Regulación de la implantología dental en México / Regulation of dental implantology in Mexico

Introducción: los implantes dentales se han convertido en uno de los tratamientos odontológicos con mayor demanda en todo el mundo, no sólo por el nivel máximo de funcionalidad y de estética, sino también debido a su estabilidad, osteointegración y facilidad en su rehabilitación. Es incierto si los implantes dentales se encuentran normados formalmente en México, lo que motiva a la revisión del estado actual. Objetivo: evidenciar el estado actual de la legislación de la práctica de la implantología dental en México a través de una revisión en la literatura. Material y métodos: revisión de las legislaciones existentes en México para la aplicación de implantes dentales y su contraparte en el mundo a través de la evaluación de normas expedidas en América y Europa. Resultados: se contabilizó un total de 17 escuelas de implantes dentales que cuentan con el reconocimiento de la Secretaría de Educación Pública, de las cuales tres son públicas y 14 privadas. Se presentó una discrepancia en los planes de estudio que va de 16 a 36 meses. Las escuelas no contaron con un aval normativo. Las normas internacionales para control de calidad y aplicación de la tecnología en implantes se ubicaron en Canadá, Estados Unidos, España, Reino Unido y Francia. Conclusiones: contar con un antecedente normativo establecido por los países de primer mundo y ausente en México permite evidenciar la necesidad de implementar una Norma Oficial Mexicana que regule la fabricación, distribución y almacenamiento de los implantes dentales en México. A la vez, la revisión sugiere que la Secretaría de Educación Pública norme los créditos mínimos necesarios en las instituciones educativas reconocidas para la formación de recursos humanos que ejercen la implantología dental (AU)

Introduction: dental implants have become one of the dental treatments with the highest demand in the world, not only because of the highest level of functionality and aesthetics, but also because of their stability, osseointegration and ease of rehabilitation. It is uncertain if dental implants are formally regulated in Mexico, which motivates the review of the current status. Objective: to demonstrate the current state of the legislation for the practice of dental implantology in Mexico through a review of the literature. Material and methods: review of the existing legislation in Mexico, for the application of dental implants and its counterpart in the world, through the evaluation of standards issued in America and Europe. Results: a total of 17 dental implant schools that have the recognition of the Ministry of Public Education were counted, of which 3 are public and 14 private. There was a discrepancy in the study plans that ranged from 16 to 36 months. Schools will not have regulatory backing. The international standards for quality control and application of technology in implants were located in Canada, the United States, Spain, the United Kingdom and France. Conclusions: having a normative antecedent established by the countries of the first world and absent in Mexico, allows to demonstrate the need for the implementation of an Official Mexican Standard, which regulates the manufacture, distribution and storage of dental implants in Mexico. At the same time, the review suggests that the Ministry of Public Education regulate the minimum necessary credits in recognized educational institutions, for the training of human resources that practice dental implantology (AU)

O cuidado no atendimento às crianças no consultório odontológico frente à pandemia da COVID-19 / Dental care for children in dental clinics faced with the COVID-19 pandemic

Objetivo: O presente trabalho visa orientar o odontólogo sobre as novas regras de uso de EPIs, normas de biossegurança, técnicas odontológicas utilizadas no atendimento da criança, para que possamos realizar os procedimentos odontológicos com segurança antes, durante e após a pandemia da COVID-19. Métodos: Após busca em diversos bancos de dados (Google, SciELO, Bireme, Portal de Periódicos da CAPES, PubMed), em 30/03/2020, 21 artigos relacionados ao atendimento odontológico durante a pandemia foram selecionados. O critério de inclusão dos artigos foi se relacionar às normas específicas de biossegurança para o atendimento odontológico durante a pandemia, especialmente em crianças. Resultados: Vinte e um artigos foram incluídos no trabalho sendo sete deles, específicos do atendimento odontopediátrico. As consultas odontopediátricas devem ser marcadas de forma espaçada, evitando o encontro de pessoas na sala de espera. A criança deve vir acompanhada de apenas um acompanhante. Algumas barreiras devem ser usadas nas crianças como máscara, gorro e óculos. O odontólogo deve usar máscara N95 e protetor facial, além dos outros EPI's. Previamente ao atendimento, bochecho de peróxido de hidrogênio a 1% deve ser realizado pela criança. Técnicas operatórias (ART, aplicação de diamino fluoreto de prata e técnica Hall) que gerem menos aerossóis dever ser priorizadas. Se necessário o uso de baixa e alta rotação, estas deverão ser com sistema anti-reflexo e esterilizadas a cada paciente. Um intervalo de 1 a 2 horas deve ser dado entre pacientes, permitindo a ventilação da sala, diminuição dos aerossóis e desinfecção de todo o ambiente clínico. Conclusão: A pandemia do COVID-19 se tornou um risco ocupacional para odontólogos, crianças e responsáveis. Para evitar contágio e transmissão da doença, os odontólogos devem se capacitar por meio de informações seguras e cumprir as normas de biossegurança sugeridas.

Aim: The present work aims to guide the dentist as regards the new rules for the use of PPEs, biosafety standards, and dental techniques used in pediatric dental care, so that we can safely perform dental procedures before, during, and after the COVID-19 pandemic. Methods:After searching several databases (Google, SciELO, Bireme, Portal de Periódicos da CAPES, PubMed), on March 30, 2020, 21 articles related to dental care during the pandemic were selected. The inclusion criteria for the articles was to relate to specific biosafety standards for dental care during the pandemic, especially in children. Results: Twenty-one articles were included in the work, with seven of these specifically treating pediatric dental care. Dental appointments should be scheduled in a staggered manner, avoiding the meeting of people in the waiting room. The child must be accompanied by only one family member or guardian. Some barriers should be used with children, such as a mask, hat, and glasses. The dentist must wear an N95 mask and face shield, in addition to the other PPEs. Before attending, 1% hydrogen peroxide mouthwash must be used by the child. Operative techniques (ART, application of silver diamine fluoride and Hall technique), which generate less aerosols, should be given priority. If the use of low and high speed is necessary, they must be with an anti-reflective system and sterilized for each patient. An interval of 1 to 2 hours must be given between patients, allowing for the ventilation of the room, a reduction in aerosols, and the disinfection of the entire clinical environment. Conclusion: The COVID-19 pandemic has become an occupational hazard for dentists, children, and guardians. To avoid contagion and transmission of the disease, dentists must train themselves through secure information and comply with the suggested biosafety rules.

O diário como dispositivo em pesquisa multicêntrica / Diary as a device in multicenter research

Resumo Este artigo vincula-se a uma pesquisa multicêntrica realizada entre 2013 e 2015 em quatro diferentes cenários: São Paulo, Campinas, Ribeirão Preto e Recife. Tem como objetivo apresentar o diário de pesquisa como um dispositivo da Análise Institucional, que possibilitou explorar diferentes dimensões do vivido pelos diaristas-pesquisadores, bem como restituir a análise de implicações que se cruzaram nos movimentos provocados nas e pelas experienciações deste projeto multicêntrico, registradas nos diários. O uso de diário no trabalho de campo foi prática corrente entre os membros da equipe do projeto. A produção do registro em forma de diários, na perspectiva da Análise Institucional, possibilita a análise das implicações dos pesquisadores, opondo-se à ideia de neutralidade do sujeito na pesquisa. Como dispositivo da intervenção, os diários de pesquisa permitiram a articulação entre os diaristas-pesquisadores dos quatro cenários com seus diferentes saberes e experiências, no cotidiano da saúde bucal, acionando heterogeneidades e os provocando a escreverem, refletindo sobre suas atividades na clínica e, sobretudo, a compartilharem a escrita dessas experienciações vividas com os demais, o que produziu efeitos nos processos de inovação da clínica.

Abstract This article is linked with a multicenter study conducted from 2013 to 2015 in four different scenarios or cities: São Paulo, Campinas, Ribeirão Preto, and Recife. It aims to present the use of Research Diary (RD) as a device of the Institutional Analysis, which made it possible to explore different dimensions of experiences of diary researchers and restore the analysis of the implications that have occurred in the movements provoked in and through the experiences of this multicenter project. The use of research diary in fieldworks was common practice among project team members. The production of records as diaries, from the perspective of Institutional Analysis, made it possible to analyze the implications of the researchers, opposing the idea of subject neutrality in the research. As an interventional device, research diaries allowed an articulation between diary researchers of the four scenarios with their different knowledge and experiences, in daily buccal health, triggering heterogeneities and encouraging them to write, reflecting on their activities in the clinic, and above all, to share the writing of these experiences with others, which has had an effect on the clinical innovation processes.

Los pacientes también son clientes / Patients are clients too

El propósito de este artículo es señalar que los pacientes también son clientes y que en realidad las decisiones las toman basadas en factores emocionales y no en los fríos y lógicos datos provenientes de los diagnósticos que hacen los Odontólogos. Cosas como el trato, servicio excepcional al paciente-cliente, conseguirán más la aceptación de tratamiento, que la pericia clínica (AU)

The purpose of this article is to point out that patients are clients also, and that in reality they take their decisions based on emotional factors and not on the cold and logical facts resulting from the diagnosis made by Dentists. Things such as exceptional service, patient-customer service will achieve more treatment acceptance than the clinical skills (AU)

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)

Reasons for Seeking Dental Healthcare Services in a Nigerian Missionary Hospital

Objective: To determine the reasons for seeking dental healthcare services in a missionary hospital in Benin City; Nigeria. Materials and Methods: This 14-month retrospective study was conducted in a Pentecostal missionary hospital in Benin City. Data of interest which included age; gender; occupation; primary presenting complaints; and primary diagnosis were collected from the case notes with self-designed proforma. Cases with incomplete data were excluded from this study. The obtained data were subjected to descriptive statistics in the form of frequencies; cross tabulations; and percentages using Statistical Package for the Social Sciences version 17.0. Results: A total of 613 cases were retrieved with the complete information. The majority (56.3) of the patients were young adults (18-40 years). About one-fifth (21.2) of the patients were middle-aged adults. Children and elderly constituted 15.8 and 6.7 of the patients; respectively. A total of 332 (54.2) patients were females. There was diversity in the occupation of the patients with about one-third (37.7) of the patients being students. The majority of the patients had toothache as their primary presenting complaint (71.1). Others were tooth deposits (6.0); fractured teeth (3.8); hole in teeth (3.1); missing teeth for replacement (2.3); routine dental check-up (2.3); and mouth odor (2.0). Diagnosis of dental caries and its complications was made in more than half (58.6) of the patients while one-fifth (20.4) of the patients were diagnosed with gingivitis. Conclusion: Data from this study revealed that these enormous diverse patients of a Nigerian missionary hospital had toothache as their main primary presenting complaint and dental caries and its complication as their main primary diagnosis

Measuring the efficiency of dental hospitals with measurement of the service quality / 대한구강보건학회지

OBJECTIVES: Traditional nonparametric efficiency analysis was based on the relationship between the quantitative input and output measures. This study performed nonparametric efficiency analysis, which uses the results of dental hospital accreditation with quantitative output measures. METHODS: Data came from 35 hospitals between 2008 and 2010 that participated in the demonstration projects of dental hospital accreditation. The study employed two-stage double bootstrapping (TSDB) method to overcome the shortcomings and biased results of the traditional Data Envelope Analysis (DEA). Input measures included staffs, dental hygienists, other chair-side assistants, and administrative personnel, as well as dental equipment (dental chairs). Production measures were total revenues and the number of patients that visited the participating hospitals. We considered the environmental variables, which would affect the efficiency score of dental hospitals, dental hospital types, accreditation scores, and patients' satisfaction scores. RESULTS: There was a large split between the traditional DEA scores and TSDB scores. A total of 22 out of 35 hospitals had perfect efficiency in the traditional method, but none of those showed 100% efficiency in the TSDB. Overall efficiency score was the highest in the dental facility of general hospitals (71% mean efficiency), and dental teaching hospitals were the lowest (55% mean efficiency score). The factors that affected the efficiency of dental hospitals were the types of the dental hospital and the accreditation score. CONCLUSIONS: Traditional DEA scores had biased estimates and tended to be higher. The study found that organizational efforts for improving service qualities and patient safety would affect the efficiency, as well as the accreditation results.

Multicentric retrospective clinical study on the clinical application of mini implant system

INTRODUCTION: Mini-implant system is applicable to areas of narrow space and area requiring temporary loading support. The purpose of this study was to evaluate the clinical outcome of a mini-implant system as well as the application of mini-implant system in the dental clinical field. MATERIALS AND METHODS: The patients who had been operated from Jan 2007 to Dec 2007 in the four dental facility including Seoul National University Bundang Hospital were enrolled. To evaluate the factors associated with the clinical outcome, the patients were classified according to gender, age, area of surgery, type of implant, diameter and length of the implant, and the purpose of the mini-implant system application. RESULTS: From 147 implants, only three implants failed, one of them was for temporary loading. There were no serious surgical or prosthetic complications in this study. CONCLUSION: An analysis of the preliminary data revealed a satisfactory clinical outcome. However, more long-term evaluation of narrow ridge type as well as the patient's satisfaction on the use of a provisional type mini-implant system is needed.

Factors affecting utilization of dental health services and satisfaction among adolescent females in Riyadh City

This study was conducted to determine factors affecting utilization of dental health services among intermediate female school students in Riyadh. In addition to assessing their satisfaction with the dental care received during the last dental visit. Self-administered questionnaires were distributed among students attending eight public and four private schools. These schools were selected randomly to represent the four different administrative zones in Riyadh. Of 600 questionnaires distributed, 531 were complete and suitable for analysis. Nearly three quarters of the students visited the dentist more than once during the last 2 years. A bout 75% had their treatment in private dental clinics and 63% made their visits for routine treatment. The quality of dental care was found to be the most encouraging factor for utilization of dental services, whereas, far geographic location of the dental clinics was the most discouraging factor. For those who received treatment in the government clinics, the most discouraging factor was post operative complications [P < 0.0001], while the most encouraging factor was the availability of friendly staff [P < 0.0001]. The high cost of dental care was the most discouraging factor for utilizing the dental services for those who visited private clinics [P < 0.0001], while the high quality of dental care was the most encouraging factor [P < 0.009]. Students who made their visits because of pain highly considered modern clinics and those recommended by friends as highly encouraging factors [P < 0.002], while they considered the high cost of dental care as discouraging factor for using

Efetividade de programa de agentes comunitários na promoção da saúde bucal / Effectiveness of a community health worker program on oral health promotion

OBJETIVO:Avaliar mudanças em conhecimentos, atitudes e acesso/utilização de serviços odontológicos decorrentes de um programa de promoção da saúde bucal com agentes comunitários de saúde. MÉTODOS:Um projeto de capacitação combinando ensino-aprendizagem, apoio e supervisão, foi desenvolvido entre os meses de julho de 2003 a agosto de 2004. As mudanças foram avaliadas por meio de entrevistas estruturadas em que participaram 36 agentes comunitários de saúde e uma amostra de 91 mulheres e mães, representativa de donas de casa com 25 a 39 anos de idade, alfabetizadas e residentes em domicílios de três a seis cômodos no município de Rio Grande da Serra (SP). Foram colhidos dados sobre conhecimentos de saúde-doença bucal, práticas e capacidades auto-referidas em relação ao auto-exame, higiene bucal, número de residentes e de escovas dentais individuais e coletivas em cada domicílio e acesso e uso de serviços odontológicos. Por meio do teste t de Student pareado, foram comparadas as médias dos valores obtidos antes e depois do programa para cada um dos grupos estudados. As respostas foram analisadas adotando-se um nível de significância de 5 por cento. RESULTADOS: Foram observadas diferenças estatisticamente significativas para questões relativas ao conhecimento de saúde bucal entre os agentes e entre as mulheres antes e depois da capacitação (p<0,05). Desequilíbrio entre o número de escovas e de indivíduos em cada família diminuiu. A freqüência da escovação e do uso do fio dental se elevou depois da atuação dos agentes. Os valores de auto-avaliação da higiene bucal aumentaram. Modificação nas práticas e capacidades auto-referidas mostrou significativa elevação da auto-confiança. O acesso ao serviço foi mais fácil (p<0,000) e seu uso mais regular (p<0,000) entre mulheres. CONCLUSÕES: Houve mudanças positivas na percepção em relação a aspectos de saúde bucal, na auto-confiança e no acesso e uso de serviços odontológicos. Tais mudanças podem ser ...

OBJECTIVE: To assess changes of knowledge and attitudes and health service access and utilization after the implementation of a community health worker program for oral health promotion. METHODS: A capacity building project including learning, support, and supervision activities was developed between July 2003 and August 2004. A study to assess changes was conducted including 36 community health workers and a representative sample of homemaker literate women and mothers aged 25 to 39 years living in 3- to 6-room dwelling in the city of Rio Grande da Serra, Southeastern Brazil. Data on oral health knowledge, self-reported practices, and personal skills regarding self-examination, oral hygiene, number of people living in the same household, number of individual and collective toothbrushes, and dental service access and utilization were collected using structured interviews. Mean scores measured pre- and post-intervention program were compared for each group studied using Student's t-test. A 5% significance level was set for the analysis. RESULTS: Statistically significant differences between pre- and post-intervention program were seen regarding oral health knowledge among both health workers and women (p<0.05). The number of shared toothbrushes per family decreased. Frequency of toothbrushing and flossing increased. Self-assessment of oral hygiene efficacy increased. Changes in practices and personal skills improved self-efficacy. Women had more access to services (p<0.000) and used them more regularly (p<0.000). CONCLUSIONS: There were seen significant changes of perception regarding oral health, self-efficacy, and health service access and utilization. These changes may show that community health workers play a key role in oral health promotion.

OBJETIVO: Evaluar cambios en conocimientos, actitudes y acceso/utilización de servicios odontológicos productos de un programa de promoción de la salud bucal con agentes comunitarios de salud. MÉTODOS: Un proyecto de capacitación combinando enseñanza-aprendizaje, apoyo y supervisión, fue desarrollado entre los meses de julio de 2003 a agosto de 2004. Los cambios fueron evaluados por medio de entrevistas estructuradas en las que participaron 36 agentes comunitarios de salud y una muestra representativa de 91 mujeres y madres amas de casa con 25 a 39 años de edad, alfabetizadas y residentes en domicilios de tres a seis cuartos en el municipio de Río Grande da Serra (Sudeste de Brasil). Se escogieron datos sobre conocimientos de salud-enfermedad bucal, prácticas y capacidades auto-referidas con relación al auto-examen, higiene bucal, número de residentes y de cepillos dentales individuales y colectivos en cada domicilio y acceso y uso de servicios odontológicos. Por medio de la prueba t de Student pareado, se compararon los promedios de los valores obtenidos antes y después del programa para cada uno de los grupos estudiados. Las respuestas fueron analizadas adoptándose un nivel de significancia de 5%. RESULTADOS: Se observaron diferencias estadísticamente significativas para cuestiones relacionadas con el conocimiento de salud bucal entre los agentes y entre las mujeres antes y después de la capacitación (p<0,05). Desequilibrio entre el número de cepillos y de individuos en cada familia disminuyó. La frecuencia de cepillado y del uso del hilo dental se elevó después de la actuación de los agentes. Los valores de auto-evaluación de la higiene bucal aumentaron. Modificación en las prácticas y capacidades auto-referidas mostró significativa elevación de la auto-confianza. El acceso al servicio fue más fácil (p<0,000) y su uso más regular (p<0,000) entre las mujeres. CONCLUSIONES: Hubo cambios positivos en la percepción en relación...

Assessing the dental office sign of general dentists in Qazvin

This descriptive study was aimed at assessing the dental office sign of general dentists and compliance with the general standards and criteria. A total of 73 signs from clinics of general dentists in the city of Qazvin [Iran] were examined in 2009. Of 73 signs, 5.47% showed the title of [general dentist], 43.83% displaying the practice of a dental specialty such as surgery, dental prosthesis, pediatric dentistry, and 20.54% demonstrating the practice of four different dental specialties. There was no sign showing the logo of the Iranian Medical Council. However, 97% of the signs were within the standard size of 50x70 cm and 89% with a white background. It seems that the lack of public awareness over the availability of different dental specialties and the distinction between the dental specialists and general dentists, to be among the reasons encouraging the dental practitioners to avoid including the title of [general dentist] on their dental clinics' signs

Dental care utilization and satisfaction of residential university students

The objective of this study was to provide information on the level of utilization and satisfaction of residential university students with the dental services provided by the dental clinic of a teaching hospital. A stratified sampling technique was used to recruit volunteers from the outpatient clinic of the Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Nigeria. Information was collected by a self-administered questionnaire composed of questions that measure the level of utilization and satisfaction with the dental services provided. Questionnaires were provided to 650 randomly chosen students residing in the University hostels. There were 39 refusals, and 6 incomplete questionnaires were discarded. This left a sample size of 605 volunteers. Forty seven students [7.8%] indicated that they visited the dental hospital within the last 12 months. Males and females utilized the dental services equally, and utilization increased with age and the number of years spent on campus. Anticipation of painful dental treatment, high dental charges, long waiting times and being too busy for a dental visit were cited as the most important impediments to seeking dental treatment. Females expressed greater satisfaction with the services. Dental service utilization among the students was found to be low. Oral health awareness campaigns, improving the quality of the services, and shortening the waiting time are expected to increase service utilization and satisfaction

Evaluación de la aplicación de normas de bioseguridad en consultorios dentales en CESAMOS, región metropolitana de salud, Honduras. Primer Trimestre 2006 / Evaluation of the application of norms of bioseguridad in dental doctor´s ofices in we stopped, metropilitan region of health, Honduras. First Trimester 2006

Investigacion descriptiova de evaluacion sobre la aplicacion de normas de bioseguridad en las clinicas dentales de los CESAMOS de la Región Metropolitana de Salud.

Necessidade de atendimento odontológico ao idoso institucionalizado: relato dos coordenadores das instituições de Belo Horizonte / Institutionalized elderly´s needs and dental treatment: coordinator from the institutions of Belo Horizonte report

O objetivo deste trabalho foi avaliar as principais necessidades dos idosos institucionalizados, o local onde ocorre o atendimento, as dificuldades de acesso e satisfação com o Sistema Único de Saúde (SUS), segundo relato dos coordenadores das instituições de longa permanência (ILP). Foram entrevistados 27 coordenadores de instituições de longa permanência filantrópicas em Belo Horizonte - MG. Utilizou-se na coleta de dados deste trabalho de um questionário estruturado testado em estudo piloto. Após a pré-testagem, o instrumento foi adaptado e três pesquisadoras calibradas aplicaram o questionário por meio de telefone aos coordenadores que consentiram em participar do estudo. Observou-se que em 56% das instituições os idosos não possuíam seguro saúde com cobertura odontológica. Em relação ao local de atendimento dos idosos, 42% dos coordenadores relatou utilizar o SUS. Questionados sobre as necessidades de atendimento dos idosos, 44% relatou dor e 15% problemas com próteses. Quanto à satisfação com a rede SUS, 37% dos coordenadores mostrou infatisfação e o percentual de não respostas foi de 52%

Estudo sobre o perfil profissional dos cirurgiões-dentistas formados pela Faculdade de Odontologia de Araçatuba - UNESP, no período de 1989 a 1999 / Study of the surgeon-dentists professional profile graduated at Araçatuba Dental School - Unesp, in the period from 1989 to 1999

O propósito do autor no presente trabalho foi analisar o perfil do profissional formado na FOA-UNESP, no período de 1989 a 1999. Foram estudados: a inserção no mercado de trabalho; os motivos de escolha da Odontologia; as expectativas; a satisfação obtida; dificuldades encontradas; formação pós-graduação; local de atuação; remuneração; jornada de trabalho; e a percepção sobre a formação obtida pela FOA-UNESP. Dos 630 questionários enviados, 214 retornaram respondidos (34,46%), sendo 58% de profissionais do gênero feminino e 42% do masculino. Noventa e quatro (45%) trabalhavam somente como autônomos; 17 (8,3%) trabalhavam por porcentagem; 5 (2,4%) somente no serviço público; 43 (21%) atuavam no serviço público e também em outra modalidade. A maioria 106 (50,7%) alegou ter optado pelo curso de Odontologia somente por vocação; 35 (17,2%) por influências familiares e 13 (6,2%) por motivos financeiros. Sobre a expectativa dos egressos em relação à profissão, 110 (52,63%) esperavam viver bem economicamente; 99 (37,32%) esperavam especializar-se; 78 (47,37%) trabalhar por conta própria; 42 (20,10%) trabalhar para melhoria da saúde da população. Somente 9% dos pesquisadores estavam totalmente satisfeitos com o exercício profissional. As dificuldades apontadas foram: conseguir emprego, falta de pacientes, custos para manutenção do consultório entre outras. Realizaram curso de especialização 41%; sendo que 69% desses, atuavam também em outras especialidades. A maioria atuava em municípios com mais de 100.000 habitantes (66%). Do total, 48,54% tinham remuneração de até R$ 2.000,00; e 47,23% tinham uma jornada de trabalho de mais de 40 horas semanais. A grande maioria considerou a formação na FOA-UNESP boa ou muito boa, apontando como sugestões principais: ampliar conteúdos sobre marketing e administração, aumentar carga horária prática/clínica e atividades extramuros. Apesar da maioria alegar ter feito a opção pela Odontologia por vocação, uma minoria esperava trabalhar...