Oral health quality of the workers of a telemarketing company and their satisfaction with the treatments provided by the corporative dental insurance plan

Aim: To evaluate the oral health quality of the workers of a telemarketing company and their satisfaction with the dental treatments provided by the corporative dental insurance plan. Methods: Data collection was by an online intranet questionnaire on dental service providers from Uberl��ndia/MG and Campinas/SP. It was addressed to 6000 associates, with objective and subjective questions, comprising the level of the telemarketing operators��� oral health, dental needs, satisfaction with dental care providers and the importance of having the laboral dental services provided by the company. Results: After analysis of the results, we observed that: 57.52% of the workers required improvement in their oral health and 56.03% mentioned prevention as the largest need, 66.70% use the dental providers��� services, but only 31.34% were satisfied with them. Conclusions: The results underscore that the workers have an intermediate level of dental needs, with prevention as top importance. Additionally, establishment of a basic attention program inside the company would increase the satisfaction and adhesion indexes of providers and the workers��� oral health.

Evaluaci��n de la eficacia de la remoci��n de caries en dientes temporales utilizando dos m��todos qu��mico-mec��nicos.

La Odontolog��a Pedi��trica Contempor��nea al igual que la Odontolog��a de M��nima Intervenci��n, comprende la m��xima conservaci��n de tejido dental subyacente con la finalidad de evitar la invasi��n a tejidos pulpares que derivan en tratamientos radicales tales como pulpotom��as y pulpectom��as; las t��cnicas de operatoria dental actuales comprenden en tratar el complejo dentino-pulpar lo m��s conservadoramente posible, con la finalidad de prevenir la extensi��n. Una de las propuestas del concepto de M��nima Intervenci��n consiste en el uso de agentes qu��micos para la remoci��n de tejido cariado, auxiliado por instrumentos manuales que permitan remover solo la dentina infectada, sin necesidad de piezas rotatorias, reduciendo tiempos operatorios y costos. Objetivo: Evaluar cu��l es el m��todo m��s eficaz para eliminar la caries dental entre m��todos qu��mico-mec��nicos para as�� establecer un protocolo de atenci��n no invasivo para pacientes pedi��tricos y poder llevarlo a cabo en las campa��as de brigadas Odontol��gicas, para que un mayor n��mero de poblaci��n sea beneficiada con ��stas. Materiales y M��todos: Se evaluaron 10 piezas posteriores deciduas, extra��das de ni��os de 6 a 8 a��os que cumpl��an con los criterios de inclusi��n de la Maestr��a en Ciencias Odontol��gicas en el ��rea de Odontopediatr��a de la UANL, Monterrey, Nuevo Le��n, M��xico. Las piezas a evaluar fueron seccionadas y tratadas con Carisolv y Papac��rie, ambos productos de remoci��n qu��mico mec��nicos, mientras se med��a el tiempo de trabajo y la calidad de dentina remanente tras la remoci��n de caries para posteriormente describir los hallazgos observados.

Prevalencia de caries en ni��os de 6 a 12 a��os de edad en relaci��n con su ��ndice de masa corporal

La caries dental es una enfermedad infecto-contagiosa que produce una desmineralizaci��n de la superficie del diente y que es causada por bacterias que se adhieren a la superficie dentaria. Es un proceso localizado que causa el reblandecimiento del tejido duro del diente y seg��n estad��sticas est�� presente en el 90% de la poblaci��n. La etiolog��a es multifactorial y uno de los factores m��s importantes relacionado con la caries es la dieta. Otro factor importante a estudiar es la obesidad infantil ya que en M��xico es un problema de salud p��blica, debido a su alto porcentaje en la poblaci��n. La obesidad es una enfermedad cr��nica de origen multifactorial prevenible, que se caracteriza por acumulaci��n excesiva de grasa o hipertrofia general del tejido adiposo en el cuerpo. El sobrepeso y la obesidad son el quinto factor principal de riesgo de defunci��n humana en el mundo. Cada a��o fallecen por lo menos 2,8 millones de personas adultas como consecuencia del sobrepeso o la obesidad. Los pacientes con obesidad deben recibir un tratamiento integral para evitar que pueda surgir a futuro una enfermedad sist��mica o problemas bucales. En el presente estudio se determin�� si el estado nutricio es un determinante sobre el ��ndice de caries, debido al aumento en la ingesta de alimentos ricos en carbohidratos y si la obesidad es un factor predisponente de caries. Se realiz�� un estudio comparativo y observacional en 166 ni��os de entre 6 a 12 a��os de edad de Ciudad Miguel Alem��n, Tamaulipas. Se tomaron datos de los ni��os, se midieron y pesaron con una b��scula calibrada, y mediante exploraci��n cl��nica se revis�� y registr�� la cantidad de dientes cariados, extra��dos y obturados de los pacientes, encontr��ndose que no hay una relaci��n entre la obesidad y la caries aunque se comprob�� que la poblaci��n ten��an un alto ��ndice de la misma.

Utilidad del fluoruro diam��nico de plata en el diagn��stico precoz de la desmineralizaci��n del esmalte/caries incipiente en los primeros molares permanentes

El estudio se aplic�� en ni��os escolares de 9-12 a��os de la parroquia urbano marginal de Narancay. La intervenci��n se efectu�� en dos meses y mediante las tres t��cnicas se evaluaron 120 molares con un total de 359 superficies examinadas. Resultados: el resultado global de la valoraci��n de los diferentes ��ndices de salud bucal presenta resultados positivos para calificarla como poblaci��n de alto riesgo. El FDP detect�� m��s lesiones de desmineralizaci��n del esmalte/caries incipientes que el examen cl��nico (311/359 vs. 168/359) p< 0.0001. El examen radiogr��fico detect�� el menor n��mero de lesiones incipientes (23/359 vs. 311/359) p< 0.00001. El FDP diagnostica m��s lesiones de desmineralizaci��n del esmalte y crisis incipiente que el examen cl��nico y radiogr��fico conjuntamente (311/359 vs. 191/359) p< 0.001 OR 5,70 (95% I C: 3,88 - 8,38). En cuanto a los costos, el diagn��stico cl��nico m��s Rx, por cada ni��o es de $4 y el diagn��stico cl��nico m��s FDP es de $1,50. Conclusiones: la localidad de Narancar de la parroquia Ba��os tiene una infraestructura sanitaria insuficiente, con baja escolaridad y con altos ��ndices de enfermedad bucal. El diagn��stico dental de la poblaci��n infantil que tanto los ��ndices de CPOD-ceod, higiene buco dental, placa dental y los momentos de ingesta de az��car, reflejan que el grupo de estudio tienen elevados factores de riesgo e indicadores de enfermedad buco denal

Oral Administration of Lactobacillus reuteri during the First Year of Life Reduces Caries Prevalence in the Primary Dentition at 9 Years of Age

The aim of this study was to evaluate the effect on oral health, at age 9 years, of daily oral supplementation with the probiotic Lactobacillus reuteri, strain ATCC 55730, to mothers during the last month of gestation and to children through the first year of life. The study was a single-blind, placebo-controlled, multicenter trial involving 113 children: 60 in the probiotic and 53 in the placebo group. The subjects underwent clinical and radiographic examination of the primary dentition and carious lesions, plaque and gingivitis were recorded. Saliva and plaque were sampled for determination of mutans streptococci (MS) and lactobacilli (LB) in saliva and plaque as well as salivary secretory IgA (SIgA). Forty-nine (82%) children in the probiotic group and 31 (58%) in the placebo group were caries-free (p &lt; 0.01). The prevalence of approximal caries lesions was lower in the probiotic group (0.67 �� 1.61 vs. 1.53 �� 2.64; p &lt; 0.05) and there were fewer sites with gingivitis compared to the placebo group (p &lt; 0.05). There were no significant differences between the groups with respect to frequency of toothbrushing, plaque and dietary habits, but to intake of fluoride supplements (p &lt; 0.05). There were no intergroup differences with respect to L. reuteri, MS, LB or SIgA in saliva. Within the limitation of this study it seems that daily supplementation with L. reuteri from birth and during the first year of life is associated with reduced caries prevalence and gingivitis score in the primary dentition at 9 years of age.

Manifesta����es orais associadas ao consumo da droga de abuso MDMA

O uso para fins ou meios festivos de lazer da droga il��cita MDMA, tamb��m chamado de Ecstasy ou Moly, tem vindo a aumentar drasticamente em Portugal e no Mundo. Esta situa����o desafia os profissionais de sa��de para v��rios par��metros na sa��de oral e geral. O objetivo desta disserta����o visa avaliar e descrever as les��es e patologias na cavidade oral que est��o relacionadas com o consumo da subst��ncia il��cita MDMA. As consequ��ncias para a cavidade oral podem ser a xerostomia, o bruxismo, as c��ries rampantes, a doen��a periodontal, o desgaste e a eros��o dent��ria, e as les��es dos tecidos moles. Os indiv��duos consumidores podem apresentar car��ncias nutricionais e um est��mulo aumentado �� dor. A gest��o do progn��stico e o tratamento realizado aos consumidores de MDMA, pois afeta v��rios ��rg��os e sistemas no corpo humano, requer uma abordagem multidisciplinar que inclui educa����o, preven����o e tratamento integrados. Esta revis��o bibliogr��fica teve com base artigos publicados em revistas cient��ficos e monografias dispon��veis em v��rios motores de busca. As palavras-chave usadas foram: ���ecstasy���, ���MDMA���, ���oral manifestations���, ���oral health���, ���substance abuse���, ���overdose treatment���, ���xerostomia��� e ���methamenfetamine��� e a sua conjuga����o. As situa����es orais, perante as mais prevalentes comorbidades patog��nicas relacionadas com o MDMA e outras depend��ncias il��citas, necessitam de mais aten����o e refor��o em rela����o �� pr��tica cl��nica e aos servi��os de sa��de. Uma das dificuldades para o tratamento correto destes indiv��duos �� a falta de informa����o sobre o assunto referente �� pr��tica na cl��nica dent��ria. A omiss��o sobre o consumo por parte do paciente bem como de uma reca��da no uso, apresentam d��vidas sobre o fator em causa ou at�� mesmo no diagn��stico. S��o, muitas vezes, os M��dicos Dentistas os primeiros a terem a oportunidade de diagnosticar o aparecimento de poss��veis altera����es surgidas em virtude do consumo de MDMA.

Injury prevention in Queensland : report to Queensland Injury Prevention Council

Injury is the fourth leading cause of death in Australia. Injury rates in Queensland are amongst the highest in Australia and 21.5% of people surveyed for this research reported that their lifestyle or that of an immediate family member had been permanently affected by injury. Injury results in over 40,000 hospital admissions and 200,000 attendances at hospital Emergency Departments in Queensland each year. Queensland's death rate from injuries is higher than the national average, with consistently higher rates of deaths related to transport injuries. Queensland statistics also show higher than national average rates of injuries due to falls, homicide and accidental drowning. (Pike, Muller, Baade & Ward, 2000) In 2000-01 injuries represented over $4 billion (or 8%) of total health system expenditure, and 185,000 disability-adjusted life years (DALYs), or 7% of the total morbidity burden of disease and injury in Australia in 2003. (Begg, Vos, Barker, Stevenson, Stanley & Lopez, 2007). Injury is one of seven key health areas identified by the Commonwealth, state and territory governments for priority attention as National Health Priority Areas

Springboards into design : exploring multiple representations of interaction in a dental surgery

This paper demonstrates that in order to understand and design for interactions in complex work environments, a variety of representational artefacts must be developed and employed. A study was undertaken to explore the design of better interaction technologies to support patient record keeping in a dental surgery. The domain chosen is a challenging real context that exhibits problems that could potentially be solved by ubiquitous computing and multi-modal interaction technologies. Both transient and durable representations were used to develop design understandings. We describe the representations, the kinds of insights developed from the representations and the way that the multiple representations interact and carry forward in the design process.

A participatory design agenda for ubiquitous computing : a case study in dental practice

This paper reflects upon our attempts to bring a participatory design approach to design research into interfaces that better support dental practice. The project brought together design researchers, general and specialist dental practitioners, the CEO of a dental software company and, to a limited extent, dental patients. We explored the potential for deployment of speech and gesture technologies in the challenging and authentic context of dental practices. The paper describes the various motivations behind the project, the negotiation of access and the development of the participant relationships as seen from the researchers' perspectives. Conducting participatory design sessions with busy professionals demands preparation, improvisation, and clarity of purpose. The paper describes how we identified what went well and when to shift tactics. The contribution of the paper is in its description of what we learned in bringing participatory design principles to a project that spanned technical research interests, commercial objectives and placing demands upon the time of skilled professionals.

Maintaining human agency in the design on context-aware systems : Design games in a dental surgery

This paper describes a series of design games, specifically aimed at exploring shifts in human agency in order to inform the design of context-aware applications. The games focused on understanding information handling issues in dental practice with participants from a university dental school playing an active role in the activities. Participatory design activities help participants to reveal potential implicit technical resources that can be presented explicitly in technologies in order to assist humans in managing their interactions with and amidst technical systems gracefully.

Targeting injury prevention strategies to adolescents of Pacific Islander descent : what will work?

Background: Ethnicity is rarely considered in injury prevention program development, even though this is known to impact on participation in injury risk behaviour. An understanding of injury, risk behaviour and risk and protective factors specific to adolescents of Pacific Islander descent will inform the development of prevention strategies appropriate to this group.----- Aims: To determine patterns of injury and associated risk behaviour among adolescents of Pacific Islander descent, and to understand the risk and protective factors that influence injury rates among this group.----- Methods: A total of 875 Year 9 students from five Queensland high schools completed a survey during health classes. Seventy-one students (n = 38 male) identified as Pacific Islander. The survey consisted of scales examining injury, risk taking behaviour, and relationships with family, school and police.----- Results: The leading causes of injury among adolescents of Pacific Islander descent were sports (48%) and transport (e.g. 45% reported bicycle injuries). Interpersonal violence related injuries were also relatively frequent, with 28% having been injured in a fight. Reports of alcohol use were relatively low (20% c.f. 40% of the remaining sample), however reports of other risk behaviours were relatively high (e.g. 43% c.f. 25% of remaining sample reported a group fight).----- Discussion and conclusions: Conclusions will be drawn regarding risk-related injuries reported by adolescents of Pacific Islander descent and those of other ethnic backgrounds. Additionally, risk and protective factors relating to family, school and police will be explored, in order to inform prevention strategies appropriate to this group.

The importance of school connectedness in adolescent risk taking and injury prevention

Background: Injury is the leading cause of mortality for young people in Australia (AIHW, 2008). Adolescent injury mortality is consistently associated with risk taking behaviour, including transport and interpersonal violence (AIHW, 2003), which often occurs in the context of alcohol and other substance use. A rapid increase in risk taking and injury through early to late adolescence highlights the need for effective school based interventions. Aim: The aim of the current research was to examine the relationship between school connectedness and adolescent risk and injury, in order to inform effective prevention approaches. School connectedness, or students��� feelings of belongingness to school, has been shown to be a critical protective factor in adolescence which can be targeted effectively through teacher interventions. Despite evidence linking low school connectedness with increased health risk behaviour, including substance use and violence, research has not yet addressed possible links between connectedness and a broader range of risk taking behaviours (e.g. transport risks) or injury. Method: This study involved background data collection to inform the development of an intervention. A total of 595 Year 9 students (aged 13-14 years) from 5 Southeast Queensland high schools completed questionnaires that included measures of school connectedness, risk taking behaviour, alcohol and other substance use, and injuries. Results: Increased school connectedness was found to be associated with fewer transport risk behaviours and with decreased alcohol and other substance use for both males and females. Similarly, increased school connectedness was associated with fewer passenger and motorcycle injuries for male participants. Both males and females with increased school connectedness reported fewer alcohol related injuries. Implications: These results indicate that school connectedness appears to have protective effects for early adolescence. These findings may also hold for older adolescents and indicate that it may be an important factor to target in school based risk and injury prevention programs. A school connectedness intervention is currently being designed, focusing on teacher professional development. The intervention will be implemented in conjunction with a curriculum based injury prevention program for Year 9 students and will be evaluated through a large scale cluster randomised trial involving 26 schools.