The oral flora is one of the most ecologically diverse microbial populiations known to man. It has been proved that any dental intervention: dental preparation, professional oral hygiene, extraction of teeth, regular prophylactic examination of patient‘s mouth is related with a possible spread of infection. Therefore, one of the most important tasks for the dental care professionals is to prevent the spread of infection and create safe environment for a patient, the dentist himself and other dental staff The aim of the present study is to identify and evaluate the attitudes of Lithuanian dental health care professionals towards infection control and carried out infection control procedures, and to determine vaccination frequency against hepatitis B among dental health care professionals. The study highlighteningt the dental health care professionals‘ attitude towards infection control and infection control procedures as well as incompliance of infection control procedures with the valid normative documentation was conducted at the Institute of Odontology, Faculty of Medicine, Vilnius University in 2008-2010. All 2,235 Lithuanian dentists, registered in the Lithuanian Dental Chamber Registry in 2008 and carrying general practice dentist‘s license, all 1,814 dental assistants and all 370 dental hygienists registered in 2010 (according to the database of the Lithuanian Dental Chamber Registry) were invited to take part in the investigation. The participants of the study survey... [to full text] / Burna yra viena labiausiai infekuotų žmogaus organizmo sričių. Įrodyta, kad bet kuri odontologinė intervencija – dantų preparavimas, profesionali burnos higiena, dantų šalinimas, įprastinė profilaktinė paciento burnos apžiūra – yra susijusi su galimu infekcijų plitimu. Todėl vienas iš svarbiausių odontologine praktika besiverčiančių asmenų uždavinių yra užkirsti kelią infekcijų plitimui ir sudaryti saugią aplinką pacientui, gydytojui odontologui ir kitam personalui. Darbo tikslas – nustatyti ir įvertinti Lietuvos odontologinės sveikatos priežiūros specialistų požiūrį į infekcijų kontrolę ir atliekamas infekcijų kontrolės procedūras, išsiaiškinti vakcinacijos nuo hepatito B apimtį tarp Lietuvos odontologinės sveikatos priežiūros specialistų. Odontologinės sveikatos priežiūros specialistų požiūrio į infekcijų kontrolę, atliekamas infekcijų kontrolės procedūras, infekcijų kontrolės procedūrų neatitikimus galiojantiems norminiams dokumentams tyrimas atliktas 2008 – 2010 metais Vilniaus universiteto Medicinos fakulteto Odontologijos institute. Tyrime buvo pakviesti dalyvauti visi 2235 Lietuvos gydytojai odontologai, 2008 metais registruoti Lietuvos odontologų rūmuose ir turintys bendros praktikos gydytojo odontologo licenciją ir visi 1814 gydytojų odontologų padėjėjai bei visi 370 burnos higienistai, registruoti 2010 metais (pagal Lietuvos odontologų rūmų duomenų bazę). Tyrimo dalyviams buvo išsiųsti anoniminiai klausimynai. Odontologinės sveikatos priežiūros specialistų požiūris... [toliau žr. visą tekstą]

Made available in DSpace on 2014-12-17T13:53:16Z (GMT). No. of bitstreams: 1 EvelinCAR.pdf: 567410 bytes, checksum: b7c0c3cd63ebc68e2668e5484e00e43d (MD5) Previous issue date: 2007-08-31 / The inclusion of the dentist in the Family Health Program (FHP) teams designates a reorganization of the mouth health care in your country and establishes a new scenario in Brazilian odontology, through of a new way to organize the basic health care, creating conditions to consolidate in mouth health practice actions, in the level of the basic attention, the validation of Unique Health System (UHS) constitutional principles. The purpose of this research is to verify if the actuation of mouth health teams (MHT) dentists, in Natal city north sanitary district, is tuned with FHP goals.The target research population was composed by all dentists working in Basic Health Units (BHU) of Natal north sanitary district. Fifth-eight questionnaires were applied and using open and closed questions we look for identify the functional characteristics of each BHU, the dentists professional attributions on each BHU, as well as the clinical procedures that they execute. This research also searched to identify the factors that facilitate and/or difficult the inclusion process and the dentists activities performance on these BHUs, as well as the necessary actions to north sanitary district MHTs to fulfill the objectives proposed by FHP. The results point that the inclusion of mouth health actions in north sanitary district FHPs brought the incorporation of new values to the used practices. Whoever, its necessary a more frequent evaluation of the carried actions, in a way they can be adapted to the real community necessities, and, is fundamental the data accompaniment, for that these serve of base for planning and redirecting activities, in a way that we do not have only a reproduction of traditional practices, fragmented and isolated, but a truly substitution of the traditional practices and a new way of promoting health / A inclus?o do dentista nas equipes do Programa de Sa?de da Fam?lia (PSF) assinala uma reorganiza??o da aten??o ? sa?de bucal em nosso pa?s e estabelece um novo cen?rio na odontologia brasileira, atrav?s de uma nova forma de organizar a aten??o b?sica ? sa?de, criando condi??es para consolidar nas a??es da pr?tica em sa?de bucal, no n?vel da aten??o b?sica, a valida??o dos princ?pios constitucionais do SUS. O objetivo deste estudo ? verificar se a atua??o dos dentistas nas Equipes de Sa?de Bucal (ESB) do Distrito Sanit?rio Norte do Munic?pio de Natal RN, est? em sintonia com as diretrizes do PSF. A popula??o integrante da pesquisa foi composta por todos os dentistas lotados nas Unidades B?sicas de Sa?de (UBS) do Distrito Sanit?rio Norte de Natal-RN. Foram aplicados 58 question?rios e atrav?s de perguntas fechadas e abertas procurou-se identificar as caracter?sticas operacionais de funcionamento de cada UBS, as atribui??es profissionais dos dentistas em cada UBS e os procedimentos cl?nicos executados pelos mesmos. Esse instrumento procurou tamb?m identificar os fatores que facilitam e/ou dificultam o processo de inclus?o e o desempenho das atividades dos dentistas nessas UBS, bem como a??es necess?rias para que as ESB do Distrito Sanit?rio Norte cumpram os objetivos previstos pelo PSF. Os resultados encontrados apontam que a inclus?o das a??es de sa?de bucal no PSF do Distrito Sanit?rio Norte trouxe a incorpora??o de novos valores ?s pr?ticas exercidas. No entanto, ? preciso que haja uma avalia??o mais freq?ente das a??es realizadas, de modo que essas sejam adaptadas ?s reais necessidades da comunidade, e ainda, ? fundamental o acompanhamento dos dados, para que esses sirvam de base para o planejamento e redirecionamento das atividades afim de que n?o se tenha apenas uma reprodu??o de pr?ticas tradicionais, fragmentadas e isoladas, mas uma verdadeira substitui??o das pr?ticas tradicionais exercidas e um novo jeito de se fazer sa?de

O objetivo deste trabalho foi investigar quais os procedimentos clínicos e as dificuldades do ortodontista no pós-tratamento ortodôntico (contenção e pós-contenção), verificando se as condutas adotadas satisfazem possíveis reclames de pacientes que já terminaram o tratamento corretivo, com base nas determinações do Código Civil e do Código de Defesa do Consumidor quanto ao relacionamento profissional/paciente. A literatura ortodôntica é controversa no que diz respeito a técnicas, tempo, estabilidade e dificuldades inerentes ao tratamento. Um questionário foi enviado pelo correio a todos os especialistas inscritos no CRO/PR; 95 deles enviaram respostas. A análise percentual das respostas obtidas demonstrou que 73,6% dos profissionais não têm consciência plena do tempo para reclamos à Justiça em relação ao tratamento odontológico. Não conhecem o Art.177 do CCB (83,1%). Adotam contrato (67%), fazem ressalvas (48%), porém não estão cientes da validade das mesmas (59%). A maioria (60%) considera a Responsabilidade Civil do ortodontista como de resultado. Nos casos de recidiva pós-contenção, 70% propõem retratamento ortodôntico. Perante a insatisfação do paciente com o resultado do tratamento ortodôntico, 55% dos profissionais responderam que procurariam, de qualquer forma, evitar que o mesmo impetrasse ação de ordem cível. O desconhecimento da Lei e a existência de controvérsias no pós-tratamento ortodôntico, podem estar levando o ortodontista a responder civilmente pelas movimentações dentárias e alterações neuromusculares que ocorrerem nessa fase.

Abstract A profile on alcohol consumption among South African dentists – A dentist’s perspective: JH Olivier Background This study investigated alcohol use linked to the stress of a selected sample of South African dentists. The only other related topic in South Africa, that the researcher could find, was done in 1996 at the University of Stellenbosch. The literature suggests that prevalence studies of substance use and abuse rarely include dentists. Methods A dominant quantitative approach with a less dominant qualitative approach was utilized. The quantitative-descriptive design (survey with a questionnaire) was used to obtain data with regard to biographical/background information, stress and coping, quantity and frequency of alcohol use, and dysfunction as a result of alcohol use among a randomly selected sample of 110 South African dentists with a response rate of 70%. The respondents’ perspective on alcohol use linked to the stress of the dental profession with recommendations were also obtained. For the qualitative data collection, the researcher utilized the collective case study. He planned semi-structured interviews with an interview schedule with five dentists that have already had treatment for alcohol abuse or were self-characterized as problem drinkers. Unfortunately, two of the respondents who characterized themselves as heavy alcohol users died before they could be interviewed. Because of ethical reasons and the sensitivity of the topic they could not be replaced. Findings The quantitative study indicated that: (1) the respondents experienced significant amounts of occupational stress (2) the majority of the respondents do physical exercise to reduce their stress (3) a great number of respondents socialize with friends to reduce their stress (4) some respondents actually use alcohol to reduce their stress (5) stress levels of the respondents in private practice and stress levels of the respondents in other sectors are the same (6) alcohol consumption of male and female dentists is the same (7) respondents who reported less areas of stress consumed more alcohol than those who reported more areas of stress (8) a great number of the respondents experience high stress levels but do not use alcohol, or they only use alcohol to socialize (9) less than 3% of the respondents reported that alcohol use has affected their work as a dentist (10) the majority of the respondents believe that some dentists consume alcohol as a coping mechanism concerning social anxiety, occupational stress and personal factors. The qualitative study indicated that: (1) the habit of alcohol use that may lead to alcohol dependency starts at university (2) the respondents, who had treatment for alcohol dependency, experienced high levels of occupational stress (3) the respondents link their dependency directly to the stress and strain of their profession. Conclusions There are more intense and less intense stressors among South African dentists and there are some dentists that consume alcohol to relieve the stress and strain of their profession. However, the majority only use alcohol as a way of socializing. Less than 3% of the respondents reported that alcohol use has affected their work as a dentist. Recommendations Modules on coping mechanisms linked to the stress and strain of the dental profession should be included in the curricula at dental schools. The compulsory CPD programme of the HPCSA should include stress management and healthy coping mechanism courses. / Thesis (PhD)--University of Pretoria, 2009. / Social Work and Criminology / unrestricted

Neste estudo, hipotetizou-se que existia alta incidência de cirurgiões dentistas com baixa cobertura vacinal para hepatite B e positividade para contato prévio ou corrente para a hepatite viral do tipo B. O presente estudo transversal avaliou a condição vacinal e perfil sorológico dos cirurgiões dentistas para hepatite viral do tipo B no município de Porto Velho/RO - Brasil. Foram analisadas pela técnica de ELISA oitenta amostras de sangue (soro) dos cirurgiões dentistas residentes no município de Porto Velho/RO, visando a detecção dos marcadores sorológicos do Vírus da hepatite B: HBsAg, anti HBc total, anti-HBc IgM e anti-HBs. As amostras anti HBc Total positivas foram testadas para o marcador anti HBc IgM. Foram analisados os achados laboratoriais com dados de formação profissional, uso de equipamento de proteção individual (EPI) e índice vacinal entre os profissionais. Os dados foram comparados utilizando-se o teste Kruskal-Wallis (p< 0,05). Dos cirurgiões dentistas avaliados, 45% faziam clínica geral e 38% relataram atualizar-se profissionalmente uma vez ao ano. A maioria (p< 0,05) dos participantes (59%) recebeu as três doses da vacina contra hepatite B e 11% apenas duas doses. Dentre os que receberam três doses a maior (p< 0,05) frequência (47%) apresentou soroconversão decorrente da vacinação. Embora abaixo do número esperado de 100%, a maioria dos cirurgiões dentistas de Porto Velho recebeu as três doses da vacina o que em geral acarretou imunidade. Entretanto, o perfil sorológico nem sempre foi compatível com a cobertura vacinal. Nossos achados sugerem a necessidade de execução de provas laboratoriais para confirmação e/ou monitoramento do perfil sorológico decorrente da vacinação contra hepatite B. / This search supposed that it had a high incidence of dentists with low vaccine covering for hepatitis B and a positive for previous or current contact for the virus hepatitis of type B. The transversal study evaluated the vaccines condition and serum profile of the dentists for viral hepatitis of type B in Porto Velhos city in Rondonias state Brazil. eighty samples of blood (serum) of the resident surgeons had been analyzed by the ELISAs technique of the dentists in Porto Velhos city, to only find out about the serums detention markers of the Virus of hepatitis B: HBsAg, anti total HBc, anti-HBc IgM and anti-HBs. The positive samples anti Total HBc had been tested for the marker anti HBc IgM. And also it had been analyzed at the lab findings with data of professional formation, equipment used as an individual protection (EPI) and vaccine index between the professionals. The data had been compared using the test Kruskal-Wallis ( p< 0,05) from the people that had been participated. As a result we can say that from dentists analyzed, 45% were in a general clinical and 38% told that to bring up to date once a year. Most of them (59%) received three quantities against Hepatitis B and 11% only with two quantities. Between the people that received three quantities, showed another serum due to the vaccine. Although the number was not expected, most of the dentists from Porto Velho received three doses of the vaccine which it caused immunity. However, the serum profile nor always it was compatible the vaccine covering. Our findings suggest the necessity of execution of labs tests for confirmation and/or a coordination of the serum profile of the vaccination against hepatitis B.

Orientador: Silvia Cristina Mangini Bocchi / Resumo: Introdução: A instituição de políticas públicas voltadas ao envelhecimento populacional constitui uma forma efetiva dos países ocidentais lidarem com a transição demográfica. No entanto, poucos países têm programas de saúde pública que possibilitam idosos acessarem cuidados de saúde bucal, por exemplo, sem barreiras financeiras. Apenas em 2004, a política pública de saúde bucal brasileira passou a ofertar cuidados de saúde bucal, de maneira universal e integral, no contexto do Sistema Único de Saúde (SUS). Assim, esta pesquisa pretende analisar a operacionalização da política de saúde bucal por meio das experiências de idosos com o acesso aos cuidados bucais a partir da Atenção Primária à Saúde, bem como dos cirurgiões-dentistas com a oferta deste cuidado e dos gestores com a implantação e consolidação desta política. Desta maneira, questiona-se: — Os idosos brasileiros conseguem acessar cuidados de saúde bucal no SUS? — Como a política nacional de saúde bucal projeta as ações de saúde bucal em nível local? Objetivo geral: Fazer uma análise da operacionalização da política de saúde bucal brasileira a partir da metassíntese das experiências dos cirurgiões-dentistas, idosos e gestores da política de saúde bucal. Objetivos específicos: (a) compreender o processo experiencial de idosos adscritos às Unidades de Saúde da Família (USFs), de cirurgiões-dentistas que os atendem, assim como gestores municipais e federais, envolvidos na operacionalização da política de saúde bucal brasi... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Introduction: To proactively enact public policies which address the ageing process is an effective way for Western countries to tackle the demographic transition. However, few countries have public health programs that enable older people to access oral health care, for example, without financial barriers. Only in 2004, the Brazilian oral health public policy started to offer universal and comprehensive oral healthcare in the Unified Health System (SUS). Thus, this research aims to analyze the oral health policy operationalization throughout the elderly’s experiences with oral health care access at the primary health care, the dentists’ experience in providing care, and the managers’ experience with the implementation and consolidation of this policy. Thus, it is questioned: - Can the Brazilian elderly access oral health care in the SUS? - How does the national oral health policy project oral health actions at the local level? General objective: To analyze the operationalization of the Brazilian oral health policy based on the meta-synthesis of the experiences of dentists, elderly and oral health policy managers. Specific objectives: (a) understand the experience of elderly people attended by the Family Health Units (FHUs), the dentists’ experience in assisting them, and the municipal and federal managers’ experience with the Brazilian oral health policy; (b) propose theoretical models of each experience and; (c) elaborate metasynthesis from the theoretical models emerging, ... (Complete abstract click electronic access below) / Doutor

Objetivo: Determinar la asociación entre la percepción acerca de la amalgama con la práctica del uso de barreras de bioseguridad al eliminar dicho material por parte de los odontólogos de Lima - Perú.   Materiales y métodos: La muestra estuvo conformada por 196 odontólogos generales y/o especialistas del Colegio Odontológico del Perú y de un centro universitario de salud.  La percepción acerca de la amalgama y el uso de barreras de bioseguridad fueron evaluadas mediante una encuesta que constaba de 12 preguntas, para la cual se comprobó su confiabilidad obteniendo un valor de Cronbach de 0.94. Además, se utilizó la prueba de Chi cuadrado y prueba exacta de Fisher para asociar estas variables. El nivel de significancia se estableció como p< 0.05.   Resultados: Con respecto a la percepción de la amalgama, el 41.84% de odontólogos la consideraban segura; mientras que el 58.16% insegura. Sin embargo, se encontraron diferencias estadísticamente significativas solo en la asociación del cambio de filtro del aire acondicionado con la variable de percepción de seguridad sobre la amalgama (p=0.038).    Conclusiones: No se encontró asociación entre la percepción de la amalgama y el uso de barreras de bioseguridad durante su eliminación. Además, sólo el 1.02% de encuestados realizaban seguimientos periódicos de mercurio. Por ello, se enfatiza la necesidad de implementación de cursos académicos acerca de la toxicidad de la amalgama y métodos de barreras de bioseguridad durante su manipulación. / Objective: To determine the association between amalgam perception and the use of biosafety barriers when removing such material by odontologists from Lima-Peru. Materials and methods: The sample was composed of 196 general dentists and/or specialists from the Dental College of Peru and from a University Health Center. Amalgam perception and the use of biosafety barriers were tested through a survey which consisted of 12 questions, and whose reliability was assessed using Cronbach’s alpha giving a value of 0.94. In addition, the Chi-square and Fisher´s exact tests were used to associate these variables. The significance level was set as p< 0.05. Results: Regarding amalgam perception, a total of 41.84 percent of dentists declared it to be safe; while 58.16 percent of them declared it to be unsafe. However, statistically significant differences were found only in the association of air- conditioning filter change and the amalgam safety perception variable (p=0.038). Conclusions: No association was found between amalgam perception and the use of biosafety barriers when removing it. Furthermore, only 1.02 percent of the respondents were carrying out regular monitoring of mercury. Consequently, emphasis is placed on the need of implementing academic courses about amalgam toxicity and biosafety barrier methods during its manipulation. / Tesis

Thesis (MSc)--University of Stellenbosch, 2004. / ENGLISH ABSTRACT: An investigation was undertaken to ascertain whether there could be a connection between noise levels in a dental environment and noise induced hearing loss (NIHL) in a sample of South African dentists. This took the form of a questionnaire sent to dentists in the Central Gauteng and Cape Western areas, followed by the measurement of noise emissions of airotor / air-turbine handpieces. / AFRIKAANSE OPSOMMING: 'n Ondersoek is geloods om te bepaal of daar 'n verband bestaan tussen die geraas vlakke in 'n tandheelkundige omgewing en Geraas Geïnduseerde Gehoor Verlies ("Noise Induced Hearing Loss") in 'n groep Suid-Afrikaanse tandartse. Die ondersoek het bestaan uit 'n vraelys wat tandaartse in Sentraal Gauteng en die Wes Kaap voltooi het, opgevolg deur die meting of registrasie van geraas vlakke veroorsaak deur lugturbine handstukke.

Mémoire numérisé par la Division de la gestion de documents et des archives de l'Université de Montréal.

A pesquisa visa desenvolver solução para facilitar o planejamento e elaboração de ações educacionais por meio de uma taxonomia das competências profissionais em saúde que tem como base dois conceitos-chave: competências profissionais para a saúde e objetivos educacionais. Esses conceitos são explorados na perspectiva do desenvolvimento de uma taxonomia para ser utilizada como referencial de planejamento e elaboração dos cursos por professores e profissionais de educação em geral, no âmbito de Instituições de Ensino Superior (IES). Na multiplicidade de profissionais de saúde que atuam na estratégia de Saúde da Família no âmbito da Atenção Primária, foi necessário escolher uma das profissões para a construção do modelo, sendo assim, foi escolhida a Odontologia. Entretanto, o modelo poderá ser aplicado para o desenvolvimento de taxonomias que contemplem as competências de outros profissionais, entre os quais os enfermeiros e os médicos. A questão no centro da pesquisa é: será que nas práticas das equipes multiprofissionais envolvidas no desenvolvimento de ações educacionais, limitadas pelos exíguos prazos que geralmente lhes são impostos, é possível potencializar a integração entre o estado da arte dos conhecimentos desenvolvidos no mundo acadêmico com as necessidades de aprendizagem dos profissionais de saúde? O resultado que se espera da pesquisa é uma taxonomia relacionando as competências profissionais dos cirurgiões dentistas com a Taxonomia dos objetivos educacionais de Bloom, (1). / The research aims to develop a solution to facilitate planning and development of educational activities through a taxonomy of professional competencies in health. It is based on two key concepts: professional skills for health and educational goals. These concepts are explored from the perspective of the development of a taxonomy to be used as a planning framework and development of courses for teachers and education professionals in general, by Higher Education Institutions. Considering the multiplicity of health professionals working in the Family Health Strategy in the context of primary health care, it was necessary to choose one of the professions to build up the model, and for that, we choose Dentistry. However, the model can be applied to the development of taxonomies that address the skills of other professionals, including nurses and physicians. The main issue of the research is: taking the practice of multidisciplinary teams involved in developing educational activities, limited by the tight deadlines that often are imposed on them, is it possible to enhance the integration of state of the art knowledge developed in the academic world with the health professionals\' learning needs The expected result of the research is a taxonomy relating the dentists professional skills with the Bloom\'s Taxonomy of educational objectives(1).