Objetivo. Este estudo foi realizado com o objetivo de avaliar a autopercepção das condições bucais em idosos. Material e Métodos. Participaram do estudo 337 pessoas, com 60 anos e mais de idade, funcionalmente independentes, que freqüentavam um centro de saúde em Araraquara, SP. Foi aplicado formulário com questões sobre as características sócio-demográficas da amostra, autopercepção da condição bucal e o índice GOHAI. Realizou-se exame clínico para determinar a prevalência das principais doenças bucais. Os testes estatísticos realizados tiveram como objetivo determinar a associação entre as variáveis sócio-demográficas, clínicas e o índice GOHAI com a autopercepção e também identificar os preditores da auto-avaliação. Resultados. O exame clínico revelou que 40,4% das pessoas eram desdentadas, e entre os dentados a cárie e a doença periodontal tiveram grande prevalência. Entre os dentados, 42,7% avaliaram sua condição bucal como regular, enquanto 55,8% dos desdentados afirmaram que era boa. As variáveis associadas à auto-avaliação foram: a classe social, o GOHAI, os dentes cariados e com extração indicada entre os dentados, e a escolaridade e o GOHAI entre os desdentados. A análise multivariada mostrou que os preditores da auto-avaliação foram o GOHAI (em dentados e desdentados), os dentes com extração indicada e o CPITN em dentados. Estes preditores explicaram no máximo 30% da variabilidade da auto-avaliação. Conclusões. Entre outros aspectos concluiu-se que a percepção teve pouca influência das condições clínicas e por isso seria importante o desenvolvimento de ações educativas e preventivas junto a esta população. / Objective. The purpose of this study was to assess the self-perception of oral health status of the elderly. Methods. Results are based on interviews and clinical assessment of 337 subjects aged 60 years and over, functionally independents and who used to go to a Health Care in Araraquara, Brazil. A questionnaire with questions about the social characteristics of the sample, self-perception of oral health status and the GOHAI index was applied. A clinical examination was made to determine the prevalence of the main oral diseases. The objective of statistical tests was to determine the association among the social and clinic variables and the GOHAI index with the self-perception. Moreover the tests had to identify the self-assess predictors. Results. The clinical examination revealed that 40.4% of the people were edentulous and among the dentate the dental caries and the periodontal disease had a significant prevalence. 42.7% of the dentate assessed their oral health status as regular and 55.8% of the edentulous assessed theirs as good. The social class, the GOHAI index and the decayed and missing teeth among the dentate, and also the level of education and the GOHAI among the edentulous, were associated to the self-assess. The multivariate analysis showed that the predictors of the self-assess were the GOHAI index (among dentate and edentulous), the missing teeth and the CPITN among dentate. These predictors explained 30% of the self-assess variability. Conclusions. As the perception had a small influence on the clinical conditions, the development of educated and preventive actions for these people are recommended.

This qualitative study focused on the dental disparities in Blount County, TN and sought to determine if there are enough dental clinics within the dental safety net. Interviews were conducted with 18 individuals who were either service providers or clients of organizations such as the Salvation Army, Alcoa Good Samaritan Clinic, the local health department, Trinity Dental Clinic, Volunteer Ministry Center, Remote Area Medical, and Blount Memorial Hospital. Inclusion criteria for clients included: homeless or living below the poverty level, uninsured, 18 to 65 years of age, has not seen a dentist in the past year and currently suffering a dental problem. The most obvious common theme among the 11 clients interviewed was that they struggle with getting dental care. Patients were asked when the last time they had seen a dentist and they answered years ago, most over ten years ago. Eight of the eleven clients did not know of any facilities they could go to. Cost was the main reason for these clients not seeking dental care. Two dentists were asked about the reasons for disparities in dental care. The major common themes between the dentists were cost, access to care, and education. All five case managers said that they had clients experiencing dental needs ranging from a simple cleaning to an abscess. Currently in Blount County only one dental clinic serves over 17,000 residents who live in poverty.

When caregivers defer their personal routine dental care (RDC) in order to provide RDC for their children, they risk detrimental consequences in their personal health and the health of their children. The purpose of this qualitative case study was to identify the risk factors that led to the parental dental deferment decision. The oral health and personal care services conceptual models guided the development of the research questions, facilitated the selection of risk factors on the decision-making process, and provided the basis for the data analysis thematic categories. Ten caregivers who made the decision to defer their personal RDC for the sake of their children's RDC participated in the study. Interviews were transcribed verbatim and analyzed thematically. According to the results of the study, the oral health beliefs of caregivers shaped their decision to seek RDC for their children while financial barriers, dental fear, and distrust obstructed their capacity to seek RDC for themselves. Caregivers placed a higher priority on their children's wellbeing--including dental care--than on their own health, despite knowing the association between poor oral health and serious health conditions. These findings indicated, for caregivers, deferring personal RDC was not a lack of desire, education, or care but striving for constant balance between affordability and providing their children with every healthy opportunity in life. The positive social change implications of this study include increasing the proportion of adults receiving RDC yearly through development of targeted interventions that increase caregivers' access to and utilization of dental care services. Such efforts would support the strategies implemented to achieve Healthy People 2020 objectives.

Introduction Caries and poor oral health is an epidemy that affects many people and especially lower classes in society with small or non exiting financial measures to seek dental care. The aim with this overview was to look at the connection between bad socioeconomic aspects and poor oral health. Method 10 scientific articles that treated the subject socioeconomic aspects and poor oral health were searched for in the database PubMed. Only articles regarding Swedish oral helath were chosen, all ages included. Result This study showed that almost every article brought up the correlation between bad socioeconomic relations and bad oral health. More knowledge about socioeconomic inequalities is needed in order to work in a preventive way. Discussion To even out socioeconomic inequalities knowledge is needed and a less expensive dental care because the reason low income gropus avoid seeking dental care is because they can not afford it even if they need it. Mapping out tooth issues is helpful to be able to detect trends over a long time in order to work preventively. / Bakgrund Karies och dålig tandhälsa är en epidemi som drabbar många och främst samhällsklasser med små eller inga ekonomiska medel för att söka tandvård. Syftet med litteraturöversikten var att undersöka sambandet mellan socioekonomiska förhållanden och dålig tandhälsa. Metod I databasen PubMed söktes 10 vetenskapliga artiklar som behandlade ämnet socioekonomiska förhållanden och dålig tandhälsa. Endast artiklar som berörde Sveriges tandhälsa valdes, alla åldrar inkluderades. Resultat Studien visade att nästan alla artiklar tog upp korrelationen mellan sämre socioekonomiska förhållanden och dålig tandhälsa. Mer kunskap om socioekonomiska ojämlikheter behövs för ett preventivt arbete. Diskussion För att minska socioekonomiska svackor krävs kunskap och en mindre dyr tandvård då de höga priserna ofta är anledningen att låginkomsttagare drar sig för att uppsöka tandvård trots behov. Att kartlägga tandproblemen är av hjälp för att över lång tid se trender och kunna arbeta preventivt.

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Submitted by Geyciane Santos (geyciane_thamires@hotmail.com) on 2015-07-30T15:21:44Z No. of bitstreams: 1 Dissertação - Márcia Cristina dos Santos Guerra.pdf: 864949 bytes, checksum: be737866bc374ec4e686a4fb4248b086 (MD5) / Approved for entry into archive by Divisão de Documentação/BC Biblioteca Central (ddbc@ufam.edu.br) on 2015-07-30T19:45:11Z (GMT) No. of bitstreams: 1 Dissertação - Márcia Cristina dos Santos Guerra.pdf: 864949 bytes, checksum: be737866bc374ec4e686a4fb4248b086 (MD5) / Approved for entry into archive by Divisão de Documentação/BC Biblioteca Central (ddbc@ufam.edu.br) on 2015-07-30T19:43:04Z (GMT) No. of bitstreams: 1 Dissertação - Márcia Cristina dos Santos Guerra.pdf: 864949 bytes, checksum: be737866bc374ec4e686a4fb4248b086 (MD5) / Approved for entry into archive by Divisão de Documentação/BC Biblioteca Central (ddbc@ufam.edu.br) on 2015-07-30T19:50:17Z (GMT) No. of bitstreams: 1 Dissertação - Márcia Cristina dos Santos Guerra.pdf: 864949 bytes, checksum: be737866bc374ec4e686a4fb4248b086 (MD5) / Made available in DSpace on 2015-07-30T19:50:18Z (GMT). No. of bitstreams: 1 Dissertação - Márcia Cristina dos Santos Guerra.pdf: 864949 bytes, checksum: be737866bc374ec4e686a4fb4248b086 (MD5) Previous issue date: 2011-02-25 / CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / The working process involves several aspects pervading the means that will be used to achieve a result. In the case of working process in health the means are characterized by the use of hard and soft technologies that lead to solve the needs presented by an assisted population. This study was performed to characterize the working process of oral health teams in the units of dental care in the city of Benevides located in the State of Pará. The aspects were observed in relation to the planning of oral health, the structural aspects for the realization of dental care and aspects related to human resources and continuing education for professionals. The sample consisted of 28 professionals including Dental Surgeons and Dental Assistants. To collect the data it used a questionnaire with 26 open and closed questions relating to aspects that interfere in the working process of these teams. The questionnaires were administered at health units where the professionals were working at. The data were processed and subjected to quantitative-descriptive analysis and percentage method. The results showed that the planning activity does not count with the participation of all professionals, for professionals there is an activity that promotes the full service, however the activities of prevention and oral health promotion are made solely by the teams working in the family health strategy, and the county in turn does not promote activities of continuing health education. Observing these things we can say that there is no homogeneity in relation to the working process of dental care units in the city of Benevides, State of Pará. / O processo de trabalho envolve diversos aspectos que perpassam pelos meios que serão utilizados para se chegar a um resultado. No caso do processo de trabalho em saúde os meios são caracterizados pelo uso de tecnologias leves e duras que conduzam a resolutividade das necessidades apresentadas pela população assistida. Neste estudo foi realizada a caracterização do processo de trabalho das equipes de saúde bucal nas unidades de atendimento odontológico do município de Benevides-PA. Os aspectos observados foram em relação ao planejamento das ações de saúde bucal, os tipos de ações executadas pelas equipes de saúde bucal, os aspectos estruturais para a realização da assistência odontológica e aspectos relacionados aos recursos humanos e educação permanente dos profissionais. A amostra foi composta de 28 profissionais entre Cirurgiões-Dentistas e Auxiliares de Saúde Bucal. Para a coleta dos dados foi utilizado um questionário com 26 questões abertas e fechadas referentes aos aspectos que interferem no processo de trabalho destas equipes. Os questionários foram aplicados nas unidades de saúde de lotação dos profissionais. Os dados foram processados e submetidos a análise quantitativa-descritiva. Os resultados demonstraram que a atividade de planejamento não conta com a participação de todos os profissionais, na opinião dos profissionais existe uma atuação que promove a integralidade do atendimento, no entanto as atividades de prevenção e promoção de saúde bucal são realizadas exclusivamente pelas equipes que atuam na estratégia saúde da família e o município por sua vez não promove atividades de educação permanente em saúde. Observando estes aspectos podemos afirmar que não há homogeneidade em relação ao processo de trabalho das unidades de atendimento odontológico do município de Benevides-PA.

O presente estudo teve por objetivo avaliar a efetividade de um programa de educação odontológica em pacientes com fissura de lábio e/ou palato. A amostra foi composta de 38 pacientes com fissura de lábio e/ou palato, matriculados para tratamento no Hospital de Reabilitação de Anomalias Craniofaciais/Universidade de São Paulo (HRAC/USP), entre 5 a 12 anos, divididos em 2 grupos: Grupo 1 (controle) - pacientes que realizaram profilaxia profissional e Grupo 2 (experimental) - pacientes que receberam orientação de educação e motivação em saúde bucal e controle de placa bacteriana. Os pacientes foram avaliados durante 6 sessões, com intervalos de 30 dias entre as mesmas. Para avaliar o controle de placa, utilizou-se o índice PHP. A avaliação foi realizada por meio do Aplicativo Dent Clean que faz parte do programa de educação em saúde bucal. Para avaliar o conhecimento sobre saúde bucal foi utilizado um questionário composto de 16 questões na 1a e 6a sessão. Para as comparações do PHP inicial e após 6 meses entre os grupos utilizou-se os testes de Mann-Whitney e Wilcoxon. Os conceitos obtidos pelos questionários foram submetidos à análise estatística por meio do teste t e teste t pareado. Com relação ao exame PHP inicial, não houve diferença estatisticamente significante entre os grupos (p=0,792). Em relação ao exame PHP após 6 meses houve diferença entre os grupos (p<0,001). Em relação ao período estudado, no Grupo 1 não foi observada diferença estatisticamente significante em relação exame PHP inicial e após 6 meses (p=0,813). No Grupo 2, houve diferença quando comparado o período inicial e após 6 meses (p<0,001). Em relação ao questionário, verificou-se que no início e após 6 meses não houve diferença estatisticamente significante entre os grupos (p=0,503 e 0,494). Para avaliação do nível de conhecimento, no Grupo 1 não foi observada diferença em relação ao período estudado inicial e após 6 meses (p=0,067). No Grupo 2 houve diferença estatisticamente significante quando comparado o período inicial e após 6 meses (p<0,001). Com base nos resultados obtidos para amostra estudada, e de acordo com a metodologia aplicada, foi possível constatar que o programa de educação em saúde bucal foi efetivo para crianças com fissura de lábio e/ou palato. / The aim of this study was to evaluate the effectiveness of a dental education program in cleft lip and/or palate patients. The study sample comprised 38 cleft lip and/or palate patients enrolled at the Hospital de Reabilitação de Anomalias Craniofaciais/Universidade de São Paulo (HRAC/USP), aged between 5 and 12 years-old, who were divided into two groups: Group 1 (control) - patients who underwent dental prophylaxis and Group 2 (experimental) - patients who received instructions on education and motivation in oral health and plaque control. Patients were evaluated during six appointments, at 30-day intervals. PHP index was used to assess plaque control. This was accomplished by Dent Clean App which is part of the education program in oral health, at the first and sixth appointments in both groups. To evaluate the knowledge on oral health, patients filled in a questionnaire composed of 16 questions at the first and sixth appointments. Baseline and 6-month PHP of groups 1 and 2 were compared through Mann-Whitney and Wilcoxon tests. The scores obtained by the questionnaires were statistically analyzed through t test and paired-t test. Concerning to baseline PHP assessment, there were no statistically significant differences between groups (p=0.792). There were statistically significant differences in PHP assessment after 6 months (p<0.001). In relation to the studied period, Group 1 did not demonstrated statistically significant differences between baseline and 6-month PHP assessments (p=0.813). In Group 2, there were statistically significant differences between baseline and 6-month PHP assessments (p<0.001). With regard to the questionnaire, there were no statistically significant differences between groups, at both the first and sixth appointments (p=0.503 and 0.494). In Group 1, the level of knowledge on oral health assessment did not show statistically significant differences between baseline and 6-month periods (p=0.067). In Group 2, there were statistically significant differences when the questionnaire scores were compared between baseline and 6-month periods were compared (p<0.001). Based on the results obtained for the studied sample and the methodology used, it was possible to conclude that the oral health education program was effective in cleft lip and/or palate children.

O presente estudo propô-se a levantar informações sobre a saúde bucal dos trabalhadores, e a verificar a presença - e avaliar como tais serviços são geridos – ou a ausência de serviços odontológicos em algumas empresas do estado de São Paulo no ano de 2004, e elaborar um programa de promoção de saúde bucal dirigido aos funcionários de empresas. A fundamentação teórica necessária ao objetivo proposto apoiou-se na revisão da literatura especificamente voltada à atividade laboral - medicina do trabalho, engenharia do trabalho, direito do trabalho e odontologia do trabalho. Para melhor ilustrar os temas propostos, optou-se por adotar metodologia que permitisse obter uma base de dados quantitativos e qualitativos em profundidade. Os resultados indicaram que apenas 20% dos cirurgiões-dentistas participam dos SESMTs; da mesma forma, 86,67% desses profissionais não participam das CIPAs, embora 6,67% das empresas entendam que é necessário que o CD esteja a par dos assuntos abordados e discutidos em tais reuniões. Das empresas entrevistadas, 80% oferecem algum tipo de serviço odontológico (consultório particular dentro da empresa, atendimento terceirizado e autogestão, entre outros) e, dentre estas, 25% já implantaram os Serviços de Odontologia do Trabalho para melhor gerenciar a saúde dos trabalhadores. Quanto à realização de exames odontológicos ocupacionais, 53,33% das empresas já mantêm esse protocolo em funcionamento, com predominância de realização de exames admissionais e periódicos – cuja obrigatoriedade legal não está prevista na legislação brasileira. Em relação aos afastamentos por intercorrências odontológicas, 60% dos entrevistados relataram que eles existem, e na maioria das vezes implicam de um a três dias de ausência. Em contrapartida, o restante não possui documentação de tais dados. Observou-se, ao final do estudo, que 60% das empresas já abordaram questões relacionadas à orientações e aos cuidados com a saúde bucal de seus trabalhadores em palestras e campanhas educativas. Ao final deste estudo foi elaborado um Programa de Promoção de Saúde Bucal, com o intuito de implementar os cuidados relativos à saúde dos trabalhadores. / This study described herein are comprised of a research on the main companies of the State of São Paulo, in regards to the existence and methodology of their worker’s oral health. The main purpose of this study is to propose an efficient Program of Dentistry Plan addressed to those companies that aware of profitable benefits resulted from a successful worker’s oral health. Despite the labor dentistry be a relative new matter of concern, this research grounded its basis in a complete and intense analyze of different areas of science, such as Industrial Medicine, Labor Engineering and Law, in a way to provide a not only a wide broad data base of information, but also a qualified understanding of its content. In general terms, the results indicated that only 20% of the dentist surgeons participate of SESMT, that 86.67% of them is not member of the CIPA committee, as well as that only 6.67% believe that labor dentistry issue should be included in the agenda of conferences. In the other hand, the research demonstrated that 80% of the companies offer some kind of dentistry services to its employees (internal dentistry centers, outsourced consults etc.) and at least 25% of those companies have already implemented the Labor Dentistry Services to improve the general health condition of its employees. In regards to preventive measures, 53.33% of the companies perform admission or periodical on-the-job dentistry exams, even if still not required by federal applicable law. The company’s concern on promoting educational seminars and campaigns is grounded in the fact that in 60% of the companies, from total of the employee’s absence periods for diseases, 1 to 3 was related to dentistry problems and accordingly, this dissertation proposes the implementation of profitable plan of preventive Employees Dentistry Health.

A organização do processo de trabalho em Saúde Bucal (SB) tem como componente principal a equipe composta pelo Cirurgião-Dentista - CD, Técnico em Saúde Bucal - TSB e Auxiliar em Saúde Bucal ASB. O trabalho em equipe, com a delegação de tarefas para o pessoal auxiliar (ASB e TSB) busca uma maior racionalidade, aumento da qualidade, da resolutividade e cobertura da atenção em saúde. O setor público tem sido o grande responsável, atualmente, pela inserção da equipe de Saúde Bucal nos serviços. O objetivo desta pesquisa, de cunho qualitativo, foi conhecer a percepção dos dentistas quanto à inserção e trabalho do TSB na equipe. O campo de pesquisa foi o município de Embu e a técnica utilizada para a coleta de dados foi o grupo focal sendo os participantes, dentistas da rede pública deste município. Os resultados apontam, segundo os entrevistados, para a importância do TSB no trabalho em equipe, principalmente, no serviço público, onde há uma grande demanda de assistência. Os participantes, ainda, ressaltam que esta experiência não lhes foi apresentada em sua formação acadêmica, vindo a conhecê-la somente no serviço público. A importância de uma formação técnica adequada e dúvidas acerca da regulamentação profissional, também surgiram como destaques no grupo focal. A partir desses resultados, conclui-se que uma melhor ordenação do processo de trabalho em equipe de Saúde Bucal é necessária, além de um aperfeiçoamento na formação dos profissionais da equipe, vinculadas às reais necessidades do SUS. Ainda que avanços tenham ocorrido nos últimos anos com a atual política nacional de saúde bucal, incentivando o trabalho em equipe, este processo requer um maior estímulo por parte de todos os envolvidos, localmente, no planejamento das ações. / The main core of the organization of the work process in Oral Health consists in the team composition which is the Dentist, Dental Therapist (DT) and Dental Assistant (DA). Teamwork with the delegation of tasks to auxiliary personnel seeks a more rational system of assistance, an increase of quality, resolution and coverage of care. Actually, the Public Health System has been greatly responsible for the integration of DT in the oral health team. The objective of this qualitative research was to acknowledge the dentist´s perception about the integration of the DT in the oral health team. The field research was at the city of Embu, State of Sao Paulo, Brazil, and the technique used for data collection was focus group with dentists working in the public health system of this city as participants. The results indicate, according to participants, the importance of the role played by the DT in the oral health team, especially in public service, where there is great demand for assistance besides lessening dentists stress. Respondents also emphasize that this practice based on teamwork was not discussed during their undergraduation and they experienced this only after beginning the public service assistance. The importance of an adequate technical training as well as doubts about the professional regulation also emerged in the focus groups. From the results it is concluded that training of managers for the better ordering of the process of oral health teamwork is required in addition to an improvement in training of dental therapists, linked to the real needs of the Brazilian Public Health System. Although advances have occurred in recent years with the current national policy on oral health, encouraging teamwork, this process requires a greater stimulus.

Abstract The most common mental disorder, depression, is internationally acknowledged as a considerable public health problem, major depression being one of the leading causes of premature mortality and disability in the world (Murray &amp; Lopez 1996). Besides its associations with disturbances in psychological and social functioning, depression is also associated with various biological alterations. Accordingly, extensive research has been conducted to link depression with several somatic diseases. The relationship between depression and oral health is still obscure, however. This study was carried out to investigate the relationship of depressive symptoms with oral health and related factors in 55-year-old inhabitants of Oulu, 780 of whom participated. Depressive symptoms were measured with the Zung Self-Rating Depression Scale (ZSDS). A high rate of depressive symptoms was associated with symptoms of temporomandibular disorders (TMD), the subjective sensation of dry mouth, and high counts of salivary lactobacilli. An uncertain association was demonstrated between depressive symptoms and abundant growth of salivary mutans streptococci and the presence of yeasts in saliva. Depressive symptoms were associated with edentulousness in a subgroup of men who had never smoked. The dentate women with high rates of depressive symptoms did not consider it equally important to preserve their natural teeth as did the dentate women with fewer depressive symptoms. They also consumed sweets, snacks, and soft drinks more often, and a longer time had elapsed since their last visit to a dentist. No associations between depressive symptoms and periodontal pocketing or dental caries could be demonstrated in this cross-sectional study. It is suggested that depression should be considered as a possible underlying factor when treating patients with TMD symptoms and complaints of oral dryness. Furthermore, considering the discovered association between depressive symptoms and microbial growth, the possibility of an increased risk for impaired oral health among depressed persons is emphasized.