Saturday, 15 September 2012

522. Teeth: Professional accused the state of not giving priority to oral health

Fear and lack of money and information away from the Portuguese in the dentist's chair. Portugal is the European countries that have worse oral health, with almost all children to submit at least one tooth and a high number of elderly toothless. Cavities, gum disease, missing teeth and joint pain, resulting from lack of treatment and rehabilitation incorrect, forcing many Portuguese to face the dreaded dentist's drill.
The specialist Ricardo Marques points the finger at the state disinterest in education of children, adults and seniors for good dental health practices, and adopting programs to promote oral hygiene in schools and retirement homes. For this specialist dentistry, measures such as dental checks for seniors, children or pregnant are "populist and less comprehensive."
Another problem is the organization of the National Health Service, which falls short of needs: "There are doctors in the health centers," complains.
There is also a cultural barrier. We have a culture superpenalizadora dentist and a lack of appeal to dental esthetics, criticizes the specialist for whom poor oral hygiene is a problem structural. Pain is the symptom, and treatment involves going to the dentist at least once a year. Prevention is the cure: careful diet, brushing several times a day with a fluoride-rich paste, tooth and pass the tape gargle with elixir.
The delay of the problems of dentistry generates more complex, expensive and painful, warns Ricardo Marques. Oral health affects the welfare, and the lack of treatment, or when this is not appropriate, leads to other problems: headaches, bad breath or gastric diseases.
The absence of a perfect smile reflected in self-esteem. Are also worrying absence from work. About 100 euros a year are enough to keep teeth healthy. The lack of trips to the dentist can cost 30 000 euros.
Save up millions in consultations and antibiotics to reduce the casualties and the work delays, warns Ricardo Marques, lamenting that oral health is not a priority in the country.
* * *
DIRECT SPEECH
ONE MILLION WAS DISTRIBUTED CHEQUE-DENTIST
(Rui Calado,  Program Coordinator for Oral Health)
- Programs to promote oral health are sufficient?
- Are being developed satisfactorily. Guaranteed access of vulnerable groups to the dentist. There are already many children without caries, and we want to extend the assignment of checks - dentist for people infected with the AIDS virus.
- Oral health is a priority?
- In 2010, was not the only programs that have suffered budget cuts and, in the last two and half years, we can deliver one million dental checks. This demonstrates the commitment of the State.
- Insufficient dentists in health centers?
- No need to build clinics in health centers. Here's oral hygienists who provide primary preventive care. For more severe cases, we have 3800 professionals who have an agreement with the National Health Service, operating in private practices.
* * *
The expert warns government entities: 100 euros for the state to invest in oral health of the Portuguese can save € 30 000 (ie 100 euros annually investing now might save up to 29 900 euros in the future). Does the Government and the Directorate - General of Health will continue to deny access to the majority of Portuguese primary health care oral? What is made of hundreds of dental practices in the National Health Service closed? And the Ministry of Education will continue to spend billions of euros to reshape the school park and forget completely that children and young people in need of oral health care? And why medical organizations linked to oral health continue to maintain almost complete silence about the calamitous state of oral health in Portugal? Shame on policy has limits, gentlemen rulers.

521. Students of the Faculty of Dental Medicine of Lisbon in protest

Press on the picture to watch the video in Portuguese
(after advertising)
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 http://www.tvi24.iol.pt/aa---videos---sociedade/medicina-dentaria-dentistas-estudantes-protesto-tvi24/1236649-5795.html

Students of the Faculty of Dental Medicine of Lisbon are on strike against budget cuts. The fourth and fifth years are essentially practical and serve about 100 users per day, but because of the cuts they lack basic material for consultations.
This Wednesday, made ​​a silent protest, with black masks instead of clinical masks. Nearly 500 queries had to be postponed this week. Students took advantage of the opening of a new clinic in college to show discontent and try to find a solution.

Saturday, 8 September 2012

520. Prevention in oral health

http://www.casimirodeandrade.com/
Prevention - brushing
================
· First, use a mouthwash;
· Then pass the wire / dental tape (at least once a day);
· Use a fluoridated toothpaste;
· Must be completed within 15 minutes after each meal;
· Must be made ​​in the morning (when standing) and evening (at bedtime);
· The brush should be medium or soft, never hard, and be replaced in a month and a half month and a half, or at most, every three months;
· Going through all surfaces of the teeth;
· Keep your teeth clean especially near the gum line, preventing plaque and tartar.
Prevention - Habits and precautions with
temporary teeth (milk)
==============================
· Remember that your child likes to play with the brush but can not really clean teeth. Brushing, to be successful, needs to be made with a control of fine movements, which usually arises in children at around age 7 or 8, when it learns to write and develop dexterity in their hands;
· Brush the stand, lie down and after meals;
· Limit snacks between meals, especially with food and / or sugary drinks;
· Avoid carbonated beverages, because they cause erosion of teeth;
· Beware of food adhesives, since the more most cariogenic adhesives (eg caramels, candies, ...);
· Take care to explain to the child that should not ingest the toothpaste;
· Use a small amount of toothpaste when brushing (lead by the size of the nail of the little finger);
· The brush filaments must meet the multifaceted dental, performing rotational movements smooth;
· Apply fluoride in children of 6 in 6 months and use a fluoride toothpaste daily.
prevention - other councils
====================
· Visit the dentist regularly (at least once a year);
· Eating a balanced diet and replace sweets for more nutritious foods such as cheese, fruit or vegetables;
· Prevent the child has the habit of thumb sucking: may cause problems in the positioning of the teeth and jaw growth;
· Avoid smoking;
· Seal all teeth having grooves or cracks, whether temporary, whether permanent (applying a resin layer on the surface of the tooth chewing, protecting it from bacterial attacks). 80% of caries and cracks arise in the grooves and only 20% occur on smooth surfaces. Fluoride acts only against smooth surfaces, which means that only protects 20% of cavities.
 

Sunday, 2 September 2012

519. Health education: fact or fiction in Portugal?

 

* * *
Any modern education system and efficient support is also an effective school health system. The example shown in the figure refers to the United States.
By contrast, in Portugal, most children and adolescents never have any kind of support in terms of health education, and much less in terms of oral health. All that is done in some schools results from the bigotry of some teachers.
Thus the fate traced to current generations who attend primary and secondary schools in Portugal.

Wednesday, 18 July 2012

518. UNICEF calls for more attention to the teenagers to break the cycle of poverty

The international community should intensify investment in teenagers want to break the cycle of poverty, especially in less developed countries, which have a very young population, UNICEF warned in a report released today. The report of the United Nations Fund for Childhood, Adolescence titled - A Phase Opportunities, addresses the situation of children worldwide.
UNICEF reveals that the world has 1.2 billion adolescents between 10 and 19 years, 18 percent of world population. The study explains that countries should begin to show the same interest in teens that are given to children over the past two decades and has enabled significant progress in combating infant mortality or in elementary school, among other indicators.
The overall mortality rate of children under five was reduced by 33 percent over the past 20 years, while it managed to put more girls in primary school, the study says. However, progress in relation to adolescence were lower and the study shows that more than 70 million young people in the secondary school are not in school, most girls.
UNICEF warns that if teens are not educated, they can not acquire the knowledge and skills necessary to avoid the hazards posed by the abuse, exploitation and violence they are exposed. The report cites the example of Brazil, which could prevent the deaths of 26,000 children between 1998 and 2008, but approximately 86 000 adolescents - between 15 and 19 - lost their lives due to violence and delinquency.
The study also shows that about 30 percent of new cases of HIV / AIDS each year there are young people between 15 and 24 years, adding that in developing countries one in three teenagers home before age 18. According to UNICEF, adolescence is the stage of life where inequalities are manifested more clearly, particularly for 88 percent of adolescents living in developing countries, noting that 81 million young people worldwide do not have a job.
The UN agency recommends the collection of more accurate data on the actual situation of adolescents and, subsequently, increased investment in education and training out of poverty. UNICEF calls for young people to encourage greater participation in public life, the enactment of laws and programs that protect young people and combating social conditions that prevent them from escaping poverty.
* * *
UNICEF reminds everyone that the fight against poverty and social exclusion begins in childhood. In Portugal it is necessary policies that allow betting on the fight against poverty and exclusion of children and adolescents, particularly those who are from disadvantaged social classes.
Adolescence (between 12 and 17 years, ie the age at which young people attending the Third Cycle of Basic Education and Secondary Education in Portugal) is the phase of life that will determine the future character of the men and women; is very important to concentrate the efforts to provide young people the tools they will need for the rest of their lives. Thus, it is at this stage of life they should bet on primary health care, including oral health.
Unfortunately, in Portugal, the overwhelming majority of young people between 12 and 17 years is not able to access to dental care and dental checks serve more advertising than they do any type of treatment suitable.
Portugal, in terms of primary health, oral health in particular, is certainly not desirable place for young people grow up in safety.
Access to primary oral health care should be top priority in the area of child health and youth. Today many hundreds of thousands of children and young people in Portugal remain without any possibility of access to oral health care, tomorrow will be men and women frustrated by living in a country where functioning health care are provided to people according to their social origin. Someone from the government that can be sensitive to the issue?
For when a National Oral Health Card?     

517. Brussels presents program of actions to strengthen rights of children

According to the Community executive, this initiative enumerates a series of concrete actions through which the European Union can contribute added value to national policies aimed at the welfare and safety of children, promoting access to justice particularly adapted to children, when they have to participate in legal proceedings, better information about their rights and making the Internet safer for them.
It is, according to Brussels, to reaffirm the strong commitment of all EU institutions and Member States to promote and protect the rights of children in all EU policies.
It is recommended that in future policies of the European Union (EU) that directly or indirectly affect children are designed, implemented and followed taking into account the best interests of children, defends the Community executive.
The Commission notes, incidentally, that many actions taken by the EU have an impact on children, so the Union can therefore bring in multiple domains, an asset essential and can both support the action of Member States, such as helping them by providing a framework for the adoption of good practices in the EU.
Brussels points out that children's rights are integrated into the EU fundamental rights would be respected under the Charter of Fundamental Rights of the European Union and underlines that the Lisbon Treaty, in force for about a year, also requires the EU to promote the protection of children's rights.
* * *
Portugal urgently needs to define the law in black and white, the right of all children and adolescents have access to dental care, without any discrimination of racial, social status, political color of the parents, age or any other forms of discrimination covert and based on ignorance or lack of child ethics of health or educational entities.
In a country where young people force themselves to prolong life without school that guarantees them no future in terms of project life, the central authorities and political power are still ignores the most basic rights to human dignity, turning to psychological immaturity children and young people and denying them the most basic human rights are access to certain health care that affect the rest of anyone's life.

Tuesday, 26 June 2012

515. A blog to disclose: ORAL HEALTH

Given the number of applications requested, including people who are attending post-graduate, master's or doctoral degrees related to public health and the like, there is complete freedom to copy and reproduction of all papers published in this blog. Calls that reference is made to the source of the articles, which is the end of each post on blog.
You can follow the activities of oral health in social networks, reading and subscribing to Facebook or activate the Feedburner RSS on your computer to keep track of updates to Oral Health.
Requested to make disclosure of this blog for all your contacts, you can be sure that someone will thank you in the future. Oral health is an asset that relates to everyone, without distinction of social group, race, gender, age or geographical location; oral health is the first entrance of our body and determines the quality of life of each of nodes.

514. Oral Health in Portugal, a matter of common sense.

Blog has this rule for alerting the authorities, professional institutions and civil society in general to the necessary reform of the oral health care of the Portuguese population and their integration into the National Health Service, under the same circumstances with the private sector.
In the XXI century makes sense to make every effort so that the Portuguese Ministry of Health consider oral health as a priority within valence of public health, integrating the health care priorities and developing all the means that will allow the elimination of existing shameful accessibility of access to dental care, they are victims in the first grade, children, youth and elderly dependent, resource-poor and geographically distant from large urban centers.
It is urgent to reformulate ethics followed by the current team of the Ministry of Health, with weak or cowardly and submissive disadvantaged with the strong, as it removes the fundamental rights of health established in the Constitution and delivery lucrative business of private health.
Made a thorough analysis of the situation of oral health in Portugal (see the study here, see their analysis on the links that are at the end of text), the Health Ministry and the Directorate - General for Health made ​​a clean sweep of all their findings the same study and threw in the trash, until now there was never any initiative taken by the government in relation to the real needs pressing oral health specified in that study. It is also noted those who through their silence, lets do nothing and everything remains the same situation.
While the Ministry of Health spends hundreds of millions of euros in circulation of tens of thousands of abortions all over the country (does not seem to care that there are older than the workforce in a few years), the protection of child health and youth is an absolute illusion you do not see the end of the tunnel.
The many thousands of millions of euros that the state has lost absolutely ruinous to the sale of wireline phone to PT without public tender, the expenditure of hundreds of millions of euros in buying military equipment (submarines, already damaged when its acquisition ), hundreds of millions of euros in airports that do not pass the paper (Ota) or that are completely flies (Beja), the waste of money bet on the TGV is not known whether there will be some day, gave it all together to improve significantly the primary care population and there is no longer any Portuguese child to be excluded from oral health care.
Morally and ethically, there are people who are providing a poor service to the country or being in the government wants to support the measures irrational, discriminatory and violative of human rights carried out by the current team of the Ministry of Health.
* * *
Analysis of the

National Prevalence Study of  
 
 
 

Wednesday, 30 May 2012

512. In the United States do not mess with the oral health

 Chronic Disease Prevention
and Health Promotion
In the United States is working hard on preventing and combating diseases related to oral health, benefiting the whole population.
In Portugal buys the silence of those who can and should publicly denounce the almost complete neglect in the provision of oral health care to the population by the Ministry of Health

511. British dentists evaluated the Internet

In the United Kingdom, patients can now assess dentists' offices through an online service launched by the British Ministry of Health.
The British government has launched an online service that allows citizens to evaluate and rank the services of a dentist, as already happens in other areas of health. With the creation of this service, patients can access information in one place, such as schedules, locations and additional services offered by 22 000 dentists of National Health Service.
With a total of 1.2 million dental visits per month, the Government intends to make life easier for patients by giving them information about dental services, but also communicate directly with professionals in the National Health Service. This experiment aims to improve the performance of dental clinics, through the exchange of information.
* * *
It is essential to give patients the opportunity to also assess the oral health care they receive. At the same time would also be an optimal strategy to combat abusive practices that constantly can still be observed in numerous practices or clinics (service charge without informing the price before the treatments, the passage of several bills for the same query to optimize the maximum possible profit and seriously harm the Social Security and / or fictitious ADSE with contributions, etc.).
This is one of the flagship measures that the Order of Dentists should have implemented long ago. The ability to evaluate the services provided at all levels will be essential to maintain high quality standards, ensuring the health of patients and allowing each person to freely choose their doctor dentist. Is it so hard to put this strategy into practice in our country?
 
 

Tuesday, 22 May 2012

510. Portuguese Association of Hospital Medicine

 
* * *
The contribution of dentistry for the health of the population is not limited in their exercise as a liberal profession.
The dentist will have to act in the future as an important agent for promoting comprehensive health, engaging actively in prevention, screening and treatment of all diseases that have to do with the welfare of patients, should be interested in the integration of its activities in local health facilities (health centers, hospitals, public or private), participating in and promoting meetings with other health professionals, particularly with the medical specialties that are closer (Dental, ENT, Maxillofacial Surgery face), but also family medicine or public health.
Only in this way may establish a closer collaboration with the entire medical community, with the ultimate objective treatment and welfare of patients.
* * *
At a time is so much talk of economic crisis and the increasing difficulties of the Portuguese in access to health care, it is worth remembering also that the Portuguese state has spent the past twenty years, hundreds of millions of euros to train dentists . The question is: how much you paid each Portuguese for the formation of many thousands of dentists and how many of them are now working on the National Health Service? May not know other country in the world where highly specialized human resources in the state invests tens of thousands of euros for their training, then do not have any use in the National Health Service. It's good to know who are really responsible for the disaster of oral health in Portugal, after many hundreds of millions of euros spent our taxes. It's time for some politicians begin to be held criminally liable for these policies.   

Thursday, 10 May 2012

509. ANGOLA: Children are agents against dental caries

Huambo - The project aims to create smile this year, agents nozzle infant health in schools, so that through lectures and guided demonstrations to reinforce the message against tooth decay. It is also perspective for this year to create children's theater groups for children to be activists against tooth decay and other mouth diseases, which affect mostly the small ones.
The project manager, Sara Soeli Leandro, revealed today in ANGOP, that the creation of child-raising agents should be reflected in the expansion of health activities nozzle, involving a larger number of city schools. Sara Soeli Leandro said that to consolidate the theoretical knowledge that children will learn in the lectures will be distributed 100,000 health kits nozzle, consisting of brushes, and pepsodente explanatory booklet on the care to be taken during brushing.
He explained that in each lecture the students have the opportunity to make an accompanied brushing, your teeth, so they learn the technique of brushing your teeth healthy. Noted that the supervised brushing is done through a portable kit (brushodrome) acquired in 2010, consisting of sink, mirror and water.
According to the source, this work of public health is a provincial government initiative through the local department of health in partnership with the education sector and in spite of economic constraints, the project covered smile, in 2010, over 50,000 children across province. Were also mounted in 2010 Stomatological sections in the districts of Londuimbali (Auto-Hama), Ukuma, Bailundo, Huambo and Katchiungo.
The challenge is to continue, during this year, so that in the 11 municipalities that make up the province people have this service running. He regretted, however, the lack of dental technicians in the area so that services work regularly. We have proposed a course in dentistry in the province, we expect the government to approve the document to reduce the deficit of tables continued.
Another bet of the project is to continue to pay attention to pregnant women through prenatal conduct, to direct and move differently pregnant women to avoid many complications that may have and also dispel the myth that pregnancy can not extract the tooth. Implemented by the Management Company Private Health AMOSMID, the project has existed for more than five years and has been applauded by many families, especially rural communities, because many children learned to brush their teeth in school lectures, after five years of age.
* * *
How many projects will need to import from Third World countries so that in Portugal there is also addressed preventive oral health care to all children and young people of all primary schools and secondary schools? Is it only important to fill the little heads of boys with Sex Education?
We're tired of seeing millions and millions of pamphlets produced by the Directorate-General for Health and campaigns exorbitant money poorly spent on advertising spots on television, in which no contribution to improving the oral health of the Portuguese. All that money would have been much better spent if it had been spent on medical care, many hundreds of thousands of children could now have a smile that perhaps never again will the rest of their lives. Can not believe that the Director - General for Health and Minister of Health are so people so cold and callous to the suffering of children and youth in need of oral health, these children who will be marked physically and psychologically for the rest of their lives. There is nobody who does not realize that a prevention was extremely well made cheaper by the Health Ministry to do the treatments only when any oral diseases.
Current policies for oral health in Portugal need a revolution at all levels.

Sunday, 6 May 2012

508. dental implant

The dental implant is a dental service run to compensate for the absence of one or more teeth damaged that they have the possibility of recovery. Placement of prosthetic bridges, or has the disadvantage of these simple remain resting on the adjacent teeth and provide room for movement of false teeth, which is not true in the setting by using the implant. The price for the procedure is not very high if taken into account the superior quality and longevity of dental implant duration.
The dental implant procedure is performed by placing the bone of the jaw or maxillary beneath the gingiva, of a titanium screw, which acts as support for fixing a dental prosthesis. The micro surgery to fix the titanium screw is done in the dentist's office with local anesthesia and takes about one hour to perform. Before completion of the implant when the implant is placed with the tooth (s), it is necessary to await a recovery period of three to six months for correct integration of the screw on mandibular or maxillary bone structure.
The performance of dental implant is restricted to people with bone formation already full, which usually occurs near the majority, and which have serious health problems and therefore require a thorough assessment of the candidate prior to the prosthesis.