Dental mapractice litigance in the city of São Paulo (SP), Brazil

The relationship between patients and dentists today is more worn and less based on trust, which can lead to high rates of lawsuits related to civil liability and dental malpractice. Aim: verify if there has been an increase in the number of lawsuits related to questioned dental treatments, and against dentists registered in the city of São Paulo (SP), Brazil, from 2012 to 2017. Methods: We outlined an overview based on the list from the São Paulo Council of Dentistry containing 30,238 registered dentists in the city of São Paulo, and searched for lawsuits on the public base of the São Paulo State Court's. Results: The search, after the inclusion and exclusion criteria, found 247 lawsuits, with dental implants as the most involved specialty. The total indemnities requested ranged from R$ 227.42 to R$ 937,000.00, but no indemnity granted exceeded the amount of R$ 100,000.00. Conclusion: According to the analysis of cases, there is a progressive increase in the number of civil liability lawsuits against dentists involving dental malpractice litigance

Ocorrência de LER/DORT em cirurgiões-dentistas / RSI/WMSD occurrence in dental surgeons

Realizou-se uma revisão de literatura consultando as bases de dados Medline, LILACS, BBO e Scielo, de 1997 a 2012, com o objetivo de relacionar a ocorrência de LER/DORT em cirurgiões-dentistas com o seu ambiente de trabalho. Conclui-se que: a adequada orientação ao profissional e a adoção de medidas simples na prática clínica, na organização do espaço e do material de trabalho são fundamentais para evitar essas lesões; o planejamento do consultório odontológico deve ser baseado em princípios ergonômicos, e as indústrias devem acompanhar o desenvolvimento da odontologia adequando os equipamentos odontológicos às necessidades dos profissionais a fim de melhorar as condições de trabalho e consequentemente a sua qualidade de vida; o cirurgião-dentista, quando submetido a posturas incorretas, força excessiva, repetição de um mesmo movimento e compressão mecânica dos tecidos, pode adquirir algum tipo de LER/DORT, e as regiões mais acometidas são o ombro/braço, o punho, a mão e o pescoço.

It was performed a literature review on Medline, LILACS, BBO and Scielo databases from 1997 to 2012 in order to correlate the occurrence of RSI/WMSD of Dentists with their work environment. It was concluded that: a proper orientation for the professional and the adoption of simple measures in clinical practice, in the organization of space and working equipment are essential to prevent these injuries; the planning of the dental office should be based on ergonomic principles, and the industries should monitor the development of odontology suiting dental equipment to the needs of professionals in order to improve working conditions and consequently their quality of life, the Dentist when subjected to incorrect postures, excessive force, repetition of the same movement and mechanical compression of tissues can acquire some sort of RSI/WMSD and the most affected areas are the shoulder/arm, wrist, hand and neck.

Seringa anestésica e os dispositivos eletrônicos para injeção do anestésico local em odontologia / Anesthetic syringe and the electronic devices for injection of local anesthetic in odontology

Este trabalho é uma revisão de literatura sobre os dispositivos eletrônicos e manual utilizados para injeção do anestésico local em Odontologia realizada no período entre 1998 a 2010 nas fontes: Medline, PubMed, Bireme, Periódicos Capes e Scielo. Concluiu-se que: Os aparelhos anestésicos conduzidos eletronicamente, são uma evolução na Odontologia pois permitem a injeção do líquido anestésico de forma mais eficaz possibilitando uma injeção lenta, com velocidades pré-estabelecidas o que é uma grande vantagem quando comparada ao modo de injeção da seringa manual. Os dispositivos eletrônicos ainda apresentam desvantagens no que diz respeito à ergonomia, maneabilidade, peso, facilidade de uso e custo elevado.

This study is a literature review of electronic and manual devices used to inject the local anesthetic in Odontology, performed between the period of 1998 to 2010 in the sources: Medline, PubMed, Bireme, Periódicos Capes e Scielo. It was concluded that: The electronically conducted anesthetic apparatus, are an evolution in Odontology because they allow the injection of anesthetic liquid more effectively, allowing a slow injection with pre-set speeds, which is a big advantage when compared to the injection mode of the manual syringe. The electronic devices still have disadvantages with regard to ergonomics, maneuverability, weight, ease of use and high cost.