Monday 28 September 2009

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.

Wednesday 23 September 2009

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.

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

Sunday 20 September 2009

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.

Thursday 17 September 2009

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.

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.
* * *
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.

Tuesday 15 September 2009

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.

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.

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.

Friday 11 September 2009

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.

Tuesday 8 September 2009

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

Saturday 5 September 2009

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.

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.

Wednesday 2 September 2009

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.