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1.
Lima; Perú. Ministerio de Salud; 20190700. 23 p. tab, graf.
Monografia em Espanhol | LILACS, LIPECS | ID: biblio-1005858

RESUMO

Contribuir en la mejora de la calidad de vida de las persona adultas mayores mediante su abordaje integral de salud y rehabilitación oral, potenciando su rol en la familia y comunidad con el modelamiento conductual de los ejes temáticos alimentación, higiene y habilidades para la vida.


Assuntos
Idoso , Assistência Odontológica Integral , Reabilitação Bucal
2.
Medisan ; 22(6)jun. 2018. tab
Artigo em Espanhol | LILACS | ID: biblio-955044

RESUMO

Se realizó un estudio descriptivo, observacional, longitudinal y retrospectivo, de todos los pacientes notificados en los registros estadísticos de las comunidades de pobreza extrema y las nuevas urbanizaciones del estado Carabobo, durante el primer semestre del 2016, con vistas a identificar las actividades desarrolladas en estos, de acuerdo a las siguientes variables: consultas estomatológicas, actividades de promoción de salud, otros procedimientos estomatológicos y las remisiones al segundo nivel de atención. Entre los resultados se obtuvo que el mayor porcentaje de consultas se realizara en el primer trimestre del año, con predominio de las consultas-convenios, así como de las actividades de promoción de la salud. El grupo etario de menores de 18 años fue el más beneficiado con las actividades afectivo-participativas impartidas, en tanto los procedimientos estomatológicos preponderaron también en el primer trimestre, a excepción de la aplicación de laca de flúor, y la enfermedad periodontal fue la causa más frecuente de remisión al segundo nivel de atención


A descriptive, observational, longitudinal and retrospective study, from all the patients notified in the statistical records of extreme poverty communities and from the new urbanizations of the state Carabobo was carried out during the first semester of 2016, with the objective of describing the activities developed in them, according to the following variables: estomatological visits, health promotion activities, other estomatological activities and referral at the second care level. Among the results it was obtained that the highest percentage of visits was carried out in the first trimester of the year, with prevalence of the visits-agreements, as well as of the health promotion activities. The age group younger than 18 years had the greatest benefits with the delivered affective-participative activities, while the estomatological procedures also prevailed in the first trimester, except the use of fluorine, and the periodontal disease was the most frequent cause of referral to the second care level


Assuntos
Humanos , Masculino , Feminino , Lactente , Pré-Escolar , Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Venezuela/epidemiologia , Saúde Bucal , Assistência Odontológica Integral , Promoção da Saúde , Pobreza , Urbanização , Estudos Retrospectivos , Estudos Longitudinais
3.
Eur Arch Paediatr Dent ; 19(1): 33-37, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-29327215

RESUMO

AIM: To assess the outcomes of dental treatment under inhalation sedation within a UK specialist hospital setting. METHODS: This was a retrospective cohort study of the case notes of patients under 17 years of age who received dental treatment using inhalation sedation at a UK specialist setting during the period 2006-2011. Treatment outcomes were categorised into five groups: (1) treatment completed as planned, (2) modified treatment completed, (3) treatment abandoned in sedation unit and patient referred for treatment under general analgesia (GA), (4) treatment abandoned in sedation unit and patient referred for treatment under local analgesia (LA), (5) child failed to return to complete treatment. RESULTS: In total, the case notes of 453 patients were evaluated. The mean age of the patients was 10.3 ± 2.9 years. Treatment was completed successfully in 63.6% of the cases, 15.9% were referred for treatment under GA, 11.2% failed to return to complete the treatment, 7.1% received modified treatment completed, and only 2.2% were referred for treatment under LA. Treatment outcomes were significantly associated with patient`s age (p = 0.002). The treatment outcome "treatment abandoned and child referred to be treated under GA" had significantly lower mean patient ages than the other outcomes. CONCLUSIONS: The majority of children referred for inhalation sedation, completed their course of treatment. A significantly higher proportion of those in the younger age group required GA to complete their treatment.


Assuntos
Anestesia Dentária/métodos , Anestésicos Inalatórios/administração & dosagem , Assistência Odontológica Integral/organização & administração , Assistência Odontológica para Crianças/organização & administração , Criança , Feminino , Humanos , Masculino , Estudos Retrospectivos , Resultado do Tratamento , Reino Unido
5.
Cad Saude Publica ; 33(9): e00133516, 2017 Sep 28.
Artigo em Português | MEDLINE | ID: mdl-28977280

RESUMO

: The objective was to describe the governance system used in structuring the regionalized healthcare network in Santa Catarina State, Brazil, based on the Bipartite Inter-Managerial Commission (CIB), with a focus on structuring of oral healthcare. This was a qualitative, exploratory-descriptive documental study, based on the foundations of governance as an analytical tool through identification of the dimensions actors, norms, nodal points, and processes. Secondary data were collected from the minutes of CIB meetings held from January 2011 to December 2015. The analysis shows weaknesses in CIB governance in Santa Catarina in relation to regionalized structuring of oral healthcare from a network perspective. Structuring of oral healthcare occurs in parallel to that of other thematic networks in the state and shows the expansion of dental services, especially those with medium complexity, as an effect of the prevailing governance process. The relations established between administrators and decision-making processes allowed recognizing this network's "prescription", since there is little negotiation and local demand, limited more to following recommendations and incentives from the federal/state sphere, intermediated by staff from the State Health Secretariat. Thus, setting a policy agenda for oral healthcare for the population of Santa Catarina is weakened, with a peripheral position in relation to other health programs.


Assuntos
Assistência Odontológica Integral/organização & administração , Serviços de Saúde Bucal/organização & administração , Brasil , Administração de Serviços de Saúde , Humanos , Saúde Bucal , Atenção Primária à Saúde , Regionalização
6.
Rev. ADM ; 74(5): 269-274, sept.-oct. 2017.
Artigo em Espanhol | LILACS | ID: biblio-973047

RESUMO

En el planeta hay 100 millones de personas con alguna discapacidad yen México es el 6.2 por ciento de la población total. Estas personas son altamente vulnerables porque el entorno donde se desenvuelven no ofrece las condiciones para favorecer su integración y participación social, como el acceso a servicios médicos. De acuerdo con la Organización Mundialde la Salud, las personas con discapacidad son las menos atendidas en los Servicios Odontológicos, principalmente por inexperiencia del profesionista sobre el trato a estas personas, o bien por desconocimiento de los familiares-cuidadores de la importancia de mantener una boca sana. Las personas con discapacidad intelectual (PDI) constituyen un retopara el odontólogo, quien tiene que capacitarse para diseñar estrategiaspara su atención, ya que los tratamientos para este tipo de pacientes son específicos y poco convencionales. Adicionalmente conviene tomar precauciones en su atención dental, debido a que los PDI consumen diversos medicamentos, por lo que el odontólogo debe asegurarsecon otros especialistas para su manejo. Un punto medular sobre las características de la atención odontológica es que ésta tiene que generar confianza y enfrentar con paciencia y destreza a un PDI que cumpla con las expectativas del usuario, trato digno, calidez y confianza centrada en la prevención como principal criterio en la intervención odontológica, sobre todo en la supervisión de la higiene por parte de los familiares. Actualmente se habla de la relación médico-paciente participativa donde se define lo que corresponde a cada persona involucrada en el cuidado de la PDI, sin olvidar que esta atención conviene que sea en equipo. Así, ante este contexto, los odontólogos tendrían que formarseen el cuidado de la salud de las PDI quienes son sujetos de derecho,por tanto tienen que ser atendidos, respetados y tratados con dignidad.


On the planet, there are 100 million people with some disability andin Mexico; it is 6.2% of the total population. These people are highly vulnerable because the environment where they operate does not offer the conditions to favor their integration and social participation, such as access to medical services. According to the World Health Organization, people with disabilities are the least attended in the dental services, mainly because of the inexperience of the professional about the treatment of these people, or because the family/caregivers do notknow about the importance of maintaining a healthy mouth. People with intellectual disabilities (PIDs) are a challenge for the dentist,who has to be trained to design strategies for their care since the treatments for these types of patients are specific and unconventional.In addition, precautions should be taken in dental care, because PIDsconsume different medications, so the dentist must be sure with other specialists to handle them. A central point about the characteristicsof dental care is that it has to generate trust and face with patience and dexterity a PDIs that meets user expectations, dignified treatment, warmth, and confidence focused on prevention as the main criterion inthe intervention dental care, especially in the supervision of the hygieneby the relatives. At the moment we are talking about the participative doctor-patient relationship where it is defined that corresponds to eachperson involved in the care of the PDIs, without forgetting that this careshould be in a team. Thus in this context dentists should be trained inthe health care of the IDPs who are subjects of law, therefore have tobe attended, respected and treated with dignity.


Assuntos
Humanos , Assistência Odontológica para Pessoas com Deficiências/legislação & jurisprudência , Assistência Odontológica para Pessoas com Deficiências/métodos , Deficiência Intelectual/epidemiologia , Deficiência Intelectual/terapia , México , Fatores Socioeconômicos , Direitos do Paciente , Assistência Odontológica Integral/métodos
8.
Rev. ADM ; 74(2): 64-68, mar.-abr. 2017. graf, tab
Artigo em Espanhol | LILACS | ID: biblio-869355

RESUMO

Objetivo: evaluar el grado de educación, prevención e importanciadental en caries y enfermedad periodontal en padres de familia de niños de primaria de la ciudad de León, Guanajuato. Material y métodos:En este estudio descriptivo, transversal y observacional se hizo una encuesta a 1,249 padres de familia de niños de seis diferentes escuelas primarias que constó de 18 preguntas enfocadas en la educación, prevención e importancia dental. Se estableció una comparación entre padres de familia con niños de escuelas públicas y privadas, así como entre el grado de estudios de los padres de familia con su propio grado de educación y prevención dental. Resultados: Se observó un grado moderado de prevención dental (48.04 por ciento de educación dental (49.48 por ciento), la mayoría da importancia a los dientes deciduos (87.43 por ciento); 65.89 por ciento de los padres consideró sus propios dientes como muy importantes, 8.02 por ciento, moderadamente importantes, 5.12 por ciento, poco importantes y 0.96 por ciento nada importantes. También afi rman que la salud dental tienela misma importancia que la salud sistémica (98.88 por ciento). Hubo máspadres de familia de niños de escuelas privadas en los niveles altos deprevención y educación dental que de escuelas públicas. Asimismo, seobservó que en el nivel alto de educación y prevención dental, cuantomayor era el grado de estudios de los padres de familia, mayor cantidadde ellos se encontraban en estos niveles. Conclusiones: Dado que hayun alto grado de educación dental y uno moderado de prevención, sedetectó que no se lleva a la práctica lo que se sabe, aun cuando se da gran importancia a los dientes, por lo que sería conveniente diseñar un método para asegurar que se apliquen las medidas preventivas e indagar las causas por las que se omiten.


Objective: to evaluate the level of dental education, prevention, andthe importance of caries and periodontal disease in parents of primarylevel children in the city of León, Gto. Material and methods: Inthis descriptive, cross-sectional and observational study, a surveywas applied to 1,249 parents whose children study in six diff erentprimary schools. The survey had 18 questions about dental education,prevention, and importance. A comparison was made between parentswhose children study in private and public schools and between thelevel of studies of parents in the level of dental education and dentalprevention. Results: It was found a moderate level of dental prevention(48.04%) and a high level of dental education (49.48%), almost allparents think that temporal teeth are important (87.43%); 65.89% ofthe parents considered their own teeth as «very important¼, 28.02%as «moderately important¼, 5.12% as «little important¼ and 0.96% as«no important¼. They also affi rm that dental health is as important assystemic health (98.88%). There were more parents with children fromprivate schools with high levels of dental prevention and education thanchildren from public schools. It was also observed that in the high levelof dental education and prevention, the higher the level of studies werein parents, the most of them were found in those levels. Conclusions:Due to the high level of dental education, and a moderate level ofprevention, it was observed that people don’t practice what they know,even though they think teeth are important, so it would be convenientto design a method to assure that preventive measures are done andfi nd out the reasons why they are not taking place.


Assuntos
Humanos , Masculino , Adolescente , Adulto , Feminino , Adulto Jovem , Pessoa de Meia-Idade , Educação em Saúde Bucal/estatística & dados numéricos , Conhecimentos, Atitudes e Prática em Saúde , Odontologia Preventiva/educação , Assistência Odontológica Integral/estatística & dados numéricos , Assistência Odontológica Integral/tendências , Estudos Transversais , Cárie Dentária/prevenção & controle , Epidemiologia Descritiva , Inquéritos Epidemiológicos , México , Estudo Observacional , Análise Estatística
9.
J Ambul Care Manage ; 40 Suppl 2 Supplement, The Brazilian National Program for Improving Primary Care Access and Quality (PMAQ): S35-S48, 2017 Apr/Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28252501

RESUMO

This cross-sectional study aimed to evaluate the association between sociodemographic characteristics, health care indicators, work process characteristics, and the performance of preventive dental procedures by oral health care teams (OHCTs) assessed during the first phase of the PMAQ in Brazil. A census of 10 334 primary OHCTs was conducted. The outcome included topical application of fluoride, application of sealants, detection of oral lesions, and monitoring of suspected or confirmed cases of oral cancer. The multilevel Poisson regression model was used to obtain crude and adjusted prevalence ratios. The performance of preventive dental procedures was 29.46% (3044/10 334; 95% confidence interval, 28.57-30.33), which was considered low.


Assuntos
Assistência Odontológica Integral , Odontologia Preventiva , Atenção Primária à Saúde , Brasil , Estudos Transversais , Humanos , Saúde Bucal , Distribuição de Poisson
10.
J Pediatr ; 182: 349-355.e1, 2017 03.
Artigo em Inglês | MEDLINE | ID: mdl-27989408

RESUMO

OBJECTIVE: To estimate premium and out-of-pocket costs for child dental care services under various dental coverage options offered within the federally facilitated marketplace. STUDY DESIGN: We estimated premium and out-of-pocket costs for child dental care services for 12 patient profiles, which vary by dental care use and spending. We did this for 1039 medical plans that include child dental coverage, 2703 medical plans that do not include child dental coverage, and 583 stand-alone dental plans for the 2015 plan year. Our analysis is based on plan data from the Center for Consumer Information and Insurance Oversight and Data.HealthCare.Gov. RESULTS: On average, expected total financial outlays for child dental care services were lower when dental coverage was embedded within a medical plan compared with the alternative of a stand-alone dental plan. The difference, however, in average expected out-of-pocket spending varied significantly for our 12 patient profiles. Older children who are very high users of dental care, for example, have lower expected out-of-pocket costs under a stand-alone dental plan. For the vast majority of other age groups and dental care use profiles, the reverse holds. CONCLUSIONS: Our results show that embedding dental coverage within medical plans, on average, results in lower total financial outlays for child beneficiaries. Although our results are specific to the federally facilitated marketplace, they hold lessons for both state-based marketplaces and the general private health insurance and dental benefits market, as well.


Assuntos
Assistência Odontológica/economia , Gastos em Saúde/estatística & dados numéricos , Cobertura do Seguro/economia , Seguro Odontológico/economia , Criança , Assistência Odontológica Integral/economia , Bases de Dados Factuais , Feminino , Humanos , Seguro/estatística & dados numéricos , Cobertura do Seguro/estatística & dados numéricos , Seguro Odontológico/tendências , Seguro Saúde/organização & administração , Masculino , Determinação de Necessidades de Cuidados de Saúde , Patient Protection and Affordable Care Act/economia , Amostragem , Estados Unidos
13.
Med. oral patol. oral cir. bucal (Internet) ; 21(6): e672-e678, nov. 2016. tab
Artigo em Inglês | IBECS | ID: ibc-157746

RESUMO

Background: The world population is aging considerably. The state of elderly's dentition is poor. Many authors agree that the oral health status influence the elderly's quality of life. The objective of our study was to analyze the relation between the oral health status and the general health status through the quality of life of elderly people aged 65 years or more in Valencia, Spain. Material and Methods: A cross-sectional oral health survey and an oral examination have been designed to study an elderly population. There were 202 adults (103 men and 99 women). Age: 65 years of age and over. Randomly selected senior citizen's social clubs. The Oral Health Impact Profile (OHIP-14) has been used to obtain the health survey. Moreover, the EuroQol-5d and a Visual Analogue Scale (VAS) have been the tools to obtain the general health status. Finally, sociodemographic and oral health questions have been needed. Results: Descriptive and inferential results have been done and the main results are the following, the mean additive score of the OHIP-14 was 8.88, the mean value of the EuroQol-5d was 0.58 and of the VAS, 72.90. The OHIP-14 was consistently and significantly correlated with the index EuroQol-5d and with variables such as number of teeth, missing teeth, DMFT, dental status (being or not edentulous) and occupation. The EuroQol-5d was related to dental habits, sex, income, systemic pathologies and filled teeth. Conclusions: The oral health has a high impact on quality of life. The oral health and the general health are closely related. The oral hygiene and getting toothless influence negatively on the quality of life of elderly people (AU)


No disponible


Assuntos
Humanos , Idoso , Saúde Bucal/estatística & dados numéricos , Assistência Odontológica Integral/tendências , Arcada Edêntula/psicologia , Qualidade de Vida , Índice de Higiene Oral , Assistência Integral à Saúde/tendências , Avaliação Geriátrica , Perfil de Impacto da Doença
14.
Med. oral patol. oral cir. bucal (Internet) ; 21(5): e579-e586, sept. 2016. graf, tab
Artigo em Inglês | IBECS | ID: ibc-155769

RESUMO

Objective: The main objective of this systematic literature review is to identify the safest and most effective sedative drugs so as to ensure successful sedation with as few complications as possible. Study Design: A systematic literature review of the PubMed MEDLINE database was carried out using the key words ‘conscious sedation,’ ‘drugs,’ and ‘dentistry.’ A total of 1,827 scientific articles were found, and these were narrowed down to 473 articles after applying inclusion and exclusion criteria. These 473 studies were then individually assessed for their suitability for inclusion in this literature review. Results: A total of 21 studies were selected due to their rigorous study design and conduciveness to further, more exhaustive analysis. The selected studies included a total of 1,0003 patients classified as ASA I or II. Midazolam was the drug most frequently used for successful sedation in dental surgical procedures. Ketamine also proved very useful when administered intranasally, although some side effects were observed when delivered via other routes of administration. Both propofol and nitrous oxide (N2 O) are also effective sedative drugs. Conclusions: Midazolam is the drug most commonly used to induce moderate sedation in dental surgical procedures, and it is also very safe. Other sedative drugs like ketamine, dexmedetomidine and propofol have also been proven safe and effective; however, further comparative clinical studies are needed to better demonstrate which of these are the safest and most effective (AU)


No disponible


Assuntos
Humanos , Sedação Consciente/métodos , Hipnóticos e Sedativos/uso terapêutico , Procedimentos Cirúrgicos Bucais , Anestesia Dentária/métodos , Midazolam/uso terapêutico , Assistência Odontológica Integral/métodos
16.
J Dent Educ ; 80(6): 662-9, 2016 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-27251347

RESUMO

A Comprehensive Care Experience Level (CCEL) system that is aligned with Commission on Dental Accreditation (CODA) standards, promotes comprehensive care and prevention, and addresses flaws observed in previous Relative Value Units (RVU)-based programs has been implemented at the School of Dental Medicine, Case Western Reserve University since 2011. The purpose of this article is to report on the design, implementation, and preliminary outcomes of this novel clinical evaluation system. With the development of the CCEL concept, it was decided not to award points for procedures performed on competency exams. The reason behind this decision was that exams are not learning opportunities and are evaluated with summative tools. To determine reasonable alternative requirements, production data from previous classes were gathered and translated into CCEL points. These RVU points had been granted selectively only for restorative procedures completed after the initial preparation stage of the treatment plan, and achievement of the required levels was checked at multiple points during the clinical curriculum. Results of the CCEL system showed that low performing students increased their productivity, overall production at graduation increased significantly, and fluoride utilization to prevent caries rose by an order of magnitude over the RVU system. The CCEL program also allowed early identification and remediation of students having difficulty in the clinic. This successful implementation suggests that the CCEL concept has the potential for widespread adoption by dental schools. This method also can be used as a behavior modification tool to achieve specific patient care or clinical educational goals as illustrated by the way caries prevention was promoted through the program.


Assuntos
Competência Clínica , Assistência Odontológica Integral/métodos , Educação em Odontologia/métodos , Humanos , Avaliação de Programas e Projetos de Saúde
17.
Rev. Asoc. Odontol. Argent ; 104(2): 49-50, jun. 2016.
Artigo em Espanhol | LILACS | ID: lil-790188

RESUMO

La planificación es una de las etapas más importantes del tratamiento y también una de las más difíciles. Si lo hacemos de manera específica, parcial y no integral, no vamos a avanzar ni a terminarlo correctamente. Además, es preciso cumplir con las expectativas de los pacientes, quienes buscan restauraciones permanentes que duren toda la vida. Si tenemos en cuenta los estudios clínicos de cualquier tipo de tratamiento, veremos que la tasa de supervivencia a largo plazo nunca es del 100 por ciento. El plan de tratamiento es la base del éxito de la rehabilitación. Después de haber almacenado los datos necesarios de forma integral, el profesional tiene la capacidad de ejecutar un plan de trabajo en detalle, lo cual puede facilitar el desarrollo de las actuaciones y dar lugar a un tratamiento exitoso.


Assuntos
Humanos , Estética Dentária , Reabilitação Bucal , Restauração Dentária Permanente/tendências , Assistência Odontológica Integral/métodos , Prótese Dentária , Planejamento de Assistência ao Paciente
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