Condições de saúde bucal de crianças e adolescentes portadores de síndrome de Down

Patients with Down syndrome have shown different conditions of oral health, and there is a low occurrence of dental caries and a higher susceptibility to periodontal diseases. Thus, this study aimed to evaluate the prevalence of dental caries and periodontal diseases in subjects with Down syndrome. The population was composed of 40 patients with the syndrome, aged 6 to 18 years, of both genders, and an equal number of non-syndromic patients. The periodontal conditions were evaluated by mean of the criteria of PSR and dental conditions were registered following indexes dmft and DMFT. It was found that in children with Down syndrome, the dmft index was 1.17 and DMFT 3.53 while the control group was verified dmft 1.97 and DMFT 2.77. The results of PSR evidenced that 32.5% of children with Down syndrome were periodontally healthy, 65% were gingivitis patients and 2.5% were periodontitis patients, while in the control group, 50% healthy and 50% were gingivitis patients. The results evidenced similar populations of cariogenic cocci between patients with Down syndrome and non-syndromic subjects. It was concluded that the incidence of caries in children with Down syndrome was higher in permanent teeth compared with the control group, while in the occurrence of deciduous teeth caries was slightly higher in the control group, so when children with Down syndrome are subjected to periodic examinations, they present themselves periodontally healthy.

Erosão dental e suas implicações sobre a saúde bucal

The concepts of buccal health promotion and the increase of life expectancy have contributed for the highest maintenance of dental elements. Thus, with the new alimentary and behavioral habits the irreversible loss of dental hard tissue of non-carious origin has increased substantially, being divided in attrition, erosion and abrasion. The dental erosion is a chronic pathology defined as the superficial loss of dental hard tissue as a result of a chemical process not involving bacteria caused by acid that could be intrinsic, extrinsic or unknown etiology, causing irreversible loss of mineral tissue and dentinal hypersensitivity. The aim of this paper is to present a review of literature on the main factors that can cause the injuries of erosion, including the different aspects related to its etiology, classification, diagnosis, prevention and treatment.

Relação entre a presença da equipe de saúde bucal na estratégia saúde da família com o nível de conhecimento dos agentes comunitários de saúde

Objective: to identify the relation between the level of knowledge of community health workers on oral health and the presence of the Oral Health Team in the Family Health Strategy. Methods: we performed a survey with 173 community health workers allocated in public health services of five municipalities in the northwest of São Paulo, Brazil, through a self-administered and structured instrument. The survey instrument contemplated questions related to the presence of the Oral Health Team in the Family Health Strategy and questions regarding oral health. Results: the majority of community health workers was inserted in strategies with the presence of Oral Health Teams (60.1%). We found that the oral health knowledge of most participants was good (48%). Conclusion: there is relation between the level of knowledge of community health workers and the presence of the Oral Health Team in the Family Health Strategy.

Parâmetros assistenciais em saúde bucal: comparação entre duas programações do atendimento clínico no serviço público

Objective: To compare two forms of scheduling clinical dental care for the oral health teams (OHT) included in the strategy of family health, regarding productive aspects of assistance. Methods: Two OHT worked concurrently, using two methods of clinical care: the parameter recommended by the Ministry of Health Ordinance No. 1101, 2002, which establishes 03 dental visits per hour (c/h) per team, and a Testing model, with 02 c/h, being each method applied for a period of 615 hours. The quantitative data was collected in OHTs’ daily production spreadsheets, covering the following items: the number of dental visits (initial, for maintenance and for emergency procedures), procedures performed, consumption of material and sterilization cycles. Data was compared and statistically analyzed through the BioStat 5.0 by applying the paired t-test (p <0.05). Results: Under the Ministerial method and the Testing model, were performed, respectively, 288 and 365 first dental visits, 921 and 686 return dental visits, 167 and 172 emergency dental attendances, with 469 and 110 fouls, 212 and 327 treatments were finished and 2501 and 3046 dental procedures were realized. Among eleven analyzed consumables, five were consumed in smaller quantities in the Testing model: gloves (9%), anesthesia (38%), anesthetic needle (34%), suture material (24%) and aspirators (11%), while the six remaining items presented similar consumption rates between the two models. Conclusions: The testing model revealed to be more productive and economical.

A experiência da saúde coletiva na formação profissional: retrato da extensão universitária

The guidelines of National Curriculum for Dental courses highlights the necessity in providing for the professional the ability to analyze and assess community’s problems and needs, and to create solutions for the society. The continuing education may be considered a useful tool for the teaching and learning because it favors the diversification of learning environments, which allows the insertion of undergraduate and graduate students into the real scenarios. This current study aimed to assess the Public Health projects and programs of the UNESP – Araçatuba Dental School, by describing the interaction experiences between faculty and health services in the professional career development. Historical, documentary and descriptive searches were performed based on the faculty archives such as official documents, reports, databases from the Pro-rector of continuing education and published papers in the period between 1964 and 2011. The following experiences were noted: the Extra-Muro Dental Service (SEMO), established in 1964, that focused in providing dental treatment to the rural population, highlighted the social inclusion of discriminated society groups since that time. In 1972, this service was expanded to several specific populations living in the urban areas. In the '60s, many educational campaigns were performed as homemade water filter and construction of wells and septic tanks which demonstrate the concern with the determinants of healthdisease process. At that time, the campaign of fluoridation of public water supplies in several counties started as Araçatuba, Birigui, Penápolis, Guararapes, Valparaíso and so on. The Campaign of “Good Teeth” from the '70s became wider over time and it was transformed in the "Oral Health Education Program" and it was continuously developed in all public schools of Araçatuba and some neighboring towns, benefiting children aged from 6 to 10 years-old. Several epidemiological studies of caries, periodontal diseases, malocclusion and fluorosis were conducted in cooperation with local governments, and counted with the participation of undergraduate and graduate students. Pereira Barreto – SP was the precursor city in Brazil to carry out fluorosis study. Currently, 12 projects of Public Health from the Institution of Higher Education in the Pro-rector of continuing education are being developed. The concern in qualifying the human resources in health is confirmed with the development of training courses and workshops for professionals, highlighting the training for people enrolled in the Family Health program; Community Health Agent training - Solidarity University, and Municipal Health Counselors training. The Graduate Program in Social and Preventive Dentistry, created in 1993, has an important role to train several professionals for the Unified Health System, and provides education to create researchers, professors and administrators, and enucleates research groups in several Brazilian states. In all activities showed herein, a dynamic participation of undergraduate and graduate students has been observed, and several books, guidelines, articles, brochures and booklets have been published as a result of the continuing education activities.. It was concluded that different projects and programs have been developed by the Public Health of UNESP –Araçatuba Dental School, which allow the exchange of experience between the university and health services, and benefit all participants enrolled in these activities.

A participação do auxiliar em saúde bucal na equipe de saúde e o ambiente odontológico

Introduction: The formation of Oral Health Team, healthy and ergonomic work conditions influence on quality of dental attendance to patient. Objective: In this observational and cross-sectional study, it was observed the participation of the dental assistants (ASB) on dental team on public health, to verify the items related to health legislation, the existence and distribution of equipment in dental offices. Material and method: The data collection was performed using questionnaires and observations on locals for consultation. It were interviewed 75 dentists from 9 cities of Health Regional Department (DRS) – XV – São José do Rio Preto City and it was evaluated 34 dental offices. Result: Of total 75 dentists, 21 (28%) worked alone and among them, 6 (29%) worked at school and 15(71%) at Health Basic Unit (UBS). From 34 dental offices, 2 (6%) did not show any equipment for sterilization and among those that had it, the autoclave was the most used method (44%). Among the analyzed dental offices, 31 (91%) had dustbin for common waste and 23 (68%) of contaminated waste was inadequate. It was noted that 13 (38%) did not have local to wash de hands; in 23 (68%) there was paper towel; in 20 (59%) there was ideal soap dishes, and the compressor was installed into dental offices in 5 (15%) of local for attendance. In relation to dental offices adequacy for the help work, all of them (n = 19) were dissatisfied. Conclusion: The existence of ASB was present in the Centers of Dental Specialties (CEO) and Units of Family Health due legal exigencies and it were found inadequate healthy and ergonomic conditions, suggesting the necessity of reorganization of w

Satisfação e o emprego no Sistema Público de Saúde na área de saúde bucal

The aim this study was to know work conditions of dental surgeon in Brazilian Health System (SUS), by their perception, analyzing: type of ingress, work regime, workload, realized income, existence of Career Plan, Posts and Ages (PCCS) and satisfaction with public employment. The sample was constituted by dental surgeons (n=83) of 12 cities public system from Health Regional Department XV – São José do Rio Preto City – São Paulo State. Data collection was by interviews using a questionnaire. Results point that 19% of interviewed people didn’t take an open competition to ingress on SUS. Statutory scheme of work was more adopted getting 57% of professionals. Different working days were observed: 57% is relative to 20 hours, 7% to 30 hours and 36 hours to 40 hours. About satisfaction with incomes, 66% of professionals were dissatisfied, observing the absence of PCCS in 11 cities. About satisfaction with public employment, just 5% said to be “dissatisfied”; 11% “few satisfied” and the majority 62% and 22% affirmed to be “satisfied” and “satisfied so much” respectively. Although PCCS not to be reality in studied cities and the majority of professionals to say “to be dissatisfied” with wage, around totality of interviewed people is “dissatisfied” with public employment on SUS.

Representações sociais como instrumento de informação para a saúde bucal coletiva

In addition to understanding the distribution of the populations’ health-disease process, epidemiology has sought to study the causality associated with this process, which humanity developed over time, and to interpret the narrative of this field of knowledge. A solid review of the literature was done to emphasize the importance of using popular knowledge as a qualitative health-related investigation strategy and to demystify the use of social representations in the field of dentistry. By initiating the design of a new paradigm for understanding the oral health-disease process, which favors the idea that it is also the result of a sociocultural production, knowledge of the circumstances and context in which it is inserted becomes critical for health assessment actions. Although scientific dentistry has advanced the understanding of oral diseases, communication with popular knowledge leaves much to be desired, since most professionals find themselves trapped in a fragmented model of care. Reconstruction of the logic by which the representations of oral health were produced and socialized over time can be considered a relevant and productive purpose of the representations in the dental area.

Saúde bucal no Brasil: uma nova política de enfrentamento para a realidade nacional

The implement of Specialized’s Dentistry Centers in Brazil is, on present-day, one of the prime faces of Oral Health Brazilian Political, of which is to amplify and to qualify the specialized’s dentistry services proffer. The aim of this study, done with indirect dates, was to analyze the implantation and geographical distribution of these Centers in Brazil and try to make a relationship between this information and social and oral health factors. The results obtained showed the presence of 339 Centers already implanted in Brazil, homogeneously allocated in 283 cities, by a total of 5.560 brazilian cities, presented in the five Greater Regions. The most of the Centers were presented in large load cities. The data showed Southeast, Central West and Northeast regions with the major percentage of cities carrying Specialized’s Dentistry Centers (7,6%; 6,5%; 6,1%, respectively), while North and South regions present the minor covering taxes (4,0% and 4,5%, respectively). Relation to population’s social and buccal needs, North and Northeast Regions have the most adverse conditions, on the contrary to South, Southeast and Central West Regions who show the best one. Although the finded results were not so expressive, reflecting the brazilian geographical and populational characteristics and the essential development of specialized dentistry services, this initiative presents a real progress over the reorganization of dentistry’s practice.

Saúde bucal dos idosos brasileiros: alterações estomatológicas na terceira idade

O presente estudo tem como propósito, através de revista de literatura, verificar as principais alterações estomatológicas na terceira idade. O edentulismo ainda é muito comum. O uso de próteses pode ocasionar o surgimento de lesões como estomatite, candidíase, hiperplasias e úlceras. Concluiu-se que a saúde bucal dos idosos brasileiros é precária e o uso de serviços odontológicos bastante incipiente. São necessários investimentos públicos em saúde bucal para reverter essa situação dos idosos com políticas concretas de ações preventivas, educativas, curativas e de reabilitação oral.

Atividades de educação em saúde sobre leishmaniose visceral para escolares

This study aimed at evaluating the knowledge on visceral leishmaniasis gained after the application of an educative project for the 6th and 7th grade students from three public schools of Birigui, SP, Brazil. A questionnaire before (Phase I) and after (Phase II) activities that comprehended one conference by a health agent, a comic contest and one crossword about VL was used to measure scholar’s knowledge. We interviewed 711 students in Phase I and 693 in Phase II. A criterion of VL knowledge was adopted as “Good”, “Medium” and “Bad” when, out of 10 questions analyzed by Item Response Theory, 10 to 8, 7 to 4, and 3 to 0 were right, respectively. We observed a statistically significant increase in the students’ knowledge level after the educational project, since the number of students with “Good” concept changed from 35.7% (Phase I) to 59.7% (Phase II). The educational activities carried out led to gains in knowledge among students suggesting that continuing education can bring good results to public health.

Saúde bucal de adolescentes que receberam assistência odontológica na primeira década de vida

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Avaliação comparativa entre as escolas municipais de ensino básico que receberam e as que não receberam o programa de promoção em saúde bucal da Faculdade de Odontologia de Araçatuba

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Educação sexual, saúde e sexualidade: (re) significando as relações entre pais e filhos

Pós-graduação em Educação Sexual - FCLAR