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1.
Dent Mater J ; 39(1): 69-79, 2020 Jan 31.
Artigo em Inglês | MEDLINE | ID: mdl-31932551

RESUMO

Advancements in materials used for restorative and preventive treatment is being directed toward "bio-active" functionality. Incorporation of filler particles that release active components is a popular method to create bio-active materials, and many approaches are available to develop fillers with the ability to release components that provide "bio-protective" or "bio-promoting" properties; e.g. metal/calcium phosphate nanoparticles, multiple ion-releasing glass fillers, and non-biodegradable polymer particles. In this review paper, recent developments in cutting-edge filler technologies to release bio-active components are addressed and summarized according to their usefulness and functions, including control of bacterial infection, tooth strengthening, and promotion of tissue regeneration.


Assuntos
Vidro , Odontologia Preventiva , Teste de Materiais
2.
PLoS One ; 15(1): e0227233, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31945098

RESUMO

OBJECTIVES: Dental caries is the most common chronic childhood disease that occurs in a continuum and can be prevented by children and their parents' adherence to recommended oral health behaviors. Theory-driven tools help practitioners to identify the causes for poor adherence and develop effective interventions. This study examined the Expanded Theory of Planned Behaviour (TPB) Model by adding the concept of Sense of Coherence (SOC) to predict parental adherence to preschooler's preventive dental visits. METHODS: Data regarding socio-economic demographics were collected from parents of children aged 2-6 years. Constructs of TPB including parental attitudes, subjective norms (SN), Perceived Behavioural Control (PBC), and intention to attend preventive dental visits for their preschoolers were collected by questionnaire, alongside parents' sense of coherence (SOC). Dental attendance was measured by asking if the child had a regular dental visit during the last year. Structural Equation Modeling Analysis (SEMA) was carried out to identify significant direct and indirect (mediated) pathways in the extended TPB model. RESULTS: Three hundred and seventy-eight mothers (mean age = 34.41 years, range 22-48) participated in the study. The mean age of children was 3.92 years, range: 2-6), and 75.9% had dental insurance. Results of the final model showed that predisposing factors (child's birthplace and mother's birthplace) significantly predicted enabling resources (family monthly income and child's dental insurance status); both predicted the TPB components (PBC, SN, and attitude). TPB components, in turn, predicted behavioural intention. However, contrary to expectation, intention did not significantly predict dental attendance in the past 12 months. Parent's SOC significantly predicted TPB components and dental attendance. Overall, 56% of the variance in dental attendance was explained by the expanded TPB model. CONCLUSIONS: The expanded TPB model explained a great deal of variance in preschooler's dental attendance. These findings suggest that the expanded model could be used as the framework for designing interventions or strategies to enhance dental attendance among preschoolers; in particular, such strategies should focus specifically on enhancing parental SOC including empowerment.


Assuntos
Educação em Saúde Bucal , Odontologia Preventiva , Doenças Dentárias/prevenção & controle , Adulto , Atitude Frente a Saúde , Criança , Pré-Escolar , Feminino , Humanos , Seguro Odontológico , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Adulto Jovem
4.
Biomed Res Int ; 2019: 2346061, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31828094

RESUMO

Background: Dental education plays an important role in providing students with the opportunity to develop their evidence-based knowledge and clinical skills regarding patient-specific preventive care and caries management strategies. The aims of this study were to examine the knowledge, attitude, and self-perceived competency towards preventive dentistry among final-year dental students and to investigate their preventive practice for high-caries-risk children. Methods. Data were collected from a convenience sample of 126 dental students using a questionnaire. The IBM SPSS Statistics version 21 was used for data analysis. Results: A total of 126 students completed the questionnaire, and 63% of the respondents were female. Significant gender differences were found in the total Professional Preventive Knowledge Scale (PPKS) (p=0.016) and its subscales of the noncariogenic nutrition (p=0.015), dental hygiene/clinical examination (p < 0.001), caries-preventive practice (p=0.02), and the Hiroshima University-Dental Behavioral Inventory (HU-DBI) (p=0.028). Significant differences were observed in the total PPKS (p=0.003) and its subscales of the noncariogenic nutrition (p=0.043) and caries risk management (p=0.006) in terms of self-perceived need to receive education and training. Caries-preventive practice was correlated with the self-perceived competency (r = 0.279; p=0.002), the attitudes (r = 0.394; p < 0.001), the total PPKS (r = 0.457; p < 0.001) and its all subscales of dental hygiene and clinical examination (r = 0.425; p < 0.001), noncariogenic nutrition (r = 0.410; p < 0.001), and caries risk management (r = 0.184; p=0.039). The self-perceived competency was positively correlated with the total PPKS (r = 0.192; p=0.031) and its subscale of noncariogenic nutrition (r = 0.259; p=0.003). Greater self-perceived competence, more positive attitudes, and good knowledge regarding preventive dentistry were found to be important predictors of the caries-preventive practice of dental students, explaining 31% of the variance (adjusted R 2 = 0.312, p < 0.001). Conclusion: 40% of dental students reported educational and training needs regarding the diagnosis, caries-preventive agents, and risk-based treatment plan. These results should be taken into account by the stakeholders in developing the national core curriculum for undergraduate Turkish dental education.


Assuntos
Educação em Odontologia/estatística & dados numéricos , Odontologia Preventiva/estatística & dados numéricos , Estudantes de Odontologia/psicologia , Atitude do Pessoal de Saúde , Competência Clínica/estatística & dados numéricos , Estudos Transversais , Currículo/estatística & dados numéricos , Cárie Dentária/prevenção & controle , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Higiene Bucal/psicologia , Autoimagem , Inquéritos e Questionários , Turquia
5.
PLoS One ; 14(12): e0223960, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31805062

RESUMO

The present retrospective analysis sought to investigate the impact of the oral care programme (OCP) for adults provided at the Department of Conservative and Preventive Dentistry, Justus-Liebig-University of Giessen, Germany, on oral health parameters. The OCP was modular and included oral hygiene instruction/professional toothcleaning, nutrition counselling, fluoridation and re-motivation. From 1999-2014, data from 1665 patients (55.1% female, 44.9% male; median age 33 years, range 15;80) were available. Type/date of modules, % of proximal sites with plaque (PP) and with bleeding after probing (PB) and D3/4MFT/D3/4MFS were recorded. PP and PB values are given as median (min;max). Overall, 60.2% of the patients attended the OCP once, 19.1% twice, and 20.7% ≥ three times. Initially, PP/PB were 0.68(0;1)/0.08(0;1) resp. decreasing at visit two (0.62(0;1)/0.07(0;1) resp.; p≤0.001 each) with no further improvement over next visits. Patients with poor oral hygiene improved, but those with good oral hygiene worsened (p≤0.001 each). Shorter intervals between visits were more effective than longer intervals. Attendance patterns changed significantly over the years: earlier, patients attended more visits with different modules; later, patients preferred the oral hygiene module and the intervals between visits lengthened. Prevalence and incidence of caries was associated with higher PP levels. Attendance patterns changed over time and had a significant impact on the outcome of the OCP. The improvement of oral hygiene was limited and occurred within the first two visits; repeated sessions maintained this improvement. The results indicate the need for new strategies improving patients' skills for efficient hygiene techniques.


Assuntos
Assistência Odontológica , Cárie Dentária/prevenção & controle , Odontologia Preventiva , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Cárie Dentária/epidemiologia , Feminino , Alemanha , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Aceitação pelo Paciente de Cuidados de Saúde , Prevalência , Estudos Retrospectivos , Adulto Jovem
7.
PLoS One ; 14(8): e0219931, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31430291

RESUMO

OBJECTIVE: In the last 30 years, innovations in oral healthcare (OHC), such as advanced restorative techniques, shifts towards preventive and evidence-based care and changes in patients' expectations, have increased the complexity of clinical decision-making in OHC. Little is known about the perspectives of general dental practitioners (GDPs) on the value of providing preventive, patient-centred and evidence-based OHC. This study aimed to explore the range of perspectives present amongst GDPs on OHC. METHOD: Q-methodology was used to explore perspectives among 78 GDPs working in the Netherlands. Participants were asked to sort 50 statements representing three central domains in OHC: i.) restorative versus preventative OHC, ii.) disease-centred versus patient-centred OHC and iii.) expertise-based versus evidence-based OHC. Opinion statements about delivering OHC were formulated on the basis of published literature and input from OHC professionals. By-person factor analysis was used to reveal clusters of communality in statement rankings, which were interpreted and formed perspectives on OHC. RESULTS: Four perspectives, explaining 47% of variance, on OHC were identified amongst GDPs: 'the patient-focused dentist who values prevention', 'the outcome-oriented dentist who values learning from colleagues', 'the team player with ultimate care responsibility' and 'the dentist who considers oral health the responsibility of the patient.' CONCLUSION: Q-methodology can be effectively used to describe the different perspectives that GDPs have on the challenges of preventive, patient-centred and evidence-based OHC. GDPs should not be seen as a homogenous group; rather they have different views and approaches to the care they provide. This has implications for health systems; awareness of the heterogeneity of practitioners' perspectives can potentially be used to develop bespoke quality of care improvement strategies that constructively engage with each of these different groups.


Assuntos
Atitude do Pessoal de Saúde , Odontologia Baseada em Evidências , Odontologia Geral , Odontologia Preventiva , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
8.
Head Face Med ; 15(1): 22, 2019 Aug 09.
Artigo em Inglês | MEDLINE | ID: mdl-31399113

RESUMO

BACKGROUND: Post-orthodontic white-spot lesions (WSL) in esthetically relevant incisor and canine areas impair dentofacial esthetics, and preventive dentistry treatment is definitely required in case of enamel cavitations. The incidence of lingual post-orthodontic WSL and cavitation following lingual MB treatment has been reported to be distinctively decreased compared to labial MB treatment. Moreover, lingual WSL do not impair dentofacial esthetics. It was the objective of this study to calculate consequential costs of preventive dental care necessary to recover labial or lingual post-orthodontic cavitations as well as esthetically relevant WSL following either labial or lingual MB interventions. METHODS: MB treatments (labial / lingual) were simulated in 1,000,000 patients between the ages of 12-18Y, with a median residual life time expectancy of 58Y based on local mortality tables. Range of MB Tx duration was 9-45 mo. Frequencies of post-orthodontic (labial / lingual) enamel damages were derived from large-scale WSL incidence studies. Anterior composite survival rates were based on a systematic review on the subject. Within the context of the German dental fee system (GOZ 2.3 and 3.5 fee increments), simulation of costs for enamel damage treatment and re-treatment (maximum: 5x) were based on single-surface composite restorations for lingual or labial cavitations and labial WSL treatment; and lingual WSL fluoridation. RESULTS: Overall mean total costs for Tx and re-Tx of both WSLs and cavitations may sum up to 1718.91 Eur in the high-cost (GOZ 3.5) scenario for conventional MB cases, versus 19.94 Eur for lingually treated cases, given that renewal of simulated single-surface restorations takes place at 15-year intervals. When focussing on patients diagnosed with least of one WSL, and/or cavitation, these mean costs increase up to 2332.35 Eur for conventionally treated MB patients, or 65.03 Eur for lingual MB patients. CONCLUSION: Costs for repeated treatment of post-orthodontic enamel damages produced by conventional vestibular fixed appliances may easily exceed the initially higher costs associated with lingual orthodontic treatment. Judged economically in the long term, lingual MB Tx may be considered as a more cost-effective solution for a correction of malocclusion.


Assuntos
Cárie Dentária , Odontologia Preventiva , Adolescente , Criança , Cárie Dentária/economia , Cárie Dentária/prevenção & controle , Esmalte Dentário , Estética Dentária , Humanos , Odontologia Preventiva/economia
9.
Lancet ; 394(10194): 261-272, 2019 Jul 20.
Artigo em Inglês | MEDLINE | ID: mdl-31327370

RESUMO

Oral diseases are a major global public health problem affecting over 3·5 billion people. However, dentistry has so far been unable to tackle this problem. A fundamentally different approach is now needed. In this second of two papers in a Series on oral health, we present a critique of dentistry, highlighting its key limitations and the urgent need for system reform. In high-income countries, the current treatment-dominated, increasingly high-technology, interventionist, and specialised approach is not tackling the underlying causes of disease and is not addressing inequalities in oral health. In low-income and middle-income countries (LMICs), the limitations of so-called westernised dentistry are at their most acute; dentistry is often unavailable, unaffordable, and inappropriate for the majority of these populations, but particularly the rural poor. Rather than being isolated and separated from the mainstream health-care system, dentistry needs to be more integrated, in particular with primary care services. The global drive for universal health coverage provides an ideal opportunity for this integration. Dental care systems should focus more on promoting and maintaining oral health and achieving greater oral health equity. Sugar, alcohol, and tobacco consumption, and their underlying social and commercial determinants, are common risk factors shared with a range of other non-communicable diseases (NCDs). Coherent and comprehensive regulation and legislation are needed to tackle these shared risk factors. In this Series paper, we focus on the need to reduce sugar consumption and describe how this can be achieved through the adoption of a range of upstream policies designed to combat the corporate strategies used by the global sugar industry to promote sugar consumption and profits. At present, the sugar industry is influencing dental research, oral health policy, and professional organisations through its well developed corporate strategies. The development of clearer and more transparent conflict of interest policies and procedures to limit and clarify the influence of the sugar industry on research, policy, and practice is needed. Combating the commercial determinants of oral diseases and other NCDs should be a major policy priority.


Assuntos
Assistência Odontológica/organização & administração , Reforma dos Serviços de Saúde/organização & administração , Doenças da Boca/terapia , Saúde Bucal , Sacarose na Dieta/efeitos adversos , Indústria Alimentícia , Saúde Global , Promoção da Saúde/organização & administração , Humanos , Doenças da Boca/etiologia , Odontologia Preventiva/organização & administração , Saúde Pública
10.
Ned Tijdschr Tandheelkd ; 126(6): 317-323, 2019 Jun.
Artigo em Holandês | MEDLINE | ID: mdl-31211297

RESUMO

By means of a brief online questionnaire with 12 statements about the organisation, quality and impact of oral care in the Netherlands, the readers of the Netherlands Journal of Dentistry (NTVT) were asked to express their opinions on a number of important subjects concerning oral care in the Netherlands with respect to health economic matters. A total of 237 readers (61% men, 39% women) completed the online questionnaire. 70% of them were working as dentists and had been active in a practice for between 31 and 40 years. According to the study, a shift from curing to prevention was considered to be necessary. Most of the respondents also thought inequality in oral health in the Netherlands is increasing and people avoid going to the dentist due to the associated costs. In conclusion, most oral care providers appear to be reasonably positive about Dutch oral care. Attention for prevention, appreciation of oral health and the reduction of inequality in oral care continue to be necessary.


Assuntos
Odontologia , Economia em Odontologia , Odontologia Preventiva/economia , Odontologia Preventiva/organização & administração , Odontólogos , Feminino , Humanos , Masculino , Países Baixos , Saúde Bucal , Inquéritos e Questionários
11.
Ned Tijdschr Tandheelkd ; 126(6): 325-330, 2019 Jun.
Artigo em Holandês | MEDLINE | ID: mdl-31211298

RESUMO

Health economics deals with issues about the use of scarce resources in healthcare. An important branch of health economics concerns economic evaluations, which consist of a comparison of the costs and effects of 2 or more treatments. The role and importance of economic evaluations in oral care are increasing but are not yet as evident as in other areas of healthcare (such as pharmacy). An economic evaluation provides a broad picture of the costs and health benefits of a particular diagnostic or treatment strategy, resulting in a cost-effectiveness ratio (expressed, for example, as costs per quality-adjusted life year gained). The results are intended for use in policy-making, such as decisions about in- or exclusion from the basic benefits package. To date, only a limited number of economic evaluations of oral care have been carried out, mainly focused on caries. It is important to be able to demonstrate that the treatment provided in oral care is cost-effective. Oral care may put itself in a vulnerable position in the distribution of scarce resources when the costeffectiveness of its treatments is uncertain.


Assuntos
Economia em Odontologia , Saúde Bucal , Odontologia Preventiva , Análise Custo-Benefício , Odontologia , Humanos , Países Baixos
12.
Ned Tijdschr Tandheelkd ; 126(2): 91-100, 2019 Feb.
Artigo em Holandês | MEDLINE | ID: mdl-30785988

RESUMO

In 2018, the Netherlands Journal of Dentistry (NTVT) had been published for 125 years: reason for a systematic look at the subjects that have received attention since 2000. These subjects were subsequently compared to those in Dutch dental publications in international literature and to leading fields in oral health care. The analysis revealed an increase in the attention given to certain fields in the Netherlands Journal of Dentistry, such as public dental health, during the past 18 years and a decrease in the attention given to other subjects, such as basic scientific research. In addition, there was a limited correlation between fields involving the greatest cost of care, such as cariology and preventive dentistry, and research activity. This held true both for international publications and publications in the Netherlands Journal of Dentistry.


Assuntos
Odontologia , Publicações Periódicas como Assunto/tendências , Odontologia Preventiva , Humanos , Países Baixos , Saúde Bucal
14.
Rev. ADM ; 76(1): 26-29, ene.-feb. 2019. tab
Artigo em Espanhol | LILACS | ID: biblio-995745

RESUMO

Promover la adecuada comprensión de la prevención primaria en salud oral dirigida hacia los adolescentes debería ser una parte crucial de la odontopediatría. Estos pacientes constituyen un grupo de riesgo, ya que por la etapa en que se encuentran demandan atención odontológica especializada. Empero, las medidas preventivas para mantener la salud oral dirigidas hacia este colectivo no han sido impulsadas de manera prioritaria. Por lo que los profesionales de la salud oral que se encargan de la atención de adolescentes deben garantizar que este grupo de la población tenga un óptimo nivel de atención. En este artículo se determinan las pautas sobre cómo mantener el cuidado de la salud oral en adolescentes (AU)


Promoting an adequate comprehension of primary prevention in oral health regarding adolescents is an essential task in pediatric dentistry. These patients constitute a risk group, and they need of specialized dental care. However, prevention measures directed to maintain the oral health at this group, have not been promoted as a priority. Therefore, oral health professionals, who are responsible for adolescent care, should be interested in the importance of ensuring that this group has optimal management. This article establishes guidelines involving oral health in adolescents (AU)


Assuntos
Humanos , Masculino , Feminino , Adolescente , Saúde Bucal , Guias como Assunto , Odontopediatria , Saúde do Adolescente , Higiene Bucal , Educação em Saúde Bucal , Odontologia Preventiva , Ansiedade ao Tratamento Odontológico , Cárie Dentária , Doenças da Gengiva , Consentimento Livre e Esclarecido , Doenças da Boca
15.
J Am Dent Assoc ; 150(1): 42-48, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-30528747

RESUMO

BACKGROUND: Preschool-aged children with special health care needs (CSHCN) from low-income households are at increased risk of developing poor oral health. The study goal was to assess preventive dental care use for CSHCN enrolled in Medicaid within Washington state's Access to Baby and Child Dentistry (ABCD) program. METHODS: The authors analyzed 2012 Medicaid eligibility and claims files for children younger than 6 years in the ABCD program (N = 206,488). The authors used medical diagnosis and eligibility data to identify each child's special needs status (no or yes). The outcome was preventive dental care use (no or yes). The authors used modified Poisson regression models to estimate crude and covariate-adjusted prevalence rate ratios. RESULTS: Of the 206,488 children in the study, 2.1% were CSHCN, and 114,570 used preventive dental care (55.5%). CSHCN used preventive care at rates similar to those of children without special health care needs (SHCN) (54.7% and 55.5%, respectively; P = .32). After adjustment for confounding variables, CSHCN were significantly less likely to use preventive dental care than were children without SHCN (prevalence rate ratio, 0.91; 95% confidence interval, 0.88 to 0.94; P < .001). Older preschool-aged children were significantly more likely to use preventive dental care than were younger preschool-aged children. A significantly higher proportion of preventive medical care users also used preventive dental care. CONCLUSIONS: CSHCN who were enrolled in Medicaid in Washington's ABCD program were less likely to use preventive dental care than were children without SHCN who were enrolled in Medicaid. PRACTICAL IMPLICATIONS: Future intervention research investigators should evaluate ways to improve access to preventive dental care for CSHCN. Additional strategies may be needed to improve oral health behaviors for preschool-aged CSHCN receiving Medicaid.


Assuntos
Assistência Odontológica para Crianças , Criança , Pré-Escolar , Odontologia , Acesso aos Serviços de Saúde , Necessidades e Demandas de Serviços de Saúde , Humanos , Lactente , Medicaid , Determinação de Necessidades de Cuidados de Saúde , Odontologia Preventiva , Estados Unidos , Washington
16.
Artigo em Inglês | MEDLINE | ID: mdl-30558280

RESUMO

We disseminate the recruitment strategies used in the five-year VidaSana study (started in 2017) in the Midwest region of the United States, targeting recently arrived Hispanic immigrants. VidaSana aims to follow immigrants within six months of arrival for 24 months to (1) characterize features of networks (personal and community) that improve or undermine dental health; and (2) further refine methods to quantify the evolution of egocentric networks, using social network methodology. We implemented several strategies to promote and recruit potential participants into the study. We collaborate with agents serving Indiana's Hispanic communities using three levels of visibility. The broad level includes radio advertisements, TV interviews, newspaper advertisements, and targeted Facebook advertisements. Intermediate level visibility includes posting flyers in schools, employment agencies, immigrant welcome centers, and Hispanic businesses; making announcements at church/temple and school events; tabling at community, church and school events; and a pervasive adaptation of our strategies to the requirements of our partners. Lastly, the individualized level includes direct referrals by partners through word of mouth. From the initial 13 months of recruitment (494 screened contacts and 202 recruited participants), the most successful recruitment strategies appear to be a combination of intermediate- and individual-level strategies; specifically, face-to-face recruitment at school events, direct referrals from our community partners, and tabling at community/school/church events. The current interim findings and future final findings will help guide recruitment and retention strategies for studies focused on immigrants in the current climate of heightened immigration regulations and enforcement.


Assuntos
Assistência Odontológica , Emigrantes e Imigrantes , Hispano-Americanos , Saúde Bucal/estatística & dados numéricos , Odontologia Preventiva , Rede Social , Humanos , Estudos Longitudinais , Seleção de Pacientes , Estados Unidos
17.
Rev. Asoc. Odontol. Argent ; 106(4): 107-110, dic. 2018.
Artigo em Espanhol | LILACS | ID: biblio-981620

RESUMO

En odontología es importante hablar de inclusión, capacitar a los profesionales para que puedan ofrecer tratamientos preventivos y rehabilitadores a personas con discapacidad, ya que estas constituyen un grupo poblacional vulnerable cuyo número se ha incrementado, y se requiere de equipos interdisciplinarios con expertise para responder en los diferentes niveles de atención odontológica (AU)


It is important to talk about inclusion in dentistry preparing trained professionals to offer preventive and comprehensive oral rehabilitation treatments to people with disabilities, a vulnerable population group whose number has increased requiring interdisciplinary teams with expertise to provide advice and answers at the different levels of dental care (AU)


Assuntos
Humanos , Equipe de Assistência ao Paciente , Assistência Odontológica para Pessoas com Deficiências , Sociedades Odontológicas , Odontologia Preventiva , Direitos do Paciente
18.
Journal of Oral Investigations ; 7(2): 20-32, jul.-dez. 2018. tab, graf
Artigo em Português | BBO - Odontologia | ID: biblio-915364

RESUMO

Considerando a importância da saúde bucal em gestantes, este estudo pesquisou como funciona o Sistema Único de Saúde - SUS, no município de Passo Fundo - RS, na área de atendimento odontológico junto às enfermeiras responsáveis pelas unidades básicas de saúde, as quais são responsáveis pelo pré-natal. Verificou-se a realização e acompanhamento do pré-natal odontológico pelos cirurgiões dentistas com a finalidade de conhecer o tipo de informações transmitidas às gestantes sobre a importância do pré-natal odontológico, e também como os cirurgiões dentistas desenvolvem o atendimento odontológico durante o período gestacional, além de orientações em programas de atendimento coletivo. Diante disso pode-se observar que os cirurgiões dentistas que atuam nas unidades básicas de saúde da cidade de Passo Fundo - RS desenvolvem o pré-natal odontológico, porém não preconizam o atendimento coletivo com base nos programas que preveem organização de grupo de pacientes recebendo informações orientações através de palestras e outras atividades semelhantes. As conclusões apontaram que há atendimento nas unidades de saúde pública, todavia não há profissionais em número suficiente para atender a demanda e cumprir programação de atendimento preventivo coletivo(AU)


Considering the importance of oral health in pregnant women, this study researched how SUS works, in Passo Fundo-RS, the dental care area by the nurses responsible for the basic health units, which are responsible for prenatal It was the implementation and monitoring of dental prenatal Surgeons by dentists in order to know the type of information provided to pregnant women about the importance of dental prenatal care; as well as Dental Surgeons develop dental care during pregnancy, as well as guidelines in collective care programs. Thus it can be seen that the dentists working in primary care units in the city of Passo Fundo-RS develop dental prenatal care, but do not advocate the collective care based on the programs that predict patient group organization receiving information guidance through lectures and other similar activities. The findings showed that there is care in public health facilities, but no professionals in sufficient numbers to meet demand and fulfill collective preventive care programming(AU)


Assuntos
Humanos , Feminino , Gravidez , Saúde Bucal , Gestantes , Odontologia Preventiva , Sistema Único de Saúde
19.
R I Med J (2013) ; 101(9): 19-22, 2018 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-30384514

RESUMO

AIMS: To examine the distribution of preventive dental care for pregnant women in Rhode Island. METHODS: The data used were obtained from the 2012 to 2015 Rhode Island Pregnancy Risk Assessment Monitoring System (RIPRAMS). Statistical analyses were conducted for respondents who had valid information for both preventive dental care receipt and race/ethnicity to examine population differences in the receipt of preventive dental care. RESULTS: Respondents who identified as Hispanic and had more than 12 years of education had higher odds for preventive dental care receipt in Rhode Island between 2012 to 2015 compared to non-Hispanic whites. Furthermore, respondents with lower household income were the least likely to have received preventive dental care. This was especially true for black and non-Hispanic women who reported being neither black nor white. CONCLUSION: Preventive dental care in Rhode Island between 2012 and 2015 did not meet the perinatal and Infant Oral Health Quality Improvement (PIOHQI) target of 60% in minority populations.


Assuntos
Assistência Odontológica/estatística & dados numéricos , Grupos Étnicos/estatística & dados numéricos , Acesso aos Serviços de Saúde/estatística & dados numéricos , Odontologia Preventiva/estatística & dados numéricos , Adulto , Feminino , Pesquisas sobre Serviços de Saúde , Acesso aos Serviços de Saúde/economia , Humanos , Seguro Odontológico/estatística & dados numéricos , Modelos Logísticos , Análise Multivariada , Gravidez , Odontologia Preventiva/economia , Rhode Island , Medição de Risco , Fatores Socioeconômicos , Adulto Jovem
20.
Chin J Dent Res ; 21(4): 285-297, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30264045

RESUMO

OBJECTIVE: To investigate the current status and distribution of resources for oral health in China, by means of analysing national data from the National Investigation of Resources for Oral Health. METHODS: The National Investigation of Resources for Oral Health in China was performed in 2015, in parallel with the 4th National Oral Health Survey of China (2015 to 2016). A structured questionnaire on resources for oral health was used to collect the data of professional institutions and stomatological/dental workforce in each province. For each province, the local Investigation Group was responsible to summarise the status and distribution of institutions with stomatological/dental departments and stomatological/dental workforce. Descriptive analysis of resources for oral health was performed to learn about the number and percentage of each category both for each province and nationally. The ratio of number of stomatological/dental workforce to population was also calculated and compared with the criteria of the World Health Organisation (WHO). RESULTS: There were totally 75,399 stomatological/dental departments nationally in all professional institutions in the mainland of China, most of which were set in institutions of primary health care services. Institutions of private sectors accounted for a higher proportion (69.8%) which was over two-fold compared to that of public ones (30.2%). General hospitals were the major part of hospitals with stomatological/dental departments compared with stomatological/dental specialised hospitals. Stomatological/dental clinics were the majority of institutions of primary health care services, compared to community health care service centres/stations and township health care services. Amongst all professional institutions of public health with stomatological/dental departments, 35.0% were maternal and child health care services and 11.2% were institutions for prevention and control of oral diseases. The total number of stomatological/dental workforce in the country was 314,347, among whom 171,587 (54.6%) were stomatologists/dentists. The ratio of number of stomatologists/dentists to population was 1:7,768 nationally, which was lower than the WHO standard of 1:5,000. CONCLUSION: The National Investigation of Resources for Oral Health in China exhibited the current status and distribution of resources for oral health over the country, whereas insufficiencies of stomatological/dental workforce and institutions and inequalities of their distribution were found nationally. This could provide some policy suggestions for the health authorities in China to promote oral health in the Chinese population in the future.


Assuntos
Odontologia , Recursos em Saúde , Mão de Obra em Saúde , Saúde Bucal , Medicina Bucal , Atenção Primária à Saúde , Instituições de Assistência Ambulatorial , China , Hospitais Gerais , Humanos , Odontopediatria , Odontologia Preventiva , Setor Privado , Setor Público
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