Even though posttraumatic stress theory has been extensively developed in the psychological and medical literature, development of secondary traumatic stress theory is still in its infancy. The traumatology literature reveals a focus on traumatized victims and, with few exceptions, excludes those who are secondarily traumatized (Figley, 1995). Secondary, or vicarious, trauma has become more topical over the past 7 years. Claims have recently been made that counselors working in the field of trauma are vulnerable and at risk for developing trauma symptoms similar to those experienced by their traumatized clients. Descriptors such as “compassion fatigue” (Figley, 1995), “traumatic countertransference” (Herman, 1992), and “contact victimization” (Courtois, 1988) are used in the trauma literature to capture the essence of this phenomenon, which is thought to be a natural consequence of knowing about a traumatizing event experienced by a significant other. For a trauma counselor, this significant other is the client with whom a caring and often long-term relationship has been established. The American Psychiatric Association’s (1994) fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) refers to a secondary traumatic stress reaction, but omits discussion of the implications. Empirical research on secondary traumatic stress is minimal: Most focuses on survey data that report incidence levels and correlate demographic variables and symptoms. Qualitative research into the lived experience of counselors working in the field of trauma is absent from the literature. This research study is an investigation into the meanings of experiences of struggling with secondary traumatic stress. The researcher sought to answer the question, “What meanings do trauma counselors make of their struggles with secondary traumatic stress?” Four counselors working in the field of trauma co-constructed narratives on their struggles with secondary traumatic stress. Three conversations were held with each participant. A reflexive narrative method was designed for data collection and narrative analyses were conducted at three levels of interpretation; (a) textual interpretation of the research conversations, (b) interpretation of the research interactions, and (c) four collaborative interpretive readings of the narrative accounts. Narrative analyses generated the following salient aspects of the participants’ struggles with secondary traumatic stress: (a) struggling with changing beliefs, (b) intrapsychic struggles, (c) struggling with the therapeutic relationship, (d) work-related struggles, (e) struggling with social support, (f) struggling with power issues, and (g) struggling with physical illness. Implications for professional practice, research, and education were addressed. / Graduate

Este trabalho é baseado em um estudo observacional, prospectivo e longitudinal, com o objetivo de analisar a prevalência, as formas de tratamento e os índices de complicações dos casos de trauma de face atendidos pela Área de Cirurgia Buco-Maxilo-Facial da Faculdade de Odontologia de Piracicaba (FOP) ? Unicamp, na cidade de Piracicaba e região, no período de abril de 1999 a março de 2004. Foram incluídos no estudo 1857 pacientes, cuja análise estatística descritiva demonstrou uma prevalência por indivíduos do gênero masculino (76,8%), da cor branca (58,6%), predominantemente na faixa etária de 21 a 30 anos (27%) e pertencentes ao grupo de pessoas economicamente ativas da população (52,3%). A etiologia mais freqüente destes traumatismos foram os acidentes de trânsito (45,8%), predominantemente os acidentes ciclísticos, fortemente caracterizados por baixos índices de uso de dispositivos de segurança. O atendimento inicial aos pacientes foi realizado principalmente pelo SUS (88,2%) e dentro de 48 horas após o trauma em 69,3% dos casos, sendo que 38,1% dos pacientes com indicação de tratamento cirúrgico foram operados entre 8 e 15 dias após o traumatismo. Dentre as fraturas faciais, houve predominância na região do terço médio da face (56,4%), porém com maior acometimento do osso mandibular (41,3%). As lesões de tecidos moles da face foram representadas principalmente pelas lacerações (31,8%) e abrasões (28,6%). Dos pacientes com trauma de face, 41,1% apresentou também outras lesões corporais associadas, sendo as mais comuns localizadas nos membros superiores (24,1%) e membros inferiores (15,4%). Quanto às formas de tratamento, 55,6% dos casos foram conduzidos conservadoramente, 42,2% foram submetidos ao tratamento cirúrgico e 2,2% dos casos não receberam tratamento algum. A fixação interna rígida por meio de placas e parafusos foi a principal forma de tratamento quando as fraturas faciais foram submetidas à redução aberta e fixação (99,8%). As complicações foram observadas em 4,4% de todos os casos atendidos, sendo a infecção o tipo mais comum (43,7% dos casos com complicações). Portanto, avaliações periódicas da epidemiologia dos traumatismos faciais permitem uma análise detalhada sobre estas lesões, que assistem na instituição de prioridades clínicas e de pesquisa para um melhor atendimento e prevenção de traumatismos futuros. _________________________________________________________________________________________ ABSTRACT: This study is based on an observational, prospective and longitudinal research with the purpose of analyzing the prevalence, treatment modalities and complications rates of the facial trauma attended by the Division of Oral and Maxillofacial Surgery of Piracicaba Dental School ? Unicamp occurred in the region of Piracicaba from April 1999 to March 2004. A total of 1,857 patients were included in the study, and analysis of obtained data demonstrated a prevalence for males (76.8%), white individuous (58.6%), most of them in the 3th decade of life (27%) and afflicting people economically active (52.3%). The main etiological factor was traffic accident (45.8%), predominantly involving bicycle accidents, roughly associated to low scores of protective devices use. The initial care was carried out in 88.2% of cases through public health insurance and within the first 48 hours after the injury in 69.3% of patients. The majority of patients (38.1%) who required surgical interventions were operated between the days 8 and 15. According to the facial fractures, there was a greater incidence of middle third facial fractures (56.4%), although the bone most fractured was the mandible (41.3%). The soft tissue lesions were mainly represented by lacerations (31.8%) and abrasions (28.6%). Associated body lesions were diagnosed in 41.1% of patients sustaining facial injury, especially those involving the upper limbs (24.1%) and lower limbs (15.4%). Patients were treated conservatively in 55.6% of cases, surgically in 42.2% of cases and no treatment was instituted in 2.2% of patients. Rigid internal fixation using plates and screws were performed in 99.8% of patients requiring open surgery and fixation of facial fractures. Complications developed in 4.4% of all cases evaluated and infection was responsible for 43.7% of cases of complications. Therefore, regular epidemiologic evaluations of facial injuries allow a detailed analysis of theses lesions providing important support to install clinical and research priorities. This may improve attendance and prevention of maxillofacial injuries in the future.

Orientador: Luis Augusto Passeri / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba / Made available in DSpace on 2018-08-04T03:31:55Z (GMT). No. of bitstreams: 1 Brasileiro_BernardoFerreira_M.pdf: 441240 bytes, checksum: de7ffe2492d7d0774202d801f6d63aa2 (MD5) Previous issue date: 2005 / Resumo: Este trabalho é baseado em um estudo observacional, prospectivo e longitudinal, com o objetivo de analisar a prevalência, as formas de tratamento e os índices de complicações dos casos de trauma de face atendidos pela Área de Cirurgia Buco-Maxilo-Facial da Faculdade de Odontologia de Piracicaba (FOP) ¿ Unicamp, na cidade de Piracicaba e região, no período de abril de 1999 a março de 2004. Foram incluídos no estudo 1857 pacientes, cuja análise estatística descritiva demonstrou uma prevalência por indivíduos do gênero masculino (76,8%), da cor branca (58,6%), predominantemente na faixa etária de 21 a 30 anos (27%) e pertencentes ao grupo de pessoas economicamente ativas da população (52,3%). A etiologia mais freqüente destes traumatismos foram os acidentes de trânsito (45,8%), predominantemente os acidentes ciclísticos, fortemente caracterizados por baixos índices de uso de dispositivos de segurança. O atendimento inicial aos pacientes foi realizado principalmente pelo SUS (88,2%) e dentro de 48 horas após o trauma em 69,3% dos casos, sendo que 38,1% dos pacientes com indicação de tratamento cirúrgico foram operados entre 8 e 15 dias após o traumatismo. Dentre as fraturas faciais, houve predominância na região do terço médio da face (56,4%), porém com maior acometimento do osso mandibular (41,3%). As lesões de tecidos moles da face foram representadas principalmente pelas lacerações (31,8%) e abrasões (28,6%). Dos pacientes com trauma de face, 41,1% apresentou também outras lesões corporais associadas, sendo as mais comuns localizadas nos membros superiores (24,1%) e membros inferiores (15,4%). Quanto às formas de tratamento, 55,6% dos casos foram conduzidos conservadoramente, 42,2% foram submetidos ao tratamento cirúrgico e 2,2% dos casos não receberam tratamento algum. A fixação interna rígida por meio de placas e parafusos foi a principal forma de tratamento quando as fraturas faciais foram submetidas à redução aberta e fixação (99,8%). As complicações foram observadas em 4,4% de todos os casos atendidos, sendo a infecção o tipo mais comum (43,7% dos casos com complicações). Portanto, avaliações periódicas da epidemiologia dos traumatismos faciais permitem uma análise detalhada sobre estas lesões, que assistem na instituição de prioridades clínicas e de pesquisa para um melhor atendimento e prevenção de traumatismos futuros / Abstract: This study is based on an observational, prospective and longitudinal research with the purpose of analyzing the prevalence, treatment modalities and complications rates of the facial trauma attended by the Division of Oral and Maxillofacial Surgery of Piracicaba Dental School ¿ Unicamp occurred in the region of Piracicaba from April 1999 to March 2004. A total of 1,857 patients were included in the study, and analysis of obtained data demonstrated a prevalence for males (76.8%), white individuous (58.6%), most of them in the 3th decade of life (27%) and afflicting people economically active (52.3%). The main etiological factor was traffic accident (45.8%), predominantly involving bicycle accidents, roughly associated to low scores of protective devices use. The initial care was carried out in 88.2% of cases through public health insurance and within the first 48 hours after the injury in 69.3% of patients. The majority of patients (38.1%) who required surgical interventions were operated between the days 8 and 15. According to the facial fractures, there was a greater incidence of middle third facial fractures (56.4%), although the bone most fractured was the mandible (41.3%). The soft tissue lesions were mainly represented by lacerations (31.8%) and abrasions (28.6%). Associated body lesions were diagnosed in 41.1% of patients sustaining facial injury, especially those involving the upper limbs (24.1%) and lower limbs (15.4%). Patients were treated conservatively in 55.6% of cases, surgically in 42.2% of cases and no treatment was instituted in 2.2% of patients. Rigid internal fixation using plates and screws were performed in 99.8% of patients requiring open surgery and fixation of facial fractures. Complications developed in 4.4% of all cases evaluated and infection was responsible for 43.7% of cases of complications. Therefore, regular epidemiologic evaluations of facial injuries allow a detailed analysis of theses lesions providing important support to install clinical and research priorities. This may improve attendance and prevention of maxillofacial injuries in the future / Mestrado / Cirurgia e Traumatologia Buco-Maxilo-Faciais / Mestre em Clínica Odontológica

Thesis (Ph. D.)--University of Washington, 2000. / Vita. Includes bibliographical references (leaves 57-62).

Thesis (Ph.D.) - University of Queensland, 2004. / Includes bibliography.

- / -

The theme of the diploma thesis Competencies of Nurses in Traumatology Outpatient Departments deals with a view of nurses of the existing competencies and the opinion on the increase. It is also mentioned the opinion of nurses about university-educated nurses, who work just for the traumatology outpatient departments, their importance and necessity. The aim of this diploma thesis is (besides the focusing on the competence growth) to analyse the actual interest of nurses in the personal competence growth and map the range of medical acts which are performed by the nurses. The theme of the competencies of the nurses nowadays is the current problem that must be solved. There are two aims of this thesis aim one: to determine the interest of nurses to increase competencies; aim two to map the opinions of nurses on increasing competencies. On the basis of the aims two hypotheses are introduced. Hypothesis one: the interest in increasing competencies is affected by the length of the practice; hypothesis two: the interest in increasing competencies is affected by education. To achieve the aims and hypotheses verification it was carried out a quantitative research using questionnaires. The questionnaires were addressed to nurses working at the traumatology outpatient departments in different hospitals. A total of 103 questionnaires were processed; it is represented by a different spectrum of the length of practice as well as the age range. In this thesis two research questions are set. Question one: what is the opinion of the nurses on increasing competence; question two: what is the range of medical acts that the nurses perform. To determine the results of the qualitative research it was used an in-depth interview with selected nurses who work at the traumatology outpatient department. A total of 10 interviews were carried out to supplement more accurate information. The survey results show that the nurses are interested in increasing their competencies, particularly in the area of decision-making and minor injuries treatment. However, a statistical evaluation of hypotheses shows that interest in the competencies is affected neither by the length of education nor the length of practice. It follows that neither hypothesis is confirmed. Statistically, the values are without mutual influence. The answer to the first question of the research also confirms that the nurses would welcome the possibility of increasing competencies, but to a limited extent. The nurses report that they most often treat bruises and minor injuries. Furthermore, limb/extremity fractures and koncové části těla fractures often occur. Among the most common injuries are also lacerations on the head. On the basis of my thesis, it is found that nurses know their competencies, are interested in their increasing and are able to manage them. My proposal is to raise a professional discussion on the topic increasing competencies of the nurses in Traumatology.

Orientador: Luis Augusto Passeri / Tese (doutorado) - Universidade Estadual de Campinas. Faculdade de Odontologia de Piracicaba / Made available in DSpace on 2018-08-16T05:13:24Z (GMT). No. of bitstreams: 1 Grempel_RafaelGrotta_D.pdf: 3448168 bytes, checksum: 63d5cf62525db52fd98171c2d6056cd2 (MD5) Previous issue date: 2010 / Resumo: As fraturas faciais detêm uma importante participação junto ao atendimento dos pacientes vítimas de traumatismos. Dentre estas fraturas, aquelas envolvendo o côndilo mandibular são com certeza as que mais levantam questionamento e discussão quanto à forma de tratamento e, quando tratadas de forma incorreta podem trazer conseqüências severas e por vezes irreversíveis ao sistema estomatognático. Desta forma, ressalta-se a necessidade de estabelecer um protocolo quanto ao tratamento destas fraturas, por meio de ensaios clínicos e acompanhamento a longo prazo dos resultados adquiridos com os diversos tratamentos protocolados. Realizou-se então este estudo observacional, retrospectivo e longitudinal, visando a avaliação epidemiológica específica das fraturas de côndilo mandibular, tratadas pela Área de Cirurgia Buco-maxilo-facial da Faculdade de Odontologia de Piracicaba - Universidade Estadual de Campinas (Unicamp), avaliando a forma de tratamento instituído e as complicações decorrentes deste. Foram analisados todos os prontuários de 1999 a 2006, totalizando 223 pacientes com 265 fraturas de côndilo, sendo 174 (78%) do gênero masculino e 49 (22%) do feminino, com média de idade de 28,2 anos ± 14,6 anos. O grupo etário mais acometido foi aquele entre 11 e 30 anos com 60% dos casos. Em 113 (50,7%) pacientes as fraturas ocorreram de forma isolada, existindo no restante pelo menos uma fratura em outra região da mandíbula. A maior parte dos pacientes era branca (65,1%), economicamente ativa (66,4%) e dentada (49,7%). O agente etiológico mais comum foram os acidentes envolvendo meios de transporte (58,9%), destes, 40% foram ciclísticos, 29,2% automobilísticos, 15,7% motociclísticos e 2,2% atropelamentos. As quedas foram responsáveis por 21,5% dos casos, seguidas pela agressão (11,6%), acidentes de trabalho (4%), acidentes esportivos (3,1%) e outros (1,3%). Dos pacientes que receberam tratamento, 178 (79,8%) receberam tratamento fechado (sem abordagem direta à fratura), 41 (18,4%) receberam tratamento aberto e quatro (1,8%) não receberam tratamento. Onze (4,9%) pacientes evoluíram com alguma complicação, sendo oito com má-oclusão. Pôde-se concluir que o tratamento fechado foi o mais predominantemente instituído e que as complicações advindas do tratamento foram raras. / Abstract: Facial fractures have an important contribution on the care of patients suffering from trauma. Among these fractures, those involving the mandibular condyle are certainly the ones with more discussion and controversies on treatment options and, the incorrect treatment can bring severe and sometimes irreversible consequences on the stomatognathic system. There for, it's emphasized the requirement for standardization regarding the treatment of these fractures through clinical trials with a long-term evaluation of the results obtained with the different treatment options. Thus, it was developed an observational, prospective and longitudinal study, aiming a specific epidemiological assessment of fractures of mandibular condylar process, treated by the Division of Oral and Maxillofacial Surgery of the Piracicaba Dental School - Campinas State University (Unicamp), in order to evaluate the treatment and the complications arising from it. There were analyzed all patient records from 1999 to 2006, totaling 223 patients with 265 fractures of the condyle, being 174 (78%) male and 49 (22%) female, with an average age of 28.2 years ± 14.6 years. The most affected age group was between 11 and 30 years with 60% of the cases. In 113 (50.7%) patients fractures were isolated, and in the rest, there was at least one another mandible fracture. Most patients were white (65.1%), economically active (66.4%) and dentate (49.7%). The most frequent causal agent were accidents involving means of transport (58.9%) of these, 40% were by bicycicle, 29.2% by car, 15.7% motorcycle and 2.2% were pedestrians. Falls were responsible for 21.5% of the cases, followed by assault (11.6%), accidents at work (4%), sports accidents (3.1%) and others (1.3%). Regarding the patients that received treatment, 178 (79.8%) received closed treatment, 41 (18.4%) received open treatment and four (1.8%) didn't receive any treatment. Eleven (4.9%) patients have presented some complication, such as malocclusion (eight cases). It could be concluded that the surgical closed treatment was the most predominantly established and that the complications arising from the treatment were rare. / Doutorado / Cirurgia e Traumatologia Buco-Maxilo-Faciais / Doutor em Clínica Odontológica

Orientadores: Luciana Asprino, Márcio de Moraes / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba / Made available in DSpace on 2018-08-17T13:57:04Z (GMT). No. of bitstreams: 1 Freire_SimeiAndredaSilvaRodrigues_M.pdf: 2326345 bytes, checksum: 61c6e7619a9d6b678df544829f881e6a (MD5) Previous issue date: 2010 / Resumo: A despeito dos recentes avanços no tratamento das fraturas faciais as fraturas de mandíbulas atróficas edêntulas permanecem como um desafio cirúrgico e não há consenso quanto à melhor técnica de tratamento. Isto é devido a fatores inerentes a esta patologia, a relativa raridade da mesma, que gera inexperiência dos cirurgiões, e a escassez de informação sobre o tema na literatura cirúrgica. Foi proposto avaliar comparativamente, in vitro, por meio de testes mecânicos e fotoelásticos a fixação de fraturas de mandíbulas atróficas por diferentes sistemas. Para os testes mecânicos de carregamento linear, foram utilizadas 20 réplicas de mandíbulas humanas atróficas de poliuretano. Estas mandíbulas foram divididas em 4 grupos, sendo 5 mandíbulas íntegras para o grupo controle, e 15 mandíbulas com a simulação de fratura unilateral direita do corpo mandibular, divididas em 3 grupos teste, com 5 mandíbulas cada, e fixadas por meio dos 3 sistemas de fixação a seguir. Grupo 2.4 mm convencional: 1 placa reconstrutiva de 2.4mm; Grupo 2.4mm com travamento: 1 placa reconstrutiva 2.4mm com sistema de travamento; Grupo 2.0mm com travamento: 1 placa reconstrutiva 2.0mm com sistema de travamento. Para os testes fotoelásticos, foi utilizada uma amostra de 4 réplicas de mandíbulas humanas atróficas de resina fotoelástica, submetidas a carregamento linear, sendo uma mandíbula íntegra e as restantes com a simulação do traço de fratura, cada uma fixada com os 3 sistemas já descritos para os grupos dos testes mecânicos. Os resultados indicaram diferença estatisticamente significante entre os grupos que o sistema de fixação 2.4mm com travamento apresentou maior resistência, seguido pelo o sistema 2.4mm convencional e grupo controle. A menor resistência foi apresentada pelo sistema de fixação 2.0mm com travamento. Na análise qualitativa por meio dos testes fotoelásticos observou-se que as tensões iniciam-se no corpo mandibular e com o decorrer do deslocamento e incidência da carga, a mesma passa a se dissipar principalmente para a região posterior, se concentrando na região próxima ao ângulo mandibular para todos os grupos. Porém nos grupos 2.4mm e 2.0mm com travamento observou-se melhor distribuição de cargas ao longo de toda fixação. Dentro das condições deste estudo concluiu-se que: 1. O sistema de placas com travamento aumenta a resistência, pelo favorecimento da melhor distribuição de tensões, quando aplicado em fraturas de mandíbulas atróficas; 2. Os sistemas de placas reconstrutivas testados apresentaram eficiência mecânica adequada a aplicação na fixação de fraturas de mandíbulas atróficas. / Abstract: The spite of the recent advances in the treatment of face fractures as atrophic mandible fractures remain as a surgical challenge and it does not have consensus for the best technique treatment. It has inherent factors to this pathology, the relative rarity of this trauma, generating short experience by the surgeons, and the scarcity of information on the subject in surgical literature. The objective of this research was to evaluate in vitro by means of photoelastic and mechanical tests the atrophic mandible fractures setting by different systems. To the photoelastic test were used 4 models of human atrophic mandibles made of photoelastic resin, subjected to linear loading, a integer jaw for control test and the others for simulation of right side unilateral fracture of the mandibular body, treated with 3 methods of fixation system: Group 2.4mm convencional 1 reconstructive titanium plate of 2.4mm, Group 2.4 locking system 1 reconstructive titanium plate locking system 2.4mm, Group 2.0 locking system 1 reconstructive titanium plate locking system 2.0mm. For mechanical testing were used a sample of 20 models of human atrophic mandibles made of polyurethane and subjected to linear loading test, 5 intact mandibles for substrate control test, and 4 groups of 5 each jaw treated with 3 methods of fixation system as described before and submitted to the torcional forces until maximum displacement of 10 mm. As results we had that the averages and the shunting line standard of the higher loading resistance indicated that in the respective test, the group 2 had been the one that had presented greater resistance to loads, with statistical significant difference between these groups. With in sequence decreasing intermediate resistance the group 1 and group Control. The smaller resistance was presented by group 2.4mm locking. In the qualitative analysis by means of the photoelastic tests we observed that the groups had presented similar results. In the images with displacement it is possible to verify that the tensions initiate in the mandible body and with elapsing of the displacement and incidence of the load, the same passes to waste mainly for the posterior region, concentrating in the next to the region of the mandible angle, in special next to the posterior region of the body and initial portion of the mandible angle in all groups. In the groups 2.4mm and 2.0mm locking a better load distribution was observed throughout all fixation system. In accordance with the applied methodology, resulted gotten, and inside of the limitations of this research, we can conclude that: 1. The locking plate system increases the resistance with a better tension distribution of the forces when subjected to linear loading test when applied to atrophic mandible fractures; 2. The reconstructive plate system tested in this research presented mechanics efficiency for atrophic mandible fracture treatment. / Mestrado / Cirurgia e Traumatologia Buco-Maxilo-Faciais / Mestre em Clínica Odontológica

Orientadores: Eduardo Daruge, Eduardo Daruge Júnior / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba / Made available in DSpace on 2018-08-18T02:14:57Z (GMT). No. of bitstreams: 1 Sgarbi_AndreiaCristinaGuther_M.pdf: 927872 bytes, checksum: 6ea81fbc012ef77351fd90e251576fe9 (MD5) Previous issue date: 2011 / Resumo: Com o passar dos anos tem se constatado um aumento da violência, e como conseqüência, do número de exames de corpo de delito envolvendo a face e cavidade bucal. Mesmo existindo coeficientes dos índices estético, mastigatório e fonético, nota-se uma evidente falta de padronização na avaliação e enquadramento das lesões dentárias de acordo com o artigo 129 do Código Penal. Devido a este fato o presente estudo avaliou a maneira como os juízes, peritos dos Institutos Médico Legais (IMLs), entre eles médicos e cirurgiões dentistas, e especialistas em Odontologia Legal, tipificam as lesões dentárias; assim como comparou as convergências e divergências das opiniões desses profissionais e discutiu os aspectos éticos e legais pertinentes ao tema. Nesse objetivo, foi confeccionado um questionário com questões estruturadas, que foi entregue aos voluntários, juntamente com duas cópias do termo de consentimento livre e esclarecido (TCLE). O projeto da presente pesquisa foi aprovado pelo Comitê de Ética em Pesquisa sob o protocolo nº 076/2009. A amostra foi de 82 profissionais, atuantes nos Estados de São Paulo, Rio de Janeiro e Mato Grosso, que qualificaram supostas lesões dentárias de acordo com o artigo 129 do Código Penal. Conclui-se que apesar da existência de uma tendência à convergência nas opiniões dos profissionais, quando observadas as porcentagens maiores, existe uma oscilação na interpretação das questões, fato que dificulta a aplicação de um critério único. Pelo contrário, se existissem parâmetros para tal fim, diminuiriam as possibilidades de variações na forma de interpretação entre profissionais diretamente ligados no processo, no tocante aos danos sofridos pela vítima / Abstract: Through the years, it has been noticed an increase of violence and forensic examination cases related to the face and oral cavity. Although there are aesthetic, phonetic and masticatory indexes, there is an obvious lack of criteria for the assessment and classification of dental injuries in accordance to 129th Article of the Penal Code. Due to this fact, this study analyzed how judges, medical and dental forensic experts, and specialists in forensic dentistry typify the dental injuries, as well as checked the convergence and divergence of opinions of these professionals and discussed the ethical and legal issues referred to this topic. In this goal, it was made a questionnaire with structured questions, which was delivered to the volunteers, along two copies of the informed consent (IC). The project of this research was approved by the Research Ethics Committee (protocol nº 076/2009). The sample consisted of 82 professionals from the States of São Paulo, Rio de Janeiro and Mato Grosso, that qualified supposed dental injuries in accordance with 129th Article of the Penal Code. It was concluded that despite of the existence of a convergent tendency in the points of view of professionals, while observing the highest percentages, there are discrepancies in the interpretation of the questions, that difficult the application of a single criterion. Although, if there was a parameter for this purpose, it would minimize the possibility of different interpretations among the professionals directly involved in the process, when related to the damages suffered by the victim / Mestrado / Odontologia Legal e Deontologia / Mestre em Biologia Buco-Dental