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1.
Ciênc. Saúde Colet. (Impr.) ; 29(1): e15942022, 2024. tab
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1528339

ABSTRACT

Resumo O objetivo deste artigo é analisar a evolução da distribuição de dentistas e cursos de graduação em odontologia no Brasil entre 1960 e 2022, a partir de dados institucionais e de sua correlação com dados econômicos e demográficos. Foram calculadas as proporções entre número de dentistas e população para as unidades federativas em diferentes períodos, e para determinar a concentração de dentistas, da população e dos cursos de graduação em odontologia,foi utilizado o índice Herfindahl-Hirschman (HHI). Para testar a correlação entre variáveis foi empregado o teste de Pearson, com um nível de significância de 95%. Entre 1960 e 2022, a proporção de dentistas por 10 mil habitantes aumentou de 3,3 para 16,9. Ainda em 2022, as unidades federativas com maior renda média domiciliar per capita estavam fortemente correlacionadas à maior concentração de dentistas (R2 = 0,90; p < 0,00). Entretanto, de 1975 a 2022, a concentração de dentistas medida pelo HHI caiu de 45,1 para 33,4. A diminuição da concentração geográfica dos cursos de odontologia foi ainda mais pronunciada, tendo o HHI passado de 39,3 em 1991 para 25,6 em 2022.


Abstract The scope of this article is to analyze the evolution of the distribution of dentists and undergraduate courses in Dentistry in Brazil between 1960 and 2022, based on institutional data and its correlation with economic and demographic data. The proportions between number of dentists and population were calculated for the federative units in different periods, and the Herfindahl-Hirschman Index (HHI) was used. to determine the concentration of dentists, population and undergraduate courses in Dentistry. The Pearson test was used, with a significance level of 95%, to test the correlation between variables. In the period from 1960 to 2022, the ratio of dentists per 10,000 inhabitants increased from 3.3 to 16.9. Moreover in 2022, the federative units with the highest average household income per capita were closely correlated with the highest concentration of dentists (R2= 0.90; p < 0.00). However, from 1975 to 2022, the concentration of dentists measured by the HHI dropped from 45.1 to 33.4. The decrease in the geographic concentration of Dentistry courses was even more pronounced, with the HHI rising from 39.3 in 1991, to 25.6 in 2022.

2.
Article in English | LILACS, BBO | ID: biblio-1535005

ABSTRACT

ABSTRACT Objective: To assess dentists' knowledge from Minas Gerais, Brazil, about dentoalveolar trauma (DT) and their experiences during the COVID-19 pandemic. Material and Methods: An online questionnaire with 34 questions was applied to collect personal data, professional training, self-assessment of experience/knowledge about DT, experience in care provided during the social distancing, and knowledge/conduct. The specific responses were evaluated based on the guidelines of the International Association of Dental Traumatology (IADT). Descriptive analysis and Pearson's chi-square test were performed. The level of significance was set at p≤0.05. Results: Most professionals (97.7%) had received information on DT, and only 4.6% of the participants considered their knowledge poor or very poor. However, 92.7% felt the need for more information on the subject. Regarding experiences during the pandemic, 55.7% provided trauma care during that period. Forty percent of the consultations were performed in person, and 33.3% of the professionals noted an increase in cases during the pandemic; 56.6% reported that the frequency did not change. The overall mean number of correct answers about DT was 5.29±2.11, indicating an acceptable level of knowledge. The mean percentage of hits for the specific questions was 44.1%. Conclusion: Although the level of knowledge of the dentists evaluated was acceptable, some aspects were deficient, with the need for more information about the IADT guidelines.


Subject(s)
Humans , Male , Female , Health Knowledge, Attitudes, Practice , Tooth Injuries/diagnosis , Containment of Biohazards , COVID-19/transmission , Brazil/epidemiology , Chi-Square Distribution , Surveys and Questionnaires
3.
Rev. Fac. Odontol. Porto Alegre ; 64(1): e128961, dez 2023.
Article in English | LILACS-Express | LILACS | ID: biblio-1526442

ABSTRACT

Objetivo: Avaliar a aceitabilidade e o conhecimento de estudantes de graduação em Odontologia e cirurgiões-dentistas sobre a remoção seletiva de tecido cariado (RSTC). Materiais e Métodos: Participaram do estudo graduandos do terceiro e quarto ano de Odontologia (Grupo 1) e egressos de um Centro Hospitalar de Odontologia (Grupo 2). Os participantes responderam de forma anônima e confidencial um questionário validado contendo onze questões sobre diagnóstico e manejo de lesões cariosas profundas. Teste qui-quadrado de Pearson e regressão logística multivariada foram aplicados (p<0.05). Resultados: A amostra total foi composta por 146 participantes. Destes, 81.5% eram do sexo feminino; 52.05% eram graduados e a faixa etária mais prevalente foi de 18 a 29 anos (85.62%). Sessenta e nove participantes escolheram o tratamento expectante (p=0.027). A análise de regressão logística mostrou diferenças estatisticamente significativas. Os participantes que consideraram a parede pulpar úmida têm aproximadamente oito vezes mais chances de escolha pelo tratamento invasivo (p=0.028). Aqueles que escolheram o tratamento endodôntico como opção de sobrevida em dois anos têm três vezes mais chances de optar pelo tratamento invasivo (p=0.032). Aqueles que afirmaram que a dentina cariada próxima à polpa não deveria ser removida tiveram quase três vezes mais chances de optar por tratamentos minimamente invasivos (p=0.031). Discussão: Estudos com questionários podem ser ferramentas úteis para detectar se estudantes e cirurgiões-dentistas estão seguindo as evidências mais atuais para o tratamento de lesões cariosas profundas. Conclusão: Os participantes tinham certo nível de conhecimento sobre RSTC, mas a aceitabilidade da técnica carecia de consenso.


Aim: The aim of this study was to evaluate the acceptability and knowledge of undergraduate dental students and dentists on selective caries tissue removal (SCTR). Materials and Methods: Third- and fourth-year Dentistry undergraduates (Group 1) and graduates working in a Hospital Dentistry Center (Group 2) were included in the study. Participants anonymously and confidentially answered a validated questionnaire containing eleven questions on the diagnosis and management of deep caries lesions. Pearson's Chi-square test and multivariate logistic regression compared the answers (p<0.05). Results: Total sample comprised 146 participants. Of these, 81.5% were female; 52.05% were graduates and the most prevalent age group was 18-29 years old (85.62%). Sixty-nine participants chose stepwise caries removal (p=0.027). The logistic regression analysis showed statistically significant differences. The participants who considered pulp wall moist have approximately eight times more likelihood to choose an invasive treatment (p=0.028). Those who chose endodontic treatment as an option for two-year survival have three times more likelihood to choose an invasive treatment (p=0.032). Those who affirmed that the carious dentin close to the pulp should not be removed had almost three times more likelihood to choose minimally invasive treatments (p=0.031). Discussion: Studies with questionnaires can be useful tools to detect whether the students and dentists are following the most current evidences to treat deep carious lesions. Conclusion: The participants had certain level of knowledge on SCTR, but the technique acceptability lacked consensus.

4.
Rev. Ciênc. Saúde ; 13(4): 11-19, Dezembro 2023.
Article in English, Portuguese | LILACS | ID: biblio-1525995

ABSTRACT

Objetivo: Realizar levantamento sobre a incidência de equipes de saúde da família, equipes de saúde bucal e cirurgiões-dentistas na Macrorregião Norte de Minas Gerais de 2008 a 2023. Métodos: Estudo original, de natureza quantitativa e descritiva, elaborado entre março e abril de 2023. Os dados utilizados no presente trabalho referem-se às equipes de saúde e profissionais colaboradores e foram obtidos na plataforma DATASUS. O único critério de inclusão considerado foi município ser pertencente à Macrorregião de Saúde Norte de Minas Gerais, conforme o Plano Diretor do estado. Resultados: Dos 86 municípios da macrorregião Norte de Minas Gerais avaliados, 63 (73,2%) apresentaram aumento no número de equipe de saúde bucal e de cirurgiões-dentistas em 2023, comparado com2008. Observou-se um aumento exponencial nos municípios Várzea da Palma (733,2%), Fruta de Leite (729,4%) e Francisco Dumont (550,3%). Conclusões: Houve aumento no número de equipes de saúde bucal e equipes de saúde da família em todos os municípios, demonstrando distribuição satisfatória dos cirurgiões-dentistas no setor público e a preocupação com a saúde bucal da população por parte das autoridades do poder público.


Objective:To conduct a survey on the incidence of Family Health Teams, Oral Health Teams and dentists in the Northern Macroregion of Minas Gerais from 2008 to 2021. Methods: Original study, quantitative and descriptive nature, prepared between the months of March and April 2023. The data used in the present study refer to the health teams and collaborating professionals and were obtained from the DATASUS platform. Theonly inclusion criterion considered was a municipality belonging to the Northern Health Macro-region of Minas Gerais, according to the state's Master Plan. Results:Of the 86 municipalities in the northern macro-region of Minas Gerais evaluated, 63 (73.2%) showed an increase in the number of Health Teams and dentists in 2023, compared to 2008. An exponential increase was observed in the municipalities of Várzea da Palma (733.2%), Fruta de Leite (729.4%) and Francisco Dumont (550.3%). Conclusions:There was an increase of in the number of Oral Health Teams and Family Health Teams in all municipalities, demonstrating a satisfactory distribution of dentists in the public sector and the concern with the oral health of the population by the authorities of the public power


Subject(s)
Humans
5.
Saude e pesqui. (Impr.) ; 16(4): 11795, out./dez. 2023.
Article in English, Portuguese | LILACS-Express | LILACS | ID: biblio-1518413

ABSTRACT

Este estudo teve o objetivo de analisar os fatores associados à capacidade para o trabalho de cirurgiões-dentistas atuantes na cidade de Cuiabá (MT). Pesquisa quantitativa e transversal realizada em agosto de 2020 com 64 cirurgiões-dentistas. A avaliação da capacidade de trabalho foi realizada por meio do Índice de Capacidade para o Trabalho (ICT), validado em português do Brasil. A análise de dados foi realizada pelos testes Kolmogorov-Smirnov e qui-quadrado ou o teste exato de Fisher (p < 0,05). A pontuação média geral do ICT foi de 36,89 pontos. Entre as características avaliadas, apenas o último nível de ensino concluído e o tempo de trabalho no local atual apresentaram associação significativa com a classificação do ICT (p < 0,001 e de p = 0,007). Os cirurgiões-dentistas que atuam em Cuiabá (MT) apresentaram satisfatório ICT, sendo que foi encontrada associação entre o melhor ICT e o maior nível de escolaridade e maior tempo de atuação no trabalho atual


This study aimed to analyze the factors associated with the work ability of dentists working in the city of Cuiabá (MT). Quantitative and cross-sectional research carried out in August 2020 with 64 dentists. The assessment of work ability was performed using the Work Ability Index (WAI), validated in Brazilian Portuguese. Data analysis was performed using Kolmogorov-Smirnov and chi-square tests or Fisher's exact test (p < 0.05). The overall average ICT score was 36.89 points. Among the evaluated characteristics, only the last level of education completed and the time working in the current location showed a significant association with the WAI classification (p < 0.001 and p= 0.007). Dental surgeons who work in Cuiabá (MT) had a satisfactory ICT, and an association was found between the best ICT and the highest level of education and longer time working in the current job.

6.
Ciênc. Saúde Colet. (Impr.) ; 28(10): 2915-2930, out. 2023. tab, graf
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1520606

ABSTRACT

Resumo O objetivo deste estudo transversal foi analisar os fatores associados ao estresse ocupacional entre cirurgiões-dentistas atuantes no setor privado no primeiro ano da pandemia de COVID-19 no Brasil. Incluiu 384 profissionais do estado do Paraná, cujos dados foram obtidos entre agosto e outubro de 2020 por meio de formulário online. Dois desfechos compuseram proxy de estresse ocupacional: (1) ansiedade e preocupação e (2) preparo e segurança para o trabalho durante a pandemia. As variáveis independentes foram agrupadas segundo modelo teórico explicativo em fatores individuais, organizacionais e extraorganizacionais. As associações foram testadas por regressão logística bi e multivariada. Apesar de preparados e seguros, os profissionais se sentiam ansiosos e preocupados para o atendimento clínico. Mulheres, mais jovens e que não receberam orientações sobre as medidas de segurança apresentaram maiores chances de relatar insegurança e despreparo. Profissionais mais jovens, que não participavam da tomada de decisões e que às vezes dispunham de auxiliar para o trabalho a quatro mãos, tiveram maiores chances de se sentirem ansiosos e preocupados. Além dos fatores individuais, fatores organizacionais do trabalho estão associados ao estresse ocupacional entre cirurgiões-dentistas no primeiro ano da pandemia.


Abstract This cross-sectional study examined factors associated with occupational stress among 384 dentists working in the private sector in the first year of the COVID-19 pandemic in Brazil. Data were collected from August to October 2020 through an online form. Two outcomes - (1) anxiety and worry and (2) preparation and safety for work during the pandemic - constituted a proxy for occupational stress. The independent variables were grouped according to the explanatory theoretical model into individual, organisational and extra-organisational factors. Associations were tested by bivariate and multivariate logistic regression. Although prepared and confident, dentists felt anxious and worried about providing clinical care. Women, younger respondents and those who received no guidance on safety measures were more likely to report insecurity and unpreparedness. Younger professionals, those who did not participate in decision-making and who only sometimes had an assistant for four-hand work, were more likely to feel anxious and worried. In addition to individual factors, work organisation factors were associated with occupational stress among dentists in the first year of the pandemic.

7.
Rev. medica electron ; 45(4)ago. 2023.
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1515370

ABSTRACT

Introducción: La atención odontológica, por su propia naturaleza, implica un mayor riesgo de trasmisión del SARS-CoV-2. Por tanto, es esencial que el personal del centro odontológico extreme las medidas de bioseguridad durante y después de la crisis sanitaria. Objetivo: evaluar el cumplimiento de las medidas de bioseguridad contra la COVID-19 durante la atención odontológica, en una región del Perú. Materiales y métodos: Estudio transversal realizado en la región de Ica, en Perú. Participaron 304 odontólogos de la práctica pública y privada. Se recogieron características sociolaborales y de salud. El cumplimiento de medidas de bioseguridad fue evaluado con la Escala de Bioseguridad para COVID-19, diseñada y validada por los investigadores. Se realizó un análisis descriptivo y se evaluaron diferencias con la prueba chi-cuadrado. Resultados: El 72,7 % de los participantes incumplen las medidas de bioseguridad. Se observaron mayores proporciones de incumplimiento entre los odontólogos de 41 a 50 años de edad (76 %), sin segunda especialidad (76,4 %), y en quienes recibieron la primera (100 %) y la segunda dosis (90,4 %) de la vacuna contra la COVID-19. Asimismo, entre los odontólogos que laboran en el sector privado que no tienen segunda especialidad (75,3 %); entre los que recibieron la primera dosis de la vacuna contra la COVID-19 (100 %) y la segunda dosis (92,2 %) respectivamente; en quienes tuvieron dos veces (100 %) y más de dos veces (100 %) COVID-19, y en aquellos que no tuvieron familiar fallecido por el coronavirus. Todas estas diferencias alcanzaron significancia estadística (p < 0,05). Conclusión: Durante la atención odontológica se incumplen las medidas de bioseguridad. Existen ciertos factores como la edad entre 41 y 50 años, no tener segunda especialidad, entre otros, que podrían incrementar la probabilidad de incumplir estas medidas.


Introduction: Dental care, by its proper nature, implies a higher risk of SARS-CoV-2 transmission. It is therefore essential that the dental center staff carry to extremes biosecurity measures during and after the health crisis. Objective: To evaluate compliance with biosecurity measures against COVID-19 during dental care in a region of Peru. Materials and methods: Cross-sectional study carried out in the region of Ica, in Peru. 304 dentists from public and private practice participated. Socio-occupational and health characteristics were collected. Compliance with biosecurity measures was evaluated with the Biosecurity Scale for COVID-19, designed and validated by the researchers. A descriptive analysis was performed and differences were evaluated with the chi-square test. Results: 72.7% of the participants fail to comply with the biosecurity measures. Higher proportions of non-compliance were found among the dentists from 41 to 50 years old (76%), without a second specialization (76.4%), and in those who received the first (100%) and the second (90.4%) doses of the vaccine against COVID-19. Likewise, among dentists who work in the private sector and do not have second specialty (75.3%); among those who received the first dose (100%) and the second dose (92.2%) of the vaccine against COVID-19 respectively; in those who had COVID-19 twice (100%) and more than twice (100%), and in those dentist who did not have relatives deceased by coronavirus. All these differences reached statistical significance (p < 0, 05). Conclusions: Biosafety measures are breached during dental care. There are several factors like age between 41 and 50 years, not having a second specialty among others that could increase the probability of failing to comply with these measures.

8.
Rev. Ciênc. Plur ; 9(2): 32538, 31 ago. 2023. ilus
Article in Portuguese | LILACS, BBO | ID: biblio-1510084

ABSTRACT

Introdução:No início de 2020 a Organização Mundial da Saúde declarou o período pandêmico pelo novo coronavírus, SARS-COV-2, agente etiológico da Covid-19, o qual tem se propagado pelo mundo. Diante disso, faz-se necessário refletir sobre as complicações durante a gestação a fim de superar esses desafios que perpassam esse contexto. Objetivo:Possibilitar o controle das gestantes por meio da tecnologia educacional do tipo mapa de grávidas. Metodologia:Trata-se de um estudo descritivo, do tipo relato de experiência com abordagem qualitativa. Resultados:A ideia inicial identificava as grávidas de acordo como o sexo do bebê, sendo que a produção dessas grávidas se dava a partir da utilização da folha do Etil, Vinil e Acetato.Logo, a gravida da cor verde indicava que o profissional não tinha conhecimento do sexo do bebê, a rosa identificava o sexo feminino e a azul o sexo masculino, porém ao longo das oficinas, este método de identificação foi modificado.Conclusões:A experiência de vivenciar este projeto observando o empenho dos profissionais que compõe a equipe da unidade de saúde, como enfermeira, técnica de enfermagem, agentes comunitários de saúde e médico e dentistas em construir seu mapa e levar isso para sua unidade, foi bastante satisfatória, uma vez que, permite que os profissionaise discentes fortaleçam a autonomia do cuidar e consequentemente a prática laboral (AU).


Introduction:TheIn early 2020, the World Health Organization declared a pandemic period by the new coronavirus, SARS-COV-2, etiologic agent of Covid-19, which has been spreading around the world. Therefore, it is necessary to reflect on the complications during pregnancy and the importance of nurses' care in order to overcome these challenges that permeate this context. Objective:Permitir el control de las mujeres embarazadas a través de la tecnología educativa del tipo de mapa de las mujeres embarazadas. Methodology:This is a descriptive study, of the experience report type, with a qualitative approach. Results:The initial idea was to identify pregnant women according to the sex of the baby, and the production of these pregnant women was done through the use of theEthyl, Vinyl and Acetate. Thus, the green gravida indicated that the professional had no knowledge of the sex of the baby, pink identified the female sex and blue the male sex, but throughout the workshops, this method of identification was modified. Conclusions:The experience of living this project, observing the professionals' effort to build their map and take it to their unit, was very satisfying and enhanced the student's experience (AU).


A principios de 2020, la Organización Mundial de la Salud (OMS) declaró un periodo de pandemia por el nuevo coronavirus, SARS-COV-2, agente etiológico del Covid-19, que se ha extendido por todo el mundo. Por lo tanto, es necesarioreflexionar sobre las complicaciones durante el embarazo y la importancia de los cuidados de las enfermeras para superar estos retos que impregnan este contexto. Objetivo: Permitir el control de las mujeres embarazadas a través de la tecnología educativa del tipo de mapa de las mujeres embarazadas. Metodología: Se trata de un estudio descriptivo, del tipo informe de experiencias con un enfoque cualitativo. Resultados: La idea inicial era identificar a las embarazadas según el sexo del bebé, y la elaboración de estas embarazadas se hacía mediante el uso de la hoja de Etilo, Vinilo y Acetato. Así, el verde gravida indicaba que el profesional no tenía conocimiento del sexo del bebé, el rosa identificaba el sexo femenino y el azul el masculino, pero a lo largo de los talleres, este método de identificación se fue modificando. Conclusiones: La experiencia de vivir este proyecto observando el compromiso de los profesionales en la construcción de su mapa y llevándolo a su unidad, fue muy satisfactoria y mejoró la experiencia del estudiante (AU).


Subject(s)
Humans , Female , Health Education , Health Personnel , Pregnant Women/psychology , COVID-19/transmission , Preventive Health Services , Primary Health Care , Brazil/epidemiology , Epidemiology, Descriptive , Qualitative Research
9.
Article | IMSEAR | ID: sea-222037

ABSTRACT

This study investigated the relationship between dental hygiene and child maltreatment, malnutrition, and overall development. The researchers examined 900 students aged 5-15 years from government schools in Lucknow district, Uttar Pradesh. The study observed nutritional status by assessment of the physiological status of the body based on its height and weight and signs of abuse/neglect. The results showed that 260 abused students had poor dental hygiene, and 236 of them were mild to moderately malnourished. In comparison, 362 non-abused students had dental neglect, and 232 were moderately malnourished. These findings highlight a significant association between dental care neglect, child maltreatment, and malnutrition. It is crucial to address the social stigma surrounding this issue, normalize discussions, and encourage dentists to identify signs of abuse and inform relevant authorities about potential discrepancies.

10.
Int. j. odontostomatol. (Print) ; 17(2): 167-173, jun. 2023. tab
Article in Spanish | LILACS | ID: biblio-1440355

ABSTRACT

La violencia de género física y/o sexual afecta a más del 30 % de las mujeres del mundo y Chile, impactando la salud de todos. Tanto la Organización Mundial de la Salud, como la literatura, sugieren abordar esta problemática desde la salud pública, con énfasis en sus trabajadores. Los odontólogos tendrían un especial rol, debido a la ubicación de éste tipo de lesiones y mayor exposición. Mas, no consideran pertinencia frente a la problemática y su abordaje es deficiente. Nuestro objetivo es conocer cómo los odontólogos de Chile perciben y abordan este tipo de casos, mediante un estudio descriptivo y transversal a odontólogos suscritos a las redes sociales del Colegio de Cirujanos Dentistas de Chile, previa aprobación de su directiva 2021 y del Comité de Ética de la Facultad de Odontología UdeC (C.E.C. Nº19/21). Bajo consentimiento informado, se aplicó una encuesta sociodemográfica sobre la percepción y abordaje de los odontólogos frente a casos de violencia física contra la mujer en contexto de Violencia Intrafamiliar/ Compañero íntimo. Participaron 175 dentistas. El 53 % ha encontrado estos casos durante el ejercicio profesional y más del 80 % percibe un rol activo frente a la problemática. Sin embargo, el 74 % presenta dificultad en la detección de lesiones y el 78 % en la derivación a redes de apoyo. El 91 % no recibió formación al respecto durante el pregrado, pero les interesa adquirir mayores conocimientos. Los dentistas de Chile se encuentran expuestos a este tipo de casos y perciben un rol activo. Sin embargo, presentan dificultad en su detección y abordaje y podrían beneficiarse de formación adicional al respecto.


Physical and/or sexual gender violence affects more than 30 % of women in the world and in Chile, impacting everyone's health. Both, WHO and the literature, suggest addressing this problem from public health, with an emphasis on its workers. Dentists would have a special role, due to the location of this type of injury and greater exposure. But, they do not consider relevance and their approach is deficient. Our objective is to know how dentists in Chile perceive and approach this type of case. Descriptive and cross-sectional study of dentists subscribed to College of Dental Surgeons of Chile´s social networks, prior approval of its 2021 directive and the Ethics Committee of the UdeC School of Dentistry (C.E.C. Nº19/21). Under informed consent, a sociodemographic survey was applied on the perception and approach of dentists in cases of physical violence against women in the context of Domestic Violence/ Intimate Partner. 175 dentists participated. 53 % have encountered these cases during professional practice and more than 80 % perceive an active role in dealing with the problem. However, 74 % have difficulty in detecting injuries and 78 % in referral to support networks. 91 % did not receive training in this regard during undergraduate studies, but are interested in acquiring more knowledge. Chilean dentists are exposed to this type of cases and perceive an active role. However, they are difficult to detect and treat and could benefit from additional training in this regard.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Violence Against Women , Perception , Chile/epidemiology , Epidemiology, Descriptive , Surveys and Questionnaires , Domestic Violence , Dentists/psychology , Dentist's Role/psychology
11.
Odovtos (En linea) ; 25(1)abr. 2023.
Article in English | LILACS, SaludCR | ID: biblio-1422185

ABSTRACT

Dentists have a high risk of contracting COVID-19, they needed to be aware of the major challenge that represents the dental practice and COVID-19. Accordingly, this study aimed: 1) to investigate the knowledge of dentists regarding COVID-19, 2) to investigate the attitudes of dentists concerning the use of personal protective equipment and, 3) to investigate the attitudes of dentists on stopping their dental practices in the framework of a contingency plan for the COVID-19 outbreak. An online cross-sectional survey was applied to dentists (n=822). Dentists in Mexico answered the survey, which was administered before the contingency plan for the COVID-19 outbreak. Results were analyzed with descriptive statistics and with a Chi-square test (P≤0.05). Of the respondents, 99% of dentists indicated knowing what COVID-19 is, knowing most, but not all, of its signs and symptoms and knowing its mode of transmission. The 89% of dentists indicated that they always used personal protective equipment. But they did not use always wear face masks, protective eyewear, face shields, disposable gowns, and caps. Dentists were aware of the risk of performing dental procedures during the COVID-19 outbreak. The 90% of dentists indicated that they would treat only patients requiring emergency treatment, and 10% indicated that they would not treat any patients. The dentists had limited knowledge about the COVID-19 disease. They did not use personal protective equipment consistently, and they indicated that they might continue working during the COVID-19 outbreak.


Durante la pandemia por COVID-19, los dentistas han tenido un alto riesgo de contraer COVID-19. Los dentistas mexicanos tuvieron la necesidad de enfrentarse a la COVID-19 en la práctica dental con un posible conocimiento limitado sobre la enfermedad. De acuerdo con esa problemática, los objetivos de este estudio fueron: 1) investigar el conocimiento de los dentistas sobre la COVID-19, 2) investigar las actitudes de los dentistas sobre el uso de equipo de protección personal, 3) investigar las actitudes de los dentistas para detener la práctica laboral frente a la pandemia. Una encuesta fue aplicada a dentistas mexicanos en el inicio de la contingencia por COVID-19 (n=822). Se analizaron los resultados de con una prueba de Chi cuadrada (P≤0.05). El 99% de los participantes conocieron qué es la COVID-19, pero no todos los signos y síntomas de la enfermedad ni los modos de transmisión. El 89% de los dentistas indicaron que siempre usan equipo de protección personal. Pero no usan siempre careta, lentes de protección, cubreboca, guantes deshechables y gorro. Los participantes tenían conocimiento del riesgo de contraer COVID-19. El 90% indicó que sólo atenderían urgencias dentales y el resto indicó que no atendería pacientes. Los dentistas tuvieron un conocimiento limitado sobre la COVID-19. No usaron equipo de protección personal de forma consistente. Además indicaron que estarían dispuestos a seguir trabajando durante la pandemia.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Dentists/psychology , Personal Protective Equipment , COVID-19 , Mexico
12.
Article | IMSEAR | ID: sea-222452

ABSTRACT

Background: Work?related musculoskeletal disorders (WMSDs) are the second most common cause of disability, accounting for 17% of all Years lived with a disability (YLDs) worldwide. Healthcare professionals, especially dentists, are known to be at a higher risk of WMSDs. Therefore, this study aims to determine the point and period prevalence of WMSDs among dentists and to assess the risk factors for WMSDs, including workstation analysis. Methods: This cross?sectional study was conducted among 120 dentists from three dental colleges in Gujarat (Ahmedabad and Gandhinagar), India. A structured questionnaire was used to collect sociodemographic and occupational history along with pre?validated standardized tools such as the Nordic Musculoskeletal Questionnaire (NMQ), Rapid Entire Body Assessment (REBA) score sheet and Quick Exposure Checklist (QEC). Data analysis was performed using SPSS version 20. Results: The period prevalence of MSDs and WMSDs were 85% and 75.8% respectively, and the point prevalence was 39.2% and 23.3% respectively. Prosthodontists reported the highest prevalence of WMSDs. The neck (64.7%) was the most commonly affected area. A statistically significant result was obtained between MSDs and BMI (P = 0.02), qualification (P = 0.01) and between WMSDs and duration of work in the sitting posture (P = 0.03). Conclusions: The prevalence of both MSDs and WMSDs was found to be high. Dentists with higher BMI, higher qualifications, lack of breaks, having poor workstations and higher REBA and QEC scores, whose job tasks involve continuous inspection, frequent bending of elbow joints, frequent repetitive motions, tasks that require them to reach distances greater than 20 inches and tasks that involve twisting of the waist are at a higher risk of developing MSDs

13.
Rev. estomatol. Hered ; 33(1): 10-17, ene. 2023. ilus, tab
Article in Spanish | LILACS, LIPECS | ID: biblio-1441861

ABSTRACT

Objetivo : Conocer la satisfacción laboral en los académicos de la licenciatura de Cirujano Dentista del Facultad de Estudios Superiores Zaragoza, Universidad Nacional Autónoma de México en el período 2019. Material y métodos : Estudio observacional, prolectivo, transversal, descriptivo. La población de estudio estuvo conformada por 123 académicos, a los que se les aplicó un cuestionario de 20 ítems con respuestas en escala Likert (α de Cronbach 0.845). Resultados : Del total de encuestados, el 45% (55) del sexo masculino, 55% (68) del femenino, con una media de edad de 36.5 (± 9.6) años. El 48% (59) de los académicos se encuentran satisfechos con el trabajo docente que realizan, en contraste, el 25% (31) está muy insatisfechos. Entre los factores que influyen en la insatisfacción se encontró: La carga horaria, sobre todo los que tienen en turno mixto, el poco apoyo que la institución da para estudiar un posgrado, el estrés que conlleva la responsabilidad de supervisar a los estudiantes en el área clínica en la atención a pacientes. La insatisfacción se presenta en mayor proporción en académicos con una edad ≥ 50 años. Conclusiones : Los factores referidos que influyen en la insatisfacción son: el bajo salario, las inadecuadas instalaciones para impartir clase, la falta de apoyo para la capacitación por parte de la institución, el no reconocimiento al trabajo realizado. Llama la atención que, en la licenciatura de Cirujano Dentista donde el trabajo en equipo es de suma importancia, este no se dé o se dé muy pocas veces.


Objective : To know the job satisfaction in the Dental Surgeon academics from the Facultad de Estudios Superiores Zaragoza, Universidad Nacional Autónoma de México, during 2019. Methods : Observational, prolective, cross-sectional, descriptive study. The study population consisted of 123 academics, to whom a 20-item questionnaire was applied with responses on the Likert scale (Cronbach's α 0.845). Results : Of the total number of respondents, 45% (55) were male, 55% (68) were female, with a mean age of 36.5 (± 9.6) years. 48% (59) of the academics are satisfied with the teaching work they do, in contrast, 25% (31) are very dissatisfied. Among the factors that influence dissatisfaction, the following was found: The workload, especially those who have a mixed shift, the little support that the institution gives to study a postgraduate course, the stress that comes with the responsibility of supervising students in the area clinic in patient care. Dissatisfaction occurs in a higher proportion in academics aged ≥ 50 years. Conclusions : The referred factors that influence dissatisfaction are: low salary, inadequate facilities to teach classes, lack of support for training by the institution, non-recognition of the work done. It is striking that, in the Dental Surgeon degree where teamwork is of the utmost importance, this does not occur or occurs very rarely.


Subject(s)
Humans , Young Adult , Stress, Psychological , Teaching , Employee Performance Appraisal , Educational Personnel , Job Satisfaction , Dentists , Observational Study
14.
Pesqui. bras. odontopediatria clín. integr ; 23: e220174, 2023. tab, graf
Article in English | LILACS, BBO | ID: biblio-1529129

ABSTRACT

ABSTRACT Objective: To analyze the impact of the COVID-19 pandemic on dentists' income and to identify associated factors in one of the poorest Brazilian states. Material and Methods: A cross-sectional study including dentists who volunteered to answer an electronic questionnaire in Maranhão. Hierarchical multinomial logistic regression analyses were performed, estimating crude and adjusted odds ratios (OR) and respective 95% confidence intervals (95%CI) (alpha=5%). Results: The COVID-19 pandemic impacted the professionals´ income negatively [55.44% (50.26-60.52%)] and also positively [6.9% (4.55-9.94%)]. The negative impact on income was greater among male dentists (OR=2.54; 95%CI: 1.16-5.53), over 30 years of age (OR=3.03; 95%CI: 1.34-6.87), with family income below two minimum wages (OR=4.63; 95%CI: 1.50-14.30), who worked in the continent instead of in the capital island (OR=2.21; 95%CI: 1.14-4.29) and in the private sector (OR=31.43; 95%CI: 11.59-85.22). Moreover, those who had been tested for COVID-19, with a negative result, had a 21.3-fold greater chance of having an increased household income when compared to those who had not been tested. Conclusion: The COVID-19 pandemic negatively impacted the dentists' income in Maranhão, especially the older, males, with lower incomes, and who worked in the private sector, living far from the capital. The SUS played an important role in the social protection of dentists during the COVID-19 pandemic, mitigating the economic impacts on the public sector working class.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Salaries and Fringe Benefits , Unified Health System , COVID-19/prevention & control , Brazil/epidemiology , Confidence Intervals , Logistic Models , Cross-Sectional Studies/methods , Surveys and Questionnaires , Health Surveys
15.
West China Journal of Stomatology ; (6): 323-332, 2023.
Article in English | WPRIM | ID: wpr-981130

ABSTRACT

OBJECTIVES@#This study aimed to evaluate and analyze the current situation of dentists in Guangdong pro-vince regarding the management of avulsed incisors, thereby providing a reference for making treatment strategies for avulsed incisors in the future.@*METHODS@#A total of 712 dentists with different educational backgrounds and working conditions in Guangdong province were randomly selected to conduct an online questionnaire survey on the cognition of children with avulsed incisors from April 2022 to May 2022. The data were recorded by Excel software and statistics were analyzed on Stata/SE 15.1.@*RESULTS@#A total of 712 dentists were investigated and 701 questionnaires were collected (98.46%). In addition, 65.9% of investigators came from the Department of Stomatology in a First-class Hospital or Stomatological Hospital. The results showed that the average number of avulsed teeth consulted by dentists was less than 20 per year. Although 99.7% of respondents considered normal saline as a suitable storage medium, 3.1% and 23.8% of them had a misunderstanding that the tap/alcohol could be used for root cleaning. Moreover, 93.4% was the correct selection rate of the treatment plan for processing on root surfaces before replanting by investigators. The correct selection rate of the duration using elastic fixation was only 10.7%. Meanwhile, 42.9% of investigators refused to inoculate tetanus immunoglobulin after teeth replanting. Emergency management of dental avulsion (EM) and clinical management of dental avulsion (CM) answered correctly with average scores of 14.60±11.85 and 14.48±2.67, respectively. Multivariate linear regression analysis revealed that working years were negatively correlated with EM and CM scores (P<0.05). There was a positive correlation between CM and EM scores with the number of avulsion cases treated by physicians each year (P<0.05). In terms of the EM score of dentists' learning attitude, investigators who had received enough knowledge were higher than those who had not and insufficient knowledge reserved, and the difference was statistically significant (P<0.05). The scores of investigators who thought they had a certain degree of knowledge about dental trauma were higher than those who thought they "did not understand", and the difference was statistically significant (P<0.05). In terms of CM scores, investigators who thought the knowledge of dental trauma was "very helpful" had higher scores than those who thought it was "not helpful", and the difference was statistically significant (P<0.05). The scores of the investigators who thought they had "relatively sufficient knowledge" of dental trauma were higher than those who thought they had "no knowledge" or "insufficient know-ledge", and the difference was statistically significant (P<0.05).@*CONCLUSIONS@#The overall accuracy of the management of avulsed incisors among dentists was low in Guangdong province. Dentists were more likely to have a higher rate of accuracy choice in treatment options for luxation injury and avulsion to enhance the prognosis of replanted teeth.


Subject(s)
Humans , Child , Tooth Avulsion/therapy , Incisor , Tooth Replantation/methods , Surveys and Questionnaires , Dentists , Cognition , China , Health Knowledge, Attitudes, Practice
16.
Annals of Dentistry ; : 1-8, 2023.
Article in English | WPRIM | ID: wpr-1005200

ABSTRACT

@#This study was undertaken to assess knowledge regarding furcation defects among dental fraternity. This is an open-ended, randomized, web-based cross-sectional multinational online survey. A total of 904 responses were gathered by sending 13 questions through a google form. Data were expressed in frequency and percentages. Chi-square test was performed to determine significant difference between gender, education level and variation between dentists of India and other countries. P value <0.05 was considered to be statistically significant. Present study had 650 dentists from India and 254 dentists from other countries. For overall knowledge regarding furcation, 90.7% (average of first and second question) of dentists had knowledge regarding furcation. There was no significant difference between males (range 54%-93%) and females (range 46%- 95%) (p>0.05) in terms of knowledge. Majority (88.7%) of post-graduates knew about the use of Nabers probe for furcation measurements and values were significant (p<0.05). Present study also revealed 65%-67% of undergraduates and post-graduates knew that Degree II furcation defects showed predictable periodontal regeneration, however values were non-significant (p>0.05). There was no statistical significance (p>0.05) between dentists of India and other countries. Dental fraternity in general had adequate knowledge regarding the furcation defects, their treatment modalities and expected complications.

17.
Chinese Journal of Industrial Hygiene and Occupational Diseases ; (12): 358-363, 2023.
Article in Chinese | WPRIM | ID: wpr-986013

ABSTRACT

Objective: To explore the relevant factors of work-related musculoskeletal disorders (WMSDs) among dentists through Meta analysis, providing a basis for the prevention and control of WMSDs among dentists. Methods: In April 2022, cross-sectional research literatures on the prevalence correlation of WMSDs among Chinese dentists were searched in databases such as China National Knowledge Infrastructure, Wanfang, VIP, PubMed, Web of Science, and Em Base database. The search was conducted from the establishment of the database until April 2022, literatures were selected using keywords such as musculoskeletal disorders and dentists. To extract gender, age, length of service, disease classification and other related influencing factors as indicator, and prevalence was selected as the outcome indicator. After evaluating the quality of the literatures, RevMan 5.3 software was used to calculate the combined RD (95%CI) values of the included literatures. Results: A total of 15 articles were included, with a total sample size of 3646 people. Meta analysis results showed that the prevalence of WMSDs among dentists in China was 80%, and the top three parts of the incidence rates were 65% of the waist, 58% of the neck, and 50% of the back. Gender, age, length of service, region and disease classification all increased the risk of WMSDs, and the combined effect size were 75%, 78%, 71%, 77% and 82% respectively (P<0.05) . Conclusion: The occurrence of WMSDs among dentists in China is related to multiple factors such as gender, age, length of service and disease classification. The above risk factors should be taken into account in the workplace and preventive measures should be actively implemented to prolong the working life of dentists.


Subject(s)
Humans , Prevalence , Cross-Sectional Studies , Occupational Diseases/epidemiology , Surveys and Questionnaires , Musculoskeletal Diseases/epidemiology , Risk Factors , China/epidemiology , Dentists
18.
Article in English | LILACS, BBO | ID: biblio-1448805

ABSTRACT

ABSTRACT Objective: To identify the potential determinants of tobacco counseling implementation among oral health professionals in India. Material and Methods: A cross-sectional survey was carried out among the 298 dentists of Aligarh and Gwalior. The questionnaire used in the study had sections on dentists' sociodemographic data and a 35-item questionnaire to assess the potential determinants of tobacco cessation counseling. Descriptive statistics were carried out, and a Chi-square test was utilized to determine the association. P-value <0.05 was considered statistically significant. Results: Domains "knowledge", "Professional Responsibility and Identity", and "Remembrance, awareness, and judgment" showed a statistically significant correlation with most tobacco cessation counseling behaviors. In addition, undergraduate education received in Tobacco Cessation counseling, and Continuing education received in Tobacco Cessation counseling had significantly impacted the practice of tobacco cessation counseling (p=0.02 and 0.04, respectively). Conclusion: This study suggests that "Knowledge", "Professional Responsibility and Identity" and "Remembrance, awareness, and judgment" are the potential determinants that could be used to design effective strategies to enhance tobacco counseling among dentists in India.


Subject(s)
Humans , Male , Female , Nicotiana/adverse effects , Oral Health/education , Tobacco Use Cessation , Tobacco Use Disorder/epidemiology , Cross-Sectional Studies/methods , Surveys and Questionnaires , Health Policy , India/epidemiology
19.
Braz. dent. sci ; 26(4): 1-10, 2023. ilus, tab
Article in English | LILACS, BBO | ID: biblio-1523660

ABSTRACT

Objective: To investigate the clinical management of deep occlusal carious lesions in permanent teeth by Brazilian dentists. Material and Methods: This cross-sectional study included a sample of 732 Brazilian dentists who responded to an electronic questionnaire composed of 20 questions addressing socio-demographic information, training and professional activity characteristics, and clinical management of deep carious lesions. Descriptive analysis was performed, considering relative and absolute frequencies and 95% confidence intervals. The association between the dentists' variables of interest (age group, type of higher education institution, years in practice, highest academic degree completed and main sector of professional activity) and the mean number of incorrect answers regarding deep carious lesions management was analyzed by Analysis of Variance (ANOVA), followed by the Bonferroni post-test (p<0.005). Results: Stepwise removal was the strategy pointed out by most dentists (42.8%). However, 16% of the dentists selected nonselective carious tissue removal. Furthermore, 45.6% of the dentists disagreed with maintaining carious tissue over the pulp in deep lesions with a risk of pulpal exposure. When using instruments to remove carious dentine, 17% of the dentists chose a diamond burn while 13% preferred tungsten carbide burs. Dentists who graduated from public institutions had a lower mean of non-conservative decisions than those from private institutions. Dentists with master's or doctoral degrees were more conservative, as well as dentists from public service compared to those from the private sector. Conclusion: The dissemination of conservative approaches in the management of deep carious lesions needs to be strengthened and increasingly based on updated scientific literature.(AU)


Objetivo: Investigar o manejo clínico de lesões cariosas oclusais profundas em dentes permanentes por cirurgiões-dentistas brasileiros. Material e Métodos: Este estudo transversal incluiu uma amostra de 732 dentistas brasileiros que responderam a um questionário eletrônico composto por 20 questões abordando informações sociodemográficas, formação, características da atividade profissional e manejo clínico de lesões cariosas profundas. Foi realizada análise descritiva, considerando frequências relativas e absolutas, e intervalos de confiança de 95%. A associação entre as variáveis de interesse (faixa etária, tipo de instituição de ensino superior, anos de prática, maior titulação acadêmica concluída e principal setor de atividade profissional) dos cirurgiões-dentistas e a média de acertos no manejo de lesões cariosas profundas foi analisada pela Análise de Variância (ANOVA), seguida do pós-teste de Bonferroni (p<0,005). Resultados: A remoção seletiva foi a estratégia apontada pela maioria dos cirurgiões-dentistas (42,8%). No entanto, 16% dos dentistas selecionaram a remoção não seletiva do tecido cariado. Além disso, 45,6% dos dentistas discordaram da manutenção de tecido cariado sobre a polpa em lesões profundas com risco de exposição pulpar. Ao usar instrumentos para remover a dentina cariada, 17% dos dentistas escolheram uma broca diamantada, enquanto 13% preferiram brocas de carboneto de tungstênio. Cirurgiões-dentistas formados em instituições públicas apresentaram menor média de decisões não conservadoras do que os de instituições privadas. Os cirurgiões-dentistas com mestrado ou doutorado foram mais conservadores, assim como os cirurgiões-dentistas do serviço público em relação aos do setor privado. Conclusão: A disseminação de abordagens conservadoras no manejo de lesões cariosas profundas precisa ser fortalecida e cada vez mais baseada em literatura científica atualizada (AU)


Subject(s)
Humans , Dental Caries , Dental Pulp Capping , Dentistry , Dentists , Evidence-Based Practice
20.
RGO (Porto Alegre) ; 71: e20230029, 2023. tab
Article in English | LILACS-Express | LILACS, BBO | ID: biblio-1449009

ABSTRACT

ABSTRACT Little is known about how Brazilian dentists' treatment decisions for proximal carious lesions are compared to current evidence-based recommendations, so better understanding is needed to close any potential evidence-practice gap. Objectives: This cross-sectional study aimed to quantify the evidence-practice gap about proximal carious lesions treatment and identify dentist factors associated with this evidence-practice gap. Methods: Brazilian dentists (n=214) from Araraquara, São Paulo State, "completed a questionnaire about their dentist and practice characteristics and a translated version of the "Assessment of Caries Diagnosis and Caries Treatment" from the U.S. National Dental Practice-Based Research Network. Five radiographic images of proximal carious lesions in low-risk and high-risk patient scenarios were used. Associations between treatment recommendations and lesion, dentist, and practice characteristics were tested for statistical significance (p<0.05). Results: Lesions confined to the enamel would be restored by 35% and 71% of dentists in the low-risk and high-risk patient scenarios, respectively, suggesting a substantial evidence-practice gap given that surgical intervention of enamel lesions is not consistent with current evidence. The lesion depth threshold to recommend a permanent restoration differed between the low-risk and high-risk patient scenarios (p<0.001). Specific dentist/practice characteristics (dentist gender, graduate of a public dental school, postgraduate training, use of caries risk assessment) were significantly associated with the evidence-practice gap, but the magnitude of these differences was not major Conclusion: A substantial evidence-practice gap in treatment of proximal carious lesions was found for the sample overall, even when clinical scenarios presented low-risk patients. Global strategies are needed to close this substantial evidence-practice gap.


RESUMO Pouco se sabe se as decisões de tratamento dos dentistas brasileiros para lesões cariosas proximais são comparadas às recomendações atuais baseadas em evidências, portanto, é necessário um melhor entendimento para fechar qualquer potencial lacuna entre a evidência e a prática. Purpose: Este estudo transversal teve como objetivo quantificar a lacuna entre a evidência e a prática na decisão de tratamento das lesões cariosas proximais e identificar os fatores associados a essa lacuna entre a evidência e a prática. Methods: Cirurgiões-dentistas brasileiros (n=214) de Araraquara, Estado de São Paulo, preencheram um questionário sobre suas características odontológicas e clínicas e uma versão traduzida do "Assessment of Caries Diagnosis and Caries Treatment" da U.S. National Dental Practice-Based Research Network. Cinco imagens radiográficas de lesões cariosas proximais em cenários de pacientes de baixo risco e alto risco foram usadas. Associações entre recomendações de tratamento e lesão, dentista e características da prática foram testadas (p<0,05). Results: As lesões confinadas ao esmalte seriam restauradas por 35% e 71% dos dentistas nos cenários de pacientes de baixo risco e alto risco, respectivamente, sugerindo uma lacuna entre a evidência e a prática substancial, dado que a intervenção cirúrgica das lesões do esmalte não é consistente com as evidências atuais. O limiar de profundidade da lesão para recomendar uma restauração permanente diferiu entre os cenários de pacientes de baixo risco e alto risco (p<0,001). Características específicas do dentista/prática (sexo do dentista, graduado em uma faculdade pública, pós-graduação, uso da avaliação de risco de cárie) foram significativamente associadas à lacuna entre a evidência e a prática, mas a magnitude dessas diferenças não foi importante. Conclusions: uma lacuna entre a evidência e a prática substancial na decisão de tratamento de lesões cariosas proximais foi encontrada para a amostra como um todo, mesmo quando os cenários clínicos apresentavam pacientes de baixo risco. Estratégias globais são necessárias para fechar essa lacuna entre a evidência e a prática.

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