Avaliação da trajetória profissional dos egressos de cursos de graduação em Odontologia de Angola / Evaluación de la trayectoria profesional de los graduados de cursos de pregrado en Odontología en Angola / Evaluation of the professional trajectory of dentistry graduates in Angola

O objetivo foi avaliar a trajetória profissional dos egressos dos cursos de graduação em Odontologia de Angola em função do tempo de formados. Estudo observacional transversal de natureza quantitativa, realizado com os egressos das seis instituições de ensino superior que já haviam formado turmas, dentre as quais a primeira se formou em 2006. Ao todo, 285 cirurgiões-dentistas foram convidados a preencher um questionário pré-testado semiestruturado para identificar o perfil socioeconômico e demográfico, profissional e acadêmico dos respondentes desde a sua formação até a vivência na pandemia de COVID-19. Os dados obtidos foram submetidos à análise descritiva e testadas as associações com o tempo de formado. A maioria dos egressos é do sexo feminino (73,3%), na faixa etária entre 30 e 39 anos (44,5%) e trabalha no setor público (30,1%). Menos de um quarto (20,6%) refere ter cursado pelo menos uma pós-graduação. A maioria (92,5%) se formou em Luanda, cidade em que reside a maior parte dos egressos (80,1%). Para 80,1%, o rendimento mensal médio é de até 10 salários mínimos (até 321.810,00Kwanzas angolanos), considerado regular ou ruim pela maioria (77,4%). A pandemia de COVID-19 impactou bastante ou extremamente a vida profissional de 58,9% dos respondentes. Egressos formados até 2016 realizaram mais cursos de pós-graduação(p<0,05) e declararam ter maior rendimento mensal (p<0,05). Concluiu-se que os egressos de Odontologia de Angola se caracterizam por serem a maioria mulheres e graduados na capital. Quanto maioro tempo de formação profissional maior a titulação e satisfação com a renda (AU).

El objetivo fue evaluar la trayectoria profesional de los graduados de la carrera de Odontología en Angola en función del tiempo de graduación. Estudio observacional transversal, de carácter cuantitativo, realizado con egresados de seis instituciones de educación superior que ya habían formado promociones, de las cuales el primero se graduóen 2006. En total, se invitó a 285 cirujanos dentistas a completar un cuestionario semi-probado previamente. cuestionario estructurado para identificar el perfil socioeconómico y demográfico, profesional y académico de los encuestados desde su formación hasta su experiencia de la pandemia COVID-19. Los datos obtenidos fueron sometidos a análisis descriptivo y se probaron asociaciones con el tiempo desde la graduación. La mayoría de los titulados son mujeres (73,3%), tienen edades comprendidas entre 30 y 39 años (44,5%) y trabajan en el sector público (30,1%). Menos de una cuarta parte (20,6%) declara haber completado al menos un posgrado. La mayoría (92,5%) se graduó en Luanda, ciudad donde reside la mayoría de los graduados (80,1%). Para el 80,1%, el ingreso mensual promedio es de hasta 10 salarios mínimos (hasta 321.810 kwanzas angoleños, kz; 1 kz = R$ 0,01188), considerado regular o malo por la mayoría (77,4%). La pandemia de COVID-19 afectó grande o extremadamente la vida profesional del 58,9% de los encuestados. Los egresados hasta 2016 realizaron más posgrados (p<0,05) y declararon tener mayores ingresos mensuales (p<0,05). Se concluyóque los graduados en Odontología de Angola se caracterizan por ser en su mayoría mujeres y graduados en la capital. Cuanto mayor sea el período de formación profesional, mayor será el grado y la satisfacción con los ingresos.Avaliação da trajetória profissional dos egressos de cursos de graduação em Odontologia de Angola (AU).

The aim was to evaluate the professional trajectory of former undergraduate Dentistry students in Angola in terms of time since graduation. This is a cross-sectional observational study of quantitative nature carried out with former students from 06 higher education institutions, among which the first students graduated in 2006. A total of 285 dentists were invited to complete a semi-structured questionnaire to identify the socioeconomic, demographic, professional and academic profile of respondents from their training to their experience during the Covid-19 pandemic. Data obtained were submitted to descriptive analysis and associations with time since graduation were tested. Most former students are female (73.3%), aged 30-39 years (44.5%) who work in the public sector (30.1%). Less than 25% of them (20.6%) reported having attended at least one graduate program. The majority (92.5%) graduated in Luanda, the city where most participants (80.1%) live. For 80.1%, the average monthly income is up to 10 minimum wages (up to 321,810kz; 1kz = R$ 0,01188), considered regular or insufficient (77.4%). The covid-19 pandemic greatly or extremely impacted the professional life of 58.9% of respondents. Students who graduated up to 2016 were more involved in graduate programs (p<0.05) and reported having higher monthly income (p<0.05). It could be concluded that former Angolan Dentistry students are characterized by being mostly women who graduated in Luanda. The longer the time of professional training, the greater the academic degree and the greater the income satisfaction (AU).

Guia prático da fabricação de alinhadores inhouse ­ Parte 2: Planejamento e Estagiamento / Practical guide to inhouse aligner fabrication ­ Part 2: Planning and Staging

Resumo Movimentos ortodônticos realizados com alinhadores in-house possuem detalhes e particularidades que os diferem da mecânica ortodôntica convencional multi-bráquetes e que precisam ser respeitados pelo ortodontista na busca pela maior previsibilidade, eficácia e eficiência dos resultados. Detalhes quanto ao tipo de movimento programado para cada dente, controle de ancoragem, hierarquização das movimentações, peculiaridade da mecânica das variadas composições dos plásticos e tipos de attachments são apresentados nesta segunda parte do tutorial sobre a fabricação de alinhadores in-house (AU)

Abstract Orthodontic movements with in-house aligners entail specific details and nuances that distinguish them from traditional multi-bracket orthodontic techniques. The orthodontist must acknowledge these details to ensure greater predictability, efficacy, and efficiency in achieving desired outcomes. This second part of the in-house aligners manufacturing tutorial presents insights on tooth-specific movement requirements, anchorage control, movement hierarchy, unique aspects of plastic mechanics, and attachment types (AU)

A tendência da utilização de modelos de excelência em gestão na saúde: os diferenciais competitivos em clínicas odontológicas / The new trend of using excellence models in health management: the competitive differentials in dental care clinics

As constantes movimentações dentro dos cenários dos negócios mundiais vêm aumentando o nível de exigências nos relacionamentos entre clientes e fornecedores, assim, se torna impreterível a atualização dos cirurgiões-dentistas frente à tecnologia relacionada não só aos aspectos técnicos da Odontologia, mas também, aos aspectos da gestão de suas empresas. Como objetivos desta pesquisa, podem ser ressaltadas a análise dos perfis demográfico, acadêmico e profissional dos cirurgiões-dentistas de São José dos Campos e região, bem como, da sensibilidade dos profissionais da Odontologia frente ao uso de modelos de gestão como potencializadores de diferenciação competitiva e ainda assim, verificar a qualidade das disciplinas relacionadas a gestão durante sua formação acadêmica. Os recursos e métodos que foram utilizados para o desenvolvimento deste trabalho deram-se através de pesquisas bibliográficas em material de renome, bem como, avaliação qualitativa por meio de pesquisa elaborada com respostas de múltipla escolha. Para a submissão dos questionários para as clínicas, foi elaborado um vídeo instrucional, onde além de apresentar o processo operacional de resposta e envio, foi apresentada também uma pequena abertura teórica. Tal questionário pode ser acessado através de link ou QR Code, para acesso via internet ou material impresso em papel para pessoas não familiarizadas com tais tecnologias. Como resultado, constata-se que, dentre os 153 (100%) indivíduos válidos, 137 (89,5%) reconhecem os modelos de gestão como impulsionadores de resultados empresariais e 136 (88,9%) identificam essa abordagem como uma tendência no segmento. Adicionalmente, verifica-se que 83 e dentro desse grupo, 68 (81,9%) avaliaram-nas como deficientes. Isso revela uma lacuna expressiva entre o ensino acadêmico em Odontologia e as habilidades de gestão essenciais na prática profissional, culminando em um cenário em que apenas 29 (19,0%) aplicam efetivamente a Gestão Empresarial Profissional em suas clínicas. (AU)

The constant movements within global business scenarios have been increasing the level of demands in relationships between customers and suppliers, thus, it is essential for dentists to update themselves in the face of technology related not only to the technical aspects of Dentistry, but also to the aspects management of their companies. The objectives of this research include analyzing the demographic, academic and professional profiles of dental surgeons in São José dos Campos and surroundings, as well as the sensitivity of dentistry professionals to the use of management models as enhancers of competitive differentiation and even so, to verify the quality of management-related disciplines during their academic training. The resources and methods that were used to develop this work were carried out through bibliographical research on renowned material, as well as qualitative evaluation through research prepared with multiple-choice answers. For the submission of questionnaires to the clinics, an instructional video was prepared, where in addition to presenting the operational process of responding and sending, a small theoretical opening will also be presented. This questionnaire can be accessed through a link or QR Code, for access via the internet or printed material on paper for people who is unfamiliar with such technologies. As a result, it appears that, among the 153 (100%) valid individuals, 137 (89.5%) recognize management models as drivers of business results and 136 (88.9%) identify this approach as a trend in the segment. Additionally, it appears that 83 (54.2%) of them studied some discipline related to management during their undergraduate studies, and within this group, 68 (81.9%) evaluated them as deficient. This reveals a significant gap between academic teaching in Dentistry and the essential management skills in professional practice, culminating in a scenario in which only 29 (19.0%) effectively apply Professional Business Management in their clinics. (AU)

Intraoral appliance use in dental practice: An American Dental Association Clinical Evaluators Panel survey.

BACKGROUND: A growing variety of intraoral appliances are being used in dental practice. Insight about the range of applications and practice workflow as well as factors effecting change in practice trends was sought. METHODS: A survey was developed to ascertain intraoral appliance use, fabrication methods, staff involvement, and patient experiences in dental practice. The survey was sent to ADA Clinical Evaluators Panel members on July 25, 2022, in Qualtrics and remained open for 2 weeks. After 1 week, those who had not responded yet were sent reminders. Data were analyzed descriptively in SAS Version 9.4. RESULTS: Of the 286 respondents (a 28% response rate), 88% reported providing patients with intraoral appliances apart from providing patients with removable partial dentures. More than one-half of the respondents reported offering bleaching trays (88%), flippers or Essix retainers (83%), splints (81%), athletic mouthguards (72%), orthodontic retainers (60%), fluoride trays (56%), and clear aligners (55%). The biggest changes to practice in the past 5 years with respect to intraoral appliances have been intraoral scanning (56%) and the increase in the variety of intraoral appliances in use. Although 72% reported dental assistants were involved in obtaining impressions and fabricating models for intraoral appliances and 76% reported that laboratory technicians were involved in fabricating intraoral appliances, nearly all (97%) respondents indicated that the dentist was involved in the delivery of appliances to patients. Patient education about the use of their appliances appeared to be delivered using multiple approaches, given that it was reported to occur orally (95%), in print (61%), and visually (42%). That 90% of respondents reported having engaged in continuing education courses about intraoral appliances aligns with these appliances becoming a routine part of dental practice, with both increasing applications and improvements in the relevant technology. CONCLUSIONS: Intraoral appliances were found to be used commonly in dental practice, and often multiple members of the dental care team were engaged in the fabrication processes. PRACTICAL IMPLICATIONS: There likely will be ongoing interest in relevant learning opportunities about technologic advances as well as the increasingly diverse list of applications for intraoral appliances.

Impact of the curricular component management and professional guidance on the level of knowledge about administration of dentistry students at UFPB / Impacto do componente curricular gestão e orientação profissional no nível de conhecimento sobre administração de estudantes de Odontologia na UFPB

Obtaining basic management skills and including management and leadership as essential components of the curriculum is a critical part of dental students' education. This research evaluated the understanding of management concepts of dental students at the Federal University of Paraíba (UFPB), before and after participating in a Management and Professional Guidance course. This quantitative study assessed the level of knowledge of management skills and competencies of dental students through a validated questionnaire. The data were analyzed using descriptive and inferential statistics, adopting a significance level of 5%. The sample consisted of 47 students, 18 from the 1st semester, 18 from the 7th semester and 11 from the 10th semester of the course. All students considered knowledge about management extremely important for the dentist. The level of knowledge about management skills and leadership is low among students, with no statistically significant difference between student year of training. Specifically, concerning students midway through their dental training, there was a significant increase in knowledge for all management skills after attending the Management and Professional Guidance course (p <0.05). As for Leadership Skills, there was a statistically significant difference (p <0.05) for "Legal Notions", "Self-Management" and "Management Relationship". We conclude that knowledge about management and leadership is low among undergraduate dental students at UFPB and that the "Management and Professional Guidance" course promoted a significant increase in the level of this knowledge, contributing to better professional training for students (AU).

Obter habilidades básicas de gerenciamento e incluir gerenciamento e liderança como componentes essenciais do currículo é uma parte essencial da educação dos estudantes de Odontologia. Esta pesquisa avaliou o nível de compreensão de tópicos de gestão de alunos de Odontologia da Universidade Federal da Paraíba(UFPB), antes e após a participação em um treinamento em Gestão e Orientação Profissional. Este estudo quantitativo avaliou o nível de conhecimento das habilidades e competências de gestão de estudantes de Odontologia por meio da aplicação de um questionário validado. Os dados foram analisados por meio de estatísticas descritiva e inferencial, adotando-se nível de significância de 5%. A amostra foi constituída por 47 alunos, sendo 18 do 1º semestre, 18 do 7º semestre e 11 do 10º semestre do curso. Todos consideraram o conhecimento sobre gestão extremamente importante para o cirurgião-dentista. O nível de conhecimento sobre habilidades de gestão e liderança é baixo entre os alunos, sem diferença estatisticamente significativa entre os seus anos de formação. Especificamente, em relação aos alunos na metade da formação odontológica, houve um aumento significativo do conhecimento para todas as habilidades de gestão após cursarem Gestão e Orientação Profissional (p<0,05). Quanto às Competências de Liderança, houve diferença estatisticamente significativa (p<0,05) para "Noções Jurídicas", "Autogestão" e "Relação Gerencial". Conclui-se que o conhecimento sobre gestão e liderança é baixo entre os alunos de graduação em Odontologia da UFPB e que a disciplina "Gestão e Orientação Profissional" promoveu um aumento significativo no nível desse conhecimento, contribuindo para uma melhor formação profissional dos alunos (AU).

Gestión de la calidad en el servicio de Ortodoncia / Orthodontic quality management service

RESUMEN Fundamento: Un sistema de gestión de calidad es una valiosa herramienta para perfeccionar los servicios de salud pública. Objetivo: Caracterizar el estado actual de la gestión de la calidad en el servicio de Ortodoncia para contribuir a una atención de calidad en pacientes con anomalías dentomaxilofaciales. Metodología: Se realizó un estudio descriptivo transversal entre septiembre de 2020 y julio de 2021 en la Clínica Estomatológica Docente Provincial de Sancti Spíritus. Se seleccionaron 3 directivos y 12 miembros del equipo básico de ortodoncia. Se midieron las variables: nivel de información y prácticas sobre gestión de la calidad. Se utilizaron métodos del nivel teórico, empírico y de la estadística descriptiva. Resultados: El 50 % de los miembros del equipo básico presentó un nivel bajo de información sobre la gestión de la calidad en el servicio de Ortodoncia. El 100 % de estos y sus directivos, mostraron prácticas medianamente adecuadas en tres de los cinco aspectos evaluados. Conclusiones: El proceso de gestión de la calidad en el servicio Ortodoncia permitió determinar que, aunque existen directivos con experiencia laboral y un equipo básico con preparación científico-técnica, predominaron con el nivel bajo de información, así como las prácticas medianamente adecuadas sobre la gestión de la calidad.

ABSTRACT Background: A quality management system is a valuable tool for improving public health services. Objective: To describe the current state of orthodontic quality management service to contribute to the patients' quality care with dentofacial abnormalities. Methodology: A descriptive cross-sectional study was conducted between September 2020 and July 2021 at the Sancti Spíritus provincial and teaching stomatology center. Three managers and 12 members of the basic orthodontic team were selected. The following variables were measured: level of information and quality management practices. Theoretical, empirical and descriptive statistical methods were used. Results: 50 % of the basic team members had a low level of information on the orthodontic quality management service. 100 % of them also their managers, showed moderately adequate practices in three of the five aspects evaluated. Conclusions: The orthodontic quality management service allowed us to determine that, although there are managers with work experience and a basic team with scientific-technical preparation, a low level of information prevailed, as well as moderately adequate practices on quality management.

Disruptures in the Dental Ethos: The Birth, Life, & Neoliberal Retirement of Norms in Advertising & Corporatization.

This paper argues that the trends in advertising and corporatization in dentistry since the 1970s have resulted in processes of de-professionalization and de-regulation, respectively.

Dental practice management during COVID-19 times-Now and beyond.

AIM: Coronavirus disease 2019 (COVID-19) being declared a global public health emergency has become a significant challenge for all healthcare workers, including dentistry, recognised as a high-risk profession during these times. This consensus statement aims to highlight and provide guidelines necessary to be implemented for a clinical dental practice. MATERIALS AND METHODS: A total of nine conservative Dentists and Endodontists and one Oral and Maxillofacial Surgeon; with four panelists from government dental colleges, one each from the North, South, East and West India and six resource persons from private colleges in South India, all of them being clinicians and administrators practicing dentistry since the inception of the pandemic, collaborated in this consensus statement. The consensus statement was developed through a symposium conducted on the topics; general dental practice during COVID-19 times, the importance of aerosols in clinical dental practice in the spread of COVID-19, effective standard operating protocols for clinical dental practice and Institutional settings with scientific evidence-based justifications, followed by a panel discussion with to devise mandatory protocols to be followed in clinical and institutional settings. The symposium was attended by 46 practitioners who participated in the deliberation. RESULTS: This consensus statement provides clinicians and researchers with protocols for the dental practice, agreed upon by experts in the field. The Consensus Statement has been formulated according to the AGREE Reporting checklist for the formulation of guidelines. CONCLUSION: The experts and panelists reached a Consensus on the protocols and guidelines for the safe clinical and institutional dental practice.

El enfrentamiento a la covid-19 en servicios estomatológicos cubanos / Facing COVID-19 in Cuban Dentistry Services

RESUMEN El escenario estomatológico, si no se aplican adecuadamente los protocolos de protección, constituye una importante fuente de infección cruzada entre pacientes y profesionales de la Estomatología. Muchos son los microorganismos involucrados, y a esto se ha incorporado recientemente el SARS-CoV-2. Al tener en cuenta la letalidad mundial de esta enfermedad, es imprescindible reconsiderar si las medidas de bioseguridad establecidas son estrictas y eficaces para evitar su propagación. Fue realizada esta investigación con el objetivo de actualizar información relacionada con la presente pandemia y los modos de actuación que propicien una consulta estomatológica segura en tiempos de COVID-19 (AU).

ABSTRACT The dentistry setting is an important crossed infection source among patients and Dentistry professionals if the protection protocols are not adequately applied. There are many microorganisms involved, and recently SARS-CoV-2 has added to them. When taking into account the worldwide lethality of this disease, it is bare essential reconsidering if the stablished biosafety measures are strict and efficacious to avoid spread. A thematic update was carried out with the aim of updating the information related to current pandemic and the ways of acting propitiating a safe Dentistry consultation in times of COVID-19 (AU).

Evaluation of Dental Practices Changes During the COVID-19 Pandemic in Brazil.

Dentists are healthcare professionals who are at high risk of infection and transmission of the coronavirus disease-19 (COVID-19). The primary objective of the present study was to evaluate the changes in clinical practice made by Brazilian dentists during the COVID-19 pandemic. From June 22 to July 13, 2020, an online questionnaire was sent to dentists using Google Forms. After providing consent, 1,178 dentists answered questions regarding their knowledge and clinical experiences related to COVID-19. Data were analyzed using Chi-square, Fisher's exact, or Kruskal-Wallis tests, with a significance level of 5%. Brazilian dentists significantly changed their routine dental practices. Biosafety measures were added in their offices by 98% of the dentists, increasing operating costs for 88.3% of dentists. Greater discomfort due to the increase in personal protection equipment (PPE) worn during the pandemic was reported by 58.6%. Furthermore, 84.2% reduced heir hours of service. It was found that the dentists decreased their workload, used additional PPE, and took additional biosafety measures.