Avaliação da retenção do conhecimento, do grau de confiança e dos erros de compreensão dos acadêmicos de odontologia / Evaluation of knowledge retention, degree of confidence and erros of undertanding of dental students

Objetivo: avaliar a retenção de conhecimento (RC), o grau de confiança (GC) e a identificação dos erros de aprendizado (EA) dos acadêmicos de um curso de Odontologia. Métodos: neste estudo, foram avaliados 39 alunos dos níveis finais de um curso de Odontologia, os quais responderam 40 questões retiradas de provas anteriores do Exame Nacional de Desempenho dos Estudantes (Enade), através de uma plataforma virtual. Es-tas foram divididas em quatro áreas: Formação Geral (FG); Saúde Coletiva (SC); Clínica Odontológica (CO); e Especialidade Odontológica (EO). Resultados: analisando os resultados, observou-se que a área do saber que obteve melhor média de acertos foi a de CO (com 59,4), seguida das questões de FG (com 48,5). A área que obteve menor média de acertos foi a de SC (com 36,4). O GC foi analisado através de um questionário em que o aluno relatava se estava ou não confiante perante a questão respondida. Em relação ao erro, percebeu--se que a única área na qual os alunos erraram as questões, mas estavam confiantes, foi a de SC. Em relação ao acerto, a única área em que os alunos acertaram as questões, mas não se demonstraram confiantes para acertar, foi a de FG.Conclusão: percebe-se que, dentre as áreas avaliadas, a SC foi a que apresentou pior média de acertos. (AU)

Objective: the present study evaluated the knowledge retention, degree of confidence and identification of learning errors of dental students. Methods: 39 senior dental students (last year) responded 40 questions from previous exam from the ENADE (National Student Performance Exam) using a virtual platform. Questions were divided into four areas: General Formation (GF); Collective Health (CH); Dental Clinic (DC) and Dental Specialty (DE). Results: it was observed that the area of knowledge that obtained the best average was DC, with 59.4, following by GF questions, with 48.5. The area with the lowest average was that of CH, with 36.4. The degree of confidence was analyzed through a questionnaire, where the student reported whether or not she/he was confident about the answers. Regarding the error, it was noticed that the only area where the students answered the questions but were confident was that of CH. Regarding the hit, the only area where students got the questions right but were not confident to get it right was that of GF. Conclusion: among the evaluated areas, CH was the one with the worst average of correct answers.(AU)

Investigation of Turkish dentists clinical attitudes and behaviors towards the COVID-19 pandemic: a survey study

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.

Produção especializada no SUS em capitais brasileiras com centros de especialidades odontológicas: uma análise descritiva / Specialized production in the unified health system in Brazilian capitals with dental specialty centers: a descriptive analysis

Centros de especialidades odontológicos (CEOs) são estabelecimentos de saúde de âmbito especializado que devem realizar uma quantidade mínima de procedimentos. Objetivos: descrever a produção odontológica especializada e reportar o cumprimento das metas nas capitais brasileiras com CEOs. Materiais e método: foi conduzido um estudo do tipo longitudinal retrospectivo, sendo realizada uma busca por CEOs cadastrados no Cadastro Nacional de Estabelecimentos de Saúde (CNES). A produção odontológica foi pesquisada no Sistema de Informações Ambulatoriais do Sistema Único de Saúde (SIASUS), de maio de 2015 a abril de 2016. Resultados: foram encontrados e considerados elegíveis para o presente estudo 59 CEOs, localizados em 19 capitais brasileiras e no Distrito Federal, sendo 48% CEOs tipo II. Cerca de 730 mil procedimentos especializados foram realizados durante os 12 meses avaliados. Uma taxa de 86% das metas foi cumprida, sendo que cirurgia foi à área com maior cumprimento (92%), seguida de periodontia (89%) e endodontia (76%). Uma das capitais apresentou apenas 33% das metas cumpridas. Três capitais não atingiram nenhuma das metas estabelecidas em procedimentos de endodontia. Conclusão: foi observada uma grande variação no cumprimento das metas entre as capitais com CEOs. Enquanto algumas capitais apresentaram elevado cumprimento das metas, outras exibiram dados preocupantes, principalmente nos procedimentos de endodontia. (AU)

Dental Specialty Centers (Centros de Especialidades Odontológicas ­ CEOs) are specialized health facilities that should perform a minimum number of procedures. Objectives: this study aimed to describe the specialized dental production and report the achievement of goals in Brazilian capitals with CEOs. Materials and method: a retrospective longitudinal study was performed with a search for the CEOs listed in the National Registry of Health Establishments. The dental production was searched in the Outpatient Information System of the Brazilian Unified Health System for the period from May 2015 to April 2016. Results: fifty-nine CEOs were found and considered eligible for the present study. They were located in 19 Brazilian capitals and in the Federal District, whereas 48% were CEOs Type II. Approximately 730 thousand specialized procedures were performed during the 12 months evaluated. A rate of 86% of goals was met and surgery presented the highest achievement (92%), followed by periodontics (89%) and endodontics (76%). One of the capitals achieved only 33% of the goals. Three capitals did not achieve any of the goals set for endodontic procedures. Conclusion: there was a great variation in the achievement of goals among capitals with CEOs. While some capitals showed high achievement of goals, others presented concerning data, especially for endodontic procedures. (AU)

Implementation of dental specialty centers: a descriptive analysis of the current status in the Brazilian territory

ABSTRACT This study aimed to assess the current implementation status of Dental Specialty Centers (Centros de Especialidades Odontológicas - CEO) in Brazil. The sample included CEOs implemented up to November 2015 in the 27 Brazilian federative units. Data were obtained directly from the database of the Informatics Department of the Brazilian Unified Health System, according to the National Registry of Health Facilities (NRHF) of Dental Specialty Centers of all Brazilian regions. Primary care data were also collected from the cities with implemented CEOs, including coverage status of the Family Health Strategy (FHS) and number of Oral Health Teams (OHT) I and II, at 2 collection periods (January 2006 and November 2015). There were 1019 CEOs implemented in Brazil, which were unequally distributed among the Brazilian states, with prevalence of implementation of CEOs type II (n=503, 49.4%). The statistical analysis showed significant difference between the three types of CEO (I, II, and III) and the variables of coverage rate (FHS) and number of teams (OHT I, OHT II) at both data collection periods. Although presenting an evolutionary aspect in the implementation of CEOs, the implementation of medium-complexity care in Brazil is disorganized.

Civil liability: characterization of the demand for lawsuits against dentists

Abstract In light of the fact that dentists may be held civilly liable for their practice, it is important to understand the current situation of lawsuits filed against these professionals by studying current legal decisions and the literature. The objective of this study was to analyze the case law of the Court of Justice of São Paulo, Brazil, relative to the profile of patients and professionals, the most commonly involved specialties, the amounts litigated and the court decisions pertaining to civil liability lawsuits against dentists. In an inductive approach, a single researcher screened and collected civil liability rulings by accessing the Court's website, and following a statistical-descriptive procedure and an indirect observation technique. The most frequently involved specialty was prosthodontics. However, oral and maxillofacial surgery was related to a higher incidence of damages awarded to settle claims and to higher damage amounts. The dentist was found guilty in 44.32% of the cases researched. Pecuniary damages ranged between R$ 485.50 and R$ 12,530.00, and non-pecuniary damages ranged between R$ 2,500.00 and R$ 70,000.00. Most lawsuits were filed by women against male dentists. An increase in the relative number of lawsuits against companies versus individuals was observed.

Estudo da atual utilização da TCFC pelos Cirurgiões-Dentistas nas diversas especialidades / Study of current use of Cone-Beam CT by dental surgeons in the various specialties

Objetivo: Determinar, dentre os profissionais de Odontologia, o grau de formação e informação quanto ao uso da tomografia computadorizada tipo cone-beam, assim como quantificar e discriminar o uso desta ferramenta diagnóstica no cotidiano das especialidades. Materiais e métodos: Profissionais cursando algum tipo de especialização tiveram que responder a um questionário de respostas certo/errado, que continha parâmetros sobre as indicações do uso da tomografia computadorizada na Odontologia, assim como perguntas que permitiram o levantamento de informações acerca desta ferramenta diagnóstica no tocante a influência do custo do procedimento, necessidade de treinamento específico para interpretação e necessidade de investimento por parte do profissional clínico. Resultados: Pudemos observar que a indicação da técnica não está totalmente esclarecida para muitos Cirurgiões-Dentistas. A porcentagem de desconhecimento foi significativa (27%), por se tratar de radiação ionizante, que pode causar riscos estocásticos e deletérios. Pudemos observar em nossos resultados que existe um embasamento geral da técnica, pois à medida que especialistas de uma certa área acertaram questões correspondentes a outras especialidades, notamos a ocorrência de equívocos de conceitos quando eram questionados sobre o protocolo de uso em sua própria área de conhecimento. Conclusão: A divulgação dos dados obtidos será de grande valia para o clínico geral, bem como para os especialistas, no intuito de reduzir a dose de exposição desnecessária quando da indicação da técnica. A necessidade de aprimorar o conhecimento será sempre necessária, para que não tenhamos apenas o conhecimento geral, mas o específico para a área de atuação de cada um.

Objective: To determine, among dental professionals, the degree of training and information regarding the use of CBCT, as well as to quantify and discriminate the use of this diagnostic tool in specialties daily basis. Materials and methods: Professionals attending specialization courses had to answer a right/wrong answers questionnaire containing parameters of indications for the use of computed tomography in dentistry. Beyond that, they had to answer questions that allowed the collection of information about this diagnostic tool regarding the influence of the cost of the procedure, the need for specific training in the interpretation and need for investment by the clinical professional. Results: We observed that the technique is not entirely clear for many dentists. The percentage of unawareness was significant (27%) considering it is about an ionizing radiation, which can cause deleterious and stochastic risks. We observed in our results that there is a general grounding of the technique, because on the one hand experts of a determined area showed a certain knowledge of other specialties, on the other hand we verified there were misunderstandings of concepts when questioned about the protocol used in their own area of knowledge. Conclusion: The release of the data obtained will be of great value to the general practitioner as well as to specialists in order to reduce the amount of unnecessary exposure in the indication of the technique. Improve knowledge will always be necessary so we will not only have general knowledge, but the specific one to the area of each dentistry professional.

High and specialty-related musculoskeletal disorders afflict dental professionals even since early training years

OBJECTIVE: To determine how early musculoskeletal disorders (MSDs) develop in dental professionals and to explore the potential differences among distinct dental specialties. MATERIAL AND METHODS: 271 dental postgraduates majoring in five dental specialties were recruited, i.e., orthodontics, prosthodontics, endodontics, periodontics and alveolar surgery. 254 age-matched non-dental postgraduates served as the control. The standardized Nordic questionnaire on MSDs and a self-report questionnaire regarding correlative factors (only for dental postgraduates) were answered through emails. Reliability of responses was assessed applying test-retest method. RESULTS: The intraclass correlation coefficient of participants' answers ranged from 0.89 to 0.96. Dental postgraduates had significantly higher prevalence of MSDs than the control group, especially at neck, upper back and lower back. In all dental specialties included, high prevalence of MSDs was reported at neck (47.5%-69.8%), shoulders (50.8%-65.1%), lower back (27.1%-51.2%) and upper back (25.6%-46.5%), with lower prevalence at elbows (5.1%-18.6%), hips (3.4%-16.3%) and ankles (5.1%-11.6%). Periodontics students reported the worst MSDs in most body regions except wrists and knees, which were more prevalent for prosthodontic and alveolar surgery students, respectively. Furthermore, year of clinical work, clinical hours per week and desk hours per week were found as risk factors for MSDs, whereas physical exercise and rest between patients as protective factors. CONCLUSIONS: High and specialty-related MSDs afflict dental professionals even since very early stage of careers. Prevention aimed at the specialty-related characteristics and the risk/protective factors revealed in this study should be introduced to dental personnel as early as possible. .

Construção da atenção secundária em saúde bucal: um estudo sobre os Centros de Especialidades Odontológicas em Pernambuco, Brasil / Development of secondary dental care: a study on specialized dental clinics in Pernambuco State, Brazil

Objetivando avaliar os Centros de Especialidades Odontológicas de Pernambuco, Brazil, realizou-se estudo exploratório, utilizando dados secundários da produção ambulatorial 2006, critérios e normas instituídos para implantação destes serviços. Descreveu-se o cumprimento global das metas dos Centros de Especialidades Odontológicas, variáveis de caracterização dos serviços e dos municípios. Foram utilizadas análises do tipo descritiva e do tipo correlacional não paramétrica (coeficiente de Spearman), considerando-se o nível de significância de 5 por cento. Dos 22 Centros de Especialidades Odontológicas, 40,9 por cento obtiveram um desempenho bom, destacando que 81,8 por cento cumpriram a meta para o subgrupo atenção básica em contraste com 13,6 por cento que cumpriram a meta do subgrupo cirurgia oral menor. Dentre as variáveis independentes analisadas, apenas o porte populacional e o índice de desenvolvimento humano do município foram correlacionados ao desempenho dos Centros de Especialidades Odontológicas, quanto menor a cidade (r = 0,678; p < 0,001) e menor desenvolvimento humano (r = 0,599; p < 0,001), piores desempenhos foram observados. O estudo sugeriu que a normatizaçao para implantação e funcionamento dos Centros de Especialidades Odontológicas deva ser monitorada e avaliada para garantir uma melhor qualidade dos serviços para população.

This exploratory study aimed to evaluate the Specialized Dental Care Centers in Pernambuco State, Brazil, based on secondary outpatient treatment data from 2006 and standards and criteria adopted to implement these services. The study describes the overall achievement of targets by these specialized dental clinics and variables for characterization of the dental services and municipalities (counties). The methodology included descriptive analysis and non-parametric correlation analysis (Spearman coefficient), with significance set at 5 percent. Of the 22 specialized dental clinics, 40.9 percent showed good performance, and 81.8 percent met the target for basic dental care, as compared to 13.6 percent that met the target for minor oral surgery. Among the independent variables, only population size and Municipal Human Development Index (MHDI) were correlated with the performance of the specialized dental clinics: the smaller the city (r = 0.678; p < 0.001) and the lower the MHDI (r = 0.599; p < 0.001), the worse the performance. The findings suggest that standardization of the implementation and functioning of specialized dental clinics should be monitored and evaluated in order to ensure better quality of services for the population.

Biodóntica: una nueva alternativa de educación odontológica postdoctoral para profesionales de la salud oral en Colombia y Latino-América / Biodontics: a new alternative of postdoctoral dental education for oral health professionels in Colombia and Latin America

Dentro del contexto y marco conceptual de las nuevas tendencias de educación post-doctoral en Odontología, los autores describen en este documento una nueva alternativa para educación superior. Históricamente, las facultades de Odontología en Colombia y Latino-América, han presentado alternativas de estudios de post-grado a nivel de ciencias clínicas. A través de un análisis de las recomendaciones del Instituto Nacional de Salud de los Estados Unidos, se presenta a Biodóntica, como fuente alterna de educación superior para profesionales de la Salud Oral, a través de vínculos internacionales e interinstitucionales, y el impacto en las áreas de investigación, tecnología, biotecnología y transferencia tecnológica. No sólo las instituciones académicas serán las beneficiadas, pero los profesionales de la Salud Oral incrementarán sus prospectos clínicos, administrativos y económicos

Evaluación de los posgrados de la Facultad de Odontología de la Universidad de Antioquia entre 1982 - 1995 (desempeño y grado de satisfacción) / Evaluation of postgraduate studies of the School of Dentistry, University of Antioquia, between 1982 - 1995 (performance and degree of satisfaction)

En la investigación "Evaluación de los posgrados de la Facultad de Odontología de la Universidad de Antioquia entre 1982 y 1995", en la cual participó el 83 por ciento de los egresados, con respecto al desempeño y grado de satisfacción, se encontró que una vez egresados, su desempeño laboral está estrechamente relacionado con dos de los objetivos propuestos para su formación de posgrado, el clínico y el docente, y en el área clínica prima la modalidad privada. El grado de satisfacción con respecto a la formación recibia estuvo entre el 81 y el 95 por ciento, satisfacción que está estrechamente relacionada con sus expectativas en la formación clínica. Con respecto al título, se encontró que existen problemas en su reconocimiento de parte de las asociaciones gremiales, y de algunas instituciones empleadoras. En la entrevista a los mayores empleadores en la ciudad de Medellín, se informó que no existen diferentes entre los egresados de la Universidad de Antioquia y los egresados de otras entidades educativas