273) Healthy teeth - first step to a healthy life

Was this today at our school a Superior Technique for Oral Health Center of Cacém, as part of the National Oral Health Promotion Directorate General of Health said a nice lady, this program is developed through various observations pupils aged between seven and twelve / thirteen. Sometimes also observed students in kindergartens. The first observation is given in the second year, becoming another in the fourth year and one third in the sixth year students previously reported as having some decay.

Also according to figures provided by the dental hygienist contacted in the previous academic year (2006/07) the percentage of caries-free children in kindergartens in the area of public Cacém was 71% and the group of boys from the age of seven was 42% caries-free. At national level there are no updated statistics.

Now, seven years old, 42% of students in a city area were free of cavities, which means that 58% already have tooth decay. These cases are referred and then sent to parents. Unfortunately, many do not have the health centers for further treatment of children. Unfortunate at all levels!

It follows appeals to parents to address oral hygiene and good health of children.

O LENCASTRE, BLOGUE-JORNAL

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A number to remember: 58% of children under seven years of age already have caries. Does this number does not mean anything to the Ministries of Health and Education? Then there are those who say that there are more dentists in Portugal.

Gerofil

272) Workshop Learning Oral Health

Workshop Learning Oral Health

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Information and registration on the link:

ISAVE - Institute of Health Alto Ave

271) Guinea-Bissau: Portuguese World Smile will open a dental clinic and provide free consultations

The non governmental organization (NGO) World of Smile will open a dental clinic in Guinea-Bissau and to provide free dental care to the entire population of Guinea, said today its chairman Miguel Pavão. Built three years ago to the World Smile is an association of dentists that Portuguese is to work in the area of oral health, especially among poor communities, excluded and marginalized.

In addition to projects in Portugal, the World Smile also has work in Guinea-Bissau and Cape Verde, countries where volunteers from the World Smile provide medical care and raise awareness of oral hygiene. The idea of opening a clinic in Guinea-Bissau arose because the World The Smile had only a portable dental chair that limited the work of volunteers. "We had difficulty working. The only practical way was a portable dental chair, which helps but it has limitations," said today the agency Lusa Miguel Pavão.

A World of Smile contacted the orphanage Casa Emanuel, in Bissau, "a partner in the field, which allied with the initiative and offered a space in its facilities to build the clinic, said the person. "I was sent a dental chair courtesy Associação Abraço and 15 boxes of material in dentistry and dentistry that the Portuguese Institute for Development Support us chartered a container," said the president of the organization.

According to Miguel Pavão, next month to follow the Guinea-Bissau a group of volunteers, including two university graduates, which will install the seat, and the clinic to open in mid-August. The clinic will provide free service to all the Guinean population.

Waiting for "many customers," Miguel Pavão said he will have to be set some rules in attendance, with priority being given to partners and for priority cases. For now, the care provided will be "almost palliative, focusing on the treatment of caries, pain management, prescriptions and care for the young.

"Because they have a consumption of sugar too low, it pays to gamble when it comes to their first tooth. Up to 12 years can apply them to a treatment that prevents tooth decay," said the head.

Besides the clinical aspect, another tip of the organization is the training of local technicians and public awareness for the care of oral hygiene.

Sapo Notícias

270) Portugal: 5 districts without dentists in the National Health Service (S.N.S.)

The District of Santarém is one of five national level where people are forced to use private dentists because this specialty does not exist in public health services, according to a survey of the Dental Association. The remaining Braga, Guarda, Viseu and Portalegre.

According to the "Survey information carried in the health centers and hospitals throughout the continent" by the Dental Association (O.M.D.), which was presented at the XIV Congress of these professionals, nine out of ten health centers do not have doctors and dentists in seven ten hospitals suffer from the same shortcoming. The situation is worse in the five districts mentioned, since none of the hospitals or health centers serving those populations have this specialty.

The coordinator of the Sub-Health Region Santarém, Fernando Afoito, confirms that there is not staffing to dentists in health centers and specialty also not enter the accounts of public hospitals in the district. But he stresses that "Santarém is not zero in this field."

Been going on for five years a program of oral hygiene, guaranteed by qualified technicians, originally intended for schoolchildren. This year has been extended to pregnant women and users of rehabilitation centers for children.

"We have ten oral hygienists that cover eleven health centers - Benavente, Salvaterra, Coruche, Cartaxo, Rio Maior, Almeirim, Torres Novas, Tomar, Entroncamento, Fátima and Ourém," said Fernando Afoito. To ensure the service in other health centers, the Sub-Health Region contracted dentists. "Only in Santarem we contract with five," says the same charge.

The work is mainly done to prevent tooth decay and maintaining oral hygiene. From there, it only dentist in the private market. Where sometimes the service is paid its weight in gold.

The survey conducted by OMD now updates an earlier study in 2001, and reveals that, for the provision of treatment in oral health, "the situation has not changed, rather, has worsened." The Dental Association points out that the dentists' can only perform their duties as professionals, since there is no legislation that falls within the National Health Service. "

The lifting of the Dental Association covered 410 medical institutions spread across 79 hospitals and 340 health centers, the 18 districts of mainland Portugal. Taking into account all health facilities surveyed, "only 11 percent of cases there is a" specialty of dentistry or dental, which represents a reduction compared to 2001, concludes the Dental Association.

O Mirante online

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It is unfortunate that this country will see on television the main national leaders at the inauguration of the health units of privately and these same governments never do anything for an increasingly dire oral health in central hospitals and health centers.

How can the tax money paid by all who work in this country continue to be diverted to lucrative business of private hospitals, where only the rich can get? What the politicians responsible for this situation?

Gerofil

269) More than 5,000 dental checks delivered to pregnant women and elderly, but only 10% used

More than 5,000 dental checks were given to pregnant women and elderly in just over a month of operation of the oral health project, the vast majority of mothers, according to official figures provided today to Lusa. Dental checks were created by the Government as a way to address the shortage of oral health in the National Health Service (SNS - Serviço Nacional de Saúde in Portuguese).

According to figures from the Dental Association, 27 May to 07 July were issued more than 4483 dental checks for pregnant women and only about 600 checks for the elderly. Each pregnant then the health centers are entitled to three dental checks, a maximum total of 120 euros, a program that provides cover 65 thousand pregnant. The elderly beneficiaries of the solidarity supplement can enjoy a maximum of two dental checks for a total of 80 euros.

Although they were issued more than five thousand checks, the figures compiled by Monday show there are only 559 checks were used (about 10 percent of already issued). For the president of the Dental Association, Orlando Monteiro da Silva, the difference between the checks and have already used to do with the fact that people to schedule consultations for later, stressing that the use of checks is to have " in recent days an exponential growth. This is evidenced by the number of calls with requests for information to the dentist, they have been around an average of 60 calls daily, and the Chairman of the Dental Association decided to allocate only two officials to answer questions from users.

In the geographical distribution of the issue of dental checks, the Regional Health Administration (ARS) North emerges as the most checks is delivered, then the ARS Lisbon and Tagus Valley, the ARS Center, the Algarve and Alentejo. In the north there are 92 health centers to spend these coupons to users of the National Health Service (SNS), 87 Center, 79 in Lisbon and Tagus Valley, Alentejo 23 and 15 in the Algarve, a total of 296 structures throughout the country.

So far there are over 2,300 private physicians who joined the program of checks by the NHS, with more than 3,000 different sites that users may apply for consultations or treatments. The Dental Association estimates there will be 195 thousand consultations for pregnant women - a total of 7 800 000 EUR - and 190 thousand appointments for seniors, a total of 7 600 000 EUR. If there were a fair distribution of checks by medical members, each clinician had revenues of more than 6800 per year.

RTP

268) Parliamentary Group of the Socialist Group (Azores)

The situation of children and youth at risk is manifested in various forms, the most common situations of physical abuse and psychological health problems, neglect, sexual abuse, parental responsibility and school dropout. Children under five are suffering most from the attacks on their well-being, followed by a band of six to 11 years. In most cases, children are victims of their own family.

(...) In the Azores, this reality must be considered. Furthering the problem, we are led to a paradox: 13 years after the proclamation of the Convention on the Rights of the Child, which definitely puts the child as having rights, it has never been wider policies to protect children. Therefore, the current situation of children, cited above, seems to be due mainly to the deep inequality in contemporary society, with emphasis on the situations of material deprivation and school that affect large segments of the population, providing, within families , land structural risk of mistreatment in childhood, especially on the major shortcomings of basic care.

Thus, the resolution of the paradox may lie in adopting economic policies and effective social transformation and change social realities that promote exclusion. In Portugal, since 1990 that have been working towards the implementation of policies at various levels who value the status of children and adolescents. Since that free health care in childhood and adolescence, extends to the pediatric health centers and hospitals, to the effective development of a network of public institutions for preschool education, while establishing the mechanisms to combat underachievement and school dropout.

(...) In the Azores, the approach to the issue of children and youth at risk marker is on the one hand, national legislation and, secondly, the implementation of these decisions on the ground with the regulations and adjustments will need to verify that there is a protection effective, and, not least so that they prevent the timely appearance of contexts vulnerable to those situations.

(...) To prevent the emergence of land structural risk, when:

• If you decide to school integration of children and youth with special needs and challenges teachers with expertise in the area;

• If endows the framework of school psychologists (soon to be 46);

• If vaccinated children;

• If you create, unique initiative in the country, the report Oral Health for Children and the Regional Oral Health;

• If underpins the debate on the subject and the training of educators, teachers, health professionals, social workers, psychologists, sociologists, law enforcement officials, judges, etc...

(...) Speaking a little more about the phase of the signal, it must be with the school space as the privileged to do so, given that every child goes to school and there are many hours. Thus, educators must be aware of the observation of behaviors of children and young people, and should be given training to enable the observation of behavior, detecting any signs of abuse.

Moreover, it is essential that the school institution is organized to offer opportunities and contexts for their students unload their tensions, to confide, be themselves without fear of criticism. We need to establish a trust relationship they entres and education community, so that they feel they can count on the school institution to everything they need, including accusations of mistreatment to which they are subject, with particular reference for sexual abuse, the subject of difficult approach, as is well known to us all.

(...) Often, the referral of the child or young person is at risk for institutionalization in shelters or temporary homes. Currently, there are, throughout the Region of the Azores, about 580 children and young institutionalized. To respond to this reality, the policy of Government has been marked by:

• Building and / or create new equipment, providing all the islands (except the island of Corvo), a reception center or a home, preventing children from leaving their own island;

• Remodeling the large homes for young people - known for boarding, replacing them with equipment having the host family for 10/12 users, which provides a more human, more customized education and therefore better personal development and well-being for the young;

• All children and young people with disabilities, have specific sites, no longer need to stay locked at home in sub-human conditions;

The routines of life of children and young people promote their development from the point of view emotional, social, motor, intellectual and emotional level. So, what is needed is to define policies and which, on an ongoing basis to improve on these routines in the day-to-day life, as has been done by governments the responsibility of the Socialist Party / Azores.

The multidimensionality of the area requires a combination of various efforts in a speech which must be increasingly regionalized. Therefore, the articulation between the authority and all social organizations working in the area, with particular reference to Local Authorities, Private Institutions of Social Solidarity, non-governmental organizations, not to mention his own family, it is essential that the designs and develop an effective plan of action that would prevent and combat situations of children and young people in danger.

Horta, Session Room, September 19, 2003

Regional Socialist Party Maria Natividade Luz

Grupo Parlamentar do Parido Socialista (Açores)

267) VILA REAL: Inform the younger population on prevention in oral health

Built in 2002, the Clinic of Dentistry Dr. Daniel Azevedo (Qt. St Iria Lt. 6-Lj 1 Vila Real 5000-722 VILA REAL Phone.: 259327004) has been growing, with new expertise and contributing to improving the quality of care provided in the municipality of Vila Real. Inform the younger population on prevention in oral health is increasingly important.

Aware of this reality, Daniel Azevedo is developing a project together with local authorities, which relates to screening in schools and at the same time, motivate the children to the importance of prevention. "Initially this project will be done only with the schools of Vila Real, and later be extended to the whole county."

According to our interviewee, in the last ten to 15 years dentistry has undergone many changes, particularly in terms of materials. "The materials are becoming more advanced, giving greater security to doctors, for it can be solved more quickly and quality problems of users. This is very important for people to stop being afraid of going to the dentist, "waging a daily struggle to combat the phobia of visiting your dentist and slowly we have achieved great results at this level, which is very important, especially if given that ten percent of the world population is totally toothless. Our trip to the schools will also contribute greatly to the children stop being afraid of going to the dentist, then they will themselves encourage parents to take better care of their dental hygiene, because oddly enough, many Portuguese still do not know What is a toothbrush. "

In oral health, the most frequent problems in terms of prosthesis fixation. Although at first glance this seems very simple, turns out to be complex, because users who have this problem end up not getting a nice relationship with others, become more depressed and isolate themselves from society. "We wanted enough to solve such problems. Today is starting to be a change of mentalities and the implants are becoming increasingly in demand."

Contrary to popular belief, sometimes it is easier to rehabilitate a patient who had an implant than one that has an extraction, "which got three to four hours the user get out of here with my teeth fixed and ready to chew," it said . On the other hand, Daniel Azevedo advice to parents of children that they should begin to brush their teeth since very young, and to consult your dentist in order to familiarize them with doctors and with their own dentists. "By maintaining a daily dental hygiene from an early age can avoid more serious problems in the future."

The Clinic has established protocols with the Medis, with Caixa Geral de Depósitos, with the SAMS Quadros and with Visavital. The latter protocol was established about a year and, according to our interviewee, is having very positive results, "because it is an insurance policy that greatly reduces the cost of any dental treatment."

The cost of dental care continues to be one of the factors that most people away from doctors. "It's difficult for us to work around this problem, because the cost of the materials are very high due to its quality, as someone who values the quality has to use better materials and of course this increases the cost to the customer. So it is that we try to present several solutions, such as financing and insurance with which we work."

Daniel Azevedo admits he tried to establish protocols with other institutions, which was not possible because they have sufficient providers in the region. "We face an increasing demand for some health subsystems. I believe that the needs of these people are not being taken into account. On the other hand, is an injustice to the young professionals who come into the market with more timely and concepts which can not provide a response to being denied the convention, which ends up determining some treatments.

The investment in space, materials and equipment required a major financial undertaking. The Clinic has acquired all the equipment necessary to develop the best possible job. "Today, we are aiming primarily at the level of material we put into the mouth of users, because that is what gives us more immediate results. In terms of equipment, the differences are many brand to brand. I think that always accompany the technological developments and the moment there is nothing on the market to justify the purchase of new equipment. My dream, since I created the clinic, was to end with the drill, but it is not yet possible. There is a laser treatment that replaces the drill, but only in very specific and does not justify spending a copious enough money in equipment to treat an estimated one percent of situations."

The future should be always at the forefront in terms of technological developments. Daniel Azevedo also states that in the months of October or November, along with other professionals in the country, will steer a course in dentistry in the area of implant. This course will be held at the clinic and is intended for all practitioners who want to start in implantology.

Motor

266) Disclosure of other blogs and sites

The friend reader knows other blogs and sites relating to health and especially about oral health? National or foreign, in any language?

Use e-mail tempogero@gmail.com to make their suggestions.

Gerofil

265) Regional Study on oral health in school-age population shows improvement in health care

The regional secretary for Social Affairs chaired, in Angra do Heroísmo, the public presentation of the Regional Study of Prevalence of Oral Diseases in the Population Educated in the Azores, which started in 2006 by the Executive and which shows a reduction in the incidence of dental caries in Azorean youth. According to Domingos Cunha, the document that will be delivered to all schools and health units of the Azores, clearly demonstrates that the measures implemented by the Government of the Azores and supported by the Working Group on Oral Health, resulted in favor of oral health".

Integrated in the Regional Oral Health, the study, prepared by dentists Ricardo Cabral, Madalena Mont´Alverne and Artur Lima, covered 517 children from six, 12 and 15 years, examined in schools and health centers in all the islands, and been proven to reduce the rates of dental caries in young populations of the Azores. Praising the "judicious work, methodical, with scientific and clinical support" a team led by screening, the regional secretary highlighted the regional characteristics of the study: "first, was done by professionals who are active in the region, and second, is the first directed study in the area of oral diseases; third is a study that goes from Santa Maria and Corvo".

The minister also recalled the "pioneer" of the region in this sector, having created the Bulletin Single Oral Health for the users of the Regional Health Service, through Decree No. 93/2005 of 29 December.

In the presentation of research, Dr. Ricardo Cabral stressed that the Azores are the only regions of the country that holds 25 thousand visits per year, also having a "single policy for reimbursement." The investigator said that, under this project, is already prepared the Regional Study of the Determination of Fluoride in drinking water that is intended to cover the 154 municipalities existing in the Azores.

Currently, there are 108 dentists in the Region, 15 of which are integrated into regional health centers and 14 fellows, seven of them with degree completion.

Canal de Notícias do Acores.Net

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For when the placement of a multidisciplinary team of oral health professionals in each of the groups of health centers in Portugal? For when the creation of a hierarchy which will include the provision of oral health care in the country, finally established the link between family doctors, schools, homes and families and the structures of oral health state and private nurseries in the existing country? There will be technical enough to line ministries with the ability to establish these recommendations?

Just the policy loose and having no connection with reality on the ground that the governments have been toast for years, follow up, instead, a public policy toward people because they pay taxes and need to they are provided health care.

Gerofil

264) Minister available to discuss possible extension of the Oral Health Program

Health Minister, Ana Jorge, criticized the "pressure" of the Dental Association for the enlargement of the National Oral Health Promotion, but expressed willingness to discuss with partners the possibility. 'The dentist made a proposal, we can analyze, but the dentist can not, of course, do what I almost say it's a pressure on the Ministry of Health [to extend that program], "said Ana Jorge .

The president of the Dental Association, Orlando Monteiro da Silva, met with the President of Portugal, has addressed the issue of the National Oral Health Promotion, which entered into force on 1 March, which involved placing a dental checks to pregnant women and elderly beneficiaries of the solidarity supplement. The president welcomes the initiative, but defends its extension to children, people with diabetes to holders of special diseases.

In response, Health Minister said that the current program already has been "a big step" to help two groups most in need, and argued that it should now gain experience and see what happens this program, but expressed willingness to discuss the possible expansion. "We are ready, together with partners, discuss what you can do, 'he said, stressing, however, that it must set priorities.

"Let's see if this will be a priority or not," said Ana Jorge, in Viana do Castelo, the margins of the First Congress on Lifestyles of Health Promoters.

Destak

263) Dental Association is considering preventing access to the profession if they continue to miss career opportunities

The Dental Association is considering preventing access to the profession, they still do not exist solutions to employment for these professionals, told Lusa the president of the class. Orlando Monteiro da Silva spoke to the Lusa at the end of the hearing that he had with the President of the Republic, they discussed the issue of employment of dentists.

For Dental Association, the situation of these professionals is reaching a limit, since every year out 600 graduates who join the 6000 dentists that exist in Portugal. Without employment for the occupation, many have chosen to emigrate, which the Dental Association regrets. This situation are already 247 dentists in the profession in England.

Against this background, he considers "very serious", the Dental Association is considering preventing access to the profession, claiming that covered the health needs of the country in terms of dentistry.

Another issue that the Dental Association discussed with Aníbal Cavaco Silva was the National Program for Promotion of Oral Health, which entered into force on the 01 March and which involves the allocation of dental checks. According to the program, each pregnant then at the health center will have three dental checks, a maximum total of 120 euros. The program will cover 65 thousand pregnant. The elderly beneficiaries of the solidarity supplement can enjoy a maximum of two dental checks for a total of 80 euros.

Where appropriate, are essential requirements of a certificate of pregnancy or evidence of the situation as a beneficiary of Completion issued by the Institute of Social Security. Users can choose any doctor or dentist office, since that is part of the list of professionals who have joined the system in its health region.

The president of the Dental Association welcomed the initiative but maintains its extension to children, diabetics to holders of special diseases.

Sapo Notícias

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Comments taken from SAPO NOTÍCIAS:

- I did not realize. There are dentists out of work? So why is it that instead of the state spending millions of euros in dental checks in individual amounts not miserable places at the service of the general population in hospitals and health centers? Ah, because the lords of the order could not continue to ask for 100 per consultation, and no longer able to accumulate wealth. Health has to cease being a means of access to individual wealth. Health professionals have a right to a dignified life - as we all - but not at the expense of the disadvantaged. What is an elder who earn a minimum of survival will make 2 checks for 40 euros? What services will get access to this value? I hope they find a dentist who agreed to be sympathetic with the check and give them the value of money to buy food. But with the mentality of the class probably will only do so if only returning 70%, after all, have to pay the vacation home, luxury car and other essential expenses;

- Dental Association wants the same for the dental health of the Portuguese we have for the health of the body. Let the Portuguese choose, to inform young people of the courses where there is no way to employment, but does not prevent them from studying;

- My Portuguese friends. Now go to the dentist is necessary to obtain a bank loan! Yet with so many doctors, as the president of the Dental Association, the prices and the policy of treatment used by dentists are quite unrealistic for purchasing power, as the middle class disappeared. Only the rich, politicians, parliamentarians, judges, footballers, the ministers have a chance to consult a private doctor, with prices of consultations in force! Each physician that way, once the subconscious is the idea of getting rich in the following month;

- The question is simple: more than half of dentists preferred to have followed medicine ... but there are no vacancies! We got to the ridiculous oversubscribed dentists and lack of doctors in almost all specialties. It's a shame this country;

- Since when does the professional denying access to a profession duly recognized by the Republic? Here are ideas manifestly unconstitutional, such as in other areas, and no one protests;

- The president of the Dental Association, the fact that there is a Constitution and a right of access to the profession. The Dental Association, neither this nor the other, has the power to foreclose.

262) Region supports universal

Portugal advances with dental checks

but the autonomous region of Madeira think so not fair

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The Government of the Republic, yesterday launch a new program that provides for the allocation of dental checks for pregnant and elderly. The program provides annual ceilings of 120 euros for pregnant women followed in the National Health Service and 80 euros for the elderly beneficiaries of the solidarity supplement.

The Region will not follow this policy and the regional secretary for Social Affairs explains why. "Our support is a universal form, are the people that group are. Need not be pregnant or elderly. Just having financial difficulties and that the evidence in the social security services," said Francisco Jardim Ramos, which exemplified by saying that 'there may be pregnant women whose family income does not need such support, as there are women that are pregnant, have more financial difficulties. " Moreover, the regional secretary for Social Affairs pointed out what has been done in Madeira, the level of the regional health plan, which bet on the preventive (with full coverage of all children in the region) and in the healing , which currently functions in health centers of Bom Jesus, Porto Santo and Porto Moniz.

With regard to oral health preventive Francisco Jardim Ramos stressed that in this last year, Funchal have come to be covered by this project, which already covers 16 thousand and 333 children. Only in this county, three thousand and 840 children, those who were covered by the initiative to visit schools and presenting an innovation: "The school equipment includes brush and toothpaste. Children are forced to take to school these two objects of hygiene".

With regard to the curative, Jardim Ramos has no specific dates but ensures that the purpose in the future, is to extend it to a larger number of health centers in the region. "The goal is to do with the users to go deal with their teeth in a larger number of health centers to cover the pass well to be full ', outlines the regional secretary for Social Affairs.

Jornal da Madeira

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How is it possible within the same country there are two separate guidelines on oral health policy? It is more that since the oral health of the Portuguese should be purely and simply for political choices, since there is no lack of resources.

While so, the children will be disinherited of fortune, the old, poor and disadvantaged luck executioners of health policies of the regime? There are billions of euros to invest (megalomaniac projects like transport of high-speed TGV - Trans Grand Vitesse, or a new airport in the region of Lisbon), the politicians continue to do the make-believe about the health of most Portuguese.

No longer sufficient unemployment, poverty and hunger that affects so many like to pretend that there are health problems in the country. Unfortunately, there is the powerful politicians benefited from the April 25, 1974 that has to confront this reality.

Gerofil

261) Oral health: dental checks only in public is 'expensive'

The health minister said today that an oral health program in the public sector would require an "investment too costly 'to be necessary to install equipment and put many professionals in the health centers. In the issue of symbolic first dentist to check a pregnant woman, the Health Center of Olivais (Lisbon), Ana Jorge assumed not to be made from savings accounts to the National Health Service (S.N.S. in Portuguese) with the use of contracted services in private area, where there are equipment and professionals in the field of oral health. This year, the extension of the oral health program will cost the state 21 million euros.

"[Download exclusively in the public oral health program] would require a huge effort for the program to be extended equally," stressed the Minister, ensuring that the initiative of dental checks allows the program to be extended in a 'faster and more equitable across the country. " So far 43 have been issued vouchers dentist, but the minister ensures that all health centers have already been offered.

For the president of Dental Association, Orlando Monteiro da Silva, although certainly continue to be much to do, a good start is always a good start. The program provides annual ceilings of 120 euros for pregnant women followed in the S.N.S. and 80 euros for the elderly beneficiaries of the solidarity supplement.

The order in February ruled that the extension of the National Program for Promotion of Oral Health include upgrading the health care coverage to 80,000 people per year, estimating that the program covers 65 thousand pregnant annually. The previous access to dentistry is done by a dentist custom-check issued to the user by the health center where it is followed, and necessary, as appropriate, a certificate of pregnancy or evidence of the situation as a beneficiary of Completion issued the Institute of Social Security.

In the initial check, pregnant women can receive two more checks for dental consultations and treatments, a total of 120 euros. The performance of treatments can be completed within 60 days after delivery.

The elderly can receive covered by two dental checks per year, a maximum of 80 euros. Users can choose from any doctor on the list of professional members of its health region. The list currently comprises 2,600 professionals, which is equivalent to 40 percent of doctors registered as a dentist (about six thousand), said the president of the Dental Association, stating that this is a process of continuous membership.

Maria de Fatima, pregnant over 35 weeks, was the face of the symbolic beginning of the issue of dental checks. The wearer's Health Center of Olivais received today from the hands of a Health Minister that will allow you to check "a check-up to the teeth and then we can see," but for not having dental problems, your plan calls for a cleaning procedure. "The teeth are weaker during pregnancy and it appeared not to [check this] is a help. Not all people have the means to go to a private doctor and so I agree with this measure, 'he said.

Diário Digital

260) Request for help (models of the mouth and brush)

Hello !

I've been watching your blog and thought maybe I could help with the question: will this summer as a volunteer missionary for a school in Mozambique, among other projects, I will make oral health promotion, teaching teachers and students how to perform their hegiene oral.

I thought it would be useful to have a model of a mouth in proportions increased and also more brush to easily explain the technique of brushing. I know there on sale, but I do not know whether it is someone other than me could provide a model, even if it was borrowed? I thank you for your attention.

Contact Address: tempogero@gmail.com

259) Violence against the elderly in hospitals and care PGR

The Attorney General's Office showed today concerned about the violence against the elderly and in hospitals, crimes still go unreported. Pinto Monteiro, who was speaking at the Parliamentary Commission for Education and Science, said there is fear of making investments.

I already have data on school violence, domestic violence - and then much larger - of violence on children, but about violence in hospitals so far has not managed elements, ie, there are still more afraid to report violence in hospitals than others type of violence, "he said.

The Attorney General's Office reveals that his priority is the investigation of various crimes of violence and, now, what worries him most is the violence against the elderly. "I have little evidence of violence on the elderly and I am extremely worried, is what worries me most, perhaps because the elderly have no voice," said Pinto Monteiro.

Renascença

258) Surveillance actions in child and youth have "undoubted impact"

The Regional Director of Health assured the Azores in Horta, the monitoring activities in child and adolescent health, relevant and quality, have an "undoubted impact in the lives of children. Teresa Brito spoke at the Fifth Seminar of Child Health, held in Faial, an initiative of the Center for Health Horta, whose opening and chaired on behalf of the regional Social Affairs.

As underlined at the time, health does not depend, however, only the provision of care, since the "influence of social environment, biophysical and ecological is also crucial." For Teresa Brito, support for children with special needs, at risk or particularly vulnerable, reducing inequalities in access to health services and recognition of parents as primary care providers "are key priorities."

He remembered also that the increased level of knowledge and motivation of families, including improving the living conditions, "favor the development of the parental role and make it possible for parents and families to assume, as a right and duty, competing professionals to facilitate and promote it." He also said that feeding and infant health are important and current issues, to the extent that the "acquisition of eating habits result of obtaining knowledge and skills in childhood, reflected in improved quality of life throughout the life cycle."

"Children do not have innate abilities that enable them to choose one food discerned," the regional director noted, adding that this option results in "simple apprehension from the experience, observation and education." In this context, "the paper we as managers, professionals, parents and educators, takes a leading role in production practices conducive to proper nutrition, balanced and comprehensive," said Teresa Brito.

For physicians, nurses, teachers, kindergarten teachers, social workers and psychologists, this seminar discussed issues such as adolescence, school health, pediatric diseases, immunization and emotional attachment.

Canal de Notícias

257) Azores: Number of children without tooth decay increases

The number of children Azores with six years free of tooth decay increased from 30 to 38 percent, according to regional prevalence study on oral educated population, today announced the Government.

The regional secretary for Social Affairs, Domingos Cunha, said that the significant increase of dentists and access of citizens to obtain "very positive results, according to the recommendations of the World Health Organization. "With the hiring of 15 dentists in the health units of all the islands of the archipelago and the work of over 108 dentists from the private sector, there is a greater supply which has been tapped by the people," he said.

According to Domingos Cunha, the health centers in the region are making every year, 25 thousand queries oral health policy and reimbursement for those using private services makes a decisive contribution.

The "Regional Study of Prevalence of Oral Diseases in the Population Educated in the Azores in 2005" was conducted by dentists Ricardo Cabral, Magdalena Mont'Alverne and Artur Lima. The study examined 517 children of nine islands, of which 250 were male (48 percent) and 267 females (52 percent) at six years (165), twelve years (179) and fifteen (153). The results showed that the average rate of dental fluorosis in the Azores is 0.7, with the islands of São Miguel and Pico those with the highest rate (0.9) and Flores and Corvo those with the lowest index (0.1).

The dental caries, is 0.2 in children aged six years, 2.1 to twelve years and from 3.6 to fifteen years. In children or young age of six, twelve and fifteen years, the highest rate of tooth decay occurs on the island of Corvo, while the lowest is in Santa Maria (six and fifteen years) and Pico (12 years). According to the study, the prevalence of children free of dental caries in permanent teeth in the Azores is 44.9 percent.

The conclusions of the study recommended the creation of a regional study of the determination of fluoride in drinking water, covering 154 towns in the Azores. The document, according to Domingos Cunha, will be delivered to all schools and health units Azores.

Açoriano Oriental

256) Dental checks are available for pregnant women and elderly

The first dentist to check pregnant was issued on 2 June. The oral health program will have 21 million euros for the first year, and also pregnant women will also cover elderly people in need.

The users will be able to choose any doctor on the list of professional members of its health region. So far 43 have been issued checks dentist.

"It will be prescribed by the family doctor. In the elderly it is necessary that they are entitled to the supplement supportive, "said Ana Jorge, Minister of Health, the issue of symbolic first dentist to check a pregnant woman, the Health Center of Olivais (Lisbon). On occasion, the Minister of Health will take that are not made from savings accounts to the National Health Service (SNS).

According to Ana Jorge, a program of oral health in the public sector would require "a very expensive investment, because it is necessary to install equipment and put many professionals in the health centers. "Putting exclusively in the public oral health program would require a huge effort for the program be extended equally," he added.

The Ministry of Health ensures that all health centers in the country may provide the dentist checks. The program provides for ceilings of 120 euros for pregnant women, divided into three checks and the completion of treatments can be completed within 60 days after delivery. For the elderly the maximum value is 80 euros and an estimated more than 250 euros for the placement of dental prostheses.

Cristina Sambado
RTP

255) Dentists complain oral health program in schools

The program of oral health promotion in schools, the Directorate General of Health want to evaluate before proceeding with dental checks for children, invites criticism of dentists who advocate a reorganization of the project.

Reviews were forwarded to the bank of the Congress of Dentists Association, held in November, one of the representatives of the Dental Association in the group of analysis of the oral health, Paulo Rompante. The basic and essential step of this program is to promote the daily brushing at school, which is not being done in most institutions.

"As the program is designed only entitled to access to the other stages of the program, schools that promoted daily brushing, no program works is that brushing is not promoted," commented the expert. The argument advanced by some schools that are unable to promote oral health can not be accepted among dentists. "If a school is unable to do this, then almost better to close the school ', it Frias Bulhosa, another element of the Order who participated in the analysis group has made proposals to the Minister of Health.

Especially because, says the expert, to brush your teeth is not sufficient that students have a toothbrush and toothpaste, and the use of water to be dispensed with. Along with brushing, the schools included in the program of oral health promoting fluoride administration every two weeks between their students.

After this, should be selected children who must put sealant on the teeth - a plastic material that is used to prevent cavities. But again there are flaws in the program conducted in schools, dentists say. This is because, before the sealant, it is necessary to detect whether the child is already developing tooth decay, which should be done by a dentist, which is not present at school.

"The selection of children is not always done by qualified professionals. Currently it is most often done by school health teams, which often do not even have a dental hygienist, "argued Paulo Rompante. The doctor stressed that caries is a disease "infectious and contagious', the diagnosis should be made by the dentist.

For the doctor Frias Bulhosa, one of the shortcomings of oral health has to do with the lack of follow-up. "A child of four, five or six years you can get in a given year in the program, but then again not being monitored. The child is not followed in subsequent years, "he lamented.

Diário Digital

* * *

Anyway, if that is how the state treats children in the country ...

Gerofil

254) The oral health status of children is not what it should be

Pindamonhangaba, São Paulo (BRAZIL) - "The oral health status of children is not what it should be." This is the opinion of the dentist Janaina Costa Tavares de Castro, who holds a social work orientation to children in a private school in the district of Cesar Moreira in Pindamonhangaba. Graduated in the Faculty of Dentistry Pindamonhangaba, Susan has improved in the field of dentistry. She believes that often the poor oral oral health of many children is due to lack of time and information of many parents.

"Today, many mothers work outside and have this difficulty to supervise. The child ends up with the maid or even in kindergarten. And is not the same thing. It is difficult to perceive the existence of cavities, "says the dentist. For this reason, she says that the performance of dentists in schools would be of fundamental importance to improving the oral health of children. In the city of Guaratinguetá, for example, she said that many public schools already have dental.

In the opinion of Janaina, it is important for parents to do the monitoring of brushing and flossing. She said this work should take place through interaction between parents, teachers and professionals in dentistry. The specific work done in school Moreira César, Susan is doing a survey of oral health status of children. But, she said, the first screening, in which 70 children were, the number of cavities was found than expected.

"Let's do this survey, the school meet, interact with parents and, through reports and seminars, show cases and be giving a warning," he said. The professional warning that the appearance of white spots on the teeth of children is not always perceived. "These spots are already the first manifestation of decay and sometimes goes unnoticed," justified.

Janaina believes that a joint effort between dentists, schools and parents is of paramount importance for the prevention, helping to reduce the oral problems.

Saúde Vale

* * *

Attention is also drawn to the need to conduct surveys of the student population in Portugal. Detecting problems early can prevent these tragedies in the future of many children and young people. When is screening at national level?

Gerofil

253) Bad breath? See causes and how to

What is halitosis?

Halitosis means bad breath, a problem that many people face eventually. It is estimated that approximately 40% of the population suffers or will suffer from chronic halitosis at some time in your life. There are many causes of this evil, including inadequate oral hygiene (lack of proper brushing and lack of flossing), gingivitis, to certain foods such as garlic or onion, tobacco and alcohol products, dry mouth (caused by certain drugs for disorders and lower production of saliva during sleep), systemic diseases such as cancer, diabetes, problems with the liver and kidneys.

How do I know if I have halitosis?

One way to know if you have bad breath is to cover your mouth and nose with your hand, exhale and feel the breath. Another way is to ask someone you trust as is your breath. But do not forget that many people have this problem when they wake up in the morning, as a result of lower production of saliva during the night, allowing acid and other substances to deteriorate inside the mouth. Measures such as brushing teeth, and tongue, and floss before bed and get up often help eliminate morning breath.

How to prevent bad breath?

Avoid foods that cause bad breath and note the following: brush thoroughly twice daily and floss daily to remove plaque and food particles that accumulate every day (brushing your tongue also helps reduce bad breath) remove the denture before bed, and clean it well before putting it in the morning and visit your dentist regularly to make a review and cleaning of your teeth.

If your bad breath persists even after a good brushing and flossing, see your dentist, as this may be an indication of the existence of a more serious problem. Only the dentist can tell if you have gingivitis, dry mouth or excess plaque, which are the probable causes of bad breath.

Copyright 2007 Colgate-Palmolive

O Nortão Jornal

252) Oral health more intensified

Pedro Avelino (Rio Grande do Norte), BRAZIL - The Department of Health Pedro Avelino intensified investment in promoting oral health among children and adolescents. The project seeks to create a generation healthier than before, to grow free from the need to make dental care more serious or even extract teeth for lack of care.

The council, which is administered by Mayor Sergio Cadó, is promoting an overhaul in the health sector. Investments also include improvements to the municipal hospital, in care of the program strategy of Family Health. The city maintains a service consultation and dental procedures varied across sues clinics and offices distributed at headquarters and in other communities.

But the project geared towards the public school proposes to establish a more direct relationship between dentist and patient, through a range of visits to public schools. The initiative is made possible through a partnership between the municipal education and health. According to the municipal court of public health, all the teaching units administered by the city are included in the project, which has a lineup consisting of lectures on oral hygiene and actions such as applying fluoride and toothbrushing.

The main goal is to secure the education of students need to brush your teeth always after each meal and before bed, as well as flossing and visiting your dentist regularly. The project seeks to attack, locally, a culture of neglect of oral health, traditionally dominant on the inside. According to the Municipal Health Department, investment in oral health in schools comes at a time when the city directs resources to other projects in the area of dental care.

One goal this year is to buy a mobile dental office to serve mainly the rural population. The equipment will be used for dentists to serve residents in communities farther from the center without the need to move residents, a factor that discourages people time to seek treatment.

Diário de Natal

* * *

And for us here in Portugal, who takes the responsibility to reach those who can not go to a consultation? How's Oral Health Program School for these schools across the country?

Gerofil

251) Taking care of your child smile

Brushing (1) - You should always brush your teeth after eating - a ritual that must be repeated at least three to four times per day, from the birth of the first tooth. Supervise brushing the child - and even the teenager - until she has control of the procedure and know how to use dental floss.

At about six years, on average, can be introduced using mouthrinse. Then you can start making a lifestyle complete with brush, floss and rinse with a brush-to finish. The wire should be used at least twice a day. And remember: the largest and most effective example is the parents. Therefore, not enough to have them, you need to do well.

Brushing (2) - also need to brush their teeth after snacks out of hours. This guidance applies to all sweet and savory. It is very important to maintain the habit and the frequency of brushing.

It is easier when the child has a routine to eat: come at the right time and right away, do the cleaning. In the morning, on waking, the ideal is to brush your teeth, take breakfast and go back to brush.

Injuries - If your child has suffered a fall and lose a tooth, attention, just join the tooth by holding the crown (the part that is apparent in the mouth, not the root) and dip it, preferably in a glass of milk. If you can not milk at the time, so please use the order, saline, saliva (put the tooth that fell under his tongue) or water. Make a compress with gauze in place and look for the dentist immediately, so try a reimplantation.

Never wrap the tooth in a cloth or napkin, which would make him lose the fibers. Even if it is dirty, leave it as is. If the strike did not make the tooth fall, but only the left half loose in the mouth, do not try to pull it out. Plug it back in place and go to the office. Keep calm, in both situations is essential.

Vida Feminina

250) Autonomous Region of Madeira: Twelve complaints against dentists

The regional delegation of the Dental Association sent recently a complaint from one user to the Council of Ethics that Order. This was the only case recorded this year so far, according to Gil Alves, chairman of Madeira.

This year, Gil Alves has received 12 complaints, a result that keeps the meetings, all on Thursdays, at the head of regional delegation, with users who will complain of any act of a dentist. That charge states that most people just want to be clarified and cases are easily resolved between the parties in conflict. "This year, only one case became more serious, which meant that it may guide to the Council of Ethics of OM, in Oporto.

Last year, throughout the year, there were 16 requests for reunion, by users. Of those cases resulted in two cases sent to the Council of Ethics. Moreover, Gil Alves announced that the card is going to identify dentists Portuguese is held by professionals Madeira, no later than the end of June. The first copies will be sent along this month.

The representative of dentists Madeira explains that the purpose of the Order was to identify, to the user, the professionals who can carry and use the title of doctor-dentist. This is because, as noted, there are "some curious" that do not have any certifications and, especially on the mainland, are engaged in the profession illegally. To these we must add the orthodontist, persons certified, but can not provide medical interventions. There are still considering, the dentists, licensed physicians, registered as doctors.

It was to "separate the waters" that the OM has chosen a card, to be placed on clothing care, which enables users to more easily identify physicians and protect them from people with no qualifications to do so.

Gil Alves, questioned by JM stressed that the last two years there have been cases of persons found to exercise the profession illegally. It recalls that, in Madeira and the Azores, any doctor of medical dentistry is at the beginning, the Board inspected the area where it is located and also by the delegate, within the same county.

Jornal da Madeira

249) In the Azores, about 18 thousand children with oral health newsletter

The regional coordinator of the Program for Promotion of Oral Health, Ricardo Cabral, said the agency Lusa that the project, which started in 2006, proceeded in a "positive" and that includes the nine islands of the archipelago. He explained the dentist, the newsletter is intended for children and young people up to 18 years and can be requested free of charge in 16 health centers in the region.

"The aim in future is that the entire population may have an individual medical oral health," said the expert, who represents the Azores in the National Oral Health. With the creation of this document, the Azorean executive intended to provide the Regional Health Service (SRS) of an instrument for registration and consultation for health promotion and prevention of oral diseases in the islands.

For Ricardo Cabral, this document represents a further contribution to the oral health of the Azores, which together with other awareness-raising and information already held, has allowed the public awareness. The dentist assured that, although slow, the results of this study have emerged, pointing to the example of the decay rates of children in the Azores, which in 2000 were 4.5 percent and in 2005 moved to 2,1 per cent.

Citing the findings of the latest study of oral health carried out in the archipelago, Ricardo Cabral said that between 2000 and 2005, there was a "health gain" at the level of real rates of tooth decay of children of 2.4 percent. The percentage of children caries-free six years of age, the region has fallen from 30.8 percent in 2000 to 37.3 percent in 2005, and the World Health Organization recommends that, in 2020, to be achieved 80 percent, he said.

For the chairman of the Azorean the Dental Association, Artur Lima, the Bulletin Single Oral Health is an "important contribution" to the promotion of health are alert to difficulties in implementing the project on the island of Faial. Artur Lima said to the Lusa that, in Faial, no dentists in the public sector, and the distribution of newsletters has been done by teams of nursing. "The six dentists who work in Faial exercise all private practice, because the Government never opened positions to the public," said Artur Lima.

In the Azores carrying 74 dental professionals, covering all the islands of the archipelago. Contacted by Lusa, the regional director of Health, Teresa Brito, assured that the situation of Faial is to be resolved not by the unwillingness of guardianship, but due to legal issues. "The hiring of employees first requires the unfreezing of vacancies and the holding of a tender," said Teresa Brito, for whom "the solution to this gap is expected to reach the short term." He added that legal procedures are not consistent "with the urgency of the situation, but noted that the Azorean government has done" work out "for providing all health centers with new equipment and materials essential to the practice of dentistry.

A União

* * *

A direct question to the Minister of Health: For when the Bulletin Individual Health for all children and adolescents in Portugal?

Gerofil

248) 10 tips to keep your smile forever young

1. Brush your teeth at least twice / three times a day, preferably after meals and before bedtime;

2. Use a brush of appropriate size, soft and with a small head to prevent injuries to the teeth and gums;

3. Look always use a toothpaste with 1,000 to 1,500 ppm of fluoride;

4. Avoid brushing your teeth horizontally. Place the toothbrush slightly tilted in the passage by the teeth, so they do not wear down over time;

5. Use dental floss daily before brushing to remove food debris and bacteria are the spaces between teeth and between them and the gums;

6. Follow the recommendations of your healthcare professional the use of oral elixir to rinse;

7. Try to keep your teeth and clean, especially at the gum line, preventing plaque and tartar;

8. Make a regular dental review, preferably of 6 in 6 months, and an oral check-up at least once during the year;

9. Maintain a balanced diet and try to replace the sweets with more nutritious foods such as cheese, fruit or vegetables;

10. If you have sensitive teeth visit a dentist because it may be an indicator of decay, a fractured tooth.

Médicos de Portugal

247) Support for young

Dental checks in the amount of 80 euros per year to distribute the children from three to 16 years. This is the proposal of the Medical Association (OMD) to extend the program of oral health to young people in 2009.

The idea will be today (May 5) discussed with the Health Minister, Ana Jorge, a meeting to evaluate the start of the initiative that provides for the first time, oral health care for users of the National Health Service (SNS in portuguese) - the Portuguese are treated by private physicians, but the State ensures the payment. This year limit will be for pregnant women and the elderly. But the idea is to extend it gradually to other segments of the population.

There are now a program of oral health for children. Encompasses 65 thousand between six and seven years and ten and 12. But the president of the OMD, Orlando Monteiro da Silva considers that the 'ideal' is to use the change in the model and move towards a wider track, 'continuing care and counseling that will be provided to pregnant women'. If the authority agrees with the age range will be 1.3 million users per year. The value of checks advocated by dentists would be equal to that which is given to older people - 80 million, five million more than the current value.

It is not enough to handle everything - is out, for example, the placement of braces - but would be an important step, explains the President of the OMD. The question is whether there will be availability of funds from the Ministry of Health for an extension that could cost 104 million euros.

In the case of pregnant women and elderly people, everything is ready for the first dental checks are distributed later this month. All that is needed to complete the testing computer program to record the treatments and direct users of health centers to clinics that have joined the program.

Already signed up 2300 dentists and dentists from all over the country (the Alentejo is the area under accession). Today is an information session for professionals interested in the School of Dental Medicine of Lisbon.

The order gave rise to the oral health program also provides that local authorities can play a role in care. How? Funding to extend the consultation to other groups that are not covered, or increasing the value of dental checks. Orlando Monteiro da Silva says that dozens of municipalities have contacted the OMD, showing interest in joining. But the lack of available funds has acted as a barrier to the completion of negotiations.

In addition to the treatments, the program will allow you to take a radiograph of the oral health status of the Portuguese, as are appraisals of the result.

Comments:

-Some kind soul can tell me where to go get the vouchers? Is that my daughter is about to do 17 years and seen the case from there now can walk with the rotten teeth;

-Another inequality of this government ... the other between 16 and 65 are not Portuguese or need to go to the dentist;

-Oral health in Venezuela is free and very good. Every time I'm more ashamed of my country, where is that Portugal will arrive?;

-This is just another maneuver 'cosmetic' of this government. Like previous governments, we are contributing to a third world country. It's a shame the state of oral health of elderly people and children in this country. 80 per year! Only by this government people on the street, and also repeated until we installed the chaos and they rethink the welfare of the people is that it followed. Shame on you;

-This is just another patch and a sweet for a toothless people.

Correio da Manhã

246) Education: Student Dental Medicine of Lisbon require extraordinary funding to restore "decent"

Students of the Faculty of Dental Medicine of Lisbon called the Minister of Higher Education to transfer the outstanding amount promised in 2007 to "restore the proper conditions for teaching and provision of health care."

In an open letter addressed to the Minister for Science, Technology and Higher Education Mariano Gago, students ask to be transferred "with the utmost urgency" the extraordinary sum they had been promised in November 2007, to that "can take immediate necessary improvements to the replacement for decent education and the provision of health care."

In the document, the students of the Faculty of Dentistry, University of Lisbon (FMDUL) emphasized the continuing "deep dissatisfaction with the poor conditions of education and the provision of health care and the lack of funds forced" closure of the clinic and the operating conditions due to infrastructure below the minimum acceptable parameters ".

According to students, also "the physiological clinics, pre-clinical and laboratory are working with serious limitations and the facilities are in a state of degradation rampant.

The same situation had led the students to do FMDUL a period of strike in December 2007, which reiterated the need to implement appropriate measures.

Following this protest, the students were received by the Secretary of State for Higher Education, Manuel Heitor, and then the Ministry of Science, Technology and Higher Education ordered an "inspection as a matter of urgency at the premises of FMDUL.

During the inspection, says the letter, were confirmed "shortcomings 'Third World' premises and equipment reported by the students during the protest and that can only embarrass the supervision of a school that is either level.

Students have reported that, after this inspection, the ministry is committed to providing the University of Lisbon "by a special grant to meet the need of this financial institution" to that in January 2008 sent a plane detailed budgeting for the improvements to be made in a joint paper by the FMDUL and the rector of the UL, and so far got no response.

"The situation with regard to the promised funding has not changed, bringing very grievous consequences for the functioning of FMDUL" and "show operating conditions incompatible with maintaining the image of a modern university," regrets the students.

In the letter, students report that lack of funds, beyond the closure of the clinic and operating room and the limitations on the operation of other facilities, has also forced "to relocate students to already crowded areas functionally, which has created serious problems scientific and educational nature.

"How do you expect your letter that the College can maintain its status as a great school of practice and education in oral health in the country?", Question students in a letter to the Minister Mariano Gago.

The Lusa contacted a source of office of the Minister of Science, Technology and Higher Education, who later referred to a possible comment on this subject.

Sapo Notícias

* * *

I show here my full solidarity with the students of FMDUL; Portugal is part of the European Union and not of any Third World country. Politicians can not do just mere promises.

Gerofil

245) Oral Health: Children are entitled to dental checks next year

The Portuguese children will be covered next year for dental checks, which give the users of the National Health Service the right to consultation or treatment in clinics or private clinics, Lusa said the president of the Dental Association.

There is still no decision on what age you are entitled to such dental checks, but children from six to 12 years should be covered. According to the president of the Medical Association (OMD), Orlando Monteiro da Silva, is also unclear what the value of these checks.

The Dental Association is still negotiating with the Ministry of Health to involve other groups of people such as diabetics, this program that gives users access to the National Health Service (SNS) to oral health care in private.

Next month will begin to be used dental checks for pregnant women and elderly. According to Orlando Monteiro da Silva, have joined so far this program more than two thousand dentists and dentists all over the country. A list of all offices and clinics can be found on the website of the Directorate General of Health (www.dgs.pt) and the choice lies with the user.

Each pregnant then at the health center will have three dental checks, a maximum total of 120 euros. The program will cover 65 thousand pregnant. The elderly beneficiaries of the solidarity supplement can enjoy a maximum of two dental checks for a total of 80 euros.

Where appropriate, are essential requirements of a certificate of pregnancy or evidence of the situation as a beneficiary of Solidarity Supplement issued by the Institute of Social Security. Data from the Dental Association estimates that there will be 195 thousand consultations for pregnant women (a total of 7.8 million euros) and 190 thousand appointments for the elderly (for a total of 7.6 million euros). If there were a fair distribution of checks by dentists members, each clinician had revenues of more than 6800 per year.

RTP

244) Patients with bulimia and anorexia nervosa suffer from tooth wear

Bulimia and anorexia nervosa are psychiatric disorders related to food that cause several health problems to their patients. But beyond the well-known nutritional impairment, patients who vomit frequently cause your teeth exposed to stomach acid, suffering dental erosion, as shown by a study at the Faculty of Dentistry of Bauru (FOB) at USP.

The surgeon dentist Juliana Julianelli evaluated 30 patients of Group Relief and Eating Disorders (grate) Hospital of the Medical School of Ribeirão Preto (HC / FMRP), USP and reached an alarming result: they all showed some degree of wear , a problem at higher levels can lead to loss of teeth affected. Within the index used, ranging from 0 to 4, almost 70% of patients had level 2, which corresponds to a moderate wear, when erosion affects the enamel and dentin.

And 13% were in even more serious erosion of level 4, with severe dentin and also pulp (inner tooth). "There are cases where the person had to do root canal treatment in almost all teeth, because the nerves were already exposed," says Juliana.

There was statistically compared the prevalence of tooth wear in patients with eating disorders and in the general population, but the experience of the researcher, it became clear that the first group suffer much with the problem.

Misinformation - The new findings may contribute to a better preparation of oral health professionals to deal with these patients. "Some dentists also offer guidance wrong, saying, for example, for the patient to brush teeth after vomiting. The toothpastes contain abrasives that can enhance the wear and would be better to wait a while before use, "explains the researcher.

Are ongoing in FOB own research in search of a therapeutic agent to minimize the problem to be applied in the teeth of these patients. "Once the results are complete, we intend to take this treatment for patients GRATA we evaluated," says the dentist.

Eating disorders - Anorexia nervosa is characterized by an insatiable desire for thinness, leading the patient to a severe self-induced weight loss, using resources such extreme long periods of fasting, excessive exercise, voluntary vomiting, laxatives, diuretics or appetite suppressants. There is distortion of body image and menstrual cycles are interrupted by at least three months.

Since bulimia nervosa is presented as a feeling of complete loss of control of food the patient eats compulsively and indiscriminately large amounts of food in a very short period of time. This intake is followed by a feeling of guilt, shame and fear of weight, causing him to induce vomiting, usually several times a day, and the use of laxatives, diuretics or appetite suppressants and the practice of physical exercises too much.

Portal UAI

243) Periodontitis can lead to loss of teeth

All people recognize that the smile serves as a real card. However, poor grooming, hereditary hormonal problems and can cause an inflammation of the oral tissues, known as periodontitis, which if not treated early on can lead to tooth decay.

"The biggest problem of periodontitis, because it is a disease with no pain symptoms, the patient feels no pain, thinking that all is well and do not seek treatment in the early stages," explains the dentist sydney Goldmann.

According to experts, periodontitis is the result of accumulation of bacteria on the gums that destroys the fibers of the teeth, cause bleeding, tooth mobility, rather than bone, and in some cases, tooth loss. Thus, poor brushing causes the food to remain in the mouth and increase plaque.

Among women, at the time of menopause, of course, increases the number of germs that can make oral periodontitis. Should also be warned that pregnant women should be on guard to pass on to children in harmful bacteria. Studies have proven clinically that babies can inherit microorganisms mother and be favorable to an inflammation of the mouth.

The basic treatment against inflammation of the oral tissues is the removal of bacterial plaque (tartar) by scraping the gum and the tooth root. Early tooth loss is severe. The guidance is not leaving the table to get serious, then, seek the assistance of a specialist. In accordance with Goldman, the concept that everything is treated before is more likely to cure also serves to oral health.

Paraná-Online

242) Health Zone: What is the correct way to floss?

When used properly, dental floss removes plaque and food particles from areas where the toothbrush can not easily accessible, for example, the gum line and the areas between the teeth. Daily use of dental floss is highly recommended because the plaque can lead to tooth decay and gum disease.

To floss correctly do the following: Wind about 40 inches of floss around each middle finger, leaving about four inches between the fingers. Holding the floss between the thumb and forefinger of both hands, slide it gently up and down between the teeth. Carefully guide the wire around the base of each tooth, beyond the line of the tooth to the gum. Never force the floss against the gum, it can cut or bruise delicate gum tissue.

Use a new piece of the piece of floss for each tooth to be cleaned. To remove the wire, use moves backwards, removing it from the teeth.

What kind of floss should I use? There are marketing dental nylon yarn, waxed or not, with a wide variety of flavors. Because this type of wire is composed of many strands of nylon, it may sometimes tear or shred, especially if the teeth are close together. Although more expensive, single filament yarn (PTFE) slides easily between teeth, even with little space, and no breaks. Used properly the two types of wire to remove plaque and food particles.

===============

1) Use about 40 inches of wire, leaving

a free section between the fingers.

===============

2) Follow carefully the curves of the teeth.

===============

3) Be sure to clean beneath the gumline,

but do not push too wire against the gums.

Jornal NORTÃO

241) In Praia da Vitoria (Azores) - dental screening for children

The Integrated Primary School Francisco Ornelas, in Praia da Vitoria, is the stage of an initiative to raise awareness of oral health carried out by the dentist Carla Vilas Boas and her collaborators Clinic MedicAngra. The aim is to screen and prepare a report to deliver to parents about the state of the mouths of children, since they are at a critical stage of transition from teeth.

This assessment will cover 300 children in primary education. The medical team works every Thursday morning and serves between 25 to 30 children per day until the month of May.

"Happy Tooth" - This trace left of a private initiative, in the case of clinical MedicAngra in the city of Angra do, where its head, Carla Vilas Boas, saw interest in understanding the local situation on the health and oral hygiene. 'Happy Tooth' was the name given to the project whose main aim "to realize the state of dental health of children, instilling important concept of oral hygiene, to demystify the figure of the dentist in the minds of children."

The ages involved in this study, between 6 and 12 years, are still unclear to dentists in the region, since "most had never been to a dentist, and not the class knows very well as are the mouths these children. " Actually that brings us to a problem worse, "the children's parents are unaware of how 'oral health of their children", because there is the idea that while the surfaces of lens available, it is not necessary to have consultations and monitoring professionals.

According to Carla Vilas Boas this idea is completely wrong because "the transition from teeth to another is gradual and take place in this process problems that worsen with growth, and malformation of teeth, cavities that are milk teeth to the final among other even more serious." The children are excited and being in an environment they know, the school, feel safe, with no fear of the problems that happen in offices.

After a diagnosis, identify existing problems and cataloging of the permanent teeth, are transmitted and advice to young people especially are "encouraged to see a dentist regularly." As a reward for participation and how to encourage children is provided with a textbook, a toothbrush, toothpaste and a balloon. The results have been encouraging, many problems and many children who should have an effective monitoring and improved by professionals, or even by the parents in instilling the best oral hygiene habits.

In the diploma to be distributed to children to deliver to parents and guardians will mention the problems that have been detected so they can still be solved in time. "There are free consultations at health centers and should be used by parents to prevent such problems in children with this initiative we want to make parents feel the need to consult a dentist," says the charge.

Cavities, tartar and bad formation or growth of permanent teeth are the most recurring problems. "In the vast majority are due to bad habits and oral hygiene practices, others are involuntary and need professional help to avoid future complications and longer and more expensive. Schools must also take a role in the education of best practices in oral hygiene, not only an informative but more active. The vast majority of children have a meal in school and have no way of cleaning the teeth, especially the children.

"This initiative was made possible with support from some private companies, with the participation and commitment of the Integrated Primary School and Praia da Vitoria, in collaboration with the Medical Clinic of the beach and with the participation of my collaborators in MedicAngra" concludes Carla Vilas Boas.

Fernando Pereira (fernandopereira@auniao.com)
A União - Jornal on line

* * *

Here is the proper recognition for the initiative. What other entities know the same example to the rest of the country.

Gerofil

240) There are cases of death caused by piercing

The president of the Dental Association, Orlando Monteiro, told Lusa that "the tongue piercing does not have a direct bearing on cancer in the language but there are cases of death caused by these piercings, although not many."

"This (bill) is a very sensible proposal, because these piercings have increased risks to health, including bleeding, infections and fractures in the teeth, as well as being difficult to sanitize. To be made, should be for doctors, said the president of the Dental Association, referring to are the only ones who recognize the knowledge to do so.

Portugal Diário

239) Wisdom tooth, synonym problems

Wisdom teeth, as they are known, are the last molars on each side of the jaws, appearing around 18 years ago, when it is assumed that the individual acquires the majority and the court. But mostly, the teeth of the court are a number of problems to be born.

The most common problems occur when the tooth is totally or partially surrounded by bone and gum and can not be born normally. Tooth completely retained can cause root resorption of neighboring teeth, the appearance of odontogenic cysts and even tumors. When partially erupted may cause infection of the mucous membrane on the tooth where there was infiltration of bacteria. In these cases there is the possibility of removal of teeth or dental follow. "In cases where the patient shows no symptoms, the removal is not necessary, it just made a clinical and radiographic follow-up," said Prisco Bortholi professor of dentistry Umesp (Methodist University of São Paulo).

The regular visits to the dentist is the best way to avoid complications of poor positioning of wisdom teeth, since there is no possibility of prevention. Currently, the removal of impacted teeth has become a routine surgical procedure. In most cases removal is a fast and comfortable for patients. Generally, younger patients tolerate the procedure better.

Many of the cases of impacted teeth are due to the fact slow to rise and when the normal period to come not find enough space. This lack of space can be for a hereditary factor or because the evolution of species. It is common for members of one family presented impacted teeth in a similar fashion and the evolution of man, the jaw bones and jaw dropped, because the modern diet consisting of bland foods and cooked, it requires larger structures.

Repórter Diário

238) Researchers detect signs of osteoporosis from single panoramic radiograph of the mouth

From the panoramic radiograph of the mouth of patients, researchers at the Faculty of Dentistry, University of São Paulo (USP), Ribeirão they are finding signs of osteoporosis, a disease caused by loss of bone mass, as a worldwide epidemic by the World Health Organization (WHO).

The loss of bone mass affects the world one in three women and one in five men, according to the International Osteoporosis Foundation. The dentists will not treat the disease, but knowing recognize, can guide the patients, as has happened with diabetes, hypertension and a host of other problems that are caught in dental examinations.

Animal testing done by researchers at forp so far have shown that coffee in excessive doses (more than six cups a day) can increase the chances of osteoporosis in young women and overweight (groups that would be less vulnerable to the problem). According to the researchers, the first two stages of the research laboratory, the animals who took the drink had an increase of up to 20% in the elimination of calcium daily.

To find out if caffeine is the substance responsible for the loss - which would put other foods such as soft drinks in the list of danger - the researchers are now in guinea pigs by injecting the pure substance, in doses proportionate to those found in coffee.

Gazeta de Ribeirão

237) France, so close to us!

The device for preventing oral M'T Dents allows all children ages 6, 9, 12, 15 and 18 years receive a free review of prevention and a 100% reimbursement for care resulting from this review.

Health insurance and dental surgeons have set up these appointments in order to promote early and regular contact with the dentist. Indeed, regular monitoring began in childhood prevents care more painful and more costly in the future.

During these appointments, the dentist examines your teeth, gums and, if necessary, makes radios. It establishes an appropriate plan of care. It also gives advice and teaches good habits of oral health (brushing, food hygiene, awareness about the harms of smoking for adolescents, ...). In Practice: A month before her birthday, you receive a letter from the Health Insurance inviting your child to conduct a review of preventive dentistry at the contracted dentist of your choice. It's free for you, health insurance rule the dentist directly (third payer).

After the examination, whether treatment is necessary (caries, scaling, sealing grooves ...), you need to advance fees but will be refunded 100% if they are started within 9 months after the first examination. In contrast, other treatments (orthodontic appliances, dentures) are not supported under this scheme, they are reimbursed at the usual rate.

The dental oral exam is free and painless, it would be a shame not to enjoy. For more information:

http://www.mtdents.info/
ameli.fr

236) A look at the reality

Years ago, as a parliamentary aide, when the Left Bloc had only three members, spent some time around a law that dentistry be integrated into the National Health Service. The law provided for a phased implementation. The ideal is that instead of a law was a government policy. But the rules leave the parliamentary opposition there is little room for the legislature.

The project was very conservative, since, with some injustice, did not include dentists in the hospital for a medical career does not add up all the predictable resistance and fierce opposition from doctors. He thought that was the way to open a door and then would be much easier to go further. It was possible for the law and try to pass, when applied, overcoming resistance to go.

It was very educational to see the result. The Portuguese Communist Party did not like because of the issue of career. The other parties even less and can not be said that they have taken the trouble to draw big argument. And see why. The media was not in the room.

There was no power grid stability in any election of a vice-president of a bench and in any place for the journalists was only one. The other went on a run unleashed through the corridors because of a matter that two days later it had not been in the memory of any of them. What there was struggling, however, affected millions of people. But it was irrelevant before a small cock fighting a parliamentary seat. Most journalists, I realized in later conversations, nor had any awareness of the importance of the issue, it found, at first sight, rather esoteric.

The discussion of the project was cleared in an hour. Was disapproved because it would be prohibitive ensure the most basic rights of health.

The Dental Association (OMD), which originally helped to design a project that was technically difficult, is now against the government when it beckoned with the promise of more contracts between the public and private. Now I read amazed that this president has met several times with me and that at the last minute turned his back to the entry of dentistry in the National Health Service (SNS) to complain that "while there is no dentists in health centers or delivery systems, people will be excluded from the oral health "(Público). He dropped the first for the second (and more attractive to dentists already installed in their offices and without raising the question of the status-fated career in hospital), was no and now repeat what I heard then but that did not lead to the end . Hopefully this is, but this I am actually listening to one foot behind. Because at that time only the students of dentistry moved and appeared today in the stands, stunned before the lack of members, the media and their future colleagues. The Order was trying to sign a deal between the offices of its members and the state. Dentists in hundreds of health? I sure did not want.

At the end of last week I read in Público what I knew then and was even the main argument for the project: "around half of its population is unable to pay for a dental consultation." A large part of the Portuguese simply is a life without going to the dentist. We have the worst oral health in Europe, unlike what happens in most other areas of medicine. The numbers are worthy of the Third World. And the reason is just this, as well as the João Rodrigues: There is the National Health Service and, as you must not understand João Miranda, the private course does not guarantee the welfare of the majority population. Especially in poor countries.

And there's dentistry in the National Health Service because the parliament refuses to represent those who elected them, the political journalists live submerged in the foam of day and are completely insensitive to the social reality of the country in which they live and corporations represent only their senior professionals. As I said, this was my very educational experience.

DANIEL OLIVEIRA, September 24, 2007

Arrastão

235) Oral Health: More than a thousand doctors have joined the program for pregnant women and elderly

More than a thousand dentists and dentists, of which almost half of the North, joined in the program two weeks of oral health of pregnant women and the elderly, according to data released today by the Dental Association. According to statistics, 1148 dentists and dentists have joined the program from 12:00, 11 March, the date of opening of registration, and 15:00 on Tuesday.

Of this number, nearly half of professionals (508) are from the north, followed by the Center (349) and Lisbon and Tagus Valley (236). Alentejo (28) and the Algarve (27) are the regions where doctors less joined the program.

Health care was provided in 1278 different places, and the coverage rate by county was higher in the central region (91 percent). This was followed by the North (87 percent), Lisbon and Tagus Valley (76 percent), Algarve (69 percent) and Alentejo (35 percent).

Of the 1148 professionals who joined the program, 1,023 (dentists) are registered as Dental and 125 (stoma) in the Medical Association.

Commenting in a statement to Lusa, the data, the president of Dental Association, Orlando Monteiro da Silva, highlighted the "great support" of professionals, though there are "active dentists in 5500. "It's a large membership, which is sufficient to ensure the functioning of the program," he claimed, eventually admitted to being "more desirable inscriptions" of doctors. Orlando Monteiro da Silva said that the entries on-line "(the website of the Directorate General of Health) are open until the end of April and that the Order will promote two actions in May for information on Porto and Lisbon.

The program of oral health of pregnant women and the elderly, the National Health Service provides "check-dentist" (contributions in consultations and treatments) that can only begin to be used from 01 May, the president said.

Each pregnant then at the health center will have three dental checks, a maximum total of 120 euros. The program will cover 65 thousand pregnant. The elderly beneficiaries of the solidarity supplement can enjoy a maximum of two dental checks for a total of 80 euros.

Where appropriate, are essential requirements of a certificate of pregnancy or evidence of the situation as a beneficiary of Completion issued by the Institute of Social Security. Users can choose any doctor or dentist office, since that is part of the list of professionals who have joined the system in its health region.

RTP

234) Help grow ORAL HEALTH

Thank the collaboration of several people to make some posts and correction of other posts which have already been published. THE ORAL HEALTH is an open place where anyone can help, publishing articles, text, images, stories or what they consider best to draw public attention to the apathy of the current situation of oral health policy in our country.

We all need to fight the demand for more and better oral health for the portuguese population, and for that I thank the effort of all readers ORAL HEALTH contributing to their dissemination and knowledge.

Of course, a vast set of information may, in any case, any error present, thank you, when this should occur, is made due reference to be corrected.

We thank all readers.

Gerofil

233) School oral health programs: the necessary cooperation of Oral Hygienists

For programs to students of primary and secondary education, is key to collaboration between physicians and dentists and hygienists stomatologists oral: they are competent oral health care professionals, trained by credible public and private institutions (Faculty of Dental Medicine, University of Lisbon and higher institute of health Alto Ave), authorized to carry out various activities and community clinics, including the application of sealants to crack!

The readers know that the scientific literature is unanimous in considering the Oral Hygienists as one of the groups who most effectively apply sealants to crack. Fortunately, many competent dentists in this country already working in a team and actually act to improve the oral health of Portugal.

Gerofil

232) With oral health care should begin during pregnancy

According to experts, the oral health depends on good health from childhood and many have dental problems can be avoided even during pregnancy.

Teeth perfect and healthy in adulthood begin to be cultivated even in the womb. Therefore, care must start with the teeth even before the birth of the baby. A good diet during pregnancy, attention to oral care of the newborn, and much of the breast milk are the ingredients of a baby with teeth and gums healthy.

The future mom who worries about the baby's teeth should be concerned with its own power since the period of pregnancy. Balanced food and particularly the dose of calcium intake that contributes significantly to the formation of the baby tooth. After birth, the care do not stop.

According to the specialist in Pediatric Dentistry, Dr. Caroline Jorge Zarvos, many dental problems has its roots early in the process of breastfeeding. "Many people do not know, but the correct way to breastfeed a baby is put it up, recumbent chest. When the child lying breast, the chances of a strain on the dental arch is higher," she explains. The sooner the mother begin to perform the cleaning of the mouth of the baby better.

Cleaning baby's mouth can be made with cotton or a cotton swab dipped in water. "It is important to clean because, first of all, age is not for hygiene and also because when the toothlet on average at 6 months, and we need to use toothbrush, a child is already used to something" different "in the mouth and will not complain or feel bad for brushing. Once the first toothlet birth, the mother must already using brushes and soft not to hurt the baby's gums. And paste without fluoride use, "said Dr. Caroline.

Apart from hygiene, it is important that mothers are aware of some events of the eruption of teeth. Since the birth of toothlet usually cause itching in the gums, it is common that children take their hands in their mouths too, to rub the area. "It is this stage that the baby is susceptible to contracting certain bacteria and may have symptoms such as diarrhea," explains Dr. Caroline.

Dummies at the birth of the teeth should also be avoided. According to the dentist, they are related to problems of occlusion, deformation of the dental arch, among other problems. "Pacifiers are always contra-indicated. Furthermore, the milk teeth are the basis for the adult teeth. Thus, the care is better, better future results will be achieved," said Dr.

Source: Dr. Caroline Jorge Zarvos

jornal O Debate

231) Laboratory of Health visited by 400 children

The idea was born during the Child Support, and to the trainer José Cabral, decided to challenge teachers and students of the course of sociocultural animator. Thus, 40 young people the first year of these courses built "laboratories" for over two days and with the support of health professionals such as nutritionists Mafalda Oliveira, show how to wash your teeth and disseminate care with food.

In all, and up to 15 hours, covered by this initiative were 400 children from schools in the 1st cycle of the Matriz and Conceição in Ribeira Grande, who also danced and played. Angela Pereira, aged 16, shares her satisfaction with the course, because from the outset is "having contact with children." The front has two more years and equivalent to 12 years, then warms the hope of working in a nursery. Until then, teacher José Cabral proposes to further actions of this kind, therefore, beyond the objective of benefiting the community "awareness and demystify the visits to the doctor," it considers "essential to the future who will work with children and professional of health. "

Therefore, ensures Marco Sousa, the company's Municipal Ribeira Grande Mais, the municipality has to give space and equipment. Moreover, for the success of the action Eprosec had, besides the City Council, with support from the Health Center of Ribeira Grande and Atlas Optical Center. The occasion was used to see reports of vaccine, measure body mass, making the vision screening and, in the middle of the morning, because of the technical center were detected during the screening, children need to carry out optical and / or screening of ophthalmic . The technician took Nuno Santos to warn about the effects caused by excessive time in poor posture in front of television and computer monitors.

Viveiros Ricardo Cabral, dentist, has been dedicated since 1994 to promote oral health. Yesterday, while distribution of tooth paste and brushes, moved that the Health Center of Ribeira Grande will extend operations to the homes of older information. The doctor notes that the Azores are the only region of the country with dental public. "Currently, all health centers, except in Horta, campaigns promoting the community and providing consultations and treatments," he says. Tables of health centers are 17 doctors and five more are in service. Ie "quintupled the number of physicians," concludes.

Açoriano Oriental

230) First dental check-in two months of delay

The order that sets conditions for pregnant women and the elderly benefit from dental treatment was published in Diário da República, but contrary to what is set by the Government, the first-dental checks will be issued only in May than in March and President of Order of Dentists Doctors says that is still being developed the software that lets you connect the centers of the health clinics, which also lack the launch site where dentists could enroll in the program. "Entries will start from March 1 and May only come from the first check-dentist," explains Orlando Monteiro de Almeida.

The order, signed by the former minister also Correia de Campos, is determining what was a bet for the Government of the state budget this year: to allow the elderly and pregnant women access to some oral health care, which were absent in the National Service health so far. The measure advances in these two groups because they are considered a priority. But the idea is to extend these services in the future to other people. Each pregnant then a health center will be entitled to three checks - dentist, a total of 120 euros. The elderly will receive 80 euros per year, divided by two valleys.

The President of the Order of Doctors Dentists say they are already defined the treatments that can be made with this money. For pregnant women, will pass through extraction, processing, control of tartar and advice on health and oral hygiene. "There is Gambrinus, but not the soup of the poor" for dental care, states the president of OMD. "The idea is to try to achieve the objectives within it is possible, knowing that you can not do everything. Not enough to make implants, for example," he said.

The software, which is being developed by the University of Aveiro, will allow family doctors to consult the list of dentists who have joined and then inform their clients of the options. Orlando Monteiro de Almeida says that dentists can then see some clinical information to users, such as whether it is diabetes or who are taking medicines.

The head of the Order believes that many dentists and concerned that the measure is important for young professionals. "Registration is very simple, just give the name, a sign of honor to have the shares in order to date and have not ethical processes to run." And remember that this program has a social aspect and a philosophy itself, "providing care to a population that would otherwise not have money to go to the dentist. In addition to the dentists, may also join the initiative stomatologists the doctors. The format of this program is innovative in the Portuguese NHS. The state pays for services that are made in private, by agreement and without the need for conventions. It is based on the English model and is the first step in what was one of the major shortcomings of health care public.

To evaluate this experience will set up a monitoring committee. The order also provides that local authorities can proceed with "a further extension to other groups - target". In addition to the pregnant and the elderly, there is another program aimed at children, which should also be extended this year.

DN Online

229) Programs for oral health

The existence of various programs in oral health in Portugal application currently in need of clarification on a procedural level of quality control and monitoring. Thus, it is a vigilante action by the authorities to ensure social justice and benefits for their recipients.

On the program for the elderly population, but there is social justice as it has addressed the people "really" lacking; advocates that the distribution of funds is done according to the percentage of elderly population existing in each county in the country, giving the distribution of checks and consultation with representatives of local populations; thereby avoid falling into temptation to favor certain regions of the country, economic groups with direct interests in or other installed favored by the government.

Gerofil

228) unsafe school

227) Dentists want to create the 'dentist for family'

Dentists Portuguese Minister of Health proposed the creation of the figure of 'the family dentist, to be given to children like the doctor, a proposal that so far has not been accepted, inform the Lusa. The proposal was made by two representatives of the Order of Doctors Dentists included in the analysis of oral health program, said Paulo Rompante, one of the doctors responsible.

The idea is to give to a child, when born, a dentist who works as a kind of a family doctor for oral health, but without integrating professionals in the health centers. "We are not proposing dentist for the health centers. The proposal is for a system of convention ", explained Paulo Rompante in the margins of the Congress of Medical Dental, which runs until Saturday in Lisbon.

As to the promotion of oral health in schools, the doctor points out some flaws and advocates a reorganization of this project, which critics are accompanied by other clinicians and by the President of the Order of Doctors Dentists. The basic and essential step of this program is to promote daily brushing at school, which is not being done in most institutions.

"Since the program was designed, only entitled to access the other steps of the schools that promote the daily brushing. No program works if the brushing is not promoted, said the expert. The argument by some schools that are unable to promote oral health can not be among dentists.

PortugalDiário

226) Dentists go to schools

At least 310 thousand of students from public elementary schools should begin the academic year to ensure an open mouth smile beautiful in 2008. The management of the Dental Schools, the announcement of the hiring for Social Organization that will provide oral health professionals to work in schools, out until next week.

In the plans of the government, in just over a month, the choice of the organization should also be trained and announced service may be provided immediately. "We're working against time. Although we can not guarantee the date for the beginning of treatment. But the pace that we will certainly be well before the end of the semester, "says the manager of the pulp, the dentist Reinaldo Maia.

The initial idea is to hire about 650 professionals in oral health (among dentists, secretaries, assistants and technicians) to work in schools that house 123 students from six to 15 years. So far, 35 schools are already equipped to meet the students and to the other end of February 57 will be added to the list of credentials. Schools that work full time, must be the first to be equipped for the service.

In these, the order is working in the counter-round school and other treatments will be scheduled in the same period of the school. According to the management of the program, the idea is to prevent students leaving to do the treatment for lack of driving.

The government wants all by 2010 around 400 schools of the Federal District are satisfied with the services of Dental Schools. "Not all offices have fixed, in some cases we will meet with traillers traveling," says Reinaldo Maia.

With the program, the government expects reduce by half the rate of curative treatment, while spending only with prevention and education of oral hygiene. "In addition to economy in the pocket, ensuring self-esteem and health to the student. What is very important in the learning process, "he says Maia.

With the initiative of bringing dentists to the schools, the government will also reduce the demand for professionals in health centers, extending the offer to seniors, adults and children from zero to six, outside the age range served by the public school system. "If we increase the attendance of those who have not yet reached school age, when they arrive in schools need not face more serious curative treatments. We are only with cleaning and prevention, "provides Reinaldo Maia.

Within the government project, is still the training of teachers and educational advisors to work in front of the battle of preventing oral diseases. "Once you start the year, we offer workshops to qualify teachers to work in partnership with dentists. We are studying a way to do that without interfering in the routine of schools, "said the manager of the program.

ComuniWEB

* * *

Does the Ministry of Education and Health in Portugal are also able to think and act this way? No more red tape and unnecessary bureaucracy to society and are within the ministries; assign those duties to teachers in schools that are and certainly will save many millions of euros in the future.

Gerofil

225) Dental consultations to 20 euros

A dental consultation to 20 euros and a massage therapy to 15 are offered by higher prices of Lisbon who wants to pay less for health care and is not 'afraid' to be attended by trainees.

"Students trainees are always accompanied by teachers in any type of intervention", warned the heads of the School of Dental Medicine, University of Lisbon and the School of Traditional Chinese Medicine to calm any fears.

In that way new dental school, students go through pre-clinical training in the dolls head and then practice in people, but "always followed, stressed the head of the college, Antonio Vasconcelos Tavares.

In the range of services offered at the clinic of the students there are preventive treatments, surgery, placement of dental prostheses and appliances (orthodontics), oral hygiene and to the specialty of radiology.

Prices may vary from five euros for an application of fluoride or a type of X-ray or 10 euros for a provisional restoration to 1450 euros in placing a bridge.

"What can happen is the treatments take more time", warned the director of the institution, recalling that the functions are performed by those who are still learning and so the visits also take place during school hours.

The profile of users of services open to the public ranging from people with financial difficulties, who want treatments with institutional guarantee to the advantage that the more flexible hours (up to until midnight) or the conditions of parking 'very rare to find in Lisbon, as recalled Antonio Vasconcelos Tavares.

Revenues are reinvested in the consultations and the possibility of such gross amount equal to or may even exceed the state budget. Until last November there was a plug revenue of 2.6 million.

The number of complaints have been residual and mainly concerns the time of waiting and not the quality, stressed Mario Bernardo, vice-director of the college.

PortugalDiário

224) Inflammation in the gums may cause heart attack

BRAZIL - chronic inflammation in the gums can cause myocardial infarction. It seems strange, but research by the State University of Campinas (UNICAMP) in São Paulo, showed that accumulated bacteria, caused by infection in the gums, can migrate into the blood circulation and affect the coronary arteries. Moreover, the bacteria can generate a greater production of proteins that facilitate the entry of fat in the body, which contributes to the diseases of the heart.

Because of this, experts warn of the need for proper oral hygiene: simple measures such as proper brushing of teeth after each meal and use of dental floss can help prevent the problem. Rinsed mouth also control the growth of bacteria.

Of indirect way, the periodontal disease - and is called the chronic inflammation in the periondonto that surrounds the teeth - can also cause heart problems. The inflammation causes loss of teeth and, if there is no use of prosthesis, the patient will usually eat more fat and pasty.

"He gained weight and obesity is another risk factor for myocardial infarction," explains the researcher and pharmacologist, Fernando Oliveira. He is author of the thesis Systemic Inflammation in periodontal disease and cardiovascular disease, developed at Unicamp. The study done by the researcher was made in the European conference in Berlin, Germany and can be accessed by email http://www.perio.org/ . The expert explains that today about 80% of patients with diseases of the heart have periodontal problems. Statistics shows that 75% of the population above 25 years suffer from chronic inflammation of the gums and 11% of the population are prone to develop periodontal disease.

Moreover, people with more than 30% of dental units involved with the disease have a higher risk of suffering cardiovascular problems. The disease affects between 12% and 15% of the population in Brazil. In severe form, the index is 8%. Causes - The main symptoms of periodontitis, it is also called inflammation are redness and bleeding, in addition to suspension of the gums (the tooth is more due to gingival retraction). In most cases, no pain, so that patients do not seek the dentist immediately.

"People should seek the dentists regularly, but in case of symptoms, and if the table is already advanced, it is good get a specialist in the area," says the researcher, then remembering that put dental health of the municipality may perform the routing.

During treatment, it removes the plaque through scraping or liquid for oral hygiene. Can also be given antibiotics to eradicate the causes of periodontitis. Four months after completion of treatment, the patient should return to the specialist to avoid forming new plaque.

Correio da Baía

* * *

This text is alert to the effects of diseases of the mouth. Disappoint those who think that teaching children to brush their teeth solves all your problems of diseases of the mouth.

Gerofil

223) BRAZIL: Project Smile reaches Corumbá

Project Smile is a private philanthropic organization, non-profit that provides free medical and dental care for low income households. After serving the coal and the settlement Mato Grande project comes to town.

Created by Nelson Nunes Ferreira dental surgeon in 1986 in the city of Pedro Gomes (MS), the bus office of Project Smile is a fully equipped and travels by municipalities, which already had over 100 thousand people, with an average 20 to 30 people per day. Nelson explained to Corumbá On Line project that aims to serve and serve well to those who need a cost.

"As professionals, we need help and do our part. So I decided to work and serve and not be able to go to a dental office. " Besides providing medical and dental care, the project also conducts lectures on oral hygiene, sex education and STD (Sexually Transmitted Diseases).

The project has two buses and remains at least 30 days depending on the demand for public and may be extended for a longer time in each municipality. And it passed by municipalities Anastácio, Bodoquena, Camapuã, Dois Irmãos do Buriti, Rio Verde, Bonito and eleven more municipalities. The other bus is in Miranda and the next city to be visited will be Jardim.

Abrão Marina de Oliveira, resident of the neighborhood Central America, took his son Luciano, 7 years, to receive dental care, as the attendance at the neighborhood has a few professionals to meet the demand. "To be seen that we face a huge queue and often the dentist or the right answer," said the Corumbá On Line Marina.

After his son attended Marina leaves very pleased with the work done by the dentist. "My son has never been so well attended and thanks to the doctor he will not lose the tooth, but we have to get back here next week to finish the treatment. All dentists should be like the Nelson, because he knows my son and not attended with a dedication and an affection as if I had paid. "

Corumbá On Line

* * *

Volunteers in action for a good cause. That the example is contagious and beyond borders in a world where social contrasts between the rich and the poor become ever greater.

A fraternal embrace those who, on the other side of the Atlantic, working for the disadvantaged. It is the hope that here in Portugal, also the volunteer to the next is a reality.

Gerofil

222) Remodeling in Government: Change in Health shows that Prime Minister was aware of the widespread revolt "

António Arnaut, creator of the National Health Service (SNS), was now satisfied with the replacement of the minister of supervision, whereas the Prime Minister was aware of the widespread revolt against the closure of health units. Stating that "no matter whether people change", António Arnaut told the Lusa agency that "the important thing is to change policies."

António Arnaut, who was deputy and Minister of Social Affairs, is the first signatory of a national petition launched last week for the changes introduced by the government of José Sócrates at the SNS are discussed by the Assembly of the Republic. In your opinion, José Sócrates, while in most of the executive, "swept the tested", paving the way for adjustments in health policy towards a "return to parent" of the SNS as a service "general, universal and free, dedicated the Constitution of the Republic. "It seems that the government want to change health policy," stressed.

The founder of the National Health Service, former Grand Master of Grand Orient Lusitano - Portuguese Freemasonry, said that Socrates decided to replace by Correia de Campos, at the Health, in response to "an unsustainable national outcry against the measures sector.

Ana Jorge, the new Health Minister chosen by the Prime Minister, "must now return to the humanist philosophy" of the SNS and "revoke some of the positions taken" by Correia de Campos, called.

RTP / Lusa

221) Oral health: new national program in place this month

The Order of Doctors Dentists (OMD) it is confident that by the end of January, will be put in place new measures of the National Health. A term that the Directorate General of Health prefers not subscribe.

In statements to the TSF, the president of the Association of Medical Dental, Orlando Monteiro da Silva, revealed that, "waiting is the order of the Minister of Health, which is essential to put in motion, in legal terms, this program, what should happen, in a quite realistic, at the end of January. This term is not, however, subscribed for by the oral health of the Directorate General of Health (DGS), Rui draft, which says, in statements to the TSF, do not dare "to give any time limit at this time. What I can say is that there are explicit orders to speed up this process possible.

The officer also revealed that by the end of the week, the time may be defined for the entry into force of a program announced some two months by the Prime Minister in Parliament, as main beneficiaries and that the elderly, pregnant women and children.

Portugal Diário

220) The role of the LBV (Legion of Good Will) in community health (I)

Community involvement: giving without receiving

It was on 31 August, the International Day of Solidarity. Considered one of the fundamental values for human relations in this century, within the medical community dentistry it appears there. Good examples are there.

Mary (fictitious name) runs through the courtyard of one of the centers in support of the Legion of Good Will (LBV), in Porto, with more than two dozen friends. Try not to be caught by the 'bugs' that can hurt the teeth. Run, jink and cries of some wild game, as you escape from colleagues who try to catch.

"The game of the bacteria is one of the activities organized by volunteers of the" Happy Smile ", which runs the Port institutions, promoting hygiene and oral health. With just over six years, Mary still does not understand very well what is the purpose of all this apparatus. "My mom says I have milk teeth and do not need to wash, because sooner or later, will fall. This is an example of the community intervention is so important.

Portugal has high levels of dental caries among young people, to the 'lack of a prevention policy by the authorities that over the years have forwarded the idea of the dentist as curator of a disease and not as preventive. Assertion Cassiano Scapini, dentist who invests part of his time in volunteering.

"We can not be hostage to office. We must, rather, take our commitments to the community ', argues with conviction. "In the twenty-first century is no longer felt to think, only in dental rehabilitation. Our role is increasingly inform and accompany the client to avoid the appearance of diseases' states. The professional not conceive its function without devoting several hours of the day the 'social work'. Because, only then, he believes, can change the landscape of oral health in Portugal that believes, is "catastrophic." However, suggests, "to put the question should be: what role in society in the dentist?

LBV - Legião da Boa Vontade

219) Healthy mouth starts the 2008 campaign

Health Directorate of the Municipality of Colón (Argentina), through the Service Center of Preventive Dentistry and in conjunction with Maternal and Child Dental Columbus Circle, reported the continuation of the oral license to "Healthy Mouth," from the implemented 2000 for all schools in the Columbus game ... This program will be implemented only to students in 1st, 3rd, 5th, 7th and 9th of EGB.

Like the previous year, the student will concur to the dentist of their choice (private or hospital), who find the mouth in terms of good oral health grant a certificate of good oral statement, which will be changed in the Preventive Center Materno Kids (CPMI) for an official certificate with seal legitimized hospital. Otherwise, the student must receive dental treatment until discharge, given by the professional acting.

All procedures and consultations are treated in the CPMI (calle 51 e / 10 and 11). Hours of operation are Monday through Friday from 07 to 12 hours and start date is February 11, 2008.

Colon Doce

* * *

An example (Argentina) where it is compulsory for children and young people have an official certificate of oral health. The attention of the Minister of Education and Minister of Health.

Gerofil

218) Barcelos: Health Center awaiting green light from the Government to proceed with consultations in oral health

The population of Barcelos will have to continue to wait to have consultations in the oral health of local health centers. The idea advanced by the Director of Health of Barcelos in September last year, has not left the paper. Manuel Vilas Boas believes, however, that 2008 will be a year of progress in this area.

The Director of Health Center of Barcelos assured the Voice of Minho which has knowledge of the intention to make available to the population of these consultations dentistry, but admitted that now lack the "green light" by the Ministry of Health "The level of the sub-region of Health of Braga has been spoken and ventilated the arrival here of consultations in oral health and it is not out of choice. 2008 will be the key year for this because the Ministry of Health entered this year in two areas: the fight against obesity and oral health, therefore, believe that 2008 will be a year of progress in this area, "stressed the controller.

Manuel Vilas Boas believes that the creation of a consultation of oral and dental health would be beneficial for the population and the Ministry of Health itself, because through this agreement with CESPU - a private education and health services - the Health Center would only, which pay for teachers of dentists. "We pass the area, a private institution mounts all the equipment and consumables, we would have to pay only a few hours per month to teachers of dentists who are here," informed, adding that users of the National Health Service who had access to that consultation "pay only a moderate rate equal to a normal consultation with general practitioners."

However, the population of Barcelos will have to continue to await the decision of Correia de Campos and will also have to continue to use the private sector dentists to treat their mouths.

Jornal Regional

217) Visual screening for about three thousand children of Albufeira

The Municipality of Albufeira is promoting, this year, the visual screening of children pre-school and 1st cycle of basic education of the county. The measure is included in the Plan of Activities for Health Promotion in schools, implemented by the municipality. To promote a healthy development and good school performance of children.

In January and February will be tracked children from garden-of-childhood, and the second stage, the first cycle of basic education, a total of 2,494 children. This is an action in partnership with the optical, making the technicians of Optometry, and the spaces where the surveys are conducted.
Região Sul
* * *

Another initiative for child health, in this case in the school environment. But as important as vision, also the oral health of children is fundamental to their well-being and personal development. So call the City of Albufeira that incorporates the strength of oral health in the health promotion program in the school environment.

Gerofil

216) The role of the LBV (Legion of Good Will) in community health (II)

Cassiano Scapino, medical

Coming from Brazil 18 years ago, eventually install urn office in Porto, but it never arrived. Staunch advocate of a different position within the class to which it belongs, believes that the medical profession of dentistry is dedicated to the 'monitoring' and not for the 'treatment' of oral diseases. "It is important to be beside the children, always involving the family, because it is often necessary to explain to parents some concepts of oral health to ignore. 'Boot teeth has always been regarded as inevitable in the minds of older people.

Cassiano Scapin summarizes thus a sentence, the importance it gives to the work you do as a volunteer in various activities that have participated in 'volunteering is a good thermometer to change the emotions of the trader. As it is inserted in that context, will feel different too. Believe therefore that change is essential and urgent: "if we have so many needs, knowledge is the best weapon to change the current scenario. Thus, argues, the transformation must occur within the class should not fear a new philosophy of work, because the dentist will always exist, just with a different attitude: "not to treat but to prevent '.

LBV - Legião da Boa Vontade

215) Kissing can cause caries

It would be exaggeration to call caries of "disease" and said it is "contagious." According to the dentist Marcelo Rezende, director of Smiling Dental Care, not all bacteria found in the mouth are responsible for caries, which is an injury. But a person infected with the bacteria of decay can house thousands of other microbes in the mouth. Therefore, all hygiene is poor and kiss may be the primary means of disease transmission.

"Certainly, some care basic hygiene can prevent health complications, including gingivitis, herpes and mononucleosis - known as a 'disease of the kiss,'" says Rezende. "The bacteria that causes cavities, called Streptococcus mutans, can also be transmitted to divide the food using the same cutlery," warns Laurence R. Rifkin, dentist from California.

The bacterium is usually in the dental plaque of infected people. A simple saliva test can detect the bacteria and determine whether the person is at risk of developing cavities. "A toothbrush, the use of dental floss and other oral hygiene are essential to reduce the amount of bacteria that adhere to surfaces of the teeth," says Rifkin. Application of fluoride in the office is also a powerful weapon.

Among the people most at risk of developing caries are cavities that were in the previous twelve months, the diabetic, the hypertensive patients, those with a lower flow of saliva and those whose immune system is deficient.

The dental surgeon warns that babies are also major risk of contamination. Rezende says maternal habits, such as the pap show the baby with the same spoon to serve with the meal is one of the most common mistakes. "A mere teaspoon contaminated by a person infected by the bacteria of decay can house thousands of microbes. If we can keep a child without contact with the bacteria of decay until she completed nine years, the chances of ever having a cavity in life are 90%, "says the specialist.

Maracaja News

214) 10 reasons to go (regularly) to the dentist

Prevent - Through the examination of clinical and professional guidelines is easier to prevent caries, periodontal diseases, thus avoiding future problems in care of the teeth and expenses on long treatments. A regular check up it that the problems are accumulating;

Keep teeth clean and clear - Even with a good cleaning done with brushing teeth and tongue, the use of dental floss, anti-septic mouth and tongue brush, to ensure the non-formation of plaque in caries, a visit to the dentist is vital to answer your question and see if doing all the procedures accurate. Already there are many different techniques to lighten the stains in the teeth. Your dentist will perform the treatment indicated for you. Are techniques that range from raspagens and polishing by the use of laser;

Lose the fear - Dentist is no longer synonymous with pain. Today, the dental treatment is very effective, fast and painless with the technology available in the clinics;

Not having toothache - The best solution for the toothache is prevention. Periodic visits to the dentist, even without the presence of any symptom, can detect the problem early, ensuring the success of treatment;

Avoid the bad breath - A large percentage of the causes of bad breath is mouth. Brush your teeth and tongue is essential to maintain good breath. Visit the dentist twice a year can avoid unpleasant situation;

Prevent cancer of the mouth - Regular examinations help to identify small lesions that if untreated, may develop into some form of cancer;

Maintain the health of the body - A mouth and carefully reflect on the health of the entire body. A bad chewing or even a bite from wrong can cause a headache to stomach problems;

Prevent heart disease - Almost nobody knows, but some bacteria present in the oral environment can attack the heart. Bacterial endocarditis, a type of cardiac problem due to infectious processes, can originate in the oral cavity and cause the proliferation of harmful bacteria to the body;

Regain or maintain their self-esteem - Maintaining a healthy smile and smooth is a good way for you to be okay with it. Like most of your appearance, you'll be safer to face life;

Knowledge of news - Today in all media leaving many reports on the new dental technologies, some serious and others are proven a little more than a marketing move, so it is important to have a person with knowledge in the area and in whom you trust to get all your questions.

Itu.com.br

213) ESPINHO: City is a reference to oral health

With more than 20 minutes late, Joaquim Barbosa, director of Health Center of Espinho, initiated the presentation of the Oral Health Program for the academic year 2007/2008. The director began by talking about the major changes in health in recent times and the satisfactory results of the Oral Health program since its inception, adding that the major objective of this program is the fulfillment of national and European targets.

The Oral Health program involves several entities of the municipality of Espinho, including the Health Center, the Lions Club, the various municipalities in Espinho, several private dentists, schools of the county and the School of Dental Medicine, University of Porto.

The Oral Health program includes three major phases: the cleaning, screening and treatment. In the cleaning phase, the objective is, according to the coordinator of the program, Margarida Albuquerque, "teach children to wash their teeth properly," offering them further, and brush folder. At this stage of cleaning is still frequent sessions are organized for clarification wishing involve "not only students but also teachers and parents."

This year the program includes screening and treatment of three types of problems related to oral health in children of pre-primary, first and second cycle. Among the diseases screened include the caries, the dental fluorosis and periodontal disease or periodontitis. The last, but perhaps the most important phase of the program is the treatment, carried out since 2001. Last year, the Oral Health program dealt with 336 children and 16 other state aid and with the benefit of the municipality.

Margarida Albuquerque made clear that "in general terms, the work is good" and sees it when I found that "children of Espinho, in comparison with the rest of the country are much better. The dream of 18 years ago is worth it. " Since 2001, the Oral Health covers the children of the 2nd cycle, and since 2004 the pre-school because the program initially included only the students of first cycle. The values of the Oral Health Program in 2007 are, according to the coordinator of the project, "very satisfactory".

Over the years, the value of CPO, the index of dental caries, has declined. So, in the second cycle, is 1.3 percent, while the national average is around 2.95 percent. For 2020, the European target is to achieve a rate of less than a CPO. However, Espinho is not far away that goal and still 13 years to get there.

In European terms, Espinho is also well placed at the level of oral health, because the target set in Europe in 2007 proposed that only 50 percent of children entering school with dental caries. Espinho is very near that amount, with caries detected in 54% of the pre-primary.

The discrepancy between the values obtained in the town of Espinho and the rest of the country is again evident when discussing the level of caries in the first cycle. While the program of Oral Health espinhense CPO recorded a rate of 0.7 per cent of the permanent dentition, the national figure is between 2 and 3 percent.

As the screening of fluorosis and periodontal diseases, there is no national or European studies with which to compare the values of Espinho. However, the values of fluorosis suggests that in pre-primary, five percent of children have problems of excess fluoride in the first round six per cent in the second cycle and 28 per cent. Already the periodontal diseases such as gingivitis and plaque, have a total of 28 percent of all children screened.

The first step in the birth of the Oral Health Program has been in the early 90s when Dulce Santos was invited to present a lecture at the Golf Beach Hotel in Espinho, in the context of dentistry. The idea that Dulce Santos had long ago was promoting a program of oral health to children. At the time, according to former secretary of the Portuguese Association of Oral Health, "a series of happy circumstances created an environment for the continued involvement of the program of oral health." There was, first, "an educational interest," but to achieve them, Dulce Santos adds, was "required the collaboration of all entities."

The demand was increasing and the "results were always better." Margarida Albuquerque agrees that the program is now very well organized and to ensure its proper functioning, "the work can not be done without the cooperation of everyone." The coordinator of the program believes that the greater involvement of parents was essential because often the teachers, "who are more interested in the fund, not exploit the opportunity provided by the program" and it lacks many of the consultations scheduled times for children, not thus continue the screening and the treatments themselves.

Jornal Regional

212) Parents know that dental loss drugs can cause

Research shows that most of those responsible does not make oral hygiene in their children after the use of drugs and can not establish a clear relation of cause and effect exists in this association. Many liquid pediatric medicines have sugar in its composition in order to mask the unpleasant taste of some active ingredients. The pleasant taste, however, just hiding the damage that these drugs can cause to the oral health of children, as their frequent intake can cause cavities.

Taking into account that parents act as responsible for the administration and care related to the use of children's medicines, Beatriz Neves team and the Federal University of Rio de Janeiro determined to assess the perceptions and attitudes of leaders on the cariogenic and erosive potential of liquid medications for children. Interviews were carried out on the association of drug use in children with dental caries and erosion, and the care with oral hygiene after ingestion. According to article published in the edition of September / October 2007 the journal Science & Public Health, "in general, those unaware of sugar added to many foods and drinks, including children's liquid medicines, and when recognized the existence of sugar, not identify the type used to sweeten the pediatric formulations, and even its concentration, facts that can induce behaviors that contribute to the development of caries disease."

(...)

According to the researchers, "despite the drugs responsible deem sweet and relate your use of the presence of caries and defects in tooth structure, most of these does not perform oral hygiene on their children after the use of these drugs and do not establish clearly the relationship of cause and effect exists in this association. " Thus, experts warn of the importance of health professionals advise those responsible for the presence of sugar and low pH of these formulations child, taking into account the need to manage them during meals and preferably before the child sleep, and should be followed for proper cleaning of the oral cavity.

"Whereas the disease is likely to caries prevention, the pediatricians are in ideal conditions and to alert parents and guardians to provide information and guidance on the risks of continued use of sugar products and the development of dental caries, when no adequate posterior oral hygiene, stress in the article.

Última Hora News

211) The role of the LBV (Legion of Good Will) in community health (III)

Educating for change

It is a question that may pose a few themselves. The Medical Care International (AMI), for example, has only register a Stomatologist doctor who has participated in campaigns, volunteering within that body and the association "Doctors of the World" does not even have names in the professional spectrum.

Still, there are various activities to which dozens of doctors dentists eventually join. Only that this is a reality that there is often. The National Health System (SNS in Portuguese) to not include this class, requires that the dentist is forced to operate in the private sector, and so, or he is in office or not income to live, "explains Jacinto Durães. The manager of the Oral Health Clinic, the University Fernando Pessoa, acknowledges that "in general, the voluntary culture is weak, compared to what happens abroad. And by the solidarity among peers does not seem to exist. "Many thought we would be competitors' secret, for criticism he received after launching the project coordinator.

Cassiano Scapin explains that this attitude within the class is created once in the Faculty. "The education in Portugal is based on a philosophy that is not based on prevention. Scientifically, it is known that the curative care does not result in an improvement of needs. Only prevention. And, this being a public health issue, you must change the education. Perhaps, then, have more professionals to participate in projects of social, believes the Brazilian, living in Portugal for 18 years. The University must be open to the community ', summarizes. While recognizing the importance of volunteering, Cassiano Scapin believes that the discussion is much more profound. We have to draw to within the community, these issues have to do with how the faculty teach. While it does not, continue to have, only, pioneering initiatives.

LBV - Legião da Boa Vontade

210) Oral health in the Budget 2008 but far from the needs

The oral health came first priority as assumed by the Government in the report of the state budget for 2008 (OE2008) but still falls short of proposals made by the working group appointed by Correia de Campos to prepare the way of a policy for the sector . In a country without public provision of dental and where about half the population has no access to it for obvious lack of purchasing power, the inclusion of the topic in the budget is perceived as positive by the Order of Doctors Dentists (OMD). The report of OE2008 limited to advance the oral health as "priority area, particularly focused on preventing disease so that some segments of the population, particularly children, pregnant and elderly people with low incomes, have healthy teeth."

Certain is that this brief statement of intent not abides all the recommendations of the working group, which Correia de Campos has on his desk since June. Experts suggest the provision of care to more groups, including diabetics.

Jornal de Notícias

209) The importance of fluoride

The ideal age to start the applications of topical fluoride is around two and a half years to three years, when the child is completing the deciduous dentition. Such application must be performed by pediatric dentists.

Parents of children know that a beautiful teeth is essential for living in society. Fluorine is one of the major actors in the reduction of dental caries which is an infectious disease associated with other methods of prevention, such as a balanced diet, brushing to the thong, application of sealant, and very important to water fluoride.

The preventive effect of fluoride is not only caries in children, but also in adults. The carious lesions can be halted by the local application of fluoride, and increase the tendency for remineralization of initial caries. The fluoride strengthens the enamel and dentin, reducing their solubility in acid medium, decrease the ability to adhere to teeth by microorganisms, and have antimicrobial effect, reducing the ability of plaque to produce acid.

Agora MS

208) Intervention of the Minister of Health in the closing session of the XVI Congress of Dentists Doctors in Lisbon

Intervention of the Minister of Health in the closing session

of the XVI Congress of Dentists Doctors in Lisbon (23-11-2007)

* * *

President of the Order of Doctors Dentist, Orlando Monteiro da Silva, President of the Scientific Committee, António Felino, Chairman of the Organizing Committee, Marcus Veiga, honorable Congressmen:

It is with great honor and pleasure to participate in the closing session of the XVI Congress of the Order of Doctors and Dentists in the signing of the Protocol of Cooperation between the Ministry of Health and Medical Association of Dentists in the Congress Center of Lisbon. This is the main scientific and social event of Dental Medicine and a major medical events held in Portugal, with the presence of professionals and students and is a meeting point between the doctors and dentists foreign Portuguese.

The main lines of action of health policy defined in the program of the XVII Constitutional Government is the reform of primary health care, the reform of continuing care for the elderly and strengthening the sustainability of the SNS (National Health Service). Policies are based on health promotion and disease prevention but also based on proximity between the doctor and the citizen and improving the accessibility to health care.

Dentists, as regards the development of the National Oral Health Promotion, in the projects' Oral Health in Pregnant "and" Oral Health in Older People ', while the collaboration with the Oral Health of Children. On November 6, during the presentation of the State Budget for 2008 to Parliament, the Government announced new targets and new target groups in the area of Oral Health. They fall into a broader objective, the National Program for the Promotion of Oral Health, which I will announce:

The first objective of the National Program for Promotion of Oral Health is to expand access to priority groups and vulnerable to dental care, particularly children, pregnant women and the elderly with low incomes. Increasing access to all these groups is our first objective.

The second objective of the National Program for Promotion of Oral Health is to reduce the incidence and prevalence of oral diseases in these target groups (children, pregnant women and elderly) to knowledge and behaviors related to oral health are internalized early and progressively made over the life cycle. As regards children, the National Program for the Promotion of Oral Health in force, although now cover 60 000 children and youth, is inappropriate. We will review and restructure by the end of 2008, which is on the ground and assess the medical-dental contracted to children, to ensure equitable provision of oral health care based on simplified procedures and aimed at meeting of health needs, ensuring the best access to services and the gradual expansion to 80 000 children and young people.

Pregnant women represent a population group to warrant the attention of health professionals, as the hormonal changes characteristic of this period increases the frequency of periodontal diseases, which in turn, adversely affect oral hygiene practices and encourage the increased incidence and severity of dental caries. The program aims to cover 65 000 pregnant women.

Finally, with regard to the elderly, the aging process also contributes to a greater occurrence of oral health, including loss of dental pieces, creating a greater need for dental care. The program will cover up to an initial total of 90,000 elderly people with lower incomes (under 360 euros).

The National Program for the Promotion of Oral Health seeks to attain its objectives through contracting. The program builds on the implementation of a set of promotion, prevention and treatment of oral diseases, through simplified contracting these services, the evaluation has shown gains for the health of the population.

For children, the maximum value of services contracts per child treated, the age group of 3 to 16 years of age will be 75 euros. With regard to pregnant women was defined as the maximum contract for consultation and treatment is 120 euros, and three-dental checks.

As for the elderly, the government participates financially in 75% of the acquisition and repair of removable dental prostheses, up to 250 euros for the elderly beneficiaries of the solidarity supplement and are users of the National Health Service for these users are now to be covered charges for medical consultations for the implementation of prostheses and their subsequent refinements. The maximum value of consultations and treatments contracted for the elderly will be 80 euro to two-dentist checks a year.

In Portugal, according to the National Study of Prevalence of Dental Caries schooling in the Population (2000), presents the dental caries in children and youth an index of moderate severity, ie the number of teeth decayed, missing and filled (DMFT ) per child under 12 years of age is 2.95 and the percentage of children free of dental caries at 6 years is 33%. Another study by the World Health Organization (1999) presents the average values of teeth decayed, missing and filled per child of 1.5, with pronounced deviations between groups of different socioeconomic levels.

Although the figures have been steadily improving, these data reinforce the need to maintain the investment in this area, if we want to contribute to reducing inequalities in health. The European strategy and the targets for oral health, the WHO (World Health Organization), pointed out that in the year 2020 at least 80% (and we are only at 51%) of children under 6 years are free of caries, and to 12 years, the number of teeth decayed, missing and filled does not exceed the value of 1.5.

The strategy of the National Oral Health for 2008, with the curative aspects for the treatment of caries, it will be decisive for the resolution of dental problems that affect children and young people, pregnant women and elderly people. The Directorate General of Health, with support from WHO and the Order of Doctors Dentists will continue to study the prevalence of oral diseases to assess the prevalence of dental caries, the dental fluorosis and periodontal disease at 6, 12 and 15 years .

It is important to systematically evaluate the situation in Portugal in terms of behavior, in terms of habits of oral hygiene and nutrition. But not enough. A good program of dental health, in addition to substantially reduce the burden of dental disease to tens of thousands of children, pregnant women and elderly, has another goal whose importance should be highlighted: the reduction of social inequalities in oral health.

That this protocol will be signed today is a good agreement and a basis for future relationship between the Order of Dentists Doctors, dentists and doctors and the Ministry of Health The Government feels delighted to be able to contribute with this simplified protocol, based on trust and unbureaucratic between agents and providers, in order to respond promptly and effectively to citizens' needs and to help ensure the promotion of oral health and prevention of oral diseases through the National Health Service.

We want to be a method of easy access, free membership, with capacity utilization. In competitions for the purpose of the contract may apply for through an electronic form, the stomatologists doctors and dentists registered in their respective professional bodies, to engage in clinical or consulting licensed or have conditions of hygiene and health and safety properly supported for the year activity. The list of member physicians is available on the websites of the Ministry of Health (Health Portal) and the Regional Health Administrations (ARS) to facilitate access and choice for regional users. The bill also follow a simple procedure through the validation of check-dentist, who will be sent by the doctor attached to the ARS, with the necessary information, registered in the system.

The effort we made in fiscal responsibility to ensure the sustainability of the SNS now allows us to launch this program without jeopardizing the quality of healthcare. The National Program for the Promotion of Oral Health for 2008 is an innovative proposal of the SNS, delivering good accounts without jeopardizing the quality of healthcare. We have it in place during the first quarter of next year. Thanks to efficient management and strict, which is essential to the sustainability of the SNS, we will help increase public confidence in the National Health Service (SNS).

The role of the Order of Doctors Dentists credibility is key to the technical guidelines, ethics and professional ethics validation data of users covered by the program. But also improving the oral health of children, pregnant women and the elderly is the disclosure of the program in the community for greater involvement of parents, the local authority and the institutional partners that can support the promotion and prevention of oral health. Thank you already concedesteis support for this initiative, which falls in line with the pre-existing good cooperation.

We are committed to improving, so sustained, the oral health of the Portuguese, maintaining a health system more efficient, fairer, more flexible and targeted to the individual.

Portal do Governo

207) Doubts ...

Question: Good afternoon, by chance you know me say at the time of today left some information that the ministry prohibits the use of tooth brushes in the gardens of childhood for risk of contamination (exchange brushes)?

Answer: Hello, I am not aware of that fact. I suggest you consult the National Program for the Promotion of Oral Health, typing here.

206) Health: Dentists want oral health program extended to more than 400 thousand children

The Order of Dentists Doctors maintains that the program of oral health should cover between 400 and 500 thousand children, but the government provides only reach 80 thousand, which represents only a fifth of the desired. In statements to the agency Lusa in respect of the Doctors Dental Congress that begins Thursday in Lisbon, President Orlando Monteiro da Silva praised the measures recently announced by the Executive to promote the oral health of Portuguese, but requested an extension of the universe of people covered.

The measures were announced earlier this month by the Prime Minister that the Assembly of the Republic reported that "for the first time ever, the National Health Service would include a National Oral Health", which include children, elderly and pregnant.

Regarding children between seven and 12 years, there is now a program, which covers 60 thousand children and that the Government will extend to other 20 thousand. The program consists of three phases: oral health education (which teaches techniques, including brushing the teeth), caries prevention and intervention of medical and dental. This last phase provides medical consultations in two dentists, for which the State paid 75 euros.

"This program should be extended to cover between 400 and 500 thousand children," said the chairman of the Medical Association of Dentists, which also ask the Congress for the Minister of Health to increase the other of the population to support queries for oral health. Besides the children, the new measures go to the elderly and pregnant.

About 90 thousand seniors will benefit from two dental checks per year, while in the case of pregnant, the doctor of the family health center, to identify the pregnancy, in issuing a computer to check that the woman make a dental screening and two for any treatment throughout pregnancy. Dental checks, which can be used in private clinics, will be distributed to 65 thousand pregnant women followed up in health centers.

On Friday, during the Congress of Medical Dental, the Health Minister Correia de Campos, should sign a protocol with the Order to establish these programs. At the same time should be known the amounts allocated to these checks, which have not yet been announced.

RTP

205) About a thousand children integrate hygiene program free

The Leandra and Matilde, for only three years old, sat up today, in Matosinhos, for the first time in the dentist chair to "kill the worms" that insisted on them toothlet go, despite the practice of oral hygiene to maintain said. "I have three bugs in the teeth, because as sweet, but very few," said the small Leandra when questioned about the reason for your visit to the dentist. Sitting next to friend Matilde, quietly watching the consultation of colleagues, while waiting his turn.

Leandra, which ensured clean their teeth in school and at home, with "the help of the mother" was one of five children who today inaugurated a program of monitoring health and oral hygiene, promoted by a private clinic in collaboration with the Board of Town of Matosinhos. The initiative involves a total of about a thousand children from kindergartens and schools of the first cycle, public and private, the town of Matosinhos.

And so was also the first time, Andrew, five years, went to the dentist to try to solve a problem we already knew existed. According to the mother, the doctor advised the family had gone to the dentist, having detected cavities in the teeth of the child - and it was confirmed today - but "the query by the box took a year." "In my heart there is no health dentist, had to go to Leça," said Soares Sónia. Given this difficulty, and decided to take the opportunity to join this initiative, which it considers "a miracle" to whom, as she has no economic means.

This program offers free knowledge of oral health and prevention of consultations up to 12 years of age. From Monday to Wednesday five children will be assisted by medical dental clinic in the City Park, located in Matosinhos. Among other methods of evaluation will be assessed the risk of caries, index and control of bacterial plaque, teachings of brushing and feeding, oral hygiene and fluoride application.

In statements to Lusa, the clinical director of that unit of health, José Maria Corte-Real, who explained that this initiative aims to act as a complement to the program that the Government will develop. The Ministry of Health provides a bet on the enlargement of the oral health program for children between six and 12 years, moving from the current 66 thousand to 80 thousand covered.

According to the Ministry of Health, about 50 percent of Portuguese children suffer from tooth decay. Is data that José Maria Corte-Real knows and feels concern, why decided to move forward the initiative that has no cost, in addition to transport, to the families. "If children are not lacking when summoned and if they meet the program assure that in the nine years, 95 percent of this group is free of cavities," he said.

Children will be divided into levels, depending on the seriousness of the situation. There the group Middle, High and Low risk and frequency of consultations depends on the group to which they belong. José Maria Corte-Real pointed out, however, it is the prevention consultations. "All cases that require treatment are referred to their health centers to be included in the program determined that the State", he stressed.

RTP

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An example that should get all the municipalities in the country.

Gerofil

204) The importance of breastfeeding

Breastfeeding contributes to the biological and emotional health of both the mother as the child. Human milk is a complete food due to the unique combination of proteins, carbohydrates, minerals, vitamins and living cells, whose nutritional benefits, immunological, psychological and economic well-recognized and are unquestionable.

Most of the scientific literature says that the introduction of a pacifier is a major cause of early weaning, acting negatively on the dental occlusion, soft and hard structures of the stomatognathic system, finally, health and particularly in the lives of children. Breastfeeding is identified as an important factor in development, allowing optimum performance of the muscles, stimulating the functions of breathing and swallowing. It is true that the use of pacifiers can cause deviation in the growth of the jaw, causing malocclusion.

Última Instância

203) The role of the LBV (Legion of Good Will) in community health (IV)

Is difficult to give

It is case of 'the World Smile ", which already includes more than 240 doctors dentists Portuguese that' of his own pocket, participate in initiatives that support and promote the oral health abroad. "We exist for two years and we have no capacity to accommodate all the entries, so we alternated the volunteers," explains Manuel Fontes de Carvalho, president of Dental Association Lusófona (ADL) and also chairman of the Bureau of the Assembly of the World a Smile " . But that has begun contacts with other Portuguese speaking countries to lead it to believe it was possible to have more. "It is a market we have, 'said.

These, too, are other times. Recently, in an interview to 'Radio Renaissance', Fernando Nobre, president of AMI, confirmed that "be supportive and get volunteers in this new century, it is increasingly difficult. After 22 years ahead of the institution, the doctor notes that "this company is very neo-liberal, that bet, especially in social strata.

When working with altruistic motives, stamp it into a charge, but also the obstacles that sometimes seem to be ridiculous. "At the time was president of the Association of Medical Dental, I was in Mozambique on official visit, and after that I found really poor, I decided to help. But the material that could never meet in Portugal from a lack of organization on their part. It is not the only one to complain. "I find the very barriers in municipalities where they wanted to lead the Clinic ', recalls Durães Jacinto, without disclosing specific cases. "It takes great determination and, when it seems quite patience. "Every year, thousands of letters sent to companies and institutions to ask for any contribution that we get and the answer is almost always negative.

LBV - Legião da Boa Vontade

202) For pregnant women and elderly: Government is going to 'check-dentist "

The Minister of Health announced today that it will be distributed "checks-dentist 'in program of oral health for pregnant women and elderly. But not proved its value by not yet negotiated with the Order of Doctors Dentists (OMD). In total, according to the calculations of the Minister Correia de Campos for the next year, the Executive provides funds to improve the oral health program from six million to 21 million euro, or the "checks-dentist 'is used in clinical private.

The announcement of the extension of the care of National Health Service (NHS), which will for the first time a national oral health, was announced by the Prime Minister, José Sócrates, at the opening of the conference of the state budget of 2008, Parliament and later explained in a press conference by Correia de Campos. The announcement of the extension of the care of National Health Service (NHS), which will for the first time a national oral health, was announced by the Prime Minister, José Sócrates, at the opening of the conference of the state budget of 2008, Parliament and later explained in a press conference by Correia de Campos.

Questioned by journalists, the governor said it is impossible to move forward with the values of the check-dentist "by not yet completed" discussions "with the OMD. The Minister of Health explained that the approximately 65 thousand pregnant women with pregnancy together in health centers will receive a total of three 'check-dentist.

The elderly with the Solidarity Supplement may receive two "check-dentist" to be used in treatments and dentures. Moreover, the minister stressed that the government will invest 42 million in programs of health care for the three risk groups, children, pregnant and elderly-and that is only possible on the government "was able to put the public accounts in order '.

"For the first time ever, the National Health Service will include a National Oral Health. In three parts: will be extended to all children 6 to 12 years after intervention for the prevention of dental caries, conducted in schools shall be provided coverage of 65 thousand pregnant, will be increased support for the elderly beneficiaries of the Solidarity Supplement application of prostheses 'said the Prime Minister, José Sócrates, at the opening speech, the first day of the conference of the state budget in 2008 in the Assembly of the Republic.

Agência Financeira

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Finally see a happy story. We are waiting for the government promises to move from concrete acts.

Gerofil

201) Oral Health Program in Funchal starts this year and covers 3774 children: Twenty thousand prevent cavities

The Oral Health Program - the responsibility of the Regional Secretariat for Social Affairs - will cover, from this year, the county of Funchal, the only municipality that was not covered by the initiative. Three thousand and 774 students from 183 classes from pre-school that will be, from now on, use of dental care. The first phase, already started in October, will cover only the pre-school but the intention is to then lead the project to the first cycle. These data were made available to the Jornal da Madeira, the Regional Secretariat for Social Affairs.

The regional secretary, Francisco Jardim Ramos stressed the importance of this program that will cover about 20 thousand students from all districts of Madeira. Stressed the importance of prevention in order to prevent future adults will need to place stents or other treatments that do end up leaving more expensive. Whereas this is a successful program in the region, the holder of the portfolio of Social Affairs also highlighted the cooperation provided by some doctors dentists Madeira to make it possible to have a greater involvement on the part of families, schools and students.

According to data provided by the regional secretary for Social Affairs, in the academic year 2006/2007, 12 thousand and 141 were covered. For counties in Calheta, the oral health program reached 959 students. Already in Ponta do Sol, 833 have been initiated in a total of 9 schools. In Ribeira Brava in Machico, 1225 and 1823, respectively, received care in dentistry. In Santa Cruz, were 2603, children who have had the program. Already in Santana, 571 children showed the mouth of the dental program, and 449 in San Vicente. In Porto Moniz, were 203, the children covered in Porto Santo, 408 and Câmara de Lobos, 3067.

In June this year, the opening of the X Week Smiling, the newly installed regional secretary for Social Affairs outlined a goal in 2010 as part of the Oral Health. Francisco Jardim Ramos set to that date, 50 percent of children of pre-primary and basic, should be free of dental caries. At the time, the chairman of the regional delegation of the Order of Doctors Dentists and member of the group of specialists that integrates the program of Oral Health of Madeira admitted that this proposal can be achieved by the regional secretary for Social Affairs.

Gil Alves also noted the importance of starting as soon as possible, with the program of oral health in the municipality of Funchal, the only city that was and where the program was not moved earlier due to lack of manpower. Gil Alves is now realized this desire.

Jornal da Madeira

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For some reason it seems that oral health programs for work in wood, the same can not be said on the mainland. Having as main activity linked to school education, never saw the school where I (Portugal Continental) any oral health initiative. Is it to ask how they are spending five million euros annually in programs for oral health in mainland Portugal?

Gerofil

200) National Health System among the worst in Europe

Portugal was in 19th place on an analysis of the health care system more consumer friendly from 29 European countries, according to results released by the European Index of Consumer Health Services. Portugal gets poor results in the waiting time in various public services, in heart attack mortality in operations for cataract and dental care in the public system.

The report notes that the Portuguese health system "is not as advanced as that of Spain, but the positive values on infant mortality.

Every year, the Health Consumer Powerhouse classifies national health systems based on five areas: information and rights of patients, waiting times, outcomes of care, 'generosity' of the system and access to medication. The results of the report of this organization meet the views expressed by the Destak Santos Cardoso,'s Movement for Users of Health Services: "the waiting lists are among the main problems, a real shame."

The Ministry of Health made it clear that it agrees with the diagnosis of the study and who is dealing with solutions.

Ranking of European health systems: the 1st of Austria (806 points) 2. Netherlands (794). 3 France (786) 4th of Switzerland (770). 5 Germany (767) ... . 19 Portugal (570) ... 25th of Romania (508) 26th of Lithuania (496) 27th of Poland (447) 28th of Bulgaria (445) 29th of Latvia (435).

Comments:

-What is regrettable in Portugal (I'm in France) is the price that it costs a consultation with a doctor, my wife on vacation in a crippled foot slipped and broke a nail, we went to a nursing center in cost EUR 60 between the dressing and a compulsory passage because the doctor refused to do the healing without seeing the doctor. France had a severe burn in one hand was the center of the nursing consultation in the medical dressing and cost 30 Euros, not to mention the fact that even the 30 euros will be reimbursed by social security.

What I find shameful is that Portugal is not repay, because the hospital would be cheaper, the problem is that a doctor in Portugal takes over the double for a consultation in France. Although expensive I know that some swindlers are poorly educated and therefore do everything for all to benefit the people of the state health system and make people do analysis and testing in private, because forgetting to tell certain people that they are priority in certain cases and not have to wait, but not clear whether to send their friends do not receive commissions.

-We all know that many professionals in excellent health. But unfortunately we also know that some who need to be "empty" and in the case ask them to change jobs. The quotation attributed to our country shames us. But it is to this sad reality is encabrite corporate and yell that we have the best health system in the world. Of course, with that blindness never improve the system.

What is that worth in too many health professionals who do not take down the arms and do everything to provide the community of health care excellence. The reason is that our public recognition!

Destak

199) Study on Oral Health - Children of Terceira island with gingival problems

The Third Island presents the highest regional gingival problems in children aged 12 years, shows a regional study on the prevalence of oral diseases in the school population. About fifty percent of the children studied, on the island, have periodontal problems (gingival).

This problem is mainly due to lack of care or poor oral brushing of teeth, said the coordinator of the study, to our newspaper. Viveiros Ricardo Cabral, the coordinator of the Program for Promotion of Oral Health of the Azores, ensures that this difficulty will be overcome with intensive work in promoting oral hygiene among children of school age. Indicators of scientific comparison between regions - the index of dental caries in children of 12 years and the percentage of children free of caries in mixed dentition (6 years) - show that the region is changing very rapidly in terms of oral health.

The specialist in dental medicine ensures that the region in five years (2000 to 2005) showed "considerable gains in health", noting a substantial reduction in the prevalence of dental caries, with a decrease in the DMF index (decayed, missing and filled) of 4.5 (affected teeth) to 2.1. "While still far from the targets set by WHO (World Health Organization) for 2020, which is 1.5, the gains achieved in the region are a national example," explains Ricardo Viveiros Cabral.

On the second indicator, the percentage of children free of caries, the region in five years rose from 30.8% to 37.3%. The WHO is 80 percent. The evolution of these indices increases with age, says, remembering that we are "far from the desired" but, now, we are very close to the national average. There was, according Viveiros Ricardo Cabral, a very positive development since the implementation of the Oral Health Program in the region and with the increase of professionals in the islands.

The dentist noted that the Azores is the only country that provides dental public, through a regional program with innovative measures at the country level. The health centers of the Azores, with the exception of the island of Faial, already provide an average of 27 thousand of oral health consultations per year, revealed, claiming "that the next goal is 30 thousand consultations."

The expert acknowledged that "there is still much to do in these areas, but remember that the" left tail of the deep. "In 2002 the Azores had three professionals in the Regional Health System, are now in 16 tables and four employed" . Viveiros Ricardo Cabral recalls the implementation of new measures such as the Bulletin Single Oral Health, which is available for children of nine islands, which allows recording all the information and medical history of its bearer. This newsletter, which can be obtained free at the health of the nine islands, is a further contribution to the oral health of the Azores, in the context of the current program.

The development of the region in terms of oral health is recognized and praised by the scientific community and the regional program will be taken as an example for the future national program "Oral Health. The Order of Dentists Doctors estimate that about 50% of the population is unable to pay a consultation in private dental and advocates the implementation of the Azores in the country. "While there are dentists in medical centers or health systems to grant, they will be excluded from the oral health, "said recently the agency Lusa the president of the Association of Medical Dental, Orlando Monteiro da Silva. The Order is to strive to have dentists in the health centers and hospitals or Portuguese to be created systems with the private agreement.

The example of the Azores is repeatedly referenced by the Order and by national experts. Viveiros Ricardo Cabral hopes that regional investment is enhanced in this area in order to avoid a decline in health. "A person without oral health, is not in perfect health" - recalls.

The regional study on the prevalence of oral diseases in the school population, to be published shortly by the regional secretary for Social Affairs, also shows that islands with higher rate of dental caries are those of the Western Group and Vila do Porto (Santa Maria) has the highest percentage of sealed teeth. The data revealed, for 2005 and 2006, pointing also to a large number of children with dental trauma (fractured tooth) on the island of Faial. Deficiencies in school buildings may be contributing to this situation, since it is early in the year that records the greatest number of problems.

The Pico and Sao Miguel have the highest rates of dental fluorosis, a change that occurs due to excess intake of fluoride during the formation of the teeth (causing stains in the teeth).

A União

198) Tooth for a tooth

197) Smile in Porto Canal

Porto Canal, which began broadcasting on 29 September 2006, has now, a grid with 18 hours of television daily (from 10am to 4am). The program has a strong interest in information specific to the 14 counties that comprise the Greater Porto, with the collaboration of businesses, municipalities and other entities of the metropolitan area, including the University of Porto.

The Port Channel is betting on new programs. The Smile, this is called the informative magazine, is the new programming grid. This is a line written by dentist João Espírito Santos on oral health, and goes to air every Sunday and Wednesday at 12:45.

"Who comes to our teeth? The treatments are more expensive the best? "These and other questions are addressed in the Smile, ensures the author of the format, João Espírito Santos. This metropolitan television station is on channel 13 of the tunable digital package and the package 39 of the analog TV Cabo Portugal.

Destak

196) The role of the LBV (Legion of Good Will) in community health (V)

Lack national

Another of the problems summarized in a word: lack. The dental health has been badly in Portugal and although many recognize responsible improvements, "there is still a long process ahead, and not forget Manuel Carvalho sources.

In terms of fieldwork, the country is guided by up local initiatives, which ask to be sporadic and not long-term prospects. "We must coordinate the work done by all to avoid overlapping of activities, beginning with sources suggesting Manuel Carvalho. "Outside, the volunteers are based in institutions where people go for assistance. In Italy, for example, there are two dental organizations, in Spain there is a group that is currently in Africa. In Portugal, everything is scattered, the chairman of the ADL bubble, which allows to reach this error when running on its own initiative and without any national plan perfectly structured, builders, along with their students, a practice 'in the street , to teach people some basic rules of dental health.

Although the initiative 'welcome' stresses, 'no effect in the long term. You can then say that the outlook for oral health in Portugal, is the result of decades without education cadences. "We can only overcome these problems if we have a plan at national level. What the Government implements the field [Program for Promotion of Oral Health in Adolescents] has been important and will give the results, ensures the ex-president, but not enough and even the words of Cassian Scapin, "no visible effect.

While acknowledging the lack of organization in the work of the Community, the President of the Portuguese Society of Stomatology and Dental Medicine (SPEMD) believes that this is also the explanation for the lack of numbers at the national level. "There are more volunteers than we think, but are not registered, we have no way to account. This is also one of the characteristics of volunteering: a lack of personal promotion.

Besides the initiatives known to the public, those responsible believe that "an uncountable number of doctors dentists' are volunteers within their office. "Sometimes what happens is that certain clinical contact a school to help in certain cases or make a campaign. There are also options that cover a region in the prevention work but then again no longer there. Everything ends up being a result of an immediate boost, shoot Manuel Carvalho sources.

The solution, suggests the president of the ADL, it is the Ministry of Health to lead this work because, warns, "we are spending money and we have no results after long-term epidemiological data or concrete. The crux of the problem remains. "There are large projects that need a lot of volunteering and not feel that there is great willingness on the part of individuals' sources of stresses Manuel Carvalho.

LBV - Legião da Boa Vontade

195) Spain: Dentists free for children between 7 and 8 years in 2008; free vaccine against cervical cancer

Children aged between 7 and 8 years living in Spain they will have free dental consultation from 2008, under a program negotiated by the central government and autonomous communities. The plan was already approved by the Inter-territorial Health which also approved the inclusion of the vaccine against human papillomavirus to prevent cervical cancer in the schedule of vaccines for free.

Bernat Soria, Minister of Health and Consumer Affairs, explained to journalists in 2012 that free access to the dentist will be progressively extended to all children up to 15 years. The health plan includes dental dentists in periodic reviews, instructions on diet and health of the mouth, topical fluoride application, evaluation of caries and plasters, among other things.

Regarding vaccine for cancer of the uterus, it is up to each region independently determine the age at which will be given to decide when and starts the program, which will be universal by 2010.

The costs of the initiatives will be divided in equal parts by the general budgets of state and each of the autonomous communities.

RTP

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It is also expected to Portugal initiative also has a foal January 2008, we await the presentation of the State General Budget. This time the expectations are great and it is expected that the government finally takes the initiative, after all, Portugal and Spain are EU countries.

Gerofil

194) OCTOBER: "Oral Health Month"

The eighth edition of "Oral Health Month" follows this month (October), allowing the realization of free dental screenings to the population. For more information about the office nearest the area of residence and make the query, simply call the phone number 808 205 206, Blue Line, available between 09:00 and 23:00.

Gerofil

193) Half of the Portuguese can not pay dentists, professionals are beginning to seek work in foreign countries

Around half the population is unable to pay the dental consultation, which is detrimental to oral health and dental is driving other countries to seek to exercise the profession. "We estimate that about 50 percent of the population is not able to pay even a dental consultation in private. While no dentists in medical centers or health systems issue, they will be excluded from the oral health, "he said in an interview the agency Lusa the president of the Association of Medical Dental, Orlando Monteiro da Silva.

The Order must strive to have dentists in the health centers and hospitals Portuguese or to create systems with the private agreement. Orlando Monteiro da Silva cited a study by University of Liverpool, where Portugal is given to "the darkest scene in Europe" in oral health care.

It is largely the lack of supply by the National Health Service (NHS) at the level of dentistry that is creating an excess of professionals in the country and Order regrets the "lack of planning for human resources." "If the population is replaced every access to oral health care, doctors dentists probably arrive hand, estimated Orlando Monteiro da Silva. But as this is not the case, dentists are trying to Portuguese other countries: "We are exporting human resources for deficit countries such as England and Holland, the Nordic countries because the profession is no longer attractive." Portugal and Poland are the countries that contribute most to the health services of the NHS oral English, for example.

Estimates indicate that the Order within three years, in 2010, there will be a dentist for every 1,180 inhabitants in Portugal. In comparison, Spain has a professional for every 2,667 inhabitants, the Netherlands one for each 2,118 inhabitants and the United Kingdom one per 2,105 citizens. The projections of the number of doctors and dentists for the next years show "a lack of over-training of graduates." "The result will inevitably be the increase in unemployment and under-employment in the class," refers to the Order.

In Portugal, only the autonomous regions have oral health systems to serve users of the NHS. In the Azores there are 19 dentists in the medical system of regional public health and Order provides that in some years, the Azores are the best indicators of oral health. Already in Madeira, there is an agreement between the regional health service and private, in which the public partly reimburses the cost of users that use private dentists.

RTP
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This blog is just to alert the national and international community about oral health policy in Portugal followed by all governments since April 25, 1974. Please do come and ask that this appeal to all health care organizations in Portugal and in the case of finding abroad, you get your voice revolt from all international bodies where Portugal is represented, denouncing the violation fundamental rights of the population in access to oral health care within the country.

I also thank the help we can give to translate this blog into other languages, enabling a greater knowledge and international reporting about what is happening in the area of oral health in Portugal.

Gerofil

192) Obligation to pay compensation

Portuguese law (civil code)

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Article 562. º (General principle) - Who is required to repair an injury to restore the situation that would exist if there was not the event that requires repair.

Article 563. º (Causation) - The obligation of compensation exists only for damages that the victim probably would not have suffered had it not been for injury.

Article 564. º (Calculation of Compensation) - 1. The duty to indemnify includes not only the injury, as the benefits that the victim failed to obtain a result of the injury. 2. In fixing the compensation the court can consider the future damage if they are predictable, if not determinable, the setting of the corresponding compensation will be referred to later decision.

Article 565. º (Provisional Damages) - Should the compensation be fixed in execution of sentence, the court may immediately order the debtor to pay compensation within the amount that it considers are proven.

Article 566. º (Cash Compensation) - 1. The compensation shall be in cash, where the natural replenishment is not possible, not fully repair the damage that is too costly for the debtor. 2. Notwithstanding the requirements in other provisions, the cash compensation is measured as the difference between the assets of the victim in the most recent date that can be answered by the court, and that that date would have if there were no damages. 3. If it can not be ascertained the exact amount of damages, the court judged fairly within the limits that has a proven.

191) Memory for future

I hereby direct me to you to explain, as possible, the questions for which answers and clarifications sought actually concrete. So then ask for some entities would be to provide me some information, or noticed that I was not clear enough or got answers that had absolutely nothing to do with the information I had requested.

So, to remove any doubt about the issues for which seek a total and complete enlightenment, the freedom of all first summarize as much as possible the vicissitudes through which he passed and that today raise me a whole series of questions for which I intend to answer enlightening and practical.

The crucial issue and relevant leads me to make this detailed description is related to the quality of care I have received oral health throughout my period of training, particularly among 80 and the end of my degree, which concluded at the University Lisbon.

Although you can make here other health problems, the substance is only relevant for me to do with the oral health care to (not) have been provided, which very question today and that I need now and as I hit I are and will make me definitely to mark the rest of my life, both physical and psychological. I know that you, with power of decision making and, therefore, with clear responsibilities in terms of oral health policy followed in Portugal, at least in the foal of 1975, I can carefully examine the issues and provide me the appropriate answer correctly .

As far as I remember, when I had oral health problems - I remember perfectly still walk on the lap of mother and already suffering from pain in teeth. I must clarify that my parents were farmers, my father and my mother is illiterate not completed primary education, my childhood was always in the interior, far from urban centers and better medical care. Sadly missed me, at that time, the initial provision of oral health care.

I lived with my family in a small town in the interior of the Alentejo: Alandroal - there was entered in the Health Center site, which was exactly what got the first oral health care. Then I will explain how it works: I know that I was given by the family doctor of the time (late seventies) to the query of "dentist" - the Health Center of Alandroal I remember moving a "dentist" in Elvas. Usually there were twelve to fifteen people to be served in a morning, when the dentist arrived this, go to form a single file and plays to take an injection (anesthesia) - I think the same syringe used to inject everyone.

Soon after beginning the extractions ... I do not remember any other consultation carried out there, is there were only extractions (no fillings, cleaning or other treatments). After two hours they were all "treated" and there would be but the "dentist".

I have my twelve or thirteen years, the treatments that the dentist made me this was only to extract teeth - never did an X ray or other type of oral treatment. If after ten minutes failed to draw me a root or a tooth, the dentist "marked a new query me for eight or fifteen days later, so a root more difficult to extract took sometimes three or four "sessions", ie more than a month to be extracted.

I do not know exactly because I tired of both go and never have finished the treatment (which consisted only in making extractions), also never saw that this "dentist" or had made any written record of the treatments that did - was all along, or they were children, adults or elderly. However, from 1980 began to suffer from tinnitus, which, unfortunately, still reside in my head 24 hours a day, 365 days a year (I do not know how far they have been caused by the treatments made by this "dentist" ; unfortunately traveled by many specialists in neurology and OTR but not one managed to suppress the symptom that causes me the tinnitus).

When I was fifteen years I have noticed that my friends of my age had their teeth treated - and then will ask my parents to let me go to Évora try to solve the problem of my teeth.

Drove me to the Hospital District of Évora, in receipt of the Hospital told me once that there were no vacancies for the consultation of dental (or dental). I remember very well that even after I spoke to the area of consultation and came to enter the office where they were installed the equipment for dental consultations, but there was not anyone. I was also a "dentist" who worked on the streets of the "Arcos" in Évora, unfortunately, I think made the biggest mistake of my life, as the "dentist" that I met told me I had to do more extractions before could do me a treatment for cleaning the teeth ... Possibly by all the trauma that had already passed the Health Center of Alandroal, then did not want to do more extractions.

Entered the University of Lisbon, the result of a scholarship.

Only able to enter the consultation of dentistry Medico-Social Services, University of Lisbon when he was in the 4th year of the University, unfortunately, too late to be treated as it should have been in early childhood.

As a result, suffered the greatest trauma of all time in my life, have to be forced to use dental - something that had yet been possible to avoid, I think, if the doctors who treated me since childhood had been so kind to want to the case because of my health.

Today I have the full consequence of that all by now, and particularly the brands that I have to load the rest of my life, shall be due, in large part, by the way of how nobody in health knew I treat as it should have been treated, I think just a little humility and common sense by all the entities that I mentioned that I had not fallen in what today are the physical and psychological that I have, unfortunately, support the rest of my life.

I have several questions, but they do not want to fall in deaf ears and that "fault" (to exist) simply die unmarried, answers when I return to say "Look, who can answer your questions and this is the entity about .... " My goal is simple: never get another couple in Portugal is the victim of so much contempt for the health care that are the various health authorities in our country (do not know the remorse that I have now when I cross almost daily, with pre-adolescents and young people in their age of innocence, are faced now with advanced tooth decay, or when I speak, showed the lack of teeth, despite their young age - that will have future in terms of happiness, they people? Will they go through the same ordeal I? How many adults, being aware of the facts, will continue to bury our heads in the sand and ignore the suffering of these children and young people for the rest of their lives?).

I do not think that if I were the son of a president of the republic, minister, attorney general, director-general of any public body, chairman of the Board or any Director, Clinical Hospital Center, the top military career, distinguished Mr knowledgeable of laws or any businessman, would have had all the necessary treatment and care throughout my childhood and adolescence. It, quite simply, I think we could occur in Portugal ...

Thus, taking full knowledge of the involved and responsible for the consequences that now have to bear is the only way to achieve some emotional balance and to stop the beautiful battle that is life, not in any way want to measure the effects of suffering, suffering and suffer forever by simply not having a natural smile normal, nor do I think and reflect on it meant to me in emotional and interpersonal relationships with other people. I am not able to provide all the reflections that I have in my future for health care, which (not) have and that, sooner or later, be direct reflection of how I was treated (disappoint whoever now, as adults, because I am not so naive as I was in childhood and adolescence, I am perfectly sure that in future I will be confronted with diseases directly caused by what I have and that I should take as given, in terms of care health).

Furthermore, I hope that I was the only trace of contempt of the national health service users, particularly by children and young people in the case of oral health, and that from today all have a right to a simple beautiful smile, without fear to see in the mirror. Fortunately this is possible - in the hands of anyone or have run on other people.

But I will never rest until they feel very well with me, I know that time does not go back and what I wanted for me today is impossible happen. But at least I want to be with me very well psychologically, this will only be possible in the day to find all the answers to my "why me?". These are questions that I get completely: why me and why? What evil have I done to the world to be like victims?

Here a list of questions I want to see answered and clarified once and for all, without subterfuge or indirect and inconclusive answers. The people there are, take positions and be fully accountable for functions that play or played (currently, the one year to five years or twenty years ago). I have every right to see and answered all my questions and to know why these things happened to me.

I do not want monetary rewards or someone go to jail for having failed to care that should have been me, I, yes, I say directly to me and how to take publicly responded to me in time to my requests for treatment.

Listed here are my questions, I hope that answers completely enlightening, arise quickly and are public, only then have some psychological comfort and will take the heavy burden of conscience that weighs about myself and at least make you never no child or adolescent is treated well in Portugal.

1.-What is the "dentist" who served in the Alandroal Health Center in the late seventies and during the eighties?

2.-What specific training (academic - university attended; professional - membership in the Order of doctors or dentists) that this "dentist" was to treat children and young people?

3.-What is the official authority which determined that such dental service in the Health Center?

4.-What is the institution that controls all the processing undertaken by the "dentist"?

5.-How can I now access to my personnel file that this "dentist" should have on me? (I do today, so relevant, to have full access to all the reports that the "dentist" has drawn on me)

6.-Who was the clinical director at the Center of Health Alandroal during the period in which this "dentist" there was consultation?

7.-Who was the Clinical Director of the Hospital District of Évora in the 80s?

8.-What are the criteria by which the Hospital District of Évora, in the 80s, so that children and young people could be found in consultation with dental or dental?

9.-What are the criteria that determine the care of Portuguese students in consultation with fellow dental or dental services Social-Medical University of Lisbon?

10.-What are the laws in force in Portugal, from 1975, with regard to school health? (I remember once I was asking for this clarification to Social Support Services of the Ministry of Education in Lisbon, and then received information that Portugal was the second country in the world to deploy the system in school health education.)

I am grateful to see all my questions answered, only be fully free and be me psychologically very well on the day and see everything clear, especially when I make absolutely sure that not another child or young person in Portugal will be neglected in terms of oral health. Because if there is any suffering it all, nobody can take me.

Because the smile is also good for health.

Well-there.

Sorrir ... sempre sorrir !

* * *

The description of reality is made, and each was asked to assume its responsibilities in this case to a single fault does not die. Because, after all, still living in a state of law and why these things still happen in Portugal.

Gerofil

190) Government should create agreement with private oral health

The Order of Doctors Dentists today expressed the hope that the government create a system of private agreement with the treatments of oral health to patients of the National Health. Tuesday in Parliament, the Health Minister Correia de Campos, who took the National Health Service (NHS) failure in the provision of dental care, and promised to announce measures during the debate in the state budget for 2008.

The president of Medical Dental, Orlando Monteiro da Silva, Correia da Campos has since July a report by a group of specialists from various areas with proposed measures to improve health services in relation to oral health. "The proposal that most concerns people is to establish a system of agreement with dentists and dental clinics for NHS patients, including more specific to certain sectors of the population," said the Lusa Orlando Monteiro da Silva. Dental fillings, extraction of teeth and devitalization, rehabilitation and cleaning of removable dentures are the areas that the Order of Dentists considers to be included in a package of oral health such.

"We see these measures announced very soon," said the president, who welcomed the recognition of the Ministry of Health that oral health is an area that has been systematically neglected. " According to the 2001 National Health Center, nearly four in ten older people in Portugal have lost all their teeth, given that the Association believes are still undervalued in relation to reality.

RTP

189) SPAIN: Four million children will benefit from new oral health plan

MADRID, 10-SEP-2007: The Minister of Health and Consumption, Bernat Soria, said today that the new Oral Health Plan for the National Health System (NHS) to respond in a gradual four million children between 7 and 15 years.

"The next year nearly one million children aged between seven and eight years may benefit from this plan to be developed in a progressive manner," said the minister, as reported by the Ministry of Health and Consumption. The benefits included in this plan include annual revisions to special treatments such as fillings, cleaning the mouth and teeth extractions.

"This is an indication that this government is working to ensure that all Spaniards have access to the same services," said Soria. "The ministry will provide free dental header for all children between 7 and 15 years. For the small smile does not depend on their social status," said Soria.

descpnet

188) Open letter to the organs of sovereignty

This Open Letter is addressed to all the organs of sovereignty in any way that can make any move to change the disastrous state of the oral health of a large percentage of the population.

Calls to all readers living in Portugal or anywhere in the world, they get a copy of this open letter to the Portuguese authorities and send by email to all your contacts.

Because, after all, there are still people who see this world and in Portugal's going to get deprived of having a simple natural smile.

* * *

Open Letter

=========

To the President of the Republic of Portugal, Prime Minister of Portugal, the President of the Assembly of the Republic of Portugal, the Minister of Health of Portugal, the groups represented in the Parliamentary Assembly of the Republic of Portugal, the Director General of Health of Portugal , the Directors of Regional Administrations of Health of Portugal, the chairmen of local authorities in Portugal and the President of the Order of Doctors Dentists: let me address a few considerations about the oral health in Portugal today.

Since about a year I have done, from this area, several calls attention to the problem of oral health in Portugal. However, returned several months, continues to be seen standing inertia of the authorities to point out practical resolutions to the problem of oral health in Portugal, or the Assembly of the Republic, the Government wants to remain in lethargy on the need to combat this scourge typical Third World countries and widespread in Portugal, member of the European Union.

A link to the negligence of those charged by law, there is a favorable position in social terms, to this, perpetuating the black stain on the health of the population that chooses not age and that particularly affects the lives of many hundreds of thousands of children and young people for the rest of his life, particularly the most disadvantaged social classes and living in rural areas of the interior, which are never addressed in dentistry or stomatology, leaving the fate handed to them is restricted.

Instead, look at what is happening in the Azores with the launch of the card user of Oral Health, or what happens in other European countries, which rely on recruitment of health professionals oral Portuguese - is just unthinkable, that the best formed in our colleges, the price of gold (many tens of thousands of euros it costs to train a doctor or dentist Stomatologist in Portugal, out of our tax money?) will give the country euro zero productivity.

I think therefore that we must address the real problems of the country and not bury them in sand, forgotten, as our legislative leaders and government are to make progress. A specialist in medicine knows that investing today 1 000 in the monitoring of oral health over the life of a child until the age of majority can be translated into real gains for thousands and thousands of euros to the country, in two ways: by a hand, will allow better overall health, enabling better learning and training for better performance of work delivered as the labor market, allowing substantially increase the productivity and income, creating more wealth for the country and, secondly, to drastically reduce the occurrence of other diseases of all types associated with oral health problems, allowing the state and the private wealth-creating reduce billions of euros in costs of health and abstentionism to work (when recorded an entire working life of each person multiplied by the number of people may benefit from the existence of a program of oral health in the country, accessible to everyone), let alone in serious psychological problems of the forum that the problem of oral health results to those who unfortunately have to survive with disease.

Grateful for the attention given, I thank now all your offices to light a light of hope in the treatment of a completely preventable disease with the human and financial resources that the country currently has.

Gerofil

187) Draft law number 154/IX

Draft law number 154/IX

Discussion in the Assembly of the Republic

22 February 2006

Source: Journal of the Assembly of the Republic

* * *

Mr. President: - We will begin the debate in general, the draft law paragraphs 86 / X - Direct the integration of dentistry in the National Health Service and the career of medical dentistry (BE) and 195 / X - Inclusion of medical dental careers of senior technicians in health (CDS-PP). For an intervention, has the floor to Ms. Mrs. Ana Drago.

Ana Drago (BE): - Mr. President, Honorable Members: We know that oral health status of the population is worrying. The World Health Organization has noted Portugal as one of the worst countries in the European Union in terms of access to care and treatment of oral health. Successive surveys and statistics have shown alarming numbers.

About 60% of Portuguese citizens have no access to care or treatment within the oral health by strictly economic reasons. That is, your family budget does not allow them to access treatment, over 70% of public hospitals in Portugal, did not provide access to doctors and dentists so is 90% of health centers. Moreover, a latest survey done by the Order of Physicians Dental, we know that only one health center, of the 340 available, that provides its users, their area of residence, a part of the emergency dentistry.

So this is the situation we have. The experts who know the situation and have reflected on these matters say that the situation of the population is dramatic - the word is theirs, I believe was used by the president of the Association of Physicians Dentists - and access to treatment within the health oral is generally defined as a luxury. Not only the experts say that any person on the street, you can say the same to one of the Honorable Members.

However, this situation of deep social inequality in access to health care that are essential and this situation of profound lack of population are the result of the policy that has been followed in terms of oral health in the last 25 years within the structure of National Health Service can even say that the profound social inequality and lack of population are the result of a policy of contracting with private and with very low contributions from the National Health Service, which shows the true failure of this kind of guidance policy.

It is true that when it started to build up the National Health Service in Portugal in 1979, this was a difficult process of construction, enlargement, which sought to improve the health of the general population and, therefore, had flaws. It was in this exact sense, to fill those gaps, which admitted the idea of contracting with private to allow access to some care to public health services could not provide, at a time when the structure was still the Service National Health. Today, this is a strange equation: continue with a population clearly needs in regard to treatment care and prevention in the context of oral health and, however, we have a large number and more than enough of doctors trained dentists in fact a formation that can be understood as a reference in the European Union, since it is an elongated training of 6 years. This House has to decide - the Socialist Party in particular - and make some choices regarding central to this. First, the Board - the Socialist Party and other Honorable Members - must decide whether the oral health is a central element of the overall health of individuals and Portuguese citizens and is therefore a priority of the Government of Socialist Party. Secondly, if the answer to the first question is positive, if they consider that, of course, this is a central element in the Portuguese health, then you decide what is the political path to choose: to integrate dentistry within the Office of National health or continue a policy that has been disastrous in terms of the levels and quality of life of the Portuguese, a policy of contracting with private, which is hardly understandable, because all the specialties that we tend to be integrated into the SNS (they serve the same reference to practices that are in private), and we always believe that is the SNS that should provide the best health care to the population. I wonder if the Government of the Socialist Party, however, perhaps more open to interpreting the words of the Minister of Health issued the previous Friday, believes that all specialties can be provided to contract with the Portuguese private and therefore quite simply, wants disarticulate is destroyed the building which was the National Health Service in the last 25 years. The choice of the Left Bloc is very clear: we believe that we must integrate into the SNS dentist, a career structure, make this thread in this Assembly, creating perhaps a working group that allows members of the joint Committees on Labor and Health, calling people who are working on this. We know that the structure of a medical career is always a complex process. We are prepared to do so, it is essential to integrate tables of the public health dentists and doctors so that in three years, we can truly meet our responsibilities, ie ensuring that all citizens have access to health care the base - we are not talking about the cosmetic treatments, but a core of health problems -, ...

Voices of the BE: - Exactly!

Ana Drago (BE): - ... and to policies for the most needy: the elderly, drug addicts and prisoners. It is as simple as that! This is what the Left Block Assembly proposes that, because only then will have decent levels of oral health in Portugal and only then will a truly democratic politics of access to health.

Applause from BE.

Mr. President:- To ask for clarification, is the word you Marisa Costa.

Marisa Costa (PS): - Mr. President, the Socialist Party considers the debate on the oral health of the utmost importance. Therefore we believe that this should form part of the ongoing process of reorganization of the general functional teams involved in the community, as in the Document of the Technical Group for the Reform of Primary Care, 15 July 2005, which provides, among other measures: "Include in the process of reconfiguration of health centers, from its inception, the organization of multi-functional teams responsible for programs and projects of intervention in the community (eg, continuing care and palliative, with projects strong component of social-psychological support, health education, oral health, occupational health (...) among others. We therefore believe the account is convenient, timely and appropriate to establish a career as a dentist in the current context of restructuring health services.

Moreover, the Socialist Party and has been defending champion of the National Health Service, by the way here proposed by Block Left raises some questions for which we would like to get answers. Determined and quantified the Left Bloc of the costs of implementing the proposals contained in the draft law presented today, namely the integration of dentistry in all institutions of the SNS, the creation of the career of the dentist and contributions of the beneficiaries of the SNS in accordance with the table of ADSE?

Voices of the PS: - Very good!

Marisa Costa (PS): - If so, consider the block Left as the costs of implementing these proposals are affordable within the existing budget for health, and suggests areas in which the left block that make cuts to make the proposals today presents?

Applause from the PS.

Mr. President: - To respond, the floor to Ana Drago.

Ana Drago (BE): - Mr President, on the question of costs, let me give you some numbers that will probably help to clarify a little the debate.

The DECO did a study and an extended investigation, asking that the Portuguese were the costs that, in general, spending on access to oral health care in these 98% of private clinics that exist in Portugal, and consulted the private clinics, trying to understand exactly how much access to a family under the care of oral health. Let me tell you some figures that, on average, are paid in dental clinics: A checkup costs between € 42 and € 55, a filling between 51 € and 70 €; the extraction of a tooth between € 44 and € 62; devitalization a cost € 150, a prosthesis or toothing between 483 € and 717 €. These are the costs for the Portuguese.

She has to answer the question you raised, or you do not see oral health as a central element of the overall health of the individual and therefore does not consider it a priority. Think therefore that a long-term investment that can provide the National Health Service (SNS) human resources we have, and well trained, and equipment to be purchased and can be profitable over time should be abandoned in favor of a policy for contracts with private or, for example, the benefit of a policy in which, quite simply, any oral health care is provided to the Portuguese? I seen it?

Helena Terra (PS): - Answer to question you!

Ana Drago (BE):- You said that this is not the time for which we propose, should be made cuts in other sectors. Let me remind you, however, that a controller of the Socialist Party, for more government, said that today in a career in dentistry is not integrated in the National Health Service is due to the fact that 'there is financial pressure and never consider the oral health a high priority. He also said that the governor, in a relaxed tone, according to the news, have all the willingness to proceed with the dental health services in the main central hospitals in the country. These statements were made by the Minister Correia de Campos.

Helena Terra (PS): - When?

Ana Drago (BE): - On 28 November 2005! Ask for the services you deliver a photocopy. As such, or the Minister Correia de Campos says this is not feasible with what will occur in the context of health policy of the Government or the Parliamentary Group of the Socialist Party has a position differs from the government. Another possibility is that everything is the same, as' waters of cod. "What is essential is to realize you have to consider oral health as a priority or not, ...

Helena Terra (PS): - I said, lady!

Ana Drago (BE): - ... because the National Health Plan considers it as such. Is there a way of written agreement, saying it is the following: "shall be open to the medical staff of the dental hospitals of the National Health" is the point, which is on page number 81 of the National Health Plan, which remains meet, and is just what the Left Block is today proposing to the House.

What is essential is that the Socialist Party takes its responsibilities to the Portuguese and say that if they want to have oral health, continue to pay the prices that private clinics listed, although the Portuguese public universities train physicians and dentists although the service National Health include this area of medicine in their skills.

It is a fact that health is expensive, but the presentation of solutions is our responsibility. The Portuguese contribution to the National Health Service paying their taxes, and pay your pocket what is your right!

Applause from BE.

Helena Earth (PS): - And the answer to, lady?

Mr. President: - In a speech, the floor you Teresa Caeiro.

Teresa Caeiro (CDS-PP): - Mr President, in presenting the draft law under discussion, the CDS-PP had in mind three realities within which outlined the proposal. First, the worrying situation of oral health in Portugal, that is, as we all know, among the worst of the European Union regarding access to this type of care. Moreover, also had in mind as important instruments as the recommendations of the World Health Organization and the Law on Health, which determine the duty of the state in promoting and securing the access of all citizens to health care, including oral health. Just a year, in January 2005, even during the coalition government of PSD / CDS-PP, was approved and presented the National Program for Promotion of Oral Health, which was a significant step in addressing this issue, making it a priority and showing sensitivity to the tutelage of then on this serious flaw.

Voices of the CDS-PP: - Well remembered!

Teresa Caeiro (CDS-PP): - On the other hand, had in mind a study conducted by the Order of Doctors Dentists in November 2005 - very recently, so - which concluded that 72% of hospitals and 93% of health centers do not provide this service users. This absence is dramatic, first by the lack of health care provided and, moreover, creates a great social injustice by ensuring that people with fewer resources are prevented from having this type of care.

But there is more, since there is a clear degradation in relation to numbers four years ago. The explanation for the decline in SNS provision for oral health care leads us to the second reality which is our project, ie the emptying of stomatologists that has been observed in the National Health Following the closure this specialty in the course of medicine, the number of stomatologists has, naturally and progressively, the decrease in hospitals and health centers, which soon regret that the law has no adequate provision for its replacement in the tables of public health services. Indeed, six years after the creation of this degree, the dentist can only perform their duties as professionals, since there is no legislation that includes the SNS, nor is there a suitable conventional system, under which provide care "for 'the SNS. Incidentally, this problem was detected and included in the National Health Plan currently in force and not amended or repealed by the Socialist government. The third reality is that our project is that the CDS be sensitive to the economic reality of the country and the need for rationalization and containment of public spending, which, alongside the restructuring of public administration, advise caution and sparingly in the creation of new independent careers.

Nuno Magalhães (CDS-PP): - Exactly!

Teresa Caeiro (CDS-PP): - It was, therefore, given the urgent need to equip the SNS of doctors dentists but also taking into account the financial situation of the State, that the CDS-PP balises this. Therefore, our draft law aims at the integration of dental medicine in the National Health Service through the inclusion of dentists in a medical career already, which is the health of senior technicians. From the practical point of view, this route has the same value and the same effects that the creation of an independent career, with the difference that the remuneration and conditions will not be different for other professions that already incorporate the development of superior technical health.

Voices of the CDS-PP: - Very good!

Teresa Caeiro (CDS-PP): - Indeed, the career of the senior technicians of health, enshrined in Decree-Law No 414/91 of 22 October, was created taking into account the specificity involving the professions originally covered, highlighting the differentiation and qualification of its professional classes. Furthermore, in the case of doctors dentists, and the high degree of specialization, and EU standards, leave no room for doubt about the specialty of this branch of health. Thus, we shall be defining the content of functional and comprehensive manner appropriate to their professional profile, which includes the acts of doctors, of course, and technical documents. It seems clear the urgent need as an alternative to more costly process of creating a career itself, include dental under the careers of senior technicians in health, the statutory scheme expressly provides for the possibility of including other branches of the beyond the originally envisaged.

This solution, as I said, is, first, the reason for users to ensure the care and treatment needed for a population with an enormous amount of people wholly or partially edentulous and, moreover, has the virtue of allowing a greater flexibility, or the authority or the government and direction of hospitals and health centers in the filling of posts, depending on their funds available does not represent, therefore, any burden. We stress the latter because, as the CDS-PP a party institutional and responsible, is aware of the economic constraints the country faces.

Nuno Magalhães (CDS-PP): - Exactly!

Teresa Caeiro (CDS-PP): - We, in any case, two notes. Firstly, to say that this solution should be temporary until the political and financial situation of Portugal allows the creation of a career and very independent. Secondly, to emphasize that the entry of doctors dentists in the National Health Service, while technical colleges of health, can not, for the organization of services and distribution of responsibilities, creating a logic of subordination in relation to professional careers with autonomous already created.

Any tension arising from issues of hierarchy will be profoundly negative for the proper functioning of these services and the provision of oral health care. It, therefore, ensure that there is overlap and to be seen obvious functional differences, it is delimiting the areas of intervention of doctors and dentists stomatologists still in office, on the one hand, and the intervention areas of the maxillofacial surgeons on the other. The prosthesis, pathology, TMJ, endodontics to the Periodontics and diagnosis cancer are clear, specific areas of competence of doctors dentists.

Applause from the CDS-PP.

Mr. President: - To seek clarification, is the word you Marisa Costa.

Marisa Costa (PS): - President, ladies and gentlemen, Teresa Caeiro, is well understood by draft law is discussed herein, refers to the Parliamentary Group of the CDS-PP promote the integration of dentistry within the National Service Health through the inclusion of dentists in the medical career of senior technicians of health. Allow me then to read a short excerpt from the speech of Isabel Gonçalves, of the Parliamentary Group of the CDS-PP, when discussing the draft law presented by the Left Bloc in the previous Legislature, specifically on 6 February 2003, aimed at integration of dentistry in the National Health Service through the inclusion of the classification of medical and technical colleges of dental health. I will read:

"(...) We would have dermatologists, pulmonologists or ophthalmologists in health centers, health centers, turning the real into polyclinics with all the specialties of the service users, but unfortunately the financial situation of the National Health Service not allows the government to actually implement this ...!"

Fatima Pimenta (PS): - Well remembered!

Marisa Costa (PS): - Go ahead and continue Isabel Gonçalves, of the Parliamentary Group of the CDS-PP, saying that: 'We do not think (...) the creation of a more technical career in the upper right answer to this problem. It would probably be the easiest and most popular, but it would be one that would contribute to a further worsening financial, an increase of expenditure for the National Health Service.

Voices of the PS - Well remembered!

Marisa Costa (PS): - The first thing you should ask, first, the Parliamentary Group of the CDS-PP, is what has changed in three years here, in addition to worsening financial conditions in which your government has left this country.

Voices of the PS: - Very good!

Marisa Costa (PS): - Furthermore, it is illogical and contradictory to propose the introduction of another branch in the current development of technical colleges of health, thereby enhancing the career system of government, when called and always maintain the weight loss of the state?

Applause from the PS. Mr. President: - To respond in half a minute, has the floor Teresa Caeiro.

Teresa Caeiro (CDS-PP): - Be synthetic, lady, thank you for reading a speech he made earlier by a Member of the bench. But, not wasting time, ask it to also read the speech which the Socialist Party produced at the time.

Nuno Magalhães (CDS-PP): - Exactly!

Voices of the PS: - We read!

Teresa Caeiro (CDS-PP): - In response to your question very directly, is that what has changed since then was a mass exit of stomatologists, leaving positions unfilled in hospitals and health centers. The statistical data exist and you have to look, but it does not find, I am more happy to get them. In any case, now you say that these data confirm that, as I said earlier, 72% of hospitals and 93% of health centers do not provide this type of care, which, apparently, the Socialist Party does not consider fundamental or priority for the ordinary citizen.

Helena Terra (PS): - Nobody said it!

Teresa Caeiro (CDS-PP): - You believe with certainty that those who can pay hundreds of euros for access to such care, it does so, using the private sector, where these doctors work as dental professionals, and that those who have no income for it, is without teeth, which is what happens to much of the population!

Applause from the CDS-PP.

Helena Terra (PS): - This is demagoguery. We have priorities!

Teresa Caeiro (CDS-PP): - I spoke to me about the hypothetical expenses that the massive adoption of our project would, madam, but you would have to read your request for clarification and therefore do not hear me! Anyway, I repeat that we led, contrary to what was left of the block, not to submit a draft law to advocate the creation of an independent career was exactly the concern about the financial situation.

Nuno Magalhães (CDS-PP): - Exactly!

Teresa Caeiro (CDS-PP): - As you know, there is a difference between creating an independent career in the civil service, with their bands, and broaden the scope of an existing career, which in this case is the technical colleges of health.

Nuno Teixeira de Melo (CDS-PP) - This thread is different from the discussion of three years ago!

Teresa Caeiro (CDS-PP): - Besides, you know perfectly well that the measure we propose does not require the massive costs that you mentioned.

Applause from the CDS-PP.

Helena Terra (PS): - And or not increasing the number of public officials?

Mr. President: - In a speech, the floor you Carlos Miranda.

Carlos Andrade Miranda (PSD): - President, the English national health service has been recruiting doctors dentists Portuguese. However, for now, the uncontrolled growth of dental graduates in the seven Portuguese universities will, immediately and inevitably, unemployment and accelerate the migration. Meanwhile, Portugal is holding the worst rates of oral health in the European Union. All this because the State in Portugal, not into dental services for hospitals and health centers. So, do not guarantee the right to health nor to use the excellent resources available.

Voices of the PSD: - Very good!

Carlos Andrade Miranda (PSD): - President, aware that oral diseases are by their high prevalence, one of the main health problems of children and youth, the XVI Constitutional Government, by order of the Minister of Health, 5 January 2005, approved the National Program for Promotion of Oral Health, for practitioners and facilities of the National Health Service is, or is it is the program for more advanced oral health that has ever been gizou this country, developing a comprehensive strategy of intervention, aimed at health promotion and prevention of oral disease throughout life.

Fatima Pimenta (PS) - This program was created by PS!

Carlos Andrade Miranda (PSD) - Like many things of quality that were done in this country, particularly in health, this program has been neglected by the arrival of the Socialist Party to power in March 2005.

Voices of the PSD: - Very good!

Carlos Andrade Miranda (PSD): - It is for this Assembly, in exercising its supervisory activities, call for the Government in this area, implementing the program of urgent oral health outlined before. Consider, however, the proposals involved. Block the Left part of a correct diagnosis, but prescribed a wrong solution. It left in the block that the state reverse the current situation, through the massive absorption of doctors dentists in the tables of the National Health Service, however, when the National Health Service is on the threshold of sustainability and historical moment in which the Minister of Health, almost in despair of cause, already calls for payments of services, propose such a measure is in practice to comply with the perpetuation of inaction.

But the Left Block is not limited to demand the impossible. Goes with other proposals, such, but for practicality as possible. Let me highlight three examples. First, you have to do with the review of the contribution of the State in the price of treatments for oral health, it is achievable! Another is related to the tax cost of these treatments. And finally, finally, is to encourage the participation of municipalities in the task of national promotion and prevention of oral health.

Indeed, in the latter case, given the failure of the regional health administrations, which do not continue with the recruitment of medical and dental services despite the availability of sufficient financial means, some municipalities Portuguese took over the promotion of oral health in their counties. It was the textbook example of the city of Mangualde that, during 2005, concluded a protocol with the Portuguese Association of Oral Health and School of Dental Medicine at the Catholic University in Viseu, following which all students of the 1st cycle of basic education the county of Mangualde were observed and the cost of these consultations was supported by the municipality and not the regional administration of health.

This example can multiply, since the Ministry of Health enforces the solutions that are already planned. Do not doubt is that time of the state assume its responsibilities in oral health here. Hospitals and health centers should promote the immediate selection of partners with whom doctors dentists have to hire both in the form of contract for services such as public-private partnership, or opening of access to medical units of dentists family health, which seems to them for the time being prohibited.

Regina Ramos Bastos (PSD) - Very good!

Carlos Andrade Miranda (PSD) - It, therefore, the state of a wide range of contractual models available to them, without having to turn the doctors dentists in public officials.

Applause from the PSD.

Mr. President: - In a speech, the floor you Fatima Pimenta.

Fatima Pimenta (PS): - President, the National Health Service is part of the heritage we have built with our democracy. In 32 years, ensured health care for millions of citizens. The National Health Service has, therefore, a requirement of the Portuguese people. The health indicators in Portugal, contribute today, so relevant, so we can compare with pride most of the indices commonly used in assessing the stage of development of peoples.

All agree in this House that in this area, we have nothing to fear in comparison with some developed countries themselves, for example, the U.S. and England, where, in health, there are large sections of the population without any medical assistance.

Voices of the PS - Well remembered!

Fatima Pimenta (PS): - We discussed today in this House, the projects of the groups of the Left Bloc and the CDS-PP. The signatories claim that within the National Health Service is incorporating a new professional: the dentist. Do not question the nobility of its aims. However, they are more noble, if not take care to examine their effects, put at risk the entire National Health Service.

All believe that the provision of care in oral health should be part of the general health of citizens.

Voices of the PS: - Very good!

Fatima Pimenta (PS): - In the National Health Service, particularly in hospitals and health centers, this strength has been developed by doctors stomatologists and oral hygiene, and some - you know - that does not provide adequate coverage to the needs population. But President, the decision on health policy must be guided by principles is bound to get the gains in health.

Studies show that most oral diseases are preventable provided that the necessary basic measures of prevention are available. The PS took and took it. Thus, investment in the National Oral Health, the National Network of Health Promoting Schools program on oral health and disability are also good examples. Data from the Directorate General of Health indicate that between 1994 and 1998, is a consolidated strategy for the prevention of oral diseases to the integration of oral hygiene in the health centers.

In 2000, there was the first National Study for Prevention of Dental Caries and redefined is the strategy of intervention in oral health. It is a socialist government that is the first time, the treatment of children and adolescents. To the achievement of that goal reached in 1999 through a contract, an agreement between the Directorate General for Health and the Order of Doctors and Dentists in 2000, consolidated the system for the treatment of children, giving effect to the a value of 1 150 000 euros for this purpose.

Helena Terra (PS): - Very good!

Fatima Pimenta (PS): - At the oral health program for the socialist government invested in health education. Thus, the active collaboration between schools and health centers with the aim of taking on a complementary basis, the promotion of oral health, has led, in 1994, the creation of the National Network of Health Promoting Schools In 2002, the Government had fulfilled its goal, achieving a membership of 3,400 schools supported by 370 health centers.

The good practices developed by schools that belonged to the network led the World Health Organization to consider them priority in their strategies for the coming years. The challenge of the socialist governments in the prevention was the right decision and the evidence proved it. Otherwise, see the study's data on the prevalence of dental caries in children and young people, according to data from the last study in 2000 concluded that there was a significant reduction when compared with the beginning of the program in 1986, mainly in age groups between 6 and 12 years. The age of 12 years had an index (which marks the number of teeth decayed, missing and filled) which was admitted in patterns by the World Health Organization. So we were not so bad as that because the World Health Organization for this age group has a rate of 3% and we had 2.9% in 2000. It must be published data from 2005 to check whether this index does not meet the standards of the World Health Organization.

José Junqueiro (PS): - Well remembered!

Fatima Pimenta (PS): - In the age of 6 years, 33% of children were caries-free, versus 10% in 1986. These results, compared with the beginning of the program, reflect significant gains in health that must be emphasized. We therefore reduced by 50% the prevalence of the disease. Here is the proof of the good choice we made.

Helena Terra (PS): - Very good!

Fatima Pimenta (PS): - For the treatment of children and youth, an initiative of the Socialist Party, between 2000 and 2004 were treated for free, ie without any cost to the family, 143 700 children between 6 and 16 years of age . In 2006, a clear sign affixed to the strategy started in 2000, undertaking the program of socialist government, was allocated a budget of 4 million euros. Therefore, Mr Carlos Miranda, not disinvest, as I said earlier, the increased amount. Compare it to the party that gave this program: increased almost twice in the ceiling that we had in 2004.

Therefore, it should be noted that the system has had a membership of progressive stomatologists of doctors and dentists. Otherwise, here are the numbers: in 2000, had 400 stomatologists and doctors and dentists in 2004. had in 1136. This means that this model has been successful. Thus, the medical and dental care not met by the National Health Service are made by a responsible partnership between the public and private.

Prevention is assumed by the health services and in this - it is worth remembering - we have 115 professionals in oral health in the tables of health centers - so we did things - and 115 hygienists working in these oral appliances, which are, in total, 113 . Therefore, it is important to remember that there is not an oasis but there is a void. It is important that we have in mind that the responsibility for oral health services of the Directorate General of Health says that more important than having doctors dentists in health centers is to have oral hygiene. There is, therefore, that political and technical decisions are consistent, and that is what is important.

The Left Block and the CDS intend to include in the National Health Service dentists and doctors. If the CDS is even curious that a party whose ideological matrix favors private enterprise, then, less government, will now ask the dentist to integrate career top health. So for sure there will be reasons that reason knows where ...

This attitude, as well as curious, it is demagogic.

Mr. President: - Ladies, please to complete.

Fatima Pimenta (PS): - What is imperative is to save resources, which combats the waste to achieve gains in efficiency, to achieve improved levels of access and quality of care for populations. Only this way can the viability of the National Health.

The Socialist Party will meet its election commitments. Continue in the coming years the effort to invest in oral health of children and young people in order to ensure coverage of 100% within the deadline, giving effect to the goals of the National Health Gains in health achieved in the National Plan for Oral Health show that this is the path.

What matters is that, despite the problems that still exist in access to healthcare for the people, the report of the World Health Organization, 2000, which compares the health systems of 191 countries, Portugal ranked a creditable 12th place, which should make us be proud. Do not underestimate what good now built into our democracy. Let us give it sustainability. The Socialist Party is proud of one of the greatest achievements of April: the National Health.

Applause from the PS.

Mr. President - Ladies, there will be time to ask for clarification from the lady who has just spoken, because there is no time for answers, but you still have time can sign up for second interventions. For a speech, you have the floor Bernardino Soares.

Bernardino Soares (PCP) - Mr. President, Honorable Members, today reissued a debate that we did in past legislatures on an issue very important, which is the oral health, and that is the example of the failure of the Constitution regarding access to health care. The Constitution says that the National Health Service, an instrument for the realization of the right to health, should be universal and general, ie it must cover all medical care deemed necessary for a complete and overall health. In our country, this "general" was always with the teeth part, because the oral health care have never been covered by the care provided by the National Health Service, and each time is less, with the gradual disappearance of stomatologists and the non-inclusion in dentistry in the National Health Service.

We already know how the government interprets the Constitution, has a unique interpretation. The words "tend to free ', the Government states' tend to pay", the words "social cost of drugs" the government states' transfer to users of increasing costs of medicines "and the words" National Service General Health 'the Government states' National Health Service with fewer answers.

The only question seems abstract, but here is a concrete outcrop very important: we need a response in health centers, in hospitals, of size much greater than we have today so that people, citizens have access to oral health care. If this is so, then only is integrating the National Health Service, not in mass, as the PSD, significant numbers of doctors dentists, opening for such a career in dentistry in medical National Health Service, so as other areas, there are public services, response to this very great need of health care.

It is not worth saying that this can be resolved only with convention. Not true! Currently, the shortage is such that certainly need to go to convention. But one thing is to use conventional abdicating a public response, another - that, yes, correct, and complying the Constitution - is to keep in view the needs, the use of provision agreed, but there is more work to respond in public services, and that is what the governments have not done over the years.

Nor is worth saying, as Fatima Pimenta (or it seemed to me to mean) that this be resolved only with prevention. Prevention is very important, but then there is everything else. Else would do enough prevention in all specialties in the National Health Service, and the rest is just way. It is not so, we must prevent - and therefore value very important steps that were taken in that direction - but we must tackle the serious problem of oral health that we have in the general population of our country, and that this government is not showing signs of doing.

This debate gives us a really very interesting and even curious, that is to, in this respect, terms up to the CDS, but in a restrained, bound to defend the role of public health professionals.

Nuno Magalhães (CDS-PP): - Why is it fair!

Bernardino Soares (PCP): - I think this is very curious. But even more curious than the sudden conversion of the CDS to the benefits of tying the career of public and government is the answer of the Socialist Party. We have, during this debate, why the Socialist Party does not want medical dental health services. Not want the public to be public, as we have see from the statements and measures of the government. The PS does not want the doctors dentists in the National Health Service is planning public because, as the dental, other specialties will also be more private, and this is going against its policy.

This is a good example of inequality in access to health care. Who has money can have access to health care in our country, and with great quality, because we have good professional and well-equipped surgeries and clinics. But who does not have money can not, and there is that the problem is. In this example we see as essential for the right to health is for everyone, that the National Health Service has answers. And in this case the National Health Service has no answer.

What is the consequence? Who has no money has more difficulty in gaining access to these oral health care and therefore it is important to dignify and increase the response of the National Health. Therefore, we must remember, just as the Constitution, which to ensure the right to health is the country a key tool: the National Health Service general, universal and tend charged. So he remains in the Constitution, so it remains in practice government, which has not happened recently.

The truth is that integration of these professionals in the National Health Service costs money. But much more expensive cost to lack of oral health in the country that people are much more expensive cost to a country where the right to health is not for everyone because, no public response, the discrimination we have to work and we a serious problem of oral health in the general population of our country.

Applause of PCP.

Mr. President: - In a speech, has the floor Mr Francisco Madeira Lopes.

Francisco Madeira Lopes (The Greens): - Mr. President, Honorable Members, the situation of oral health of Portuguese is very serious. As is known, 60% of the population has no access to economic opportunities for oral health. It is known that in general, there is dentistry in our hospitals and health centers and only 10% of patients who lost their teeth is that they are rehabilitated with dental prosthesis. All this leads to that Portugal has the worst levels of oral health in the European Union. Therefore, the Ecologist Party "The Greens' means that it is essential to integration of oral health, as a full, in the National Health Service to prevent and to treat, first and before anything else, while care primary health, because it is essential to start with this field. I do not mean mere corrections with aesthetic significance, which, over time, we could reach, but, rather, the primary health care, basic, and should be guaranteed in light of our Constitution of the Republic.

Many other diseases could be detected off-time and therefore often the first symptoms are a reflection of the patient's oral health. Dentition in a bad state is because of multiple rheas and malaise of patients, such as food and nutrition, social problems of integration and even access to certain professions in which the image is crucial.

Finally, say that there is no general health without oral health, and it is essential to integration of oral health care in the National Health Service, not only in terms of prevention, but in treatment. This is, moreover, a fundamental issue of equality. Due to the high costs of access to oral health care of outside the National Health Service, to private physicians, there is a question of equality of access that only the National Health Service could guarantee conditions. The Socialist Party has in this debate, considering that this problem be solved by the National Program for Promotion of Oral Health.

Undoubtedly, prevention is very important, especially for children and young people, but does not respond to all the problems, or the universe of people in need of oral health care, particularly in the diagnosis, treatment and rehabilitation. The Socialist Party argued with the lack of financial resources, with the deficit in health and with the insistence that there are other specialties that are not included in the National Health Service.

But one of the two: the PS or accepts and defends, as said, that the conquest of the National Health Service is a victory of April and of the Portuguese Constitution, and gives clear steps towards the extension of National Service health, and not contrary to, or, then the PS believes that financial issues are in short order, first, and gives no clear steps. Because Ms Mrs Fatima Pimenta, we think that this issue has no financial cost only the short term but the long term.

We are convinced that investment in the long term, in the area of primary health care and, in a comprehensive manner in the National Health Service for oral health care can bring economic benefits to the Government and to the country and is it that you do not want to accept, which is very worrying.

Mr. President: - For a second intervention, the floor you Ana Drago.

Ana Drago (BE) - Mr President, during this discussion were presented some arguments that are of particular concern, especially by the Socialist Party. There was even a time when Fatima Pimenta, the PS, and said we could think that was a joke: when presented the inclusion of dentistry in the National Health Service as a potential "atomic bomb" that will bring order to what it is an experience worthy of democratization of access to health care in Portugal over the past 25 years, ...

Fatima Pimenta (PS): - It was not what I said!

Ana Drago (BE): - ... whereas the oral health will give the cable system. The problem is that this starts to be an argument by the applicant of the Socialist Party. Begins to be, successively, by the responsible ministry and by the Honorable Members of the bench of the Socialist Party, the following speech: "This is coming to an end. We have to this corset. We have to contractually with private, we have to introduce privatization in many services".

Fatima Pimenta (PS): - We must take care of what achievements!

Ana Drago (BE) - So, what we knew and wanted, and the lady said to be a victory of the democratic regime, is about to end!

Voices of the PS: - Eh ...

Ana Drago (BE) - The Socialist Party believes that oral health is essential, which began a series of studies, protocols, programs and initiatives precisely because they think it is fundamental, yet insist on the reality does not meet the wishes of the Socialist Party because 60% of the Portuguese still have no access to treatment for dental care, one in five Portuguese have lost more than 10 teeth. This is the reality!

Fatima Pimenta (PS) - This is why we are in 12th place of the World Health Organization!

Ana Drago (BE) - ie, what we have now does not appear to be working. Our draft law proposes the same philosophy of winning the democratic regime, ie the state make a long-term investment, do so over three years in order to integrate the resources available, and is purchased equipment in order to monetize the long term health of the Portuguese, the same investment.

What you did not explain and did not say is how much it costs to make contracts with private clinics that we have a type of treatment and access to be universal.

Fatima Pimenta (PS): - I can explain!

Ana Drago (BE): - The accounts you do not! And what I can say is that it will leave more expensive. This logic of 'corset' the National Health Service and to make contracts with private, yes, will it be the 'atomic bomb' in the National Health Service ...

Fatima Pimenta (PS): - Do not go!

Ana Drago (BE): - ... and what is an achievement and a democratization of access to the Portuguese health care. It is a pity that the Socialist Party to do so.

Applause from BE.

Fatima Pimenta (PS): - Go see it will not be so!

Mr. President - Ladies and gentlemen, with the discussion of draft laws numbers 86 / X and 195 / X, concluding, therefore, our agenda for today.

The next plenary meeting will be held tomorrow, Thursday, March 23, at 15 hours, with a period before the agenda and a period on the agenda, which contain a discussion of the bill number 51 / X and the draft law numbers 105 / X, 208 / X, 209 / X and 106 / X, to be followed by a period of regimental votes.

Ladies and gentlemen, is closed the session.

Were 17 hours and 40 minutes.

186) The role of the LBV (Legion of Good Will) in community health (VI)

Brighter future

Despite all the obstacles, the scenario is changing. "There are more than five thousand registered doctors and dentists are to train 600 per year. Certainly, with the implementation of mandatory training at the end of the course, you will raise awareness among future professionals for the work of voluntary, or that is' caveat Sources Manuel de Carvalho, "as starting a career, as already happens in other professions.

Jacinto Durães advocates, too, that good examples will produce the ball-of-effect snow. "Sometimes someone takes the initiative and that the other track," explains the coordinator of the Clinic ", which does not refrain from giving an example. "I have learned that the country needs this kind of activities so that people feel protected. I have also noticed that solidarity is an essential good to live with each other.

Manuel Carvalho sources believe that there is availability of many people and is hopeful: "Campaigns such as I with my students could exist throughout the country because of equipment companies and institutions ready to help with the willingness to accommodate.

In October, follows a more "Oral Health Month." A campaign that may be, in the words of the President of SPEMD, the business' broader, national level, and involving users more dentists and doctors in the same objective: "who needs help.

Since the initiative was created seven years ago, 50 thousand persons were covered and the number is growing annually. Still, that does not Cassiano Scapini and emphasizes the change. The dentist needs to leave the office. We need more, and all good wishes, however small they are, must be utilized.

The dentist launches challenge to the class and points have batteries for the next congress of the order of doctors dentists, to be held in November. "Just put this in the list of issues to discuss.

After finishing "the game of bacteria," Maria washes the teeth and learn how, in practice, if they kill the 'bugs' you' are bad for your mouth. Shows a broad smile and says, 'is. Now I can not forget to wash before bedtime. Hopefully not.

LBV - Legião da Boa Vontade

185) S. Domingos de Benfica supports health care: dentistry at 20 euros (part 2)

The opinions of readers

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Here are some opinions of the readers of the Correio da Manhã for the title of the news. It will be good for the guardianship of their services (Ministry of Health, Ministry of Education, Directorate General of Health, Members of the Assembly of the Republic, President of the Republic, the National Association of Municipalities, Association of Medical Dental, ...) also listen to public. I hope to contribute to public awareness of the urgent need to implement a policy of oral health in the country with absolute guarantees of equality for all people.

Gerofil

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- It is a shame, Portugal at its best! The President of the Board should be honored and decorated by providing a public service that it is the duty of the state!

- An event to praise all levels! It is the evidence proved "that where there is a will, things happen and also that the regionalization with rules and supervision is the best that can happen to the country! Only the people and elected people who are close to people, can cause the problems are resolved. When people want to make things happen!

- My amazement has no limits! It is the first President of a joint parish of the country since April 25, 1974, many years hence, it deserves my applause and sincere congratulations! At last, a politician worried about proximity to their constituents!

- I am Doctor Dentist 8 years ago and is currently working in England and consider the situation of Dental Medicine in Portugal disastrous, whether the disorder in training, either in the population's access to dental treatment. I know that is a specialty expensive but we have the political courage to move forward and reform the SNS ... Good luck to Mr President and the Board ...

- The purpose of oral health policy is also here the record of oral health blog: http://saudeoral.blogspot.com/ It is time that we rebel against the party-political apparatus that are the sole and exclusive responsibility for current oral health of Portuguese, many of these you should be called to justice for their criminal liability in terms of oral health in Portugal.

- For many years, "someone" controlling the lack of dentists in hospitals or health centers, because it? It is a disease with major ramifications in the human body, stomach, etc.. That reminds me when you go to a health center and then send us to a private analysis and ultrasound, because it?

- But that example, limiting the costs of professional services to 20 per hour, this gives EUR 3500 months or 700 stories. Minister grapes more time to market of health does not work as with the pharmacies. That liberalize the market with the entry of dentists or doctors or clinics in Cuba.

- It is incredible, how can something like this, and the Minister of Health knows? Care, but everything closes and ready ... pity those who have less age were not right because we have no money. Maria

- Now see a "simple" Chairman of the Town Board to make a snap without hands to the government and SNS! Shame no dental health centers in this country are children, are elderly, are condemned to walk careados edentulous and have not money to private. Excellent example, this, to be followed by other. PJF

- Congratulations are in the authors of this project. In my case only now that I am living in Brazil I can get the teeth, because here there is already consulting popular long ago. Implants until I do the price of bananas. Portugal should generalize these popular practices.

- I can eg gain the average salary of the North, my wife even less, and more than 10 years that we have no money for the dentist, I my wife, my son (18), my daughter (10), we are not wasteful, it took us all (state ...). I call it social terrorist.

- The state should pay compensation to the people of Lisbon have a rotten mouth, as if drinking water that helps the taps, and much, to the decay of teeth. It is true that the criminal is in Portugal: only those who have money and have the right to smile. Injustice can not be smiling if you have damaged teeth, which is my case: 5 years to count on the fingers of the hand as much as smiles.

- There is competition! Here for years spent thousand and that account only to put a bridge with 6 teeth (it's a prosthesis, has a metal fitting is cemented on teeth that were destroyed to serve as pillars) and out into the teeth is simple ceramics. Thousand and such stories, about 6,000 euros, as is possible? I am overcome, spent almost all the savings! There is competition c / dental service and the new government. - How was the treatments are so expensive that I inexplicably and family were deprived of essential treatments, as a commentator, c / serious consequences. Even now I have a tooth from a year ago not care because I know that I will be "attacked" with crowns and bridges to 600-2000 euros! It is public health that we have in Portugal.

- Only in Portugal, said European country, is a luxury address the oral health! We must ask the bank loan to go to speculators for dentists! Do not understand why the cost of treatments and fortunes of the government does not regulate the jungle! Furthermore, I understand, the dentists have paid Mr jeep, boat, house, etc.. Maybe in Spain is cheaper. Only 34 years is that I treat teeth, some have not. It is a shame.

- In fact, the price in both general practitioners and dentists in, must be the most expensive of the European Union. In Paris, a teeth cleaning to the table for Social Security is 23.35 euros, the general practitioner is 22 euros, so be it in private and in public offices. There are some doctors that exceed these tables, but we have the right to choose, and if not urgent, the maximum waiting, never exceeds 3 days.

- Not make much "advertising" does not go to the case of (un) Minister of Health have quit Center .....

- Congratulations to those responsible for the Town Board that had such a good idea. An example to be followed by all other the country because not all the bag reaches the exorbitant prices that doctors charge.

- If affordable consultations with the doctors still have good profits, there is no reason why this and other specialties most choose to charge exorbitant prices. Assuming that today on all bills pass, they pay less tax and benefit users, pricing is more affordable!

- Good news is never too much! This rather, is public service. Joints of the Town can do things, because that money comes from taxpayers, only that this time is well used. Congratulations Mr President of the Board and stomatology. Here the physician also has merit because, in general, they only want to charge prohibitive prices ...

- There is good news, finally. But not yet taken this initiative to other parishes, particularly in the area of Barreiro, where I live. It may be in time ...

- What pleasant news. Congratulations to all the promoters of this initiative and the dentist Pedro Melo e Castro. There are still different people in this world.

- Will the Prime Minister does not read the Correio da Manhã? Why not follow this example in the SNS? Why is it that only public officials have consultations with 7.50 euros? While some have all the poor of Portugal who are not 50 or 60 euros are marginalized. The Socrates is concerned only with the rich (government officials).

- Finally some good news makes me very happy. It is unfortunate that there is more and especially in my local area and beyond. Portugal should be at the top of the list of people with their teeth and health most neglected. Still worth it ... We make rebates so that teeth are a disgrace ... Do not get to deal with them and the health system is what you see!

- The news could not be better for all the Portuguese, I had no luck that my father died due to dental problems (various infections) that I just can not take the 27 years that can fix my teeth, when my little family was not possible and still could not stay as it would have a unit for 9 years. Wish best wishes to Mr. President.

- Well, there is President of the Board of Town, Rodrigo Gonçalves, elected by the PSD. I am Socialist and militant, but I come by this means to congratulate, but because it is solidarity and love of neighbor, and the lord is to lead by example, and is followed by many municipalities, no matter the party, because I Socialist, support its action, either the PSD or another political party. Well-there.

- I live near Sintra, the only way that I have to get my teeth is through a bank loan. 2 years ago my wife spent 1,100 euros. However, better hide the smile. Well, there is this dentist, do not want to come to this area or the lobby it?

- This only comes to prove that the authorities if they want, can do more than they do! Some do nothing ... just talk!

- I agree that prices are high for dentists! But the majority of Portuguese have bad dental hygiene (do not know what a toothbrush and toothpaste) and only remember the teeth when you have pain. And prefer to invest the money on things less essential to life and health. How many times do not see people with clothes, shoes, mobile phones, etc ... of expensive brands, but to shout to the heavens teeth.

- Do not generalize, please. I dentist, working in two clinics in the metropolitan region of Porto, whose consulting costs 30 euros and 40 with the doctor to receive a maximum of 50%, which still must do their rebates, with the remaining costs to get to the clinic and to the pocket of the employer (which need not necessarily be dentist). Young people are dentists in most precarious jobs.

- It is amazing how just a few treatments to get the tooth cost 300 euros! The dentists are too explorers and the government agree with this! Dentists should be in every hospital and with low prices!

- Well there is, yesterday I went to the dentist treat a tooth left there in ancient coin 12 stories, teeth, eyes and ears are the things that should have care more affordable and the prices paid to the price of gold someone fills the pockets with that.

- The majority of the population is not going to the dentist because wages are a third world and the prices of the consultations are to Europe, here in this country are made miracles every day to get survive with dignity!

- Good news. Something to be followed by all. The joints of the parish and even municipalities. The dental care are among the few in Portugal that does not exist in the health centers. Individuals are paid by weight of gold, so the Portuguese have the teeth and mouth in the state have. A misery. The plates are devices and dearest. The private dentists are not monitored and price they want.

- What this example serves to all mayors in the country, but mainly along the Prime Minister and the Minister of Health to reflect on the needs that people have access to medical care.

- What do our leaders seem to forget it or are made from forgotten, are the exorbitant prices of dentists, one of the highest in the European Union. Still complain that the Portuguese do not treat the mouth as well ..! Initiatives like this are very welcome! Only thanks to generous people who have these ideas.

- It would be wonderful if all the mayors of this country do the same that is doing the President of Board. It is that you not only look for him but also for those who elected him. Continue and good luck in his life Mr. President, and all the other put in their own eyes ... Thank you.

- Even though the time as good news to appear here in a little cheer. Congratulations to the Board of the Parish of St. Domingues Benfica for this laudable initiative. I hope others follow its example.

- Congratulations on an excellent initiative. How have the prime minister more concerned about the new airport and hotels in Montargil, we finally have someone with courage and with purpose looking for the people that is unable to pay 2,000 euros for a device for orthodontic or 100 euros per consultation. Put your eyes on this president and the Board has so many models that are imported from abroad but look for our country.

- Not only in the area of dental care is only for rich. The greed of professionals sit down in all areas of health. Congratulations to President of the Board and the professionals who work with him. Others who follow its example.

- I usually say that the mouth is a "business card". Congratulations Mr. President! It is an example to be followed by all the joints in town, I live in the S. Domingos de Rana. Tires

- It is an example to follow and shows that it costs only help others to live better. Maybe the government can learn from this example and rethink the NHS is a national disgrace.

- An example that all joints should follow. Congratulations to the President.

- It is to be welcomed this initiative and hope that it would extend all over the country, so more people could benefit from it.

- A good initiative that should serve as an example to you doctors dentists practicing price offensive to the average population. Do you have doctors can not give up vacations in other continents or exchange the car for a standard of luxury? Is that the Portuguese are tired of tightening their belts to other fill it in! - Now there's a good positive news. Congratulations to the Board of Parish of St. Domingos de Benfica by the initiative. Now no other joints follow this commendable example.

- From time to time are still good news. The prices charged by most dentists are a genuine scandal 60 and 80 euros for a consultation and treatment is never a consultation only. People inhumane.

Correio da Manhã

184) One in five Azorean never been to the dentist

One in five Azorean over two years never went to the dentist or the Stomatologist despite the Azores are the only region of the country that offers the dental consultations at public health service. The data in the National Health Survey 2005-2006, and indicate that the proportion of the population of the autonomous regions from the two years that have ever used in life consultations in oral health is less than on the mainland. In the mainland, 86.3 percent has been assisted by stomatologists, dentists or other oral health professionals, while in Madeira this value drops to 81.8 and 78.7 for the Azores percent.

Faced with these numbers, the Azores Regional Coordinator of the Program for Promotion of Oral Health, Ricardo Cabral, devalued the lowest percentage recorded in the Azores, arguing that five years ago, the region "broke the tail deep. Ensured that the Azores are closer to the national average indicators in this area, with measures that have "gains in health" in recent years.

The dentist noted that the Azores is the only country that provides dental public, through a regional program with innovative measures at the country level. Each of the health centers of the Azores, with the exception of the island of Faial, already provide an average two million queries per year for oral health, said the agency Lusa.

With this program, there have been "considerable gains in health," said the expert, pointing out that the survey data released today match the start of the program.

In statements to Lusa, the expert acknowledged, however, that "there is still much to do" in this area in the region, but stressed that the Azores are now closer to national averages. He mentioned the example of innovative measures developed in the archipelago, as the Bulletin Single Oral Health, available to children of nine islands, which allows recording all the information and medical history of its bearer.

This newsletter, which can be obtained free at the health of the nine islands, is a further contribution to the oral health of the Azores, in the context of the current program. As you said, between 2000 and 2005 there was a change in oral health of the population, as evidenced, for example, the rate of tooth decay in children, from 4.5 to 2.1 during this period (international indicator). As the percentage of children caries-free at six years (mouths healthy), the region fell from 30.8 percent in 2000 to 37.3 percent in 2005, a positive development, but still far from the goals of the World Health.

Ricardo Cabral argued that oral health is more accessible to the entire population, with the entry of new professionals in islands that have no dentist.

RTP

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With this news is called to the attention of governentes: who today deny access to health tomorrow will have to pay taxes mandatory?

Gerofil