California's Clinical Dental Team: Evolving Together With an Eye to the Future.

California dentists enjoy some of the most well-trained clinical teams in the country. In these changing times, reflecting on our collective history may help inform collaboration and innovation that will serve us well as we create new ways to care for our patients and thrive in our professional lives.

[Efficiency of preventive dental care in school dentistry system].

Ways of development of Russian school dentistry are defined and justified based on the analysis according to logistics, personnel, legal, financial and economic basis for the reorientation of the service for preventive direction, which should be a priority in the current conditions. The implemented model of school dental care based on team work of the dentist and dental hygienist proved to be highly efficient and may be recommended for wide introduction in practice.

Desigualdades socioeconômicas e saúde bucal / Socioeconomic inequalities and oral health

Esta tese tem como foco os efeitos da desigualdade de renda na saúde bucal. Qualquer injustiça social, pelo caráter moral, é digna do estudo, porém nem toda desigualdade de renda é socialmente injusta. Ela se torna injusta quando as pessoas com menos recursos são penalizadas com pior saúde pela sua condição de pobreza. Sociedades injustas são aquelas que permitem que as desigualdades econômicas afetem direitos humanos, como o direito a um nível de vida que assegure ao indivíduo e a sua família uma vida saudável. As desigualdades de renda foram estudadas em duas vertentes: a) efeitos contextuais da desigualdade de renda na saúde bucal; e b) tendências na diferença de saúde bucal entre pessoas com maior e menor renda. A primeira parte contém quatro artigos originais que estudaram a associação e os mecanismos contextuais pelos quais a desigualdade de renda afeta a saúde bucal. Para isso, foram utilizados dados do inquérito em saúde bucal SBBrasil de 2002. Os resultados mostraram que: a) a associação entre desigualdade de renda e saúde bucal é mais forte em relação à cárie dental do que a outras doença bucais (e.g, doenças periodontais e maloclusões); b) seus efeitos estão mais fortemente associados a doenças bucais de menor latência; c) os efeitos associados à cárie dental afetam pobres e ricos igualmente; e d) a ausência de políticas públicas parece ser a melhor explicação para os efeitos da excessiva desigualdade de renda no Brasil. Ainda em relação às políticas públicas, foi encontrado que os ricos beneficiam-se mais de políticas públicas municipais do que os pobres. A segunda parte desta tese contém dois artigos originais que descreveram as tendências em saúde bucal e o uso dos serviços odontológicos em grupos de maior e menor renda, no Brasil e na Suécia...

Evaluación del estado de salud bucodental, de los niños en edad escolar de 6 a 10 años, en la ciudad de San Fernando del Valle de Catamarca periodo oct-dic. 2005, agosto-julio 2006 / Evaluation of the oral bill(state) of health, of the children in school age from 6 to 10 years, in San Fernando's city of Catamarca's Valley period oct-dic. 2005, August - July, 2006

Evaluación del Estado de Salud Buco-Dental, de los niños en edad escolar de 6 a 10 años, en la ciudad de San Fernando Del Valle de Catamarca. El objetivo de este trabajo fue determinar el estado de salud Buco Dental de niños en edad escolar de 6 a 10 años de la Ciudad de Catamarca y analizarlo en función de algunos aspectos culturales y socio-económicos tomando una escuela pública y otra privada. El estudio fue observacional de diseño retrospectivo transversal. La población bajo estudio fueron 100 niños de 6 a 10 años pertenecientes a una escuela pública y 100 niños de la misma edad pertenecientes a una escuela privada de la ciudad de San Fernando del Valle de Catamarca. Conclusiones: Los niños estudiados presentaron en un 66% un estado de salud Buco-Dental bueno (0 a 2 Caries) en general. Una concurrencia a la atención profesional de un 60% de los niños. Predominó notablemente que las bocas en mejores condiciones de salud Buco-Dental pertenecían a los niños que concurrían a escuelas privadas. Dejando claramente en evidencia que la salud Buco-Dental está íntimamente relacionado con el nivel socio-económico y cultural de los individuos, a mayor nivel, mejor estado Buco-Dental. El estado de salud Buco-Dental no es socialmente neutro. Propuesta: Mejorar el nivel cultural en general traería aparejado un mayor nivel socio-económico lo cual mejoraría el estado de salud Buco-Dental. La realización de planes de prevención, y difusión a través de docentes y prosionales de la salud sería alguna de las maneras de poder brindarle a la comunidad conocimientos, para que de esta manera, mejore su estado de salud Buco-Dental

Educación para la salud en escolares afectados por Gingivitis crónica / Health care education in students affected by chronic gingivitis

Se realizó un estudio de intervención en estudiantes del séptimo grado de la escuela Secundaria Básica Urbana 30 Aniversario de la Batalla de Guisa del municipio Bayazo en el período comprendido desde Diciembre de 1999 hasta Marzo del 2001, con la finalidad de evaluar la evolución de la Gingivitis Crónica en escolares tratados con técnicas educativas. Se trabajó con dos grupos estudios afectados gingivalmente; los dos grupos recibieron la técnica educativa (charla) reforzándose la misma en uno de los grupos con la técnica afectivo-participativa. Se le aplicaron dos encuestas para medir el nivel de conocimiento sobre salud bucal antes y después de la intervención, así como el índice de higiene bucal (de Love) y el índice gingival de Loe y Silness, para valorar el estado de inflamación gingival, de cuyos resultados derivó que con la técnica educativa objeto de estudio se logró un cambio de actitud en los escolares afectados por Gingivitis crónica, evolucionando favorablemente en ambos grupos y un incremento de la higiene bucal aceptable después de la intervención(AU)

An intervention study was carried out on seventh.graders of Urban secondary School 30 Aniversario de la Batalla de Guisa from Bayamo municipality from December 1999 to March 2000 with the objective of evaluating chronic gingivitis evolution in students treated with educative techniques. Two groups affected gingival were included, both of them received educative technique (chats); in one of the groups it was reinforced with the affective-participative technique. It was applied two surveys to measure their knowledge level about buccal health before and after intervention, so as the buccal hygiene index (Love), and Loe and Silness gingival index to value the state of gingival swelling. From their results it was derived that with the educative technique aphid it was achieved an attitude change in the affected students by chronic gingivitis. The evolution was favourable in both groups. There was an acceptable increase in buccal hygiene after intervention(AU)

Secular changes in treatment in a school dental service.

The caries decline has affected child dental treatment in many countries. There has been a change towards fewer extractions and pulpotomies in deciduous teeth, and restorative techniques and restorations in deciduous and permanent teeth have become less complex. New materials, particularly glass ionomer cements (GIC), have found acceptance. The School Dental Service (SDS) in Western Australia (WA), one of the world's largest dental care organisations, holds good data on children's dental health and on the types of treatment provided since 1980. This paper reports these data. Oral health is recorded as caries experience on a random sample of patients. Treatment provided is recorded by operators after each patient visit and collated monthly. About 240,000 children (> 90 per cent of those eligible) and currently enrolled in the SDS and the clinical staffing is about 150-160 dental therapists and 27 dentists. Caries experience has fallen in all age groups in recent years, except that in 1992 and 1993 dmft rose slightly in six-year-old children. All types of operative treatment are used less frequently now than in 1980. In deciduous teeth restorations, GIC dominates but amalgam remains the most widely chosen material in permanent teeth. The use of fissure sealants (using GIC) peaked in 1988 and, as a result of management decisions, has declined since then. The decline in the need for dental treatment has reduced costs and enabled the SDS to offer care to an expanding group of children in WA. The results achieved by the SDS in WA demonstrate that a service based primarily on dental auxiliaries is viable and efficient.

Oral health promotion in the schools: a historical analysis and case study.

This article discusses the historical shifts between the treatment-oriented, instructional and primary preventive approaches to oral health promotion, especially in school-based programs in New Zealand and Australia. While in the past much effort has been put into treatment-oriented and instructional programs, their impact has been limited. Among those primary preventive activities that have demonstrated clear benefits are various types of fluoridation and adhesive sealants for the occlusal surfaces of teeth. Further emphasis on primary prevention over treatment is needed to better insure the success of school-based oral health promotion programs. In addition, more effort needs to be put into policy direction, linkages within the educational system, planning, and evaluation.