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1.
Rev. cuba. estomatol ; 58(2): e3175, 2021. graf
Artigo em Espanhol | LILACS, CUMED | ID: biblio-1289396

RESUMO

Introducción: La identificación de políticas públicas y estrategias en salud bucal, así como lo relacionado con sus propósitos, acciones y limitaciones, es un paso importante en la acción intersectorial en salud para alcanzar equidad. Objetivo: Describir las características principales de los documentos relacionados con planes, políticas y estrategias en salud bucal en Latinoamérica y el Caribe. Métodos: Estudio exploratorio mediante el análisis documental de fuentes secundarias de información disponibles en las páginas web de los ministerios de salud de 23 países, y rastreo sistemático en el buscador Google, sin restricción espacio-temporal. Se realizó análisis de contenido cuantitativo y cualitativo. Resultados: Se analizaron 85 documentos. Los países con mayor número de documentos relacionados con el tema propuesto fueron Colombia (n = 14), México (n = 8) y Panamá (n = 7). Una buena parte centran su atención en poblaciones específicas; por ejemplo: gestantes, comunidades vulnerables, escolares, maestros, entre otras. Tienen como propósito la disminución de factores de riesgo para las principales enfermedades bucales, desde enfoques relacionados con los determinantes sociales. El enfoque de género es más tímido y centra su atención en necesidades especiales de las mujeres en embarazo, parto y posparto. Los objetivos de la mayoría de los documentos analizados consistían en una atención integral sobre el estado de salud bucodental, mediante acciones de educación, promoción y actividades clínicas a la población, según sus necesidades. Conclusiones: Se encontró una representación importante de países que tienen documentos relacionados con programas y planes nacionales o locales y con indicadores que reflejan su cumplimiento. También existen guías prácticas de actuación. Aunque en el diseño y construcción de los documentos intervienen profesionales, sobre todo de la estomatología, falta la participación de otras áreas del conocimiento que ayudarían a lograr una visión más amplia hacia la determinación social de la salud(AU)


Introduction: The identification of public policies and strategies in oral health, as well as its purposes, actions and limitations is an important step in intersectoral action in health to achieve equity. Objective: To describe the main characteristics of the documents related to oral health plans, policies and strategies in Latin America en the Caribbean. Methods: An exploratory study was conducted by means of documentary analysis of secondary sources of information available on the websites of the ministries of health of 23 countries, and systematic search in the Google, without spatio-temporal restriction. Quantitative and qualitative content analysis was performed. Results: 85 documents were analyzed. The countries with the highest number of documents related to the research topic were Colombia (n = 14), Mexico (n = 8) and Panama (n = 7). A good part is focused on specific populations, such as pregnant women, socially vulnerable communities, school children, teachers, among others. Their purpose is to reduce risk factors for the main oral diseases, making important advances in approaches related to social determinants. However, the gender approach is more timid by focusing attention on the oral health special needs of women in pregnancy, childbirth and postpartum. The main objectives of most of the documents analyzed consisted of an integral attention on the state of oral health, applying education, promotion and clinical activities to the population, according to their needs. Conclusions: An important representation of countries with documents related to national or local programs and plans were found and they have indicators that reflect their compliance. Also practical action guides were described. Although many professionals, especially in dentistry, intervene in the design and construction of documents, the participation of other areas of knowledge is lacking, what will help to achieve a broader vision towards the social determination of health(AU)


Assuntos
Humanos , Política Pública , Planos e Programas de Saúde , Saúde Bucal/tendências , Estratégias de Saúde , Odontologia em Saúde Pública/métodos , Ferramenta de Busca/métodos , América Latina
2.
Acta Odontol Scand ; 77(5): 394-399, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30806118

RESUMO

OBJECTIVE: Many patients with temporomandibular disorders (TMD) seem to go undetected within primary dental health care. Primarily we evaluated if the implemented intervention increased the clinical decision-making for TMD patients; secondarily we evaluated if other factors could be identified that predicted performed or recommended TMD treatment. MATERIAL AND METHODS: This case-control study was carried out within the Public Dental Health service in Västerbotten County, Sweden. An intervention based on a decision-tree with three screening questions for TMD (3Q/TMD) was implemented during 2015 in four clinics and compared with the remaining county. A total of 400 individuals were selected-200 3Q-positives and 200 3Q-negatives. The 3Q/TMD consists of Q1-frequent jaw pain, Q2-frequent pain on function, and Q3-frequent catching and/or locking of jaw. The 3Q/TMD answers were analyzed in relation to TMD treatment and any TMD related decision that was collected from the digital dental records. RESULTS: The intervention did not increase the frequencies of traceable clinical decisions among patients with TMD. CONCLUSIONS: Despite the implemented intervention aimed, the indicated undertreatment of patients with TMD remains. Future studies are still needed to gain a deeper understanding of the clinical decision-making process for TMD patients in general practice dentistry.


Assuntos
Tomada de Decisão Clínica , Odontologia Geral/métodos , Odontologia em Saúde Pública/métodos , Transtornos da Articulação Temporomandibular/diagnóstico , Adulto , Estudos de Casos e Controles , Dor Facial/diagnóstico , Feminino , Humanos , Masculino , Programas de Rastreamento/métodos , Medição da Dor/métodos , Encaminhamento e Consulta/estatística & dados numéricos , Suécia , Transtornos da Articulação Temporomandibular/complicações , Transtornos da Articulação Temporomandibular/terapia
3.
Dent Clin North Am ; 62(2): 155-175, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-29478451

RESUMO

Dental public health is a unique specialty of dentistry that focuses on prevention of oral diseases among populations rather than individual patients. It encompasses several complementary disciplines and greatly varies in its functions and activities. Several federal, state, local, and nonpublic entities operationalize the mission of dental public health to improve population oral health through a diverse and vibrant workforce.


Assuntos
Odontologia em Saúde Pública , Recursos Humanos , Assistência Odontológica/organização & administração , Acessibilidade aos Serviços de Saúde , Humanos , Formulação de Políticas , Odontologia em Saúde Pública/métodos , Odontologia em Saúde Pública/organização & administração , Doenças Estomatognáticas/prevenção & controle , Estados Unidos , United States Dept. of Health and Human Services/organização & administração
4.
Rev. salud pública ; 19(2): 145-152, mar.-abr. 2017. tab
Artigo em Espanhol | LILACS | ID: biblio-903084

RESUMO

RESUMEN Objetivo Identificar los factores determinantes de la calidad de vida relacionada con la salud oral (OHIP-14) en una población de mujeres embarazadas. Métodos En el estudio participaron 90 pacientes embarazadas, 45 inmigrantes y 45 españolas. Las participantes completaron el cuestionario de OHIP-14 (versión española) y se les exploró el índice CAOD (presencia de caries, ausencia de dientes por caries y dientes obturados) en el segundo trimestre de embarazo. Se realizó un estudio analítico bivariante y multivariante. Resultados La edad media de las participantes inmigrantes fue 30,2 años y de las españolas de 34,4. La puntuación media de OHIP-14 fue de 5,83±6,57, siendo en el grupo de inmigrantes de 8,15 y en las nacionales de 3,51, manifestando una diferencia estadísticamente significativa (p=0.001). Las puntuaciones más altas del OHIP-14 se presentaron en los dominios de dolor (110), seguido del malestar psicológico (81). Tomando como punto de corte el valor de la mediana en la puntuación del OHIP-14 (≥3), el Odds ratio de sentir una salud oral que interfiere en la calidad de vida fue de 3,294 y este riesgo se potenció con el padecimiento de caries (4,323) pero no con la edad. Conclusiones Dado que la experiencia de caries, pudiera ser uno de los determinantes en la valoración de percibir una peor calidad de vida oral durante el embarazo, se necesitarían más estudios que lo corroborasen, y así ampliar las expectativas preventivas en el desarrollo de la salud oral por parte de la política sanitaria.(AU)


ABSTRACT Objective To identify the factors that determine quality of life related to oral health (OHIP-14) in a population of pregnant women. Methods This study included ninety pregnant women, 45 immigrants and 45 from Spain. Participants completed the Oral Health Impact Profile questionnaire (OHIP-14) -Spanish version- and the DMFT index (decayed, missing, and filled teeth) was explored during the second trimester of pregnancy. A bivariate and multivariate analytical study was performed. Results The average age of immigrant participants was 30.2, and of Spanish women 34.4. The mean OHIP-14 score was 5.83±6.57 (8.15 in the immigrant group and 3.51 in the Spanish group), showing a statistically significant difference (p=0.001). The highest OHIP-14 scores were related to pain (110), followed by psychological distress (81). Considering the median value in the OHIP-14 score as a cut-off (≥3), the odds ratio for oral health that interferes with quality of life was 3.294, and this risk was increased by caries (4.323) but not by age. Conclusions Since the DMFT could be one of the determining factors for worst quality of life in pregnant patients, more studies to corroborate this information are necessary in order to expand preventive expectations in the practice of oral health in relation to policies.(AU)


Assuntos
Humanos , Feminino , Gravidez , Cuidado Pré-Natal/métodos , Qualidade de Vida , Saúde Bucal , Odontologia em Saúde Pública/métodos , Análise Multivariada , Inquéritos e Questionários
5.
Oral Health Prev Dent ; 14(6): 501-508, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27351729

RESUMO

PURPOSE: Little is known about use or acceptance of minimally invasive dentistry (MID) in the USA, particularly in public health settings. The purpose of this study was to assess opinions concerning MID among dentists in public-health practices. MATERIALS AND METHODS: A cross-sectional study was conducted to assess the views of dentists in public-health practices concerning MID using an online survey instrument among National Network for Oral Health Access (NNOHA) and American Association of Community Dental Programs (AACDP) members. Specific questions focused on diagnostic and preventive techniques, and whether MID was considered to meet the standard of care in the US Results: Overall, 86% believed that MID met the standard of care for primary teeth, and 77% did so for permanent teeth. The majority of respondents also agreed that fluoride varnish prevents caries and atraumatic restorative techniques (ART) are an effective caries treatment for children and adults. According to logistic regression results, dentists who had continuing education courses in MID and agreed that ART was an effective treatment for adults were more likely to report that MID met the standard of care for permanent teeth. Subjects who believed that fluoride varnish was effective as caries prevention for children were more likely to view MID as meeting the standard of care for primary teeth. CONCLUSIONS: There appears to be a paradigm shift toward a MID philosophy, and most responding public health dentists believed that MID meets the standard of care for primary and permanent teeth in the US.


Assuntos
Atitude do Pessoal de Saúde , Odontologia em Saúde Pública/métodos , Odontologia em Saúde Pública/normas , Estudos Transversais , Dentição Permanente , Humanos , Prática de Saúde Pública , Autorrelato , Dente Decíduo , Estados Unidos
6.
Caries Res ; 50 Suppl 1: 68-77, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27100682

RESUMO

UNLABELLED: This paper describes an innovative public health intervention, called 'Smile Grenada', targeting the oral health of children in Grenada utilizing the resources of a US dental school, several oral health care companies, local governmental and public health authorities, and Grenadian school personnel. METHODS: Preintervention visual/tactile caries examinations were collected from 1,092 schoolchildren (mean age 9.9 years, standard deviation, SD = 3.7) in 2010. The intervention included: (1) classroom-based toothbrushing with fluoridated toothpaste, (2) fluoride varnish applied by trained dental students, teachers and local providers 3 times a year and (3) glass ionomer sealants placed on first permanent molars in children aged 6-8 years. Postintervention data were collected in May, 2013 (n = 2,301, mean age 9.8 years, SD = 3.7). Decayed and demineralized surfaces were examined for the whole sample and decay/demineralization and sealant retention on 6-year molars were examined separately (ages 6-8 in 2013 cohort). RESULTS: The number of decayed/demineralized surfaces declined across all age groups. The average number of decayed surfaces dropped from 9 at baseline to just over 6 (F1, 3,393 = 69.8, p < 0.0001) and the average number of demineralized surfaces dropped from 6 to less than 2 (1.8 surfaces; F1, 3,393 = 819.0, p < 0.0001). For children aged 6-8 years, there were statistically significantly fewer decayed surfaces (t1, 2,086 = 12.40, p < 0.0001; mean baseline 0.93, SD = 1.75; mean follow-up 0.23, SD = 0.83) and demineralized surfaces (t1, 2,086 = 19.7, p < 0.0001; mean baseline 2.11, SD = 2.74; mean follow-up 0.50, SD = 0.97) on 6-year molars. The Smile Grenada program successfully demonstrated a locally sustainable model for improving oral health in children in a developing country.


Assuntos
Cárie Dentária/epidemiologia , Cárie Dentária/prevenção & controle , Saúde Bucal , Odontologia em Saúde Pública/métodos , Serviços de Odontologia Escolar/métodos , Adolescente , Criança , Diagnóstico Bucal , Feminino , Fluoretação , Fluoretos Tópicos/administração & dosagem , Granada/epidemiologia , Humanos , Incidência , Masculino , Selantes de Fossas e Fissuras , Escovação Dentária , Cremes Dentais/administração & dosagem
7.
Int Dent J ; 63(1): 39-42, 2013 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-23410020

RESUMO

This study developed a Monte Carlo simulation approach to examining the prevalence and incidence of dental decay using Australian children as a test environment. Monte Carlo simulation has been used for a half a century in particle physics (and elsewhere); put simply, it is the probability for various population-level outcomes seeded randomly to drive the production of individual level data. A total of five runs of the simulation model for all 275,000 12-year-olds in Australia were completed based on 2005-2006 data. Measured on average decayed/missing/filled teeth (DMFT) and DMFT of highest 10% of sample (Sic10) the runs did not differ from each other by more than 2% and the outcome was within 5% of the reported sampled population data. The simulations rested on the population probabilities that are known to be strongly linked to dental decay, namely, socio-economic status and Indigenous heritage. Testing the simulated population found DMFT of all cases where DMFT<>0 was 2.3 (n = 128,609) and DMFT for Indigenous cases only was 1.9 (n = 13,749). In the simulation population the Sic25 was 3.3 (n = 68,750). Monte Carlo simulations were created in particle physics as a computational mathematical approach to unknown individual-level effects by resting a simulation on known population-level probabilities. In this study a Monte Carlo simulation approach to childhood dental decay was built, tested and validated.


Assuntos
Cárie Dentária/epidemiologia , Modelos Estatísticos , Odontologia em Saúde Pública/métodos , Austrália/epidemiologia , Criança , Índice CPO , Humanos , Incidência , Método de Monte Carlo , Havaiano Nativo ou Outro Ilhéu do Pacífico/estatística & dados numéricos , Prevalência , Fatores de Risco , Estudos de Amostragem , Classe Social
8.
Int J Dent Hyg ; 10(1): 46-53, 2012 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-21699653

RESUMO

OBJECTIVES: The aim of this study was to analyse how dental hygienists and in-service trained dental nurses accepted new health promotion programmes, how did they experience them in practice, and how did these programmes affect their attitudes to work. METHODS: The subjects were all the dental hygienists and in-service trained dental nurses (n = 28) involved in health promotion of small children. Education and written instructions on two new programmes had been given to the professionals in two areas of Vantaa and those in the third area used the routine programme. The transtheoretical model (TTM) was selected as the theoretical framework for counselling. A structured questionnaire of 31-35 items was sent to all subjects. Independent samples Mann-Whitney U and Fisher's exact tests were used as statistical methods. RESULTS: The response rate was 89%. All respondents felt that the work they had carried out had always been important during their working career. Twenty-one of 25 respondents reported that the instructions and education were suitable for oral health promotion. The respondents within the new programmes felt they had advanced more as health professionals (P = 0.020) and acquired more confidence from the education (P = 0.018) compared with the routine programme. CONCLUSIONS: The new programmes for small children were well accepted by the dental hygienists and the in-service trained dental nurses, and the majority of them gained some new practices for their work.


Assuntos
Assistentes de Odontologia/psicologia , Assistência Odontológica para Crianças/métodos , Cárie Dentária/prevenção & controle , Higienistas Dentários/psicologia , Promoção da Saúde/métodos , Saúde Bucal , Adulto , Atitude do Pessoal de Saúde , Criança , Aconselhamento/métodos , Humanos , Satisfação no Emprego , Pessoa de Meia-Idade , Modelos Teóricos , Educação de Pacientes como Assunto/métodos , Prática Profissional , Avaliação de Programas e Projetos de Saúde , Odontologia em Saúde Pública/métodos
9.
J Dent Educ ; 75(10): 1396-401, 2011 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-22012785

RESUMO

The purpose of this study was to assess the benefits of using e-learning resources in a dental training course on Atraumatic Restorative Treatment (ART). This e-course was given in a DVD format, which presented the ART technique and philosophy. The participants were twenty-four dentists from the Brazilian public health system. Prior to receiving the DVD, the dentists answered a questionnaire regarding their personal data, previous knowledge about ART, and general interest in training courses. The dentists also participated in an assessment process consisting of a test applied before and after the course. A single researcher corrected the tests, and intraexaminer reproducibility was calculated (kappa=0.89). Paired t-tests were carried out to compare the means between the assessments, showing a significant improvement in the performance of the subjects on the test taken after the course (p<0.05). A linear regression model was used with the difference between the means as the outcome. A greater improvement on the test results was observed among female dentists (p=0.034), dentists working for a shorter period of time in the public health system (p=0.042), and dentists who used the ART technique only for urgent and/or temporary treatment (p=0.010). In conclusion, e-learning has the potential of improving the knowledge that dentists working in the public health system have about ART, especially those with less clinical experience and less knowledge about the subject.


Assuntos
Tratamento Dentário Restaurador sem Trauma , Dentística Operatória/educação , Educação Continuada em Odontologia/métodos , Educação a Distância , Odontologia em Saúde Pública/métodos , Adulto , Brasil , Dentística Operatória/métodos , Feminino , Humanos , Modelos Lineares , Masculino , Pessoa de Meia-Idade , Odontologia em Saúde Pública/educação , Inquéritos e Questionários , Interface Usuário-Computador , Gravação de Videodisco , Projetos Ser Humano Visível
10.
Community Dent Health ; 28(3): 191-5, 2011 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-21916352

RESUMO

BACKGROUND: This paper addresses methodological issues in the field of tooth wear and erosion research including the epidemiological indices, and identifies future work that is needed to improve knowledge about tooth wear and erosion. METHODS: The paper is result of the work done at the meetings of the Special Interest Group "Tooth Surface Loss and Erosion" at the 2008, 2009 and 2010 conferences of the European Association for Dental Public Health, and the Workshop "Current Erosion indices- flawed or valid" which took place in Basel in 2007. RESULTS: Although there is consensus about the definition and the diagnostic criteria of various forms of tooth wear, gaps in research strategies have been identified. A basic problem is that fundamental concepts of wear and erosion as an oral health problem, have not yet been sufficiently defined. To a certain extent, tooth wear is a physiological condition, and there is no consensus as to whether it can be regarded as a disease. Furthermore, the multitude of indices and flaws in existing indices, make published data difficult to interpret. CONCLUSION: Topics for the research agenda are: the initiation of a consensus process towards an internationally accepted index, and the initiation of data collection on the prevalence of various forms of wear on a population-based level. There should be an emphasis on promoting communication between basic and clinical sciences, and the area of Public Health Dentistry. Furthermore, the question of whether tooth wear is a public health problem remains open for debate.


Assuntos
Pesquisa em Odontologia/métodos , Odontologia em Saúde Pública/métodos , Desgaste dos Dentes/classificação , Desgaste dos Dentes/epidemiologia , Conferências de Consenso como Assunto , Europa (Continente)/epidemiologia , Grupos Focais , Humanos , Incidência , Prevalência , Reprodutibilidade dos Testes , Sociedades Odontológicas , Terminologia como Assunto , Erosão Dentária/epidemiologia , Pesquisa Translacional Biomédica
11.
J Public Health Dent ; 71 Suppl 1: S37-46, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21656950

RESUMO

OBJECTIVE: This article provides an overview of statistical mediation analysis methods in the evaluation of public health dentistry interventions. METHODS AND RESULTS: First, reasons for conducting mediation analysis are outlined, followed by a discussion of the link between the mediation model and theoretical bases of interventions. Second, the basic statistical procedures in mediation analysis are presented. An example application to data from a hypothetical intervention is provided in Appendix A. Third, interpretation of the results from statistical mediation analysis is described along with additional information pertinent to identifying true mediation relations. CONCLUSIONS: Guidelines for describing mediation analyses in research articles related to public health dentistry intervention studies are outlined.


Assuntos
Terapia Comportamental/métodos , Comportamentos Relacionados com a Saúde , Modelos Estatísticos , Odontologia em Saúde Pública/métodos , Projetos de Pesquisa , Pesquisa Comportamental , Guias como Assunto , Promoção da Saúde , Humanos , Saúde Bucal , Teoria Psicológica
15.
J Public Health Dent ; 71 Suppl 1: S52-63, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21656954

RESUMO

OBJECTIVES: To discuss methods of preservation of treatment fidelity in health behavior change trials conducted in public health contexts. METHODS: The treatment fidelity framework provided by the National Institutes of Health's Behavioral Change Consortium includes five domains of treatment fidelity (Study Design, Training, Delivery, Receipt, and Enactment). A measure of treatment fidelity was previously developed and validated using these categories. RESULTS: Strategies for assessment, monitoring, and enhancing treatment fidelity within each of the five treatment fidelity domains are discussed. The previously created measure of treatment fidelity is updated to include additional items on selecting providers, additional confounders, theory testing, and multicultural considerations. CONCLUSIONS: Implementation of a treatment fidelity plan may require extra staff time and costs. However, the economic and scientific costs of lack of attention to treatment fidelity are far greater than the costs of treatment fidelity implementation. Maintaining high levels of treatment fidelity with flexible adaptation according to setting, provider, and patient is the goal for public health trials.


Assuntos
Terapia Comportamental/métodos , Ensaios Clínicos como Assunto/normas , Fidelidade a Diretrizes , Comportamentos Relacionados com a Saúde , Avaliação de Processos e Resultados em Cuidados de Saúde/métodos , Odontologia em Saúde Pública/métodos , Projetos de Pesquisa , Pesquisa Comportamental , Humanos , Saúde Bucal , Reprodutibilidade dos Testes
19.
Int J Paediatr Dent ; 20(5): 347-52, 2010 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-20642466

RESUMO

AIM: To investigate the prevalence of dental fluorosis in children who had participated in an oral health programme between the ages 2-5 years, including fluoride tablets from the age of 2 years. DESIGN: The study group consisted of 135 10- to 11-year-old children who had participated in the programme, including parent education, tooth-brushing instruction and prescribed fluoride tablets (0.25 mg NaF) (2-3 years: 1 tablet/day; 3-5 years: 2 tablets/day). The prevalence of dental fluorosis in the study group was compared with that in a nonintervention reference group consisting of 129 children of the same ages. The analysis was based on photos of the permanent maxillary front teeth using the Thylstrup & Fejerskov (TF) Index. RESULTS: No statistically significant difference in prevalence of dental fluorosis was seen between the two groups. Forty-three percent of the children in the study group and 38% in the reference group had fluorosis, the majority of a mild nature (TF-score 1). None had a TF score above 2. The pattern was the same after correction for parent reported intake of tablets at 3 and 5 years of age. CONCLUSION: Introduction of fluoride tablets at the age of 2 years did not result in increased prevalence of dental fluorosis.


Assuntos
Cariostáticos/administração & dosagem , Fluoretos/administração & dosagem , Fluorose Dentária/epidemiologia , Cariostáticos/efeitos adversos , Estudos de Casos e Controles , Distribuição de Qui-Quadrado , Criança , Suplementos Nutricionais , Fluoretos/efeitos adversos , Fluorose Dentária/diagnóstico , Fluorose Dentária/etiologia , Programas Governamentais , Humanos , Fotografia Dentária , Prevalência , Odontologia em Saúde Pública/métodos , Suécia/epidemiologia , Comprimidos
20.
Fogorv Sz ; 102(2): 53-62, 2009 Apr.
Artigo em Húngaro | MEDLINE | ID: mdl-19514244

RESUMO

Despite great improvements in the oral health status of the population, public health and dental public health continue to be a major problem in society. A number of epidemiologic studies revealed the importance of the social, behavioral and environmental factors contributing to inequalities in the maintenance and restoration of oral health. Dental public health is the science and art of preventing oral diseases, promoting oral health and improving the quality of life through the organized efforts of the public. The aim of the authors was to provide an overview about the development and the functions of the Hungarian public health and dental public health system, its associations with international dental public health organizations and about the present dental public health status of the Hungarian population. According to WHO pathfinder studies, the Hungarian population has a usual cariologic and periodontal status in Europe, but a number of WHO statistical analyses reveal the sad situation regarding the high frequency of oral malignancies in our country. The social support system is given, the tasks are in front of us, and Hungary intends to follow the oral health strategies of the WHO for 2020 in order to improve the dental public health status of the nation, but it is necessary to declare that not only behavioral but also political decisions are necessary for that goal.


Assuntos
Saúde Bucal , Higiene Bucal , Odontologia em Saúde Pública , Saúde Pública , Adolescente , Adulto , Distribuição por Idade , Idoso , Idoso de 80 Anos ou mais , Consumo de Bebidas Alcoólicas/efeitos adversos , Criança , Pré-Escolar , Europa (Continente)/epidemiologia , Feminino , História do Século XX , História do Século XXI , Humanos , Hungria/epidemiologia , Lactente , Cooperação Internacional , Masculino , Pessoa de Meia-Idade , Neoplasias Bucais/epidemiologia , Neoplasias Bucais/etiologia , Saúde Bucal/normas , Higiene Bucal/história , Higiene Bucal/métodos , Higiene Bucal/tendências , Saúde Pública/história , Saúde Pública/métodos , Saúde Pública/normas , Saúde Pública/estatística & dados numéricos , Odontologia em Saúde Pública/história , Odontologia em Saúde Pública/métodos , Odontologia em Saúde Pública/estatística & dados numéricos , Odontologia em Saúde Pública/tendências , Fumar/efeitos adversos , Sociedades Odontológicas , Organização Mundial da Saúde , Adulto Jovem
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