Saturday 26 April 2008

62) I lost my teeth, and now?

In terms of today we will talk about a technique that is called: Protocol. If you've lost all their teeth, or many of them undoubtedly this technique can solve your case, so quickly, without much pain and with a relatively low cost. The protocol will return to you a correct chew food, will end the embarrassment of smiling and thus return the format that was before the face of the absence of teeth.
Before the dental implants, there was no fixed solution available to people who had lost all their teeth. Today, it is possible to replace a jaw with some teeth without dental implants and a bridge supported fixed on them which will result in a permanent solution, stable and high aesthetics.
Advantages of a Protocol on implants:
When all the teeth are missing or are in such a state that is necessary to replace them, a fixed bridge supported on dental implants is the best solution. The Protocol:
- allows you to eat and act as if it had natural teeth;
- a solid and stable solution to it serve for life;
- preserves the appearance of the face - prevents loss of bone.
Treatment:
The procedure for treatment and the number of consultations depends above all, the specific conditions. But in general, 5 to 10 consultations should be sufficient for the placement of a fixed bridge. Most patients account that felt much more comfortable than expected during the procedure.
The procedure for the treatment described here is only one, possibly several alternatives available:
1. Before the procedure the dentist determines the procedure necessary to start treatment;
2. Place the implants - the first step is the placement of dental implants to replace the root of the teeth. In this case, five implants are used. They are placed provisional teeth that let you eat and function normally while awaiting the final placement of the bridge.
3. Setting the Protocol - the protocol or permanent bridge is firmly placed on the implants. In the case of a jaw with teeth, are usually 1 to 3 consultations needed to completely fix the bridge.
4. End result - will be difficult to distinguish which new teeth and what the natural teeth - both for themselves and for others. People who used conventional prostheses before experiencing a fixed bridge protocol, this option often describe as an extremely positive experience and unmatched.
ALTERNATIVE TO BRIDGE FIXED PROTOCOL
An alternative to fixed bridge is the use of an implant-supported overdenture. The traditional prosthesis, Denture, has several disadvantages and, if possible, should be avoided.
a) implant overdenture on removable: a plug-in overdenture ball or retained by bar, which in turn is supported by two or more implants in front of the jaw. The implants help keep the prosthesis in place and provide better function and comfort. The cost is usually the reason why this solution is chosen rather than a fixed bridge - but the end result is not comparable.
b) complete removable prosthesis: a dentures that are placed loosely on the gums to supply the missing teeth. This alternative does not have great advantages - with the exception of its low cost and easy installation. The disadvantages are many: discomfort to eat, poor aesthetics, problems with speech and pain in the gums caused by the movement of the prosthesis. In addition, a complete prosthesis placed on the upper jaw severely reduces the palate.

Thursday 24 April 2008

61) FHP is providing full coverage

RIO GRANDE NORTH, BRAZIL - The quality of services offered in the health area is one of the priorities of the Municipality of Rio del Fuego. With the complete coverage of the council, four teams of FHP (Family Health Program) to ensure the health care community, in addition to educational work, aiming to guide on measures that provide improvements in quality of life.
According to the director of the joint unit of health, Arivoneide Bridges, the home visits are part of the monthly program carried out by teams of FHP. "Every Wednesday, about ten families receive a visit from nurses, and medical help. The visits are scheduled in advance by officials of health, according to the needs of each family," he says.
The council has four teams of FHP, which carry the coverage of 100% of the population. The director stresses the importance of educational work carried out by teams of FHP for improvements in quality of life. "Together the community of Cologne to attend the Fishermen talks that address preventive measures. The goal is to guide the population, for that take care not to acquire certain diseases," he says.
The matter was discussed at the last meeting on sexually transmitted diseases and brought together the entire community. The benefit could interact taking your questions on the subject. The next address the "human Awareness", explaining the programs developed in the health unit, but still has no date set.
The director stressed that in Punaú, the health team also develops work and education in schools with children of Peti (Program for Eradication of Child Labour). The team of oral health minister talks about the importance of oral hygiene, from brushing, the use of dental floss and the application of fluoride. "Children need to be aware of the importance of hygiene to prevent disease. Our goal is to ensure that students are targeted and acquire the habit of brushing correct," notes.
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Here is an example of a policy geared towards solving the real problems of the people, focus on prevention of diseases. Instead of spending millions and millions of euros in activities without any benefit to the population, and may our Board of Presidents and Ministers look at the Brazil and also apply here in Portugal this good example.
Gerofil

60) Medical and social solidarity

A national project to bring free medical support for those in need made in recent days, about 1,700 screenings of disease in four parishes in the county of Ponta Delgada, announced source of the initiative.
Named SMS - Medical and Social Solidarity, the project involved volunteers, from doctors, nurses and health technicians, who developed several actions during the last week, the parishes of Arrifes, San Jose, Fajã de Livramento and Low.
According to the same source, the results of the initiative exceeded expectations, given that 1,500 surveys were conducted at 530 adults, including measurements of blood glucose, cholesterol, triglycerides and study of respiratory function.
In addition, the volunteers made another 200 screenings of vision for children and promoted awareness-raising in the area of oral hygiene to 1,200 students as well as actions of family planning, breast self-examination of breastfeeding and about 300 adults and adolescents.
In total over the past five days, said the same source, benefited from this project about two thousand people of the county of Ponta Delgada, an initiative that goes to the county of Mértola, between 21 and November 24.
This project involved "a major logistics" which took nine months to organize, with the aim of helping for free and humane all that, for geographical reasons or social, have no access to basic health care, said.
After this first action, the technicians of the project following SMS, until December, for some parishes of the municipalities of Mértola and Sabugal.
The responsible even said that for the year, are already scheduled six operations on the continent, admitting the possibility that the project back in 2007, the other Azorean island.
Among the entities that joined the project include medical volunteers, the School of Health of Leiria, the School of Health Technology of Lisbon, the School of Dental Medicine at the University of Lisbon, the Portuguese Association of Support for Women with Breast Cancer and the municipal councils of Ponta Delgada, Mértola and the Sabugal.

Monday 21 April 2008

59) Dentists in Health Centres

Several times I have said that there is a great need to include dentistry in consultations of Health Centers It also seems clear that this will be a difficult goal to achieve, but that is inevitable. So now, with the Family Health Units, whose philosophy of operation tend to increase competitiveness and supply of services, the path is just a direction and I believe not take much to consider the normal presence of the Medical Dental Health Centers.
Meanwhile we continue with the problem of having a considerable slice of the population's needs and problems at the level of their oral health. In the vast majority, who will need more people who do not have the economic conditions to resort to a private consultation. It is estimated to be about 50% of the population that is in this situation. At the other end we have come to witness improvement of oral health in the portion of the population with better economic resources. That improvement, which is reflected in the results directly to the general oral health of the Portuguese population, is related to the intervention that doctors dentists have been under preventive and therapeutic efficacy of diseases of the oral cavity.
As I said, the exercise of Dental Medicine in Portugal is very private, with few Centers of Health who have to support medical-dental. This is one of the reasons why only the socio-economic strata more advantaged may submit significant improvements in oral health. Thanks to a well targeted intervention, Raising awareness and motivate parents and children individually in the context of its consultation, the doctor dentist has developed an action much more effective than any of the public programme of prevention of diseases of the oral cavity that is being implemented by the state. That is, the improvement of oral health indices general of the Portuguese population, which have been submitted, resulting in improving the state of the oral cavity for children of families with better economic power.
Already the most disadvantaged children have been at the mercy of prevention programs State discontinuous, completely desarticulados and poorly designed. I believe that not only there is a worsening of the overall state of the oral health of these children because the use of toothpaste with fluoride gives them some protection. What I have come to defend over the years whenever there this matter, is that there is a pressing need to solve the problem of oral health of the poorest children. That can not be with a sporadic and not continuous, as is the current program of oral health education.
It requires rather a team of oral health with a sustained programme of awareness and prevention along with wide dissemination of a monitoring and involvement of medical dentistry in order to reinforce the prevention, control the disease and monitor them. If indeed the public prevention programs in oral health, which have been implemented over the last two decades, had been effective we would not have a report from the OECD, 2006 as unfavourable. Despite this report said that there was an improvement in the general state of the oral health of the Portuguese, also states that our country was the worst results showed that evolution within the countries that make up the European community.
Thus, a phase of containment of expenditure, continues to be counterproductive the expenditure of funds from the state for programs that international observers acknowledging insufficient results. It starts to be all too clear that while there in the government structures of Health a department of Oral Health, controlled by elements with competence in the area, which define strategies clear on this issue, be with the future of oral health of the Portuguese compromised.
As is the case with other areas of our country, waste resources without achieving the desired productivity. Already starting to be time of the current Minister of Health, Prof.. Correia de Campos, trying to reverse this trend and act accordingly.
MELO PAULO, dentist and professor of Dental Medicine

Tuesday 15 April 2008

58) Seven doctors can make one thousand queries

MORE THAN ONE THOUSAND CHILDREN CONSULTED BY MONTH - Seven medical specialist that serve the Municipal Health in Lages (BRAZIL).
The Municipal Health records an average high enough to pediatric care. The average reaches 1,840 calls per month and according to the municipal health secretary, Heron Anderson de Souza, in pediatric care are referred to the Surveillance System Food and Nutrition.
This program consists of a set of information for the formulation and reorientation of public policies for food and nutritional situation of the population. "Every month are accompanied by 2,290 children and 280 pregnant women," informs the secretary.
Other program highlights is the Psychosocial Care (PPSP) dedicated to children and adolescents with disorders psychosocial conflicts. The objective is the pursuit of overcoming the difficulties faced in the areas psychological, psychopedagogic, phonoaudiological, social, occupational therapy, physiotherapy, dentistry for children, neurology and audiometry. Currently 5,204 children are registered in the Program.
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It's simple: just meeting of wills and work arises. Congratulations.
Gerofil

Sunday 13 April 2008

57) Free dental screening

October is the month dedicated to the Oral Health. About two thousand will find itself associate that date to a free dental check in, an initiative promoted by Colgate and the Portuguese Society of Dental Medicine and Dentistry (SPEMD).
What is the real state of hygiene and oral health of the Portuguese is that if you want to examine with the edition of 2006 free dental check-ups (no treatment or radiographs), looking simultaneously sensitizing the population of mainland Portugal, including islands, to this question. After all, only 23.7 percent of adults Portuguese, according to the latest edition of the Oral Health Month, have a completely healthy teeth. A situation that exists mainly in urban areas and regions of the Algarve (32%), the Centre (25.8%) and people with Superior Education (32.1%). The worst situations are more acute in suburban areas (20.7%) and in individuals with the Basic Education (15.7%).
The Colgate released other results: that of a study conducted in more than a hundred schools across the country with children from 5 to 12 years. Only 19 per cent of primary schools and gardens-de-promoting childhood, regularly, shares of oral hygiene. In order to involve more schools in this habit will be made, for the first time, free dental screening for children at 50 schools.
For those interested in hold a free dental check-up, Colgate and SPEMD provides a "Blue Line" - 808205206 between 9:00 a.m. and 23:00. Here you can also learn the find acceding to this initiative. In the county, it is known that joined: Odivelas (7), Pontinha (5), Póvoa de Santo Adriao (2), Ramada (1), and in the neighbouring, in Loures (3), Catujal (2), Camarate ( 2) and St. Anthony of the Knights (2).
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The oral health and the problems of the circulatory system are related
A study published in the American Journal of Preventive Medicine (USA) shows that there is a relationship between oral health and heart problems since, in 4.7 percent of people who had lost a tooth expressed heart problems, this figure increases to the 5.7 percent among those who lost one to five teeth, to 7.5 percent in cases of fall of 6 to 31 teeth and to 8.5 percent in the two who lost completely. Learn that the mouth is coming to the heart. So protect both.
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It is the medical knowledge that the state of oral health conditions the remaining body. Thus, it is essential bet, first, in the oral health of the people. To do so must the MINISTRY OF HEALTH PROVIDE THE MEANS NECESSARY TO POPULATION, WHAT IF PEOPLE CAN TRATAR AND PREVENT THE TIME ON THE TEETH OF DISEASES.
Gerofil

Friday 11 April 2008

56) Dental implant, solution for those who have problems with the teeth

The dental implants are a solution for many people who have had problems with their natural teeth. The bone implants integrated began to be used in the decade of 60 and turned a success because in addition to being better from the point of view that the aesthetic dentures or bridges furniture, exercise the functions of natural teeth much more efficiently.
Dr. Mauritius Morato Corrêa below explains how this process works, its risks and efficiency.
- What are integrated bone implants?
- Entered from the decade of 60, are "bolts" of titanium placed in areas without teeth, which have the ability to exercise the functions of mastication and functional manner similar to natural teeth. By comparison, are much higher than the total prostheses (dentures) or removable (mobile bridges).
Usually the treatment is carried out in three steps: one for placing the cylinder of titanium (a more extensive surgery); another, a few months after, for the placing of devices that bear the prosthesis and finally the third stage of the construction of the piece prosthesis.
- What there is magic in titanium? There are risks of rejection?
- No. Simply the titanium does not suffer corrosion when inserted in the human body and does not present phenomenon of immune rejection. The success of the technique is because of a good set of factors: the planning of the surgical technique, a good period of healing and adequate rehabilitation. This protocol (the recipe is complete, as an implant) has minutiae that can not be neglected, and a thorough professional and well trained in the technique can achieve excellent results.
- There guarantee of success?
A principle can be said that the rate of success is a good guarantee, but in the biological processes where there is a certain amount of weightlessness.
- What are the indications against?
- The commitment of the general health which prevent the completion of surgery and the lack of sufficient to accommodate the bone implants. A detailed study of examinations by image avoid surprises, particularly in surgical stage.
- What are the risks surgical?
- Minimum. The surgery is usually done in two hours, with local anesthesia and is much simpler than other surgical procedures, dental, as the extraction of a tooth withheld, for example. The implants are placed on a non traumatic and bone is manipulated with softness, with a similar microsurgery. The only effect is associated with the subsequent detachment of the gingiva, and local swelling occur in an intensity that varies from patient to patient.
- What are the biggest problems after the placement of the implants?
- Some studies show that the greatest problems after the placement of prostheses are the diction and bites on the cheeks, depending on the placement of teeth in the areas that were without teeth for a long time and are normally resolved in a short time. Remember, the implant is much higher than other procedures, prosthesis and in the absence of the teeth, is what the best can be done.
- Can I eat everything after the placement of the prosthesis?
- No, but the restrictions are not very severe. You must take into account that the implants, for better and more reliable they may be, still do not represent the full functional recovery and aesthetics, and can not, because they are artificial, completely restore all functions that the natural teeth exercising. Thus, you should avoid foods too hard.

Thursday 10 April 2008

55) Why the importance of controlling the oral health from the cradle?

Because the dental caries is a disease that appears from 6 months of age and that, if not properly treated, can affect all the teeth of milk and determine the future dentition final.
Thus, it is very important to monitor the oral health of children from the cradle; this monitoring should be done throughout the childhood and adolescence, in order to prevent any early anomalies at the level of dental development of children and adolescents.
Gerofil

Sunday 6 April 2008

54) BRAZIL: Team Health Famíliar integrate technical oral health

The six new teams of the Family Health Program (PSF), set up by City of Bauru, begin to meet from now. The service is to develop programs of prevention, recovery and rehabilitation of diseases.
Each group is composed of a doctor, a nurse, a nursing assistant, and six community health agents. When enlarged, still account with a dentist, a dental assistant, office and a technical in dental hygiene.
The service has submitted an index of resolving the cases occurred in 90% and the coverage of vaccines and prenatal care to 100%.
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As in Brazil, it is expected that the Family Health Units in development in Portugal, by the Ministry of Health, also include technical, oral health, in order to make effective the fight against this disease.
It is imperative and urgent universal access of the Portuguese population, regardless of their economic power, and area of residence, consultations and treatment of oral health.
Gerofil