Made available in DSpace on 2014-12-17T15:31:00Z (GMT). No. of bitstreams: 1 EwertonWGB.pdf: 661743 bytes, checksum: 00ecd30c8cac5a4445285f2bdf4508ad (MD5) Previous issue date: 2006-05-19 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / The dental documentation or handbook is a collection of documents produced by the professional with diagnostic and therapeutical purpose where the inherent information to the buccal and general health of patients are registered. The register and proper filling of these documents, taking care of the ethical and legal requirements, provide to the dentist the possibility to contribute with justice in cases of human identification and makes of these documents an essential element of evidence in the ethical processes, administrative, civil and criminal against the dentists. Ahead of this fact, understanding such requirements and the importance of the dentist to register himself adequately, this research verified the knowledge of Natal (RN) City s dentists with relation to the elaboration of the dental handbook, investigating the concepts and the importance attributed to the handbook, identifying the documents more used and filed by these professionals, besides inquiring the legal value of filed documents and the filling time of these ones. The sample was constituted by 124 dentists, who had answered a questionnaire, after having been randomly selected ITom a list of professionals subscribed in the Dentistry Local Council/RN Section. The analysis of the results showed that majority of the participant cit?zens (52,3%) confers to the dental documentation the clinical importance, followed by the legal and forensic-dentistry importance; 59,3% of the searched professionals do not distinguish satisfactorily or they do not observe differences between the dental handbook and the clinical filing card, the X-rays, the dental certificates, the prescriptions, the directions and the receipts; between the documents of common use to cl?nical and specialist ones, the contract of rendering of services and term of ITee and cleared up consent are the documents less used by the professionals. It was still verified, that only 13,1% of the sample register the signature of the patients in the clinical filing card, making it more credibility to be presented in judgement. In the same way, copies of dental certificates and prescriptions evaluated and signed by the patients are filed respectively by only 13,5% and 9,4% ofthe searched professionals and 50% ofthe sample, keep these documents filed for an indeterminate period of time, that is, these professionals have the guard of the handbook and they do not intend to disdain it, although 85,5% of the sample does not recognize the real proprietor of the handbook. It is concluded that a great part of the dentists is unaware about the importance of the dental documentation, and neglect its elaboration, leaving themselves exposed to several kinds of penalties foreseen in the legislation / A documenta??o odontol?gica ou prontu?rio odontol?gico ? uma cole??o de documentos produzidos pelo profissional, com finalidade diagn?stica e terap?utica, onde s?o registradas as informa??es inerentes ? sa?de bucal e geral dos pacientes. O registro e arquivamento correto destes documentos, atendendo as exig?ncias ?ticas e legais, proporcionam ao cirurgi?odentista a possibilidade de contribuir com a justi?a nos casos de identifica??o humana e faz destes documentos um elemento de prova essencial nos processos ?ticos, administrativos, civis e penais contra os cirurgi?es-dentistas. Diante deste fato, entendendo tais exig?ncias e a import?ncia do cirurgi?o-dentista documentar-se adequadamente, esta pesquisa verificou o conhecimento cirurgi?es-dentistas do munic?pio de Natal- RN com rela??o ? elabora??o do prontu?rio odontol?gico, investigando os conceitos e a import?ncia atribu?da ao prontu?rio, identificando os documentos mais utilizados e arquivados por estes profissionais, al?m averiguar o valor jur?dico dos documentos arquivados e o tempo de arquivamento destes. A amostra foi constitu?da por 124 cirurgi?es-dentistas, que responderam um question?rio, ap?s terem sido alocados aleatoriamente a partir de uma lista de profissionais cadastrados no Conselho Regional de Odontologia - RN. A an?lise dos resultados mostrou que maioria dos sujeitos participantes (52,3%) confere ? documenta??o odontol?gica a import?ncia cl?nica, seguida pela import?ncia jur?dica e odontolegal; 59,3% dos profissionais pesquisados n?o distinguem satisfatoriamente ou n?o observam diferen?as entre o prontu?rio odontol?gico e a ficha cl?nica; os documentos mais utilizados s?o a ficha cl?nica, as radiografias, os atestados, as receitas, os encaminhamentos e os recibos; entre os documentos de uso comum a cl?nicos e especialistas, o contrato de presta??o de servi?os e o termo de consentimento livre e esclarecido s?o os documentos menos utilizados por estes profissionais. Verificou-se, ainda, que apenas 13,1% da amostra registra a assinatura dos pacientes na ficha cl?nica, dando-lhe mais credibilidade para ser apresentada em ju?zo. Da mesma forma, c?pias de atestados e receitas avalizadas e assinadas pelos pacientes s?o arquivadas respectivamente por apenas 13,5% e 9,4 % dos profissionais pesquisados e 50% da amostra mant?m estes documentos arquivados por um tempo indeterminado, ou seja, estes profissionais t?m a guarda do prontu?rio e n?o pretendem desprez?-Io, apesar de 85,5% da amostra desconhecer o verdadeiro propriet?rio do prontu?rio. Concluiu-se que uma grande parte dos cirurgi?esdentistas desconhece a import?ncia da documenta??o odontol?gica, e negligenciam a sua elabora??o, deixando-os predispostos as v?rias penalidades previstas na legisla??o

Made available in DSpace on 2014-12-17T15:31:00Z (GMT). No. of bitstreams: 1 BiancaOT.pdf: 2414388 bytes, checksum: aa78504a2ff3ff0a6931a3bf50be0bc3 (MD5) Previous issue date: 2007-04-26 / The rationalization of work in the Dentistry has been taking the professional to work for ways and systems based in the ergonomics, turning their work efficient and less tiring. Since their academic formation, the dentists surgeons are concerned with the high productivity in clinic and with the final result of the work, neglecting the way as it is executed, which reduce their work capacity and exhibits them to occupational diseases that could be minimized and/or forewarned. This research had as the main objective to investigate the knowledge of the Dentistry academics of Rio Grande do Norte Federal University concerning the Noise-induced Hearing Loss (NIHL), relating them at the noise levels that they are exposed, as well as to the preventive measures taken during the clinical activities. Was observed that 95% of the individuals know that the dentist surgeon is a professional in risk for NIHL. Among the causes of NIHL, the one that obtained the largest frequency citation was the high-speed handpieces, reminded by 92,4% of the academics. Among the students which enumerated protective measures for NIHL, 92% mentioned the use of the ear plugs, although 97% of the researched have told do not use any kind of preventive measure related to the noise. Was also observed that 96% of the academics notice the noise during the clinical attendance, what inconvenience 28,1% of them. Related the noise levels, the high-speed handpieces of the academics presented a medium value of 80,5 dB varying from 72,3 to 88,3 dB. The average of the ambient noise observed at the Integrated Clinic was about 74,8 dB. In spite of the noise levels in this research were observed below the established limits of tolerance by the legislation, they can provoke damages to the Dentistry professionals' health, or that suggests the need of an intervention and use of immediate preventive measures able to generate a healthy atmosphere of work and less risky / A racionaliza??o do trabalho na Odontologia tem levado o profissional a trabalhar por meios e sistemas fundamentados na ergonomia, tornando seu trabalho eficiente e menos cansativo. Desde sua forma??o acad?mica, os cirurgi?es dentistas s?o preocupados com a alta produtividade em cl?nica e com o resultado final do trabalho, negligenciando a maneira como este ? executado, o que leva a redu??o de sua capacidade de trabalho e exposi??o a doen?as ocupacionais que poderiam ser minimizadas e/ou prevenidas. Este trabalho teve como objetivo principal investigar o conhecimento de acad?micos de Odontologia de uma Universidade P?blica do Rio Grande do Norte acerca da Perda Auditiva Induzida pelo Ru?do (PAIR), relacionando-o aos n?veis de ru?do a que est?o expostos e ? tomada de medidas preventivas durante as atividades cl?nicas. Foi observado que 95% dos indiv?duos sabem que o cirurgi?o dentista ? um profissional de risco para a PAIR. Dentre as causas da PAIR, a caneta de alta rota??o foi lembrada por 92,4% dos acad?micos. Dos que enumeraram medidas de prote??o para a PAIR, 92% citaram o uso do protetor auricular, embora 97% dos pesquisados tenham relatado n?o usar nenhum tipo de medida preventiva em rela??o ao ru?do. Observou-se tamb?m que 96% dos acad?micos percebem o ru?do durante o atendimento cl?nico, o que chega a incomodar 28,1% deles. Quanto aos n?veis de ru?do, as canetas de alta rota??o dos acad?micos apresentaram um valor m?dio de 80,5 dB variando de 72,3 a 88,3 dB. J? a m?dia do ru?do ambiente observada na Cl?nica Integrada foi de 74,8 dB. Apesar dos n?veis de ru?do observados neste estudo encontrarem-se abaixo dos limites de toler?ncia estabelecidos pela legisla??o, podem provocar preju?zos ? sa?de dos profissionais da Odontologia, o que sugere interven??o e uso de medidas preventivas imediatas capazes de gerar um ambiente ocupacional saud?vel e com menos riscos

Made available in DSpace on 2014-12-17T15:31:01Z (GMT). No. of bitstreams: 1 IaraMA.pdf: 257430 bytes, checksum: 573c51eb359dfa628d0f41063918f3f9 (MD5) Previous issue date: 2007-03-28 / Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico / Literature has demonstrated to the narrow relation between deleterious habits and the occurrence of malocclusion in minors of 5 years. The existence of these habits, however, already considered as risk factors, having also, its determinative ones, which present cultural dimensions and economic social, many of them related to the parents of the child, having in account that such habits if develop in phases in which the child establish a narrow relation of dependence. This study it had an objective to investigate the prevalence of deleterious buccal habits in children and its relation with the economic social and characteristics of the parents. It was developed an epidemiologist study of transversal character with interview, through daily pay-tested form, with 218 parents in the day of the National Campaign of Vaccination. In the cast of the variable that had composed the study, they had been used, as changeable dependents, the use of the baby's bottle, bottle and the digital suction, being considered as outcomes of the research. Amongst the independent variable, the economic social factors (type of occupation, number of children, civil state, sort, schooling and age) and staffs of the parents (self perception in oral health) had entered as the variable to be analyzed in the problems of the infantile odontology. The collected data had been submitted to the analysis descriptive and inferential statistics, being used the test qui-square and the analysis of the possibility reasons. As main results, it was found that breast feeding before the six months if presents as one of the main factors of risk for the use of baby's bottle (p< 0.001, OR= 2.8, I.C= 1.589 4.906), bottle (p< 0.001, OR= 3.7, I.C.= 2.076 6.624) and digital suction (p< 0.014, OR= 3.5, I.C.= 1.225 10.181). From the data found, one concludes that breast-feeding is considered a primordial factor for not the installation of deleterious oral habits and that the economic social and cultural factors can reflect in central way in the performance of this act / A literatura tem demonstrado a estreita rela??o entre h?bitos orais delet?rios e a ocorr?ncia de maloclus?o em menores de 5 anos. A exist?ncia desses h?bitos, entretanto, j? considerados como fatores de risco, possui, tamb?m, seus determinantes, os quais apresentam dimens?es culturais e socioecon?micas muitas delas relacionadas ao cuidador da crian?a, tendo em conta que tais h?bitos se desenvolvem em fases nas quais a crian?a estabelece uma estreita rela??o de depend?ncia. Este estudo teve como objetivo investigar a preval?ncia de h?bitos bucais delet?rios em crian?as e sua rela??o com as caracter?sticas socioecon?micas e comportamentais dos cuidadores. Desenvolveu-se um estudo epidemiol?gico de car?ter transversal com entrevista, atrav?s de formul?rio pr?-testado, com 218 cuidadores no dia da Campanha Nacional de Vacina??o. No elenco das vari?veis que compuseram o estudo, utilizaram-se, como vari?veis dependentes, o uso da mamadeira, chupeta e a suc??o digital, sendo consideradas como desfechos da pesquisa. Dentre as vari?veis independentes, os fatores socioecon?micos (tipo de ocupa??o, n?mero de filhos, estado civil, g?nero, escolaridade e idade) e pessoais do cuidador (autopercep??o em sa?de bucal) entraram como as vari?veis a serem analisadas nos problemas da odontologia infantil. Os dados coletados foram submetidos ? an?lise estat?stica descritiva e inferencial, sendo utilizado o teste qui-quadrado e a an?lise das raz?es de chance. O aleitamento materno inferior a seis meses apresenta como um dos principais fatores de risco para o uso da mamadeira (p< 0,001, OR= 2,8, I.C= 1,589 4,906), chupeta (p< 0,001, OR= 3,7, I.C.= 2,076 - 6,624) e a suc??o digital (p< 0,014, OR= 3,5, I.C.= 1,225 - 10,181). A partir dos dados encontrados, conclui-se que a amamenta??o materna ? considerada um fator primordial para a n?o instala??o de h?bitos orais delet?rios e que os fatores econ?micos e culturais podem refletir de maneira decisiva no desempenho deste ato

Made available in DSpace on 2014-12-17T15:31:01Z (GMT). No. of bitstreams: 1 AnaDanielaSS.pdf: 1240978 bytes, checksum: 056e910f21f25b07dc5d0271950d9b13 (MD5) Previous issue date: 2007-03-30 / Dental caries consists in a multifactorial and dynamic process. The knowledge of the ionic interactions among dental tissues and dental biofilm make possible its understanding as a process that can be stopped. Recently, the use of sealants have lost its function as preventive agent and passed to be argued as a possible therapeutical agent. This happens by hindering the substratum flow to the lesion inner and, therefore, controls the advance of the process. This study aimed to evaluate glass ionomer cement as a not invasive technique of treatment in occlusal caries without clinical cavitation, but with dentinal involvement. The research was accomplished using a controlled clinical trial with two groups (experimental and control) in 38 subjects (8-18 years) with 51 molars. The teeth of the experimental group were sealed with glass ionomer cement (Vidrion-R, S.S.White, Juiz de Fora, Brazil) and the molars control did not suffer intervention. The experimental group was followed by a year and the control by 8 months due the progression of the carious injury. Both groups were reevaluated to each 4 months with the use of clinical, radiographic and laser fluorescence (DIAGNOdent?) examination. The analysis of the clinical evaluation did not observe a significant difference between experimental and control groups. However, analysis with radiographic and laser fluorescence (DIAGNOdent?) examination observed a significant difference (p> 0,05) between groups, demonstrating a wors condition to the group without intervention. The results suggest that glass ionomer cement as sealant can be efficient to paralyze dentinal caries without clinical cavitation / A c?rie consiste de um processo multifatorial e din?mico. O conhecimento das intera??es i?nicas entre os tecidos dent?rios e o biofilme possibilitaram a sua compreens?o como um processo pass?vel de paralisa??o. Recentemente, o uso de selantes deixou sua fun??o estrita de agente preventivo e passou a ser discutido como um poss?vel agente terap?utico, pois, impedindo o fluxo de substrato para o interior da les?o, poderia controlar o avan?o do processo carioso. Este estudo objetivou avaliar uma t?cnica n?o invasiva de tratamento em c?rie oclusal sem cavita??o cl?nica, mas com comprometimento dentin?rio detectado atrav?s do exame radiogr?fico. A pesquisa foi realizada por meio de um ensaio cl?nico controlado com dois grupos (um experimental e um controle) em 38 indiv?duos (8-18 anos) totalizando 51 molares permanentes. O grupo experimental foi selado com cimento de ion?mero de vidro restaurador (Vidrion-R, S.S.White, Juiz de Fora, Brasil) e o grupo controle n?o sofreu interven??o. Os grupos experimental e controle foram acompanhados por at? um ano. Ambos os grupos foram reavaliados a cada 4 meses por meio de exame cl?nico, radiogr?fico e fluoresc?ncia a laser (DIAGNOdent?). A an?lise do exame cl?nico n?o mostrou diferen?a entre os grupos de investiga??o. No entanto, o exame radiogr?fico e a fluoresc?ncia a laser (DIAGNOdent?) demonstraram uma diferen?a significativa (p>0,05) entre os grupos experimental e controle, demonstrando um agravo da condi??o estudada para o grupo onde n?o houve interven??o. Os resultados encontrados sugerem que o tratamento n?o invasivo, atrav?s do selamento oclusal com cimento de ion?mero de vidro, pode ser eficaz no caso de c?ries em dentina sem cavita??o cl?nica

Submitted by Alberto Vieira (martins_vieira@ibest.com.br) on 2018-01-16T21:32:54Z No. of bitstreams: 1 553913.pdf: 6095281 bytes, checksum: ddd11662b5cd9a310da56402536655d7 (MD5) / Made available in DSpace on 2018-01-16T21:32:54Z (GMT). No. of bitstreams: 1 553913.pdf: 6095281 bytes, checksum: ddd11662b5cd9a310da56402536655d7 (MD5) Previous issue date: 2000 / Verifica a cronologia e frequência de erupção dos dentes decíduos, em crianças nascidas com peso normal (> 2.500 gramas) e com baixo peso(< ou = 2.500 gramas), a idade materna, a situação marital e o tipo de parto. O estudo foi realizado na Bebê-Clínica da UNIGRARIO, Duque de Caxias - RJ. Foram selecionadas 333 crianças, de ambos os sexos (49,5% do sexo masculino e 50,5% do sexo feminino), sendo que 312 pertencentes ao grupo de crianças nascidas com peso normal e 19 nascidas com baixo peso. A incidência de baixo peso ao nascimento foi de 5,7% em relação as crianças nascidas de peso normal. A idade média das mães das crianças nascidas com peso normal foi de 27 anos, enquanto que no no grupo de baixo peso foi de 26,3 anos. 70,6% das crianças nascidas com baixo peso foram de parto normal, enquanto que no grupo de peso normal foi de 63%. Em ambas as variáveis estudadas, não houve diferença estatisticamente significante. Quanto ao sexo, não foi observado diferença estatisticamente significante em relação a idade média de erupção dos dentes decíduos, apesar de haver uma precocidade na erupção em todos os dentes nas crianças do sexo masculino. Quanto ao peso ao nascimento, não foi observado diferença estatisticamente significante em relação a idade média de erupção dos dentes decíduos, apesar de ter sido verificado retardo na erupção dos dentes decíduos nas crianças pertencentes ao grupo de crianças nascidas com baixo peso quando comparadas com as crianças de peso normal. / Verify by means of examining the chronology and frequency of the eruption of the primary teeth found in children born with normal birth weight (>2.500 gr.) and with low birth weight (> or = 2.500 gr.) taking into consideration their mothers' ages; marital status, as well as the kind of birth they had. The study was done at UNIGRANRIO'S babies clinics, Duque de Caxias, RJ - Brazil. 333 children they were selected the both sexes (49.5% male and 50.5% female), 312 from the group of children born with normal weight and 19 born with low birth weight. The incidence of low birth weight found as a result of studying the samples was 5.7% in relation to children born with normal weight. The average age of the children's mothers born with normal weight was 27% whereas in the group of low birth weight was 26.3%. 70.6% of the children born with low birth weight were had a normal birth, whereas in the group of the normal weight it was 63%. Furthermore, there was no meaningful difference found with regard to the actual age of the primary teeth, in spite of the precocity of the eruption in all male children. About the weight at birth, it was not observed significant difference statistically, in relation to the average of the eruption of primary teeth, in spite of verifying that the eruption of primary teeth in children from the group of low birth weight was late, in comparison to the children with normal weight.

Made available in DSpace on 2014-12-17T14:13:37Z (GMT). No. of bitstreams: 1 CiceroFF.pdf: 3167978 bytes, checksum: d9de3f0c1f071f112b7a1ab53a79b32c (MD5) Previous issue date: 2008-08-14 / The objective of this clinical study was to evaluate the effectiveness of the toothbrushing with and without fluoride and the daily fluoride rinse (NaF 0.05%) on produced white spot, in vivo. This was a clinical study, controlled, randomized and triple blind. Thirty patients were selected for orthodontics reasons from Orthodontics Specialization Course at the Brazilian Dental Association - Section of Rio Grande do Norte. In this study it was used 4 bicuspid upper and lower. They had orthodontic reason for extractions, in 35 days, at least. The sample had one hundred and twenty teeth that received orthodontic bands. The bands were fixed with polycarboxylate cement, and there was a space standardized between bands and one surface of teeth. The four bicuspid of each patients were randomized and nominated as A, B, C and D. These nominations determinated the sequence of the extractions and what was done in each tooth. All the patients had been submitted to the toothbrushing with or without fluoride for 35 days. After this period, the A tooth of each patient was extracted to serve as control. The others teeth (B, C and D) were extracted one by each week. The entire sample was analyzed through the clinical examination and by laser fluorescence (DIAGNOdent?) in three different times: before orthodontic bands, 28 days after fixed and then removed the bands and, the last one, 07 days after one of the three treatments (toothbrushing with or without fluoride, tooth paste with fluoride and mouth rinse with fluoride). At the beginning all groups (A, B, C and D) had the same conditions, no significant difference was found. The same situation was found in a clinical examination. The results of the DIAGNOdent? for the groups that used tooth paste without fluoride, with fluoride and mouth rinse with fluoride, after 28 days, there was no significant difference. Clinically, the white spot was formed in all teeth after 28 days. When it was compared the three treated groups, the group without fluoride in tooth paste had worst result than the others groups. But there was no significant association between the number of active and inactive white spots and the type of treatment that the teeth had received. The demineralization of the enamel surface, under the orthodontic bands, it happened in a few weeks. The exposition of the white spots in oral environmental resulted in an improvement, but it was not enough to return to the values from the base line, either for the toothbrushing and/or the use of fluorite mouth rinse. Mouth rinse and toothpaste with fluoride have showed to reduce the incidence of demineralization in the enamel, but none seems to be superior to another one in an in vivo study / O objetivo desse estudo cl?nico foi avaliar a efetividade da escova??o com e sem dentifr?cio fluoretado e o enxaguat?rio bucal fluoretado na forma de bochecho di?rio (NaF 0,05%) associado a escova??o com dentifr?cio fluoretado sobre as les?es brancas de esmalte produzidas in vivo. Este estudo se constituiu em um ensaio cl?nico controlado e randomizado. Para tanto, foram selecionados 32 pacientes do Curso de Especializa??o em Ortodontia da Associa??o Brasileira de Odontologia Sec??o do Estado do Rio Grande do Norte, que necessitavam como parte do tratamento de exodontias. Os cento e vinte e oito dentes receberam an?is ortod?nticos, cimentados com cimento de policarboxilato, com espa?o padronizado na superf?cie vestibular, S?tio Cariog?nico . Os quatro premolares de cada paciente foram aleatorizados individualmente, em dente A, B, C e D, com a finalidade de se determinar a seq??ncia das exodontias e os tipos de procedimentos a serem realizados para cada dente. Todos os pacientes foram submetidos ? escova??o com dentifr?cio sem fl?or por um per?odo de 35 dias. Ap?s esse per?odo, o dente A de cada paciente foi extra?do para servir como controle. Os demais dentes B, C e D foram extra?dos ap?s uma, duas e tr?s semanas, respectivamente. Os esp?cimes foram analisados atrav?s do exame cl?nico e da fluoresc?ncia a laser (DIAGNOdent?) antes da cimenta??o dos an?is ortod?nticos, 28 dias ap?s o desafio cariog?nico e 07 dias ap?s ter sido submetido a um dos tr?s tratamentos (escova??o com dentifr?cio sem fl?or, dentifr?cio com fl?or e bochecho com enxaguat?rio bucal fluoretado associado a escova??o com dentifr?cio com fl?or) institu?dos nesse estudo. Clinicamente, a les?o branca foi formada em todos os elementos dent?rios analisados ap?s 28 dias do desafio cariog?nico. Observou-se que n?o houve diferen?a estat?sticamente significativa entre as medianas para os valores do DIAGNOdent? e para os valores dos escores relacionados ao exame cl?nico entre os grupos de tratamentos ap?s 07 dias. Quando comparou-se os tr?s grupos tratados, o grupo dentifr?cio sem fl?or apresentou um n?mero de les?es brancas ativas maior que os grupos dentifr?cio com fl?or e bochecho com fl?or, nos quais ocorreu um predom?nio do n?mero de les?es brancas inativas. No entanto, n?o houve associa??o significativa entre o n?mero de les?es brancas ativas e inativas e o tipo de tratamento que os dentes receberam. A desmineraliza??o do esmalte subjacente aos an?is ortod?nticos mal adaptados ? um processo r?pido e ocorre dentro de poucas semanas. A exposi??o das les?es brancas de esmalte, ativas ao meio bucal, resulta em uma r?pida inativa??o das mesmas, mas n?o o suficiente para retornar aos valores da linha base, seja por dist?rbios mec?nicos da escova??o e/ou a utiliza??o de enxaguat?rio bucal fluoretado associado ao dentifr?cio fluoretado. Os dentifr?cios a base de fl?or e os enxaguat?rios bucais fluoretados t?m mostrado reduzir a incid?ncia de desmineraliza??o do esmalte, mas nenhum parece ser superior ao outro tomando como base o modelo de c?rie in vivo

Made available in DSpace on 2014-12-17T15:30:50Z (GMT). No. of bitstreams: 1 LuanaCA.pdf: 403938 bytes, checksum: f5f0a31844ee99a3cfe60b1ea4adf78f (MD5) Previous issue date: 2006-05-19 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / This study tried to know the social representation of dentists surgeons about the Family Health Program (FHP). Where used as methodological instruments a semi-structured interview and direct observation of work process in tive towns that are part of the metropolis region ofNatal city. During the interview some aspects where broached, such as the reasons of dentists surgeons join the FHP, what are the implications ofthe introduction of this program in the everyday practice, what kind of activities are they practicing and what are those professional missing the most in the FHP. In the direct observation where take in account some aspects related to the physic structure of health units, its service organization and demand, relationship amongst dentist and other member of the team, and about patient receptiveness, when they arrives at health unit. This study also identifY the researches subject showing their age, sex, for how they are graduates, what are them specialty and for how long they work for the FHP. The data had been analyzed through the analysis of content of Bardin5. The dentists depict the FHP for the change in assistance model through the preventive proposal of social work that makes possible to work with an ample concept of health. However what makes the FHP more attractive to dentists is the salary questiono The creation of bonds whit the community and the work whit groups and in team had been the main occurred changes in the daily one of the pratices ones of these professionals. The principal activities executed for these professionals inside of the new strategy of assistance in oral health are the carried trough preventive activities achieved in health units and social area. To them, the absence of institutional support and the employment of only one dentist for each team it is one the main point of strangling. There is no doubt that FHP is new strategy and that it is need a better integration amongst the professional, the institution / Este estudo se prop?s a conhecer as representa??es sociais dos cirurgi?es dentistas sobre o Programa Sa?de da Fam?lia. Utilizou-se como instrumentos metodol?gicos a entrevista semi-estruturada e a observa??o direta do processo de trabalho, nas unidades de sa?de de cinco munic?pios que comp?em a regi?o metropolitana do munic?pio de Natal. Durante a entrevista foram abordados aspectos como os motivos que levaram o cirurgi?o-dentista a se inserir no PSF, quais as implica??es da implanta??o deste programa no cotidiano de suas pr?ticas, que tipos de atividades eles est?o realizando e por fim, de qu? estes profissionais est?o sentindo falta no PSF. Na observa??o direta foram levados em conta alguns aspectos relacionados ? estrutura fisica das unidades de sa?de, organiza??o no atendimento e sua demanda, aspectos de relacionamento entre o dentista e demais membros da equipe e sobre o acolhimento do paciente, quando da sua chegada ? unidade de sa?de. Procurou-se tamb?m fazer uma caracteriza??o dos sujeitos pesquisados quanto ? idade, sexo, tempo de formado, tipo de especialidade e tempo de inser??o no PSF. Os dados foram analisados atrav?s da an?lise de conte?do de Bardin5. Os dentistas representam o PSF pela mudan?a no modelo de assist?ncia atrav?s de sua proposta preventiva, que possibilita trabalhar com o conceito ampliado de sa?de. Por?m, apontam como principal motivo para sua inser??o neste programa a quest?o salarial. A cria??o de v?nculos com a comunidade e o trabalho com grupos e em equipe foram as principais mudan?as ocorridas no cotidiano das pr?ticas destes profissionais. As principais atividades executadas por estes profissionais dentro da nova estrat?gia de assist?ncia em sa?de bucal s?o as atividades preventivas realizadas na unidade de sa?de e em espa?os sociais. Para eles, a falta de apoio institucional e a equipara??o de uma dentista para cada equipe aparecem como principais pontos de estrangulamento. N?o resta d?vida que o PSF ? uma estrat?gia nova e que necessita de uma maior integra??o entre o profissional, a institui??o e a comunidade, para que se tenha uma maior resolutividade nas a??es realizadas

Made available in DSpace on 2014-12-17T15:30:51Z (GMT). No. of bitstreams: 1 IrlaneAF.pdf: 1786526 bytes, checksum: e229c17f4a865ddfd1de9fc3b7071032 (MD5) Previous issue date: 2007-05-18 / The contents introduction concerning the individual health cares reveals important since the school education. In this direction, the present study objectified to know an effect of Oral Health education intervention in the oral hygiene and in the schools children information level, of 4? e 5? basic education years. The study was composed by two groups, chosen of random form: control group (n = 115) and experimental group (n = 132), with 247 public net school children in total sample. The experimental group participated of some educative activities in Oral Health, with biweekly frequency, during the 4 months period, given for a surgeon-dentistry. Both the groups were submitted to a clinical examination for a previous verification of the Plaque Index (PI) and of Loe Silness Gingival Index (GI). A questionnaire with closed questions on Oral Health was applied before and after to verify the school children rightness index. After the intervention, the final data, represented for the PI, GI and Rightness Index verification, has been collected for statistical analyses through the chi-square test to a 95 % of reliable level, using the SPSS 10,0 software. The PI and GI were categorized in high and low on the initials index basis medium; already the Rightness Index was categorized in inadequate (< 50%) and adequate (&#8805; 50%). It was verified that the PI (p = 0,014; IC 0.24-0.86) and the GI (p = 0,013; IC 0,28-0,84) presented differences statistically significant, after the education activities, when compared to with the control, favoring the experimental group. It was verified too the experimental group got greater rightness index, presenting difference highly significant (p<0,0001; IC 3,73-26,81). It was still observed that there was no association between the oral hygiene indicators and the school children information level. Ahead the results, it can been concluded that education activities related in the school routine were capable to give positives effects in the oral hygiene control and in the information level about Oral Health, however, not necessarily, the individual with bigger information is that one who has practiced an oral hygiene more adjusted. One become necessary, however, that the education in Oral Health occurs of permanent and integrated form with others school actors, for the positive effect does not lose the student s life longterm / A introdu??o de conte?dos acerca dos cuidados ? sa?de do indiv?duo mostra-se importante desde a educa??o escolar. Nesse sentido, o presente estudo objetivou conhecer o efeito de uma interven??o de educa??o em Sa?de Bucal na higiene oral e no n?vel de informa??o de escolares, dos 4? e 5? anos do ensino fundamental. O estudo foi composto por dois grupos, selecionados de forma aleat?ria: grupo controle (n=115) e grupo experimental (n=132), com uma amostra total de 247 crian?as de escolas da rede p?blica. O grupo experimental participou de atividades educativas em Sa?de Bucal, com freq??ncia quinzenal, durante o per?odo de 4 meses, ministradas por um cirurgi?o-dentista. Ambos os grupos foram submetidos a um exame cl?nico para uma pr?via verifica??o dos ?ndices de Placa Vis?vel (IPV) e de Sangramento Gengival (ISG). Foi aplicado um question?rio com perguntas fechadas sobre Sa?de Bucal antes e ap?s a interven??o para verificar o ?ndice de Acertos dos escolares. Ap?s a realiza??o das atividades educativas, os dados finais, representados pela verifica??o do IPV, do ISG e do ?ndice de Acertos, foram coletados para an?lise estat?stica atrav?s do teste qui-quadrado a um n?vel de confian?a de 95%, utilizando-se o software SPSS 10.0. O IPV e o ISG foram categorizados em alto e baixo com base na mediana dos ?ndices iniciais; j? o ?ndice de Acertos foi categorizado em inadequado (< 50%) e adequado (&#8805; 50%). Verificou-se que o IPV (p= 0,014; IC 0,24-0,86) e o ISG (p=0,013; IC 0,28-0,87) apresentaram diferen?as estatisticamente significativas, ap?s as atividades educativas, quando comparado ao controle, favorecendo o grupo experimental. Verificou-se tamb?m que o grupo experimental obteve maior ?ndice de acertos, apresentando diferen?a altamente significativa (p<0,0001; IC 3,73-26,81). Observou-se ainda que n?o existiu associa??o entre os indicadores de higiene oral e o n?vel de informa??o dos escolares. Diante dos resultados, pode-se concluir que atividades educativas contextualizadas na rotina escolar de forma cont?nua foram capazes de provocar efeitos positivos na higiene oral e no n?vel de informa??o sobre Sa?de Bucal, embora, n?o necessariamente, o indiv?duo com mais informa??es seja aquele quem tenha praticado uma higiene oral mais adequada. Faz-se necess?rio, entretanto, que a educa??o em Sa?de Bucal ocorra de forma permanente e integrada com outros atores da escola, para que esse efeito positivo n?o se perca ao longo da vida dos escolares

Made available in DSpace on 2014-12-17T15:30:55Z (GMT). No. of bitstreams: 1 TatianaMSS.pdf: 644050 bytes, checksum: 04ba840cc19aa0c3d292c0d2a4e7bec0 (MD5) Previous issue date: 2005-02-09 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / The Health Family Program (HFP) was founded in the 1990s with the objective of changing the health care model through a restructuring of primary care. Oral health was officially incorporated into HFP mainly through the efforts of dental professionals, and was seen as a way to break from oral health care models based on curative, technical biological and inequity methods. Despite the fast expansion of HFP oral health teams, it is essential to ask if changes are really occurring in the oral health model of municipalities. Therefore, the purpose of this study is to evaluate the incorporation of oral health teams into the Health Family Program by analyzing the factors that may interfere positively or negatively in the implementation of this strategy and consequently in the process of changing oral health care models in the National Health System in the state of Rio Grande do Norte, Brazil. This evaluation involves three dimensions: access, work organization and strategies of planning. For this purpose,19 municipalities, geographically distributed according to Regional Public Health Units (RPHU), were randomly selected. The data collection instruments used were: structured interview of supervisors and dentists, structured observation, documental research and data from national health data banks. It was possible to identify critical points that may be impeding the implementation of oral health into HFP, such as, low incomes, no legal employment contract, difficulty in referring patients for high-complexity procedures, in developing intersectoral actions and program strategies such as epidemiologic diagnosis and evaluation of the new actions. The majority of municipalities showed little or no improvement in oral health care after incorporating the new model into HFP. All of them had failures in most of the aspects mentioned above. Furthermore, these municipalities are similar in other areas, such as low educational levels in children from 7 to 14 years of age, high child mortality rates and wide social inequalities. On the other hand, the five municipalities that had improved oral health, according to the categories analyzed, offered better living conditions to the population, with higher life expectancy, low infant mortality rates, per capita income among the highest in the state as well as high Human Development Index (HDI) means. Therefore, it is possible to conclude that public policies that include aspects beyond the health sector are decisive for a real change in health care models / O Programa Sa?de da Fam?lia (PSF) surgiu na d?cada de 1990, como uma proposta de mudan?a do modelo assistencial a partir de uma reorganiza??o da Aten??o B?sica, atrav?s da vigil?ncia ? sa?de. Entendendo a sa?de bucal como integrante desse processo, a sua incorpora??o oficial no PSF, fruto principalmente de uma luta corporativa, tem sido vista como possibilidade de romper com os modelos assistenciais em sa?de bucal baseados no curativismo, tecnicismo, biologicismo e excludentes. Apesar da r?pida expans?o das Equipes de sa?de bucal no PSF, ? preciso questionar se realmente est? ocorrendo mudan?as no modelo assistencial em sa?de bucal dos munic?pios. Portanto, este trabalho tem como objetivo avaliar a incorpora??o da Sa?de Bucal no Programa Sa?de da Fam?lia a partir da an?lise de fatores que possam interferir positiva ou negativamente, na implementa??o dessa estrat?gia e, conseq?entemente no processo de mudan?a nos modelos assistenciais de sa?de bucal no Sistema ?nico de Sa?de no estado do Rio Grande do Norte. Esta avalia??o tomou como refer?ncia tr?s dimens?es as quais foram, o acesso, a organiza??o do trabalho e as estrat?gias de programa??o. Para isto, foram sorteados 19 munic?pios no estado, distribu?dos geograficamente pelas Unidades Regionais de Sa?de P?blica (URSAPs). Os instrumentos de coleta foram a entrevista estruturada aplicada a gestores e dentistas; a observa??o estruturada; a pesquisa documental e os dados do Sistema de Informa??o em Sa?de dos munic?pios. Foi poss?vel identificar pontos cr?ticos, que podem estar dificultando a implementa??o da sa?de bucal no PSF, os quais foram as prec?rias rela??es de trabalho, as dificuldades no referenciamento dos pacientes para a??es de m?dia e alta complexidade, no desenvolvimento de a??es intersetoriais e nas estrat?gias de programa??o como diagn?stico epidemiol?gico e avalia??o das a??es. A maioria dos munic?pios apresentou pouco ou nenhum avan?o no modelo assistencial em sa?de bucal, ap?s a incorpora??o da mesma no PSF, demonstrando falhas na maior parte dos aspectos relacionados acima. Al?m disso, s?o munic?pios, que apresentam caracter?sticas semelhantes em outros aspectos, como altas taxas de analfabetismo em crian?as de 7 a 14 anos, altas taxas de mortalidade infantil e grandes desigualdades sociais. Por outro lado, os cinco munic?pios que demontraram avan?os na sa?de bucal, de acordo com as categorias analisadas, apresentaram caracter?sticas de melhores condi??es de vida da popula??o, como alta expectativa de vida ao nascer, baixas taxas de mortalidade infantil, valores per capita entre os mais altos do estado, bem como, altos valores de IDH-M. Portanto, ? poss?vel concluir que as pol?ticas p?blicas mais amplas, que contemplem aspectos situados al?m do setor sa?de, s?o decisivas para uma real mudan?a nos modelos assistenciais em sa?de

Made available in DSpace on 2014-12-17T15:31:00Z (GMT). No. of bitstreams: 1 RicardoDC.pdf: 826837 bytes, checksum: a7ad11918ea2c5f5b732ad0bfee98c9e (MD5) Previous issue date: 2007-02-26 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / Due to the fact of oral health sector reestructuration within Brazilian public health politics, this work had the object of evaluating, under users point of view, the accessibility to oral health services in Santa Cruz (RN), focusing on the organizational aspect. To achieve this, questionnaires were given to users in their homes, considering the censitary sector. Nine sectors of the urban zone were evaluated, selected by chance, and one from the rural zone, selected by convenience. The sample was composed by 194 users, calculated considering the estimated prevalence of event represented by the indicator I ve never been to the dentist + I ve been to the dentist more than three years ago from the Projeto SB Brasil Report . To complement the results, interviews were made with others actors involved in the process of oral health care: professionals (dentists) and manager (Health Municipal Secretary). From the data obtained it was possible to identify that 12,9% of the population had never visited the dentist, and that the search for the service was not influenced by the users individual and socioeconomics characteristics, excepting the gender. It was verified that 36,1% of the users went to the dentist in less than one year, with the youngests (p<0,05) being among those who went to the dentist more frequently. 63,3% of the interviewed related that they found some kind of difficulty when they search for dentistry services, with the difficulties for schedule, the queues and the long wait among the most cited. It was identified that 43,2% of the users wait three weeks or more for the appointment. It is still pointed out that 71,4% of the interviewed find difficulties to get urgency appointment, the long wait to be attended by the dentist was the most found. 92,9% and 94,1% of the interviewed had never been headed to especialized appointments and complementary exams, respectively. Due to the data founded, it was possible to verify that the accessibility to oral health services in Santa Cruz (RN) is damaged by factors related to the organization of public polices developed, mainly in relation to the working process / Diante do fato de reestrutura??o do setor sa?de bucal dentro das pol?ticas p?blicas de sa?de brasileiras, este trabalho se prop?s avaliar, sob o ponto de vista dos usu?rios, a acessibilidade aos servi?os de sa?de bucal no munic?pio de Santa Cruz (RN), enfocando o aspecto organizacional. Para tanto, question?rios foram dirigidos aos usu?rios em seus domic?lios, considerando o setor censit?rio. Foram avaliados 9 setores da zona urbana, escolhidos atrav?s de sorteio, e 1 da zona rural, selecionado por conveni?ncia. A amostra foi composta por 194 usu?rios, calculada considerando a preval?ncia estimada do evento representada pelo indicador nunca foi ao dentista + foi ao dentista h? mais de tr?s anos do Relat?rio do Projeto SB Brasil. Para complementa??o dos resultados, ainda foram realizadas entrevistas com outros atores envolvidos no processo de produ??o de sa?de bucal: profissionais (Cirurgi?es-Dentistas) e Gestor (Secret?rio Municipal de Sa?de). A partir dos dados obtidos foi poss?vel identificar que 12,9% da popula??o nunca visitaram o dentista, e que a procura pelo servi?o n?o foi influenciada pelas caracter?sticas individuais e socioecon?micas dos usu?rios, com exce??o do g?nero. Verificou-se que 36,1% dos usu?rios buscaram o dentista em menos de ano, estando os mais jovens (p<0,05) entre aqueles que buscam o dentista com mais freq??ncia. 63,3% dos entrevistados relataram encontrar algum tipo de dificuldade quando da busca pelo atendimento odontol?gico, estando as dificuldades para agendamento, a exist?ncia de filas e longa espera entre os mais citados. Foi identificado que 43,2% dos usu?rios esperam 3 semanas ou mais pelo atendimento. Destaca-se ainda que 71,4% dos entrevistados encontram dificuldades para conseguir atendimento de urg?ncia, sendo a longa espera pela consulta a mais citada. 92,9% e 94,1% dos entrevistos nunca foram encaminhados para realiza??o de consultas mais especializas e exames complementares, respectivamente, evidenciando que os usu?rios n?o est?o recebendo atendimentos integrais. Diante dos dados encontrados p?de-se verificar que a acessibilidade aos servi?os de sa?de bucal do munic?pio de Santa Cruz (RN) encontra-se prejudicada por fatores relacionados ? organiza??o das pol?ticas p?blicas desenvolvidas, principalmente no que se refere ao processo de trabalho