No description available.

Aim: The aim of this project was to find the level of oral health literacy of parents of preschool age children regarding their child’s oral health. The primary objective was to improve the oral health status of preschoolers and to prevent early childhood caries. Methods: 117 participants (parents of preschoolers) completed a self-administered oral health literacy questionnaire. Data obtained from the study was analysed using a statistical package (SPSS). Firstly, descriptive analysis was undertaken generating tables and graphs of sociodemographic variables. Later, associations between oral health literacy and sociodemographic variables were identified and also relation between parents’ oral health literacy and their attitude towards water fluoridation in Christchurch was identified using bivariate and multivariate analysis. Psychometric analysis was generated to test validity and reliability of the oral health literacy questionnaire. Results: In the total sample, 38% of participants had poor oral health literacy regarding their child’s oral health. The results also indicated that there were associations present between parents’ oral health literacy and socio-demographic variables such as ethnicity, education and family income. Nearly half of the parents opted for water fluoridation in Christchurch. A strong association between parents’ oral health literacy and their attitude towards water fluoridation was identified. In the total sample, 40% of parents were not aware of need for first dental visit before the school age. Reliability was good for the developed oral health literacy instrument. Conclusions: This study of parents’ oral health literacy in Christchurch, New Zealand identified association of oral health literacy and socio-demographic variables which gives future guidance to improving oral health status of New Zealand children. The relation 6 between parents’ oral health literacy and their attitude towards water fluoridation was shown in this study. This result might be used in future water fluoridation surveys. Future studies are needed to examine health care provider’s perspective in improving parents’ oral health literacy and to tailor more effective public health interventions to improve parents’ oral health literacy.

Introdução - As Diretrizes da Política Nacional de Saúde Bucal (DPNSB) de 2004 referendadas na 3ª Conferência Nacional de Saúde Bucal (CNSB) reorientam a Atenção à Saúde Bucal (ASB) no país. Objetivos - Verificar como as DPNSB estão acatadas e implantadas no município de São Paulo (MSP); identificar e analisar documentos relativos às DPNSB, do estado e MSP para a ASB. Métodos - Pesquisa qualitativa, descritiva e interpretativa. Utilizou-se referencial teórico, documentos oficiais, observação não participante, entrevistas individuais, com coordenadoras de saúde bucal da Secretaria Municipal de Saúde, entrevistas coletivas com interlocutores e grupos focais com representantes de equipe de saúde bucal e conselheiros gestores. A partir das DPNSB, das municipais, e do relatório do quarto eixo da 3ª CNSB sobre a ASB construiu-se roteiro para todos os sujeitos da pesquisa. Houve triangulação de técnicas de coleta, sujeitos, espaços e fontes de dados. Destacaram-se posturas, idéias centrais, problemas, experiências de êxito e propostas. O expresso foi discutido e comparado com referencial teórico, contexto dos documentos e observações coletadas. Resultados - Apresentaram-se percepções dos sujeitos da pesquisa, sobre: acesso, espaço físico, urgência, Programa Saúde da Família (PSF), centros de especialidades odontológicas, relações com outras secretarias, parcerias, programas especiais, uso do Flúor e material de higiene bucal, em diferentes estágios de implantação no MSP. Conclusões - As DPNSB refletem-se nas municipais, com dificuldades de execução. Fatores políticos interferiram, com recuperação a partir de 2004. Há avanços em especialidades odontológicas, regulação de vagas, trocas de equipamentos, estratégia do PSF, inovações em programas, tratamentos domiciliares, campanhas de prevenção do câncer e respeito ao conselho gestor. Há problemas com: acesso, em especial dos adultos; espaço físico (incluindo o dos portadores de necessidades especiais); manutenção, integração dos serviços de urgência e atenção básica; conflitos entre pessoas do setor público e PSF; divergências técnicas; falta de: materiais, intersetorialidade, heterocontrole do Fluor, protocolos de encaminhamentos e retornos de dados do sistema de informações. Sugeriu-se melhorias na gestão da ASB com envolvimento de todos no planejamento, operacionalização e humanização, visando integração e integralidade. Indicou-se estudos loco-regionais do tema, dada a magnitude do MSP. / Introduction - The Brazilian Oral Health National Policy Guidelines (BOHNPG) supported by The Oral Health 3rd National Meeting (OHTNM - 2004) reoriented the Brazilian oral health care (BOHC). Objectives - To verify how the São Paulo Municipality (SPM) adopted and implemented the BOHNPG; to identify and to analyze São Paulo state and SPM oral health care (OHC) documents. Methodology - Qualitative, descriptive and interpretative research. It was utilized: theoretical references, official documents, non-participative observation, personal interviews with, oral health coordinators (Municipality Health Secretary), group interviews (with interlocutors) and focal groups applied to oral health teams' representatives and to Management Counselors (users' level). The overall interview basic plan was based upon BOHNPG, SPM documents and 3rd NBOHC Meeting 4th axis report. A triangular approach was applied to techniques used for analyzing the data, considering individuals, environment and their sources, an d for identifying individuals' perception, central ideas, problems, successes and proposals. The information was compared with theoretical references and documents context. Results - Individuals' perception at SPM different stages implementation including: access, physical environment, emergency, Family Health Program (FHP), dentistry specialized centers, departments' relationships, partnerships, special programs, fluoride use, and oral hygienic material. Conclusions - The BOHNPG are reflected into the SPM ones, although with operational difficulties. Political issues interfered, but with improvements from 2004. Oral health specialties, vacancies regulation, equipments changes, FHP strategies, programs innovation, home care procedures, cancer prevention campaigns and to management counselor consideration improvements were pointed. Problems identified were: access, especially for adults; physical space (including for special need persons); emergence and basic care services integration and maintenance; conflicts among FHP and SPM personnel; technical divergences; and lack of: materials, sectors integration; fluoride external control, information system protocols for entering and returning data. It was suggested improvement on OHC management with further overall involvement in planning, operation, humanity in the sense to integration and integrality. Local and regional studies need focusing the theme was pointed due to the São Paulo city size.

Esta dissertação analisou a atenção à saúde bucal nos trinta municípios que compõem a 15 Regional de Saúde do Estado do Paraná, a partir do processo de descentralização, das políticas públicas de saúde e das diretrizes da Política Nacional de Saúde Bucal (PNSB). Neste trabalho buscou-se contextualizar a implantação das Estratégias de Agentes Comunitários de Saúde, Saúde da Família e Saúde Bucal. Para que tal objetivo fosse alcançado foram feitas pesquisas junto às bases de nacionais, estaduais e municipais, além de entrevistas com os Coordenadores Municipais de Saúde Bucal (CMSB) para conhecer a realidade de cada um dos municípios. Foram entregues questionários contendo questões a respeito dos modelos de prática, de organização, de gestão e de formação dos profissionais envolvidos na atenção à saúde bucal. A metodologia utilizada inicialmente por Mendes-Silva (2007), na Regional de Saúde de Bauru SP, serviu de base para compararmos os resultados obtidos nas duas Regionais com relação aos principais indicadores sociais, a organização da atenção à saúde e o perfil profissional dos CMSB. Sem perder de vista as diferenças regionais e também o panorama nacional, conclui-se que os indicadores sociais, o percentual de gastos com a saúde e o perfil dos CMSB são muito parecidos. Com relação à PNSB, a 15 RS-PR apresenta números maiores de cobertura populacional nas três estratégias (ACS, SF e SB) e, ainda que com limitações, a análise dos dados provenientes do DATASUS mostra melhores indicadores de saúde bucal no Pacto de Atenção Básica. / This work analyzed the oral health care in the thirty districts within the 15 th Health Region of Paraná State, from the process of decentralization of public health policies and guidelines of the National Oral Health (NOH). This work aimed to contextualize the implementation of the Strategies for Community Health Workers, Family Health and Oral Health. For this objective to be achieved research was done at the grassroots to national, state and municipal governments, plus interviews with the Coordinators of Municipal Health Care (CMHC) to know the reality of each municipality. Questionnaires were administered asking about the models of practice, organization, management and training of professionals involved in oral health care. The methodology used initially by Mendes-Silva (2007), the Regional Health Bauru - SP, formed the basis for comparing the results obtained in the two Regional for the main social indicators, the organization of health care and professional profile of CMHC. Without losing sight of regional differences and also the national scene, it appears that the social indicators, the percentage of spending on health and portraits of CMHC are very similar. Regarding NOH, 15 th RS-PR has larger numbers of population coverage in the three strategies (ACS, SF and SB) and, even with limitations, the analysis of data from DATASUS show better indicators of oral health in Pact Care.

Esta dissertação analisou a atenção à saúde bucal nos trinta municípios que compõem a 15 Regional de Saúde do Estado do Paraná, a partir do processo de descentralização, das políticas públicas de saúde e das diretrizes da Política Nacional de Saúde Bucal (PNSB). Neste trabalho buscou-se contextualizar a implantação das Estratégias de Agentes Comunitários de Saúde, Saúde da Família e Saúde Bucal. Para que tal objetivo fosse alcançado foram feitas pesquisas junto às bases de nacionais, estaduais e municipais, além de entrevistas com os Coordenadores Municipais de Saúde Bucal (CMSB) para conhecer a realidade de cada um dos municípios. Foram entregues questionários contendo questões a respeito dos modelos de prática, de organização, de gestão e de formação dos profissionais envolvidos na atenção à saúde bucal. A metodologia utilizada inicialmente por Mendes-Silva (2007), na Regional de Saúde de Bauru SP, serviu de base para compararmos os resultados obtidos nas duas Regionais com relação aos principais indicadores sociais, a organização da atenção à saúde e o perfil profissional dos CMSB. Sem perder de vista as diferenças regionais e também o panorama nacional, conclui-se que os indicadores sociais, o percentual de gastos com a saúde e o perfil dos CMSB são muito parecidos. Com relação à PNSB, a 15 RS-PR apresenta números maiores de cobertura populacional nas três estratégias (ACS, SF e SB) e, ainda que com limitações, a análise dos dados provenientes do DATASUS mostra melhores indicadores de saúde bucal no Pacto de Atenção Básica. / This work analyzed the oral health care in the thirty districts within the 15 th Health Region of Paraná State, from the process of decentralization of public health policies and guidelines of the National Oral Health (NOH). This work aimed to contextualize the implementation of the Strategies for Community Health Workers, Family Health and Oral Health. For this objective to be achieved research was done at the grassroots to national, state and municipal governments, plus interviews with the Coordinators of Municipal Health Care (CMHC) to know the reality of each municipality. Questionnaires were administered asking about the models of practice, organization, management and training of professionals involved in oral health care. The methodology used initially by Mendes-Silva (2007), the Regional Health Bauru - SP, formed the basis for comparing the results obtained in the two Regional for the main social indicators, the organization of health care and professional profile of CMHC. Without losing sight of regional differences and also the national scene, it appears that the social indicators, the percentage of spending on health and portraits of CMHC are very similar. Regarding NOH, 15 th RS-PR has larger numbers of population coverage in the three strategies (ACS, SF and SB) and, even with limitations, the analysis of data from DATASUS show better indicators of oral health in Pact Care.

Introdução - As Diretrizes da Política Nacional de Saúde Bucal (DPNSB) de 2004 referendadas na 3ª Conferência Nacional de Saúde Bucal (CNSB) reorientam a Atenção à Saúde Bucal (ASB) no país. Objetivos - Verificar como as DPNSB estão acatadas e implantadas no município de São Paulo (MSP); identificar e analisar documentos relativos às DPNSB, do estado e MSP para a ASB. Métodos - Pesquisa qualitativa, descritiva e interpretativa. Utilizou-se referencial teórico, documentos oficiais, observação não participante, entrevistas individuais, com coordenadoras de saúde bucal da Secretaria Municipal de Saúde, entrevistas coletivas com interlocutores e grupos focais com representantes de equipe de saúde bucal e conselheiros gestores. A partir das DPNSB, das municipais, e do relatório do quarto eixo da 3ª CNSB sobre a ASB construiu-se roteiro para todos os sujeitos da pesquisa. Houve triangulação de técnicas de coleta, sujeitos, espaços e fontes de dados. Destacaram-se posturas, idéias centrais, problemas, experiências de êxito e propostas. O expresso foi discutido e comparado com referencial teórico, contexto dos documentos e observações coletadas. Resultados - Apresentaram-se percepções dos sujeitos da pesquisa, sobre: acesso, espaço físico, urgência, Programa Saúde da Família (PSF), centros de especialidades odontológicas, relações com outras secretarias, parcerias, programas especiais, uso do Flúor e material de higiene bucal, em diferentes estágios de implantação no MSP. Conclusões - As DPNSB refletem-se nas municipais, com dificuldades de execução. Fatores políticos interferiram, com recuperação a partir de 2004. Há avanços em especialidades odontológicas, regulação de vagas, trocas de equipamentos, estratégia do PSF, inovações em programas, tratamentos domiciliares, campanhas de prevenção do câncer e respeito ao conselho gestor. Há problemas com: acesso, em especial dos adultos; espaço físico (incluindo o dos portadores de necessidades especiais); manutenção, integração dos serviços de urgência e atenção básica; conflitos entre pessoas do setor público e PSF; divergências técnicas; falta de: materiais, intersetorialidade, heterocontrole do Fluor, protocolos de encaminhamentos e retornos de dados do sistema de informações. Sugeriu-se melhorias na gestão da ASB com envolvimento de todos no planejamento, operacionalização e humanização, visando integração e integralidade. Indicou-se estudos loco-regionais do tema, dada a magnitude do MSP. / Introduction - The Brazilian Oral Health National Policy Guidelines (BOHNPG) supported by The Oral Health 3rd National Meeting (OHTNM - 2004) reoriented the Brazilian oral health care (BOHC). Objectives - To verify how the São Paulo Municipality (SPM) adopted and implemented the BOHNPG; to identify and to analyze São Paulo state and SPM oral health care (OHC) documents. Methodology - Qualitative, descriptive and interpretative research. It was utilized: theoretical references, official documents, non-participative observation, personal interviews with, oral health coordinators (Municipality Health Secretary), group interviews (with interlocutors) and focal groups applied to oral health teams' representatives and to Management Counselors (users' level). The overall interview basic plan was based upon BOHNPG, SPM documents and 3rd NBOHC Meeting 4th axis report. A triangular approach was applied to techniques used for analyzing the data, considering individuals, environment and their sources, an d for identifying individuals' perception, central ideas, problems, successes and proposals. The information was compared with theoretical references and documents context. Results - Individuals' perception at SPM different stages implementation including: access, physical environment, emergency, Family Health Program (FHP), dentistry specialized centers, departments' relationships, partnerships, special programs, fluoride use, and oral hygienic material. Conclusions - The BOHNPG are reflected into the SPM ones, although with operational difficulties. Political issues interfered, but with improvements from 2004. Oral health specialties, vacancies regulation, equipments changes, FHP strategies, programs innovation, home care procedures, cancer prevention campaigns and to management counselor consideration improvements were pointed. Problems identified were: access, especially for adults; physical space (including for special need persons); emergence and basic care services integration and maintenance; conflicts among FHP and SPM personnel; technical divergences; and lack of: materials, sectors integration; fluoride external control, information system protocols for entering and returning data. It was suggested improvement on OHC management with further overall involvement in planning, operation, humanity in the sense to integration and integrality. Local and regional studies need focusing the theme was pointed due to the São Paulo city size.

No description available.

No description available.

Objective: This purpose of this study was to describe pediatric medical residents' knowledge of oral health and dental-referral behavior and to examine factors that may influence whether providers can identify tooth decay, provide risk assessment or refer children to dental providers. The objective was to provide baseline data of pediatric medical residents prior to receiving the oral health education and training in the provision of preventive oral health services.Methods: This project utilized a cross-sectional prospective cohort study design. An oral health knowledge and referral behavior questionnaire was delivered to pediatric medical residents in training at two academic health centers. This project aimed to describe pediatric medical residents' knowledge of oral health and dental referral behavior as measured by the questionnaire. This study was designed to provide baseline information for a larger project called "Bright Smiles" developed by the Virginia Department of Health's Division of Dental Health. The self-administered questionnaire focused on extracting knowledge and opinions of residents and faculty in selected areas of infant oral- health services along with their confidence in providing these services. Results: The frequency of dental examinations correlated with how often providers see tooth decay in infants and toddlers. The frequency of examining for signs of dental decay was correlated with confidence in detecting tooth decay. The frequency of assessing the potential for developing tooth decay in infants and toddlers was correlated with the providers' confidence in evaluating risk of tooth decay. All above findings were correlated to a statistically significant value. Conclusion: Providers, while able to identify tooth decay in infants and toddlers, lack confidence in the ability to refer children to dental providers and the ability to perform certain aspects of oral-health risk assessment.

Purpose: The purpose of this study is to determine if motivational interviewing with written/illustrated infant oral health education provided to caregivers of pediatric dental patients increases caregivers’ oral health literacy compared to verbal only motivational instruction. Methods: This is a cohort study of caregivers and their child receiving oral health anticipatory guidance utilizing motivational interviewing with and without visual aids. Caregivers (N=20) of pediatric dental patients age 0-4 that presented to the Virginia Commonwealth University School of Dentistry for a new patient exam were recruited for the study. Caregivers were randomly assigned into 2 groups: the intervention group (IG), and the control group (CG). Each caregiver took a pre-test to determine their infant oral health literacy. Then the IG received infant oral health education using a flipbook, and the CG received the same information in verbal form. Each caregiver had a brief motivational interviewing session. The caregivers then took the same test (post-test). At the pre-test time period, groups were compared by Fisher’s exact test or a two group t-test, as appropriate. The post-test score of the two groups were compared using an ANCOVA. Results: Currently, 20 patients have been enrolled in the study. There was no significant difference between the CG and the IG in the pre-test scores (P= 0.3913) or the post-test scores (P=0.3022). The intervention group had a nominally higher score after the education. Conclusions: This study was only a pilot study with N=20 caregivers. This study may be used to estimate the number of subjects needed to demonstrate a significant difference.