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1.
Alerta (San Salvador) ; 4(2): 52-46, may. 26, 2021. ilus
Article in Spanish | LILACS, BISSAL | ID: biblio-1224727

ABSTRACT

El SARS-CoV-2 es el séptimo betacoronavirus que infecta a la especie humana. Este se caracteriza por una alta transmisibilidad y relativa baja letalidad. La enfermedad se manifiesta, en la mayor parte de la población, de forma leve y aumenta la probabilidad de severidad y letalidad en adultos mayores de 65 años, con enfermedades crónicas no trasmisibles previas como diabetes, hipertensión arterial, enfermedades respiratorias y obesidad. En este artículo de revisión se presentan parámetros con base en la evidencia científica, que guíen al odontólogo en la toma de decisiones, para la atención odontológica y limitar el riesgo de infección cruzada en el marco del estado actual de pandemia por COVID-19. La llamada o video llamada constituye la primera elección para realizar el triaje, previo a asignar una cita, ya que permite clasificar el riesgo de infección por COVID-19 de un paciente y establecer el nivel de prioridad de tratamiento. El algoritmo para la toma de decisiones en clínicas odontológicas durante el período de emergencia por COVID-19, debe constituirse en una recomendación que los odontólogos que atienden pacientes pongan en práctica. Por cuanto, permite clasificar el riesgo de infección y letalidad del paciente, definiendo los tratamientos en electivos, de urgencia o emergencia. Palabras clave: infecciones por coronavirus, Clínicas Odontológicas, Contención de riesgos biológicos, Toma de decisiones, pandemia


SARS-CoV-2 is the seventh betacoronavirus to infect the human species. It is characterized by high transmissibility and relatively low lethality. The disease manifests itself, in most of the population, in a mild way and increases the probability of severity and fatality in adults over 65 years of age, with previous non-communicable chronic diseases such as diabetes, high blood pressure, respiratory diseases and obesity. This review article presents parameters based on scientific evidence, which guide the dentist in decision-making, for dental care and limit the risk of cross infection in the context of the current state of the COVID-19 pandemic. The call or video call is the first choice for triage, prior to assigning an appointment, since it allows classifying the risk of infection by COVID-19 of a patient and establishing the level of priority of treatment. The algorithm for decision-making in dental clinics during the emergency period due to COVID-19 should become a recommendation that dentists who care for patients put into practice. Because, it allows classifying the risk of infection and lethality of the patient, defining the treatments as elective, urgent or emergency. Keywords: coronavirus infections, Dental Clinics, Containment of biological risks, Decision making, pandemic


Subject(s)
Humans , Dental Care , Coronavirus Infections , Decision Making , Dental Clinics
2.
Odontol. Clín.-Cient ; 20(2): 72-78, abr.-maio 2021. ilus, tab
Article in Portuguese | LILACS, BBO | ID: biblio-1369193

ABSTRACT

As periodontopatias podem ser dos principais fatores para o agravamento de doenças, como alterações cardiovasculares. Microrganismos e produtos bacterianos encontrados nessas condições provocam intensa produção de mediadores inflamatórios, incluindo a proteína C-reativa (PCR), marcador para cardiopatias. Avaliou-se a relação dos níveis plasmáticos de PCR em pacientes com doenças cardiovasculares (DCV) e periodontite. Uma série de quatro casos acompanhados/ concluídos na referida clínica (idade entre 24 e 61 anos, todos homens). Constatada a condição de periodontite, o periograma do sextante comprometido foi realizado, junto à requisição de exames para dosagem dos níveis plasmáticos de PCR, antes e após sessão de raspagem e alisamento radicular. Em 21 a 30 dias, um periograma reavaliativo foi realizado para análise comparativa das pro fundidades de sondagem e níveis de PCR antes e após a sessão de instrumentação. Houve redução de 13,7% (paciente "A") e até 2 mm na perda de inserção (pacientes "A" e "C") dos sítios avaliados; não houve nenhuma mudança significativa nas novas dosagens dos níveis de PCR. Conclui-se que não foi possível demonstrar uma correlação entre os níveis de PCR em pacientes que apresentam concomitantemente DCV e periodontite, nesta série de casos... (AU)


Periodontal diseases are one of the main factors for aggravation of diseases, such as cardiovascular alterations. Microorganisms and bacterial products found under these conditions provoke intense production of inflammatory mediators, including C-reactive protein (CRP), a marker for cardiovascular disease. It was evaluated the relationship of plasma levels of CRP in patients with Cardiovascular Diseases (CVD) and periodontitis in the dental clinic of the UPE campus Arcoverde. A series of four cases followed at the clinic (24 to 61 years old, all men). Condition of periodontitis confirmed, the periogram of the compromised sextant was performed, together with the requisition of tests for the determination of plasma levels of CRP, before and after scaling and root planing sessions. Around 21-30 days a re-evaluating periogram was performed for comparative analysis of depths of probing and CRP levels before and after the instrumentation. There was a reduction of 13.7% (patient "A") and up to 2 mm in the loss of insertion (patients "A" and "C") of the evaluated sites; there wasn't significant change in the new doses of CRP levels. It's concluded was not possible to demonstrate a correlation between CRP levels in patients with concomitant CVD and periodontitis in this case series... (AU)


Subject(s)
Humans , Male , Adult , Middle Aged , Periodontal Diseases , Periodontitis , C-Reactive Protein , Cardiovascular Diseases , Heart Diseases , Periodontal Index , Polymerase Chain Reaction , Oral Health , Dental Clinics
3.
Estud. pesqui. psicol. (Impr.) ; 21(1): 30-50, jan.-abr. 2021.
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1355307

ABSTRACT

O objetivo da pesquisa foi analisar as representações sociais construídas por estudantes de Odontologia sobre o atendimento prestado a crianças. A população-alvo do estudo foi constituída por estudantes de graduação em Odontologia da Universidade Federal do Espírito Santo (UFES), entrevistados no 10º período, após terem frequentado as disciplinas de clínica odontopediátrica. As respostas às questões norteadoras foram registradas em áudio, submetidas à análise de conteúdo e interpretadas pela abordagem processual das representações sociais. Participaram 26 estudantes, com média de 23,8±1,4 anos de idade, e a temática da entrevista semiestruturada envolveu expectativas prévias e vivência clínica. As representações que emergiram passaram pelo processo de organização em categorias. As representações sociais construídas por estudantes de Odontologia sobre o atendimento de crianças foram relacionadas à experiência gratificante e proveitosa, embora esta vivência possa ter sido complexa e desafiadora. Ademais, sob a ótica dos estudantes, é necessário ter paciência, ser compreensivo com a criança, manifestar carinho no atendimento, conquistar a confiança e usar a criatividade. (AU)


The objective was to analyze the social representations built by dental students about the care provided to children. The target population of the study was made up of undergraduate students in Dentistry from Universidade Federal do Espírito Santo (UFES), interviewed in the 10th period, after attending the disciplines of pediatric dentistry. The responses to guiding questions were recorded in audio, submitted to content analysis and interpreted by the procedural approach of social representations. Twenty-six students, with a mean of 23.8±1.4 years of age, participated and the semi-structured interview theme involved previous expectations and clinical experience. The representations that emerged went through the process of organization into categories. The social representations constructed by dental students about the care of children were related to the rewarding and useful experience, although this experience may have been complex and challenging. In addition, from the perspective of the students, it is necessary to have patience, be understanding with the child, express affection in the attendance, gain confidence and use creativity. (AU)


El objetivo fue analizar las representaciones sociales construidas por estudiantes de Odontología sobre la atención prestada a niños. La población objetivo del estudio fue constituida por estudiantes de graduación en Odontología de Universidade Federal do Espírito Santo (UFES), que se entrevistó en el 10º período, después de cursar las disciplinas de odontopediatría. Las respuestas a preguntas orientativas se registraron en audio, sometidas al análisis de contenido e interpretadas por el enfoque procesal de las representaciones sociales. Participaron 26 estudiantes, con una media de 23,8±1,4 años, y la temática de la entrevista semiestructurada involucró expectativas previas y experiencia clínica. Las representaciones que surgieron pasaron por el proceso de organización en categorías. Las representaciones sociales construidas por estudiantes de Odontología sobre la atención de niños se han relacionado con la experiencia gratificante y provechosa, aunque esta vivencia pueda haber sido compleja y desafiante. Además, bajo la óptica de los estudiantes, es necesario tener paciencia, ser comprensivo con el niño, manifestar cariño en la atención, conquistar la confianza y usar la creatividad. (AU)


Subject(s)
Humans , Male , Female , Adult , Students, Dental , Dental Clinics , Pediatric Dentistry , Dentistry
4.
Article in English | LILACS, BBO | ID: biblio-1180866

ABSTRACT

ABSTRACT Objective: To assess the attitudes, experiences, training levels, and interest in future education regarding the use of hypnosis by dentists working in Dental Clinic of Monastir, Tunisia. Material and Methods: A cross-sectional study was conducted among 330 dentists working in Dental Clinic of Monastir in November 2019. Students, internship, residents, and professors were randomly selected. This was a survey with a structured questionnaire mailed to all dentists. The questionnaire was pre-fabricated, simple, and close-ended. Data were analyzed using SPSS 24.0 statistical software. Results: A total of 202 dentists respond to this survey. 54% of the participants were interns with a female predominance (66.5%). Findings revealed that beliefs toward hypnosis in the sample were generally positive. Using a visual analogue scale, dentists reported having moderate acknowledge in hypnosis (3.4). 60% of the participants in our study consider that hypnosis is useful in dentistry and, more particularly, in pediatric dentistry. 78.2% of respondents want to follow training courses in hypnosis. Conclusion: Our survey highlights the weak knowledge of participants in hypnosis and reveals certain misconceptions about this procedure. More efforts are required to better educate dentists about hypnosis's benefits in their practice.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Health Knowledge, Attitudes, Practice , Dental Clinics , Dentists , Analgesia/methods , Hypnosis, Dental/instrumentation , Tunisia/epidemiology , Epidemiology, Descriptive , Cross-Sectional Studies/methods , Surveys and Questionnaires
5.
Article in English | LILACS, BBO | ID: biblio-1180864

ABSTRACT

ABSTRACT Objective: To determine the satisfaction with the dentist-patient interaction and factors associated with patient satisfaction among patients attending the outpatient dental clinic Hospital Universiti Sains Malaysia (HUSM). Material and Methods: This cross-sectional study involved 229 patients who attended outpatient dental clinic Hospital USM that located in the East Coast region of Malaysia. A self-administered Skala Kepuasan Interaksi Perubatan - 11 (SKIP-11) questionnaire was used to assess the satisfaction towards dentist-patient interaction. Systematic random sampling was applied in this study. The data were analyzed using simple logistic regression analysis to determine the factors associated with patient satisfaction with dentist-patient interaction. Results: The mean age of patients was 32.6 ± 13.9 years, 71.6% of them study up to tertiary level, 31.5% came to for dental check up and 23.6% of them had tooth decay. More than half (64.6%) of the patients were satisfactory with dentist-patient interaction. The satisfaction percentage in the distress relief domain was 60.7%, 56.8% in the rapport domain, and 53.7% in the interaction outcome domain. Satisfaction with dentist-patient interaction was significantly associated with the dentists' characteristics such as age (OR = 0.583, 95%CI 0.44-0.76, p=0.001), gender (OR = 0.386, 95% CI 0.22-0.69, p=0.001) and years of service (OR = 0.294, 95% CI 0.15-0.57, p=0.001). Conclusion: The result showed that slightly more than half of the patients who attended the outpatient dental clinic HUSM were satisfied with the dentist-patient interaction, which was found to be influenced by the characteristics of the dentists. Efforts to improve patient-dentist interaction are recommended to ensure delivery of good quality oral health care.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Aged , Personal Satisfaction , Professional-Patient Relations , Patient Satisfaction , Dental Clinics , Malaysia/epidemiology , Logistic Models , Cross-Sectional Studies/methods , Surveys and Questionnaires , Dentists
6.
J. health inform ; 13(3): 93-99, 20210000. []
Article in Portuguese | LILACS | ID: biblio-1359317

ABSTRACT

Objetivo: Analisar o Prontuário Eletrônico do Paciente (PEP) em clínicas odontológicas. Métodos: Trata-se de uma revisão integrativa da literatura, realizada a partir da questão norteadora, na qual estruturou-se a expressão de busca por meio dos descritores indexados e seus respectivos sinônimos no DeCS, MESH e Emtree, combinados por meio dos operadores booleanos AND e OR. A busca foi realizada, em março de 2021, via acesso remoto no Portal de Periódicos da CAPES, nas bases de dados LILACS, Medline, Scopus, Embase e Web of Science. Resultados: Foram selecionados 15 artigos para leitura na íntegra, cujos principais achados refere-se ao processo de implementação, usabilidade e desafios do PEP em clínicas odontológicas. Conclusão: Embora poucos estudos abordem sobre o PEP na odontologia, houve melhora da qualidade do atendimento, além de permitir o registro para melhor acompanhamento da evolução dos casos aprimorando o processo de trabalho para a tomada de decisão.


Objective: To analyze the Electronic Patient Record (EPR) in dental clinics. Methods: This is an integrative literature review, based on the guiding question, in which the search expression was structured using the indexed descriptors and their respective synonyms in DeCS, MESH and Emtree, combined using Boolean operators. AND and OR. The search was carried out, in March 2021, via remote access on the CAPES Portal, in the LILACS, Medline, Scopus, Embase and Web of Science databases. Results: Fifteen articles were selected for full reading, whose main findings refer to the process of implementation, usability and challenges of PEP in dental clinics. Conclusion: Although few studies address EPR in dentistry, there was an improvement in the quality of care, in addition to allowing registration to better monitor the evolution of cases, improving the work process for decision making.


Objetivo: Analizar el Registro Electrónico de Pacientes (REP) en clínicas dentales. Métodos: Se trata de una revisión bibliográfica integradora, basada en la pregunta orientadora, en la que se estructuró la expresión de búsqueda a través de los descriptores indexados y sus respectivos sinónimos en DeCS, MESH y Emtree, combinados mediante operadores booleanos AND y OR. La búsqueda se realizó, en marzo de 2021, mediante acceso remoto en el Portal de Revistas CAPES, en las bases de datos LILACS, Medline, Scopus, Embase y Web of Science. Resultados: Se seleccionaron quince artículos para lectura completa, cuyos principales hallazgos se refieren al proceso de implementación, usabilidad y desafíos de la PEP en las clínicas dentales. Conclusión: Si bien pocos estudios abordan la REP en odontología, hubo una mejora en la calidad de la atención, además de permitir el registro para controlar mejor la evolución de los casos, mejorando el proceso de trabajo para la toma de decisiones.


Subject(s)
Dental Clinics , Electronic Health Records , Quality of Health Care , Health Personnel , Clinical Decision-Making
8.
Article in English | LILACS, BBO | ID: biblio-1287505

ABSTRACT

ABSTRACT Objective: To investigate the influence de two instruments for evaluation of cariogenic foods consumption by schoolchildren. Material and Methods: The convenience sample comprised of 30 active-caries children (7-10 years old) attended in a public dental clinic and their mothers, who have not received dietary orientation before study. A trained evaluator administered the Previous Day Food Questionnaire (PDFQ) to children and other examiner applied the 24-hour dietary recall with mothers. Internal consistency between PDFQ and 24-hour dietary recall regarding frequency of sugar intake was calculated using intraclass correlation coefficient. Bivariate analyses (Mann-Whitney test) were performed to investigate the factors associated with frequency of sugar intake when using both instruments (α=0.05). Results: A moderate correlation (ICC = 0.51; 95%CI: -0.04-0.77; p=0.03) was found between instruments. Mean frequency of sugar intake reported by mothers and children was 3.5 (± 1.8) and 3.7 (± 1.5) times a day, respectively. When using the PDFQ, the frequency of cariogenic foods consumption varied depending on frequency of toothbrushing, i.e., children that had higher frequency of sugar intake brushed their teeth at least two times a day (p=0.016). Conclusion: Previous Day Food Questionnaire applied with schoolchildren could substitute the mothers' reports of cariogenic foods consumption when dietary interventions for controlling dental caries are necessary. If doubts remain regarding the children's response, mothers should be consulted.


Subject(s)
Humans , Male , Female , Child , Child , Dental Caries/prevention & control , Dental Clinics , Diet, Cariogenic , Brazil/epidemiology , Cross-Sectional Studies/methods , Surveys and Questionnaires , Statistics, Nonparametric , Data Analysis
9.
Pesqui. bras. odontopediatria clín. integr ; 21: e210052, 2021. tab, graf
Article in English | LILACS, BBO | ID: biblio-1346677

ABSTRACT

ABSTRACT Objective: To evaluate the breastfeeding practice of mothers of children assisted in the educational and preventive dentistry program to create actions to promote, protect and support breastfeeding. Material and Methods: This is a cross-sectional study with a quantitative approach carried out in a dental clinic for babies. A questionnaire was applied to the mothers containing 10 multiple choice questions about breastfeeding practices and attitudes. Data were stored in a Microsoft Excel database for descriptive statistical analysis. Results: 614 mothers answered the questionnaire. It was found that 96.4% of mothers considered breastfeeding the best way to feed a baby and the child's health benefits stood out as the main reason (98.7%) for breastfeeding. According to 82.9% of mothers, the ideal time to breastfeed the baby is up to 2 years of age; 81.8% breastfed or intended to breastfeed their children up to this age, finding it perfectly natural to breastfeed in public (72.1%). The greatest fear of mothers was not being able to breastfeed their child long enough (61.4%), feeling guilty about it (77%). On the other hand, breastfeeding in public was considered a fantastic attitude (56.8%). Conclusion: Mothers in this sample have information about the recommendations of the health agencies regarding breastfeeding; however, there was a large weaning index among them.


Subject(s)
Humans , Male , Female , Infant, Newborn , Infant , Child, Preschool , Preventive Health Services , Brazil/epidemiology , Breast Feeding , Child , Child Nutritional Physiological Phenomena , Dental Clinics , Cross-Sectional Studies , Surveys and Questionnaires , Data Interpretation, Statistical , Mothers
10.
Article in English | LILACS, BBO | ID: biblio-1346678

ABSTRACT

ABSTRACT Objective: To test possible associations between Oral Health Literacy (OHL) level and socioeconomic covariates among users of Centers for Dental Specialties (CEOs). Material and Methods: The Health Literacy in Dentistry (HeLD-14) instrument was applied to 130 adult users of CEOs located in 13 municipalities in the state of São Paulo - Brazil, as well as socioeconomic issues. The researcher applied instruments in a specific room after randomly selecting individuals in the waiting room and invitation acceptance. Each item was ranked on a 5-point scale, ranging from 0 to 4, in which high scores indicate minimal difficulties in performing functions (high OHL) and low scores indicate very limited abilities to perform functions (low OHL). Statistical analysis using the Levene test was used to verify the possibility of using the one-way ANOVA test, and in case results show positive values (p>0.05), the Kruskal Wallis test was used. Results: The average age of participants was 45 years, with more than half being female (68.7%) with 9-11 years of schooling (48.4%). When considering the total value of HeLD-14 questions, OHL was associated with covariates schooling, marital status and family income. Conclusion: OHL levels were associated with socioeconomic variables, contributing to evidence in this field of specialized care.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , Social Class , Oral Health , Patient Education as Topic , Dental Clinics , Health Literacy , Secondary Care , Brazil/epidemiology , Cross-Sectional Studies/methods , Surveys and Questionnaires , Analysis of Variance , Statistics, Nonparametric
11.
Piracicaba; FOP/UNICAMP; 2021. 87 p. ilus.
Non-conventional in Portuguese | LILACS | ID: biblio-1292374

ABSTRACT

O objetivo desse manual é servir como um guia para os discentes, docentes e funcionários da Faculdade de Odontologia de Piracicaba em relação às medidas a serem adotadas para que se promovam boas práticas de biossegurança durante os procedimentos de prestação de serviços de saúde


Subject(s)
Security Measures , Containment of Biohazards , Dental Clinics
12.
Rev. Asoc. Odontol. Argent ; 108(2): 80-87, mayo-ago. 2020.
Article in Spanish | LILACS | ID: biblio-1121640

ABSTRACT

La relación entre la exposición a los ruidos y la pérdida auditiva se considera desde hace muchos años. La comunidad odontológica no está exenta de este problema, ya que los profesionales trabajan a diario, y durante tiempos prolongados, con instrumentos ruidosos. Esta revisión bibliográfica tiene como propósito realizar una actualización acerca del riesgo de pérdida auditiva inducida por ruido en el personal que trabaja en la clínica odontológica. En la actualidad, se afirma que los odontólogos y el personal en la clínica dental corren el riesgo de contraer diversas patologías auditivas ­como es el caso de la hipoacusia­ debido al ruido que producen los equipos de alta velocidad. Las enfermedades profesionales del tipo auditivas que se abordan en este trabajo constituyen factores que comprometen no solo el buen estado de salud de los odontólogos y demás profesionales, sino su calidad de vida (AU)


The relationship between noise exposure and hearing loss has been known for many years. The dental community is not exempt from this problem, because they work every day and for long periods of time with noisy instruments. This literature review aims to update the risk of noise-induced hearing loss in personnel working in the dental clinic. The risk to which dentists and staff in the dental clinic are subjected to the high-speed and other noisy equipment is well known, and that can cause various auditory problems such as hearing loss. The occupational diseases of the auditory type that were addressed in this article constitute factors that compromise not only the good state of health of dentists and other professionals who work in similar conditions, but also in their quality of life (AU)


Subject(s)
Humans , Dental High-Speed Equipment/adverse effects , Dental Clinics/standards , Dentistry , Hearing Loss, Noise-Induced , Noise, Occupational , Occupational Diseases , Quality of Life , World Health Organization , Noise Measurement
13.
Dent. press endod ; 10(2): 67-72, maio-ago.2020. Tab, Ilus
Article in English | LILACS | ID: biblio-1344654

ABSTRACT

ntrodução: A cirurgia parendodôntica é uma alternativa ao tratamento endodôntico convencional, principalmente em casos envolvendo lesões perirradiculares associadas a processos osteolíticos, em que a terapia endodôntica convencional ou seu retratamento não obtiveram sucesso. Novos métodos terapêuticos têm ganhado espaço na clínica odontológica para esse tipo de caso, entre os quais se destaca a fibrina rica em plaquetas e leucócitos, que, ao concentrar e permitir uma liberação mais prolongada dos fatores de crescimento, promove uma modulação do processo reparador. Esse processo é baseado na otimização da regeneração tecidual através da inserção da membrana de fibrina. Objetivo: O objetivo do presente trabalho é apresentar, por meio do relato de um caso clínico, a utilização de fibrina rica em plaquetas e leucócitos em cirurgia parendodôntica, com intuito de reparo ósseo. Resultados: O acompanhamento clínico e tomográfico foi realizado após 190 dias, momento no qual foi constatada ausência de sintomatologia, bem como completo reparo da lesão e restabelecimento do osso cortical vestibular, além de ausência de lesão detectável em tomografia. Conclusão: No caso clínico relatado, houve uma completa regeneração tecidual da área envolvida na lesão (AU).


Introduction: Parendodontic surgery is an alternative to conventional endodontic treatment, especially in cases involving periradicular lesions associated with osteolytic processes, in which conventional endodontic therapy or retreatment was not successful. New therapeutic methods for the treatment of these cases have ground in clinical dentistry . For example, leukocyteand platelet-rich fibrin which has a higher concentration and more prolonged release of growth factors, modulates the repair process. This process is based on the optimization of tissue regeneration through the insertion of fibrin membrane. Objective: The objective of this study is to report a case in which leukocyte- and platelet-rich fibrin associated with parendodontic surgery was used for bone repair. Results: Clinical and tomographic follow-up was performed after 72 days, which revealed absence of any symptoms, complete repair of the lesion, buccal cortical bone regeneration, and absence of detectable lesion on tomography. Conclusion: There was complete tissue regeneration at the lesion site(AU).


Subject(s)
Dental Clinics , Platelet-Rich Fibrin , Regenerative Endodontics , Leukocytes , Apicoectomy , Retreatment , Methods
14.
Rev. ADM ; 77(3): 146-152, mayo-jun. 2020. ilus
Article in Spanish | LILACS | ID: biblio-1128301

ABSTRACT

El presente artículo tiene como propósito informar sobre los lineamientos que las clínicas dentales periféricas de la Escuela de Odontología de la Universidad de Monterrey (UDEM) han tomado frente a la pandemia actual COVID-19, emergente en la ciudad de Wuhan, China el pasado diciembre 2019. Dichas medidas surgen con el objetivo de cumplir con estándares de bioseguridad que eviten el contagio y/o la contaminación cruzada entre pacientes, profesionales y personal de las clínicas dentales de la UDEM; Clínica de Prevención Dental (CPD) y Clínica de Atención Dental Avanzada (CADA), las cuales permanecerán activas frente a situaciones que requieran atención de urgencia y postergando los tratamientos dentales de rutina. Los protocolos para brindar una atención de urgencia conllevan determinados pasos a seguir desde que el paciente ingresa a la clínica; iniciando con la revisión del expediente electrónico médico por medio de la plataforma Atlas.xp, seguido del llenado de un cuestionario enfocado al riesgo de la enfermedad y culminando con la toma de temperatura con termómetro infrarrojo. Los pacientes que no presenten síntomas y muestren una temperatura inferior a los 37.3 oC podrán ser atendidos bajo la aplicación de todas las medidas de bioseguridad establecidas (medidas de protección personal, de equipo y paciente, mantenimiento de dos metros de distancia en sala de espera, cumplimiento de tiempos de trabajo parciales, uso de lámparas purificadoras de aire distribuidas en las salas operatorias de las clínicas, trabajo asistido o a cuatro manos con la implementación de aislamiento absoluto en el paciente y con la utilización mínima de la pieza de alta velocidad). Asimismo, se menciona que posterior a cada tratamiento y en la culminación de la jornada laboral, todas las áreas y superficies deberán ser sanitizadas con sustancias desinfectantes específicas. Por su parte, el personal deberá portar ropa convencional al salir de las instalaciones y haber realizado un adecuado lavado de manos para evitar al máximo posible la transmisión del virus (AU)


The purpose of this article is to inform about the guidelines that the peripheral dental clinics of the School of Dentistry of the University of Monterrey (UDEM) have taken in the face of the current pandemic COVID-19, emerging in the city of Wuhan, China in the past December 2019. These measures arise with the aim of fulfilling biosafety standards that avoid contagion and/or cross contamination between patients, professionals and staff of UDEM dental clinics; Clínica de Prevención Dental (CPD) and Clínica de Atención Dental Avanzada (CADA), which will remain active in situations that require urgent care and postponing routine dental treatments. The protocols to provide urgent care include certain steps to follow from the moment the patient enters the clinic; starting with the review of the electronic medical record through the Atlas.xp platform, followed by the completion of a questionnaire focused on the risk of the disease and culminating with temperature measurement with an infrared thermometer. Patients who do not present symptoms and show a temperature below 37.3 oC may be treated under the application of all established biosecurity measures (personal, equipment and patient protection measures, maintenance of two meters in the waiting room, compliance with partial work times, use of air purifying lamps distributed in the operating rooms of the clinics, assisted or four-hand work with the implementation of absolute isolation in the patient and with the minimum use of the high-speed handpiece). It is also mentioned that after each treatment and at the end of the working day, all areas and surfaces must be sanitized with specific disinfecting substances. For their part, the personnel must wear conventional clothing when leaving the facilities and have carried out adequate hand washing to avoid transmission of the virus as much as possible (AU)


Subject(s)
Humans , Male , Female , Security Measures , Coronavirus Infections , Infection Control, Dental , Dental Clinics/standards , Pandemics , World Health Organization , Communicable Disease Control , Clinical Protocols , Surveys and Questionnaires , Dental Equipment/standards , Dental Staff/education , Mexico
15.
Braz. dent. sci ; 23(2,supl): 1-7, 2020.
Article in English | LILACS, BBO | ID: biblio-1100315

ABSTRACT

We are going through a health crisis, a pandemic caused by the new corona virus (SarsCOV2), which causes the disease COVID 19. This pandemic has also had a negative impact on the world economy, with dental offices being directly affected. Given this, the objective of this article is to bring important points in the strategy of management of dental clinics and how to be prepared to face the moment of crisis and also for the resumption. We believe that actions should be guided on three fronts: survival, sustainability and new future. The scenario is new, but with the right actions, the prospects for recovery are good. The important thing is to stay focused on what we have control, to do our best for the financial health of the business, however, remember that human health comes first, that any financial recovery will only be positive when people's lives and health are being preserved. (AU)


Estamos passando por uma crise de saúde, uma pandemia causada pelo novo corona vírus (SarsCOV2), causador da doença COVID 19. Esta pandemia, trouxe um impacto negativo também na economia mundial, sendo os consultórios odontológicos diretamente atingidos. Diante disso, o objetivo deste artigo é trazer pontos importantes na estratégia de gestão de clínicas odontológicas e como estar preparado para enfrentar o momento de crise e também para a retomada. Acreditamos que as ações devam ser pautadas em três frentes: sobrevivência, sustentabilidade e novo futuro. O cenário é incerto, porém com ações acertadas as perspectivas de retomada são boas. O importante é mantermos o foco naquilo que temos controle, fazer nosso melhor para a saúde financeira dos negócios, porém, lembrar que a saúde humana esta em primeiro lugar, que qualquer retomada financeira só será positiva quando as vidas e a saúde das pessoas estiverem sendo preservadas. (AU)


Subject(s)
Coronavirus , Dental Clinics
16.
Article in Korean | WPRIM | ID: wpr-786597

ABSTRACT

PURPOSE: The aim of this study is to evaluate the effectiveness of MnO₂-diatom microbubbler (DM) on the surface of prosthetic materials as a mouthwash by comparing the biofilm removal effect with those previously used as a mouthwash in dental clinic.MATERIALS AND METHODS: DM was fabricated by doping manganese dioxide nanosheets to the diatom cylinder surface. Scanning electron microscopy (SEM) was used to observe the morphology of DM and to analyze the composition of doped MnO₂. Stereomicroscope was used to observe the reaction of DM in 3% hydrogen peroxide. Non-precious metal alloys, zirconia and resin specimens were prepared to evaluate the effect of biofilm removal on the surface of prosthetic materials. And then Streptococcus mutans and Porphyromonas gingivalis biofilms were formed on the specimens. When 3% hydrogen peroxide solution and DM were treated on the biofilms, the decontamination effect was compared with chlorhexidine gluconate and 3% hydrogen peroxide solution by crystal violet staining.RESULTS: Manganese dioxide was found on the surface of the diatom cylinder, and it was found to produce bubble of oxygen gas when added to 3% hydrogen peroxide. For all materials used in the experiments, biofilms of the DM-treated groups got effectively removed compared to the groups used with chlorhexidine gluconate or 3% hydrogen peroxide alone.CONCLUSION: MnO₂-diatom microbubbler can remove bacterial membranes on the surface of prosthetic materials more effectively than conventional mouthwashes.


Subject(s)
Alloys , Biofilms , Chlorhexidine , Decontamination , Dental Clinics , Dental Plaque , Diatoms , Gentian Violet , Hydrogen Peroxide , In Vitro Techniques , Manganese , Membranes , Microscopy, Electron, Scanning , Mouthwashes , Oral Hygiene , Oxygen , Porphyromonas gingivalis , Streptococcus mutans
17.
Article in Korean | WPRIM | ID: wpr-786593

ABSTRACT

In patients with fully edentulous jaw, treatment of complete dentures should be carried out in many stages when following the conventional methods. Therefore there were disadvantages such as multiple visits to dental clinic is inevitable. In addition, errors caused by polymerization shrinkage, which happens during the fabrication of denture, and difficulties in reproduction of damaged or lost denture were considered as disadvantages. But nowadays, computer-aided design and computer-aided manufacturing (CAD/CAM) system is widely used in dentistry and it has begun to expand its spectrum in manufacturing complete dentures. Using CAD/CAM system to fabricate complete dentures can reduce the number of patient's visit and clinical chair time, since taking impression, recording jaw relation, and selection of artificial teeth are performed at the same time during the first visit, and delivering of dentures during the second visit is possible. In addition, because 3D-Printing technology is used, errors by polymerization shrinkage can be reduced. Among the companies that fabricate complete dentures using CAD/CAM system, DENTCA CAD/CAM denture (DENTCA Inc., Los Angeles, CA, USA) is the most commercialized company. In this case, we treated patients of complete dentures using conventional complete denture method and DENTCA CAD/CAM denture system in the same patient. We would like to report this case because we have achieved good results not only in functional aspects of pronunciation, chewing, and swallowing but also in aesthetic aspects.


Subject(s)
Computer-Aided Design , Deglutition , Dental Clinics , Dentistry , Denture, Complete , Dentures , Humans , Jaw , Jaw, Edentulous , Mastication , Methods , Polymerization , Polymers , Reproduction , Tooth, Artificial
18.
Epidemiol. serv. saúde ; 29(5): e2018154, 2020. tab
Article in English, Portuguese | LILACS | ID: biblio-1124777

ABSTRACT

Objetivo: Descrever os serviços de atenção à saúde bucal para pessoas com deficiência, atendidas pela especialidade Odontologia para Pacientes com Necessidades Especiais (PNE). Métodos: Estudo transversal, com dados do Programa de Melhoria do Acesso e Qualidade dos Centros de Especialidades Odontológicas (PMAQ-CEO), 2014. Resultados: Dos 932 serviços avaliados, 89,8% contavam com atendimento a PNEs, 30,4% apresentavam acessibilidade física e 59,7% contavam com referência para atendimento hospitalar. A maioria garantia tratamento completo. São disponibilizadas 40h semanais de atendimento clínico a PNEs em 1/3 dos CEOs. Conclusão: A rede de cuidado para pessoas com deficiência encontra-se em formação e, apesar dos incentivos financeiros específicos, apresenta limitações. Os serviços precisam eliminar barreiras físicas e atitudinais para garantir acessibilidade universal. Protocolos baseados em classificação de risco são necessários, priorizando atendimento no CEO dos casos complexos, não atendidos na Atenção Básica e organizando a rede de cuidados em saúde bucal da pessoa com deficiência.


Objetivo: Describir los servicios de atención a la salud bucal para personas con discapacidad, atendidos por la especialidad Odontología para Pacientes con Necesidades Especiales (PNE). Métodos: Estudio transversal, con datos del Programa de Mejora del Acceso y Calidad de los Centros de Especialidades Odontológicas (PMAC-CEO), 2014. Resultados: Se evaluaron 932 servicios: 89,8% contaba con atención a los PNEs, 30,4% tenía accesibilidad física y 59,7% tenía referencia para atención hospitalaria. La mayoría garantía tratamiento completo. Sólo 1/3 ofrecían 40hs semanales de atención PNE. Conclusión: La red de atención para personas con discapacidades se está formando, y a pesar de los incentivos financieros específicos, tiene limitaciones. Los servicios necesitan eliminar las barreras físicas y de actitud para garantizar la accesibilidad universal. Protocolos basados en clasificación de riesgo son necesarios, priorizando la atención en el CEO de los casos complejos, no atendidos en la atención básica y organizando la red de atención en salud bucal de la persona con discapacidad.


Objective: To describe the oral health care services for people with disabilities treated within the Dentistry for Patients with Special Needs (PSN) specialty. Methods: This was a cross-sectional study with data from the Program for Improving Access and Quality of Dental Specialty Centers (PMAQ-CEO) in 2014. Results: Of the total of 932 services evaluated, 89.8% did provide care for PSNs, 30.4% had physical accessibility, 59.7% provided referral to hospital care and most guaranteed complete treatment. Only a third of the Dental Specialty Centers planned 40 or more hours a week for providing clinical care to PSNs. Conclusion: The care network for people with disabilities is being formed but, even with specific financial incentives, it has limitations. Services need to eliminate physical and attitudinal barriers to ensure universal accessibility. Protocols based on risk classification are necessary, prioritizing care at DSCs for complex cases not attended to in Primary Care and organizing the dental health care network for people with disabilities.


Subject(s)
Humans , Oral Health , Dental Care/statistics & numerical data , Disabled Persons , Brazil , Cross-Sectional Studies , Dental Clinics/trends , Health Services Accessibility/trends
19.
Cad. Saúde Pública (Online) ; 36(9): e00162019, 2020. tab, graf
Article in Portuguese | LILACS | ID: biblio-1124346

ABSTRACT

Este trabalho teve o objetivo de avaliar a tendência temporal dos indicadores de monitoramento de produção e desempenho dos serviços de atenção secundária em saúde bucal do Sistema Único de Saúde (SUS), no período de 2008 a 2018. Realizou-se um estudo de séries temporais com base nos dados de produção dos Centros de Especialidades Odontológicas (CEOs) obtidos junto ao Sistema de Informações Ambulatoriais do SUS. O indicador de monitoramento foi avaliado segundo a proporção de CEOs que cumpriram a meta mensal estabelecida para cada especialidade (atenção básica, endodontia, cirurgia, periodontia). O desempenho dos serviços foi definido como ruim para aqueles que não cumpriram nenhuma ou apenas uma das metas estipuladas para as quatro especialidades odontológicas. As séries temporais construídas foram analisadas pelo método da decomposição, considerando os componentes de tendência, variação sazonal e variação aleatória. Todas as análises foram feitas para o Brasil e cada uma das cinco macrorregiões. Verificou-se o declínio da proporção de CEOs que cumpriram as metas da atenção básica no país como um todo. As tendências da proporção de cumprimento de metas para a área de cirurgia e periodontia foram crescentes para o Brasil. Observou-se diferenças importantes na proporção de cumprimento de metas entre as regiões brasileiras, com o pior desempenho dos CEOs nas regiões Norte e Nordeste. As tendências temporais demostraram uma melhora dos serviços para o Brasil como um todo, mas destacam a importância de avaliação das regiões do país e necessidade de monitoramento constante desses indicadores.


This study aimed to assess time trends in production and performance indicators in secondary dental care services in the Brazilian Unified National Health System (SUS) from 2008 to 2018. A time series study was conducted, based on production data from the Specialized Dental Clinics (CEOs in Portuguese) obtained from the Ambulatory Information System of the SUS. The monitoring indicator was assessed as the proportion of clinics that met the monthly target set for each specialty (primary care, endodontics, surgery, periodontics). Dental services' performance was defined as poor for those that met only one or no targets in the four dental specialties. The time series were analyzed by the decomposition method, considering the components trend, seasonal variation, and random variation. All the analyses were performed for Brazil as a whole and for each of the country's five major geographic regions. A decline was seen in Brazil as a whole in the proportion of clinics that met the primary care targets. There were upward trends in the proportion of compliance with the targets for surgery and periodontics in Brazil as a whole. Important differences were seen between the regions of Brazil in the proportion of compliance with the targets, with the worst performance for the clinics in the North and Northeast regions. Time trends showed an improvement in the services for Brazil as a whole, while emphasizing the importance of assessing the country's regions and the need for constant monitoring of these indicators.


El objetivo de este estudio fue evaluar la tendencia temporal de los indicadores de monitoreo de producción y desempeño de los servicios de atención secundaria en salud bucal del Sistema Único de Salud (SUS), durante el período de 2008 a 2018. Se realizó un estudio de series temporales, basado en los datos de producción de los Centros de Especialidades Odontológicas (CEOs), obtenidos mediante el Sistema de Información Ambulatoria del SUS. El indicador de monitoreo se evaluó según la proporción de CEOs que cumplieron la meta mensual establecida para cada especialidad (atención básica, endodoncia, cirugía, periodoncia). El desempeño de los servicios se definió como malo para aquellos que no cumplieron ninguna o solo una de las metas estipuladas para las cuatro especialidades odontológicas. Las series temporales construidas se analizaron mediante el método de descomposición, considerando los componentes de tendencia, variación estacional y variación aleatoria. Todos los análisis fueron realizados respecto a Brasil y cada una de sus cinco macrorregiones. Se verificó un decremento en la proporción de CEOs que cumplieron las metas de la atención básica en todo el país. Las tendencias de la proporción de cumplimiento de metas para el área de cirugía y periodoncia fueron crecientes en el caso de Brasil. Se observaron diferencias importantes en la proporción de cumplimiento de metas entre las regiones brasileñas, con un peor desempeño de los CEOs en las regiones Norte y Nordeste. Las tendencias temporales demostraron una mejora de los servicios para todo Brasil, pero destacan la importancia de la evaluación de las regiones del país y la necesidad de un monitoreo constante de estos indicadores.


Subject(s)
Humans , Primary Health Care , Dental Clinics , Brazil
20.
Braz. oral res. (Online) ; 34: e054, 2020. tab
Article in English | LILACS, BBO | ID: biblio-1132715

ABSTRACT

Abstract Currently, the whole world is under the threat of the COVID-19 pandemic, and dentists are at high risk. The aim of this study was to investigate what kind of precautions Turkish dentists take in dental clinics during the COVID-19 pandemic. The study population consisted of dentists in Turkey. An online questionnaire (23 questions-57 items) was sent to a sample of Turkish dentists from March 16 to March 20, 2020. The questionnaire comprised a series of questions about dentists' demographic characteristics, their concerns, and the measures taken in dental clinics against COVID-19. This study included a total of 1,958 Turkish dentists. A total of 1,274 (65.1%) were general dentists, and 684 (34.9%) were specialists. Five hundred twenty-two (26.7%) dentists attended an informational meeting on COVID-19. Of these dentists, 69.8% were aware of COVID-19 according to their self-assessed knowledge scores. More than 90% of the dentists were concerned about themselves and their families. Only 12% of the dentists wore an N95 mask. Although Turkish dentists took some precautionary measures, they did not take enough precautions to protect themselves, the dental staff, and other patients from COVID-19. As the number of COVID-19 cases increased, the measures taken slightly increased in dental clinics as well. Dentists are strongly recommended to take maximum precautions in the clinical setting. The guidelines about the COVID-19 pandemic should be sent to all dentists by the regional and national dental associations.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Pneumonia, Viral/prevention & control , Coronavirus Infections/prevention & control , Practice Patterns, Dentists'/standards , Dentists/standards , Pandemics/prevention & control , Betacoronavirus , Pneumonia, Viral/epidemiology , Specialties, Dental/standards , Specialties, Dental/statistics & numerical data , Turkey/epidemiology , Health Knowledge, Attitudes, Practice , Surveys and Questionnaires , Risk Factors , Sex Distribution , Coronavirus Infections/epidemiology , Practice Patterns, Dentists'/statistics & numerical data , Dental Clinics , Dentists/statistics & numerical data , SARS-CoV-2 , COVID-19 , Middle Aged
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