Exodontias no Sistema Único de Saúde em Minas Gerais: uma série temporal de 15 anos / Tooth extraction in the Brazilian Health System, Minas Gerais state: a 15-year time-series

Objetivo: Avaliar a tendência histórica de extrações dentárias no Estado de Minas Gerais entre os anos de 1998 e 2012. Métodos: Trata-se de um estudo de série temporal de exodontias de dentes permanentes no Estado de Minas Gerais, tendo sido os dados coletados no Sistema de Informações Ambulatoriais do Sistema Único de Saúde em 2013. Duas taxas de exodontias foram calculadas, ano a ano. A primeira refere-se à razão entre número total de exodontias de dentes permanentes dividida por todos os procedimentos preventivos, restauradores e cirúrgicos da atenção primária. A segunda foi a razão entre o número total de exodontias de dentes permanentes pelo número de habitantes. A análise estatística envolveu a construção de curvas de tendência histórica. Resultados: As duas taxas de exodontias comportaram-se de maneira errática no período avaliado. Houve uma ligeira tendência de aumento na taxa de exodontias por procedimentos da atenção primária e ligeira tendência de redução na taxa de exodontias pela população do Estado de Minas Gerais. Conclusão: As ligeiras tendências de aumento ou redução das taxas de exodontias revelam que as mesmas permaneceram constantes no período avaliado no Estado de Minas Gerais.(AU)

Aim: To evaluate the time-series of permanent tooth extraction in the state of Minas Gerais between the years 1998 and 2012. Methods: This is a timeseries study of permanent tooth extraction in the state of Minas Gerais. Data were collected in the Brazilian National Health Information System in 2013. Two annual rates of tooth extraction were calculated. The first was the ratio of the extractions of permanent teeth in relation to the total number of individual dental procedures in primary care. The second was the ratio of the number of extractions of permanent teeth divided by the total population. The statistical analysis of the time series was performed. Results: The two extractions rates behaved erratically during the study period. There was a slight tendency to increase in tooth extraction rate via primary care procedures and slight downward trend in tooth extraction rate in Minas Gerais state population. Conclusions: The slightly tendency in increase or decrease of the tooth extraction rates reveal that they remained constant in this period in the state of Minas Gerais.(AU)

Legal Aspects of Dental Antibiotic Prescriptions: ADescriptive Study in a Large Brazilian City

Objective:To quantify the antimicrobial drugs most commonly prescribed by dentists since the institution of legal controls in Brazil and to identify the presence of errors in the legal requirements of some of these drugs. Materials and Methods:This is a cross-sectional study of dental antibiotic prescriptions at 69 drug stores in a chain of pharmacies in Belo Horizonte, Brazil. A calculated sample of dental antimicrobial drug prescriptions was selected using simple random sampling from a total of 31,105 prescriptions.The following data were analyzed: the type of antimicrobial drug; the presence of a prescription in accordance with the Common Brazilian Nomenclature (DCB); the name, gender, age and address of the patient; the name, signature, address, telephone number, Regional Dental Council registration number and stamp of the prescriber. After double entry in the Epi-Data program, a descriptive analysis was performed using SPSS version 19.0. Results:A total of 366 dental antimicrobial drug prescriptions were analyzed. The majority of the antimicrobial drugs prescribed were from the penicillin group (71.9%; CI95% 67.0-76.2), 99.7% of which were amoxicillin with or without clavulanic acid. The second most commonly prescribed drugs were the macrolides (16.7%; CI95% 13.2-20.8). The majority (92.8%) had 3 to 5 errors. The most frequent errors were as follows: spelling of the drug name not in accordance with the DCB (72.1%), and the absence of patient information such as age (99.7%), gender (99.8%), and address (87.0%). Conclusion:Antimicrobial drugs of the penicillin and macrolide groups were prescribed most often by dentists, and the majority of those prescriptions had three to five errors, with spelling of the drug name not in accordance with the DCB and missing patient information as the most common errors