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.

Saúde bucal nas escolas: relato de experiência

The need for a closer contact between students and the community reality, as well as, the necessity of providing an education that can result in social changes early in life were crucial for the development of the Extension Project : Oral Health Education, which was developed in Public Child Care Schools in Araçatuba. The aim of this article is to describe the project, emphasizing its educational aspects and to share this experience in order to allow for reflection about this practice.

Saúde bucal e educação infantil: avaliação do desgaste e do acondicionamento de escovas dentárias utilizadas por pré-escolares

Introduction: Early childhood is an essential phase of life for the future of oral health. The link between educational and health sectors can facilitate incorporating educational and preventive oral health practices in daily teaching in pre-schools. The main measure is manual tooth-brushing, which is the most accessible method for most of the population. Objective: The objective of this study is to evaluate macroscopically the wear on the bristles, form of storage, and identification of tooth brushes. Material and method: 345 toothbrushes used by children between the ages of 2 and 5 were evaluated in 4 pre-schools, by 2 participants from the oral health program. The Rawls et al. index was used to evaluate the bristles. Result: There were statistically significant differences (p = 0.020 - Mann-Whitney U test) between the frequency of toothbrushes, with the highest being (n = 205) stored at participating school; and, between adequate and inadequate brushes (p < 0.05 - X2 test) with 31.7 and 60%, respectively, classified as unfit for tooth-brushing. Of the toothbrush holders evaluated 100% were used collectively. Regarding identification, 18% of the toothbrushes were not identified in participating schools, and 37% in the others. Conclusion: The toothbrushes exhibited marked wear, and storage was inadequate; however, the schools participating in the oral health program showed toothbrushes with bristles less worn. It is suggested that training of educators regarding correct storage and evaluation of toothbrushes for wear of the bristles should be undertaken in all early childhood schools.

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.

Conhecimento sobre saúde bucal e práticas desenvolvidas por professores do ensino fundamental e médio

Introduction: The oral health education is a process that aims to transform attitudes and behaviors and to form habits for the benefit of individual health. For this to occur, it is necessary to strengthen and continuous repetition, as possible in the school environment. Objective: To analyze teachers’ knowledge about oral health, practices developed in the school environment, as well as the participation of dentists in guiding teachers of primary and secondary schools. Subjects and method: We used a semi-structured questionnaire with open and closed questions about teacher training, received guidance on oral health during their training, development of oral health issues in the classroom and knowledge on the subject . Results: Of the total respondents (n = 221), only 77 (34.8%) said they had guidance on oral health in their training to be a teacher. 70 (31.7%) said they did not develop oral health issues in the classroom and 91 (41.2%) stated no interaction between dentist and professor. We observed deficiency in teachers’ knowledge about certain issues related to dental health. There was statistically significant association between the dentist’s guidance to teachers and the development of oral health actions and the teacher’s knowledge about the location of the first permanent molar eruption (p <0.01). Conclusion: This study conclude that although most educators develop educational practices on oral health in the school environment, there is a deficiency in understanding by teachers of certain subjects, making it necessary a greater participation of the dentist in the transmission of technical and scientific knowledge to them.

O conceito de saúde geral e bucal na visão dos cuidadores de idosos

The aim of this study was to analyze the perception of elderly caregivers in relation to the meaning of general and oral health and about oral health status of the institutionalized aged. It was performed a qualitative study, using Discourse of Collective Subject method. It were interviewed 42 caregivers who worked in longterm care facilities of Araçatuba City, SP and Passo Fundo City, RS – Brazil, applying a structured questionnaire. The interviews were recorded and transcript to be performed the qualitative analysis. The answers were analyzed and them it was elaborated the discourses of collective subject (DCS). Oral health, according to caregivers, was hygiene habits and good diet, while the absence of oral health was sequelae of oral diseases. It's possible to note that older means of health were being substituted by new perceptions of quality of life and is very divergent between older professionals and those who graduated during last two decades. However, according to caregivers, this health perception as quality of life was not included in Dentistry, where the old mean "absence of symptoms" was prevalent. For part of them, the institutionalized elderly have no oral health and the only way to improve their condition was through clinical attendance.

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.

Programa de educação e prevenção em saúde bucal nas escolas: análise crítica de publicações nacionais

Objective: To conduct a survey on national databases about Oral Health Program (OHP) publications in schools, in the last eleven years. Material and Methods: A survey was conducted in two main bases of national publications in the field of dentistry: Bireme and Scielo. To start the research, it was used the articles theme/subject. In the search, it was used the keywords 'oral health education', 'programs and oral health and dentistry', 'programs and oral health and education'. Results: A total of 20 publications were selected. From these, seven (35%) had the aim to evaluate educational methods used in OHP, 12 (60%) evaluated the effectiveness of the OHP itself developed in the school and one (5%) reported the experience of OHP. Only two publications did not get positive results and the other eighteen obtained advantageous results. Conclusion: In the national scientific literature, there are few publications about the subject in question, suggesting that the successful experiences about OHP in schools must be published to be replicated in other parts of Brazil.

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.

Risco da síndrome da apneia obstrutiva do sono em amostra populacional da cidade de Botucatu - SP

The most common sleep disorder is obstructive sleep apnea syndrome (OSAS), that is characterized by repeated pauses in breathing during sleep, resulting in partial or complete obstruction of the upper airway. It is associated with systemic arterial hypertension and obesity. Objective: To assess the frequency of OSAS in the adult population of Botucatu by the Berlin questionnaire. Method: Transveral study was performed in which the sample size was estimated at 385 individuals. The Berlin questionnaire was administered to adults randomly on the streets, supermarkets and local shops. Data were analyzed taking into account age, gender, "high risk for OSAS", hypertension, obesity and correlations for OSAS. Results: 468 people interviewed were aged between 18 and 95 years, average of 59 years. 166 (35.25%) individuals were identified as "high risk for OSAS", being more frequent in the population above 40 years. Obesity was present in 23.3%, more common in women (60.2%). 83.5% of the population obese also had a "high risk for OSAS". Hypertension was observed in 27.3%, of these 71.9% were at "high risk for OSAS". Conclusion: The study showed a high frequency of "high risk for OSAS" in the adult population. Despite the dissemination by the media about sleep apnea, patients are not investigated, even under medical care for hypertension.