship for promoting oral health. It is suggested that dentists reflect on the urgent need ontheoretical basis of humanization and patient-professional relationship for health care.Descriptors: Humanization of Assistance; Dental Staff