Introduktion: Orala förändringar i munhålan är vanligare hos diabetiker än hos en frisk individ. Vanligast är parodontala förändringar. Det är viktigt att preventiva metoder lärs ut av den hälso- och sjukvårdspersonal som möter och behandlar patienten för dennes diabetes. Syfte: Att beskriva samband mellan diabetes och parodontal sjukdom samt diabetikers medvetenhet kring detta samband. Frågeställning: Hur påverkar diabetes parodontal sjukdom? Hur påverkas blodglukosnivån hos diabetiker av parodontal behandling? Är diabetiker medvetna om att sjukdomen kan påverka oral hälsa? Metod: Designen är en systematisk litteraturstudie inom området diabetes och hur parodontal hälsa/ohälsa påverkas. En sammanställning av vetenskapliga relevanta artiklar har genomförts. Resultat: Vissa samband mellan dåligt kontrollerad diabetes och parodontal sjukdom råder. De flesta inkluderade undersökningar har visat förbättrat blodglukosvärde hos typ 2 diabetiker efter parodontal behandling i form av scaling och rotplaning. När det gäller diabetikers kännedom om att sjukdomen kan påverka oral hälsa har undersökningar visat att informationen är bristfällig. Konklusion: Diabetes medför ökad risk att drabbas av parodontit. Sambandet mellan diabetes och parodontal sjukdom är komplext där den ena sjukdomen inverkar på den andra. Parodontit kan vara ett tecken på en begynnande diabetes samt påverka den glukemiska kontrollen. Litteraturstudiens resultat anses vara besvarade.

SUMMARY Recently there can observed the rapid increase of number of institutions providing odontology services in Lithuania: only in Kaunas city there were active 315 odontology institutions in 2004, joining together 794 dentists. Due to high level of competition, a lot of these institutions face one common problem – difficulties in selling their services. One of the means enabling them to attract new customers is advertisement. Therefore, it is very important to understand the main types and vehicles of advertising used by these institutions, as well as the attitude of the customers towards the advertisement itself. The results of this study and findings thereto are valuable and beneficial for odontology institutions, especially in making and implementation of their promotional decisions. The purpose of this study was to evaluate the advertisement in odontology services. The object of the study is the consumers and providers of odontology services in Kaunas city. The goals of the study were: 1) to evaluate the content of printed advertisement promoting odontology services; 2) to investigate how customers value the advertisement in odontology services; 3) to estimate the attitude of odontology services’ providers to advertisement of these services. Research techniques: content analysis, questioning, comparative analysis. Results. In order to evaluate the content of printed advertisement promoting odontology services, there were analyzed all related advertisements published... [to full text]

The estimation of age at time of death is often an important step in the identification of human remains. If this age can be accurately estimated, it will significantly narrow the field of possible identities that will have to be compared to the remains in order to establish a positive identification. Some of the more accurate methods of age estimation, in the juvenile and younger adult, have been based on the assessment of the degree of dental development as it relates to chronological age. The purpose of this current study was to test the applicability of one such system, the Demirjian system, to a Sydney sample population, and to develop and test age prediction models using a large sample of Sydney children (1624 girls, 1637 boys). The use of the Demirjian standards resulted in consistent overestimates of chronological age in children under the age of 14 years by as much as a mean of 0.97 years, and underestimates of chronological age in children over 14 years by as much as a mean of 2.18 years in 16 year-old females. Of the alternative predictive models derived from the Sydney sample, those that provided the most accurate age estimates are applicable for the age ranges 2-14 years, with a coefficient of determination value of R-square=0.94 and a 95% confidence interval of �1.8 years. The Sydney based standards provided significantly different and more accurate estimates of age for that sample when compared to the published standards of Demirjian.

A raíz de la necesidad de los alumnos de odontología que empiezan a realizar prácticas preprofesionales y los inconvenientes que estos presentan al encontrar pacientes, tales como la desconfianza, la falta de compromiso, los gastos excesivos, entre otros, se creó la aplicación Dirané. Esta idea de negocio actúa como un intermediado entre los estudiantes de odontología y los potenciales pacientes, a través de una plataforma virtual. Esta aplicación sirve, además, de conexión entre ambas partes no solo al momento de reservar y programar las citas, sino al momento de acordar las visitas para continuar con el tratamiento. En las siguientes páginas se presentará y explicará en profundidad la idea del negocio. En primer lugar, se dará una breve introducción de las personas involucradas en este proyecto, así como el proceso de ideación, donde se plantea y justifica el modelo de negocio. En segundo lugar, se presentará la validación de la idea de negocio, el cual presenta los experimentos y entrevistas realizadas al público objetivo con la finalidad de obtener un mayor entendimiento de las necesidades del cliente. En último lugar, se plantea el desarrollo del plan de negocio, donde se muestra el planeamiento estratégico, de operaciones, recursos humanos, marketing, responsabilidad social empresarial y financiero. En conclusión, gracias a las validaciones y pronósticos financieros llevados a cabo, la idea de negocio es viable y obtiene retribución económica dentro de los primeros años de funcionamiento del negocio. / Following the need for dental students who begin to carry out pre-professional practices and the inconveniences they present when finding patients, such as distrust, lack of commitment, excessive expenses, among others, the Dirané application was created. This business idea acts as an intermediary between dental students and potential patients, through a virtual platform. This application also serves as a connection between both parties not only at the time of booking and scheduling appointments, but at the time of arranging visits to continue treatment. The business idea will be presented and explained in the following pages. First, there will be a brief introduction of the people involved in this project, as well as the ideation process, where the business model is proposed and justified. Secondly, the validation of the business idea will be presented, which presents the experiments and interviews conducted to the target audience in order to obtain a better understanding of the client's needs. Finally, the development of the business plan is proposed, which shows strategic planning, operations, human resources, marketing, corporate social responsibility and the financial aspect. In conclusion, thanks to the validations and financial forecasts carried out, the business idea is viable and obtains economic compensation within the first years of operation of the business. / Trabajo de investigación

The aim of the study was to examine the competence of dental hygienists among Clinic Director´s within the Public Dental Service and Private dentists in the county of Skåne . The study was quantitative and consisted of an electronic questionnaire sent out to all Clinic Directors in the county of Skåne. A total of five hundred and thirty eight questionnaires were sent out. The inclusion criteria were the Clinic directors who employed dental hygienists who had obtained their professional degree during the last four years. Twenty nine Clinic directors responded to the study. The results showed that in general clinic directors are pleased and feel that dental hygienists are proficient in periodontology and dental caries diagnostics. There were two clinic directors who felt that dental hygienists should have more knowledge in the fields of endodontics and pedodontics. The Clinic directors were asked if they wanted to add a certain skill or specialty to the competence of dental hygienists. Two of the clinic directors said that they would like to see dental hygienists be able to measure blood and sugar levels if needed. In conclusion, this study shows that most of the clinic directors thought that the dental hygienists had good knowledge and skills within their operating range. The result of this study must be interpreted with caution because of the low response rate. / Syftet med studien var att undersöka vad klinikchefer inom Folktandvården i Region Skåne och Privattandläkarna i Skåne län ansåg om tandhygienistens kompetens. Studien var kvantitativ och bestod av en elektronisk enkät som skickades ut till samtliga klinikchefer inom Folktandvården och Privattandläkarna i Skåne län. Det skickades ut totalt 538 enkäter. Inklusionskriterierna var de klinikchefer som anställt en tandhygienist som tagit sin yrkesexamen under de senaste fyra åren. Tjugonio klinikchefer besvarade enkäten. Resultatet av studien visade att klinikcheferna ansåg tandhygienisten kunnig inom parodontologi och kariesdiagnostik. Det var två klinikchefer som önskade att tandhygienisten skulle ha ökad kompetens inom endodonti och pedodonti. Klinikcheferna fick svara på en fråga i enkäten om de önskade lägga till något i tandhygienistens kompetensområde och där svarade två klinikchefer att blodsocker- och blodtrycksmätning skulle ingå i tandhygienistens kompetensområde. Slutsatsen av studien visar att merparten av klinikcheferna ansåg att tandhygienisterna hade bra kompetens inom sitt arbetsområde. På grund av låg svarsfrekvens måste reultatet tolkas med stor försiktighet.

The purpose of this study was to investigate parents' knowledge about diet and dental caries. The survey was conducted using a structured questionnaire consisting of 19 questions regarding knowledge of diet and caries, and preventive measures. The questionnaires were distributed to parents who were visiting a dental hygienist or prophylaxis nurse with their children aged 0-3 years. A total of 88 completed surveys were collected. The study showed that the majority of the parents had knowledge about diet and dental caries. They had good knowledge about snacking, poor oral hygiene and that diet and feeding contents of the bottle can cause tooth decay. Parents have an important responsibility to guide the child to achieve a good general oral health. Thus, dental professionals, especially dental hygienists, have an important role in preventing tooth decay.

This research discusses the formation issues in Odontology in the National Program of Formation Reorientation in Health together with the Educational Program Working for Health (Pró/PET-Saúde III 2012-2014), which has as general objective the investigation of the changes in formation profile of the Odontology student of the Federal University of Alagoas (UFAL), from the participation of the course in this program. The research was qualitative and occurred in two stages: first, the reading was done to contextualization of the National Curriculum Guidelines for Health and Odontology, National Policy of Permanent Education in Health, Educational Curriculum Proposal for the Odontology Course of UFAL, and projects and Pró/PET-Saúde III reports; in the second stage, the focal group was conducted with a tutor, preceptors and Odontology students participants of the Pró/PET-Saúde III from the UFAL Campus, Maceió. To conduce the focal group, a script was used with guiding questions related to the formation profile in Odontology, formation in Odontology and the participation in the Pró/PET-Saúde III. After obtaining the data, they were transcribed, read and an analysis was performed by categories. We conclude that the participation in programs for Formation Reorientation appears as an alternative to reduce the imbalance existent between that which is desired and what exists in the forming context in Odontology and what the Pró/PET Saúde III contributes to in the practice for the effectiveness of a Formative Profile in Odontology consistent with the proposals of SUS, of the National Curriculum Guidelines for Odontology and of the National Policy of Permanent Education in Health even though advances in the political and collective discussions of these proposals are needed. / Esta pesquisa discute a formação em Odontologia no âmbito do Programa Nacional de Reorientação da Formação em Saúde conjuntamente ao Programa de Educação pelo Trabalho para a Saúde (Pró/PET-Saúde III 2012-2014), tendo como objetivo geral investigar as mudanças no perfil formativo do estudante de Odontologia da Universidade Federal de Alagoas (UFAL), a partir da participação do curso neste programa. Tratou-se de pesquisa qualitativa e que ocorreu em duas etapas: na primeira, foi realizada a leitura para contextualização das Diretrizes Curriculares Nacionais para a Saúde e Odontologia, Política Nacional de Educação Permanente em Saúde, Proposta Pedagógica Curricular do Curso de Odontologia da UFAL e projetos e relatórios do Pró/PET-Saúde III; na segunda etapa, foi realizado o grupo focal com tutor, preceptores e estudantes de Odontologia participantes do Pró/PET-Saúde III Campus UFAL- Maceió. Para a realização do Grupo Focal foi utilizado um roteiro com questões norteadoras relativas ao perfil formativo em Odontologia, formação em Odontologia e participação no Pró/PET-Saúde III. Após a coleta os dados foram transcritos, lidos e uma análise por categorias foi realizada. Concluímos que a participação em programas para reorientação da formação surge como uma das alternativas para diminuir o descompasso existente entre o desejado e o que existe no contexto formador em Odontologia e que o Pró/PET Saúde III contribui na prática para efetivação de um Perfil Formativo em Odontologia condizente com as propostas do SUS, das Diretrizes Curriculares Nacionais para a Odontologia e da Política nacional de Educação Permanente em Saúde embora sejam necessários avanços nas discussões políticas e coletivas destas propostas.

<p>Polska tandläkare i Sverige och svenska tandläkare i England. Gränserna i Europa öppnas alltmer. I den här artikelserien om framtidens tandvård berättar en polsk tandläkare om sin flytt till Sverige. Du möter en tandläkarstudent som blivit av med sin tandläkarskräck och en klinikchef som inte tycker att han är särskilt bra. Vi börjar på lågpriskliniken City Dental, som satt igång debatten.</p>

Durante preparo cirúrgico endodôntico, a modelagem centralizada e com menor tempo de trabalho possível são objetivos de qualquer operador, independentemente da sua experiência ou da técnica utilizada. Os desafios encontrados para a realização da modelagem ideal pode incluir dificuldades como a presença de curvaturas no canal e ainda, a inexperiência de quem a realiza. Os sistemas de lima única tem apresentado resultados favoráveis no que se refere à sua qualidade de preparo e seu tempo de trabalho. Ademais, esta técnica possui simplicidade no seu \"modus-operandi\", encorajando estudos que observem a sua aplicação no inicio da prática endodôntica. Afim de se observar o comportamento dos sistemas de lima única neste nicho de operadores, foram selecionados alunos de graduação. Propondo-se avaliar 12 operadores diferentes, foram utilizados 48 canais simulados curvos (Dentsply Sirona, Ballaigues, Suiça), onde cada operador instrumentou: 1 com técnica manual acorde Machado, 1 com sistema Wave One Gold Primary (Dentsply Sirona, Ballaigues, Suiça), 1 com sistema ProDesign Logic 25.06 (Easy Equip.Odontológicos, Belo Horizonte, Brasil) em movimento rotatório contínuo e 1 com sistema ProDesign Logic 25.06 (Easy Equip.Odontológicos, Belo Horizonte, Brasil) em movimento reciprocante (n=48). A modelagem produzida após a instrumentação foi avaliada pelos os critérios centricidade de preparo e tempo de trabalho. Quanto à qualidade do preparo, através de imagens sobrepostas e com auxílio do programa Adobe Photoshop CC 2018 (Adobe Systems, San Jose, CA), os valores de centricidade foram obtidos nas alturas de 1 à 9mm do canal simulado. O tempo de trabalho foi cronometrado excluindo-se a troca entre instrumentos e a irrigação do canal. Para a análise comparativa do tempo de trabalho entre os grupos, foi utilizado o teste Anova 1 fator com correção e pós-teste de Tukey para as múltiplas comparações. A centricidade dos preparos foi analisada através do teste de o Teste Kruskal-Wallis com o pós-teste de Dunn para as comparações múltiplas. Como resultado, o grupo Prodesign Logic em movimento rotatório (ROL) apresentou o menor tempo de instrumentação, seguido do grupo Wave One Gold (WOG) e, apresentando os maiores índices, os grupos Prodesign Logic em movimento reciprocante (REL) e manual acorde Machado (MAN) (p<0.05). Diferenças entre as centricidades foram encontradas à 1, 4 e 5mm do canais simulados (p<0.05). À 1mm, região final do preparo, os grupos WOG e ROL realizaram preparos mais centralizados que os grupos MAN e REL. Aos 4mm, região de curvatura do canal simuado, o grupo WOG apresentou os preparos mais centralizados quando comparados à REL, ROL e MAN. Ainda na região da curvatura, aos 5mm, uma maior centricidade de preparo foi encontrado em WOG quando comparado à MAN. Considerando-se todas as alturas do canal simulado, o sistema WOG apresentou os preparos mais centralizados e o grupo ROL os menores tempos de trabalho. Observando-se os critérios qualidade de preparo e tempo de instrumentação associados, a técnica com o sistema Wave One Gold se mostrou indicada para uso por iniciantes da prática endodôntica / During endodontic preparation procedure, the goal of any operator is to perform a centering shaping with the shortest possible working time, regardless of their experience or the technique used. The challenges encountered for performing the ideal shaping may include difficulties such as root canal curvatures and the inexperience of the performer. The single file systems have shown favorable results regarding their shape ability and working time. In addition, this technique has simplicity in its \"modus-operandi\", encouraging studies that observe its application at the beginning of the endodontic practice. In order to observe single file systems behavior\'s in this niche of operators, was selected undergraduate students. In order to evaluate 12 different operators, 48 simulated root canals (Dentsply Sirona, Ballaigues, Switzerland) were used, where each operator was instrumented: 1 with a manual acorde Machado technique, 1 with Wave One Gold Primary system (Dentsply Sirona, Ballaigues), 1 with ProDesign Logic system 25.06 (Easy Equip., Belo Horizonte, Brazil) in continuous rotatory movement and 1 with ProDesign Logic system 25.06 (Easy Equip., Belo Horizonte, Brazil) in reciprocating movement (n = 48). ). After instrumentation, the shape ability produced was evaluated by cententering ratios and working time criteria. As for the quality of the preparation, through superimposed images and with the aid of the program Adobe Photoshop CC 2018 (Adobe Systems, San Jose, CA), centering values were obtained at the legths of 1 to 9mm of the simulated root canal. Working time was assesed excluding instruments exchanges and canal irrigation. For the comparative analysis of the working time between groups, the Anova 1 factor test with correction and post-test of Tukey for the multiple comparisons was used. The centering ability was analyzed by the Kruskal-Wallis test with the Dunn post-test for multiple comparisons. As a result, the Prodesign Logic group in rotatory motion (ROL) presented the shortest instrumentation time, followed by the Wave One Gold (WOG) group and, with the highest indexes, Prodesign Logic in reciprocating motion (REL) and manual acorde Machado techqnique (MAN) groups (p <0.05). Differences between centering ratios were found at 1, 4 and 5 mm of simulated root canals (p <0.05). At 1mm, apical region, WOG and ROL groups performed more centering preparations than MAN and REL groups. At 4mm, region of curvature, WOG group presented the most centering ability when compared to REL, ROL and MAN. Still on curvature portion, at 5mm, a greater centering ratio was found in WOG when compared to MAN. Considering all lengths of the simulated root canal, WOG system presented better shape ability and the ROL group the shortest working times. By observing shape ability associated with instrumentation time, was possible to conclude that Wave One Gold system is indicated for beginners of endodontic practice

Orientador: Valdir Gouveia Garcia / Reumo: A proposta do presente estudo foi avaliar, histologicamente a influência da terapia do laser em baixa intensidade (LLLT)) sobre o processo de reparo em feridas cutâneas provocadas no dorso de ratos tratados com nicotina. Foram utilizados 115 ratos neste estudo. Cinqüenta e nove ratos receberam injeção subcutânea de solução salina (0,2 ml), enquanto o restante dos animais receberam injeção subcutânea de nicotina (3mg/Kg de peso do animal), duas vezes ao dia durante todo o período experimental. Decorridos 30 dias das aplicações, foi criada uma ferida cirúrgica sobre o dorso de cada animal por meio de um punch ( 8 mm de diâmetro). Os animais que receberam solução salina foram divididos em 2 grupos: Grupo I(Controle)(n=29) - As feridas permaneceram sem nenhum tratamento enquanto as do Grupo II (n=30) foram submetidas a tratamento com LLLT (AlGaAs)660 nm, 40 mW, 3.0 J, 0,56 w/cm2). Os animais que receberam injeção subcutânea de nicotina também foram divididos em 2 grupos. Grupo III (n=29) onde as feridas não receberam nenhum tratamento; e Grupo IV (n=27), no qual os animais receberam tratamento com LLLT (660 nm, 40 mW, 3,0 J, 0,56 W/cm2). Cada...(Resumo completo, clicar acesso eletrônico abaixo) / Abstract: The purpose of this study was to histologically analyze the influence of low level laser therapy (LLLT) on the healing process of surgically created coetaneous wounds in rats treated with nicotine. One hundred and fifteen rats were used in this study. Fifty nine rats received subcutaneous injection of saline (0,2 ml) while the remaining animals received subcutaneous injection of nicotine (3 mg/kg of body weight) twice a day during all experimental period. After 30 days of either saline or nicotine injection, coetaneous wounds were surgically created on the back of the animals with a punch (8 mm in diameter). The animals that received saline injections were divided into 2 groups: Group I (control) (n= 29) - The wound was left untreated; and Group II (n= 30) - The wound was treated with LLLT (GaAlAs 660 nm, 40 mW, 3.0 J, 0.56 W/cm2). The animals that received nicotine injections were also divided into 2 groups: Group III (n= 29) - The wound was left untreated; and Group IV (n= 27) - The wound was treated with LLLT (GaAlAs 660 nm, 40 mW, 3.0 J, 0.56 W/cm2). Each group was subdivided into sub-groups for euthanasia at either 3, 7 or 14 days post-operative. Block sections were routinely processed for histological analysis using H&E stain. Group III showed delayed epithelial migration and connective tissue organization when compared to Group I. The wounds of Group II presented an...(Complete abstract, click electronic access below) / Mestre