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1.
Artigo em Inglês | MEDLINE | ID: covidwho-245597

RESUMO

The aim of this pilot study was to describe the advantages of telemedicine (TM) in dental practice during the current national emergency condition due to the Covid-19 dissemination. At Department of Oral Surgery and Pathology-Magna Graecia University of Catanzaro, regional reference center for Covid-19-two groups of patients were determined: patients with urgent conditions (group U) and patients in follow-up (group F). Both groups were instructed to implement remote consultations using a messaging service (WhatsApp Messenger, WhatsApp Inc., Mountain View, California, USA) to send photos. A total of 418 photos were collected by 57 patients. Thirty-four photos were obtained by five patients in the U group after surgical procedures. All patients sent photos on the established evening, except for two patients who sent two photos outside the set days. In the F group, 384 photos were collected by 52 patients. None of them sent more photos than the number that was established by the protocol. Telemedicine allowed a monitoring of all patients, reducing costs and limiting human contact, decreasing the risk of Covid-19 dissemination.


Assuntos
Odontologia Comunitária , Infecções por Coronavirus , Serviços de Saúde Bucal/estatística & dados numéricos , Doenças da Boca/diagnóstico , Pandemias , Pneumonia Viral , Consulta Remota , Telemedicina , Adulto , Betacoronavirus , Coronavirus , Assistência à Saúde , Clínicas Odontológicas , Serviços de Saúde Bucal/organização & administração , Odontologia , Feminino , Humanos , Itália/epidemiologia , Masculino , Pessoa de Meia-Idade , Aplicativos Móveis , Projetos Piloto , Odontologia em Saúde Pública , Encaminhamento e Consulta , Adulto Jovem
2.
Artigo em Inglês | MEDLINE | ID: mdl-32414126

RESUMO

The aim of this pilot study was to describe the advantages of telemedicine (TM) in dental practice during the current national emergency condition due to the Covid-19 dissemination. At Department of Oral Surgery and Pathology-Magna Graecia University of Catanzaro, regional reference center for Covid-19-two groups of patients were determined: patients with urgent conditions (group U) and patients in follow-up (group F). Both groups were instructed to implement remote consultations using a messaging service (WhatsApp Messenger, WhatsApp Inc., Mountain View, California, USA) to send photos. A total of 418 photos were collected by 57 patients. Thirty-four photos were obtained by five patients in the U group after surgical procedures. All patients sent photos on the established evening, except for two patients who sent two photos outside the set days. In the F group, 384 photos were collected by 52 patients. None of them sent more photos than the number that was established by the protocol. Telemedicine allowed a monitoring of all patients, reducing costs and limiting human contact, decreasing the risk of Covid-19 dissemination.


Assuntos
Odontologia Comunitária , Infecções por Coronavirus , Serviços de Saúde Bucal/estatística & dados numéricos , Doenças da Boca/diagnóstico , Pandemias , Pneumonia Viral , Consulta Remota , Telemedicina , Adulto , Betacoronavirus , Coronavirus , Assistência à Saúde , Clínicas Odontológicas , Serviços de Saúde Bucal/organização & administração , Odontologia , Feminino , Humanos , Itália/epidemiologia , Masculino , Pessoa de Meia-Idade , Aplicativos Móveis , Projetos Piloto , Odontologia em Saúde Pública , Encaminhamento e Consulta , Adulto Jovem
3.
PLoS One ; 15(5): e0233604, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32469941

RESUMO

The quality of oral health care might be evaluated based on Donabedian's structure-process-outcome model. This study assessed the association between the oral health public services structure and work process of oral health teams (OHT) and performance indicators (access and problem-solving capacity) in Brazil. Secondary data from a national program obtained through interviews and by observation in 2013/2014 were analyzed. The performance indicators were Coverage of First Scheduled Dental Appointment (FDA) (< or ≥ the mean) and Ratio between Completed Treatments and First Scheduled Dental Appointments (CT/FDA) (< 1 or ≥ 1). The structure was assessed by the sum of available instruments, equipment, and supplies. Latent class analyses were used to identify similar groups (consolidated, developing, and incipient) of OHT according to the work process (planning of actions, health promotion and intersectoral actions, and integral health care). Each OHT was also described regarding the number of the health team in which the OHT operates, whether the primary care unit receives students/teaches, frequency of care provided outside of OHT coverage, and participation in telehealth. Multiple logistic regression models were adjusted for each performance indicator. A total of 16189 (99,8%) and 16192 (99,9%) OHTs located in 4344 (78,0%) municipalities had complete data on the work process and structure. 91.92% of OHTs presenting CT/FDA ≥ 1 and 37.05% presenting FDA ≥ the mean. Consolidated planning of actions and better structural conditions were associated with better performance. A higher frequency of CT/FDA ≥ 1 was observed among OHTs with consolidated integral health care and those that performed telehealth. OHTs that served individuals outside of OHT coverage daily and that worked with two to nine Health Teams presented a higher frequency of FDA ≥ the mean. OHTs with better structural and work process conditions had better performance.


Assuntos
Saúde Bucal , Administração em Saúde Pública , Brasil , Humanos , Odontologia em Saúde Pública , Qualidade da Assistência à Saúde
4.
Rev. ADM ; 77(2): 80-83, mar.-abr. 2020.
Artigo em Espanhol | LILACS | ID: biblio-1100465

RESUMO

El planteamiento de este artículo no es presentar la gravedad del problema a nivel local, nacional y mundial, tampoco hacer un análisis científico, técnico, económico o social de toda la información publicada recientemente respecto a la enfermedad COVID-19 y sus consecuencias. El objetivo principal es reflexionar sobre tres preguntas que impactan a nuestra comunidad de profesionistas de la odontología, instituciones de educación encargadas de la preparación de futuros profesionistas e investigadores: 1. ¿Qué aspectos positivos existen derivados de esta pandemia que debemos rescatar y qué no estamos viendo? 2. ¿Qué podemos aportar desde una perspectiva profesional y social durante esta emergencia de salud pública? 3. ¿Qué cambios positivos se habrán generado en nuestra profesión cuando esta pandemia sea controlada? (AU)


The approach of this article is not to present the seriousness of the local, national and world problem, neither to give a scientific, technical, economic or social analysis of all the recently published information regarding the COVID-19 and its consequences. The main objective is to reflect on three questions that impact our community of dentistry professionals, educational institutions responsible of preparing future professionals and researchers: 1. What positive aspects are derived from this pandemic that we must rescue and that we are not seeing?; 2. What can we contribute from a professional and social perspective during this public health emergency ?; 3. What positive changes will have been generated in our profession when this pandemic is controlled? (AU)


Assuntos
Humanos , Controle de Doenças Transmissíveis , Infecções por Coronavirus/prevenção & controle , Controle de Infecções Dentárias , Odontologia em Saúde Pública , Educação em Saúde Bucal , Odontologia Baseada em Evidências , Pandemias
5.
Rev. ADM ; 77(2): 88-95, mar.-abr. 2020. tab
Artigo em Espanhol | LILACS | ID: biblio-1102073

RESUMO

El surgimiento de infecciones originadas por el SARS-CoV-2 en el humano ha desencadenado una serie de conflictos de salud, económicos y sociales en el entorno mundial. El área odontológica debe poseer todo el conocimiento necesario acerca de esta pandemia debido a que, como profesionales de la salud y responsables de la condición bucal de la sociedad, es de vital importancia disminuir el riesgo que presentan las enfermedades crónicas no transmisibles, cáncer, obesidad y otras, así como de los adultos mayores para que no generen un problema de salud severo y que además puedan ser asociadas con la presencia del COVID-19. Es importante conocer cuáles son las pautas por considerar en la práctica odontológica para una atención odontológica oportuna y eficaz manteniendo la bioseguridad del personal de salud. Por lo tanto, se genera esta guía de atención odontológica basada en la evidencia científica publicada para el conocimiento y dominio del profesional de salud oral (AU)


The emergence of human infections caused by SRAS-CoV-2 has triggered a series of health, economic and social conflicts in the global environment. The dental area must have all the necessary knowledge about this pandemic because, as a health professional and responsible for the oral condition of society, it is vitally important to reduce the risk of chronic non-communicable diseases, cancer, obesity and others, as well as older adults so that they do not generate a health problem and that may also be associated with the presence of COVID-19. It is important to know the problems of the guidelines to consider in dental practice for effective dental care and biosafety of health personnel. Therefore, this dental care guide is generated based on published scientific evidence for the knowledge and domain of the oral health professional (AU)


Assuntos
Humanos , Masculino , Feminino , Assistência Odontológica/normas , Pessoal de Saúde , Infecções por Coronavirus/prevenção & controle , Coronavirus , Controle de Infecções Dentárias/métodos , Controle de Doenças Transmissíveis , Odontologia em Saúde Pública
6.
Rev. méd. Panamá ; 40(1): 9-13, ene.2020. ilus, tab
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-1099567

RESUMO

Introducción: El Cáncer Bucal es una enfermedad de importancia en Salud Pública. En Panamá, se desconoce la incidencia y prevalencia de la enfermedad y no se dispone de información por tipo de patología, lesión, localización, ni estudios de conocimientos, ac­ titudes y prácticas, relacionados a los factores de riesgo. Objetivo General: analizar los conocimientos, actitudes y prácticas de prevención de Cáncer Bucal en la población mayor de 15 años. Materiales y Método: estudio descriptivo transversal, realizado en las Regiones Sanitarias de San Miguelito, Metropolitana y Panamá Oeste. Se realizó un muestreo por conveniencia en 42 instalaciones de salud del primer nivel de atención, a la población que acudió al servicio odontológico durante cuatro meses. Se aplicó una encuesta de Conocimiento, Actitudes y Prácticas de prevención de factores de riesgo al cáncer bucal, considerando variables de estilo de vida. Para el análisis estadístico, se utilizaron los programas Epi Info versión 7.2 y XLSTAT 2019 y presentados los datos en medidas paramétricas y no paramétricas. Resultados: se encuestó un total de 3,832 personas mayores de 15 años. La mayor proporción fueron mujeres en edades de 25 y 34 años. En relación al conocimiento, el 81% desconoce los factores de riesgo de cáncer bucal y según la actitud, el 63% no asiste al control odontológico periódicamente. Las prácticas reflejaron hábitos relaciona­ dos al consumo de tabaco y alcohol. Conclusión: La población mayor de 15 años del estudio, desconoce los factores de riesgo del cáncer bucal y manifiesta limitada actitud de práctica preventiva.


Introduction: Oral Cancer is an importance disease in Public Health. In Panama, the in­ cidence and prevalence of the disease is unknown and there is no information available by type of pathology, injury, location, or studies of knowledge, attitudes and practices re­ lated to risk factors. General Objective: to analyze the knowledge, attitudes and practi­ ces of prevention of Oral Cancer in the population over 15 years old. Materials and Methods: cross­sectional descriptive study, carried out in San Miguelito, Metropolitan and Panamá Oeste Health Regions. Sampling was carried out for convenience in 42 health facilities of the first level of health care, to the population that attended the dental service during four months. A survey of Knowledge, Attitudes and Practices of preven­ tion of risk factors to oral cancer was applied, considering Lifestyle variables. For the statistical analysis, the Epi Info version 7.2 and XLSTAT 2019 programs were used and the data presented in parametric and non­parametric measurements. Results: a total of 3,832 people over 15 years of age were surveyed. The highest propor­ tions were women between the ages of 25 and 34. In relation to knowledge, 81% do not know the risk factors for oral cancer and according to the attitude, 63%, do not attend pe­ riodically to a dental control. The practices reflected habits related to consumption of to­ bacco and alcohol. Conclusion: The population over 15 years old of the study ignores the risk factors of oral cancer and manifests a limited attitude of preventive practice.


Assuntos
Humanos , Feminino , Adulto , Idoso de 80 Anos ou mais , Neoplasias Bucais/prevenção & controle , Neoplasias Bucais/psicologia , Odontologia em Saúde Pública , Inquéritos de Saúde Bucal/métodos , Estudos Populacionais em Saúde Pública , Estudos de Avaliação como Assunto
7.
Acta Odontol Scand ; 78(1): 13-19, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31287346

RESUMO

Objective: To estimate the prevalence of dental anxiety, and to explore factors that may increase the risk of reporting dental anxiety among 18-year-old Norwegians in 2016. A further objective was to report changes in dental anxiety since 1996.Material and methods: An anonymous survey from a strategic sample of upper secondary students (n = 351) in 2016 with high response rate (93%) was compared with the results of an investigation of a similar population conducted in 1996.Results: The prevalence of dental anxiety and dental distrust was reduced from 1996 to 2016. Dental Fear Survey (DFS) from 19 to 8% (p < .001), and Dental Belief Survey (DBS) from 15 to 6% (p < .001). Geer Fear Scale (GFS) which measure phobic anxiety did not show a similar reduction (17 versus 15%, p = .37). Phobic anxiety, avoidance behaviour, self-reported poor oral health and previous experiences of pain were all associated with dental anxiety.Conclusion: The prevalence of dental anxiety was reduced from 1996 to 2016, but 8% still report dental anxiety. Proper pain management and use of behavioural management techniques still needs to be highlighted to prevent development of dental anxiety, avoidance behaviour and poor oral health.


Assuntos
Ansiedade ao Tratamento Odontológico/epidemiologia , Medo , Adolescente , Ansiedade ao Tratamento Odontológico/etiologia , Ansiedade ao Tratamento Odontológico/psicologia , Assistência Odontológica/psicologia , Humanos , Noruega/epidemiologia , Saúde Bucal , Dor/epidemiologia , Dor/psicologia , Prevalência , Odontologia em Saúde Pública , Fatores de Risco , Inquéritos e Questionários
8.
Br Dent J ; 227(11): 941, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31844196
9.
J Dent Educ ; 83(12): 1445-1451, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31501255

RESUMO

The aims of this study were to qualitatively assess dental public health (DPH) residents' perspectives on teaching methods for DPH competencies and to develop and implement a case-based simulation to address those competencies, constructed on the basis of the qualitative assessment. Focus group discussions were conducted with 18 DPH residents enrolled in two university-based DPH programs. Topic areas discussed in the two focus groups were perceived value of DPH competencies, ways to acquire new DPH skills/abilities, and additional skills/abilities needed by DPH residents. The focus groups' responses showed that the residents felt competent in the analytical thinking competencies such as research methodology and critiquing literature. They emphasized the importance of learning leadership skills and reported feeling somewhat uncertain about their mastery of the policy and advocacy and system evaluation competencies. Of the two distinct categories of DPH skills and competencies- analytical/critical thinking and practical competencies-these residents reported that a greater proportion of time needed to be devoted to integrating the practical competencies into their education. Based on the residents' feedback, the authors developed a structured seminar series taking a case-based approach to simulate real-world DPH problems, using real and semi-hypothetical planning projects to meet the residents' perceived needs and covering gaps between didactic learning and practice.


Assuntos
Internato e Residência , Retroalimentação , Grupos Focais , Saúde Pública , Odontologia em Saúde Pública
10.
Community Dent Health ; 36(2): 89-90, 2019 May 30.
Artigo em Inglês | MEDLINE | ID: mdl-31145561

RESUMO

This commentary is about one of the last great challenges facing dental public health. It is a problem I will discuss in a United Kingdom context, but the issues will, I am sure, be of relevance to all readers of this Journal wherever they practice. It is a problem that I spent many hours trying to address when I was in the early stages of my career. Now, when I am nearer the end than the beginning, it is still a problem. The issue? Preventing dental decay in those aged under 3 years old, who in the main, reside in areas of social and economic disadvantage.


Assuntos
Cárie Dentária , Saúde Bucal , Pré-Escolar , Humanos , Lactente , Odontologia em Saúde Pública , Reino Unido
11.
J Oral Rehabil ; 46(9): 792-799, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31046174

RESUMO

BACKGROUND: To easily identify patients who could benefit from a temporomandibular disorder (TMD) examination, three screening questions (3Q/TMD) have been introduced in large parts of Sweden. The questions are related to a TMD diagnosis. However, how the questions relate to a treatment need is unknown. OBJECTIVES: The first aim of the study was to identify predicting factors for perceived treatment need among adult individuals who screened positive to the 3Q/TMD. The second aim was to explore individuals' thoughts and experiences related to treatment of their TMD complaint. METHODS: This mixed-method study with a case-control design was conducted in Västerbotten, Sweden, during 2014. Individuals who screened positive to at least one of the 3Q/TMD questions were allocated 3Q-positives, whereas those with negative answers to all questions were allocated 3Q-negatives. In total, 300 individuals (140 randomly selected 3Q-positives, and 160 age- and gender-matched 3Q-negatives) were included. All individuals answered questions related to treatment need. The answers were analysed in a qualitative approach with qualitative content analysis. RESULTS: In total, 81% of 3Q-positives expressed a treatment need related to their TMD symptoms. The perceived treatment need was predicted by frequent pain (Q1) and frequent functional disturbances (Q3). Among the 3Q-positives, 54% reported mistrust in dentists' ability to treat TMD symptoms. The informants expressed a need for information about their symptoms and possible treatment options. CONCLUSION: Affirmative answers to 3Q/TMD were associated with TMD treatment need. Dentists should give advice to patients with TMD symptoms and address their concerns.


Assuntos
Dor Facial , Transtornos da Articulação Temporomandibular , Adulto , Odontologia , Humanos , Odontologia em Saúde Pública , Suécia
12.
J Dent Educ ; 83(9): 1012-1018, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30962314

RESUMO

The aim of this qualitative study was to examine the perspectives of key personnel at partner sites providing community learning experiences to dental students to gain more understanding of the effects that community-based programs have on the sites themselves. Fourteen semi-structured interviews were conducted in 2015 with individuals from nine extramural sites. Interviewees had a range of roles from clinicians to CEOs, with six also reporting they were faculty preceptors. Three of the researchers developed a coding scheme focused on the benefits and challenges that community sites experience from participating in a community-based dental education (CBDE) program. Each coder then reviewed the interview transcripts independently before final group discussions and recoding to agreement. The main themes related to benefits were recruiting future dentists, staying current with clinical developments, sites' indirectly improving their missions by exposing students to broader roles of oral health providers, raising awareness regarding the need for dentistry in community settings, and nurturing a positive workplace environment. The main themes related to challenges were balancing education and training for students with clinical demands, communication with the university, and managing distinctive clinical and professional characteristics of students. This study's participants reported that the main benefit of CBDE for partner sites was dentist recruitment. The study also provided insights for both partner sites and dental schools to consider when developing and maintaining these partnerships.


Assuntos
Odontologia Comunitária/educação , Relações Comunidade-Instituição , Educação em Odontologia , Preceptoria , Estudantes de Odontologia/psicologia , Atitude do Pessoal de Saúde , Odontólogos , Docentes de Odontologia , Humanos , Saúde Bucal , Aprendizagem Baseada em Problemas , Odontologia em Saúde Pública , Faculdades de Odontologia
13.
Buenos Aires; GCBA. Gerencia Operativa de Epidemiología; 15 Marzo 2019. a) f: 12 l:15 p. graf.(Boletín Epidemiológico Semanal: Ciudad Autónoma de Buenos Aires, 4, 134).
Monografia em Espanhol | LILACS, InstitutionalDB, BINACIS, UNISALUD | ID: biblio-1102823

RESUMO

Desde la Subgerencia Operativa Red de Odontología en Hospitales, dependiente de la Dirección General de Hospitales del Ministerio de Salud del GCABA, conjuntamente con la Dirección Nacional de Salud Bucodental de la Secretaria de Salud de la Nación, y la Facultad de Odontología de la UBA, se realizaron diversas actividades de Promoción y Prevención del Cáncer Bucal promoviendo el diagnóstico precoz, las medidas de prevención y de control de esta patología. Se informa sobre los resultados de población encuestada, factores de riesgo y género, uso de protección solar, y consumo de bebidas.


Assuntos
Neoplasias Bucais/diagnóstico , Neoplasias Bucais/etiologia , Neoplasias Bucais/prevenção & controle , Neoplasias Bucais/epidemiologia , Saúde Bucal , Odontologia em Saúde Pública , Promoção da Saúde/provisão & distribução
14.
Acta Odontol Scand ; 77(5): 394-399, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30806118

RESUMO

OBJECTIVE: Many patients with temporomandibular disorders (TMD) seem to go undetected within primary dental health care. Primarily we evaluated if the implemented intervention increased the clinical decision-making for TMD patients; secondarily we evaluated if other factors could be identified that predicted performed or recommended TMD treatment. MATERIAL AND METHODS: This case-control study was carried out within the Public Dental Health service in Västerbotten County, Sweden. An intervention based on a decision-tree with three screening questions for TMD (3Q/TMD) was implemented during 2015 in four clinics and compared with the remaining county. A total of 400 individuals were selected-200 3Q-positives and 200 3Q-negatives. The 3Q/TMD consists of Q1-frequent jaw pain, Q2-frequent pain on function, and Q3-frequent catching and/or locking of jaw. The 3Q/TMD answers were analyzed in relation to TMD treatment and any TMD related decision that was collected from the digital dental records. RESULTS: The intervention did not increase the frequencies of traceable clinical decisions among patients with TMD. CONCLUSIONS: Despite the implemented intervention aimed, the indicated undertreatment of patients with TMD remains. Future studies are still needed to gain a deeper understanding of the clinical decision-making process for TMD patients in general practice dentistry.


Assuntos
Tomada de Decisão Clínica , Odontologia Geral/métodos , Odontologia em Saúde Pública/métodos , Transtornos da Articulação Temporomandibular/diagnóstico , Adulto , Estudos de Casos e Controles , Dor Facial/diagnóstico , Feminino , Humanos , Masculino , Programas de Rastreamento/métodos , Medição da Dor/métodos , Encaminhamento e Consulta/estatística & dados numéricos , Suécia , Transtornos da Articulação Temporomandibular/complicações , Transtornos da Articulação Temporomandibular/terapia
15.
Community Dent Health ; 36(1): 55-62, 2019 Feb 25.
Artigo em Inglês | MEDLINE | ID: mdl-30779497

RESUMO

Systems science methods offer an alternative way to approach problems within Dental Public Health by encouraging the consideration of the wider systems and structures in which oral health problems exist. Through such an approach, and consideration of interacting systems over multiple hierarchical levels, it may be possible to better understand the complexity associated with oral health related outcomes, and to improve theoretical understanding of these relationships. Simulation methods associated with systems science can also be used to help model and capture these real-world problems, and to help test the interactions associated with different elements of a system. The aim of this review is to summarise the concepts behind systems science approaches, and what they can offer the field of Dental Public Health. This will include an overview of the way systems science can approach problems associated with complexity, and the benefits these approaches can have. The main methods associated with the field will then be reviewed, along with examples of their application. This paper will then outline some of the main implications, both conceptual and methodological, that adopting systems science methods may have for Dental Public Health. Finally, the challenges associated with systems science will also be presented. It is hoped that this review will highlight the benefits of systems thinking, and how it can add to our conceptual knowledge of the contexts in which complex health problems are embedded.


Assuntos
Saúde Bucal , Saúde Pública , Humanos , Odontologia em Saúde Pública
16.
Community Dent Oral Epidemiol ; 47(1): 1-11, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30525208

RESUMO

Public health research in dentistry has used geographic information systems since the 1960s. Since then, the methods used in the field have matured, moving beyond simple spatial associations to the use of complex spatial statistics and, on occasions, simulation modelling. Many analyses are often descriptive in nature; however, and the use of more advanced spatial simulation methods within dental public health remains rare, despite the potential they offer the field. This review introduces a new approach to geographical analysis of oral health outcomes in neighbourhoods and small area geographies through two novel simulation methods-spatial microsimulation and agent-based modelling. Spatial microsimulation is a population synthesis technique, used to combine survey data with Census population totals to create representative individual-level population datasets, allowing for the use of individual-level data previously unavailable at small spatial scales. Agent-based models are computer simulations capable of capturing interactions and feedback mechanisms, both of which are key to understanding health outcomes. Due to these dynamic and interactive processes, the method has an advantage over traditional statistical techniques such as regression analysis, which often isolate elements from each other when testing for statistical significance. This article discusses the current state of spatial analysis within the dental public health field, before reviewing each of the methods, their applications, as well as their advantages and limitations. Directions and topics for future research are also discussed, before addressing the potential to combine the two methods in order to further utilize their advantages. Overall, this review highlights the promise these methods offer, not just for making methodological advances, but also for adding to our ability to test and better understand theoretical concepts and pathways.


Assuntos
Sistemas de Informação Geográfica , Odontologia em Saúde Pública , Simulação por Computador , Humanos , Saúde Pública , Análise de Regressão
18.
Cad Saude Publica ; 36(1): e00054819, 2019.
Artigo em Português | MEDLINE | ID: mdl-31939546

RESUMO

This study aimed to assess the association between the presence of Specialized Dentistry Centers and dental extractions as a proportion of all dental procedures in public services in Brazil. This was an ecological study that assessed sociodemographic data, oral health services, and outpatient production in 5,333 municipalities in 2000-2001 and 2015-2016. The principal exposure variable was the presence of Specialized Dentistry Centers, and the outcome was the mean national proportion of dental extractions in relation to all preventive and curative dental procedures. Interaction and multiple regression analyses were performed using a binomial model with log link function. The mean national proportions of dental extractions in relation to preventive and curative dental procedures were 27.07% and 15.11% in 2000-2001 and 2015-2016, respectively. In the analysis of interaction between the presence of Specialized Dentistry Centers and coverage greater than 80% by the oral health teams, there were lower proportions of dental extractions in relation to preventive and curative dental procedures (OR = 0.71; 95%CI: 0.71-0.72). In the multiple regression analysis, municipalities with Human Development Index of 0.6-0.7 (OR = 0.77; 95%CI: 0.77-0.77), annual per capita GDP greater than BRL 20,000 (OR = 0.45; 95%CI: 0.45-045), and proportionally higher urban populations (OR = 0.72; 95%CI: 0.72-0.72) showed fewer dental extractions as a proportion of all preventive and curative dental procedures in 2015-2016. In conclusion, there were lower proportions of tooth extractions in municipalities with at least one Specialized Dentistry Center and with a coverage of greater than 80% by the oral health teams, highlighting that municipalities with a consolidated Oral Health Care Network present better performance in the supply of dental care.


Assuntos
Serviços de Saúde Bucal/provisão & distribução , Saúde Bucal/estatística & dados numéricos , Odontologia em Saúde Pública/estatística & dados numéricos , Extração Dentária/estatística & dados numéricos , Adolescente , Adulto , Brasil , Criança , Pré-Escolar , Serviços de Saúde Bucal/estatística & dados numéricos , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Fatores Socioeconômicos , Estatísticas não Paramétricas , Adulto Jovem
19.
Eur J Oral Sci ; 126(6): 493-499, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-30298596

RESUMO

Temporomandibular disorders (TMDs) are common, but many patients with such disorders go undetected and under-treated. Our aim was to evaluate the outcome of using a screening tool (5 yr after it was first implemented), on the clinical decision-making for patients with TMDs. Adults who attended for a dental check-up at the Public Dental Health Services in Västerbotten, Sweden, answered three screening questions (3Q/TMD) on frequent jaw pain, pain on jaw function, and catching/locking of the jaw. The dental records of a random sample of 200 individuals with at least one positive response to 3Q/TMD (3Q screen-positive patients) and 200 individuals with all negative responses (3Q screen-negative patients) were reviewed for TMD-related treatment decisions. A clinical decision related to TMD was absent in 45.5% of 3Q screen-positive patients. Treatment of TMDs was associated with a positive response to the screening question on jaw pain (OR = 6.7, 95% CI: 3.2-14.0) and was more frequent among 3Q screen-positive patients (24%) than among 3Q screen-negative patients (2%; OR = 15.5, 95% CI: 5.5-43.9), just as a female examiner was associated with more frequent treatment of TMDs (OR = 3.1, 95% CI: 1.2-8.4). The results indicate under-treatment of TMD within general dental practice and that male clinicians are less likely to initiate TMD treatment.


Assuntos
Tomada de Decisões , Odontólogos/psicologia , Transtornos da Articulação Temporomandibular/terapia , Adulto , Fatores Etários , Estudos de Casos e Controles , Assistência Odontológica , Dor Facial , Feminino , Seguimentos , Humanos , Masculino , Programas de Rastreamento , Pessoa de Meia-Idade , Estudos Prospectivos , Odontologia em Saúde Pública , Fatores Sexuais , Suécia , Adulto Jovem
20.
BMC Oral Health ; 18(1): 29, 2018 03 02.
Artigo em Inglês | MEDLINE | ID: mdl-29499677

RESUMO

BACKGROUND: To prevent child maltreatment, the identification of vulnerable children is essential. In Norway, public dental health personnel (PDHP) report suspicion of child maltreatment to child welfare services (CWS) at a relatively high rate. However, their reasons for reporting and the response from CWS have not been investigated. The objectives of this study were to (1) explore the reasons that PDHP send reports of concern, (2) examine how CWS responds to PDHP reports, and (3) assess whether different reasons for concern are associated with a given response from CWS. METHODS: A national cross-sectional study was conducted by an electronic survey distributed to public dental hygienists and dentists in Norway. Descriptive statistics were calculated in terms of mean (SD) distributions and frequency, expressed as % (n). To account for clustering of responses among respondents, binomial generalized estimating equation analysis was used to estimate odds ratios (ORs) and confidence intervals (CIs) of CWS responses across number of reports with different reasons for concern. RESULTS: Of a total of 1542 questionnaire recipients, 1200 (77.8%) responded to the survey. From 2012 to 2014, 42.5% of the respondents sent 1214 reports to CWS, with a mean number of 2.7 (SD = 2.0) reports per respondent. The PDHP sent the reports due to suspicion of neglect or physical, sexual and/or psychological abuse. Non-attendance at dental appointments and grave caries were reported most frequently. Among the reports, 24.5% resulted in measures being taken by CWS, 20.7% were dropped, and 29.4% lacked information from CWS on the outcome. Reports due to suspicion of sexual abuse, (OR 1.979, 95% CI (1.047-3.742), P = 0.036), grave caries (OR 1.628, 95% CI (1.148-2.309), P = 0.006), and suspicion of neglect (OR 1.649, 95% CI (1.190-2.285), P = 0.003) had the highest association with the implementation of measures. CONCLUSIONS: PDHP report on several forms of child maltreatment and contributes in detection of victimized children. However, the relatively low number of measures being taken by CWS and the number of reports that lack a response to reporters reveal a need for a closer cooperation between the services, as this would benefit both the children at risk and the services.


Assuntos
Maus-Tratos Infantis/estatística & dados numéricos , Serviços de Proteção Infantil , Odontologia em Saúde Pública/estatística & dados numéricos , Adolescente , Criança , Abuso Sexual na Infância/estatística & dados numéricos , Serviços de Proteção Infantil/estatística & dados numéricos , Pré-Escolar , Estudos Transversais , Assistência Odontológica para Crianças/estatística & dados numéricos , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Noruega/epidemiologia
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