624. INTERVIEW: Brazilian Dentists in Portugal

Early in the 1990 decade, category of Brazilian immigrants who became best known was that of dentists in Portugal. Armed with their diplomas, some Brazilian dentists moved to Portugal and started to exercise their profession there, a more favorable market. At the time, there was an agreement between Portugal and Brazil which established the direct equivalence between all university degrees in Brazil and Portugal. The migratory flow of Brazilian dentists bother both the Portuguese dentists that until the legislation was changed.

It was on this issue that the journal Science With spoke with Igor José de Renó Machado, anthropologist and researcher at the International Migration Studies Center (CEMI). The research focuses on the different views produced in Portugal over the Brazilians. In these visions, Machado realizes an association between the stereotype of the Brazilian trickery with the figure of immigrants dentists.

With Science - summarize for us what you know of the problem of Brazilian dentists in Portugal.

Igor Machado - By 1991 the APMD, the Professional Association of Doctors Dentists Portugal, begins to complain about the presence of illegal Brazilian dentists in Portugal. This body is what regulates the profession of dentist in Portugal and, to practice, it must be associated. Therefore, it is she who gives the equivalence of diplomas. The point is that the Brazilian and Portuguese formations have differences (which are significant for Portuguese and Brazilians do not). Before the diplomatic impasse, since Brazil-Portugal Cultural Agreement of 7 September 1966, Article XIV regulates the equivalence of Brazilian and Portuguese professional degrees, the low Portuguese government for Ordinance administratively legalizing the practice of dental surgeons Brazilians in Portugal. Ordinance 180-A / 92 of June 1992 equaled Brazilian dentists and technicians allowed them to practice the profession and, as they were not dentists, were linked to the health ministry and not the APMD. The fragility of this ordinance was challenged in court by APDM on 04.16.1993, and all Brazilian dentists were being personally cited in individual cases. In 1998, the time of my first contact with the leaders of ABOP, was in transit a discussion at the meeting to try to resolve the case of dentists, while the process was running in justice.

With Science - The Association of Brazilian dentists is relevant in Portugal?

Machado - The importance of movement of Brazilian dentists is such that in 1994, the Brazilian and Portuguese governments began negotiations to resolve diplomatic disputes. Among these negotiations, it was intended to renegotiate the Cultural Agreement Luso-Brazilian, at which time the Brazilian government imposed the condition of recognition of 416 Brazilian dentists processed by APMD. The problem has worsened due to the fact of CLAD (Art Liaison Committee Dental EU), the body that regulates the equivalence of dentist curricula in Europe, have threatened the Portuguese government with a complaint to the European Court of Justice case Portugal recognizes the Brazilian dentists and dentists. Finally, in 1999 the Brazilian dental associations and Portuguese stomatology (the equivalent of our "dentistry"), pressed by their national diplomacies, can reach an agreement that resolved the problems of these dentists, and force the writing of a new cultural agreement which shall cover situations such as the Brazilian dentists. The new treaty provides for granting equivalence of diplomas is a problem of professional associations of both countries. Having achieved their goals, the Portuguese Association admitted that the affiliates dentists to ABOP be integrated into the Portuguese order by a soft schedule adaptation of curricula courses.

With Science - What is the reaction of the Portuguese media to this dispute?

Machado - Part of Portuguese mixed media misinformation, sensationalism and bias and part sought to properly inform about the problems. The fact is that both associations were in open war, which implied the dissemination of slanderous information on both sides. Did not see any serious work that sought to investigate the claims of both parties (such as check which are, in fact, differences in training between Brazilian and dentists). But biased reports that dentists related to stereotypes about Brazilian trickster, smart were the ones that stood out, of course. They, on the one hand, sensitized the Brazilian media that highlighted the prejudice coverage in the Portuguese media and on the other, rentabilizaram the position of dentists who could say that his case was a case of defending the image of Brazil, against prejudices, etc.

With Science - What is the political positioning of dentists leaders during the struggle for equivalidação of diplomas? Within the universe of Brazilians in Portugal the political leadership of dentists was or is significant?

Machado - The position was declared confrontation. While the CBL (Casa do Brazil Lisbon) sought to articulate a rights extension speech because of Luso-Brazilian brotherhood, as shown by Gustavo Adolfo Santos [the Master's thesis Interethnic Relations in Lisbon: Immigrants Brazilians and Africans in the context Lusophone, also a researcher at the CEMI], the ABOP wanted the letter of the treaty of 1966 was fulfilled, even claiming that Portugal was the Brazilians the good treatment that the Brazilian government gave runaway Portuguese revolution of the carnations and all Portuguese immigrants. The discourse of ABOP was so hard that the Brazilian consulate prevented the presence of leaders of this association in the international symposium on Brazilian immigration in Lisbon, organized by CEMI and CBL. To get an idea at the time ABOP to say Brazilian Dental Association Section Portugal, a deep contempt for APMD. Of course, the leadership of these dentists is significant, just see they were always welcomed by Brazilian heads of state (Itamar and Cardoso), however it is not representative. Today the vast majority of Brazilians in Portugal is poor and with low schooling, and they definitely do not feel represented by dentists, seen as true tycoons.

With Science - What are the consequences of the resolution of the case of dentists to other Brazilian?

Machado - short, ABOP solve your particular problem and at the same time triggered a new cultural treaty that makes life difficult for other Brazilian professionals (even for new dentists) who now are completely dependent on the Portuguese orders and no longer has the support of the old treaty cultural, which included a requirement for granting equivalence. This process ended in July 2000, when the last module of adaptation courses was completed, along with a solemnity that was intended to stifle the crisis years and a resolution that is in no way beneficial to the community of Brazilians in Portugal, as it tries assert ABOP. If before the ABOP fought for law enforcement, it was beneficial to Brazilians, now they managed to solve the problem itself and abolish the law was good and allowed the right claims. Well, from now on the new skilled migrants should resolve their issues directly with their Portuguese associations, which always tried to defend its market, as we can imagine. For Brazilians without training the only effect of this whole fight was reinforcing stereotypes by the Portuguese media, which negatively affects the lives of everyone.

With Science - What is the current policy position of dentists after the resolution of the problems?

Machado - If previously combative, now are more realistic than the king. During the congress that ended the problem with the latest training modules for the equivalence of diplomas, which I attended, what else could hear was on the Luso-Brazilian brotherhood, about the eternal bonds of friendship, on the strengthening of relations between the Brazilian association of Dentistry and the Portuguese, etc. To the Brazilian ambassador was there and made his speech at the end of closing section, celebrating the end of the fights between the transatlantic brethren.
IGOR MACHADO

Com Ciência 

 

623. Aracatuba (Brazil): 70% of babies arrive to nine years without decay

Of every ten babies served by Unesp (State University of São Paulo) Araçatuba seven arrive at nine years without decay. The average is calculated by means of the work done in the Bebê Clinic, FOA program (Faculty of Dentistry Aracatuba) since its founding in 1996. During this period were made 16,000 calls. The result is due, according to the coordinator of the clinic, Robson Cunha, the guidance given by professionals working in service with the parents of the babies met.

Parents are encouraged to take care of the oral health of children and with this, they also learn to be healthy, said Cunha, remembering that it is difficult to detect cavities in babies followed in the clinic. When appears, they are white specks. The baby has to have up to six months of life to be enrolled in the program. Parents should also participate in an educational lecture on the subject. From there, there is a follow-up at the clinic every three months where the gum and the child's teeth are examined by the Dental course students.

We make an oral structural assessment, fluoride application, cleaning with gauze, brushing, flossing, lists the coordinator. During consultations, parents receive guidance to avoid giving soda, which contains a lot of sugar, for example. I take my daughter in Bebê Clinic since two months. Today she has a year and a month and the teeth are healthy because we are educated to take care of the little mouth of our children, he told the negotiator Renata Ribeiro dos Santos, 30, mother of Izadora.

Folha da Região

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This article portrays the result of the work done by the State University of São Paulo (Brazil) and demonstrates that it is possible to control and eradicate child dental caries.

Unfortunately it is an example that does not exist in Portugal. On the contrary, the state prefers to spend continuously tens of millions of euros every year on treatments in older children's age groups, using private institutions instead of using the resources of the National Health Service (SNS), bleaching any prevention work which should begin as early as six months of life of children and that it is not the responsibility of the private sector.

Portugal portrays a bad example to the world in the provision of oral health care, why bet on age ages already too advanced and waste of human resources and existing equipment in the public sector.

622. The consequences of the shameful policy and interests installed in oral medicine in Portugal

A dire situation for all official institutions responsible for oral health and dentistry in Portugal, from the President, the various governments, all parties of the National Assembly (from the right-wing parties until all parties of the left) and several organizations representing dentists and dentists doctors.

It is a CLOSED PLOT where everyone put their interests above the interests of the portuguese population, spending many hundreds of tax euro million who works in Portugal to form candidates experts to emigrate abroad and to address the health people who did not contribute to the training of dentists, doctors and dentists Portuguese oral hygienists.

Portugal remains in a world of interests that benefit some harming the majority of the population. Portugal lives a stupidly sick democracy.

More and more dentists leaving Portugal.
After six months without finding work in Portugal, Marina Alves decided to try his luck in England. It is one of about 500 dentists who have been to that country in search of better conditions of employment. A leak that has grown in recent years and is to attract the most experienced professionals. In England, the Portuguese already account for 7% of dentists.

Are the situations of eternal green receipts and the fact that there is a public service that offers these services to people and the private sector is saturated. Patients can not afford to pay, and the number of visits decreased, says Marina Alves, 27 years old, told the Jornal de Notícias. For two years, she is working in England, where there are 500 Portuguese between 7500 registered dentists. He tried his luck at one of the many announcements of recruitment companies in the health area. He does not regret anything and confesses he has no plans to return.

We provide renewable service contract for two years. Rarely offer less than seven thousand euro to a person with my experience. This amount is tax free, but even with the tax burden you can do a good foot-egg. With the economic situation being experienced in Portugal, the return is difficult, he says. Marina reveals that there are many colleagues who to contact to know the conditions you would find in England. The way out is a growing reality for either England, Sweden, France ... Whether the younger as the older.

It's easy to find job advertisements on the Internet. Annual salaries of around 73,000 euros in the United Kingdom or 127 000 in Dubai. The contracts are expected to reach three years, and it is possible to combine public and private work. To note that in recent times there has been an increase in applications. This year alone has recruited 20 dentists for the UK, says the DN Luis Teixeira, the Reach Health Recruitment, a company that also seeks nurses and pharmacists.

The reasons for departure are almost always the same.They are unemployed and looking for work. In the case of dentists, we have people who closed their clinics in Portugal, because there was a decrease of customers, and now look for other conditions, adds Luis Teixeira, noting that in a month's space received between 30 and 40 Portuguese applications that wanted to go Dubai.

Orlando Monteiro da Silva, chairperson of the Order of Dentists, says the departure of professionals will continue. Britain, Ireland, the Nordic countries will need more dentists. Portugal has excess dentistry courses and many professionals without placement. The seven colleges form per year, about 500 new dentists says.

A recent graduate earns the country about 500 euros a green receipts, in England the monthly salary can be eight times higher. There are classes in which 90% of students were exercising out of the country. There is the case of a whole class it happened. There are also senior colleagues who go to England for pension purposes, something difficult to ensure in Portugal said. Have dentists in the National Health Service (SNS) would be a solution. A huge part of the population needs assistance and not can afford. We have between 30 and 40 dentists in the SNS, which is clearly not. If we had an average of two or three dentists by health center would be about 900,000 dentists to do basic treatments, says Monteiro da Silva.

Diário de Notícias

     

621. ORCA (The European Organisation for Caries Research)

The European Organisation for Caries Research

620. stomatologists and doctors dentists

The Dentistry in Portugal is a level playing field by two different professionals: Stomatologists Doctors and Dentists. Doctors. Stomatologists are professional graduates in medicine who later specialize in stomatology, exercising in public / private hospitals and clinics. The Dentists are licensed professionals in dentistry and exert almost exclusively in clinical, which is a recent degree in Portuguese panorama, while there is a tendency to decrease the number of Stomatologists Doctors, as space available for specialty boarding school in Stomatology they are increasingly less.

Both are trained to identify, diagnose and treat all oral diseases and jaws, and the structures attached thereto, either medical or surgical manner. The big difference lies in their job classification and years of training: Doctors Stomatologists are included in hospital medical career, while Dentists do not currently have any associated career.

After graduating in medicine, to obtain the specialty of stomatology, doctors attending the Specialty Internship which lasts for four years. After the final exam of the Stomatology boarding become assistants Hospital of Stomatology and can get the title Specialist in Stomatology by the Medical Association.

Aos amigos de Aveiro  

619. Video Training Coordinators DENTISTAS DO BEM (in Portuguese language)

turma do bem

618. Initiative calls for support of dental professionals around the world

In 2010, the Ukrainian project Quality of Life for Our Parents was created. Dental professionals dedicated to the initiative, which aims to offer free implant care for needy people aged 65 or older, about 2,000 placed implants to date, helping 500 people totally toothless. Now, the project founders are asking colleagues around the world to support the World Day of Free Dental Treatment on 31 May.

The project was initiated by Professor Yaroslav Zablotskyy, president of the Association of Ukrainian Implantologistas, and spread to other countries such as Poland, Russia and Georgia. The organizers held charity events in different places to provide professional care for the elderly. Until now, doctors more than 20 countries supported concerned. Events are disseminated through radio, television and print ads.

Since 2012, this project was organized by the International Alliance Implantologists (IAA) and the project received the official support of the European Association for Osseointegration this year. On World Day of Free Dental Treatment, introduced in 2012 in honor of the 60th anniversary of the discovery of osseointegration Brånemark and scheduled for the last Friday in May of each year, dentists and Implantologists are invited to address a totally edentulous patient, free in your workplace, it could be a private or a clinic university and according to the preferred protocol the doctor. In the ideal situation, a dental implant manufacturing company would support the physician by providing the necessary material.

Dental professionals in all areas are welcome to join the IAA, in order to support the Quality of Life for Our Parents Members also have the opportunity to join other existing initiatives and support them in a local or international as well as the opportunity to start their own social project based on your own ideas with the support of the IAA.

O Higienista Oral    

617. National Health Service (30 years old)

CopyRight @ ARSLVT

616. Mega screening Sao Paulo

CopyRight @ Turma do Bem

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Good examples highlighted. Thanks to the Turma do Bem of the Well and Oral-B. Portugal also needs these examples.

615. 40% of portuguese children with dental caries at 6 years of age

Are fewer and fewer children among its and 12 years who have dental caries. At least that's indicating the preliminary data from the Third National Study of Prevalence of Oral Diseases, presented as part of World Health Day.

According to the study, 60% of children under six years has not decay, a number that rose 9% compared to 2006 and 27% compared to 2000. However there are still some inequalities between different parts of the country, with the center zone to be the one with more children with cavities: 53%. North with 46% It follows, Lisbon and Tagus Valley with 40%, with 34% Algarve and Alentejo with 29%.

In relation to children 12 years, Cristina Cádima, the National Program for Promotion of Oral Health, the Health General Directorate, said that 56% had no caries and is also the center area with the worst results, with 51% of children this age without decay, followed by the north with 53%, Algarve and Lisbon and Tagus Valley with 58% and Alentejo with 53%.

The study also evaluated the DMF index (mean number of teeth with caries, missing or filled children present) and here too there have been improvements. As the program begins at age six, the index focused on children 12 years and it was noticed that each had an average of 0.77 teeth decayed, missing or filled, when in 2006 the figure stood at 1.48 . For this index, the target set by the World Health Organisation, to be achieved by 2020, corresponding to 1.50, so that Portugal has surpassed the goal.

At the close of the conference, the Health Minister Paulo Macedo said schools as "authentic institutions promoting oral health" and announced that the SOBE project, intervening in school libraries, won the World Dental Hygienist Awards.  

Saúde Oral 

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This study says that in Portugal there are 40 children in 100 with tooth decay, ie almost half of Portuguese children have tooth decay at six years of age.

The almost absolute disregard to combat the scourge of this infectious disease early in life can be noted in the near absence of a true health policy primary care for early childhood in the country.

It is extremely dramatic attend a European Union country has almost half of its children with dental caries, before entering the first cycle of basic education.

Heartbreaking compare recent data with years in which the number of children far exceeded; the dramatic effect of reducing the birth rate is the direct result of the destruction of social rights and that will create serious problems of inter-generational sustainability. 

Today palms will be replaced by moans very soon. 

614. Billing dentists decreased about 40 percent in 2012

The billing for dental offices decreased by about 40 percent in 2012, as a result of the crisis that causes people to not spend on prevention, revealed the president of the Dental Association advances the agency Lusa. The crisis affects, and how, the offices of dentistry, said Orlando Monteiro da Silva, on the sidelines of the World Day ceremonies of Oral Health, who pointed out this Wednesday.

The president said that the charging of 5,000 to 6,000 dental offices decreased from 30 to 40 percent last year, compared to 2011. This decrease, he said, due to the crisis and the fact that people postpone, always that can, going to the dentist, unless it is to treat the pain and the obvious discomfort. To Orlando Monteiro da Silva, the consequences of removal of offices can result in a reversal of optimistic results in terms of oral health, which have occurred in Portugal.

In times of austerity, the crisis affects the health and in particular, oral health, lamented.

RCM pharma 

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Equity between the provision of dental services among the public and the private, the creation of the Single Oral Health Bulletin, the complete overhaul of prevention programs, the setting of price cap for dental treatments and geographical mobility of doctors dentists are proposals already made several years ago that can reverse the dire situation of oral medicine in Portugal.

The problems of oral health in Portugal have nothing to do with the economic crisis; all the existing problems in dentistry are due to the conservative mentality and interests installed in the sector, preventing the adoption of new strategies that put the oral health to everyone, remaining confined to cooperative members and monopoly interests, seeking only profit.

613. Dental checks will be extended to 15 year olds

The program of dental checks will be extended to young people aged 15 years, covering about 50,000 users, an extension without additional cost to the National Health Service (SNS), according to the Order of Dentists. Speaking to Lusa agency, the president of the College of Dentists, Orlando Monteiro da Silva, explained that there has been agreement with the Ministry of Health on the extension of the program of oral health in young people. So far, the program covered schoolchildren up to 13 years, which last year alone received 300,000 dental checks.

Besides children, in 2012, the program made it possible to check about 100,000 pregnant women, elderly people with solidarity supplement and patients with HIV / AIDS. The program's budget in 2013 is 16 million, the same as the previous year. After the agreement with the Ministry of Health, the Medical Dentist says that this time is being done technical work to operationalize the extension to 15 year olds, not helping when they can get checks to be issued for this new public-target. The president justified the possibility of additional costs without extension of the program for the SNS with the improvement of oral health indices of children already covered in the program: the improved oral health indices and decreased the risk that implied an extension of the program. It's totally different take a child to 15 years that has never been seen or have a child or young person who has already been followed.

In addition, Orlando Monteiro da Silva says the Dental does not arise out of the cost-cutting effort that is asked across the health. Earlier this month, the Health Minister also announced in parliament that the agreement with the Order resulted in the first steps for performing screening for oral cancer. Orlando Monteiro da Silva explained now Lusa that the technical implementation is almost complete and that there are already guidelines on screening numbers, biopsies and populations to achieve.

Among the population most at risk of oral cancer are smokers and excessive drinkers and the older population, with the risk increasing especially after 50 years. According to the president, the tumors in the mouth at an early stage can be cured and represent less financial and personal costs. If everything is approved for this year, we are available to host this screening shed and treatment of malignant lesions. It's all set when we start, Monteiro da Silva said in statements collected by Lusa.

TVI 24 

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On the way in the right direction. But lack implement the oral health card for all children and youth; the dentist-check program covers only a small percentage of the actual needs of oral health of children and young people, leaving out the vast majority of those in need, such as those attending secondary or university education (those most in need of support).

Do not understand the assignment of check-dentists who assumed by social neglect contracted HIV / AIDS (the tax money paid by those who work should never be targeted for such people). Also do not understand the lack of implementation of a network of health care public oral medicine, in the same circumstances that the private sector; a real shame of public health policy that no one dare report.   

612. interview with Dr. Orlando Monteiro

611. Excellency the President of the Alentejo Regional Health Authority

For people who have a short memory for its own sake.

(...) Not resign myself with morality gestures and what happened to me not will be repeated with another person; I intend rather that the acts are made and cleared responsibilities (medical procedures dental or practiced dentistry or have been denied me) as far as justice is possible and feasible, or that it will only have a moralizing effect of heinous acts committed within the National Health Service and that Your Excellency should never allow them to be forgotten or that you pass a cloth over them. Do not chase anyone; just want to understand who and why was subject to certain dental care and was unable to have access to other types of dental care, because I think I was severely mistreated when fully trusted the treatments that made me, and that they are reverberate permanently and extremely negative effect on my current quality of life.

http://meusorrir.blogspot.pt/

The position occupied in a given position can not be an excuse for civil and criminal irresponsibility of medical acts, in particular on people at the material time were minors. No one has the right to prevent the course of justice in cases involving fundamental human rights.
Portugal is still a state of law and can not be allowed certain type of abuse that condition and determine the quality of life of another person, permanently and for the rest of his life; this situation is even more severe because it is practiced on children.