Perfil do usuário do Sistema Único de Saúde no município de Curitiba, Paraná, com necessidade de tratamento odontológico / Profile of Unified National Health System' users, requiring specialized dental treatment, in Curitiba, Paraná

Objetivo: Delinear o perfil de usuários que aguardam na lista de espera pelo atendimento odontológico especializado em Endodontia em dois Centros de Especialidades Odontológicas (CEO) do município de Curitiba, Paraná. Métodos. Neste estudo transversal foram coletados e classificados dados de 7072 usuários conforme gênero, idade, Distrito Sanitário (DS) em que o atendimento básico foi prestado e data de entrada na lista de espera. Os dados foram submetidos aos testes Qui-quadrado para independência, seguidos do teste de acompanhamento de resíduos ajustados de Marascuilo. Resultados: Dos usuários pesquisados que aguardavam, 63,0% eram mulheres. A faixa etária prevalente foi de 15 a 34 anos (p<0,05). Diferença estatisticamente significativa foi encontrada quanto aos atendimentos nos DS (p<0,05). O DS Matriz teve a menor frequência de inclusão na lista de espera em comparação com os demais; já os DS Bairro Novo (13,5%), Cidade Industrial de Curitiba (13,7%), Boa Vista (14,5%), Boqueirão (14,8%) e Pinheirinho (15,2%) apresentaram as maiores frequências. Por fim, em relação aos atendimentos na série temporal, diferença significativa entre os meses foi identificada (p<0,01). Conclusão: O perfil dos usuários encontrados na lista de espera para atendimento endodôntico em Curitiba, no período analisado, conta com maior prevalência de mulheres, de indivíduos entre 15 a 34 anos, distribuídos de maneira desigual dentre os DS e meses do ano, sendo este último dado resultante de ações da Secretaria Municipal de Saúde.

Objective: The aim of this study was to delineate the profile of users in the waiting list for specialized endodontic dental care in two Dental Specialty Centers (DSC) of the city of Curitiba, Paraná. Methods: In this cross-sectional study, data from 7,072 users were collected and classified according to gender, age, Sanitary District (SD), and date of entry in the waiting list. Data were submitted to Chi-square tests for independence, followed by Marascuilo's adjusted residuals test. Results: Of the users on the waiting list surveyed, 63.0% were women. The prevalent age group was 15- to 34 years (p<0.05). Statistical difference was found regarding attendance at the SD (p<0.05). The SD Matriz had the lowest frequency of inclusion in the waiting list compared to the others; SD Bairro Novo (13.5%), Cidade Industrial de Curitiba (13.7%), Boa Vista (14.5%), Boqueirão (14.8%) and Pinheirinho (15.2%) presented the highest frequencies. Finally, regarding the time series attendances, a significant difference between the months was identified (p <0.01). Conclusion: The profile of users found in the waiting list for endodontic care in Curitiba, during the analyzed period, has a higher prevalence of women, between 15 and 34 years old, and unequally distributed among the SD and months of the year, the latter being the result of actions of the Municipal Health Office.

Evaluating of oral and salivary conditions of two specific groups of workers

Introduction and Objective: Tooth decay is one of the most common chronic oral diseases found in industrial countries and is a multifactorial disease which has sugar as a key dietary factor. The amount of saliva concentration and presence of cariogenic bacteria will favor the development of caries. Because of this, the aim of this study was to collect and analyze data on oral alterations referred to tooth decay, oral pH changes, and changes of the oral microbiota in two distinct groups of workers. Material and methods: 30 individuals belonging to two different groups of workers: group A (GA) - workers who maintain daily contact with the confectionery; group B (GB) - workers who do not have such contact. Saliva collection was done by analysis of the salivary pH in both groups, as well as cultivation of Lactobacillus spp and S. mutans. We also evaluate the dental status of individuals belonging to the two groups through the DMFT index. Results: After the examinations of 30 workers (17 from the GA [9 men and 8 women] and 13 in the GB [7 men and 6 women]), the mean DMFT of the individuals in the group A and group B, was 7.41 (SD 5.14) 7.08 (SD 5.56), respectively, without statistically significant differences (p < 0.05). The count of S. mutans and Lactobacillus spp, was not statistically significant. Conclusion: There was no statistically significant relationship between presence of dental caries and the fact that workers are in contact with sugar because they work on candy food industry, but new studies are needed for more precise research.

The role of the university and post-graduation courses in improving health and life of quality of the society

The relationship between health systems and higher education is of fundamental importance to establish oral health improvements for population. Currently, primary attention's goal is to determine the quality of life of a given population through total denture rehabilitation. Thus the aim of this study was to report the integrated actions between the Health Secretary of the city of Curitiba and the University during the training in Total Denture of primary attention professionals. Fifty dental professional from nine sanitary districts of the city of Curitiba were enrolled in the training. The project comprised theoretical and practical classes during a period of five weeks, from June to July of 2013. More similar actions reinforce the university's role in improving the quality of life of the population and the university integration with public service aiming at updating dental professionals.

Criminal liability in dental practice

Introduction: The technical and scientific evolution is the greatest advance in dentistry since its regulation with the law 5.081/1966; however it is worth remembering that constant modernization of treatments brings along a proportional increase on the dentist's responsibilities with his patient. The professional should always keep in mind that along with his hand ability, innovative techniques and the best material applied there is Deontology evaluating three areas: civil, ethical-administrative and criminal. It is the dentist's obligation to follow and respect the deontological issue in a world where lawsuits against peers have increased exponentially. Objective and Conclusion: The presented study reports the relations in the Brazilian penal code concerning to criminal responsibility of the health professionals, analyzing the dental behaviors which, once applied, configure criminal types, subjecting the agent to the prosecution and trial of criminal justice. A little known subject hardly ever discussed in dentistry.

Accessibility to dental care for patients with special needs

Introduction and objective: The aim of this study was to verify the professionals' perception about the accessibility to dental care establishments for three types of patients with special needs: Diabetes, AIDS, and Cerebral Paralysis patients, in the city of São Paulo. Material and methods: This was a descriptive, cross-sectional study with a non probabilistic sample. For the analysis, 107 dental care establishments were selected and divided into two categories (private and insurance). Each one of the establishments was randomly selected from a list containing a total of 3,234 private and 2,015 insurance establishments. The information for the study was based on phone conversations, when a semi-structured interview was accomplished to verify the accessibility for AIDS, Diabetes, and Cerebral Paralysis special need patients. The analysis of the interviews' content was executed according to the methodology of Lefèvre and Lefèvre (2000) and in agreement with the central idea. Results: From the total of participants, 55.14% were female and 53.27% worked at a private clinic. In relation to the patients' accessibility, 96.26% had already treated Diabetes patients, 55.14% AIDS patients, and 28.97% Cerebral Paralysis patients. Conclusion: It can be concluded that concerning to Diabetes patients, the main difficulty is the clinical practice, mainly related to problems in blood coagulation. For Cerebral Paralysis patients, the difficulties were related to personnel training, establishment structure, and also clinical practice. For AIDS patients, although difficulties in clinical practice were mentioned, prejudice still seemed to be the major difficulty.

Avaliação da acessibilidade do paciente à clínica de especialidades de Endodontia em dois distritos de saúde do município de Curitiba (PR) / Evaluation of patient access to medical specialty of Endodontics in two health units in the city of Curitiba (PR)

Introdução: No Brasil o atendimento odontológico predominante acontece pelo Sistema Único de Saúde, que tem nas unidades básicas de saúde a porta de entrada a diversos serviços. Na consulta odontológica o paciente é referendado a especialidades, entre elas a Endodontia. No entanto inquéritos nacionais de saúde bucal indicam que uma significativa parcela da população nunca passou por uma consulta com o cirurgião-dentista. Objetivos: Avaliar a acessibilidade dos pacientes inscritos em fila de espera à especialidade Endodontia em duas unidades de saúde de Curitiba (PR), sendo uma Unidade Básica de Saúde (UBS) e outra Estratégia de Saúde da Família (ESF). Material e métodos: Foi realizado um estudo qualitativo e quantitativo, descritivo e exploratório, com coleta de dados obtidos por meio de relatórios. Além disso, observou-se a movimentação do número de inscritos em tal especialidade numa determinada unidade de saúde e em outra foi realizada intervenção na fila de espera. Resultados: No período de abril a julho de 2008, houve uma redução de 95% no total de inscritos para a especialidade de Endodontia na Unidade Básica de Saúde Pilarzinho e de 88% na Unidade de Saúde da Família São Domingos, que tiveram intervenção na fila. Conclusão: Aponta-se para a necessidade de melhorar a resolutividade dos profissionais que atuam na atenção básica, a intervenção periódica na fila de espera (validação), a triagem, o agendamento da consulta especializada e a descentralização baseada na proximidade geográfica do Centro de Referência.

Introduction: In Brazil dental treatment occurs mainly through the Unified Health System (SUS), which can direct to various services in its basic health units. Whenever needed, other specialties including Endodontics are recommended to patient at the dental visit. Nevertheless, oral health national inquiries indicate that a part of Brazilian population has never been attended by a dental surgeon. Objectives: To evaluate the access of patients enrolled in the waiting line to Endodontics specialty in two health units in Curitiba-PR and a Basic health Unit (UBS) and the other strategys Family Health (ESF) Material and methods: A qualitative, quantitative, descriptive and explorative study was performed, with data collection from reports. Furthermore, the variation of people enrolled in Endodontics in a particular health unit was observed, while an intervention in the waiting line was performed in a different health unit. Results: From april to July 2008, there was a 95% reduction in the total number of enrolled patients in the waiting line for Endodontic treatment in the Basic Health Unit of Pilarzinho, while an 88% reduction of the same aspect occurred in the Basic Health Unit of São Domingos (Family Health Program), which had suffered intervention in the waiting line. Conclusion: There is a need to improve the professionals working care in basic health units (validation), as well as it is necessary to optimize the periodical intervention in the waiting line, the screening, the booking to special attendance and the decentralization based on geographical proximity from the Reference Center.

Prática odontológica: perfil dos cirurgiões-dentistas que exercem suas atividades em empresa do setor privado - São Paulo, 2008 / Dental practice: profile of dental surgeons that work in private enterprise - São Paulo, 2008

Introdução e objetivo: Este trabalho tencionou verificar o perfil das atividades profissionais de cirurgiões-dentistas que desenvolviam suas atividades em uma empresa de caráter privado. Material e métodos: Tratou-se de estudo transversal, realizado por meio de questionário autoadministrado distribuído aos profissionais que trabalhavam em unidades da empresa localizadas em diversas cidades do estado de São Paulo. A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa da Faculdade de Odontologia da Universidade de São Paulo. Os dados foram organizados e analisados no programa Stata 10.0. Resultados: Participaram da pesquisa 194 cirurgiões-dentistas que exerciam suas atividades na empresa no ano de 2008. Em relação às características sociodemográficas, 68,04% eram do gênero feminino e 31,96% do gênero masculino e apresentavam idade entre 25 e 54 anos (média de 35,78 anos). Quanto à formação, 64,43% estudaram em faculdades públicas e 35,57% em faculdades particulares; 116 (59,79%) haviam concluído curso de especialização. Os pesquisados tinham se formado, em média, havia 12,85 anos, e as horas trabalhadas por semana ficaram em torno de 41,08 horas. A maioria trabalhava em consultório ou clínica particular (78,35%) e, desse percentual, 32,99% atendiam convênios. Com relação a outras atividades profissionais, 30,93% atuavam também no serviço público e 7,22% exerciam atividade docente. Conclusão: A maior parte dos profissionais que participaram desta pesquisa era do gênero feminino, estudou em faculdade pública, fez curso de especialização e trabalhava em consultório particular.

Introduction and objective: The objective of this study was to verify the professional activities profile of dental surgeons that worked in a private enterprise. Material and methods: A descriptive cross-sectional and analytic study was carried out, through self-administered questionnaire given to the professionals who worked in the company?s units located in different cities of São Paulo State. The research was approved by the Research Ethics Committee of School of Dentistry of University of São Paulo. Data were organized and analyzed at STATA 10.0 program. Results: 194 dental surgeons that were working in the company in 2008 participated in the research. Regarding sociodemographic characteristics, 68.04% were female and 31.96% were male, with 25 to 54 years (average of 35.78 years). About professional formation, 64.43% had studied in public colleges and 35.57% in private colleges; 116 (59.79%) had finished specialization course. The average years since graduation was 12.85 years, and the average working hours per week was 41.08 hours. Most of them worked also in another private setting (78.35%), and between them 32.99% attended dental insurance patients in those places. In relation to other professional activities, 30.93% worked also in public service and 7.22% were college professors. Conclusion: The majority of professionals who participated in this study was female, had studied in public universities, was specialist and worked in another private setting.

Alterações bucass presentes em dependentes químicos / ORAL ALTERATIONS AMONG CHEMICAL DEPENDENTS

Introdução Vem sendo observado diariamente um aumento significativo de indivíduos dependentes químicos, bem como a falta de aprofundamento nesse assunto dentro da área odontológica. No entanto, muitas vezes serão os profissionais da área odontológica os primeiros a terem a oportunidade de diagnosticar o aparecimento de possíveis alterações, essas surgindo devido ao consumo de cigarro, álcool ou drogas ilícitas. Objetivo Efetuar uma revisão de literatura das alterações bucais, bem como verificar tais alterações em um grupo específico de usuários de diferentes tipos de drogas. Material e métodos Os indivíduos selecionados responderam um questionário estruturado, através deste, mais a história clínica de cada um foi possível fazer a análise dos dados. Resultados: Pôde ser observada alta prevalência de c??rie dental e doença periodontal entre esses indivíduos bem como a presença de alterações em tecido mole. Conclusão: É de grande importância o envolvimento do Cirurgião-Dentista na reabilitação desses indivíduos, que além de estar com o emocional e saúde abalada, também requerem cuidados específicos na cavidade oral, que por muitas vezes é deixada de lado.

Introduction Within Dentistry there is a lack of knowledge about chemical dependents, a rising problem of today?s society. Many times the dental clinician is the first professional to diagnose possible alterations, due to the consumption of tobacco, alcohol and other drugs. Objective To do a literature review of oral alterations, as well as to observe such alterations on a single group of drug addicted. Material and methods The clinical history of the selected individuals was added to the answers of a questionnaire, comprising the data of the present research. Results Besides other minor soft tissue alterations, a high prevalence of caries and periodontal diseases were found in the studied population. Conclusion It was concluded that the role of the dental clinician is very important to the health rehabilitation of drug addicts, an individual with physical and mental disorders that needs specific oral care, sometimes neglected.