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1.
Braz. j. oral sci ; 21: e225337, jan.-dez. 2022. ilus
Article in English | LILACS, BBO | ID: biblio-1366230

ABSTRACT

Aim: To elaborate and validate an instrument for Brazilian Portuguese speakers, to assess dentists' knowledge about care of patients with diabetes mellitus (Dental-Diabetes). Methods: Methodological study comprising four stages: a) Elaboration of instrument; b) Content validation (computing Content Validity Index - CVI) based on Expert Committee assessment; c) Pre-test with 30 dentists, followed by assessment of suggestions by Expert Committee; d) Psychometric validation through instrument application in a sample of 127 dentists by means of the web tool e-Surv. Cronbach's alpha and intraclass correlation coefficients were used to evaluate, respectively, internal consistency and reproducibility. Results: The final version of the instrument consists of 22 questions (7 on sociodemographic data and 15 querying dentists' knowledge) and those submitted for validation attained a CVI of 0.95 [95% CI 0.916-0,981], showing satisfactory internal consistency, with 0.794 Cronbach's alpha [95% CI 0.741-0.842] and an intraclass correlation coefficient of 0.799 [95% CI: 0.746-0.846] between the test and retest scores. Conclusions: Dental-Diabetes is a comprehensive instrument, culturally adequate and validated to assess dentists' knowledge about care of patients with diabetes


Subject(s)
Humans , Male , Female , Health Knowledge, Attitudes, Practice , Surveys and Questionnaires , Dentists , Diabetes Mellitus , Psychometrics , Reproducibility of Results
2.
ABCS health sci ; 47: e022205, 06 abr. 2022. tab
Article in English | LILACS | ID: biblio-1363520

ABSTRACT

INTRODUCTION: Permanent health education (PHE) is a strategy for qualifying work to improve patient care. OBJECTIVE: To analyze dentists' perspectives on the PHE actions in the context of Primary Health Care. METHODS: This qualitative case report study conducted through semi-structured interviews with 26 dentists in primary health care and five managers of PHE actions in the city of Sobral, in the Brazilian Northeast. RESULTS: Data analysis was performed using the Collective Subject Discourse anchored in the following social representations: characterization of PHE actions as educational actions through theoretical-conceptual moments, with an emphasis on technical-scientific approaches and transmissive methodologies of an unprofessional nature; critical reflexivity in indicating improvements for these actions through the incorporation of interprofessional education in PHE actions. CONCLUSION: The involvement of continuing education actions in PHE has the potential to problematize work and develop strategies for the qualification of patient care, without losing the technical and scientific characteristics of each profession.


INTRODUÇÃO: A educação permanente em saúde (EPS) é uma estratégia de qualificação do trabalho para a melhoria da atenção ao paciente. OBJETIVO: Analisar as perspectivas dos cirurgiões-dentistas sobre as ações de EPS no contexto da atenção primária à saúde. MÉTODOS: Tratou-se de um estudo de abordagem qualitativa do tipo estudo de caso realizado por meio de entrevistas semiestruturadas com 26 cirurgiões-dentistas da atenção primária à saúde e cinco gestores das ações de EPS na cidade de Sobral no interior do Nordeste brasileiro. RESULTADOS: A análise dos dados se deu por meio do Discurso do Sujeito Coletivo ancorado nas seguintes representações sociais: caracterização das ações de EPS como ações educativas através de momentos teórico-conceituais com ênfase em abordagens técnico-científicas e de metodologias transmissivas de caráter unprofessional; reflexibilidade crítica em indicar possibilidades de melhoria dessas ações por meio da incorporação da educação interprofissional nas ações de EPS. CONCLUSÃO: A perspectiva da inclusão de ações de Educação Continuada como parte das ações de EPS identificada nos cirurgiões-dentistas tem potencial para problematizar o trabalho e desenvolver estratégias de qualificação do cuidado ao paciente, sem perda de características técnico-científicas de cada profissão.


Subject(s)
Humans , Primary Health Care , Dentists , Education, Continuing , Interprofessional Education
3.
Niger. J. Dent. Res. (Online) ; 7(1): 20-28, 2022.
Article in English | AIM, AIM | ID: biblio-1354557

ABSTRACT

Background: COVID-19 remains a major public health threat globally, and has challenged healthcare systems and services including oral health Objective: This study examines the key public health challenges posed by the COVID-19 pandemic in low resource settings. While healthcare services are learning to cope with the COVID-19 pandemic, dental care services, in particular restorative dental practice have been adversely impacted because of the closeness of caregivers to the patient's mouth as well as the generation of aerosols during most restorative procedures. This presents a challenge for low-and-middle-income countries (LMICs) such as Nigeria where weak and poor governance structures characterize healthcare systems in addition to paucity of economic resources. Another challenge in the form of COVID-19 conspiracy theories has threatened to undermine public health efforts designed to control the pandemic. Conclusion: The implementation of optimal guidelines and safety protocols for effective COVID -19 infection prevention and control is a major challenge for restorative dental care practice in low resource settings owing to paucity of key material resources and inappropriate behaviour associated with lingering doubts about COVID-19 reality among the majority of the populace. The Safer Aerosol-Free Emergent Dentistry concept offers a viable practical approach for restorative dental practice in LMICs during and in the post COVID-19 pandemic era. There is a need to deploy all resources, human and material, in the education and enlightenment of the populace regarding the reality of COVID-19.


Subject(s)
Humans , Occupational Exposure , Dental Care , Developing Countries , COVID-19 , Public Health , Dentists , General Practice, Dental
5.
Braz. dent. sci ; 25(2): 1-8, 2022. tab, ilus
Article in English | LILACS, BBO | ID: biblio-1363026

ABSTRACT

Objetivo: O sucesso da terapia periodontal requer um relacionamento adequado entre o clínico geral e o periodontista. O objetivo deste estudo foi determinar, por meio de um questionário, o padrão de encaminhamento de pacientes por dentistas clínicos gerais a periodontistas em Yazd, Irã. Material e Métodos: Este estudo transversal descritivo foi realizado na forma de uma pesquisa incluindo 145 dentistas licenciados em Yazd. Foi elaborado um questionário composto por sete questões com subquestões. Resultados: 89% dos cirurgiões-dentistas encaminham o paciente ao periodontista. A recessão gengival foi o motivo mais frequente de encaminhamento (69,7%), enquanto o sangramento gengival foi o menos frequente (13,1%). Em termos de procedimentos cirúrgicos, os procedimentos mais frequentes para encaminhamentos foram terapias de periimplantite e aumento de rebordo. O encaminhamento realizado por dentistas do gênero feminino foi de 95,9% e pelo gênero masculino foi de 81,7%. O número de pacientes encaminhados por dentistas que atuavam simultaneamente em clínicas privadas e públicas foi maior do que aqueles que atuavam apenas em clínicas privadas ou públicas. O maior percentual de encaminhamento foi no grupo de cirurgiões-dentistas com menos de 5 anos de experiência, com ligeira diferença daqueles com mais de 10 anos de experiência. Apenas 26,1% dos entrevistados relataram ter participado de programas de reciclagem. Conclusão: É necessário que os dentistas gerais considerem os sinais primários da doença periodontal e encaminhem os pacientes mais graves em estágios iniciais para fornecer um resultado ideal a longo prazo para os pacientes.(AU)


Objective: The successful periodontal therapy needs a proper relationship between general dentist and periodontist. The aim of this study was to determine the referral pattern of patients to periodontists by general dentists in Yazd, Iran, by means of a questionnaire. Material and Methods: This descriptive cross-sectional study was carried out in the form of a survey among 145 licensed general dental practitioners in Yazd, Iran. A questionnaire comprising of seven questions with sub-questions was prepared. Results: 89% of dentists have referred patient to periodontist. Gingival recession was the most frequent reason for referring (69.7%) and the least was gingival bleeding (13.1%). The most frequent surgical procedure for what patients have been referred were peri-implantitis therapy and ridge augmentation. Referral status to periodontist for female dentists was 95.9% and for male dentists was 81.7%. The number of referred patients form the dentists who were practicing simultaneously at both private and public clinics was higher than those who were practicing only at private or public clinics. The most referral percentage was in the group of dentists with less than 5 years of experience with a slight difference from those with more than 10 years of experience. Only 26.1% of the respondents have participated in retraining programs. Conclusion: There is a need for general dentists to consider the primary signs of periodontal disease and necessity of referring the patients in early stages more serious, to provide an optimal long-term outcome for patients. (AU)


Subject(s)
Humans , Periodontal Diseases , Periodontal Index , Dentists , Peri-Implantitis , Alveolar Ridge Augmentation , Gingival Recession
6.
Pesqui. bras. odontopediatria clín. integr ; 22: e210076, 2022. tab, graf
Article in English | LILACS, BBO | ID: biblio-1365222

ABSTRACT

ABSTRACT Objective To evaluate the frequency of occupational hazards and the criteria for their prevention among Iranian dentists. Material and Methods This cross-sectional study was conducted on 187 general dentists in Kerman. The data collection tool was a questionnaire including personal information (gender, age, marital status, condition and place and years of employment, and the average of weekly working hours) and a valid and reliable questionnaire of occupational hazards, including 24 questions about occupational hazards (6 domain) and nine questions about criteria for the prevention of the risks of dentistry. The t-test, chi-square, and linear regression were used. Results 92 (49.2%) were men. The mean and standard deviation of the score of occupational hazards was 27.04±16.21 out of 96, and the criteria of prevention were 22.00±7.28 out of 36. Regression analysis showed significant correlations between single statuses, years of occupational and type of employment, weekly work hours and occupational hazards, participation in occupational injury identification courses, and hepatitis vaccination. In addition, there were significant correlations between gender, age, weekly work hours, and preventive measures. Moreover, 3.2% of dentists were in a high-risk group and 26.2% were weak in preventive measures. Conclusion A total of 32.6% of dentists are at moderate risk of occupational hazards, and 10.7% meet the prevention criteria properly. It is recommended to hold training classes to identify occupational hazards and the criteria for their prevention among dentists.


Subject(s)
Humans , Male , Female , Adult , Occupational Risks , Risk Factors , Dentists , Iran/epidemiology , Occupational Diseases/etiology , Occupational Dentistry/instrumentation , Chi-Square Distribution , Linear Models , Cross-Sectional Studies/methods , Surveys and Questionnaires , Regression Analysis , Occupational Health , Disease Prevention , Occupational Injuries
7.
Article in English | LILACS, BBO | ID: biblio-1365230

ABSTRACT

ABSTRACT Over the past year and a half dental education has been conducted primarily online due to the SARS-CoV-2 pandemic. During the pandemic, we have spent many hours a day on our computers, mobile phones, and tablets to gather information and participate in online seminars and classrooms. Health consequences resulting from the overuse of these devices include carpal tunnel syndrome as well as computer vision syndrome (CVS). Computer vision syndrome, also known as digital eye strain, has several associated features such as eye burning, strained vision, dry eye, blurred vision, and associated neck and shoulder pain. Several predisposing factors have been linked with CVS, but often this problem gets ignored. The management of this syndrome is aimed at educating dentists on computer use, position, and the surrounding environment. Considering all this, we must ensure that we spend some time away from these devices every day to avoid any significant vision problems. The objective of preparing this manuscript was to provide a brief overview of the increased prevalence of computer vision syndrome and its associated features.


Subject(s)
Vision Disorders/prevention & control , Artificial Intelligence , Dentists , Eye Diseases/prevention & control , COVID-19/complications , Microcomputers , Carpal Tunnel Syndrome , Prevalence , Risk Factors , Education, Dental , Screen Time , India
8.
Rev. Odontol. Araçatuba (Impr.) ; 42(3): 50-55, set.-dez. 2021.
Article in Portuguese | LILACS, BBO | ID: biblio-1291673

ABSTRACT

A pandemia gerada pelo SARS-CoV-2 gerou uma série de estudos sobre essa nova doença. Este cenário proporcionou mudanças na odontologia, modificando a forma de atendimento e a rotina do consultório. O conhecimento sobre as implicações desse vírus no sistema estomatognático pode fornecer informações valiosas no conhecimento sobre o mecanismo dessa doença na cavidade oral. Dessa forma, foi realizada uma revisão de literatura, a fim de discutir os efeitos do COVID-19 na cavidade oral. No entanto, há poucas evidências na literatura sobre a correlação da COVID-19 e manifestações orais. Pode-se concluir que o vírus possui reflexo na cavidade oral, apresentando diferentes alterações, tais como: úlceras, periodontite, alterações do paladar, infecções oportunistas, dentre outras. Ainda se faz necessária a realização de mais estudos, para compreensão dos mecanismos fisiopatológicos da doença. Além disso, o trabalho ressalta a importância do cirurgião-dentista no ambiente hospitalar, para diagnóstico e conduta no tratamento dessas manifestações na cavidade oral(AU)


The SARS-CoV-2 pandemic has spawned several studies on this new disease. This scenario provided changes in Dentistry by modifying the form of care and the routine of the office. The knowledge about the implications of this virus in the stomatognathic system can provide valuable information in the knowledge about the mechanism of this disease in the oral cavity. Thus, a literature review was carried out to discuss the effects of COVID-19 on the oral cavity. However, there is little evidence in the literature about the correlation between COVID-19 and oral manifestations. It can be concluded that the virus is reflected in the oral cavity, such as ulcers, periodontitis, changes in taste, opportunistic infections, among others. Further studies are still needed to understand the pathophysiological mechanisms of the disease. Besides, the work highlights the importance of the Dental Surgeon in the hospital environment for diagnosis and management in the treatment of these manifestations in the oral cavity(AU)


Subject(s)
Oral Manifestations , Dental Care , COVID-19 , Periodontitis , Ulcer , Opportunistic Infections , Stomatognathic System , Dentists , Mouth
9.
Braz. j. oral sci ; 20: e214995, jan.-dez. 2021. tab
Article in English | LILACS, BBO | ID: biblio-1281108

ABSTRACT

Proper recording and keeping dental records are an important part of any dental practice. It helps in improving patient care, has medico-legal importance and play significant role in human identification during mass disasters or criminal offences. Aim: To assess the knowledge and practices of recording and maintaining patients 'records among private dental practitioners of Delhi, India. Methods: Data for this cross-sectional study was collected from 160 dentists of Delhi using a self-administered questionnaire. The face and content validity as well as reliability of questionnaire was tested before the final data collection. A single trained examiner collected all the necessary information via personal visits or google forms. Chi-square test was applied to check the statistically significant difference between the dichotomous independent variables with respect to study participants' responses to the questionnaire. Results: The mean age of the study participants was 34.5 (SD 7.2) years.Digital method of recording patient's data and x-ray storage was more prevalent than manual method among the study participants. Slightly more than 40% of the dentists were keeping patient's records safe for a period of 6 to 10 years. Younger dentists with lesser years of practice were more explicit in recording and correcting patient records. Conclusion: Results of this study shows that private dental practitioners of Delhi are aware of medico-legal importance of dental records. Most of them were recording important findings and history of their patients. Dentists must be educated in two aspects namely correct method of recording and the ideal duration of storing their patients' dental records


Subject(s)
Humans , Male , Female , Dental Records , Surveys and Questionnaires , Dentists , Forensic Dentistry
10.
Rev. cuba. estomatol ; 58(3): e3658, 2021.
Article in Spanish | LILACS, CUMED | ID: biblio-1347428

ABSTRACT

Introducción: El paciente de riesgo quirúrgico es aquel susceptible a un posible daño que amenaza al individuo que será sometido a una intervención quirúrgica. Este tipo de paciente es llamado"paciente especial", o que presenta deficiencias y existen además otros conceptos donde pudiera estar implícito. Este paciente no es claramente identificado y esto hace más complicado unificar criterios que permitan llevar a cabo un el tratamiento estomatológico sin causar daños colaterales. Objetivo: Elaborar una clasificación de pacientes especiales según sus requerimientos en la atención estomatológica. Métodos: Investigación cualitativa. Se realizó revisión bibliográfica y se tomaron en consideración investigaciones previas de la autora principal para la confección de la propuesta de clasificación. Para evaluar la misma se utilizó el método Delphi, lo cual permitió llegar a opiniones de consenso de los expertos, quienes valoraron la propuesta como: inadecuada, poco adecuada, adecuada, bastante adecuada y muy adecuada. Resultados: Se expone la clasificación de pacientes especiales según requerimientos durante la atención estomatológica. Incluyó a cinco grupos. El grupo I, nombrado de riesgo quirúrgico, se subdividió en cinco subgrupos. Los expertos consideraron la clasificación propuesta como Bastante Adecuada(2) y Muy Adecuada (12). Conclusiones: La clasificación propuesta facilita al estomatólogo una atención diferenciada al paciente especial, donde se hace adecuaciones en el paciente de riesgo quirúrgico teniendo en cuenta las características más importantes de las enfermedades de base. La clasificación propuesta fue catalogada como aceptada(AU)


Introduction: Numerous definitions exist where the patient of surgical risk can be incorporate keeping in mind her definition that is possible damage that she threatens the individual that will be subjected to a surgical intervention, such as patient special, with deficiencies among other but it has not been find a classification of patient of risk surgery. It cannot allow indentify those and it is difficult the dentist treatment without systemic complication. Objective: To elaborate a classification proposal of specials patients according dentist attention requirements. Methods: it was qualitative research. It was carried out exhaustive bibliographical revision and it took in consideration previous investigations carried out by the main author, with this consideration the classification proposal was made. To evaluate the proposal it used the method Delphi, which allowed arriving to opinions of the experts' consent. It took into consideration different variables: Inadequate, Not Appropriate, Appropriate, Quite Appropriate and Very Appropriate. Results: The classification is exposed of patient special according dentist attention requirements, it included to five groups and the group I was subdivided, called surgical risk, in five subgroups. 100 percent experts considered the classification like Quite Appropriate and Very Appropriate 2 in the first categories and 12 in the second one. Conclusions: The proposed classification facilitates to the dentist an attention to the differentiated special patient with emphasis in surgical risk patients keeping in mind the most important characteristics in the base illnesses. The proposed classification was classified as having accepted(AU)


Subject(s)
Humans , Surgical Procedures, Operative/methods , Triage/methods , Impacts on Health/prevention & control , Dentists , Review Literature as Topic , Qualitative Research
11.
Rev. Odontol. Araçatuba (Impr.) ; 42(2): 3-8, maio-ago. 2021. graf
Article in Portuguese | LILACS, BBO | ID: biblio-1252889

ABSTRACT

Dentes necrosados com rizogêneze incompleta representam um desafio para os endodontistas e odontopediatras, visto que as paredes radiculares desses dentes são mais finas, o que as tornam mais susceptíveis a fraturas. Durante muitos anos a técnica preconizada foi a apicificação que ainda é bastante utilizada. Nesta técnica são realizadas trocas constantes de medicação intracanal. O dente continua fragilizado e existe o risco do paciente não concluir o tratamento já que tal técnica demanda várias sessões clínicas. Com os avanços da ciência, surge a revascularização pulpar, trazendo vários beneficíos, entre os quais estão a continuidade apical e o ganho de espessura das paredes, além do benefício de conclusão do tratamento em uma ou duas sessões. Entretanto é necessária sua proservação que leva em média dois anos. O objetivo desta pesquisa foi avaliar o nível de conhecimento dos odontopediatras e endodontistas do município de Ilhéus-Bahia, frente a casos de necrose pulpar de dentes com formação radicular incompleta. O método e forma de análise de dados foram de um estudo observacional, transversal, realizado em consultórios do município de Ilhéus-BA que foram selecionados por amostragem aleatória. Os dados foram coletados por meio de um questionário contendo 10 questões de múltipla escolha sobre revascularização pulpar, especialização do profissional e tempo de formação. 20 profissionais aceitaram participar da pesquisa. Desses, 10% não sabiam ou nunca tinham ouvido falar sobre a revascularização pulpar. Conclui-se que ainda existem especialistas no Município de Ilhéus-BA que apresentam conhecimento insuficiente sobre a terapia endodôntica regenerativa, sendo que os mesmos deveriam ter conhecimento desta técnica já que são os profissionais que prestam o atendimento ao paciente jovem com dentes necrosados, reforçando a necessidade de elaboração de estratégia de conscientização e educação de saúde para habilitação e atualização dos mesmos(AU)


Necrotic teeth with incomplete rizogenesis representa challenge for endodontists and pediatric dentists, since the root walls of these teeth are thinner, which makes them more susceptible to fractures. For many years the recommended technique was apexification, which is still widely used. In this technique, constant changes of intracanal medication are performed. The tooth remains fragile and there is a risk that the patient will not complete the treatment as this technique requires several clinical sessions. With advances in science, pulp revascularization appears, bringing several benefits, among which are the apical continuity and the gain in thickness of the walls, in addition to the benefit of completing the treatment in one or two sessions. However, its preservation is necessary, which takes on average two years. The objective of this research was to evaluate the level of knowledge of pediatric dentists and endodontists in the municipality of Ilhéus-Bahia, in the face of cases of pulp necrosis of teeth with incomplete root formation. The method and form of data analysis were from an observational, cross-sectional study, carried out in offices in the municipality of Ilheus-BA that were selected by random sampling. Data were collected through a questionnaire containing 10 multiple-choice questions about pulp revascularization, professional specialization and training time. 20 professionals agreed to participate in the research. Of these, 10% did not know or had never heard of pulp revascularization. It is concluded that there are still specialists in the municipality of Ilhéus-BA who have insufficient knowledge about regenerative endodontic therapy, and they should have knowledge of this technique since they are the professionals who provide care to young patients with necrotic teeth, reinforcing the need to develop a health awareness and education strategy to enable and update them(AU)


Subject(s)
Humans , Male , Female , Dental Pulp Necrosis , Health Knowledge, Attitudes, Practice , Dental Pulp Necrosis/therapy , Knowledge , Dentists , Endodontists , Regenerative Endodontics
12.
Rev. APS ; 23(1): 87-99, jun. 2021.
Article in Portuguese | LILACS | ID: biblio-1355063

ABSTRACT

Objetivo: avaliar o conhecimento da equipe de saúde bucal sobre o processamento de produtos para a saúde na Atenção Primária à Saúde. Material e Métodos: estudo exploratório-descritivo de abordagem quantitativa, realizado por meio da aplicação de um questionário estruturado. Dos 74 profissionais de saúde bucal alocados nas unidades, 43 participaram da pesquisa, sendo 22 auxiliares de saúde bucal e 21 odontólogos. Resultados: identificou-se que há lacunas no conhecimento da equipe quanto ao processo de esterilização (particularmente no que se refere aos recursos materiais), bem como o uso de indicadores para o monitoramento do processo. O uso de papel Kraft para embalagens foi apontado como correto por 16 (37,20%) dos entrevistados. A ausência de informações impressas disponíveis nas unidades foi apontada por 35 (81,39%) dos profissionais. Conclusão: Os resultados do presente estudo indicam que os profissionais de saúde bucal entrevistados ainda possuem lacunas de conhecimentos sobre o processo de esterilização, bem como sobre a definição e uso do monitoramento através de indicadores de esterilização.


Objective: To evaluate the knowledge of oral health professionals about the processing of health products in primary health care. Methods: It was used a descriptive exploratory study of quantitative approach, carried out through the application of a structured questionnaire. Of the 74 dental professionals allocated to the units, 43 participated in the survey, 22 dental assistants and 21 dentists. Results: it was found that there are gaps in staff knowledge about the sterilization process, particularly regarding material resources, as well as the use of indicators for monitoring the process. The Kraft paper used for packaging was appointed as correct for 16 (37.20%) of the respondents. The lack of printed information available in the units was reported by 35 (81.39%) of the professionals. Conclusion: The results of this study indicate that the interviewed oral health professionals still have knowledge gaps in the sterilization process, as well as in the definition and use of monitoring through sterilization indicators.


Subject(s)
Sterilization , Oral Health , Dentists
13.
Odontol. Clín.-Cient ; 20(2): 37-45, abr.-maio 2021. ilus, tab
Article in Portuguese | LILACS, BBO | ID: biblio-1368995

ABSTRACT

O Cirurgião-Dentista assume um novo papel no desafio de somar esforços, atuando de modo incisivo no ambiente hospitalar. A busca por dignidade e conforto ao paciente, nesse momento tão delicado e vulnerável, deve ser sempre levado em conta pelas equipes de um hospital. O cuidado com a saúde integral do paciente em estado crítico se faz necessário para evitar que infecções em outros órgãos e sistemas, que não são ligados ao problema inicial, como aumento da quantidade e complexidade da placa dental, na qual pode tornar-se habitat para microrganismos potencialmente patogênicos e propiciar o surgimento de infecções bacterianas, bucais, digestivas e respiratórias que prejudiquem seu quadro clínico. Dessa maneira, o objetivo do trabalho é descrever sobre atuação do Cirurgião-Dentista como parte da equipe multidisciplinar na UTI. Foi realizada uma pesquisa através da busca em base de dados como: LILACS, BIREME, SciELO, Google Acadêmico, BVS, para identificar artigos científicos com abordagem a respeito da Importância do Cirurgião-Dentista na Unidade de Terapia Intensiva. As infecções hospitalares ainda causam grande impacto clínico nos pacientes internados aumentando o tempo de internação e diminuição da perspectiva da sobrevida, o que varia conforme ao tipo de infecção e o nível de saúde do hospedeiro. Portanto, a participação do Cirurgião-Dentista se faz necessário na equipe de terapia intensiva a fim de reduzir a incidência das infecções hospitalares do trato respiratório... (AU)


The Surgeon-Dentist assumes a new role in the challenge of adding efforts, acting incisively in the hospital environment. The search for dignity and comfort to the patient, in this delicate and vulnerable moment, must always be taken into account by the staff of a hospital. Care with the critical health of the patient is necessary to prevent infections in other organs and systems, which are not linked to the initial problem, such as an increase in the quantity and complexity of dental plaque, in which it can become habitat for potentially pathogenic microorganisms and provide the appearance of bacterial, oral, digestive and respiratory infections that harm their clinical condition. In this way, the objective of the study is to describe the performance of the Dentist-Surgeon as part of the multidisciplinary team in the ICU. A search was conducted through a database search, such as: LILACS, BIREME, SciELO, Google Academic, VHL, to identify scientific articles with an approach regarding the Importance of the Dentist in the Intensive Care Unit. Hospital infections still have a great clinical impact on hospitalized patients, increasing hospitalization time and decreasing survival prospects, which varies according to the type of infection and the level of health of the host. Therefore, the participation of the Dentist-Surgeon is necessary in the intensive care team in order to reduce the incidence of hospital respiratory tract infections... (AU)


Subject(s)
Humans , Oral Hygiene , Respiratory Tract Infections , Cross Infection , Dentists , Intensive Care Units , Health Status , Dental Plaque , Inpatients
14.
Odontol. Clín.-Cient ; 20(2): 58-64, abr.-maio 2021. tab
Article in Portuguese | LILACS, BBO | ID: biblio-1369051

ABSTRACT

O exame clínico, a sondagem periodontal e a radiografia são os três principais métodos de avaliação de saúde oral usados pelo cirurgião-dentista. Com isso, foi elaborado uma Revisão de Literatura com pesquisa no banco de dados da PubMed, Wiley Online Library e Google Acadêmico, com lapso temporal de 1998 a 2021, com o objetivo de avaliar a aplicação da TCO como possível método auxiliar no diagnóstico de doença periodontal. A partir de 1998, a TCO passa a ser estudada como possível método de diagnóstico não invasivo na Odontologia. Entre os benefícios referentes à Periodontia, tem sido relatado: a possibilidade de visualizar estruturas importantes do periodonto, fazer sondagem periodontal, diferenciar fenótipo gengival, detectar presença de cálculo supra e subgengival, além da observação de microestrutura e vascularização gengival, auxiliando no diagnóstico e acompanhamento do tratamento periodontal. Portando, a TCO é uma tecnologia emergente de bio-imagem que gera imagens estruturais bi e tridimensionais em alta resolução dos tecidos duros e moles do periodonto. Entretanto, mais estudos são necessários para superar as limitações da técnica e desenvolver sistemas de baixo custo para impulsionar seu uso em ambiente clínico... (AU)


Physical examination, periodontal probing and radiography are the three main methods of assessing oral health used by the dentist. Thereby, a Literature review was prepared based on research in the database of PubMed, Wiley Online Library and Google Academic, with time lapse from 1998 to 2021, with the objective of evaluating the application of OCT as a possible auxiliary method in the diagnosis of periodontal disease. Since 1998, the OCT has been studied as a possible non-invasive diagnostic method in Dentistry. Among the benefits related to Periodontics, it has been reported: the possibility of viewing important structures of the periodontium, periodontal probing, differentiating gingival phenotype, detecting the presence of supra and subgingival calculus, in addition to the observation of gingival microstructure and vascularization, helping in the diagnosis and monitoring of periodontal treatment. Therefore, the OCT is an emerging bio-imaging technology that generates high resolution bi and three-dimensional structural images of the hard and soft tissues of the periodontium. However, further studies are needed to overcome the limitations of the technique and develop low-cost systems to boost its use in a clinical setting... (AU)


Subject(s)
Humans , Periodontics , Diagnostic Imaging , Dentistry , Tomography, Optical Coherence , Periodontal Diseases , Physical Examination , Oral Health , Dentists , Diagnosis, Oral
15.
Rev. medica electron ; 43(2): 3179-3191, mar.-abr. 2021. graf
Article in Spanish | LILACS, CUMED | ID: biblio-1251935

ABSTRACT

RESUMEN El escenario estomatológico, si no se aplican adecuadamente los protocolos de protección, constituye una importante fuente de infección cruzada entre pacientes y profesionales de la Estomatología. Muchos son los microorganismos involucrados, y a esto se ha incorporado recientemente el SARS-CoV-2. Al tener en cuenta la letalidad mundial de esta enfermedad, es imprescindible reconsiderar si las medidas de bioseguridad establecidas son estrictas y eficaces para evitar su propagación. Fue realizada esta investigación con el objetivo de actualizar información relacionada con la presente pandemia y los modos de actuación que propicien una consulta estomatológica segura en tiempos de COVID-19 (AU).


ABSTRACT The dentistry setting is an important crossed infection source among patients and Dentistry professionals if the protection protocols are not adequately applied. There are many microorganisms involved, and recently SARS-CoV-2 has added to them. When taking into account the worldwide lethality of this disease, it is bare essential reconsidering if the stablished biosafety measures are strict and efficacious to avoid spread. A thematic update was carried out with the aim of updating the information related to current pandemic and the ways of acting propitiating a safe Dentistry consultation in times of COVID-19 (AU).


Subject(s)
Humans , Male , Female , Coronavirus Infections/prevention & control , Oral Medicine/standards , Patients , Practice Management, Dental/standards , Security Measures/standards , Coronavirus Infections/diagnosis , Coronavirus Infections/epidemiology , Dentists
16.
Dent. press endod ; 11(1): 46-53, Jan-Apr2021. Tab, Ilus
Article in English | LILACS | ID: biblio-1348176

ABSTRACT

Introdução: De todas as especialidades na Odontologia, uma das mais favorecidas nos últimos anos com o desenvolvimento de novas tecnologias tem sido a Endodontia. Objetivo: O presente estudo visou obter informações sobre os aspectos técnicos dos tratamentos endodônticos realizados por cirurgiões-dentistas da Polícia Militar do Estado de São Paulo (PMESP), dando ênfase aos materiais, técnicas e equipamentos empregados. Métodos: Um questionário com 25 questões de múltipla escolha foi enviado aos 147 dentistas da PMESP, e o critério de inclusão foi que os profissionais realizassem tratamentos endodônticos. Resultados: A análise estatística foi feita por meio do teste qui-quadrado, com p<0,05. Entre os 42 profissionais avaliados, 59,5% eram do sexo masculino, o dique de borracha foi utilizado em 54,8% dos casos, o comprimento de trabalho foi obtido por meio de radiografias em 71,4%, o sensor digital foi utilizado em 28,6%, a magnificação visual foi utilizada em 23,8% e a técnica de condensação lateral foi a mais utilizada, com 90,2%. Outra análise foi realizada com 10 especialistas do Centro Odontológico da PMESP que efetuavam unicamente tratamento endodôntico, sendo que 50% eram do sexo masculino e tratavam mais de 15 casos/mês: o dique de borracha foi utilizado em 80% dos casos; o comprimento de trabalho foi obtido com localizador foraminal em 50% dos casos; o sensor digital foi utilizado em 90%, assim como o motor elétrico; a técnica de condensação lateral foi utilizada em 60% dos casos e o ultrassom, em 20%. Conclusões: Conclui-se que os especialistas utilizaram mais as novas tecnologias, e que o ultrassom e a magnificação visual foram pouco utilizados em ambos os grupos (AU).


Introduction: Of all the specialties in dentistry, one of the most favored in recent years with the development of new technologies has been endodontics. Objective: This study aimed to obtain information on the technical aspects of endodontic treatments performed by dentists from the Military Police of the State of São Paulo, emphasizing the materials, equipment, and techniques used. Methods: A questionnaire with 25 multiple choice questions was sent to 147 dentists from PMESP and the inclusion criterion was professionals who performed endodontic treatment. Results: The statistical analysis was done through the chi-square test, with p< 0.05. The professionals evaluated 59.5% were male, the rubber dam was used in 54.8% of the cases, the working length by means of radiographs was obtained in 71.4%, the digital sensor was used in 28.6%, the visual magnification was used in 23.8% and the lateral condensation technique was the most used with 90.2%. Another analysis was performed with 10 specialists of the Dental Center who performed only endodontic treatment, 50% were male, treated more than 15 cases/month, the rubber dike was used in 80% of the cases, the working length was performed in 50% of the cases by foraminal locator, the digital sensor was used in 90%, as well as the electric motor, the technique of lateral condensation was used in 60% of the cases and ultrasound 20%. Conclusion: It was concluded that the specialists used more new technologies and that the use of ultrasound and visual magnification was little used in both groups (AU).


Subject(s)
Humans , Male , Female , Technology , Surveys and Questionnaires , Dentists , Endodontics , Rubber Dams
19.
Rev. Círc. Argent. Odontol ; 79(229): 32-32, abr. 2021. ilus
Article in Spanish | LILACS | ID: biblio-1254007
20.
Rev. habanera cienc. méd ; 20(2): e3247, mar.-abr. 2021. tab, graf
Article in Spanish | LILACS, CUMED | ID: biblio-1251795

ABSTRACT

Introducción: El reemplazo de restauraciones defectuosas representa la mayor parte de la práctica del odontólogo, lo que lleva a una perdida mayor del remanente dentario ante cada reemplazo. Objetivo: Determinar si existe variación del criterio clínico en alumnos frente a la decisión de recambio en restauraciones de resina compuesta previo y posterior al reacondicionamiento. Material y Métodos: Estudio analítico transversal. Se contó con una muestra de 40 estudiantes de quinto año de un universo de 72. Se utilizó un set fotográfico, que contaba con restauraciones defectuosas, en uno o más parámetros según los criterios RYGE/USPHS, las cuales posteriormente se reacondicionaron, por lo que se contaba con las fotografías del antes y del después del tratamiento conservador. Se realizó una encuesta a partir de las fotografías mostradas en la cual debían indicar la elección de tratamiento. Resultados: Se observó que hay una gran variación de elección de tratamiento previo a ser reparadas con tratamientos conservadores: 38 por ciento y no conservador de 62 por ciento y frente a la misma restauración de resina posterior a haber sido intervenida la elección de tratamiento conservador fue de 83 por ciento y no conservador 17 por ciento. Mediante el Test de McNemar se obtuvo un p<0.0001 entre elección de tratamiento conservador por sobre el no conservador posterior a haber sido realizada el reacondicionamiento de la restauración. Conclusiones: Existe un cambio en la percepción sobre la indicación de tratamiento de restauraciones defectuosas, a favor de una alternativa conservadora, después de que han sido intervenidas con procedimientos mínimamente invasivos(AU)


Introduction: The replacement of defective restorations, which leads to a greater loss of the dental remnant before each replacement, represents the large majority of the dentist's practice. Objective: To determine if there is any variation in students´ clinical criterion in relation to the decision of replacement of composite resin restorations prior to and following reconditioning. Material and Methods: A cross-sectional analytical study was conducted. The sample was composed of 40 fifth-year students in a universe of 72. A set of photographs showing defective restorations in one or more parameters evaluated according to RYGE / USPHS criteria was used. They were later reconditioned, so there were photographs prior to and following conservative treatment. Based on the photographs shown, a survey in which they had to indicate the choice of treatment was performed. Results: We observed that there is a great variation in the choice of treatment prior to the repair with conservative treatments (38 percent) and non-conservative ones (62 percent), compared to the same resin restoration after the choice of conservative treatment (83 percent) and non-conservative one (17 percent). Using the McNemar Test, p<0.0001 was obtained between the choice of conservative treatment over the non-conservative one after the restoration reconditioning had been performed. Conclusions: There is a change in perception of the indication of treatment to repair defective restorations towards a conservative alternative after they have undergone minimally invasive procedures(AU)


Subject(s)
Humans , Students , Composite Resins , Dentists , Conservative Treatment , Cross-Sectional Studies , Surveys and Questionnaires , Dental Restoration, Temporary/methods , Reference Parameters
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