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1.
Gac. méd. espirit ; 24(2): 2408, mayo.-ago. 2022. tab
Article in Spanish | LILACS | ID: biblio-1404906

ABSTRACT

RESUMEN Fundamento: La calidad de la atención estomatológica se ha convertido actualmente en una necesidad. En Cuba, el Programa Nacional de Atención Estomatológica Integral a la Población tiene como propósito incrementar y perfeccionar la atención estomatológica. Objetivo: Evaluar la calidad del Servicio de Estomatología General Integral del policlínico Camilo Cienfuegos de Sancti Spíritus. Metodología: Se realizó una investigación observacional descriptiva de corte transversal en el Policlínico Camilo Cienfuegos de Sancti Spíritus en el período comprendido de septiembre de 2019 a enero de 2020. Se seleccionaron 19 estomatólogos de la unidad y 368 pacientes pertenecientes a los consultorios 8 y 9 del área de salud que cumplieron con los criterios de inclusión. Se utilizó la calidad como variable, la cual se operacionalizó en las dimensiones: estructura, proceso y resultados y sus criterios de medida. Se utilizaron métodos teóricos, empíricos y estadísticos y técnicas de recolección y análisis de datos. Se realizaron encuestas de satisfacción a pacientes y profesionales. Resultados: Las dimensiones estructura y proceso, con 20 y 10 puntos respectivamente, fueron evaluadas de regular, la dimensión resultado de bien por un valor alcanzado de 8 puntos. Conclusión: La calidad del Servicio de Estomatología General Integral del policlínico Camilo Cienfuegos de Sancti Spíritus fue evaluada de regular.


ABSTRACT Background: Dental care quality has become a necessity. In Cuba, the National Program for the People´s Comprehensive Stomatology Care aims to increase and improve dental care. Objective: To assess the Comprehensive General Stomatology quality service at Camilo Cienfuegos polyclinic in Sancti Spíritus. Methodology: A cross-sectional descriptive observational research was conducted at Camilo Cienfuegos Polyclinic in Sancti Spíritus from September 2019 to January 2020. 19 stomatologists from the unit and 368 patients belonging to clinics 8 and 9 of the area were selected who met the inclusion criteria. Quality was used as a variable, and operationalized in the dimensions: structure, process and results and their measurement criteria. Theoretical, empirical and statistical methods and data collection also analysis techniques were used. Satisfaction surveys were conducted on patients and professionals. Results: Structure and process dimensions, with 20 and 10 points respectively, were evaluated as regular, the result dimension as good for an 8-point value. Conclusion: Comprehensive General Stomatology quality service at Camilo Cienfuegos polyclinic in Sancti Spíritus was evaluated as regular.


Subject(s)
Quality Assurance, Health Care , Patient Satisfaction , Comprehensive Dental Care , Patient Care
2.
Archives of Orofacial Sciences ; : 75-85, 2022.
Article in English | WPRIM | ID: wpr-962574

ABSTRACT

ABSTRACT@#This retrospective study aimed to evaluate patterns of comprehensive dental treatment under general anaesthesia (GA) for healthy children in Universiti Teknologi MARA, Malaysia. The treatment records of healthy paediatric patients who received dental treatment under GA from February 2017 to January 2021 were reviewed. The patients were divided into two groups: (1) less than 6 years old and (2) 6 to 16 years old. Patients’ characteristics were summarised using descriptive statistics while an independent t-test was applied to investigate the influence of “age group” on treatment duration, number of procedures and use of various restorative materials. A total of 125 paediatric patients (67 boys and 58 girls) were included. The patients’ mean age at the time they underwent GA was 5.77 ± 1.94 years old and the average duration of dental treatment was 62.58 minutes. There was a significant difference in the duration of treatment between the two age groups (p < 0.05). Tooth extraction was the most dental procedure performed (63.31%). The 6 to 16 years old group had a significantly shorter treatment duration (p < 0.05). However, no significant differences were found in all procedures (extraction, restoration, preventive and pulp therapy) and the utilisation of composite, glass ionomer cement (GIC) and compomer in both groups. The use of stainless steel crown (SSC) restorations was significantly higher in the less than six years old group (p < 0.05). Most of the dental procedures performed under GA on healthy children were extraction procedures. Children less than six years of old had a longer treatment duration under GA. Composite restorations and SSC were more frequently used in primary dentition.


Subject(s)
Pediatric Dentistry , Dental Care for Children , Anesthesia, Dental
3.
Edumecentro ; 14: e2010, 2022. graf
Article in Spanish | LILACS | ID: biblio-1404609

ABSTRACT

RESUMEN Fundamento: los altos niveles de propagación y contagio del SARS-CoV-2 han impuesto modificaciones a los protocolos de bioseguridad en Estomatología; de aquí la necesidad de identificar tales cambios y diagnosticar la preparación del tecnólogo de atención estomatológica para su aplicación. Objetivo: identificar las necesidades de superación profesional del tecnólogo sobre el protocolo de bioseguridad en Estomatología en tiempos de COVID-19. Métodos: se realizó un estudio descriptivo en las clínicas estomatológicas de las áreas de salud del municipio Santa Clara durante el mes de febrero de 2021. Se utilizaron métodos teóricos: análisis-síntesis e inducción-deducción: para los referentes teóricos del tema y empíricos: análisis documental, cuestionario y observación. Resultados: más del 50 % de los tecnólogos tenían un nivel medio de conocimientos sobre el protocolo de bioseguridad; una vez identificadas las necesidades de superación estas se agruparon en 10 indicadores o temas a desarrollar en las diferentes formas del posgrado. En la formación del tecnólogo en atención estomatológica, por su naturaleza clínica, los cursos usualmente son presenciales y prácticos; sin embargo, para esta experiencia y a tenor de las condiciones generadas por la pandemia, se propuso incluir algunas actividades virtuales que promovieron el uso de recursos digitales, a fin de que fueran interactivas y motivaran al estudiante a realizarlas. Conclusiones: emergieron carencias que evidenciaron la necesidad de superación de los tecnólogos en atención estomatológica dadas en lo fundamental por los cambios en los protocolos de bioseguridad y las dificultades detectadas en su cumplimento.


ABSTRACT Background: the high levels of spreading and contagion of SARS-CoV-2 have imposed modifications to biosafety protocols in Stomatology; hence the need to identify such changes and diagnose the preparation of the dental care technologist for their application. Objective: to identify the professional improvement needs of the technologist on the biosafety protocol in Dentistry in times of COVID-19. Methods: a descriptive study was carried out in the Dentistry clinics of the health areas of the Santa Clara municipality during the month of February 2021. Theoretical methods were used: analysis-synthesis and induction-deduction: for the theoretical references of the subject and empirical ones: documentary analysis, questionnaire and observation. Results: more than 50% of the technologists had an average level of knowledge about the biosafety protocol; once the needs for improvement were identified, these were grouped into 10 indicators or topics to be developed in the different forms of the postgraduate course. In the training of the technologist in dental care, due to its clinical nature, the courses are usually face-to-face and practical; however, for this experience and in light of the conditions generated by the pandemic, it was proposed to include some virtual activities that promoted the use of electronic resources, so that they were interactive and motivated the student to carry them out. Conclusions: shortcomings emerged that evidenced the need for overcoming technologists in dental care, mainly due to the changes in biosafety protocols and the difficulties detected in their compliance.


Subject(s)
Containment of Biohazards , Coronavirus Infections , Comprehensive Dental Care , Training Courses
4.
Rev. Fac. Odontol. Univ. Antioq ; 33(1): 45-55, Jan.-June 2021. tab
Article in Spanish | LILACS | ID: biblio-1340742

ABSTRACT

RESUMEN Introducción: desde una mirada biológica, el dolor dental es un síntoma que indica daño en la pulpa dental. Sin embargo, desde una perspectiva centrada en el ser humano, se considera un proceso en donde se expresan elementos sustanciales de la cultura de la salud; en particular, las representaciones simbólicas sobre la boca y los dientes, y las diferentes estrategias que utiliza la población para solventar esta dolencia. El objetivo comprender la manera en que la población Pijao entiende y atiende sus dolores dentales. Método: estudio etnográfico. Uso de herramientas como análisis documental, observación participante, entrevistas semi-estructuradas y diario de campo. Resultados: este dolor es común en la población, y se relaciona con la presencia de caries dental e indica el inicio de la pérdida dental. La manera en que se entiende y atiende se relaciona con las representaciones simbólicas sobre la boca y los dientes, y sobre sus enfermedades y su atención. Su tratamiento inicial se da en el ámbito familiar a través de recursos herbolarios y farmacéuticos. Debido a su intensidad, las personas acuden a la atención odontológica por su eficacia terapéutica. Es el principal motivo de consulta odontológica. Conclusiones: el dolor dental es un proceso en donde los sujetos instituyen una conciencia sobre su cuerpo. Igualmente, indica malas condiciones de salud bucal, dificultades en la implementación de políticas de Atención Primaria en Salud Bucal, y la existencia de barreras económicas y culturales de acceso a las instituciones sanitarias.


Abstract Introduction: from a biological perspective, dental pain is a symptom that indicates damage to the dental pulp. Nevertheless, from a human-centered perspective, it is considered a process where substantial elements of the health culture are expressed, in this case, the symbolic representations about the mouth and teeth, and the different strategies that the population uses to solve this ailment. The objective was to understand the way in which the Pijao population understands and cares about their dental pain Method: ethnographic study. Use of tools such as documentary analysis, participant observation, semi-structured interviews and field diary. Results: this kind of pain is common in the population, and is related to the presence of dental caries, and indicates the appearance of dental loss. Furthermore, the way in which it is understood and cared for is related to the symbolic representations about the mouth and teeth, and about their diseases and their care. Its initial treatment is given to the family through herbal and pharmaceutical resources. Considering its intensity, people turn to dental care for its therapeutic efficacy. This is the main reason to visit the dentist. Conclusions: dental pain is a process where subjects establish an awareness of their body. Likewise, it indicates poor oral health conditions, difficulties in the implementation of policies for Primary Oral Health Care, and the existence of economic and cultural barriers to access to health institutions.


Subject(s)
Anthropology, Cultural , Pain , Indigenous Peoples
5.
ABCS health sci ; 45: [1-5], 02 jun 2020. tab
Article in English | LILACS | ID: biblio-1097538

ABSTRACT

INTRODUCTION: The current context of multiprofessional approach in health is based on quality of care and patient safety, with the key contribution of the dentist in the hospital team to improve the health of hospitalized patients. OBJECTIVE: To characterize the systemic and buccal profile of patients treated in a medical clinic of a University Hospital from the Brazilian Public Health System, aiming to provide information for guiding dental care in the multidisciplinary attendance in the hospital setting. METHODS: Retrospective observational study carried out on 104 clinical records with data collection about general characteristics, systemic alterations, habits, oral situation and dental treatments of hospitalized patients attended by the dentist. RESULTS: There was a high frequency of hypertensive patients (36.5%) and with cardiac problems (33.6%). A significant association between diabetes (60%) and hypertension (50%) in the age group from 60 to 75 years of age was observed. For most patients, the frequency of oral hygiene was less than three times a day (54.3%), without flossing (85.7%). Biofilm (73.3%), dental calculus (70.5%), prosthesis use (25.7%), with poor hygiene (14.3%) and prosthetic stomatitis (8.6%) were recorded. Among the treatments performed by dentist, basic periodontal therapy (71.4%) and exodontia (39%) were noteworthy. CONCLUSION: The high frequency of biofilm presence, dental calculus, prosthesis with poor hygiene and basic periodontal therapy performed during the hospitalization denote the need for dental care with preventive activities.


INTRODUÇÃO: O contexto atual de abordagem multiprofissional em saúde fundamenta-se na qualidade do atendimento e segurança ao paciente, com contribuição importante do cirurgião-dentista na equipe hospitalar para melhoria de saúde dos hospitalizados. OBJETIVO: Caracterizar o perfil sistêmico e bucal de pacientes atendidos em clínica médica de um Hospital Universitário do Sistema de Saúde Pública do Brasil, visando fornecer subsídios no direcionamento da assistência odontológica ao atendimento multidisciplinar em âmbito hospitalar. MÉTODOS: Foi realizado estudo observacional retrospectivo em 104 fichas clínicas com coleta de dados sobre características gerais, alterações sistêmicas, hábitos, situação bucal e tratamentos odontológicos de pacientes internados, atendidos pelo odontólogo. RESULTADOS: Verificou-se alta frequência de pacientes hipertensos (36,5%) e com problemas cardíacos (33,6%). Observou-se associação significativa de diabetes (60%) e hipertensão (50%) na faixa etária de 60 a 75 anos de idade. Para a maioria dos pacientes, a higiene bucal foi realizada menos que três vezes ao dia (54,3%), sem uso de fio dental (85,7%). Biofilme (73,3%), cálculo dental (70,5%), uso de próteses (25,7%), com higiene deficiente (14,3%), e estomatite protética (8,6%) foram registradas. Dentre os tratamentos realizados, destacam-se a terapia básica periodontal (71,4%) e exodontias (39%). CONCLUSÃO: A alta frequência de presença de biofilme, cálculo dental, próteses com higiene deficiente e a terapia básica periodontal executada durante o período de internação denotam a necessidade de atuação odontológica com atividades preventivas.


Subject(s)
Humans , Male , Female , Child , Adolescent , Adult , Middle Aged , Aged , Health Profile , Oral Health , Comprehensive Dental Care , Hospitalization , Hospitals, University
6.
Pesqui. bras. odontopediatria clín. integr ; 20: e4825, 2020. tab
Article in English | BBO, LILACS | ID: biblio-1135566

ABSTRACT

Abstract Objective: To know the level of patient satisfaction with dental healthcare services in Bantaeng, Indonesia. Material and Methods: This pilot pathfinder survey was conducted at Dental and Oral Health Services in Bantaeng and Pa'jukukang Sub-districts of Bantaeng Regency of South Sulawesi Indonesia. The Short-Form Patient Satisfaction Questionnaire (PSQ-18) scaled was used and it consists of 18 questions and seven subscales. The t-test and ANOVA were used with a significance level set at 5% (p<0.05). Results: The female participation (72.8%) was greater than the male (27.2). Regarding age, 74.6% were <40 years, 21.1% were between 40-60 years old and 4.4% were over 60 years old. On the subscale of technical quality, there was significant value in the age variable (p=0.45), education level (p=0.031), job (p=0.026), waiting time (p=0.46), distance to dentist=0.026), and location (p=0.007). There were significant values on the interpersonal aspect subscale that were present at age (p=0.016), education level (p=0.038), and occupation (p=0.007). The highest satisfaction score was found on the technical quality subscale (13.04 ± 1.75) and the lowest satisfaction score was seen on the general satisfaction subscale (4.11 ± 1.75). There was a significant difference between the value of patient satisfaction with age, education, and occupation. Conclusion: Patients from the District Bantaeng and Pa'jukukang Bantaeng regency of South Sulawesi were more satisfied with the service provided. The highest satisfaction score was found on the technical quality subscale and the lowest satisfaction score was found in the general satisfaction subscale (AU).


Subject(s)
Oral Health , Patient Satisfaction , Comprehensive Dental Care , Quality Indicators, Health Care/standards , Surveys and Questionnaires , Analysis of Variance , Dental Health Services , Indonesia/epidemiology
7.
Rev. saúde pública (Online) ; 52: 35, 2018. tab, graf
Article in English | LILACS | ID: biblio-903451

ABSTRACT

ABSTRACT OBJECTIVE To evaluate if the provision of clinical dental care, by means of the main curative procedures recommended in Primary Health Care, is associated with team structural characteristics, considering the presence of a minimum set of equipment, instrument, and supplies in Brazil's primary health care services. METHODS A cross-sectional exploratory study based on data collected from 18,114 primary healthcare services with dental health teams in Brazil, in 2014. The outcome was created from the confirmation of five clinical procedures performed by the dentist, accounting for the presence of minimum equipment, instrument, and supplies to carry them out. Covariables were related to structural characteristics. Poisson regression with robust variance was used to obtain crude and adjusted prevalence ratios, with 95% confidence intervals. RESULTS A total of 1,190 (6.5%) dental health teams did not present the minimum equipment to provide clinical dental care and only 2,498 (14.8%) had all the instrument and supplies needed and provided the five curative procedures assessed. There was a positive association between the outcome and the composition of dental health teams, higher workload, performing analysis of health condition, and monitoring of oral health indicators. Additionally, the dental health teams that planned and programmed oral health actions with the primary care team monthly provided the procedures more frequently. Dentists with better employment status, career plans, graduation in public health or those who underwent permanent education activities provided the procedures more frequently. CONCLUSIONS A relevant number of Primary Health Care services did not have the infrastructure to provide clinical dental care. However, better results were found in dental health teams with oral health technicians, with higher workload and that plan their activities, as well as in those that employed dentists with better working relationships, who had dentists with degrees in public health and who underwent permanent education activities.


Subject(s)
Humans , Primary Health Care/statistics & numerical data , Oral Health , Delivery of Health Care/statistics & numerical data , Dental Health Services/supply & distribution , Dental Instruments/supply & distribution , Brazil , Serial Cross-Sectional Studies , Dental Health Services/classification , Dental Health Services/statistics & numerical data , Workforce
8.
UNOPAR Cient., Ciênc. biol. saude ; 16(3): 229-237, jul. 2014. ilus
Article in Portuguese | LILACS-Express | LILACS | ID: lil-720050

ABSTRACT

Exames laboratoriais são importantes na definição do diagnóstico, quando este não pode ser esclarecido exclusivamente pelos dados de história clínica e exame físico. Compete ao Cirurgião-Dentista solicitar exames complementares, pois alguns problemas sistêmicos poderão complicar e alterar o prognóstico ou, até mesmo, contraindicar a realização de cirurgias ou procedimentos invasivos. Este tema é relevante, pois grande porcentagem de profissionais formados em Odontologia apresenta dificuldade na solicitação e interpretação de exames laboratoriais. Este estudo tem como objetivo revisar conceitos básicos de interpretação e de critérios para solicitação de exames laboratoriais como: Hemograma e Coagulograma completo. O presente trabalho foi desenvolvido por meio da análise documental da produção bibliográfica obtida por meio da base de dados: Biblioteca Virtual em Saúde (BVS), Biblioteca Digital Brasileira de Teses e Dissertações (BDTD) e na base Periódicos CAPES. Concluímos que os exames laboratoriais, quando bem indicados, colaboram para decidirmos quais as condutas que devemos tomar. Pois, diante dos valores encontrados, estando acima ou abaixo dos valores de referência, o profissional os interpretando de forma correta, pode prevenir situações de infecções secundárias, má cicatrização, hemorragias e complicações no tratamento odontológico. Sendo assim, profissionais que solicitam e sabem interpretar exames laboratoriais estão oferecendo maior segurança ao seu paciente.


Laboratory tests are important in defining the diagnosis, when this cannot be explained by data from clinical history and physical examination. Dentists must request exams because some systemic problems may complicate and alter the prognosis or even contraindicate performing surgeries or invasive procedures. This topic is relevant because a large percentage of graduates in dentistry have difficulty ordering and interpretation of laboratory tests. This study aims to review basic concepts of interpretation and criteria for requesting laboratory tests such as complete blood count and Coagulation. This study was developed through documentary analysis of bibliographic production obtained through the database: Virtual Health Library (VHL), Brazilian Digital Library of Theses and Dissertations (BDTD) and CAPES Journals. We conclude that the laboratory tests, when properly indicated, collaborate to decide the correct procedure. For the values found before, being above or below the reference values, when interpreting them correctly, the professional can prevent situations of secondary infections, poor wound healing, bleeding and complications during dental treatment. Thus, professional that interpret laboratory tests correctly can offer greater safety to the patient.

9.
Cad. saúde pública ; 30(2): 318-332, 02/2014. tab
Article in Portuguese | LILACS | ID: lil-703181

ABSTRACT

O estudo objetivou analisar a rede de atenção à saúde bucal em municípios com mais de 100 mil habitantes de Santa Catarina, Brasil, pela identificação e integração de seus elementos constitutivos. Dados primários foram obtidos por meio da aplicação de questionário aos gestores municipais de saúde bucal. Dados secundários foram coletados em bases de dados do SUS e fornecidos pelas Secretarias Municipais e Estadual de Saúde. Os municípios ofertam serviços de saúde bucal em todos os níveis de atenção, mas encontram-se em distintos estágios de implementação da rede. Também realizam algumas ações para consolidação desta, como inserção de ferramentas para integração dos serviços de atenção básica aos especializados e reorientação da atenção básica, como coordenadora da rede. As limitações incluem dificuldade em definir a população da rede de acordo com critérios epidemiológicos, fragilidade dos sistemas logísticos e de governança, além da necessidade de ampliação das equipes de saúde bucal na Estratégia Saúde da Família, operando segundo princípios de vigilância à saúde.


This study aims to analyze the oral health care network in Santa Catarina State, Brazil, in municipalities with 100,000 inhabitants or more, focusing on the identification and integration of the network’s essential elements. Primary data were obtained through a structured questionnaire applied to oral health care administrators. Secondary data were collected from official databases and provided by the Municipal and State Health Departments. The municipalities offer oral health services at all levels of care, but they are in different stages in implementation of the network. They have taken some measures to consolidate the network, such as inclusion of tools for integration of primary services to specialized care and reorientation of primary health care as the network’s central coordinating element. Limitations include difficulty in defining the network’s clientele based on epidemiological criteria, insufficient logistics and governance systems, and the need to expand oral health teams in the family health strategy, operating under health surveillance principles.


Se objetivó analizar la red de servicios de salud bucal en municipios de Santa Catarina, Brasil, con más de 100 mil habitantes a través de la identificación e integración de sus elementos constitutivos. Los datos primarios se obtuvieron vía cuestionario, aplicado a los gerentes de la salud oral municipal. Los datos secundarios fueron recogidos en bases de datos oficiales y proporcionados por las Secretarías Municipales de Salud y del Estado. Los municipios ofrecen servicios de salud oral en todos los niveles de atención, pero se encuentran en diferentes etapas de implementación de red. Efectúan algunas acciones para consolidar la red como: la inclusión de herramientas para la integración de los servicios de atención primaria con los servicios especializados y la reorientación de la atención primaria como coordinadora de la red. Las limitaciones incluyen la dificultad en la definición de su población, según criterios epidemiológicos, la fragilidad de los sistemas logísticos y de gobernanza y la necesidad de ampliación de los equipos de salud oral en la estrategia de salud de la familia.


Subject(s)
Female , Humans , Male , Comprehensive Dental Care/organization & administration , Dental Health Services/organization & administration , Oral Health , Brazil , Primary Health Care , Surveys and Questionnaires , Urban Population
10.
Edumecentro ; 6(supl.1): 21-34, 2014. ilus
Article in Spanish | LILACS | ID: lil-725042

ABSTRACT

Fundamento: la obtención de un juicio evaluativo sistémico e integrador que valore resultados conjuntos en la esfera cognitiva y el saber hacer, distinguen la evaluación como componente del proceso enseñanza aprendizaje en la formación de profesionales de la Estomatología. Objetivo: valorar los resultados de promoción en exámenes prácticos finales en la asignatura Estomatología Integral VII. Métodos: se realizó un estudio observacional de tipo descriptivo transversal con enfoque cualitativo, en la Facultad de Estomatología de la Universidad de Ciencias Médicas de Villa Clara, en el curso escolar 2012-2013, a una muestra de 46 estudiantes de cuarto año de la carrera. Se utilizaron métodos teóricos en interacción con la revisión documental y aplicación de encuestas, como métodos empíricos. Resultados: se refleja un comportamiento similar en los resultados de promoción en los últimos cursos académicos en la asignatura. Un porciento considerable de los estudiantes encuestados refiere dificultades para la adquisición de habilidades durante la educación en el trabajo. Las insuficiencias en el estudio independiente sistemático y la necesidad de un trabajo colegiado en el colectivo de asignatura en relación al control y evaluación del cumplimiento de habilidades prácticas, fueron los principales factores que influyeron en estos resultados. Conclusiones: el estudio realizado permitió diagnosticar los principales aspectos que han incidido en las insuficiencias mostradas por los alumnos en cuanto al aprendizaje de conocimientos y habilidades, y la necesidad de intensificar la preparación metodológica por los docentes.


Background: obtaining a systemic and integrated evaluative judgment, that assesses the joint results in the cognitive sphere and the expertise, distinguishes the evaluation as a component of teaching-learning process in the formation of Dentistry professionals. Objective: to assess the promotion results in the final practical examination of the subject Comprehensive Dentistry VII. Methods: an observational descriptive cross-sectional study, with qualitative approach, was conducted at the Faculty of Dentistry of the Medical University in Villa Clara during the academic year 2012-2013 with a sample of 46 fourth-year Dentistry students. Theoretical methods were used, in interaction with a documentary analysis and the implementation of surveys, as empirical methods. Results: there is a similar behavior in the promotion results of the subject over the last academic courses. A considerable percentage of students refer difficulty acquiring skills during education at work. Weaknesses in the systematic independent study and the need for collegial work among the teaching staff of subjects in relation to the control and assessment of the compliance with practical skills were the main factors that influenced these results. Conclusions: the study allowed a diagnosis of the main aspects that have influenced the inadequacies shown by students with regard to the acquisition of knowledge and skills, and the need to strengthen the methodological training of teachers.


Subject(s)
Comprehensive Dental Care , Educational Measurement
11.
Rev. APS ; 16(4)dez. 2013.
Article in Portuguese | LILACS | ID: lil-718797

ABSTRACT

A magnitude da infecção pelo vírus da imunodeficiência humana (HIV) é inquestionável, apresentando impactos individuais e coletivos. Assim, torna-se evidente a necessidade de políticas públicas que orientem a atenção e assistência à saúde de Pessoas Vivendo com HIV/Aids (PVHA), em especial à saúde bucal, que caracteriza-se pela área de maior exclusão social na história das políticas públicas no Brasil. Buscou-se discutir as estratégias políticas de assistência odontológica a PVHA no Brasil, no Ceará e em Fortaleza por meio de uma pesquisa qualitativa do tipo análise documental, baseada no exame do conteúdo de documentos e páginas oficiais disponíveis nas três esferas de governo. Na esfera federal, verificou-se apenas um documento direcionando a atenção odontológica a PVHA presente na Política Nacional de Saúde Bucal e gerando ações de capacitação de cirurgiões-dentistas (CD) para assistência a essa população. No âmbito estadual, localizou-se somente documentos referentes aos Planos de Ações e Metas (PAM), do Programa Estadual de DST/Aids, com o mesmo direcionamento. Fortaleza apresentou a maior quantidade e abrangência de documentos sobre essa temática, propondo ações de capacitação para CD e universalização do acesso à saúde bucal para PVHA. A agenda específica de cada política indica prioridades dentro das diretrizes gerais. Observou-se que, dentro da agenda do Programa Nacional de DST/Aids, a saúde bucal parece ainda não estar entre os objetivos principais, cabendo predominantemente aos estados e municípios definir como relevante a implementação de ações direcionadas a saúde bucal dessa população, evidenciando-se a necessidade de avançar na discussão sobre a saúde bucal de PVHA.


The magnitude and impacts of infection from the Human Immunodeficiency Virus (HIV) are unquestioned. It is therefore apparent that there is a need for public policies that guide public health services for people living with HIV/Aids (PLHA), especially in dental health, which has been characterized as the area of greatest social exclusion in Brazilian public policy. This study has sought to review the policy strategies in buccal health for PLHA in Brazil, Ceará state and Fortaleza municipality using the analysis of documents and official decrees from the three levels of government. At the federal level, it was found only one document guiding of dental care for PLHA that outlines training activities for oral surgeons to treat this population. At the state level, we only found documents that make reference to the Plan of Activities and Goals from the State STD/AIDS Program, which gives the same training outlines. The municipality of Fortaleza presented the highest quantity and scope of documentation in this area, proposing training activities for oral surgeons and the universal coverage of dental health care for PLHA. The specific agenda for each policy indicates its priority within the overall guidelines. It was observed that within the agenda of the National STD/AIDS Program, buccal health does not appear to be among the main objectives, falling to the states and municipalities to define the relevance of implementing services directed towards dental health of this population. This shows the need to move forward in the discussion of dental health policies for PLHA.


Subject(s)
Acquired Immunodeficiency Syndrome , Comprehensive Dental Care , Sexually Transmitted Diseases , Oral Health
12.
Pesqui. bras. odontopediatria clín. integr ; 12(3): 405-412, out. 2012. ilus, tab
Article in Portuguese | LILACS, BBO | ID: biblio-874732

ABSTRACT

Objetivo: Avaliar a percepção de usuários da Atenção Básica quanto à implantação do Protocolo de Assistência Integral Odontológica (PAIO) e o efeito desse programa sobre a condição de saúde bucal, higiene oral, acesso e resolutividade do serviço, em uma unidade de saúde de João Pessoa-PB. Método: A amostra foi composta por 32 voluntários, para os quais foi programada uma intervenção de seis fases: diagnóstico das necessidades odontológicas; resolução de urgências; realização de intervenções restauradoras; aplicação de medidas promocionais; avaliação do nível de saúde obtido e controles periódicos. Os dados foram coletados por meio de entrevista semiestruturada e formulário, aplicado antes e após a implantação do PAIO. As entrevistas foram transcritas e analisadas segundo a técnica de Análise de Conteúdo. O efeito da implantação do PAIO foi avaliado por meio da utilização de um sistema de pontuação crescente que variou de um a dez. Aplicou-se o teste Wilcoxon, com nível de confiança de 95%. Resultados: Para os participantes que concluíram o PAIO (n=20), este contribuiu para melhorar a condição (100%) e o conhecimento (100%) em Saúde Bucal. Os usuários indicaram satisfação (n=12) e avaliação positiva (n=12), alcançadas por meio da melhoria da condição de saúde bucal (n=8), tratamento mais rápido e de fácil acesso (n=7), agendamento e garantia de atendimento (n=6), acolhimento (n=5), motivação para o cuidado (n=5), e perspectiva de continuidade do PAIO (n=6). A avaliação inicial dos usuários apresentou escores entre 5,7 e 7,6. Após implantação do PAIO, a percepção foi melhorada (p menor que 0,01), com escores entre 9,6 e 9,9. Conclusão: Segundo os usuários, a implantação do PAIO contribuiu para a qualificação do serviço de saúde e dos cuidados em saúde bucal, favorecendo a ampliação do acesso e da resolutividade.


Objective: To evaluate the perception of basic attention healthcare users as to the implantation of the Integral Dental Assistance Protocol (PAIO, in Portuguese) and the effect of this program on the oral health condition, oral hygiene, access to and resolubility of the service, in a public basic health unit of João Pessoa-PB. Method: The sample was composed of 32 volunteers, for whom a six-phase intervention was programed: diagnosis of dental needs; resolution of urgencies; restorative interventions; application of promotional measures; evaluation of the health level obtained; and periodic follow-up visits. Data were collected by means of a semi-structured interview and a questionnaire, applied before and after PAIO implantation. The interviews were transcribed and analyzed according to the content analysis technique. The effect of PAIO implantation was evaluated by using an increasing scoring system ranging from 1 to 10. The Wilcoxon test was applied with a confidence level of 95%. Results: For the participants that attended the PAIO (n=20), the program contributed to improve oral health condition (100%) and knowledge (100%). The users reported satisfaction (n=12) and had a positive evaluation (n=12), achieved by means of the improvement of oral health condition (n=8), faster and easier access to treatment (n=7), scheduling of dental appoints and warrant of being treated (n=6), welcoming (n=5), motivation for oral care (n=5), and perspective of continuity of PAIO (n=6). The initial evaluation of the users received scores between 5.7 and 7.6. After PAIO implantation, the users' perception was improved (p less than 0.01), with scores between 9.6 and 9.9. Conclusion: According to the users, the implantation of PAIO contributed to the qualification of health service and oral health care, being a favorable aspect to increase the access to and resolubility of the service.


Subject(s)
Humans , Dental Care , Primary Health Care/methods , Oral Hygiene/education , Oral Hygiene , Perception , National Health Strategies , Oral Health , Health Services , Data Interpretation, Statistical , Interviews as Topic/methods , Interviews as Topic , Observational Studies as Topic
13.
Article in Portuguese | LILACS, BBO | ID: biblio-874609

ABSTRACT

Introdução: A epidermólise bolhosa é uma dermatose hereditária rara, caracterizada pelo desenvolvimento de bolhas na região cutâneo-mucosa de todo o corpo, em resposta ao trauma mínimo, ao calor ou a nenhuma causa aparente, podendo manifestar-se ao nascimento ou durante os primeiros anos de vida. Sua classificação é determinada pela modalidade de herança genética, distribuição anatômica das lesões e morbidez associada à doença, distinguindo-se em três grupos principais: epidermólise bolhosa simples, juncional e distrófica, que englobam mais de 30 entidades distintas. O desenvolvimento de bolhas em pele e mucosas e as deformidades decorrentes de tais lesões interferem sobremaneira na atenção à saúde bucal, assim, é importante que o cirurgião dentista conheça a epidermólise bolhosa e esteja preparado para assistir o paciente portador dela. Objetivo: Foi realizada ampla revisão da literatura acerca da epidermólise bolhosa, enfatizando suas manifestações clínicas e os principais aspectos que interferem com a saúde bucal dos pacientes acometidos por essa condição e com sua assistência odontológica. O objetivo foi subsidiar o profissional de saúde, possibilitando que o mesmo preste a adequada assistência ao paciente, contribuindo para a melhora de sua saúde bucal e consequentemente de sua qualidade de vida. Conclusão: As alterações primárias e secundárias da epidermólise bolhosa tornam um verdadeiro desafio para o cirurgião-dentista à condução do tratamento odontológico para o paciente com esta rara dermatose. Antes de iniciar o tratamento, é fundamental entrar em contato com a equipe de saúde responsável pelo acompanhamento clínico do paciente. Apesar de o tratamento odontológico reabilitador ser possível, sua condução é bastante desgastante, envolvendo riscos para o paciente. Assim, a promoção da saúde e a prevenção das doenças bucais devem ser enfatizadas e iniciadas o mais precocemente possível.


Introduction: Epidermolysis bullosa is a rare inherited skin condition characterized by the development of blisters on mucocutaneous regions of the body in response to minor traumas, heat or no apparent cause. It may manifest at birth or during the first years of life. Its classification is determined by genetics, anatomical distribution of the lesions and associated morbidity. It is divided into three main groups: epidermolysis bullosa simplex, junctional and dystrophic, covering over 30 different entities. The development of blisters in the skin and mucous membranes, and the deformities resulting from such lesions interfere excessively in the oral health, thus it is important for the dentist to know epidermolysis bullosa and to be prepared to assist patients with this condition. Objective: A comprehensive review of the literature on epidermolysis bullosa was conducted, emphasizing its clinical manifestations and the key issues that interfere with the oral health of patients suffering from the condition and with their dental care. The aim was to aid the health professionals, enabling them to provide adequate patient care, contributing to the improvement of their oral health and consequently their quality of life. Conclusion: The primary and secondary damages of epidermolysis bullosa become a real challenge for the dentist to conduct dental treatment for patients with this rare dermatosis. Before starting the treatment, it is essential to contact the health care team responsible for monitoring the patient's condition. A rehabilitating dental treatment is possible, but its conduction is very stressful, involving risks to the patient. Thus, health promotion and prevention of oral diseases should be emphasized and initiated as early as possible.


Subject(s)
Comprehensive Dental Care , Epidermolysis Bullosa/diagnosis , Dentists , Health Promotion , Quality of Life , Signs and Symptoms , Brazil , Oral Health , Epidermolysis Bullosa/epidemiology
14.
Braz. oral res ; 26(spe1): 57-63, 2012.
Article in English | LILACS | ID: lil-660433

ABSTRACT

From an academic standpoint, the university format, in general, has been nurturing a "paradigm of expertise" and, consequently, the relationship between specialties has declined. The upshot is that recent college dental graduates have adopted a clinical performance focusing on system parts and their specificities, in detriment to a more comprehensive view of the mouth and of the patient as a whole, with his/her vital, emotional and individual attributes. An interaction between the several different areas of human knowledge is needed imminently to decrease the dichotomy in professional behavior, because the demand for professionals and dental patients interested in a more comprehensive approach are increasing day by day. Patients want to know: "What, in fact, is behind the etiological extrinsic and intrinsic factors that maintain neuropathic pain, recurrent thrush, or persistent halitosis," among other questions, "even under the care of a dentist?" or "Why is this disease affecting me?" There are several issues composing the paradigm of salutogenesis: What are the essential aspects that constitute a healthy individual, overlapping the usual investigation: How to destroy, avoid and quell the pathological agents? A proposed approach is based on salutogenesis, which examines such issues. According to this approach, anthroposophical dentistry includes determinant factors, determinants of health, basic research and the development of oral health promotion, thus connecting dental academia with integrative thinking, while also complementing and gathering information that subsidizes basic research with the primordial concepts on laws governing the parameters involved in the vital processes of nature.


Subject(s)
Humans , Anthroposophy , Dentistry , Pain , Health Promotion , Humanism , Oral Health , Pain/etiology , Pain/physiopathology
15.
Braz. oral res ; 26(spe1): 71-80, 2012. tab
Article in English | LILACS | ID: lil-660435

ABSTRACT

This paper discusses adult oral health in Brazil according to three perspectives: 1) the available epidemiological evidence about the population's oral-health-related epidemiological situation, especially adults and the elderly population, in relation to two high prevalence oral injuries (dental caries and tooth loss), 2) the main health care models for dealing with this situation, by analyzing the related historical processes in order to reveal the likely social, political and epidemiological implications of the different models, and 3) lastly, the possible challenges to Brazilian dentistry or collective oral health in overcoming these obstacles. The main results of the study indicate that, from an epidemiological point of view, Brazil is undergoing a transition in dental caries and tooth loss, which is not yet reflected in the profile of the elderly, but which is tentatively evidenced in young adults. Tooth loss remains high. Certain aspects of society's economic and political superstructure have an important impact on oral health indicators and existing inequalities. Oral health care models have a relative importance and must not be neglected. Vestiges of ideological movements, like preventive medicine, may explain the current impasse in collective oral health practices, such as the preeminence of Finalized Treatment (FT) in clinics and of preventive care in schools fostered by community-based programs. It is therefore important to develop conceptual, theoretical reflections and to increase the objects of intervention, their purposes and their modus operandi. The practice of dentistry according to these alternative models is still being constructed. New studies related to the different formats of these new practices are recommended.


Subject(s)
Adult , Humans , Comprehensive Dental Care/methods , Health Status , Oral Health , Brazil , Dental Health Surveys , Health Policy
16.
Rev. saúde pública ; 44(6): 1005-1013, dez. 2010. tab
Article in Portuguese | LILACS | ID: lil-565086

ABSTRACT

OBJETIVO: Analisar fatores relacionados à integralidade na assistência à saúde bucal em centros de especialidades odontológicas segundo os princípios norteadores da Política Nacional de Saúde Bucal. MÉTODOS: Estudo exploratório transversal baseado em entrevista com 611 usuários de quatro centros de especialidades odontológicas da Bahia em 2008. A variável dependente foi descrita como "integralidade na saúde bucal", correspondente à realização de tratamento odontológico básico antes do tratamento especializado ou concomitante a este. As principais co-variáveis se referiram a cobertura da estratégia saúde da família no município, características sociodemográficas dos usuários, acessibilidade organizacional e geográfica ao serviço, além do tipo de especialidade demandada. RESULTADOS: Residentes de cidades em que o Programa Saúde da Família tinha cobertura > 50 por cento tiveram mais chance de concluir o tratamento odontológico (RP = 2,03, IC 95 por cento: 1,33;3,09) em relação àqueles residentes em locais com cobertura menor. Quem buscou tratamento endodôntico teve mais chance de receber assistência integral à saúde bucal do que os usuários em busca de outras especialidades (RP = 2,31, IC 95 por cento: 1,67;3,19). Os usuários com maior facilidade no acesso geográfico ao serviço especializado (RP = 1,22, IC 95 por cento: 1,03;1,41), com ficha de referência (RP = 2,95, IC 95 por cento: 1,82;4,78) e oriundos da atenção primária (RP = 3,13, IC 95 por cento: 1,70;5,77) tiveram mais chance de alcançar a integralidade na assistência à saúde bucal em relação aos demais usuários. CONCLUSÕES: Usuários com facilidade de acesso geográfico, mais jovens e necessidade de serviço endodôntico tiveram mais chance de receber assistência integral. A implantação de centros de especialidades odontológicas em municípios nos quais a atenção primária à saúde não esteja adequadamente estruturada não é recomendada, visto que a atenção secundária estaria atendendo a livre demanda e executando procedimentos básicos e, portanto, não cumprindo o princípio da integralidade pretendida.


OBJECTIVE: To analyze the factors associated with comprehensiveness in oral health care in Centers of Dental Specialists, according to the guiding principles of the Brazilian Oral Health Policy. METHODS: An exploratory cross-sectional study, based on an interview with 611 users of four specialized dental care centers, was performed in the state of Bahia, Northeastern Brazil, in 2008. The dependent variable was described as "comprehensiveness in oral health care", corresponding to having a primary dental care performed before specialized treatment or concomitantly with it. The main covariables referred to the level of coverage of the family health strategy in the city, users' sociodemographic characteristics, and organizational and geographic accessibility to the service, in addition to the type of specialized care required. RESULTS: Residents of the cities where the Family Healthcare Program had a coverage >50 percent were more likely to conclude their dental treatment (PR=2.03, 95 percent CI: 1.33;3.09), compared to those who lived in places with lower coverage. Individuals who sought endodontic treatment were more likely to receive comprehensive oral health care than users who were seeking other types of specialized care (PR=2.31, 95 percent CI: 1.67;3.19). Users with better geographic accessibility to specialized services (PR=1.22, 95 percent CI: 1.03;1.41), with a reference guide from primary care (PR=2.95, 95 percent CI: 1.82;4.78) and coming from primary health care services (PR=3.13, 95 percent CI: 1.70;5.77) were more likely to achieve comprehensiveness in oral health care than other users. CONCLUSIONS: Users with better geographic accessibility, lower age and need of endodontic services were more likely to receive comprehensive health care. Implementation of Centers of Dental Specialists in cities where primary healthcare is not adequately structured is not recommended, because secondary health care would meet the free demand and perform basic procedures, thus not fulfilling the expected principle of comprehensiveness.


OBJETIVO: Analizar factores relacionados a la integración en la asistencia a la salud bucal en centros de especialidades odontológicas según los principios que guían la Política Nacional de Salud Bucal. MÉTODOS: Estudio exploratorio transversal basado en entrevista con 611 usuarios de cuatro centros de especialidades odontológicas de Bahia, Noreste de Brasil, en 2008. La variable dependiente fue descrita como "integración en la salud bucal", correspondiente a la realización de tratamiento odontológico básico antes del tratamiento especializado o concomitante a este. Las principales covariables se refirieron a cobertura de la estrategia salud de la familia en el municipio, características sociodemográficas de los usuarios, accesibilidad organizacional y geográfica al servicio, además del tipo de especialidad demandada. RESULTADOS: Residentes de ciudades donde el Programa Salud de la Familia tenía cobertura >50 por ciento tuvieron más chance de concluir el tratamiento odontológico (RP=2,03, IC 95 por ciento: 1,33;3,09) con relación a aquellas que estaban residenciados en localidades con cobertura menor. Quien buscó tratamiento endodóntico tuvo más chance de recibir asistencia integral a la salud bucal en comparación con los usuarios que buscan otras especialidades (RP=2,31, IC 95 por ciento: 1,67;3,19). Los usuarios con mayor facilidad en el acceso geográfico al servicio especializado (RP=1,22, IC 95 por ciento: 1,03;1,41), con ficha de referencia (RP=2,95, IC 95 por ciento: 1,82;4,78) y oriundos de la atención primaria (RP=3,13, IC 95 por ciento: 1,70;5,77) tuvieron más chance de alcanzar la integración en la asistencia a la salud bucal con relación a los demás usuarios. CONCLUSIONES: Usuarios con facilidad de acceso geográfico, más jóvenes y necesidad de servicios endodóntico tuvieron más chance de recibir asistencia integral. La implantación de centros de especialidades odontológicas en municipios donde la atención primaria a la salud no se encuentre adecuadamente estructurada no es recomendada, visto que la atención secundaria estaría atendiendo la libre demanda y ejecutando procedimientos básicos y, por lo tanto, no cumpliendo el principio de la integración pretendida.


Subject(s)
Adult , Female , Humans , Male , Comprehensive Dental Care/statistics & numerical data , Health Policy , Health Services Accessibility/statistics & numerical data , Health Services Needs and Demand/statistics & numerical data , Oral Health , Brazil , Cross-Sectional Studies , Socioeconomic Factors
17.
Rev. APS ; 13(1)jan.-mar. 2010.
Article in Portuguese | LILACS | ID: lil-555317

ABSTRACT

Após duas décadas dos primeiros registros da Aids no Brasil, a assistência à saúde de pessoas com HIV mantém-se como desafio. Objetivou-se contextualizar a assistência odontológica Pessoas Vivendo com HIV/Aids (PVHA) com ênfase na rede de serviços de atenção primária no Município de Fortaleza e verificar a atuação dos cirurgiões-dentistas (CD) do PSF de Fortaleza direcionada aos pacientes portadores de HIV/Aids. Trata-se de estudo descritivo, de natureza quantitativa, realizado por meio de aplicação de questionário a todos os CD do Programa Saúde da Família (PSF) de Fortaleza. Os dados foram confrontados com a distribuição dos casos de AIDS no município de 1983 a 2007, a partir de dados do SINAN. Evidenciou-se a presença de 3.311 casos de Aids, segundo o SINAN, distribuídos por toda a cidade de Fortaleza. Observou-se que 58,1% dos dentistas do PSF têm conhecimento da presença PVHA em suas áreas de abrangência, mas apenas 29,6% dos CD relataram ter atendido conscientemente pacientes com HIV/Aids na unidade onde trabalham e a distribuição espacial do atendimento realizado foi irregular, concentrando-se em apenas alguns pontos da cidade. A assistência odontológica a PVHA em Fortaleza é insuficiente, ainda concentrada, refletindo a não consolidação como ação do PSF. Reforça-se a necessidade de reorientação de práticas e de reorganização do serviço com vistas à integralidade.


Two decades after the first AIDS reports in Brazil, the care of HIV-positive people remains a challenge. We aimed to contextualize the dental care of HIV/AIDS patients, with emphasis on the primary care network in the municipality of Fortaleza-CE, Brazil, and assess the performance of dentists of the Family Health Program (FHP) as concern scare of these patients. This was a descriptive, quantitative study consisting of the application of a questionnaire to all dentists of the Fortaleza FHP. The data were confronted with the distribution of AIDS cases in the municipality,during the 1983-2007 period, as assessed by the Brazilian Information System of Notifiable Hazards (Sistemade Informações de Agravos de Notificação - SINAN). According to SINAN, 3,311 AIDS cases were notified in Fortaleza. Although 58.1% of the dentists were aware of the presence of HIV/AIDS patients in their catchment areas,only 29.6% remembered caring for such patients. The spatial distribution of the care provided was irregular, with concentration in only some areas. Dental care of HIV/AIDS patients in Fortaleza is insufficient and still concentrated in some areas, pointing to the lack of consolidation of such care as a FHP action. Practice reorientation and service reorganization are necessary if integrality is to be accomplished.


Subject(s)
Humans , Male , Female , Dental Care , HIV , Health Services , Primary Health Care , Unified Health System
18.
Rev. saúde pública ; 43(3): 455-462, maio-jun. 2009. tab
Article in English | LILACS | ID: lil-513014

ABSTRACT

OBJECTIVE:To evaluate public health dentistry practices of two different family health models. METHODS: Qualitative study conducted with data obtained from focus groups consisting of 58 dentists working in the Family Health Strategy for at least three years between August-October, 2006. The Paideia Family Health Approach was used in the city of Campinas and the Oral Health Initiative as part of the Family Health Strategy was implemented in the city of Curitiba, Southeastern and Southern Brazil, respectively. Data was analyzed using the hermeneutic-dialectic method. Analysis indicators were employed to indicate backwardness, stagnation or progress in oral health practices effective from the implementation of the strategies referred. The indicators used were: work process; interdisciplinary approach; territorialization; capacity building of human resources; health promotion practices; and responsiveness to users' demands. RESULTS: There was progress in user access to services, humanization of health care, patient welcoming and patient-provider relationship. The results related to health promotion practices, territorialization, interdisciplinary approach and resource capacity building indicated a need for technical and operational enhancements in both cities. CONCLUSIONS: Both models have brought about important advances in terms of increased access to services and humanization of health care. Universal access to oral health at all levels of complexity was not achieved in both cities studied. Local health managers and oral health program coordinators must bring more weight to bear in the arena that defines public policy priorities.


OBJETIVO: Avaliar práticas de saúde bucal coletiva de dois modelos de atenção à saúde familiar. MÉTODOS: Estudo qualitativo realizado por meio de grupos focais constituídos por 58 cirurgiões-dentistas atuantes em programa de saúde da família há pelo menos três anos. Foram adotados os modelos de atenção Método Paidéia em Saúde da Família (Campinas, SP, 34 profissionais) e Estratégia de Saúde da Família (Curitiba, PR, 24 profissionais). O estudo foi realizado entre os meses de agosto e outubro de 2006. O referencial teórico utilizado para análise dos dados foi a hermenêutica-dialética. Foram empregados indicadores analíticos visando a indicar retrocesso, estagnação ou progresso nas práticas de saúde bucal que tiveram efeito a partir da implantação das estratégias em estudo. Os indicadores utilizados foram: processo de trabalho, interdisciplinaridade, territorialização, qualificação dos trabalhadores, promoção da saúde, resolutividade às demandas dos usuários. RESULTADOS: Houve progresso no acesso dos usuários aos serviços, na humanização do cuidado em saúde, no acolhimento das pessoas e no vínculo entre os profissionais e os pacientes. Os resultados relativos às práticas de promoção de saúde, territorialização, abordagem interdisciplinar e qualificação das equipes indicaram a necessidade de avanços técnicos e operacionais nas duas cidades. CONCLUSÕES: Os dois modelos apresentam importantes avanços na qualificação do acesso e na humanização do cuidado em saúde. Não obstante, o direito universal ao acesso à saúde bucal, em todos os níveis de complexidade, mostrou-se deficiente nas duas cidades. Os gestores locais dos serviços de saúde e os coordenadores municipais de saúde bucal, devem atuar com maior intensidade ao definir prioridades em políticas públicas de saúde local.


OBJETIVO: Evaluar prácticas de salud bucal colectiva de dos modelos de atención a la salud familiar. MÉTODOS: Estudio cualitativo realizado por medio de grupos focales constituidos por 58 cirujanos-dentistas actuantes en programa de salud de la familia hace por lo menos tres años. Fueron adoptados los modelos de atención Método Paideia en Salud de la Familia (Campinas, Sureste de Brasil, 34 profesionales) y Estrategia de Salud de la Familia (Curitiba, Sur de Brasil, 24 profesionales). El estudio fue realizado entre los meses de agosto y octubre de 2006. El referencial teórico utilizado para análisis de los datos fue la hermenéutica-dialéctica. Fueron empleados indicadores analíticos con el objetivo de indicar retroceso, estancamiento o progreso en las prácticas de salud bucal que tuvieran efecto a partir de la implantación de las estrategias en estudio. Los indicadores utilizados fueron: proceso del trabajo, interdisciplinaridad, territorialidad, cualificación de los trabajadores, promoción de la salud, resolución a las demandas de los usuarios. RESULTADOS: Hubo progreso en el acceso de los usuarios a los servicios en la humanización del cuidado en salud, en el acogimiento de las personas y en el vínculo entre los profesionales y los pacientes. Los resultados relativos a las prácticas de promoción de salud, territorialidad, abordaje interdisciplinar y cualificación de los equipos indicaron la necesidad de avances técnicos y operacionales en las dos ciudades. CONCLUSIONES: Los dos modelos presentan importantes avances en la cualificación del acceso y en la humanización del cuidado en salud. Sin embargo, el derecho universal al acceso a la salud bucal, en todos los niveles de complejidad, se mostró deficiente en las dos ciudades. Los gestores locales de los servicios de salud y los coordinadores municipales de salud bucal, deben actuar con mayor intensidad al definir prioridades en políticas públicas de salud local.


Subject(s)
Humans , Practice Patterns, Dentists'/standards , Family Health , Oral Health/standards , Primary Health Care/methods , Brazil , Cities , Health Promotion/standards , Health Services Accessibility/standards , Humanism , Models, Theoretical , Professional-Patient Relations , Qualitative Research
19.
Rev. odonto ciênc ; 23(3): 243-250, jul.-set. 2008. graf, tab
Article in Portuguese | LILACS, BBO | ID: lil-494944

ABSTRACT

Objetivo: Analisar o conhecimento e a experiência dos cirurgiões-dentistas (CDs) do município de Cáceres-MT relativos a suspeita diagnóstica e encaminhamento de casos de hanseníase. Metodologia: Estudo transversal de inquérito com 60 CDs. Utilizou-se um questionário auto-aplicado com variáveis relacionadas à formação do profissional, ao conhecimento e à experiência em relação à hanseníase. Os dados foram analisados por regressão logística com intervalo de confiança (IC) de 95%. Resultados: A maioria dos CDs sentiu pouca segurança em relação a seus conhecimentos sobre hanseníase, 43% realizaram suspeita de casos e/ou encaminhamento. A probabilidade de um profissional com tempo de exercício maior que 5 anos realizar suspeita de casos e/ou encaminhamento foi 4 vezes àquela observada entre os CDs com menor tempo de residência na cidade (ORajust = 4,39; IC 95%: 1,26-15,23). Tal probabilidade para profissionais especialistas foi 7 vezes à observada entre não-especialistas (ORajust = 7,73; IC 95%: 1,51-39,64). Conclusão: Quase metade dos CDs realizou encaminhamento de casos suspeito de hanseníase, principalmente aqueles com mais de cinco anos de exercício profissional na cidade ou que possuíam alguma especialidade. No entanto, esses vêm contribuindo timidamente e com práticas isoladas, pois apresentaram limitações de conhecimentos específicos relativos à doença.


Purpose: To analyze the dentists' (CDs) knowledge and experiences regarding leprosy in Cáceres-MT, and their contribution to the detection of new cases. Methods: A descriptive survey study was conducted with 60 CDs. An auto-applied questionnaire was used to collect variables related to professional background, knowledge, and professional experience related to leprosy. Logistic regression analysis was used with 95% confidence interval (IC). Results: Most CDs considered that their knowledge about leprosy was not sufficient, 43% of the CDs had already made referrals of suspected cases. The probability of a CD with more than 5 years working in Cáceres-MT to make referrals of suspected cases was 4 times greater than those with less professional experience (ORadjust = 4.39; IC 95%: 1.26-15.23). For professional specialists this probability was 7 times greater than that of non specialists (ORadjust = 7.73; IC 95%: 1.51-39.64). Conclusions: Almost half of the CDs in this sample had made referrals of suspected leprosy cases, mainly those with more than five years of working activity in the city or with any dental specialty training. However, the professional contribution has been scarce with isolated episodes because of limited specific knowledge of the disease.


Subject(s)
Humans , Leprosy/diagnosis , Leprosy/prevention & control , Disease Notification , Public Health Dentistry , Dentists , Cross-Sectional Studies , Surveys and Questionnaires
20.
Braz. oral res ; 22(3): 229-234, 2008. tab
Article in English | LILACS | ID: lil-495597

ABSTRACT

The purpose of this retrospective study was to analyze the cases of traumatic dental injuries involving root fracture and/or periodontal ligament injury (except avulsion) treated at the Discipline of Integrated Clinic, School of Dentistry of Araçatuba, São Paulo State University (UNESP), Brazil, from January 1992 to December 2002. Clinical and radiographic records from 161 patients with 287 traumatized teeth that had sustained root fracture and/or injuries to the periodontal ligament were examined. The results of this survey revealed that subluxation (25.09 percent) was the most common type of periodontal ligament injury, followed by extrusive luxation (19.86 percent). There was a predominance of young male patients and most of them did not present systemic alterations. Among the etiologic factors, the most frequent causes were falls and bicycle accidents. Injuries on extraoral soft tissues were mostly laceration and abrasion, while gingival and lip mucosa lacerations prevailed on intraoral soft tissues injuries. Radiographically, the most common finding was an increase of the periodontal ligament space. The most commonly performed treatment was root canal therapy. Within the limits of this study, it can be concluded that traumatic dental injuries occur more frequently in young male individuals, due to falls and bicycle accidents. Subluxation was the most common type of periodontal ligament injury. Root canal therapy was the type of treatment most commonly planned and performed.


Subject(s)
Adolescent , Adult , Female , Humans , Male , Young Adult , Dental Health Surveys , Periodontal Diseases/therapy , Periodontal Ligament/injuries , Tooth Fractures/therapy , Tooth Root/injuries , Brazil/epidemiology , Dental Pulp/injuries , Periodontal Diseases/complications , Periodontal Diseases/epidemiology , Retrospective Studies , Root Canal Therapy , Sex Factors , Tooth Fractures/complications , Tooth Fractures/epidemiology , Young Adult
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