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1.
RECIIS (Online) ; 13(4): 887-895, out.-dez. 2019. ilus
Article in Portuguese | LILACS (Americas) | ID: biblio-1047673

ABSTRACT

Este relato objetiva apresentar o processo de desenvolvimento de um material escrito e ilustrado voltado para o dentista atuante em Unidades de Terapia intensiva, bem como os motivos e justificativas que levaram à decisão de sua necessidade. O cirurgião-dentista tem ampliado sua área de atuação e, por isso, necessita de materiais didáticos que forneçam uma base para essa nova forma de pensar a Odontologia, com um caráter integral e multiprofissional. Por não haver contato dos cirurgiões-dentistas com o ambiente hospitalar durante a graduação, salvo raras exceções, o material didático nesta área foi planejado para abranger desde os conhecimentos básicos até situações que envolvem maior conhecimento para a tomada de decisão. A metodologia utilizada foi o levantamento bibliográfico e a montagem de material escrito na forma de manual, além da produção e tratamento de fotografias ilustrativas, obtidas em um Hospital Universitário durante o processo de cuidado odontológico de pacientes críticos.


This report aims to present the process of developing a written and illustrated material for the dentist in intensive care units, as well as the reasons and justifications that led to the decision of their need. The dental surgeon has expanded his area of practice and, therefore, needs didactic materials that provide a basis for this new way of thinking about Dentistry, with an integral and multiprofessional character. Due to the lack of contact between dental surgeons and the hospital environment during graduation, with few exceptions, the teaching material in this area was designed to cover everything from basic knowledge to situations involving greater knowledge for decision making. The methodology used was the bibliographical survey and the assembly of written material in manual form, as well as the production and treatment of illustrative photographs obtained at a University Hospital during the dental care process of critical patients.


Este relato tiene como objetivo presentar el proceso de desarrollo de un material escrito e ilustrado orientado hacia el dentista actuante en Unidades de Terapia intensiva, así como los motivos y justificaciones que llevaron a la decisión de su necesidad. El cirujano-dentista ha ampliado su área de actuación y, por eso, necesita materiales didácticos que proveen una base para esa nueva forma de pensar la Odontología, con un carácter integral y multiprofesional. Por no haber contacto de los cirujanos-dentistas con el ambiente hospitalario durante la graduación, salvo raras excepciones, el material didáctico en esta área fue planeado para abarcar desde los conocimientos básicos hasta situaciones que involucran mayor conocimiento para la toma de decisión. La metodología utilizada fue el levantamiento bibliográfico y el montaje de material escrito en la forma de manual, además de la producción y tratamiento de fotografías ilustrativas, obtenidas en un Hospital Universitario durante el proceso de cuidado odontológico de pacientes críticos.


Subject(s)
Humans , Teaching Materials , Staff Development , Interdisciplinary Communication , Dental Staff, Hospital , Dictionaries, Dental as Topic , Dental Care , Containment of Biohazards , Dental Health Services , Dentists , Photograph , Intensive Care Units
2.
Odontoestomatol ; 21(34): 65-73, Jul-Dic. 2019.
Article in Spanish | LILACS (Americas), InstitutionalDB | ID: biblio-1024972

ABSTRACT

El Odontopediatra juega un rol importante en la detección precoz de patologías orales en edades tempranas, debido que casi siempre es el primero que tiene contacto con el niño y cabe la posibilidad de ser el detector de lesiones en boca, como la lengua geográfica. Pero también es motivo de consulta de los padres, una lesión de color rojizo que aparece y desaparece, que los alarma. Es de suma importancia transmitir y tranquilizar a los padres de que se trata de una lesión benigna, que generalmente no requiere tratamiento 1. Este artículo tiene como objetivo la presentación de dos casos clínicos, con signos y síntomas diferentes para lo cual es de importancia conocer las características clínicas específicas de la lengua geográfica y el manejo clínico.


O Odontopediatra desempenha um papel importante na detecção precoce de patologias bucais em uma idade precoce, pois é quase sempre o primeiro a ter contato com a criança e é possível detectar lesões na boca, como a linguagem geográfica. Mas também é um motivo de consulta dos pais, uma lesão avermelhada que aparece e desaparece, o que os alarma. É muito importante transmitir e tranquilizar os pais de que é uma lesão benigna, que geralmente não requer tratamento (1). Este artigo tem como objetivo apresentar dois casos clínicos, com diferentes sinais e sintomas, para os quais é importante conhecer as características clínicas específicas da linguagem geográfica e do manejo clínico.


Pediatric dentists play a significant role in the early detection of oral pathologies at a young age because they are usually the first to have contact with the child. This enables them to detect mouth lesions, such as geographic tongue, which is a reddish lesion that appears and disappears and leads parents to seek professional help as they are alarmed. It is essential to reassure parents that it is a benign lesion, which generally does not require treatment 1. This article aims to present two clinical cases, with different signs and symptoms, for which it is important to know the specific clinical characteristics of the geographic tongue and clinical management.


Subject(s)
Child , Glossitis, Benign Migratory , Child , Dentists
3.
Rev. Soc. Cardiol. Estado de Säo Paulo ; 29(4 (Supl)): 441-445, out.-dez. 2019. tab, ilus
Article in Portuguese | LILACS (Americas) | ID: biblio-1047354

ABSTRACT

A Fibrose Pulmonar Idiopática (FPI) é uma doença crônica do interstício pulmonar que se manifesta por fibrose progressiva com alta prevalência de insuficiência respiratória. Como toda doença crônica e progressiva, a FPI necessita de acompanhamento por uma equipe multiprofissional de Cuidados Paliativos (CP) a fim de proporcionar um cuidado integral, considerando todas as queixas e necessidades do paciente. Em uma enfermaria de CP de um hospital terciário, um paciente do sexo masculino, 77 anos, foi admitido por FPI avançada para controle de sintomas e cuidados de fim de vida. Durante a oroscopia realizada pela equipe, recebeu diagnóstico de candidíase oral, onde foi solicitada avaliação do cirurgião-dentista. Na avaliação odontológica, queixou-se de língua ressecada e perda do paladar. Paciente acamado, dispneico em repouso, em uso contínuo de máscara de venturi e lábios ressecados, com presença de placas brancas ressecadas (resíduos alimentares) em palato duro e mole, mucosa jugal e gengival, língua ressecada com saburra e hipossalivação. Foi realizada a higiene oral, prescrição de substituto salivar e hidratante labial. O procedimento foi longo e intermitente devido à dificuldade do paciente de se manter sem o suporte de oxigênio. Após o procedimento, o paciente relatou melhora de 90% dos sintomas bucais. Conclusão: O caso apresentou as alterações bucais e os cuidados odontológicos em um paciente com FPI e também evidenciou a importância da avaliação especializada realizada pelo cirurgião-dentista inserido em uma equipe multiprofissional em CP, que, além do diagnóstico diferencial, proporcionou alívio dos sintomas bucais e conforto ao paciente em sua fase final de vida


Idiopathic Pulmonary Fibrosis (IPF) is a chronic interstitial lung disease manifested by progressive fibrosis with a high prevalence of respiratory failure. As all chronic and progressive diseases, IPF needs follow-up by a multidisciplinary Palliative Care (PC) team in order to provide comprehensive care considering all patient's complaints and needs. In a PC inpatient unit of a tertiary hospital, a 77-year-old male patient was admitted because of advanced IPF for symptom control and end-of-life care. During the oroscopy done by the team, he was diagnosed with oral candidiasis, where evaluation by the dentist was requested. In the dental evaluation, he complained of dry tongue and taste loss. Bedridden patient, dyspnea at rest, in continuous use of venturi mask and dry lips, dry white plaques (food residues) in hard and soft palate, jugal and gingival mucosa, dry tongue with oral coating and hyposalivation. Oral hygiene was performed, salivary substitute and lip moisturizer were prescribed. The procedure was long and intermittent due to the difficulty of the patient with staying without oxygen support. After the procedure, the patient reported 90% improvement in oral symptoms. Conclusion: The case showed the oral disorders and dental care in a patient with IPF and highlighted the importance of specialized evaluation performed by the dentist inserted in a multidisciplinary PC team which, besides the differential diagnosis, provided symptom relief of the mouth and comfort to the patient in his end of life


Subject(s)
Oral Manifestations , Palliative Care , Idiopathic Pulmonary Fibrosis , Oral Hygiene , Patient Care Team , Respiratory Insufficiency , Candidiasis, Oral , Chronic Disease , Dentists , Diagnosis, Differential , Diagnosis, Oral , Lung Diseases
4.
J. Health Biol. Sci. (Online) ; 7(2): 177-181, abr.-jun. 2019.
Article in Portuguese | LILACS (Americas) | ID: biblio-1005752

ABSTRACT

Introdução: a contaminação cruzada pode ocorrer na prática odontológica, e a correta descontaminação das Turbinas de Alta Rotação (TAR) é um passo importante no controle desse tipo de infecção. Objetivo: determinar o protocolo de uso do detergente enzimático na limpeza das TARs que promova a maior redução microbiana da superfície do instrumento no menor tempo. Métodos: este estudo contou com uma amostra de 21 turbinas de alta rotação (n=3). O experimento foi dividido em cinco fases sequenciais: contaminação inicial, limpeza das turbinas, contagem microbiológica inicial, esterilização das turbinas e contagem microbiológica final. As amostras foram divididas em seis grupos: grupo (1): as turbinas foram envolvidas por 8 minutos em gaze embebida em detergente enzimático seguida por fricção mecânica; grupo (2): de forma semelhante ao grupo (1) pelo tempo de 4 minutos. No grupo (3), as turbinas foram, imediatamente, friccionadas com gaze embebida em detergente enzimático seguida de 8 minutos de espera, nos grupos (4) e (5), de forma semelhante ao grupo (3), pelo tempo de 4 minutos e zero minuto, respectivamente. No grupo (6), (controle negativo) não houve contaminação das TARs, e foram aguardados 8 minutos sem realização de nenhum protocolo de descontaminação, enquanto no grupo (7) (controle positivo), houve contaminação pelo pool salivar, mas nenhum protocolo de descontaminação foi realizado. Resultados: após segunda coleta, apenas o grupo (2) foi estatisticamente significante, mostrando-se como melhor protocolo de descontaminação das TARs. Conclusões: dessa forma, sugerimos a utilização de gaze embebida em detergente enzimático por 4 minutos, seguida de fricção mecânica com a gaze previamente ao procedimento de esterilização física por calor sob pressão, como protocolo de biossegurança.


Introduction: cross contamination can occur the dental practice and the correct decontamination of high-speed turbines (HST) is an important step in the control of this type of infection. Objective: to determine the protocol of use of the enzymatic detergent in the cleaning of the TARs that promotes a greater microbial reduction of the surface of the instrument in the shortest time. Methods: This study had a sample of 21 high-speed turbines (n=3). The experiment was divided into 5 sequential phases (initial contamination, turbine cleaning, initial microbiological counting, turbine sterilization and final microbiological counting). The samples were divided into six groups: group (1) the turbines were wrapped for 8 minutes in gauze soaked in enzymatic detergent followed by mechanical friction, group (2) in a similar way to group (1) in the time of 4 minutes. In group (3) the turbines were immediately frictioned with gauze soaked in enzymatic detergent followed by 8 minutes of waiting, in groups (4) and (5) similarly to group (3) for the time of 4 minutes and zero minutes, respectively. In group (6) (negative control) there was no contamination of the HST and 8 minutes were awaited without any decontamination protocol, whereas in the group (7) (positive control) there was contamination by the salivary pool, but no decontamination protocol was performed. Results: After second collection, only group (2) was statistically significant, showing itself as the best decontamination protocol for HST. Conclusions: we suggest the use of gauze soaked in enzymatic detergent for 4 minutes followed by mechanical friction with the gauze prior to the procedure of physical sterilization by heat under pressure as a biosafety protocol.


Subject(s)
Sterilization , Bacteria , Dentists
5.
Rev. habanera cienc. méd ; 18(2): 254-269, mar.-abr. 2019.
Article in Spanish | LILACS (Americas) | ID: biblio-1014167

ABSTRACT

RESUMEN • Introducción: Con el envejecimiento creciente de la población, la práctica estomatológica exige la utilización del conocimiento para identificar y tratar pacientes con enfermedades sistémicas cada vez más frecuentes, lo cual puede requerir el uso de medicamentos capaces de interactuar con el tratamiento farmacológico de su enfermedad de base. La literatura refleja esta relación de manera fragmentada y carente de un enfoque sistémico. Objetivo: Identificar en la literatura el uso de medicamentos en pacientes con riesgo quirúrgico y describir su repercusión durante el tratamiento estomatológico. Material y Métodos: Se realizó una revisión bibliográfica y se consultaron artículos científicos, tesis de titulación de especialistas, maestrías y doctorales entre otras referencias principalmente de los últimos 5 años mediante Google. Desarrollo: Se abordan las generalidades, manejo estomatológico y las interacciones medicamentosas de cada una de las enfermedades a estudiar (Diabetes Mellitus, hipertensión arterial y cardiopatía), así como las situaciones que requieren profilaxis antibiótica. Conclusiones: Los pacientes con riesgo quirúrgico utilizan medicamentos que producen interacciones importantes con fármacos como AINES, anestésicos locales y glucocorticoides que habitualmente se emplean en los tratamientos estomatológicos; existen además enfermedades sistémicas en las cuales hay que tener en cuenta la profilaxis antibiótica antes de realizar determinados procederes estomatológicos.


ABSTRACT • Introduction: With the growing of population aging, the dental practice requires the adequate knowledge to identify and treat patients with increasingly frequent systemic diseases, which may require the use of drugs capable of interacting with the pharmacological treatment of their underlying diseases. The literature reflects this relationship in a fragmented manner and lacking a systemic approach. Objective: To identify the drugs used in risk patients undergoing surgery and describe their repercussion during dental treatment. Material and Method: A bibliographic review was carried out. Scientific articles, specialists´ theses, Master´s and PhD degrees among other references were consulted, mainly the ones obtained from the search carried out in Google during the last 5 years. Results: The generalities, dental management and drug interactions between the diseases studied (diabetes mellitus, arterial hypertension and heart disease) were addressed, as well as the situations that require antibiotic prophylaxis. Conclusions: The surgical risk patients studied use drugs that produce important interactions with drugs such as NSAIDs, local anesthetics and glucocorticoids that are usually used in dental treatments. There are also systemic diseases in which antibiotic prophylaxis must be taken into account before performing certain dental procedures.


Subject(s)
Humans , Male , Female , Operating Rooms/methods , Drug Interactions , Drug-Related Side Effects and Adverse Reactions/complications , Mouth Diseases/surgery , Mouth Diseases/drug therapy , Dentists , National Health Programs
6.
Pesqui. bras. odontopediatria clín. integr ; 19(1): 4186, 01 Fevereiro 2019. tab, graf
Article in English | LILACS (Americas), BBO | ID: biblio-997897

ABSTRACT

Objective: To analyse economic burden of selected analgesic drugs prescription by dentists in Slovakia over a 24-month period. Material and Methods: In this economic burden study, the data were provided from the largest public health insurance company in Slovakia. It was analysed 23,256 prescriptions of selected analgesic drugs (Acetylsalicylic Acid, Diclofenac, Nimesulide, Tramadol and Metamizole Sodium) by dentists in Slovakia. Results: The highest analgesics prescription by dentists was found in Diclofenac in 2016 with 11.2% prescription increase in 2017. The significant decrease of analgesic drug prescription by dentists in 2017 was observed in Tramadol (-29.9%). The economic burden of selected analgesic drugs by patients were €33,926 in 2017 with 21.3% significant decrease of average percentage differences (APD) in Tramadol and 84.6% significant increase of APD in Metamizole sodium in 2017. Patients participated 65.5% share in payment of selected analgesic drugs and Health Insurance Company participated only 34.5% share in payment of selected analgesic drugs in 2017. It was found increase of percentage analgesic drugs prescription in Diclofenac and Nimesulide and decrease of percentage drug prescription in Metamizole sodium from 1/2016 to 12/2017. Conclusion: Economic burden on analgesic drugs prescribed by dentist was low per Slovak inhabitant in calculated. Diclofenac was most frequent prescribed analgesic drug with the highest economic burden. We recommend prescribing cheaper analgesic drugs with a lower economic burden and with the same effect.


Subject(s)
Drug Prescriptions/economics , Health Care Costs , Slovakia , Costs and Cost Analysis/economics , Dentists , Data Interpretation, Statistical , Analgesics/therapeutic use
7.
Pesqui. bras. odontopediatria clín. integr ; 19(1): 4430, 01 Fevereiro 2019. tab
Article in English | LILACS (Americas), BBO | ID: biblio-997963

ABSTRACT

Objective: To evaluate antibiotic prescribing practices of dentists working in a major teaching hospital in Sudan, and to assess the need for establishing education programmes to enhance dentists' awareness of antibiotic use. Material and Methods: A cross-sectional study was carried out by distributing an anonymous self-administered questionnaire to a convenience sample of dental practitioners at major teaching hospital in Khartoum/Sudan. The questionnaire investigated knowledge and attitudes of participants in relation to antibiotic prescribing in dental practice. Results: One hundred out of 135 dental practitioners working at the hospital participated in the survey with 48 males and 52 females. Most of the participants (N=44) did not specify their preferable drug reference, while 32 participants specified British National Formulary, and the practice was significantly associated with a higher professional rank (p<0.001). Metronidazole was the most frequently cited antibiotic for dentofacial infections (N=73) and Acute Necrotizing Ulcerative Gingivitis (N=56), while amoxicillin was the most frequently cited antibiotic for dento-alveolar infections and infective endocarditis prophylaxis (N=88 and N=47, respectively). Conclusion: Undergraduate, as well as postgraduate courses,, are required in Sudan to provide up-to-date orientation on antibiotic use, and to increase awareness of dentists about antibiotic prescribing.


Subject(s)
Humans , Male , Female , Drug Prescriptions , Sudan , Health Knowledge, Attitudes, Practice , Dentists , Focal Infection, Dental/diagnosis , Anti-Bacterial Agents/administration & dosage , Chi-Square Distribution , Health Education , Surveys and Questionnaires
8.
Pesqui. bras. odontopediatria clín. integr ; 19(1): 4506, 01 Fevereiro 2019. tab
Article in English | LILACS (Americas), BBO | ID: biblio-997968

ABSTRACT

Objective: To interpret the change in child's behaviour in presence/absence of parents during dental care. Material and Methods: Sixty children were examined till the age of 12 years visiting the out patient department of pediatric dentistry where parents along with the child were allowed in the operatory. After sometime parents were asked to leave and behavioural changes were noted. During revisit again the behaviour was noted according to Frankl scale. McNemar test was applied to test the behaviour response of children with parental absence/presence. The significance level was set at 5 %. Results: In 1st visit, 78.3% showed positive behaviour and 21.7% showed negative behaviour in parental absence, indicating that the child has more likelihood of showing positive behaviour in the presence of parents (p<0.001). More positive behaviour of the children is noticed, when the parents are present in 3 -5 year age group. In other 6-8 and 9-12 year age group, no difference was noticed in the presence or absence of the parents (p>0.05). In second visit, the negative behaviour reduced. When parents were absent 21.7% showed negative behaviour (p=0.000). This indicated that the child has more likelihood of showing positive behaviour in the presence of parents. Age group-wise analysis revealed that in the 3-5 years age group presence or absence of parents is a significant factor for child's behaviour. This factor is a non-issue in the elder age group like 6-8 years and 9-12 years. When the parents are absent, no significant difference was observed (p>0.05). Conclusion: There was no significant difference in parental presence/absence in elder children while the same can't be said for younger children.


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Child , Child Behavior/psychology , Dental Care for Children , Dentists , India , Parents , Cross-Sectional Studies/methods , Statistics, Nonparametric
9.
Pesqui. bras. odontopediatria clín. integr ; 19(1): 4427, 01 Fevereiro 2019. tab
Article in English | LILACS (Americas), BBO | ID: biblio-998241

ABSTRACT

Objective: To identify the social representations of children in relation to the image of the dentist. Material and Methods: This is a descriptive cross-sectional study with quantitativequalitative approach. The sample consisted of 80 children of both sexes aged 7-10 years attended at a clinic-school of a university in eastern Minas Gerais, Brazil. For data collection, the Test of Free Words Association (TALP) was used, with the word "dentist" as its inducing theme. The four items included in the research instrument were: 1) evoke up to five words or expressions related to the dentist; 2) to order each of them numerically, with number one being the most important and number five being the least important; 3) to conceptualize the one elected as number one; and 4) to justify the reason for that choice. The EVOC software was used to carry out quantitative analyses and the Analysis of Content of Bardin for qualitative analyses. Results: The words that composed the central nucleus of social representations were "tooth", "pain", "brushing" and "treats". This grouping of ideas points to the following conceptual formulation: "The dentist is someone who 'brushes' and 'treats' teeth, but sometimes performs procedures that cause 'pain'. The categories abstracted from participants' discourse were "oral health", "personal characteristics of the dentist" and "child-dentist interaction". Conclusion: Children presented predominantly positive image regarding the dentist.


Subject(s)
Humans , Male , Female , Child , Child , Child Behavior/psychology , Psychology, Child , Dentist-Patient Relations , Dentists , Brazil , Qualitative Analysis , Cross-Sectional Studies/methods
10.
Pesqui. bras. odontopediatria clín. integr ; 19(1): 4460, 01 Fevereiro 2019. tab
Article in English | LILACS (Americas), BBO | ID: biblio-998244

ABSTRACT

Objective: To determine the prescribing patterns of the general dental practitioners in Kerman province in Iran. Material and Methods: In this cross sectional study 1200 prescriptions, which were prescribed by general dentists in Kerman province during one-year period, were evaluated. Each prescription was assessed for the number of drugs per prescription, drug (category, name, route of administration, frequency) and duration of treatment. Descriptive statistics were used to calculate the absolute and relative frequencies, mean and standard deviation. The Chi-square test, analysis of variance (ANOVA) and t-test were used. The statistical tests were performed at the significance level of 0.05. Results: The mean number of drugs per prescription was 2.59. Antibiotics, Analgesics, corticosteroids and antiseptics were the most common drug category prescribed drugs by general dentists. Oral route was the commonest route of drug prescription (84.1%). Amoxicillin capsule (60.5%) was the commonest drug prescribed by general practitioners followed by ibuprofen derivatives (55.4%). Spelling errors was found in 62.7% of prescriptions. The mean score of prescriptions for logical prescription pattern was 7.36 ± 1.32 out of 9. Conclusion: Dental prescribing patterns should be considered as a potential area for improvement in the treatment process and patient safety. It is suggested to emphasis more on principles of prescription at university and retraining courses for dentists.


Subject(s)
Drug Prescriptions , Toothache/etiology , Health Knowledge, Attitudes, Practice , Dentists , Iran , Chi-Square Distribution , Cross-Sectional Studies/methods , Analysis of Variance
11.
Rev. ABENO ; 19(3): 13-25, 2019. tab
Article in Portuguese | LILACS (Americas), BBO | ID: biblio-1024004

ABSTRACT

Tomando-se como referência a Política Nacional de Educação Permanente em Saúde (PNEPS), que busca a formação dos trabalhadores de acordo com as necessidades da população, gestão e profissionais, o objetivo desse estudo foi conhecer e analisar a percepção do cirurgião-dentista (CD) da Estratégia Saúde da Família (ESF) sobre a PNEPS. Trata-se de um estudo quantitativo descritivo, transversal e observacional, com amostra composta por 173 CD atuantes nas Unidades de Atenção Primária em Saúde do Município de Fortaleza/CE. Os dados foram coletados por meio de questionário semiestruturado. Os dados categóricos foram expressos na forma de frequência absoluta e percentual, sendo analisados por meio do teste qui-quadrado. Avaliando o perfil socioeconômico, a maioria dos entrevistados foi do gênero feminino (74,6%), casado (72,8%), com renda média de 7 a 10 salários mínimos (49,1%). Quanto à PNEPS, 51,2% a conheciam parcialmente, sendo a Educação Permanente em Saúde (EPS) avaliada como regular por 48,8% e como boa por 33,3%. Destaca-se que a compreensão da EPS como fator contribuidor da formação profissional foi positiva para 97,7% dos entrevistados. Observou-se que maior participação nas atividades de EPS favorece a avaliação positiva da PNEPS. Essa política ainda é desconhecida por muitos CD da ESF. As atividades de EPS realizadas no município de Fortaleza são consideradas regulares pela maioria dos profissionais entrevistados. Visando avançar com a EPS, os participantes reforçam a importância das ações na perspectiva da reflexão pelo/no trabalho na atenção primária à Saúde, buscando mudanças no processo de trabalho em saúde e consequentemente a melhoria da atenção em saúde prestada à população (AU).


Taking as a reference the National Permanent Health Education Policy (NPHEP), which seeks the training of workers according to the needs of the population, management and professionals, the objective of this study was to know and analyze the perception of the dental surgeon (DS) of the Family Health Strategy (FHS) on NPHEP. This is a descriptive, cross-sectional and observational quantitative study, with a sample composed of 173 DS active on Primary Health Care Unities from the City of Fortaleza/CE. The data were collected by means of a semistructured questionnaire. The categorical data were expressed as absolute and percentage frequencies, and were analyzed by means of the chi-square test. Evaluating the socioeconomic profile, the majority of the respondents were women (74.6%), married (72.8%), with an average income of 7 to 10 minimum wages (49.1%). As for the NPHEP, 51.2% knew it partially, and Permanent Health Education (PHE) was evaluated as regular by 48.8% and as good by 33.3%. It is noteworthy that the understanding of PHE as a contributing factor of professional training was positive for 97.7% of respondents. It was observed that greater participation in the activities of PHE favors the positive evaluation of the NPHEP. This policy is still unknown by many DS of the FHS. The PHE activities carried out in the city of Fortaleza are considered regular by most of the professionals interviewed. Aiming to advance with the PHE, the participants reinforce the importance of actions in the perspective of reflection by/at work in primary health care, seeking changes in the work process in health and consequently the improvement of health care provided to the population (AU).


Subject(s)
Humans , Male , Female , Adult , Primary Health Care , Oral Health , Staff Development , Dentists , Public Health Policy , Brazil , Chi-Square Distribution , Cross-Sectional Studies , Surveys and Questionnaires , Observational Study
12.
Rev. ABENO ; 19(3): 26-36, 2019. tab, maps
Article in Portuguese | LILACS (Americas), BBO | ID: biblio-1048017

ABSTRACT

O objetivo desta pesquisa foi analisar a distribuição de cirurgiões-dentistas (CD) no estado do Pará, visando melhorar a compreensão dos rumos da profissão no estado para direcionar a atuação dos futuros profissionais. Para isso, utilizou-se de um estudo documental analítico, com base nos dados do Conselho Federal de Odontologia, Conselho Regional de Odontologia do Pará e do Instituto Brasileiro de Geografia e Estatística, para avaliar a relação habitante/CD por município, e essa razão à renda per capita, ao índice de desenvolvimento humano municipal (IDH-M) e às especialidades odontológicas. Os dados foram analisados de forma descritiva tomando-se como parâmetro, a proporção habitante por CD. Os resultados mostraram que o Pará apresentou uma proporção de 1.687 habitantes por CD. Em apenas 13,2% dos municípios do estado havia baixa proporção de habitantes por CD, de acordo com recomendação estabelecida pelo Conselho Federal de Odontologia. Já 23,6% dos municípios não apresentavam CD. A tendência dos profissionais é de se fixarem nos municípios de maior renda e de maior IDH-M. No campo das especialidades observou-se que 72% dos profissionais especialistas se concentravam na capital e municípios próximos à capital do estado, sendo Ortodontia e Endodontia as especialidades mais prevalentes. Assim, constatou-se que existe má distribuição dos profissionais no estado, sendo necessário promover uma política de interiorização dos CD, o que irá favorecer maior cobertura e melhor prestação de serviços de saúde bucal à população (AU).


The objective of this research was to analyze the distribution of dentists (CD) in the State of Pará, aiming to improve the understanding of the future of the profession in the State to direct the performance of future professionals. To this end, an analytical documentary study was performed based on data from the Federal Council of Dentistry (CFO), the Regional Council of Dentistry of Pará (CRO-PA) and the Brazilian Institute of Geography and Statistics (IBGE). To evaluate the inhabitant/CD ratio per municipality, and this ratio to per capita income, to the municipal human development index (IDH-M) and dental specialties. Data were analyzed descriptively taking as a parameter the proportion inhabitant/CD. The results showed that Pará has a proportion of 1,687 inhabitants per CD. In only 13.2% municipalities there was a low proportion of inhabitants per CD, according to a recommendation established by the Federal Council of Dentistry. In turn, 23.6% municipalities had no CD. The tendency of the professionals was to settle down in the municipalities with the highest income and the highest IDH-M. As for specialties, it was observed that 72% specialists are concentrated in the capital and municipalities near the capital of the state, where Orthodontics and Endodontics are the most prevalent specialties. Thus, there is a poor distribution of professionals in the State, and it is necessary to promote a policy of internalization of dental surgeons, which will promote greater coverage and better delivery of oral health services to the population of the State (AU).


Subject(s)
Personnel Management , Dentists , Job Market , Legislation, Dental/standards , Brazil , Oral Health , Workforce
13.
Rev. ABENO ; 19(3): 78-86, 2019. tab
Article in Portuguese | LILACS (Americas), BBO | ID: biblio-1048119

ABSTRACT

Objetivou-se analisar o ensino da gestão na Odontologia das universidades do estado do Paraná. Trata-se de pesquisa descritiva, transversal, a partir de dados secundários, no ano de 2019. Foram coletadas informações das instituições de ensino superior, públicas e privadas, que ofereciam curso de Odontologia, tendo como referência a lista de cursos aprovados, iniciados e ativos do cadastro nacional de cursos de educação superior (Cadastro e-MEC). A síntese dos dados foi realizada em formulário padronizado no programa Microsoft Excel, que após a digitação, permitiu análise pelo programa EpiInfo (Versão 7.2) de forma descritiva, e apresentação por meio de frequências absoluta e relativa. Análises bivariadas foram realizadas pelo programa Bioestat utilizando o teste G e Exato de Fischer, ao nível de significância de 5%. No Paraná são ofertados 29 cursos de Odontologia, sendo 5 aprovados, porém ainda não iniciaram suas atividades. Dos cursos pesquisados, 21 são de natureza administrativa privada (particular), sete são públicos e apenas um é público, porém cobra mensalidade dos alunos da graduação. A maioria dos cursos (58,6%) tem disciplina específica de gestão, como componente curricular obrigatório (96,6%), ofertada predominantemente no último ano de graduação (55,2%), com carga horária variando entre 21 e 60 horas-aula (61.9%). A maioria (51,7%) dos cursos de graduação em Odontologia dedica apenas até 1% da carga horária para gestão em saúde. Os resultados mostraram que o ensino de gestão neste estado é pouco explorado, fazendo-se necessária inclusão de maior carga horária voltada para o tema nas matrizes curriculares, objetivando melhorar a formação do futuro cirurgião-dentista (AU).


The study aimed to analyze the teaching of management in dentistry at the universities of the state of Paraná. This was a descriptive, crosssectional research, based on secondary data, conducted in 2019. Information was collected from public and private higher education institutions that offered a dentistry course, based on the list of approved, initiated and postgraduate courses; assets of the national register of higher education courses (e-MEC register). Data were synthesized in a standardized form using Microsoft Excel and after typing, this allowed descriptive analysis by EpiInfo (Version 7.2) and presentation in absolute and relative frequencies. Bivariate analyses were performed by the program Biostat using the G and Fischer's exact tests, at a significance level of 5%. In Paraná, 29 Dentistry courses were offered, of which 5 were approved, but had not yet started their activities. Of the researched courses, 21 were of a private (private) administrative nature, seven were public and only one public course that charged the undergraduate students a monthly fee. Most courses (58.6%) had a specific management discipline, as a compulsory curriculum component (96.6%), offered predominantly in the last year of graduation (55.2%), with hour loads ranging from 21- to 60 hours (61.9%). Most (51.7%) of undergraduate dentistry courses devote only up to 1% of their workload to health management. The results showed that management education in this state has been little explored, making it necessary to include a higher workload focused on the theme in the curriculum matrices, aiming to improve the training of future dentists (AU).


Subject(s)
Brazil , Health Education , Health Management , Dentists , Higher Education Institutions , Cross-Sectional Studies/methods , Data Interpretation, Statistical , Curriculum , Educational Measurement , Statistical Databases
14.
Belo Horizonte; s.n; 2019. 128 p. ilus, tab.
Thesis in English, Portuguese | LILACS (Americas), BBO | ID: biblio-1025987

ABSTRACT

O objetivo deste estudo foi avaliar a influência do perfil dos cirurgiões-dentistas e da organização e planejamento dos serviços de saúde bucal no desempenho das Equipes de Saúde Bucal (ESB) atuantes na Atenção Primária em Saúde (APS) brasileira. Trata-se de um estudo transversal, utilizando dados secundários do segundo ciclo do 'Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica' (PMAQ-AB), ocorrido entre 2013 e 2014. Foram utilizados dados obtidos na fase de avaliação externa do PMAQ-AB, que envolveu entrevista com 18.114 dentistas sobre o processo de trabalho das equipes e verificação de documentos na Unidade Básica de Saúde. O questionário foi desenvolvido por meio de uma parceria do Ministério da Saúde com seis instituições de ensino e pesquisa, sendo aplicado por equipe treinada. A variável dependente, 'desempenho das ESB', foi um escore atribuído a cada ESB, estimado por Teoria de Resposta ao Item, através da análise psicométrica de 20 procedimentos odontológicos da APS. As variáveis independentes incluíram características de formação, vínculo de trabalho e plano de carreira dos cirurgiões dentistas, bem como dados referentes à gestão e organização dos serviços de saúde bucal. Análises de Regressão Linear foram realizadas para estimativa dos valores de Beta brutos e ajustados, bem como respectivos intervalos de confiança no modelo ajustado (IC95%). Foram consideradas estatisticamente significativas as variáveis com p≤0,05. Os resultados indicaram que os procedimentos com maiores níveis de dificuldade (e menos frequentemente realizados) foram aqueles relacionados à provisão de próteses dentárias e monitoramento do câncer de boca; os procedimentos com maior capacidade de discriminação foram restauração e exodontia de dentes decíduos. O desempenho das ESB variou de -3,66 a +1,87 (média -0,06; DP 0,82). As variáveis 'pós-graduação Lato Sensu', 'atividades de educação permanente', 'monitoramento e análise dos indicadores e informações de saúde bucal' e 'agenda de atendimentos flexível (usuários agendados e de demanda espontânea)' influenciaram de forma positiva o desempenho de ESB em todas as macrorregiões brasileiras. Variações na realização de procedimentos odontológicos da APS, nos escores de desempenho das ESB e nas variáveis que influenciaram tais desempenhos puderam ser observadas entre as cinco macrorregiões brasileiras. Os achados indicam que a formação complementar do cirurgião-dentista, no formato de educação permanente e pós-graduação Lato Sensu, a avaliação de indicadores de saúde bucal da população adscrita e a oferta de agenda de atendimentos flexível, garantindo atendimento às demandas espontâneas e programadas dos usuários, foram de grande importância para um bom desempenho das equipes de saúde bucal brasileiras atuantes no SUS. (AU)


This study aimed to evaluate the influence of dentists' profile and work management in the performance of primary care dental teams of the Brazilian National Health System. Cross-sectional analysis of secondary data from the 'National Programme for Improving the Access and Quality of Primary Care' (PMAQ-AB), that evaluated 18,114 Brazilian dental teams between 2013 and 2014. Data were obtained from the external evaluation phase of the PMAQ-AB, which comprised the interview with the dentist regarding the dental team's work process and verification of documents in the primary health care units. The questionnaire was developed through a partnership between the Ministry of Health and six teaching and research institutions and was applied by trained professionals. The dependent variable, 'performance of dental teams', was a score of dental teams obtained from the Item Response Theory, estimated though the psychometric analysis of 20 dental procedures executed in the PHC. Independent variables included complementary training, employment relationship and career plan of dentists and data referring to the management and organization of oral health services. Linear Regressions were performed to estimate the raw and adjusted Beta values, as well as their confidence intervals (CI 95%); in the adjusted model, variables with p≤0.05 were considered statistically significant. The results showed that the procedures with the highest difficulty levels (and less frequently performed) were those related to the provision of dental prostheses and oral cancer monitoring; the most discriminating procedures were restoration and extraction of primary teeth. The dental teams' performance ranged from -3.66 to +1.87 (mean -0.06; SD 0.82). The variables 'graduate studies', 'continuing education activities ', 'monitoring oral health indicators' and 'flexible dental appointment list (scheduled and walk in patients)' influenced the dental teams' performance in all Brazilian Geographical Regions. Variations in the execution of PHC dental procedures, dental teams' performance scores, and the variables that influenced such performances could be observed among the five Brazilian Geographical Regions. The findings suggest that the complementary training of the dentist, including continuing education training and graduate studies, the evaluation of oral health indicators of the enrolled population and the offer of a flexible appointment list, ensuring care to scheduled and walk in patients, had a positive impact in the performance of Brazilian dental teams. (AU)


Subject(s)
Patient Care Team , Primary Health Care , Oral Health , Surveys and Questionnaires , Dental Health Services , Dentists , Unified Health System , Public Health , Cross-Sectional Studies
15.
Article in Spanish | LILACS (Americas), COLNAL | ID: biblio-1025620

ABSTRACT

Objetivo: comprender los conocimientos, posturas y actitudes (representaciones sociales) sobre maltrato infantil que poseen odontólogos trabajadores de instituciones prestadoras de servicios de salud (IPS) de Santa Marta. Métodos: el presente estudio hace uso de un paradigma cualitativo, y su enfoque es etnometodológico. La técnica de recolección de la información es la entrevista semiestructurada, aplicada sobre una muestra de diez (10) odontólogos de IPS de Santa Marta, y determinada según el criterio de saturación de la muestra. Resultados: como resultado surgen dos categorías relacionadas con conocimientos y actitudes, que permitieron establecer que los odontólogos tienen conocimientos referentes a la definición del maltrato infantil y a sus signos físicos y conductuales, identifican a los perpetradores, e incluso reconocen la importancia de tomar medidas preventivas y de protección, aunque discrepan frente a los protocolos que utilizan o no para dicha intervención. Adicionalmente, los odontólogos manifiestan actitudes de rechazo, deseos de justicia y evitación de malas prácticas, y comparten las acciones de responsabilidad y compromiso profesional. Conclusiones: fue posible establecer que el colectivo de odontólogos posee diversas percepciones e interpretaciones dentro de su representación social del maltrato infantil; por ello, su conocimiento podría resultar útil para identificar debilidades en su forma de intervenir y, de este modo, orientar su intervención a prácticas más oportunas.


Objective: To understand the knowledge, attitudes and attitudes (social representations) about child abuse that dentists, workers, institutions providing health services (IPS's) of Santa Marta. Methods: The paradigm of the study is qualitative, and the approach is ethnomethodological. The technique used to collect information was the semi-structured interview, which was used in a sample of ten (10) IPS dentists of Santa Marta, determined according to the saturation criterion of the sample. Results: The dentists studied have knowledge regarding the definition of child abuse and its physical and behavioral signs, identify the perpetrators, even recognize the importance of taking preventive and protective measures, although they disagree with the protocols that use or not for such intervention; and manifest attitudes of rejection, desires for justice and avoidance of bad practices, sharing in addition the actions of responsibility and professional compromise. Conclusions: It is concluded that the group of dentists has various organizing principles within their social representation of child abuse, and through their knowledge it could be identified flaws in their way of intervening, and thus oriented to more timely practices.


Subject(s)
Battered Child Syndrome , Child Abuse , Child Advocacy , Public Health , Family Health , Colombia , Knowledge , Professional Role , Dentists
16.
Article in Korean | WPRIM (Western Pacific) | ID: wprim-740596

ABSTRACT

OBJECTIVES: The purpose of this study was to investigate the job satisfaction level of the dental staff working at oral health centers for people with disabilities. METHODS: A questionnaire survey was conducted with 73 dentists and dental hygienists working at seven regional oral health centers for people with special needs and dental hospitals for people with disabilities in Seoul. The questionnaire consisted of seven questions across two subscales: general satisfaction (4 questions) and satisfaction with wage and welfare (3 questions). The internal consistency of the questionnaire items was assessed using Cronbach's alpha (0.80). The responses were analyzed using a t-test with SPSS (version 23.0). RESULTS: Of the 73 dental staff members, 50% were dentists, 64% were women, and participants' average age was 30 years. In total, 58% of the participants had up to five years of experience working with people with disabilities, 42% of them worked full-time, and each participant treated an average of 200 patients with disabilities per month. The participants reported that their salary was relatively low. Dental hygienists had higher satisfaction level than dentists in the institution's welfare work. The more full-time workers answered, the more suitable they are for their work. CONCLUSIONS: The job satisfaction level of most professionals working in oral health centers for people with disabilities was not very high but they felt rewarded by their welfare work. It was inferred that it is necessary to examine and improve institutional support aspects such as human resource support. Increasing the number of centers in the central region is also needed.


Subject(s)
Dental Hygienists , Dental Staff , Dentists , Disabled Persons , Female , Humans , Job Satisfaction , Oral Health , Reward , Salaries and Fringe Benefits , Seoul
17.
Rev. ABENO ; 19(2): 2-12, 2019. tab
Article in Portuguese | LILACS (Americas), BBO | ID: biblio-1022760

ABSTRACT

Pesquisadores ao redor do mundo estudam as expectativas, em curto e longo prazo, dos estudantes de último ano de graduação, a fim de buscar evidências científicas que auxiliem gestores e formuladores de políticas públicas na tomada de decisão e no planejamento de suas ações no que diz respeito aos recursos humanos em saúde. O objetivo do presente estudo foi determinar o perfil demográfico e socioeconômico dos estudantes do último ano do curso de Odontologia de uma universidade pública brasileira e relacionar suas perspectivas profissionais com características pessoais, familiares e histórico escolar. Foi realizado um estudo transversal e um questionário foi aplicado aos estudantes do último semestre nos anos de 2014, 2015 e 2016 na Faculdade de Odontologia da Universidade de São Paulo. Foi realizada a análise descritiva e o teste qui-quadrado foi utilizado para examinar a associação entre a intenção de prestar concurso público e migrar para o interior do país e as outras variáveis. A taxa de resposta foi de 82%. Dentre os estudantes da amostra, 76,52% moravam com os pais. A maioria (82%) cursou escola privada e somente 7,95% ingressou no curso por programas de quotas. Quanto às expectativas em relação ao futuro profissional, 70% pretendem trabalhar como autônomo, 61,36% no serviço público e somente 28,7% pretendem trabalhar no ensino. Este foi um estudo exploratório, com os limites descritos na literatura sobre a abordagem metodológica. Entretanto, pesquisas futuras devem avançar nas análises e incorporar metodologias qualitativas a fim de compreender em profundidade fenômenos tais como expectativa profissional, relação do aluno com o Sistema Único de Saúde e mercado de trabalho (AU).


Researchers around the world study the expectations, in the short and long term, of students attending the last year of undergraduate studies in order to seek scientific evidence to assist managers and policy makers in public health service. The objective of this study is to determine the demographic and socioeconomic profile of the students of the last year of a Brazilian public Dentistry university and to relate their professional perspectives with personal, family characteristics. A cross-sectional study was carried out and a questionnaire was applied to students from the last semester of 2014, 2015 and 2016, at University of São Paulo. The response rate was 82%, and 76.52% of the students lived with their parents. Most of them (82%) studied in private schools in the elementary and high school education and only 7.95% entered into university being benefited by the quota programs. Regarding expectations concerning the professional future, 70% intend to work as self-employed professionals, 61.36% in the public service and only 28.7% intend to work in education. This was an exploratory study, with the limits described in the literature on the methodological approach. However, future researches should incorporate qualitative methodologies in order to deeply understand phenomena such as the professional expectation, the student relation with the Brazilian Unified Health System (SUS) and the labor market (AU).


Subject(s)
Humans , Male , Female , Adult , Students, Dental , Brazil , Dentists , Job Market , Health Workforce , Chi-Square Distribution , Cross-Sectional Studies/methods , Surveys and Questionnaires
18.
Rev. ABENO ; 19(2): 135-143, 2019. tab
Article in Portuguese | LILACS (Americas), BBO | ID: biblio-1023207

ABSTRACT

A fim de discutir a importância de experiências multiprofissionais e o papel de inovação do PET - Saúde na formação acadêmica, este artigo relata a experiência do PET - Odontologia da UFPA junto à equipe multiprofissional de um CAPS AD localizado no município de Belém/PA, além de avaliar as condições de saúde bucal dos dependentes químicos. A experiência mostrou a integração entre os diferentes profissionais e motivou o desenvolvimento de habilidades dos discentes para o planejamento de ações integradas e criativas de promoção de saúde, através de metodologias ativas, apontando novos rumos de atenção à saúde, centrado na lógica da realidade da comunidade e não somente no ambiente clínico. As atividades realizadas pela equipe de Odontologia foram integradas às oficinas e grupos desenvolvidos na unidade, como oficinas culinárias e de confecção e o cuidado de hortas, que propiciaram momentos de educação em saúde bucal. Foram realizadas dinâmicas e rodas de conversas, sendo os usuários agentes ativos no processo de construção compartilhada de conhecimento. Ocorreu o "dia D no CAPS AD", no qual os usuários participaram de atividade de escovação supervisionada e foram examinados por equipe médica e odontológica, com coleta de informações clínicas. Considera-se que a interação entre ensino, serviço e comunidade potencializada pelo PET - Saúde conduz a formação em saúde a um novo perfil, em que os profissionais se tornam mais capazes de responder às necessidades dos usuários e atuar de maneira compartilhada nos diferentes cenários (AU).


In order to discuss the importance of multiprofessional experiences and the innovation role of the PET - Saúde in academic training, this article reports on the experience PET - Odontology of UFPA with the multi-professional team of a CAPS AD located in the city of Belém / PA, besides evaluating the oral health conditions of chemical dependents. The experience showed the integration among the different professionals and motivated the development ofthe students' abilities to the planning of integrated and creative actions of health promotion, through active methodologies, pointing out new directions of health care, centered on the logic of the community reality and not only in the clinical environment. The activities carried out by the Dentistry team were integrated with the workshops and groups developed at the unit, such as cooking and cooking workshops and garden care, which provided moments of education in oral health. Was made dynamics and wheels of conversations, and the users are active agents in the process of shared knowledge construction. "D-day at CAPS AD" occurred, in which users participated in supervised brushing activity and were examined by medical and dental staff, collecting clinical information. It is considered that the interaction between teaching, service and community enhanced by PET ­ Saúde leads health education to a new profile in which professionals become better able to respond to users' needs and act in a shared way in different scenarios (AU).


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Mental Health , Problem-Based Learning/methods , Dentists , Mental Health Services , Brazil , Community-Institutional Relations
19.
Rio de Janeiro; s.n; 2019. 242 f p. tab, graf, fig.
Thesis in Portuguese | LILACS (Americas) | ID: biblio-1006079

ABSTRACT

O Ministério da Saúde estabeleceu o incentivo financeiro à inclusão de equipes de saúde bucal no Programa Saúde da Família, resultando em um grande impulso de expansão de equipes de saúde bucal no Brasil. Com a implantação das Diretrizes Curriculares Nacionais em Odontologia, em 2002, foram propostas várias mudanças de paradigmas na formação do profissional cirurgião-dentista. Neste contexto, esta tese teve como objetivo analisar o escopo da prática da equipe de saúde bucal no âmbito da atenção primária em saúde, tendo como base sua formação na graduação e atribuições na Estratégia Saúde da Famía da Região Metropolita de Manaus, Amazonas. A pesquisa de campo foi realizada por meio de aplicação de questionário e entrevistas aos cirurgiões-dentistas, no período de Julho de 2017 a Maio de 2018. As entrevistas foram gravadas e realizadas com base no questionário semiestruturado com 19 questões divididas, em blocos, relativas à caracterização do trabalho, escopo de prática na atenção primária à saúde, escopo de prática da equipe de saúde bucal, e as características demográficas dos entrevistados. Os dados quantitativos foram analisados estatisticamente e os qualitativos submetidos à análise de conteúdo. Participaram da pesquisa 129 cirurgiões-dentistas, com predominância do sexo feminino, com mediana de idade de 38 anos, sendo a maioria de nacionalidade brasileira, com naturalidade amazonense. A maioria dos respondentes possuem mais de 10 anos de formação, egressos de faculdades públicas do Estado do Amazonas, dos quais 56,6% com título de especialista, atuando há mais de 5 anos na APS. Foi encontrado que todos os dentistas da capital são estatutários. 60% dos cirurgiões-dentistas afirmou que aprendeu a realizar a maioria dos procedimentos no curso de graduação e que poderiam realizar mais procedimentos se tivesse materiais disponíveis e infraestrutura adequada. Os cirurgiões-dentistas da capital avaliaram o acesso aos serviços de especialidade como "bom", e os dos outros municípios como "ruim", justificando a ausência de Centro de Especiaolidades Odontológicas nesses municípios. Os dentistas concordarm que poderiam delegar ao Técnico de Saúde Bucal 17 dos 27 procedimentos realizados por cirurgião-dentista na atenção primária à saúde. A maioria das equipes de saúde bucal está organizada na modalidade I. Os técnicos em saúde bucal da região metropolitana de Manaus atuam exercendo atribuições de assistente em saúde bucal. O escopo de prática profissional dos cirurgiões-dentistas estrevistados é coerente com sua formação profissional. Para uma melhor qualificação da prática do cirurugião-dentista no âmbito do SUS, é indispensável que além de esforços continuados no campo da gestão do trabalho, da formação e da educação permanente, haja maior empenho da gestão municipal quanto ao planejamento das ações, tanto no contexto urbano, como no rural, objetivando a integralidade da atenção à saúde


The Ministry of Health established the financial incentive to include oral health teams in the Family Health Program, resulting in a major expansion of oral health teams in Brazil. With the implementation of the National Curricular Guidelines in Dentistry in 2002, several paradigm changes were proposed in the training of the professional dental surgeon. In this context, this thesis aimed to analyze the scope of the oral health team practice in primary health care, based on graduation and attributions in the Family Health Strategy of the Metropolitan Region of Manaus, Amazonas. The field research was carried out through the application of a questionnaire and interviews to dental surgeons, from July 2017 to May 2018. The interviews were recorded and performed based on the semi-structured questionnaire with 19 divided questions, in blocks, relative to the characterization of the work, scope of practice in the primary health care, scope of practice of the oral health team, and the demographic characteristics of the interviewees. Quantitative data were analyzed statistically and qualitative data were analyzed. A total of 129 dentists, predominantly female, with a median age of 38 years, were the majority Brazilian, with natural amazonense. Most respondents have more than 10 years of training, graduating from public schools in the State of Amazonas, of which 56.6% have a specialist degree, having been working for more than 5 years in the APS. It was found that all dentists in the capital are statutory. 60% of dental surgeons stated that they learned to perform most of the procedures in the undergraduate course and that they could perform more procedures if they had available materials and adequate infrastructure. The dentists in the capital evaluated access to specialty services as "good", and those of other municipalities as "bad", justifying the absence of a Center for Dental Specialties in these municipalities. The dentists agreed that they could delegate to the Oral Health Technician 17 of the 27 procedures performed by a dental surgeon in primary health care. Most oral health teams are organized in modality I. Oral health technicians in the metropolitan region of Manaus act as assistant assistants in oral health. The scope of professional practice of the dentists that are being studied is consistent with their professional training. In order to better qualify the practice of dentistry in SUS, it is essential that in addition to ongoing efforts in the field of work management, training and lifelong education, there is a greater commitment of municipal management in planning urban context, as in the rural, aiming at the integrality of health care


Subject(s)
Humans , Primary Health Care/organization & administration , Brazil , Oral Health , Health Personnel , Family Health Strategy , Dentists/organization & administration
20.
Acta odontol. Colomb. (En linea) ; 9(1): 24-36, 2019. Graf, Tab
Article in Spanish | LILACS (Americas), COLNAL | ID: biblio-1000031

ABSTRACT

Introducción: el dolor es uno de los síntomas principales de los trastornos musculoesqueléticos y tiene alta frecuencia en los profesionales de la odontología. El objetivo del estudio fue determinar la prevalencia del dolor musculoesquelético y los factores sociodemográficos y laborales asociados en odontólogos que laboran en la ciudad de Cuenca, Ecuador. Materiales y métodos: se realizó un estudio transversal en 240 odontólogos inscritos en la Dirección Provincial de Salud del Azuay de la ciudad de Cuenca hasta el año 2015. Se usó el cuestionario de Kuorinka para determinar síntomas musculoesqueléticos. Se creó un formulario con variables sociodemográficas y las características del dolor para establecer asociaciones estadísticas. La información fue procesada en el programa SPSS versión 22. Resultados: el 58,7% eran mujeres. El promedio de edad fue de 37 años con una DE de 11,6. La prevalencia de dolor musculoesquelético fue del 73,3%. El 90,3% atribuyó el dolor a causas laborales. Los factores asociados al dolor fueron: sexo femenino, sedentarismo, trabajar en el sector público y carga horaria mayor a 30 horas semanales. El dolor musculoesquelético en los odontólogos está asociado estadísticamente a: sexo femenino (OR= 2,60; IC 95%= 1,35 ­ 4,99; p= 0,004), sedentarismo (OR= 2,42; IC 95%= 1,20 ­ 4,89; p= 0,013), ejercer en el área pública (OR= 2,97; IC 95%= 1,26 ­ 6,99; p= 0,012) y carga horaria mayor a 30 horas sema- nales (OR= 2,21; IC 95%= 1,15 ­ 4,21; p= 0,017). Conclusiones: el ejercicio de la práctica clínica odontológica constituye un factor de riesgo para la generación de trastornos musculoesqueléticos.


Subject(s)
Humans , Occupational Health , Musculoskeletal Pain , Professional Practice , Work Hours , Burnout, Professional , Prevalence , Dentists , Dentists, Women , Ecuador
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