Rastreabilidade dos usuários atendidos no Núcleo de Acolhimento e Pronto Atendimento de uma clínica-escola de Odontologia / Trazabilidad de los usuarios atendidos en el Centro de Acogida y Urgencias de una clínica-escuela de odontología / Traceability of users attended at the Reception and Emergency Care Center of a dental clinic-school

A pesquisa teve como objetivo verificar a rastreabilidade dos pacientes atendidos no setor de urgência do Núcleo de Acolhimento e Pronto Atendimento da Universidade Federal de Pernambuco (NAPA-UFPE), o tempo decorrido entre seu encaminhamento e a continuidade do tratamento na instituição, além de identificar o perfil dos usuários. Trata-se de estudo observacional descritivo, com coleta de dados a partir dos prontuários físicos e eletrônicos dos pacientes atendidos no segundo semestre de 2014 (2014.2) e no primeiro semestre de 2015 (2015.1). Ao total, foram analisados 373 prontuários. Em ambos os semestres houve maior prevalência do sexo feminino e da faixa etária entre 20 e 59 anos. A rastreabilidade revelou que 40,75% dos pacientes continuaram seus tratamentos na instituição. Nos semestres 2014.2 e2015.1, respectivamente, 31,20% e 82,00% dos pacientes prosseguiram com o tratamento eletivo até 30 dias após a realização do atendimento de urgência. Em conclusão, a rastreabilidade revelou maior prevalência do sexo feminino e da faixa etária adulta. O quantitativo de pacientes que deram continuidade ao tratamento na instituição em até 30 dias após o encaminhamento esteve dentro do previsto, considerando-se as características das clínicas-escola (AU).

El objetivo de la investigación fue verificar la trazabilidad de los pacientes atendidos en el sector de urgencias del Centro de Recepción y Atención de Urgencias de la Universidade Federal de Pernambuco (NAPA-UFPE), el tiempo transcurrido entre su derivación y la continuidad del tratamiento en la institución, además de identificar el perfil de los usuarios. Se trata de un estudio observacional descriptivo, con recolección de datos de los registros físicos y electrónicos de pacientes atendidos en el segundo semestre de 2014 (2014.2) y en el primer semestre de 2015 (2015.1). En total se analizaron 373historias clínicas. En ambos semestres hubo mayor prevalencia del sexo femenino y del grupo de edad entre 20 y 59 años. La trazabilidad reveló que el 40,75% de los pacientes continuaron sus tratamientos en la institución. En los semestres 2014.2 y 2015.1,respectivamente, el 31,20% y el 82,00% de los pacientes continuaron con el tratamiento electivo hasta 30 días después de la atención de emergencia. En conclusión, la trazabilidad reveló una mayor prevalencia del sexo femenino y del grupo etario adulto. Elnúmero de pacientes que continuaron el tratamiento en la institución dentro de los 30 días posteriores a la derivación estuvo dentro del rango esperado, considerando las características de las clínicas docentes (AU).

The objective of this study was to verify the traceability of patients attended in the emergency sector of the Reception and Emergency Care Center of the Federal University of Pernambuco (NAPA-UFPE), the time elapsed between their referral and the continuity of treatment at the institution, in addition to identifying the users' profile. This is a descriptive observational study, with data collection from the physical and electronic medical records of patients treated in the second half of 2014 (2014.2) and in the first half of 2015 (2015.1). A total of 373 medical records were analyzed There was a higher prevalence of females and an age group between 20 and 59 years in both semesters. The traceability revealed that 40.75% of the patients continued their treatments at the institution. Moreover, 31.20% and 82.00% of the patients in the 2014.2 and 2015.1 semesters continued with the elective treatment up to 30 days after the emergency care, respectively. In conclusion, traceability revealed a higher prevalence of females and the adult age group. The number of patients who continued treatment at the institution within 30 days after referral was within the expected range, considering the characteristics of the teaching clinics (AU).

Nível de conhecimento e risco de doping no atendimento ao atleta entre diversas especialidades Odontológicas / Level of knowledge and risk of doping in athlete care among different dental specialties

O uso de substâncias para melhorar a prática esportiva ou de trabalho, remonta a própria história, mesmo nas primeiras olimpíadas na Grécia, era tolerado o uso de remédios para melhorar o desempenho dos atletas, enquanto outros tipos de trapaça eram punidos até com a escravidão. Nossos tempos são de consumo de esportes em massa e grandes volumes financeiros como indústria de entretenimento. Tentando manter o jogo o mais justo possível, diversas entidades criaram regras cada vez mais rígidas para preservar a saúde do atleta e não deixar que haja trapaças por meio de substâncias proibidas. Tendo isso em vista, o CD (Cirurgião Dentista) precisa estar preparado para atender esse paciente a fim de não comprometer sua vida profissional no esporte e dar o melhor cuidado possível a ele. Este trabalho se propões a identificar os medicamentos mais utilizados pelos CDs, em suas várias especialidades, e identificar por meio da biotransformação as possíveis substâncias que levem ao doping.

Pain Perception Before Endodontic Treatment: from Primary Care to Specialized Care

Abstract Objective: To analyze patients' pain perception requiring endodontic treatment referred to a Dental Specialties Center. Material and Methods: Data was collected through a self-administered questionnaire for patients about their experience of pain and another for endodontists about the treatment performed. The results were analyzed descriptively using Pearson's Chi-square test and Fisher's Exact test, with Bonferroni correction (p≤0.05). Results: The median age of the patients was 39 years, and 71.1% were female. The median waiting time for treatment was five months. Pain was reported by 75.2% of patients, occurred more than one month earlier (63.6%), with moderate/severe intensity (66.9%), and most patients sought emergency treatment more than once (79.1%). In addition, pain was associated with sex (female; p=0.008); moderate/severe intensity (p<0.001); the number of times that patient had to go to the dentist because of the tooth treatment (twice or more; p=0.002); and type of tooth treated (posterior tooth; p=0.002). Conclusion: Severe pain episodes resulted in a repeated search for emergency services, which may overload the primary care service, especially if the waiting time for endodontic treatment is long.

Avaliação do conhecimento dos estudantes de odontologia sobre a hipnose terapêutica / Evaluation of the knowledge of dentistry students about therapeutic hypnosis

A hipnose é conceituada como um estado modificado da consciência, mais próximo da vigília do que do sono. Configura-se como um ótimo método terapêutico auxiliar com diversos benefícios na odontologia, visto que é possível tratar o paciente no consultório empregando essa técnica junto ao tratamento em diversas especialidades odontológicas, além de que permite a dispensa do uso de medicamentos algumas vezes. Deste modo, o objetivo desse trabalho foi avaliar o conhecimento dos estudantes de odontologia sobre a hipnose terapêutica em tratamentos odontológicos. Tratou-se de um estudo exploratório descritivo de abordagem quantitativa realizado com alunos devidamente matriculados no 1º, 5º e 10º períodos dos cursos de Odontologia do Centro Universitário de João Pessoa - UNIPÊ, no Curso de Odontologia da Universidade Federal da Paraíba - UFPB, e no Curso de Odontologia da Faculdade Integrada de Patos - FIP. A amostra da pesquisa foi igual ao universo, sendo constituída de 257 estudantes. A coleta de dados foi realizada na Universidade Federal da Paraíba, UNIPÊ e na FIP sendo utilizado um questionário contendo questões objetivas relacionadas ao conhecimento sobre hipnose e sua aplicação. Com isso, constatou-se que os estudantes eram em sua maioria do gênero feminino (70%) com idade entre 18 e 21 anos (45,1%), não possuíam graduação (76%), não tinham conhecimento sobre as técnicas de hipnose (59%) e nem conheciam a resolução das Práticas Integrativas e Complementares (CFO nº82/2008). No entanto, a maioria dos entrevistados acreditava na técnica (75%), apresentavam vontade de fazer um curso sobre hipnose (77%) e acreditavam que o odontólogo possuía capacidade para realizar tal técnica (67%). Quando perguntados sobre as aplicações da hipnose na clínica odontológica houve o predomínio do controle de medo, trauma, ansiedade e tensão (17,9%). Em relação aos principais traumas no consultório observou-se que a maioria não tinha traumas (43,7%), seguido de barulho do motorzinho (12,1%). Concluiu-se que o fato de uma grande parcela dos estudantes de odontologia não possuir conhecimento acerca da hipnose, pode refletir na necessidade de inserção do conteúdo de Práticas Integrativas e Complementares nos cursos de graduação nessas instituições, além de que existem poucos estudos na literatura com essa temática ressaltando a importância do presente estudo... (AU)

Hypnosis is conceptualized as a modified state of consciousness, closer to waking than to sleep. It is configured as a great auxiliary therapeutic method with several benefits in dentistry, since it is possible to treat the patient in the office using this technique along with treatment in various dental specialties, in addition to allowing the dispensation of the use of medications sometimes. Thus, the objective of this work was to evaluate the knowledge of dentistry students about therapeutic hypnosis in dental treatments. It was an exploratory descriptive study with a quantitative approach carried out with students duly enrolled in the 1st, 5th and 10th periods of Dentistry courses at Centro Universitário de João Pessoa - UNIPÊ, in the Dentistry Course at Universidade Federal da Paraíba - UFPB, and in the Dentistry Course at Faculdade Integrada de Patos - FIP. The research sample was the same as the universe, consisting of 257 students. Data collection was carried out at the Federal University of Paraíba, UNIPÊ and at FIP, using a questionnaire containing objective questions related to knowledge about hypnosis and its application. Thus, it was found that the students were mostly female (70%) aged between 18 and 21 years old (45.1%), had no graduation (76%), had no knowledge about hypnosis techniques (59%) and did not even know the resolution of Integrative and Complementary Practices (CFO nº82 / 2008). However, most of the interviewees believed in the technique (75%), they wanted to take a course on hypnosis (77%) and believed that the dentist had the capacity to perform this technique (67%). When asked about the applications of hypnosis in the dental clinic, there was a predominance of fear, trauma, anxiety and tension control (17.9%). Regarding the main traumas in the office, it was observed that the majority had no traumas (43.7%), followed by the noise of the small engine (12.1%). It was concluded that the fact that a large portion of dentistry students do not have knowledge about hypnosis, may reflect the need to insert the content of Integrative and Complementary Practices in undergraduate courses in these institutions, in addition to the fact that few studies were literature with this theme emphasizing the importance of the present study... (AU)

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.

Formação e trabalho dos cirurgiões-dentistas na União Europeia / Training and work of dental surgeons in the European Union

O objetivo doestudo é apresentar a situação atual da de Odontologia na União Europeia, no que tange à formação, ao trânsito de cirurgiões-dentistas,àregulação profissional e às especialidadesodontológicas. Para tanto, pautou-se em uma análise documental e revisão bibliográfica da literatura. Foram incluídos apenas artigos científicos publicados na íntegra, em português ou inglês, no período de 2009 a 2018, que estivessem relacionados ao tema da pesquisa. A busca dos artigos foi realizada nas bases de dados SciELO, LILACSe PubMed, por meio da combinação dos descritores: "Trabalho/Work", "Odontologia/Odontology", "Educação Superior/Education, Higher", "União Europeia/European Union". O estudo demonstrou que a União Europeiadetém em uma só legislação normas que regulam o trânsito dos cirurgiões-dentistas, embora o domínio da língua pareça ser um entrave à circulação. Ademais, a harmonização da formação da Odontologiafoi pactuada no bloco. Nesse sentido, a União Europeiamanda recados para o MERCOSUL, do qual o Brasilfaz parte.Interessante e necessária é a absorção pelo MERCOSUL das experiências exitosas e desfechos já encontrados pela União Europeia, nesse desafio de planificar a educação superior e o trânsito decirurgiões-dentistas, considerando as peculiaridades que o compõem (AU).

The aim of the study is to present the current situation of Dentistry in the European Union, with regard to the training, international mobility of dentists, professional regulation and dental specialties. In order to do so, a documental analysis and review of the literature was carried out. Only scientific articles published in full, in Portuguese or English, from 2009 to 2018, that were related to the research topic were included. The search for the articles was carried out in the SciELO, LILACS and PubMed databases, through the combination of the descriptors: "Work", "Dentistry", "Higher Education", "European Union". The study showed that the European Union has in one legislation rules that regulate the mobility of dentists, although the issue of the language seems to be an obstacle to such circulation. Furthermore, the harmonization of the formation of Dentistry was agreed among members of the bloc. In this sense, the European Union sends messages to MERCOSUL, group in which Brazil is a member. The absorption by MERCOSUL of the successful experiences and outcomes already found by the European Union is somehow interesting and necessary, in a matter of higher education and the mobility of dentists, considering the peculiarities that compose it (AU).

Social, Educational and Dental Profiles of Brazilian Patients with Special Needs Attended at a Center for Dental Specialties

Objective: To identify the profiles of patients with special needs attended at a Center for Dental Specialties. Material and Methods: This was a cross-sectional and quantitative study using an inductive approach, and a comparative and statistical procedure for analysis of the patients with special needs. Information concerning socioeconomic, medical and dental conditions was collected. The data were analyzed using IBM SPSS, adopting a significance level of 5%. Results: It was observed that 58.6% of the users were males, single (54.7%), in the age group from 19 to 59 years (41.1%), being 97.4% without schooling. The most frequent clinical diagnoses were: deviations in intelligence (18.4%), behavioral deviations (18.4%) and physical defects (17.9%). We observed for oral health the presence of gingivitis (33.0%), and healthy gums (47.8%); the presence of caries (64.9%), with restored teeth (28.5%), and edentulism (12.3%). Dental intervention procedures were initiated with emphasis on: fluoride applications (39.7%) and subgingival scraping (34.9%). Topical fluoride applications (p=0.010) and prophylaxis (p=0.010) were realized in patients without autism. Also, prophylaxis (p=0.007) was more frequently performed and gingival alterations were more often verified (p=0.020) in patients without Down's syndrome. Conclusion: The users of the patients with special needs dental service can be generally described as male, single, aged between 19 and 54 years, with the special conditions of intelligence and behavioral deviation.

Percepções de especialistas em Cirurgia e Traumatologia Buco-Maxilo-Faciais sobre as motivações da escolha e a atuação profissional / Perceptions of specialists in oral and maxillofacial surgery and traumatology on the motivations of choice and professional practice

O artigo analisa as motivações e veredas do processo de escolha pela Cirurgia e Traumatologia BucoMaxilo-Faciais e da atuação profissional de especialistas na área, atuantes em um município catarinense. Estudo qualitativo, exploratório-descritivo, cujos dados foram coletados por entrevistas semiestruturadas com 05 cirurgiões-dentistas, analisados por meio da análise temática ajustada. Quando indagados sobre a motivação que os conduziu à escolha pela especialidade, os participantes revelaram: o caráter versátil da área, de natureza integrativa e não apenas reparadora; a cultura experimentada e produzida desde a tenra idade, identificação e preferência. As veredas percorridas no processo de escolha e na atuação profissional foram influenciadas pelo bom relacionamento com professores, concomitante a um bom embasamento teórico em cirurgia; participação em monitoria; atividade extracurricular (estágio); e, satisfação pessoal. No mix público-privado, depoimentos sinalizaram a ampliação da área, a tendência à saturação do mercado privado, o trânsito entre mercados, a formação de qualidade e o mérito de aproveitar o que é ofertado, além de apontamentos sobre a dificuldade em ingressar no setor público, ainda que a demanda seja realidade. O Centro de Especialidades Odontológicas do Sistema Único de Saúde foi apresentado como lócus de oferta promissora de trabalho e como estratégia para início de carreira. Novos estudos qualitativos de abordagem bioética são necessários e oportunos (AU).

The article analyzes the motivations and paths of the process that leads to the choice of Oral Maxillofacial Surgery and Traumatology and the professional performance of specialists in this field and develop this activity in a city in the state of Santa Catarina, Brazil. It is a study of qualitative approach and exploratory and descriptive nature, whose data were collected by semi-structured interviews with 05 surgeon dentists who were examined through the adjusted thematic analysis. When inquired about the motivation that led them to choose such specialty, the participants revealed: the versatile character of the field what provides it with an integrative nature and not only the reconstructive one; the culture experienced and produced since early age; identification; and preference. The paths traced upon the process of choice and professional performance have been influenced by the good relationship with the teachers, concomitant with a good theoretical background in surgery, monitoring participation; extracurricular activity (internship); and evidence of personal satisfaction. Within the public and private mix, testimonies have signaled the expansion of the field, the trend to the private market saturation, the transit between markets, quality education and the merit of taking advantage of what is offered, besides notes about the difficulty of entering the public sector yet the demand is a reality. The Unified Health System (SUS) Odontology Specialties Center has been introduced as locus of a promising offer of work and as a strategy to start the career. New qualitative studies of bioethical approach are needed and opportune (AU).

Perfil dos usuários e dos atendimentos na especialidade de Endodontia do CEO-UFRGS entre 2016 e 2017 / Profile of users and attendances of Endodontics at CEO-UFRGS between 2016 and 2017

Os Centros de Especialidades Odontológicas (CEO) são uma estratégia da Política Nacional de Saúde Bucal para garantir a atenção secundária em Odontologia, constituindo-se em unidades de referência para a atenção primária. Este estudo transversal analisou as características dos usuários e dos atendimentos na Especialidade de Endodontia do CEO da Universidade Federal do Rio Grande do Sul. Foi formulado um questionário baseado no Manual de Especialidades em Saúde Bucal, acrescido de perguntas que caracterizavam o perfil do usuário e aplicado aos estagiários atuantes no CEO a cada tratamento endodôntico concluído. A amostra totalizou 48 pacientes, obtida por conveniência, em amostragem consecutiva do tipo censo onde foram concluídos 56 tratamentos endodônticos, durante o período de agosto de 2016 a julho de 2017. O perfil dos usuários encaminhados foi, predominantemente, do sexo feminino (62,50%), na faixa etária de 31 a 50 anos (41,67%) e da raça branca (64,58%); os dentes que mais necessitaram tratamento foram os molares (67,86%); e na maioria dos casos encontravam-se em condições compatíveis com as preconizadas pelo Manual de Especialidades em Saúde Bucal; os tratamentos foram concluídos em 2 ou 3 consultas (66,67%); o tempo de espera dos usuários para atendimento foi inferior a 6 meses (83,33%). Os pacientes foram encaminhados por meio da ficha de referência (93,75%). O estudo evidenciou dados que podem contribuir para o desenvolvimento de estratégias que ampliem a produtividade por meio de investimentos em novas tecnologias e equipamentos que possam reduzir o número de consultas necessárias para a finalização dos tratamentos endodônticos, proporcionando atendimento para um número maior pacientes e reduzindo o tempo de espera (AU).

The Dental Specialties Centers (CEO) are a strategy of the National Oral Health Policy to assure the secondary care in Dentistry, constituting referral units for the primary attention. This cross-sectional study analyzed the characteristics of users and attendances in the specialty of Endodontics of the CEO at Universidade Federal do Rio Grande do Sul. A questionnaire was designed, based on the Oral Health Specialties Handout, besides questions that characterized the profile of users, and was applied to the trainees at the CEO at every completed endodontic treatment. The sample included 48 patients, obtained by convenience, inconsecutive census sampling, with conclusion of 56 endodontic treatments during the period August 2016 to July 2017. The profile of users was predominantly females (62.50%), in the age range 31 to 50 years (41.67%) of White ethnicity 64.58%); the teeth with greatest treatment needs were the molars (67.86%); and most cases were in conditions compatible with those advocated by the handout. The treatments were completed in 2 or 3 sessions (66.67%), and the waiting time of users for attendance was shorter than 6 months (83.33%). The patients were indicated using a referral form (93.75%). The study revealed data that may contribute to the development of strategies to broaden the productivity by investments in new Technologies and equipment, aiming to reduce the number of sessions required for finalization of endodontic treatments, providing attendance to a larger number of patients and reducing the waiting time (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)

Protetor Facial: relato de caso / Facial Mask: case report

A Odontologia do Esporte é uma nova especialidade odontológica, que tem, dentre os seus objetivos, prevenir, tratar e reabilitar atletas. Uma das atuações do cirurgião-dentista que atua nessa área é a confecção de protetores faciais e bucais individualizados. Atualmente, existe um maior número de investigação científica sobre protetores bucais que os faciais; consequentemente, os bucais são normatizados, e os faciais, ainda não. Eles são utilizados somente depois de o atleta ter sofrido traumas, porque evitam que o osso sofra refratura ou deslocamento, permitindo ao atleta não se manter temporariamente afastado da prática dos esportes... (AU)

Sports Dentistry is a new dental specialty whose goal is to prevent, treat and rehabilitate athletes. One of the activities of the dentist that acts with the Sports Dentistry is the confection of individualized facial masks and mouthguards. There is a greater number of scientific research on mouthguards than on facial masks, as a result of which mouthguards are normalized and facial masks not yet. They are used only after the athlete has suffered traumas, so with their use it prevents the bone from suffering refraction or displacement and allows the athlete not to stay temporarily away from the practice of sports... (AU)

PMAQ - CEO External Evaluation: Revealing Indicators for Planning Services

Objective: To analyze the indicators of planning and management actions for the work process organization in Centers of Dental Specialties (CEO) presented in the external evaluation tool to the Improving Access and Quality of CEO - AIQP-CEO Program and to provide a follow-up and monitoring tool of goals. Material and Methods: Crosssectional study with the use of secondary data from the external evaluation of 930 CEOs in Brazil. A descriptive analyses of indicators identified in the "Planning and managing actions for work process organization in CEO" sub-dimension was performed. It provides two monitoring tools: monthly production for each specialty, and monthly minimal and mandatory performance of CEO goals. Results: It was shown that 85.4% of CEO teams have made the monitoring of the goals established to each offered specialty, and 73.1% have performed self-assessment in the last six months, in which most of the teams (647 - 69.6%) have used the Self-Assessment to the Improving Access and Quality Program - SAIQP. It was demonstrated that of the 680 teams that performed selfassessment, 612 (65.8%) consider the results in the teamwork organization. Conclusion: The PMAQ CEO external evaluation brought important information to the qualification process of health services. Concerning the planning, the majority of teams performed the follow-up of goals and self-assessment, and they used the self-assessment results in the teamwork organization. According to results, some tools should be used to support CEO teams in the follow-up of the monthly production by specialty and in the monitoring of goals.

Clinical Analysis of Management Aspects of Centers for Dental Specialties

Objective: To evaluate the different management aspects of Centers for Dental Specialties (CEO) in Brazil. Material and Methods: Quantitative study with analysis of secondary data. The results of external evaluation of the first PMAQ-CEO cycle were considered, especially those related to planning and self-assessment, demand organization, work process, human resources as well as the availability of supplies/materials/dental equipment. The selected data were analyzed based on the calculation of proportions using the Microsoft Office Excel and Statistical Package for the Social Sciences (SPSS) programs. Results: The planning of actions in CEOs is conducted in nearly 80% of units, with the participation of dental surgeons, receiving support, mainly, from the local dental health or state public manager. The access to CEO is given, mostly, in a referenced or mixed (referenced and spontaneous) form. Only 49% of CEOs offer permanent education actions for workers. The work management process has been guided by quality standards of PMAQ-CEO for 77% of managers. Conclusion: The study allowed perceiving the presence of an often shared management, on the CEO organization, on self-evaluation process, planning, demand organization and work process, as well as human resources and infrastructure, showing conformity with the Oral Health National Policy guidelines. However, the results show that some problems with regard to the evaluation as work routine and management of access to CEOs still persist, pointing to the need for further studies and effort of managers to overcome them.

Appointment Failure among Dental Patients Attending a Government Dental Centre in Enugu, Nigeria

Objective: To evaluate the prevalence and socio demographic factors associated with failed dental appointments among dental patients in a government dental clinic. Material and Methods: This was a cross-sectional study of 419 participants who were non-first clinic attendees at a government dental clinic in Enugu, Nigeria. Data was collected on socio-demographic profile, mode of transportation and reasons for failed appointment, using a pretested structured questionnaire. Bi-variate analysis was conducted to test the association between study participants' age, sex, occupation, mode of transportation and failed dental appointment using Chi-square test and p<0.05 was considered significant. Results: The age of the study participants ranged from 5 years to 90 years. More females (57.8%) than males (42.2%) participated in the study. The prevalence of failed appointment was 27.7%. The major reasons for failed appointments were "being busy with other activities" (12.4%) and "far distance" (6.9%). Only 0.7% of the study participants received telephone calls as reminder. There was no statistically significant association between age (p=0.40), sex (p=0.12), level of education (p=0.40), occupation (p=0.52), mode of transportation (p=0.71) and failed dental appointment. Conclusion: The prevalence of failed dental appointment was high in this population. Being busy and far distance were the commonest reasons for failed appointments. Very few study participants were reminded of their appointment.

Satisfaction, Resolution and Social Participation of users of Centers for Dental Specialties in Brazil: A PMAQ-CEO Analysis

Objective: To describe satisfaction, resolution and social participation of users regarding the service offered in Brazilian Centers for Dental Specialties (CEOs). Material and Methods: An analysis was made of the first phase of PMAQ-CEO, developed during 2014, in which 8,897 users were interviewed. Module III of the instrument external evaluation was used, considering the socio-demographic characterization of the assisted population, and an analysis of satisfaction, resolution and social control of Brazilian CEOs. The bivariate and multivariate Poisson regression analysis with robust variance was used (α<0.05). Results: The profile of interviewed users is female, from the Northeastern region, brown color, living in the urban zone, incomplete elementary school, income of up to two minimum wages and resident of area covered by the family health strategy. The overall CEO rating is "good" (46.1%) or "very good" (49.2%). The score (0 to 10) given to reception staff and dentists was, respectively, 9.31±1.32 and 9.52±1.02. Among subjects who completed treatment (33.3%), the resolution was 95.3%. Although 89.1% stated they never needed to file a complaint, 68.4% did not know the Unified Health System ombudsman. The positive evaluation of CEO was associated with the good evaluation of professionals involved (p<0.05) and the absence of treatment interruption due to lack of material (p=0.037). Conclusion: The satisfaction of users with the services of Centers for Dental Specialties is high and treatments offered are resolutive. Social control tools need to be better known by users.

A Web-Based Tool for Monitoring and Evaluating Health Care Services: An Analysis of Centers for Dental Specialties Webpage

Objective: To evaluate the quality of Centers for Dental Specialties (CEO) using an electronic tool - the CEO webpage. Material and Methods: Evaluative research was carried out through the use of a web-based tool, which has two modules with forms for the evaluation of quality of CEO components to Managers and Professionals. The tool generates classification scores and recommendation letters according to the score obtained. Satisfactory classification was used for scores equal to or above 7.0 and unsatisfactory for scores lower than 7.0. Representatives of manager and professionals of CEOs who attended the invitation of the research were qualified to use the CEO webpage. Portal data were analyzed in a descriptive way and the average scores were tested according to service and context variables. Results: Thirty-eight health facilities were evaluated. The average score for CEOs was rated as satisfactory for both the Manager and Professional modules. However, when quality components were evaluated, there was higher concentration of unsatisfactory scores to those related to the work process, particularly to the quality components of Personnel Management; Social control and Financing; and, Organizational Criteria. Conclusion: The CEO webpage, for instantly generating evaluation and recommendations for change, is easy to handle and lacks minimal technological resources (computer with access to the internet network), has become a tool for information management that allows immediate decision making. In addition, they can make a major contribution to planning / management support in identifying critical aspects of the service that impair quality, with strong potential to serve as supplementary institutional support to PMAQ / CEO. Initiatives such as the CEO webpage should be encouraged and disseminated for use within Unified Health System.

Theoretical and Methodological Aspects of the External Evaluation of the Improvement, Access and Quality of Centers for Dental Specialties Program

Objective: To introduce the main theoretical and methodological aspects of the external evaluation of the 1st cycle National Program for Quality Evaluation (AEPMAQ/ CEO). Material and Methods: This is an evaluative and quantitative research carried out in all Centers for Dental Specialties - CEO of Brazil, and macro-geographical regions were taken into account for analysis. The general AE-PMAQ/CEO coordination was from the Collaborative Centre for Oral Health Surveillance of the Ministry of Health - Federal University of Pernambuco and Department for Primary Health Care of the Ministry of Health. A collaborative network was established to offer a scientific and technical support for the Project among different higher education institutions around the country, state oral health coordination and quality researchers of AE-PMAQ/CEO. Data collection was carried out through interviews with managers, dentists and users. In addition, researchers used an observation template to check for infrastructure and a questionnaire to register previously discussed quality standards. Conclusion: The external evaluation of the 1st cycle National Program for Quality Evaluation offered data to demonstrate and give recognition to CEO services and municipalities' managers to assure quality for specialized dental care.

The Regulation of Services in Secondary Oral Health Care in Brazil

Objective: To analyze the regulation of access to Centers for Dental Specialties (CEO) in the 1st cycle of Program for Improving Access and Quality of Centers for Dental Specialties (PMAQ-CEO), specifically the waiting time for the first consultation in association with socioeconomic and demographic factors of users and the characteristics of services. Material and Methods: The quantitative database of the 1st cycle PMAQCEO external evaluation was used, with question directed to the CEO user (Module III - 3.1 and 3.2), which sought to identify user characteristics and access to CEO. To obtain data, a field phase was carried out between months of February to June 2014 in 930 CEOs in all Brazilian states. Results: Users who obtained the first appointment within thirty days of waiting were those who had family incomes above 10 minimum wages; which showed higher schooling; appointment scheduling by telephone made directly to the CEO; and that the consultation was accomplished by "squeeze in" option. Conclusion: It was observed that aspects related to schooling, family income and primary health care coverage influence the waiting time to obtain the first consultation in CEO. There were several ways of referencing of users, and those who performed better were those who shared accountability for the appointments between service and user.