Tendencia de actividades odontológicas realizadas en atención primaria del Servicio de Salud Valparaíso - San Antonio, chile: 2008 a 2018 / The evolution of dental services carried out in primary health care centers of the valparaíso - san antonio health service in chile: 2008-2018

INTRODUCCIÓN: La actual Política de Salud Bucal chilena indica que la atención odontológica está orientada a la promoción y prevención, reforzando la atención odontológica en Atención Primaria de Salud (APS). Se desconoce cómo esta política se ha materializado en el tiempo, pues, a la fecha, no existen estudios que analicen la tendencia de este tipo de actividades. El objetivo de este estudio fue analizar la tendencia de las actividades odontológicas, realizadas en adultos y adultos mayores, en APS del Servicio de Salud Valparaíso - San Antonio (SSVSA). MATERIAL Y MÉTODOS: Se realizó un estudio ecológico de tipo mixto entre los años 2008-2018, en 8 de las 9 comunas del SSVSA. Se analizó la tendencia del porcentaje de actividades promocionales-preventivas (APP) y de exodoncias utilizando las bases de datos "Resúmenes Estadísticos Mensuales-A09" (REM-A09). RESULTADOS: El 24,53% y 11,36% de las actividades realizadas correspondieron a APP y a exodoncias, respectivamente. El grupo de 20-64 años presentó un mayor porcentaje de APP y un menor porcentaje de exodoncias que el grupo de 65 y más años, en cada una de las comunas. Hubo una tendencia al aumento del porcentaje de APP y a la disminución del porcentaje de exodoncia en la mayoría de las comunas estudiadas. DISCUSIÓN: La tendencia de las actividades odontológicas realizadas en APS ha evolucionado a lo largo de los años, con diferencias entre comunas del SSVSA. Para poder determinar cuáles son los motivos que explican los resultados encontrados, se sugiere realizar otros estudios enfocados a la gestión odontológica local de APS. (AU)

BACKGROUND: The current Chilean Oral Health Policy indicates that dental care is aimed at promotion and prevention, thus reinforcing the presence of dental programs in Primary Health Care (PHC) Centers. It is unknown how this policy has materialized over time, since no studies to date have analyzed the trend of dental services carried out in PHC. The objective of this study was to analyze the evolution of dental services carried out in adults in PHC of the Valpa-raíso - San Antonio Health Service (VSAHS). MATERIALS AND METHODS: A mixed ecological study was carried out between 2008 and 2018, in 8 of the 9 municipalities of the VSAHS. The per-centage trends of promotional-preventive services (PPS) and extractions were analyzed, using the databases "Resúmenes Estadísticos Mensuales-A09" (REM-A09). RESULTS: The percentage of dental services dedicated to PPS and extractions were 24.53% and 11.36%, respectively. The group of adults between 20 and 64 years of age presented a higher percentage of PPS and a lower percentage of extractions than the 65 and over group in each municipality. There was also a trend of the percentage of PPS services increasing over time, while the percentage of extractions decreased in most of the municipalities studied. DISCUSSION: The type of den-tal services carried out in PHC has evolved over time, and differences were found between municipalities of the VSAHS. To explain these results, future studies should focus on the local management of dental services in PHC. (AU)

Consistent Technique Limits Suspension Laryngoscopy Complications

Abstract Introduction Suspension laryngoscopy (SL) is a commonly performed procedure among otolaryngologists. Several studies have shown that adverse effects occur regularly with SL. Objective To evaluate the postoperative complications of SL, and to determine if protecting the dentition and the oral mucosa and limiting suspension times decrease the overall incidence of oral cavity and pharyngeal complications of SL. Methods All of the cases of SL performed by 1 surgeon from November 2008 through September 2014 were retrospectively reviewed. A consistent technique for dental and mucosal protection was utilized, and suspension times were strictly limited to 30 consecutiveminutes. The incidence of postoperative complications was calculated and analyzed with respect to gender, smoking status, dentition, laryngoscope type, and suspension system. Results A total of 213 consecutive SL cases were reviewed, including 174 patients (94 male, 80 female). The overall postoperative complication rate was of 3.8%. Four patients experienced tongue-related complications, two experienced oral mucosal alterations, one had a dental injury, and one experienced a minor facial burn. The complication incidence was greater with the Zeitels system(12.5%) compared with the Lewy suspension system (3.3%), although it was not significant (p = 0.4). Likewise, the association of complications with other patient factors was not statistically significant. Conclusion Only 8 out of 213 cases in the present series experienced complications, which is significantly less than the complication rates observed in other reports. Consistent and conscientious protection of the dentition and of the oral mucosa and limiting suspension times to 30 minutes are factors unique to our series that appear to reduce complications in endolaryngeal surgery.

Oral health evaluation in special needs individuals / Avaliação da saúde bucal em pessoas com necessidades especiais

ABSTRACT Objective To identify the prevalence of the main oral problems present in special needs children and to relate the underlying conditions with the clinical and demographic variables. Methods The study was based on the physical examination of 47 students from the Associação de Pais e Amigos dos Excepcionais diagnosed as Down syndrome, cerebral palsy and intellectual deficit. For data collection, we used a self-administered questionnaire that included indices of dental caries and oral hygiene, Angle classification, malposition of dental groups and oral hygiene habits. Results The predominant age group was 12-25 years (46.8%) and most patients were male (55.3%). Regarding daily brushing, 63.8% reported brushing their teeth three times a day, and 85.1% did it by themselves. A total of 48.9% were rated as Angle class I, and 25.5% had no type of malocclusion. A high dental carries index (decayed, missing, filled >10) was observed in 44.7%, and 53.2% had inadequate oral hygiene (zero to 1.16). There was a statistically significant difference between cerebral palsy and the act of the participants brushing their teeth by themselves. Conclusion There was a high decayed-missing-filled teeth index and malocclusion class I, as well as inadequate oral hygiene. The type of underlying condition of the participants influenced the act of brushing teeth by themselves.

RESUMO Objetivo Conhecer a prevalência dos principais problemas bucais em crianças com necessidades especiais, e relacionar as doenças de base com variáveis clínicas e demográficas. Métodos O estudo foi realizado a partir de exame clínico em 47 alunos da Associação de Pais e Amigos dos Excepcionais com diagnóstico médico de síndrome de Down, paralisia cerebral e deficit intelectual. Para a coleta de dados, foi utilizado um questionário autoaplicativo com índices de cárie dentária e higiene oral, classificação de Angle, malposição de grupos dentários e hábitos de higiene oral. Resultados A faixa etária predominante foi de 12 a 25 anos (46,8%) e a maioria era do sexo masculino (55,3%). Em relação à escovação dentária, 63,8% relataram escovar os dentes três vezes ao dia, sendo que 85,1% realizavam-na sozinhos. Constatou-se que 48,9% dos examinados apresentavam uma classificação de Angle tipo I e 25,5% não apresentavam qualquer tipo de maloclusão. Os avaliados (44,7%) apresentaram alto índice de cárie dentária (cariados, perdidos e obturados >10) e 53,2% apresentaram higiene oral inadequada (zero a 1,16). Houve diferença estatisticamente significativa entre a paralisia cerebral e o ato de escovar os dentes sozinho. Conclusão Constataram-se altos índices de cárie e de maloclusão classe I, além de inadequada higiene oral. Houve influência do tipo de patologia de base na realização do ato de escovar os dentes sozinhos.

Oil Pulling and Oral Health: A Review.

Oil pulling is extensively used as a traditional Indian folk remedy without the scientific proof for many years to prevent decay, bleeding gums, oral malodor, dryness of throat, cracked lips and for strengthening teeth, gums, and jaws. This paper reviewed the literature on oil pulling based on the scientific articles available under the following subheadings: (1) Introduction (2) history (3) procedure (4) mechanism (5) benefits (6) discussion (7) summary (8) conclusion. Oil pulling or oil swishing is the ayurvedic way of maintaining oral health and improving overall immune system. Oil also pulling acts as an excellent detoxifying agent in healing the body inside. Oil pulling is a procedure in which the practitioners rinse their mouth with approximately one tablespoon of an ordinary cooking oil for 3-20 min, then spits it out. This procedure is typically performed daily. In this narrative review, authors try to illustrate different types of oil used for oil pulling and their oral benefits and general benefits on the health. Various oils used for swishing (pulling) the oral cavity-coconut oil, palm oil, corn oil, rice bran oil, sesame oil, sunflower oil, soybean oil, etc. Though oil pulling is effective, none of the studies considered it as a replacement for the tooth brushing, but can definitely be a supplemental oral hygiene aid.

Las mujeres y su salud bucal / Women and their oral health

La salud bucal es parte de la salud integral de las personas. La mujer, debido a los cambios hormonales que afectan a lo largo de su vida, presenta alteraciones bucales que no afectan a los hombres, debido exclusivamente al funcionamiento de su sistema reproductivo.

Oral health is part of the overall health of the people. Thewomen due to hormonal changes that affect throughout his life,presents oral alterations that do not affect men, exclusively due tothe operation of your reproductive system.

Manifestaciones salivales y bucales en aloholismo crónico / Salivary and oral manifestations in chronic aloholismo

La prevalencia de las enfermedades dentales entre los pacientes alcohólicos es frecuentemente extensa por la falta de interés en realizar una apropiada higiene oral y por la disminución del flujo salival. Además el consumo de tabaco empeora la patología dental y aumenta el riesgo de desarrollar el cáncer oral.(4-16) Es necesario el diagnóstico del paciente alcohólico, realizar un examen oral para identificar posibles alteraciones en la cavidad bucal lesiones de mucosa, (disgeusia) xerostomía, caries, pérdida de elementos dentarios, sialosis entre otros. Nuestro objetivo es Evaluar marcadores de diagnóstico en saliva y cavidad bucal en individuos con alcoholismo. Desarrollar estrategias para la prevención, eliminación o disminución de sus efectos deletéreos producidos sobre el efecto del alcohol sobre la cavidad bucal

ABSTRACT: The prevalence of dental disease among alcoholic patients is often extended by the lack of interest in a proper oral hygiene and decreased salivary low. Furthermore snuff consumption worsens dental disease and increases the risk of developing oral cancer. (4-16) is necessary diagnosis of alcoholic patients, oral examination to identify possible alterations in he oral cavity mucous membrane lesions (dysgeusia ) xerostomia, caries, loss of dental elements, sialosis among others. Our goal is to evaluate diagnostic marker sin saliva and oral cavity in individuals with alcoholism. Develop strategies for the prevention, elimination or reduction of its deleterious effects produced on the effect of alcohol on the oral cavity

Guía para el cuidado de la salud oral en pacientes con necesidad de cuidados especiales de salud en México / Guidelines for oral health in patients with special health care needs in Mexico

Promover la prevención primaria y la salud oral integral hacia las personas con necesidad de cuidados especiales de salud, es una parte fundamental de la odontología. Estos individuos constituyen un grupo de riesgo, ya quedesde edades muy tempranas requieren de cuidados dentales especializados. Sin embargo, las medidas de prevención de salud oral dirigidas hacia este colectivo no han sido tan prioritarias como deberían serlo, por lo que médicos y odontólogos se deberían interesaren la importancia de garantizar que todos, incluidos aquellos que requieren de cuidados específicos de salud, tengan el máximo nivel de atención. En este trabajo se hace una revisión de temasrelacionados y se establecen los preceptos sobre el manejo de la salud oral en personas con alguna discapacidad.

Fatores de risco em radioterapia de cabeça e pescoço / Risk factors in head and neck radioterapy

Objetivo: Avaliar os fatores de risco dentais e de malignidade relacionados com o aparecimento de complicações pós-radioterapia de cabeça e pescoço de pacientes tratados em um Centro de Radioterapia em Aracaju, Sergipe. Método: Foi realizada a avaliação clínica de 30 pacientes que estavam sendo irradiados na região de cabeça e pescoço no Centro de Radioterapia. Essa avaliação foi feita utilizando como parâmetros os critérios clínicos: doença periodontal, cárie extensa, dentes não funcionais, higiene oral deficiente, doses de radiação e combinação de tratamentos. Cada critério foi avaliado para definir o nível do fator de risco (alto, médio ou baixo) em que se enquadrava. Resultados: Com relação aos fatores de risco dentais, foram encontrados 25 com alto, 5 com baixo e nenhum com médio. Referente aos fatores de risco relacionados à malignidade, foram encontrados 27 com altos fatores de risco, 3 com baixo e nenhum médio. Conclusão: Portanto, devido ao grande número de pacientes examinados com altos fatores de risco dentais e relacionados a malignidade, conclui-se que esses apresentava uma alta predisposição para sofrer complicações secundárias advindas da radioterapia.

Objective: The objective of this study was to assess the dental and malignant risk factors associated with head and neck radiotherapy complications in patients treated at the Radiotherapy Center in Aracaju, Sergipe. Method: A clinical assessment was done of 30 patients who were receiving head and neck radiotherapy at the Radiotherapy Center. This assessment was done using the following clinical criteria as parameters: periodontal disease, extensive caries, non-functional teeth, poor oral hygiene, radiation doses and treatment combinations. Each criterion was assessed to define the risk factor level (high, intermediate, low). Results: Most (25) of the dental risk factors were high, none were intermediate and 5 was low. As for the malignant risk factors, 27 had high, none had intermediate and 3 had low risk factors. Conclusion: In conclusion, due to the great number of patients with high dental and malignant risk factors, these patients are very susceptible to complications of radiotherapy.

Programa de salud oral integral para niños (as) de 6 años como problema de salud con garantía explícita en Chile: la participación de los pediatras / A study of the promotion of a dental health program for children under 6 years of age in Chile's national health program: the participation of pediatricians

In the context of Explicit Health Guarantees Plan (EHGP), in 2005 the Ministry of Health introduced the "Comprehensive Oral Health care for 6 year old children". By MTNSAL's initiative, a study was developed to assess the distribution, use and implementation of this guarantee for every child in the country. Some results of this study are presented. Method: Parents and guardians of 6-year-old children who receive this benefit were surveyed in a random representative sample of urban and rural schools in the country throughout 2007-2008. Results: A large majority (73.9 percent) of parents are familiar with the National Health Guaranties, among these, 70.3 percent are familiar with the dental benefit. A small proportion (23.3 percent in public insurance, 13.2 percent in private insurance system), found out about this program through the Primary health care services. Discussion: The Dental Guarantee is well known, but underutilized. It is important that physicians, especially pediatricians, collaborate in the promotion of dental health and the utilization of this benefit, which is the right of every Chilean child.

Antecedentes: El Ministerio de Salud incorporó el programa "Salud Oral Integral para niños (as) de 6 años" dentro del régimen de Garantías Explícitas en Salud (GES) en 2005. Por iniciativa de MINSAL, se realizó un estudio para evaluar la difusión, uso e implementación de esta garantía. Objetivo: Presentar algunos resultados de dicho estudio. Metodología: Se encuestaron apoderados de niños (as) de 6 años beneficiarios de la garantía en el 2006 mediante un cuestionario autoaplicado en una muestra representativa de escuelas urbanas y rurales a lo largo del país durante el período 2007-2008. Resultados: El 73,9 por ciento de los apoderados conoce el GES en general; y de éstos, 70,3 por ciento está informado sobre la garantía de atención dental para niños de 6 años. Pocos padres (23,3 por ciento en FONASA y 13,2 por ciento en ISAPRES) se informaron del GES dental por medio del Control de Niño Sano. Del total de niños que solicitaron atención (36,5 por ciento), 98,5 por ciento fue acogida satisfactoriamente. Conclusión: La garantía GES dental para niños de 6 años se está cumpliendo satisfactoriamente, sin embargo, pocos niños la solicitan. Por esto, es necesario que el médico y, especialmente el pediatra, colabore y se haga cargo de la promoción de salud bucal y la difusión de esta garantía, derecho de todo niño chileno.