Restorative treatment on class I and II restorations in primary molars: A survey of Brazilian dental schools

A survey was sent to 70 Brazilian dental schools evaluating techniques and restorative materials being taught for Class I and II preparation in posterior primary teeth by Pediatric Dentistry courses. After a 54% response rate, marked teaching diversity was found among Brazilian dental schools. Amalgam continues to be taught, but a tendency of preference towards more esthetic-like materials was observed.

Dental students' familiarity with the medical management of dental patients at Brazilian dental schools

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Knowledge of general dentists in the current guidelines for emergency treatment of avulsed teeth and dental trauma prevention

A high prevalence of dental trauma exists and its effects on function and esthetics deserve the attention of general dentists. The aim of this study was to assess the level of general dental practitioners' (GDPs) knowledge about guidelines for dental avulsion and its prevention using a questionnaire. The 21-item questionnaire was distributed among 264 GDPs and the survey was realized between August-November 2006. The data obtained were statistically analyzed using descriptive analysis and Pearson's Chi-square test to determine associations between knowledge regarding emergency treatment and dentists from public or private dental schools and years of experience. The results showed that the participants exhibited appropriate knowledge concerning procedures in cases of tooth avulsion and its prevention. The number of correct answers was low in relation to recommended treatment at the site of injury. Storage medium, preparation of the alveolus and splint time for receiving the avulsed tooth received a high number of correct answers. One statistically significant association between years of experience and recommended treatment at the site of the injury in the case an avulsed tooth (KH2 = 9.384, P = 0.009). In conclusion, this survey showed appropriate knowledge of dental avulsion management and its prevention among the surveyed dentists. The findings also showed that communication between dentists and the population is deficient, especially concerning practitioners of high risk and contact sports.

Dental students familiarity with the implications of using local anesthetics and dental materials

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Análise qualitativa do conteúdo ministrado na disciplina de bioética nas faculdades de odontologia brasileiras

The study consists on a qualitative analysis of content ministered by Bioethical discipline on Brazilian Dental Schools. Data collect occurred by semi-structured questioners send by e-mail and correspondence. It was used content analysis by categorical analysis technique, according to Bardin. Among 182 Schools, just 57 (31.3%) shows Bioethical Discipline. It was observed that the discipline is ministered on the first or last year of course generally. Principal subjects broached are bioethical dilemma (76.3%) with polemics questions and others actual like abortion, clone, organs transplant, attendance of patient porter of HIV and bioethical historic (65.8%), bioethical fundaments, principles and models (57.9%). 84.4% researched professors, said that bioethical discipline awake interesting on students because it actual and it's face to patient-professional relation too. It was possible to conclude that bioethical discipline treat in its content some actual and polemic themes that influence dental surgeon formation because promote him conscience and responsibility of him role front attention at oral health, and so, this discipline should be implanted, specifically in the first year of all Dentistry graduation courses.

Concurrence between the maxillary midline and bisector to the interpupillary line

Purpose: Symmetry is one of the factors that contributes to facial harmony, and in oral rehabilitation it determines the success of esthetic treatment. Therefore, the aim of the present study was to analyze the axial symmetry between the bipupillar midline and maxillary central incisors midline of 102 dental students (both genders) distributed across five Brazilian dental schools. Materials and Methods: Students with no teeth missing and who had never been subjected to any dental treatment were selected. Photographs were taken with a Dental Eye III camera with a 100-mm macro objective and ratio of 1 : 10 from natural size, recorded on an Ektachrome ASA/ISO 100 film. The images were developed and applied to Microsoft Office Power Point 2007 software. The results were analyzed by analysis of variance and Student's t-test (= 0.05). Results: There was no significant correlation between bipupillar midline and the maxillary dental midline, irrespective of gender. Conclusion: No significant coincidence was observed between the interpupillary and dental midline. However, the interpupillar distance and its relationship with other anatomic structures may be used as a reference in treatment, but measurements must be assessed individually. CLINICAL SIGNIFICANCE Anatomic measurements and facial proportions can be helpful during the planning of esthetic oral rehabilitation. © 2009 Wiley Periodicals, Inc.

Evaluación de las metodologías de enseñanza-aprendizaje de la bioética en las facultades de odontología Brasileñas

Introduction. Bioethics is present in Dentistry and other health areas, as scientific research that results on profession progress, as in proper clinical attendance. The study consists on valuation of teaching-learning methods of Bioethical on Brazilian Dental Schools. Materials and methods. Data collect occurred by semi-structured questioners send by e-mail and correspondence. It was realized descriptive analysis of quantitative answers, and for qualitative answers, it was used content analysis, by categorical analysis technique in according to Bardin. Results. Among 182 Dental Schools actives in Brazil, only 57 (31.3%) showed bioethical discipline in its curricular grid. It was observed the discipline is teaching on theoretical form (77.8%). Principal forms of evaluation are: writing prove (100%) and seminaries (75%). Just 6.4% of professors use bibliographic references about bioethical faced to Odontology specifically. The majority of interviewed person (74.2%) considered that bioethics is related on the direct and indirect form with all others disciplines. In relation to importance of Bioethical on dental surgeon formation, 64.7% emphasized it in professional-patient relation. Conclusion. The Bioethics show teaching and practice method of conserver evaluation, and so, it's necessary others methods directed to reflection of actual problems in odontology area that contribute significantly on integral formation of dental surgeon. © Viguera Editores SL 2009.

Complete denture wearing and fractures among edentulous patients treated in university clinics

Objective: The prevalence of wearing and fracture of complete dentures was evaluated among edentulous patients treated in two dental schools in Brazil. Background: Acceptance and wearing of complete dentures are related to adaptive behaviour of edentulous patients. However, one reason that could interfere with the wearing dentures is their potential to fracture, which is still a common complication in denture rehabilitation practice. Material and methods: Two hundred and twenty-four edentulous patients rehabilitated with complete dentures from 2000 to 2005 in Araçatuba and Araraquara Dental School, University of State of São Paulo, were assessed in 2006 and 2007 to answer a questionnaire about wearing and fracture of their dentures. Statistical analysis were performed using Epi Info software and chi-squared test to compare maxillary and mandibular data (α = 0.05). Results: Almost 26% of the patients did not wear their dentures, and among the remainder, the majority wore the maxillary denture. About 30% of the dentures were fractured, with higher prevalence in the maxillary arch (p = 0.003). Conclusions: Discontinuation of wearing dentures was quite high, especially considering the treatment which was carried out in university clinics. Prevalence of fractures was also high, greater for the maxillary denture, and was one of the main reasons for non-wearing of complete dentures. © 2011 The Gerodontology Society and John Wiley & Sons A/S.

O perfil de ensino das disciplinas de bioética, ética profissional (ou deontologia) e odontologia legal das faculdades de odontologia brasileiras

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

La relacion entre la calidad de la ensenanza y mala prática odontológica: relato de un caso clínico

The activities developed in health area are of great importance, because they have the aim to preserve the life of the men, and therefore, must be performed by authorized persons. The increase of the number of dental schools, the decline at the education quality and a higher admission of students with low ability to exercise their profession, are facts that bring disastrous consequences for society. These facts are, also, reflected at the moral, ethical and technical-scientific performance of the professional. The purpose of this clinic case is to show that although there is a significant suplly of education institutions, there is a lack of scientific and adequate technical knowledgement from the graduated dentals surgeons. The patient MSL, 17 year old, female, went to a dental clinic presenting a tray type Vernis, attached to the lower arch. After clinical evaluation, it was showed that an incorrect material was used for the impression technique, being impossible to take out the tray by the conventional manner. The planning for the removal of the tray was through the divide of it. Thus, the consequence of the lack of knowledge in the use of impression materials had caused a great incovinience to the patient. It can be concluded that the rate of malpractice is directly related to the professional preparation, highlighting the importance of quality dental education for a responsible clinical practice.

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.

Oral health education in schools: promoting health agents

Purpose: The aim of this study was to verify the influence of preschool children participating in an oral health education programme on daily health practices of their families, through parent's perception. Methods: A sample of 119 parents of 5- to 6-year-old preschool children were selected. Data were collected using a structured open-closed questionnaire, self-administered. The questions focused on parents' knowledge about activities of oral health education conducted in school, the importance given by them to these activities, learning from their offspring and the presence of habit change at home. Results: In total, 63 (52.9%) parents agreed to participate. Ninety-eight per cent knew about educative and preventive activities developed at school and all of them affirmed that these activities were important, mainly because of knowledge, motivation and improvement in children's health. Ninety and half per cent of parents reported that they learned something about oral health from their children and, among these, almost half (47.8%) cited toothbrushing as the indicator for better learning. Besides this, 87.3% of participants revealed the change in oral health habits of their family members. Conclusion: Preschool children were able to transmit knowledge acquired at school to their parents that included change in oral health routine of their family members.