Os websites são um dos principais e mais ágeis veículos para difusão e busca por informação na área da saúde, apresentando um grande potencial para o estabelecimento de ações educativas distância. Este estudo descreve o desenvolvimento e avaliação da qualidade técnica e de conteúdo da Seção Odontologia do website Portal dos Bebês. A definição dos conteúdos a serem abordados nesta seção do website se deu a partir da revisão da literatura e dos resultados de uma avaliação diagnóstica, a respeito da higiene e cuidado com a saúde bucal do bebê, realizada com 60 pais de crianças entre 0 e 36 meses de idade. Aceitaram o convite para participar da avaliação do website 49 cirurgiões dentistas (10 homens e 29 mulheres, com idade média de 27,34 anos) e 41 pais (02 homens e 39 mulheres, com idade média de 34,20 anos). Os participantes preencheram anonimamente um formulário online com perguntas sobre dados demográficos, uso da internet e sobre a qualidade técnica (cirurgiões dentistas) e do conteúdo do website (cirurgiões dentistas e pais). A qualidade técnica pautou-se no questionário Emory, compreendendo as subescalas precisão, autores, atualizações, público, navegação, links e estrutura. A maioria dos consideram os aspectos técnicos como excelente (40%) ou adequado (57%). A média da pontuação total do questionário Emory foi igual a 88%. Houve diferença significativa entre as subescalas do Emory, sendo de particular importância a menor pontuação obtida na subescala precisão. A média da pontuação do conteúdo foi igual a 4,5 (máximo de 5 pontos). Houve diferença pequena, porém significativa, entre a pontuação do conteúdo higiene bucal do bebê e cárie precoce da infância. A avaliação do conteúdo estava relacionada ao tempo de atuação profissional. Os pais avaliaram seu conhecimento prévio sobre a saúde e higiene bucal do bebê como sendo bom (56%) ou muito bom (22%). A pontuação média total do conteúdo foi 4,2. Embora com diferença pequena, a pontuação do conteúdo alimentação foi significativamente menor do que os conteúdos primeira visita ao dentista, higiene bucal e cárie precoce da infância. Os pais estavam satisfeitos (60%) ou muito satisfeitos (34%) com o website, sendo que esta satisfação estava relacionada à idade de seus filhos. Todos os pais indicariam o website a outros pais. É necessária a adequação de alguns conteúdos do website de forma melhor atingir as necessidades do público alvo. A Seção Odontologia do Portal dos Bebês apresenta pode ser utilizada como instrumento para educação aos pais quanto a saúde bucal na primeira infância. / The websites are the fastest main diffusion and information search media in health area, presenting a great potential to establish educational actions at distance. This study describes the development and evaluation of the technical quality and content of Dentistry Section of Portal dos Bebes website. The content definition to be addressed on this section was based on a literature review and on the outcomes of a diagnostic assessment regarding to oral hygiene and care conducted with sixty parents and/or caregivers of babies aged from 0 to 36 months. Forty-nine dentists (10 men and 29 women; mean age of 27.34 years old) accepted to evaluate the website and 41 parents (2 men and 39 women; mean age of 34.2 years old) participated in the research. The participants anonymously fulfilled an online form containing questions on the demographical area, internet use, technical quality (dentists) and website content (dentists and parents).The technical quality based on Emory questionnaire regarding accuracy, authorship, updates, public, navigation, links and structure of the website were assessed. Most of the participants considered technical aspects as either excellent (40%) or adequate (57%). The total average score of Emory questionnaire achieved 88%. There was statistical significance among Emory subscales, highlighting the lowest score obtained by accuracy item. The average of content score was 4.5 (5.0 was considered the highest score). There was a small but significant difference between the content score baby oral hygiene and early caries childhood. The content evaluation was related to professional acting time. The parents assessed their previous knowledge on oral health and hygiene which was considered as either good (56%) or very good (22%). The total mean average was 4.2. Although with a low difference, the score relating to feeding was significant lower than that related to oral hygiene and early caries childhood. The parents were either satisfied (60%) or very satisfied (34%) with the website which had been related with the age of their children. Furthermore, all parentswould refer the website to other parents. It is necessary a better adequacy concerning some website contents aiming to reach the needs of the targeted public. The Dentistry section of Portal dos Bebes website may be a tool for the learning of parents concerning oral health at the early childhood.

Orientadores: Paula Midori Castelo, Maria Beatriz Duarte Gavião / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba / Made available in DSpace on 2018-08-19T14:50:11Z (GMT). No. of bitstreams: 1 Marquezin_MariaCarolinaSalome_M.pdf: 2056043 bytes, checksum: 76266e1ad4346ee36ed6906065cdc2d3 (MD5) Previous issue date: 2012 / Resumo: O conhecimento das influencias funcionais, ambientais e genéticas sobre o crescimento e desenvolvimento craniofacial é abrangente e difícil de quantificar, mas de suma importância para a prevenção de alterações que possam influenciar negativamente o desenvolvimento adequado dos maxilares e estruturas relacionadas. Sendo assim, a pesquisa teve o objetivo de avaliar a relação entre disfunção orofacial, morfologia craniofacial e da oclusão, força de mordida (FM) e performance mastigatória (PM) em crianças e adolescentes. Três estudos foram conduzidos e serão apresentados a seguir na forma de capítulos. O primeiro e segundo estudos buscaram avaliar a relação entre disfunção orofacial, PM, morfologia craniofacial e da oclusão, FM e bruxismo do sono. Para tanto, foram incluídas 316 crianças e adolescentes, de ambos os gêneros, divididas em quatro grupos: sujeitos com dentição mista inicial (n=20), mista intermediária (n=73), mista final (n=89) e permanente (n=134). A PM foi avaliada pela técnica de peneiragem, estimando-se a capacidade individual do sujeito em triturar um alimento-teste e determinando o tamanho mediano das partículas (X50) e a distribuição das mesmas nas diferentes peneiras (b). As disfunções orofaciais e a necessidade de tratamento ortodôntico foram avaliadas por meio do instrumento The Nordic Orofacial Test Screnning (NOT-S) e pelo Índice de Necessidade de Tratamento Ortodôntico (IOTN), respectivamente. A máxima FM foi mensurada utilizando-se um gnatodinamômetro digital e a morfologia craniofacial foi avaliada por meio de análise cefalométrica em norma lateral e frontal. A presença de bruxismo do sono também foi verificada por meio da avaliação de facetas de desgaste em incisivos e/ou primeiros molares permanentes e do relato de sons de ranger/bater os dentes pelos responsáveis/irmãos. Os resultados foram submetidos à estatística descritiva, testes de normalidade e correlação, análise de variância e regressão linear múltipla para se verificar quais variáveis em estudo contribuíram para a variação em X50 e nos escores do NOT-S. A variância de X50 e b mostrou-se estatisticamente significativa entre os grupos; já os escores do NOT-S não mostraram diferença entre as fases das dentições. Idade, índice de massa corporal, FM e presença de bruxismo relacionaram-se significativamente com uma melhor PM. A presença de selamento labial e maior trespasse vertical relacionaram-se com menores escores totais do NOT-S, enquanto a idade e a presença de bruxismo exacerbaram os escores de disfunção orofacial. Além disso, não foi observada correlação significativa entre morfologia craniofacial e escores de disfunção orofacial. Concluiu-se que o índice de massa corporal, força de mordida e presença de bruxismo contribuíram para uma melhor PM; enquanto o aumento nos escores de disfunção orofacial relacionou-se a uma PM prejudicada. Além disso, o aumento do trespasse vertical e a presença de selamento labial relacionaram-se a menores escores de disfunção orofacial em indivíduos jovens. O terceiro capítulo aborda o estudo do dimorfismo facial e sua relação com as dimensões craniofaciais e dos arcos dentários e espessura ultrassonográfica do músculo masseter em crianças na fase de dentição mista. O estudo envolveu 32 crianças (14?/18?), com oclusão normal, e avaliou as dimensões craniofaciais por meio de telerradiografias em norma frontal. Os resultados foram submetidos à estatística descritiva, teste de normalidade, teste ?t? e regressão linear múltipla para se verificar a diferença entre os gêneros e quais variáveis contribuíram para a variação da medida da largura facial. Apesar da comparação da largura facial entre gêneros ter mostrado diferença significativa, quando se verificaram quais variáveis em estudo contribuíram para esta variação, observou-se que o índice de massa corporal, espessura do masseter, distância intermolares inferiores e intercaninos superiores e largura intermolar maxilar foram as variáveis significativamente relacionadas com a largura facial, enquanto o gênero não alcançou nível significativo. Concluiu-se assim que as variáveis funcionais e morfológicas do sistema estomatognático mostraram forte relação com a largura da face / Abstract: Knowledge of the functional, environmental and genetic influences on the craniofacial growth and development is comprehensive and difficult to quantify, but very important to prevent changes that may affect the proper development of the jaws and related structures. Therefore, this study aimed to evaluate the relationship between orofacial dysfunction, occlusal and craniofacial morphology, bite force (BF) and masticatory performance (MP) in children and adolescents. Three studies were conducted and are presented below in the form of chapters. The first and second study aimed to evaluate the relationship among orofacial dysfunction, MP, occlusal and craniofacial morphology, BF and sleep bruxism. The sample included 316 children and adolescents of both genders, divided into four groups: subjects with early (n=20), intermediate (n=73), late mixed (n=89) and permanent (n=134). MP was assessed by sieving technique and verifying the individual's ability to comminute an artificial test food in order to determine median particle size (X50) and distribution of particles in the different sieves (?b?). The orofacial dysfunction and need for orthodontic treatment were evaluated using the instrument The Nordic Orofacial Test-Screnning (NOT-S) and the Index of Orthodontic Treatment Need (IOTN), respectively. Maximum BF was measured using a digital gantodinamometer and craniofacial morphology was assessed by means of lateral and posteroanterior cephalometric analysis. The signs and symptoms of sleep bruxism were recorded taking into account the presence of shiny and polish facets on incisors and/or first permanent molar and sibling/parental report of grinding sounds. The results were submitted to descriptive statistics, normality and correlation tests, analysis of variance and multiple linear regression to determine which variables significantly contributed to X50 and scores on NOT-S variation. The variance of b and X50 were statistically significant between groups, whereas scores of NOT-S showed no difference among the stages of dentition. Age, body mass index, BF and the presence of bruxism was significantly correlated with better MP. The presence of closed lip posture and increased overbite measurements were related to lower total scores on NOT-S, whereas age and the presence of bruxism exacerbated orofacial dysfunction scores. In addition, a significant relation between craniofacial morphology and orofacial dysfunction was not found. It was concluded that body mass index, BF and the presence of sleep bruxism contributed to a better PM, while the increase in the scores of orofacial dysfunction was related to a worse PM. In addition, increased overbite measurement and closed lip posture related to lower scores of orofacial dysfunction in young individuals. The third chapter discusses the study of facial dimorphism and its relation with craniofacial and dental arches dimensions and ultrasonographic thickness of the masseter muscle in children in the mixed dentition. The study included 32 children (14?/18?) with normal occlusion and craniofacial dimensions were assessed by frontal radiographs. The results were submitted to descriptive statistics, normality test, "t" test and multiple linear regression to determine the difference between genders and which variables significantly contributed to the variation in facial width. Although the comparison of facial width between genders have shown significant differences, when the others studied variables were tested, it was observed that body mass index, masseter thickness, lower intermolar distance, upper intercanines distance and maxillary intermolar width were the variables that significantly related to facial width, while gender did not reach significant level. It was concluded that the functional and morphological variables of the stomatognathic system showed a strong relation with face width / Mestrado / Odontopediatria / Mestre em Odontologia

Indiana University-Purdue University Indianapolis (IUPUI) / This investigation examined the relationship between oral hygiene scores and visual motor integration scores (developmental age) in five- to eleven-year-old children. A total of 128 subjects were given the Beery test of visual motor integration to determine their developmental age. A pre- and post-brushing plaque score was obtained as a measure of each subject's oral hygiene ability. Statistical analysis of the data revealed that chronological age was not a statistically significant predictor of oral hygiene ability, while developmental age as determined by the Beery test was found to be a statistically significant predictor of oral hygiene ability (p < .006).

No description available.

Indiana University-Purdue University Indianapolis (IUPUI) / Treating pediatric dental patients four years old and younger can be difficult at times due to patient behavior. Conscious sedation has been employed as a means to control pediatric dental patients for several years. Butorphanol tartrate has been used safely for pain control in pediatric patients for several years, but has never been used for sedating pediatric dental patients. The purpose of this study is to compare the behavioral and physiologic effects of conscious sedation on pediatric dental patients using intramuscular meperidine and an equipotent dosage of intramuscular butorphanol. Forty conscious sedations of ASA I pediatric dental patients between the ages of 13 and 60 months were accomplished using either 2.0 mg/kg of intramuscular meperidine or 0.03 mg/kg of intramuscular butorphanol. Each sedation was videotaped and three viewers viewed the videotapes rating them with a computer program (ACS) involving a four-code behavior rating scale. The tlrree viewers rated patient behavior for each sedation also with a form with global rating, categorical, and dichotomous scales. Physiologic signs of oxygen saturation, blood pressure, heart rate, and respiration rate were monitored at baseline and every 5 minutes during treatment. The operator also rated the sedation patient behavior with a form that had pre-treatment Frankl, post-treatment Frankl, global rating categorical, dichotomous, and sedation success rating scales. The two groups demographic data, physiologic data, ACS data, the three viewer's behavior rating form, and the operator's behavior rating form were analyzed for any statistically significant differences between the groups. The statistical analysis of the demographic data revealed a statistically significant trend in the butorphanol group toward extractions. The meperidine group had a statistically significant higher mean oxygen saturation during treatment (99.63 percent) than the butorphanol group (99.20 percent). The butorphanol group spent significantly more time in the annoyed ACS behavior rating code and showed a trend toward less time spent in the quiet ACS behavior rating code. There were no statistically significant differences in the three viewers ratings of global rating, categorical, and dichotomous scales. The operators' ratings showed the meperidine group had a statistically significant better global rating than the butorphanol group. Overall butorphanol appears to be equal clinically to meperidine in physiologic effects and patient behavior effects. No adverse effects occurred with either medication. Butorphanol may be offered as an alternative sedative agent to other narcotic sedative agents with more side effects.

No description available.

No description available.

No description available.

Purpose: The purpose of this study was to report the distribution of procedures provided to Virginia Medicaid children by three types of dental providers in rural and urban areas. Methods: Medicaid claims filed for dental patients younger than 21 were obtained and analyzed for fiscal years 1994 and 1995. Dental providers were categorized according to their practice type: general practice (GP), pediatric (PD) and public health (PH) dentists. Each type of practice was categorized as practicing in a Metropolitan, Urban, Rural or Completely Rural location and evaluated for percentages of preventive, diagnostic, and corrective services provided.Results: The number of procedures was shown to differ depending upon: year, practice type, location, significant provider status, and the type of procedure.Conclusion: General, pediatric and public health dentists in Metropolitan and Urban areas perform slightly more diagnostic services and much less corrective services than practitioners in more rural areas.

Dentident está especializada en servicios de odontopediatría y ortodoncia, después de varios años de funcionamiento, ha decidido expandirse hacia otros distritos de Lima Metropolitana. Identificada una ventana de oportunidad en el distrito de San Borja, se elaboró el proyecto: “Nueva sede Dentident en el distrito de San Borja” En el proyecto se ha considerado el entorno internacional y nacional, golpeado por una grave crisis económica mundial, agudizada por la pandemia del coronavirus, que ha incidido en una caída de la producción, el empleo y el ingreso de la población en el país. La propuesta de valor consiste en la gestión por procesos en nuestros servicios de odontopediatría y ortodoncia con más de 10 años de experiencia, brindando un servicio de calidad y con tecnología de alto nivel, en un ambiente agradable y cálido. Para la segmentación del mercado se consideró criterios económicos, relacionados con los ingresos de la población, el distrito corresponde a sectores de ingresos medios altos y altos. Se aplicará la estrategia de enfoque, brindando servicios especializados en odontología infantil. El proyecto es viable y atractivo, los indicadores económicos y financieros indican que es rentable, el VANF de S/. S/552.746, el TIRF es de 76%. Aún, considerando una reducción de la demanda en un 11%, los indicadores son favorables. A lo que hay que agregar la experiencia, la calidad de los servicios y el posicionamiento logrado. / Dentident is specialized in pediatric dentistry and orthodontic services, after several years of operation, has decided to expand to other districts of Metropolitan Lima. Having identified a window of opportunity in the district of San Borja, the project was developed: "New Dentident headquarters in the district of San Borja" The project has considered the international and national environment, hit by a serious global economic crisis, exacerbated by the coronavirus pandemic, which has affected a drop in production, employment and the income of the population in the country. The value proposition consists of process management in our pediatric dentistry and orthodontic services with more than 10 years of experience, providing quality service and technology in a pleasant and warm environment. For the market segmentation, economic criteria were considered, related to the income of the population, the district corresponding to upper middle and upper income sectors. The focus strategy will be applied, providing specialized services in children's dentistry. The project is viable and attractive, the economic and financial indicators indicate that it is profitable, the VANF of S /. 552.746, the TIRF is 76%. Still, considering a reduction in demand by 11%, the indicators are favorable. To which must be added the experience, the quality of the services and the positioning achieved. / Trabajo de investigación