Indiana University-Purdue University Indianapolis (IUPUI) / The attitudes of Indiana dentists toward the treatment of cerebral palsied patients were investigated. A two-page questionnaire constructed by the investigator was used. A sample of 506 dentists were selected: 402 general practitioners chosen on the basis of year of graduation, location and community size; and 104 specialists chosen on the basis of geographic location and type of practice. All of the practicing specialties were represented. Eighty percent of the questionnaires were returned, including 75 percent of general practitioners and 97 percent of specialists. The first hypothesis, that general practitioners are reluctant to treat cerebral palsied patients, was disproved. Forty-eight percent of the general practitioners had treated one or more such patients in the past year and 84 percent indicated willingness to treat these patients. The general practitioners cited a lack of proper equipment and a feeling of apprehension as problems. The second hypothesis, that the general practitioner in a community of less than 2,500 is more reluctant to treat cerebral palsied patients than those in a larger city, was also disproved. No statistically significant difference was found based on community size. The third hypothesis, that the general practitioner who has graduated from dental school within the last 10 years is less reluctant to treat these patients than earlier graduates, was also disproved. No statistically significant difference was found between these groups. The fourth hypothesis, that the general practitioner feels that he did not receive adequate education concerning treatment of these patients and is willing to acquire more knowledge, was verified. The fifth hypothesis, that the specialist is less reluctant to treat patients with cerebral palsy than is the general practitioners was verified. Nearly 90 per cent of the specialists indicated a willingness to treat patients with cerebral palsy.

Indiana University-Purdue University Indianapolis (IUPUI) / The psychosomatic concept in dentistry has been approached two-fold manner: a) the interrelationship of psychological factors and dental problems as reflected in the literature has been discussed, confirming the hypothesis that psychosomatic dentistry should be acknowledged by the dental profession as integral part of the dental school curriculum; b) a second hypothesis, namely a possible correlation between dental decay and psychopathology has been tested as follows: 70 institutionalized mentally ill patients, 25 males and 45 females, were administered the MMPI (Minnesota Multiphasic Personality Inventory), ICL (Interpersonal Check List), and the following indices were determined: Russell's periodontal classification, the DMFT (Decayed, Missing and Filled Teeth) and the DMFS (Decayed, Missing and Filled Surfaces). Findings show the average number of teeth and tooth surfaces affected, using the DMFT and DMFS were found to be more for the institutionalized mentally ill than for the average non-institutionalized person. Findings also show that while the ICL did not correlate with the dental scores, some of the MMPI scores did. The MMPI, considered by psychologists a much more subtle instrument than the Interpersonal Check List, did yield some positive results in this study, thus supporting to some degree the hypothesis that there is a relationship between dental decay and psychopathology.

O presente estudo teve por escopo analisar a jornada de trabalho do cirurgião-dentista sob diferentes aspectos. Os fatores que lastreiam a limitação da jornada no decorrer da história foram abordados, bem como aqueles que autorizam a jornada reduzida, aquém do limite constitucional, para algumas categorias específicas que, em virtude das condições especiais de trabalho, são consideradas profissões penosas extenuantes. A legislação relacionada ao tema foi analisada, mormente a Lei n° 3.999/61, em razão de ser ela fonte de embates jurídicos e decisões conflitantes no Judiciário, porquanto alguns juristas consideram que tal diploma estaria estipulando jornada reduzida para médicos e cirurgiões-dentistas. Insta destacar que, atualmente, haja vista a edição da orientação jurisprudencial n° 53, do Tribunal Superior do Trabalho, a matéria encontra-se pacificada nesse tribunal superior segundo o entendimento de que a citada lei não estipula jornada reduzida. Em que pese tal posicionamento, no presente estudo, por meio de um levantamento de publicações relacionadas aos riscos e às doenças ocupacionais do cirurgião-dentista, bem como de argumentos que fundamentam a jornada reduzida para outras atividades, procurou-se demonstrar que a profissão atende aos requisitos que autorizam a concessão desse benefício. Essa singularidade, no que toca ao desgaste físico e psíquico do trabalhador, justifica, portanto, um tratamento diferenciado. / The purpose of the present study was to analyze the dentist working hours by different aspects. The factors that justify the hour’s limitation in the labor history had been approached, such as those ones which allowed a reduction of hours of work, less than the constitutional limit, for some specific occupations that, due to the special working conditions, were considered arduous and exhausting professions. The legislation related to this subject had been analyzed, in particular the law 3.999/61, since its is the source of legal discussions and conflicting decisions in the Judiciary, whereas some jurists consider that such law would be stipulating a reduction of hours of work for physicians and dentists. It’s important to emphasize that, nowadays, whereas the jurisprudential orientation, edition 53, of the Tribunal Superior do Trabalho, the subject is settled in this superior court, according to the common sense which the cited law does not determine a reduced working hours. Despite of this orientation, this present study, through a survey of publications that were related to the risks and occupational diseases for the dentists, as well as arguments that justify the reduction of hours of work for others activities, attempted to demonstrate that the profession fulfill the requirements for the concession of this benefit. This singularity, concerning the professional’s physical and psychic exhaustion, justifies, therefore, a distinct treatment.

Includes bibliographical references.

In this study, narrative analysis is applied to narrate and re-present how the main character of the story, I, as the owner of a dental clinic chain enterprise, in order to reopen one of the clinics as soon as possible, made decisions and solved a series of crises within the shortest time, thereby sustaining the league¡¦s operation and the employees¡¦ living. The study has a twofold purpose: to re-discover and develop myself through the re-presenting of my narrative and to share my experience for the interested readers and relevant researchers¡¦ reference. And the key conclusion drawn from the study is that anyone in fear of competitive pressure should bravely find out and objectively evaluate the origin of the anxiety so as to make proper decisions and win over more opportunities for the enterprise to pass the crisis.

Thesis (M.S.)--University of Alaska Anchorage, 1998. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.

Thesis supervisor: Steven M. Lily. Includes bibliographic references (p. 235-243).

Thesis supervisors: Michael L. Spector, Deborah V. Dawson. Includes bibliographic references (p. 66-70).

Thesis (M.S.)--University of Alaska Anchorage, 1998. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.

O medo e a ansiedade durante os tratamentos odontolÃgicos estÃo na maioria das vezes relacionados à dor do procedimento da anestesia local odontolÃgica. Considerando que existem muitos estudos sobre a atuaÃÃo da vibraÃÃo na analgesia, esta dissertaÃÃo teve por objetivo comparar as reaÃÃes apresentadas por crianÃas ao serem anestesiadas com um dispositivo de anestesia local odontolÃgica que produzia microvibraÃÃes durante o procedimento anestÃsico. Trinta crianÃas, sendo 15 do sexo feminino e 15 do sexo masculino, com idade entre sete e 12 anos submeteram-se a duas sessÃes anestÃsicas, e cada paciente recebeu dois tipos de anestesia: com e sem vibraÃÃo. Um sà pesquisador, odontopediatra, realizou os procedimentos anestÃsicos, que foram filmados e consistiram de anestesias terminais infiltrativas, na regiÃo posterior da maxila. Em razÃo do carÃter multidimensional do medo, ansiedade e dor, utilizou-se uma combinaÃÃo de testes avaliÃ-los, como: O Teste do Medo da CrianÃa (Child Fear Survey Schedule â Dental Subscale â CFSS-DS), Escala de Ansiedade Facial (Facial Anxiety Scale â FAS), Escala Som, Olhos e Movimento (Sound, Eyes and Motor â SEM), Escala Visual AnalÃga â Visual Analogue Scale (VAS) e Escala Frankl. Aplicou-se as escalas em momentos prederteminados, os quais ocorreram antes e apÃs o procedimento anestÃsico. ApÃs a segunda sessÃo anestÃsica, buscou-se saber a preferÃncia das crianÃas quanto ao uso ou nÃo de vibraÃÃo e verificou-se que 90% das crianÃas preferiram a anestesia utilizando-se vibraÃÃo. Houve diferenÃa estatisticamente significante na Escala Visual AnÃloga â Visual Analogue Scale (VAS) na comparaÃÃo das mÃdias (p = 0,04) para um critÃrio de seleÃÃo a um nÃvel de significÃncia de 5%. Dessa forma, conclui-se que o uso da vibraÃÃo pareceu exercer influÃncia positiva sobre a percepÃÃo das crianÃas durante o procedimento de anestesia local, pois a maioria dos participantes da pesquisa optou pelo dispositivo com emprego da vibraÃÃo, atrelando ao fato de que foi verificado que a anestesia local com vibraÃÃo provoca menos dor, segundo a diferenÃa estatisticamente significante da Escala Visual AnÃloga. / The fear and anxiety during dental treatments are often related to pain regarding local dental anesthetic procedures. As there are many studies about the effect of vibration on pain analgesia, this thesis aimed to compare whether children anesthetized with a dental anesthetic device that produced micro-vibrations during the anesthetic procedure would behave differently when compared to the regular procedure. Thirty children, aged between 7 and 12 years underwent two sessions of local dental anesthesia each, with and without the vibration device. A single researcher, pediatric dentist, managed the anesthetic procedures that consisted of maxillary infiltration anesthesia and which were recorded on video. Due to the multidimensional nature of fear, anxiety and pain, multiple tests were used to evaluate them, such as Child Fear Survey Schedule â Dental Subscale â CFSS-DS, Facial Anxiety Scale â FAS , the SEM Scale Sound, Eyes and Motor, the Visual Analogue Scale (VAS) and the Frankl Scale. The scales were applied twice, before and after anesthesia. After the second anesthetic session, the preference of the children regarding the use or not of vibration was assessed and it was found that 90% of children preferred anesthesia using vibration. There was a statistically significant difference considering the Visual Analogue Scale (VAS) in the comparison of means (p = 0,04) considering a significance level of 5%. As a result, we concluded that the use of vibration seemed to result in a positive influence on the perception of the children regarding the anesthetic procedure, as almost the totality opted by the device with vibration, which lead us to the conclusion that the use of vibration resulted in a less painful local dental anesthesia.