644. Half of Portuguese go to the dentist less than once per year

According to data released at the Congress of the Dental Association, 8.3% of respondents has never been to the dentist and 21.2% say they will only when you have a dental problem, urgency or pain. Of the more than a thousand respondents, 20.9% reported having reduced the number of visits to the dentist in the last year, with the monetary issue to be the main reason evoked not to go.
Are less than a quarter the Portuguese indicating the dentist two or more times a year, while about half (48.8%) of the Portuguese claims hold a dental checkup less than once a year. Of the respondents, 51.5% believe that the National Health Service (SNS in portuguese) does not provide dental services and only 10.2% have resorted to public facilities when they need oral health services.

Commenting on these results, the president of the Dental Association found that Portugal needs to work on access to the Portuguese dentist, creating mechanisms to help people to be able to treat oral health. There in Portugal possibility of the general population to an adequate health monitoring. It has previously had an accessibility problem because the SNS never responded to this area. Since there is no mechanism to reimburse them or help the Portuguese to regular consultation, the Portuguese pay out of your pocket these consultations. And with the economic crisis is affected the ability of the population had access to the dentist, summarized Monteiro da Silva.The conclusions of the first National Oral Health Barometer also show that 70% of Portuguese lack of natural teeth, and more than 20% lack of at least 10 teeth and 7% of the Portuguese population has no natural tooth. The barometer also reveals that 56.1% of Portuguese who lack natural teeth have nothing to replace them. Only 7.7% substitutes have fixed teeth, while the remaining 36.2% have prosthesis. Half of the respondents admit that ever felt difficulty eating and / or drinking due to problems in the mouth and teeth and 18% confess that ever felt embarrassed because of the appearance of their teeth, realize ...

On the habits of oral health, the study reveals that the Portuguese meet the basic but few have more sophisticated ways. If 97.3% claims to have a habit of brushing teeth, however, 54.4% use no elixir and 76.2% admit not to use dental floss. Of brushing teeth, 72.7% do it two or more times per day, specifies the document.
The Barometer results also indicate that women have hygiene and cleaning rates superior to men. The lack of natural teeth, with the exception of wisdom teeth, is correlated with the habit of brushing your teeth, to the extent that the fewer natural teeth has who responded, the lower their hygiene habits, reads the statement with conclusions.

The survey also reveals that the Portuguese (93.5%) are satisfied or very satisfetios with your dentist. To emphasize that 63.7% of the Portuguese never changed their dentist. The main loyalty factors are confidence in the dentist, the quality services and habituation, said the document also states that the majority of Portuguese (64.5%) clarifies doubts oral health with your dentist to the detriment of other media such as the internet.
The first national barometer of oral health was made in 1102 based on in-person interviews, and statistical validity.

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It is very urgent that a national strategy be defined in the oral health and dentistry. While organizations linked to oral health innocuously persist in wanting to work without cooperate collectively with all other entities, the oral health of the Portuguese will be degraded and are always the lower social classes who pay the mistakes of leaders unable to give the necessary answers the population.
For when a true union of wills between the doctors of oral medicine, oral hygienists and dentists, both public and private sector, to address the lack of oral health strategy in our country?
Just so much hypocrisy: while some sectors of dentistry are pleased with some largesse given by the political power, the oral health services continue to be denied to the majority of the population.   

643. COURT OF AUDITORS: Death of dental public sector in Portugal

The Court dictated the death of

dentistry public sector in Portugal

For when a rejection reaction on the part of the Medical dentists and the Minister of Health to how it is treated the Faculty of Dental Medicine of Lisbon? How many doctors dentists Portuguese were formed in that institution? How many members of the Court have already been treated by dentists trained in that institution? Attacking those who provide health care with social nature tells all about who carried out the audit; surely unprecedented, extremely shameful and that even the most developed in the world occur ...

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Clinic External Faculty of Dental Medicine of Lisbon will close on 31 October, following irregularities found by an audit of the Court (TC). The announcement was made Saturday by the Director of the School of Dental Medicine, João Aquino Marques, after a CT scan of the report indicates that the existence of that unit is not provided for in the statutes of college and has no license from the Regional Health Administration of Lisbon and Vale do Tejo or any other entity to operate.

Although the Court considers not to be in question the quality of services and recognizing the social role given to disadvantaged sectors of the population, it stresses that the clinic should observe the rules and best practices applicable to public bodies and activities pursued. For João Aquino Marques, External Clinic is part of the organizational structure of the Faculty, not being thus a private drive that requires licensing by the health regulator and has worked over the last 10 years as an extension of the university service, shared opinion by the Secretary-coordinator, Dário Vilela.

The institutions of funding and, at the time, it seemed a good idea to open the school to the general population. The external or integrated clinic is a hospital service with doctors, depends on the college uses its facilities and is a source of revenue, said Aquino Marques. Dário Vilela stressed that the clinic is responsible for about 20,000 annual consultations and that its closure will put an end to the single query in the public sector for adults with special needs.
Taking into account the restrictions adopted by the Government to the employees by public contracting, João Aquino Marques considered that does not have great alternatives unless the closure of the clinic, since it can not make contracts for the provision of services or of covenant. They ask us to be creative. We do not want to close the outer query, but legal alternatives are to create a private clinic, with the opening of a competition which private clinics can compete. This does not concern us, since we want to follow our teaching philosophy, he explained.

According to him, the state budget for the college is around 1.8 million euros per year and the salaries of teachers and staff come to 3.8 million euros. When the Court of Auditors says that the clinic does not prove that we are self-sufficient, the proof is that never have paid from our pockets wages. And we spend 400,000 euros in clinical material. We must do our damnedest to this. We made this illegality that the TC points and are penalized for it, retorted.
According to the same official, the external clinic has been operating for about ten years, employs 60 people, including 42 dentists, and serves about 20,000 people, accounting for a 50% increase to 45 000 consultations for college .do amount paid in the query by patients, 40% is for dentists, 60% for college.

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642. There are 30 municipalities in Portugal without dentists registered

More than 150,000 people in 30 Portuguese municipalities are without dentist, according to official figures from the Dental Association (OMD), who admits a distribution of accumulated too professional in coastal areas.
The Order of the numbers, the Lusa agency had access show that in 30 municipalities (10% of total) there is no dentist registered, although the president admits that there may be professionals from neighboring counties to give some queries in these locations.

Municipalities are small, relatively unpopulated, mainly from the countryside. These are regions that are in a growing desertification and have difficulty in attracting dentists and municipalities with a very low population, specified Orlando Monteiro da Silva speaking to Lusa.
The president of OMD argues that the state can and should create incentive mechanisms to attract dentists to settle in areas with little or no coverage, noting that the municipalities also have their role.

Alcoutim, Aljustrel, Alvito, Arraiolos, Barrancos, Chamusca, Corvo (Azores), Figueiró dos Vinhos, Freixo de Espada a Cinta, Gavião, Marvão, Nisa, Oleiros, Ourique, Penamacor, Viana do Alentejo and Vila Velha de Ródão are some of the municipalities without registered dentists.
In these 30 municipalities, the average resident population of 4,864 people, according to the Order of the data relating to 2014.

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