506. Archipelago of Madeira: Estate of tooth sealants inactive worries Order

The Order of Dentists (OMD) is concerned with the abandonment, in April 2010, the placement of fissure sealants on the teeth of children up to 10 years. As it is concerned with the inactivation of the courtesy van Horacio Roque Foundation (which cost 75 000 euros) and it was going to school for this purpose.

Concerns were expressed today in the public presentation of data related to the implementation of the Regional Oral Health Promotion (PRPSO) in the period between 1995 and 2010. In a press conference, Gil Alves, Doris Sousa and Catarina Cortez showed data that led to lower than 90% (in some cases) to 50% the incidence of dental caries in children between 3 and 10 years (target population the program).

At the age of 3 years all municipalities decreased the prevalence of caries except in the last evaluation, Santana, Santa Cruz, Porto Santo and Câmara de Lobos. In the age of 6 and 9 years all counties except down decay of Porto Santo.

Remember that the squandering of human resources working at PRPSO, implemented from May 19, 2010, led to the abandonment of the team coordinated by Gil Alves. Since that time, a successor strategy team, the dental hygienist to apply sealants was placed in the Porto Santo and Madeira, this was no valence.

By way of balance, reported that programs to promote oral health do not give votes (with a time horizon beyond four years) so only implement informed policy. And prevention is the best answer simply, often, brushing teeth three times a day.

It should be noted that the program began in October 1996 after, in April 1995, the Dental Association have been invited by the then regional director of health, Ermelinda Alves, to collaborate in the implementation of PRPSO. The aim was to achieve the target population from 3 to 10 years old (with traces at 3, 6 and 9). The pre-schools and the first cycle of basic education for all counties in the region were privileged partners, through the Secretariat and the Regional Directorate of Education.

The first phase started in October 1996 in schools in rural districts of Ribeira Brava, Ponta do Sol and Porto Moniz. By the way the poorest oral hygiene and access to dentists. After extended to Calheta, Santana and Sao Vicente (1998); Machico (1999), Santa Cruz and Porto Santo (2000), Câmara de Lobos (2004) and Funchal (2006). The latter includes not yet totally in its elementary schools.

It should be noted that the regional health plan 2004/2010, the goal was to eradicate dental caries, by 2010, 50% of children. In the academic year 2009/2010 the program covered a total of 19 000 children, distributed in 182 schools and 929 classes. Children who received oral health sessions taught by dentists, hygienists, monitors, nurses, nutritionists, teachers and educators. But also for educational auxiliaries, nurses who accept children between 6 and 36 months of age, parents and other professionals.

dnoticias.pt

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Extremely distressing and total lack of moral ethics policies persist in contempt for the poor and helpless, when we all know the many hundreds of million of euros transferred annually to the Madeira and is filling the pockets of someone. There is courage and report it if this aberrant situation in the European Court of Human Rights.

The political regime in Portuguese territory lacks profound changes very quickly.

505. Statistics 2010

504. Oral health in Portugal 2010

• We continue with many people in front of decision-making powers (...) that influence the oral health policy, with an average age of retrograde mentalities that make Portugal continues in the tail of Europe in terms of oral health, much closer to the Third world than most developed countries, interested only in their own interests and making a clean sweep of what is the most elementary basic human rights of the population in terms of oral health. How much will the conscience of each one of these people see a child or adolescent victim of sheer neglect of oral health? Perhaps this fact is not to put their children or grandchildren.

Ends the year 2010 with little or absolutely no steps to amend the policy dismal oral health in Portugal, leaving the population increasingly difficult levels of oral health care in developed countries.

The persistence of the current team of the Ministry of Health in outstanding oral health services provided under the National Health Service, whose last example is in trying to end the career of doctors dentists in Portugal, a future prospect far worse access to care oral health of the population.

This atrocious policy of destruction of existing care (see for example the same hospitals, with Portuguese required to be born abroad, or for emergencies, forcing people to move more than fifty miles to be watched, often waiting more than twelve hours) lies directly on the population with fewer resources, paying the highest taxes in Europe but unable to use private services.

Associated with the political demagogue facilitating the rich bourgeoisie, organizations linked to the oral health sector do little or nothing to change the situation, embarking on a path to promiscuous government policies, thereby putting themselves at the service of wealthy bourgeois class could to pay large sums for treatments and leaving to chance the whole working population of middle and lower classes that, despite paying the highest tax rates of all European countries and contribute directly to the training of dentists in practice have no rights assists in terms of oral health.

The prevention of oral health in terms of primary health, are taken dropper under the circumstances, trampling the rights enshrined in the Constitution, without any minimum strategy for the future and openly criticized by the Court, by violating the equal constitutional rights.

Allied to the destruction of what remains of oral health in the National Health Service, the Ministry of Health liberalizing the entry of the private within the oral health often associated with foreign multinationals, which first put its desire to make money on the health of the Portuguese, acting independently of any priority public health needs.

The higher the health authorities of the country, namely the Directorate - General for Health, trample on sponsor brochures, photocopies or advertising, spending millions and millions of euros taken directly from funds that were to be delivered to dentists to treat their patients ; School Health in practice does not exist, leaving millions of children and young people who have luck in life.

Never heard the Directorate - General Health or Dental Association publicly defend the extreme urgency of an Oral Health Bulletin, particularly children and adolescents, to enable an effective policy for combating and eradicating child tooth decay in Portugal. They seem to prefer them to continue in it.

Nothing was in most urgent need to protect the oral health professionals within their working relationships with employers, leaving them at the mercy of unscrupulous crooks to exploit hand - to - cheap labor.

We continue with many people in front of decision-making powers, the Government, the Parliament and the industry organizations that influence the oral health policy, with an average age of retrograde mentalities that make Portugal continues in the tail of Europe in terms of oral health , much closer to Third World countries than more developed countries, interested only in their own interests and making a clean sweep of what is the most elementary basic human rights of the population in terms of oral health. How much will the conscience of each one of these people see a child or adolescent victim of sheer neglect of oral health? Perhaps this fact is not to put their children or grandchildren.

503. Merry Christmas and a Happy New Year

We walked for another Christmas and the beginning of a new year. At this point we remember all our family and friends, to whom we renew our desire for peace and health.

Also this blog want a better year in 2011 for all Portuguese, and that the right to oral health is devoted to all, without limitations of social or economic.

Installed in the political governance of the country, and particularly the Members represented in Parliament, the Minister of Health, the Lord Director - General for Health and the President of the Republic, we want to fulfill their obligations for positions that were elected and that morally understand that oral health is a fundamental and unquestionable human. We ask all politicians to join efforts and determine the general population to access oral health care, particularly of poor people, children, young people and older people and the socially excluded. Who like to have a child without the slightest chance to have their teeth properly treated? Someone is able to calculate the human suffering, physical and psychological, that a child has to carry throughout their lives by a simple lack of adequate treatment and oral health worth?

Oral health professionals are asked to contribute to improving the oral health of all the Portuguese, without discrimination based on social groups or economic classes, their training was paid for by taxes of all Portuguese who work at that morally should also provide oral health care to all people no matter what their possibilities.

Charity in oral health is not no resolution of the problem, rather it serves to perpetuate existing problems.

Portugal can not remain the poor relation of the oral health of European Union countries. After all, dental caries is a disease that can and should be eradicated from Portugal.

502. Azores: Less health and poorer health

The boards of the three hospitals of the Azores are going to record the time delay of arrival to the emergency room doctors who are prevention, today announced the regional secretary of Health We provide guidance to boards of hospitals to proceed to registration calls for the prevention and recording the time at which the trader came to the emergency, Miguel Correia said, stressing that this is a measure of teaching.

Miguel Correia, who spoke at the opening session of the X Conference of General Practitioners, in Horta, Faial, responded this way to the defense that there has been in hospitals in the Azores, after the regional government had suspended partially medical preventions overnight in some specialties such as psychiatry, oncology and dentistry.

The regional secretary of Health stressed that for those who accuse the government of undermining the quality of service provided to users with these cuts in prevention, this is a measure that will definitely improve the quality of service. Miguel Correia also announced, to combat waste in the health sector, the creation of a working group that aims to create common rules in all health units in relation to medical prescriptions and the use of supplementary diagnostic.

The regional secretary of Health also noted that the Executive intends to create more regional health units in the island and family health units to combat the lack of general practitioners in the archipelago. According to Miguel Correia, the government also intends to increase the number of users per family doctor which is currently set at 1500 patients per doctor.

However, the clinical director of the Hospital of Ponta Delgada, Laurindo Frias said at the end of a meeting of the medical committee, which cuts in prevention adopted by the Government of the Azores were not accepted by the medical staff of the hospital. The meeting was marked by great defense and this team has a unanimous position that these measures can not go forward. Therefore, there will be nothing to collaboration that measures are implemented, the responsible clinician said, adding that he was told that the scale of next week is equal to the above.

It relates to the restrictive measures of prevention in some medical specialties determined by the regional executive, against which Laurindo Frias also manifested. I myself am against these cuts, always was, but now I'm more legitimate to say that I am against because they all have the same opinion, he said, admitting that it may be taken a position of strength after a meeting that goes to the direction of the clinical hospital. In this regard, he stressed that the medical commission is an advisory body to the medical director, adding that now will think about this with your team and then send the result to the board and guardianship.

The cuts in prevention of the specialties of Psychiatry, Plastic Surgery, Stomatology and Oncology at the Hospital of Ponta Delgada were implemented from 01 November and part of the package of restrictive measures of the Regional Government applied to the three regional hospitals.

A União

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Desperate attempt of the Azores Regional Government to limit access to health care among the population. Clear demonstration of backward civilization.

501. President asks the regulator to be inflexible in licensing

At the opening session of the XIX Congress of the Dental Association, which runs until Saturday in Santa Maria da Feira, Orlando Monteiro da Silva said that these professionals lay a huge expectation in the new president of the Health Regulatory Authority, Jorge Simoes, who was present in the session.

In licensing, we must be inflexible requirements in health care, said Orlando Monteiro da Silva. Beyond this urgent need, identified another urgency that is properly fit the activity of insurance companies, conventions and subsystems, said.

The president of the Dental Association said it is essential that it is identifiable, clearly, what insurers pay or reimburse and conventions, so they can not confuse or even deceive their customers. We can not continue to have misleading advertising, publicizing acts free and packet procedures where supposedly everything is included, highlighted.

Orlando Monteiro da Silva later approached the issue of Health Regulatory Authority to charge fees that seem like a real tax to clinics and medical and dental services: We have had great difficulty in identifying the role of Health Services Regulatory Authority to justify this huge sum that all year is charged. The consequence is higher prices and costs, declining quality and a vision of health that will be increasingly seen as a business, he said.

Orlando Monteiro da Silva also defended the extension of the National Oral Health to more groups and warned of the need for replacement of dentists leaving the hospital when retirement and recruitment of dentists to the health centers of the most isolated regions of the country . Referring physicians of retirement age, the president explained that the specialty of dentistry is disappearing from public hospitals and that is tragic that these professionals are not being replaced by younger colleagues.

Minutes before, in his speech, the president of the Health Regulatory entities expressed readiness to work on strengthening citizens' confidence in dentistry in Portugal and to increase the feeling of safety, security and the needs of users, which is the main objective of all stakeholders in the health system.

Destak.pt

* * *

It is hoped that the words expressed by the president of the Health Regulatory Authority are not merely the circumstances, taking into account the breakdown of oral health in Portugal made ​​by past governments.

It's good to remember that all pay taxes to train dentists for our public universities, these same dentists must serve all Portuguese - that's why did the National Health Service.

The atrocity starring the Ministry of Health, oral medicine away to private enterprise and liquidating, for example, the specialty of dental public hospitals, is one of the most serious attacks on public health itself of its population. This policy has a face, the current team of the Ministry of Health.

500. Vacancies for stomatology in 2011

In January next year, health centers throughout the Northern Region will begin training 162 family physicians. Within four years, the interns will be specialists in family medicine and will cover a population of 243 000 users. The vacancies for additional internship in the specialty of family medicine represent a third of the total.

Vacancies by specialty were opened as needed now and in coming years of retirement medical service. To Stomatology and Imunohemoterapia not open vacancies for training doctors.

Jornal de Notícias

* * *

In six months the Hospital de Leiria spent over 1 400 000 euros and contracting services to physicians, which translates into an increase of more than 665 000 euros compared to the expense of 2008. The hospital costs justifies the increasing needs assistance to more users.

In defense presented in the audit of the TC, the Hospital de Leiria justify the hiring of more medical services because of the small number of doctors serving the HSA, including a doctor in the specialties of Otolaryngology, Stomatology and Radiology, alongside the increased need for assistance health, with the growing number of users and to practice medical procedures. The HSA advances also have been complied with the guidelines circulated by the Chief Executive [Department of Health].

Diário de Leiria

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For the Portuguese understand the true policy of the current team of the Ministry of Health: extinguish the medical specialty of dentists in the National Health Service in the coming years. Years from now we must go foreign to have a dental consultation.

It is regrettable that the Order of Dentists and the Portuguese Society of Stomatology and Dental Medicine do little or nothing for yet another fierce attack on the National Health Service and health of the Portuguese, who had not occurred during the Estado Novo. Private interests or other games?

499. GAIA: With knowing smiles

Video in Portuguese

(Click on the image)

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The Clínica Médica Jardim, da Consolidar e Validar - Center for Health Sciences, is conducting free dental care to about one hundred and fifty children living in social enterprises in Vila Nova de Gaia and who attend the project with the Fun Knowledge - Mathematics Meetings. This comes in the wake of the surveys already carried out nearly four hundred children, aged 8 to 12 years, under the project Strengthening the Know with a Smile Valer, resulting from a partnership between GaiaSocial, MES and the Consolidar e Validar.

On behalf of the city and especially on behalf of children who are being treated, strongly manifest a deep appreciation for the exemplary and selfless manner in which the Clínica Médica Jardim has embraced this project, said Marco Antonio Costa, Deputy Mayor of Gaia in the celebration ceremony of the protocol that defines the conditions for project implementation Consolidate knowledge with a smile worth signed by Andre Correia, President of the Board of GaiaSocial, and António Faria, responsible for the Clínica Jardim. The Deputy Mayor referred, in fact, implemented the project for about four years among children living in social enterprises and Gaia aimed at equal opportunities and social cohesion at the level of learning mathematics.

This project became a Trojan horse that allows us to observe the behavior of children in order to intervene quickly and ensure that everything is done for the sake of their academic training, on an equal footing with other children, Marco António Costa stressed. At a time when so much is said of the welfare state and National Health Service, we have a total and absolute evidence of an irreparable taint the national health service, said the Deputy Mayor, warning of the risk of these children can never have the opportunity to be treated by a dentist if it were not for the altruism of António Faria, responsible for the Clínica Jardim.

These are small gestures like this that can make a difference, he said. Marco António Costa announced, incidentally, that the City of Gaia will take the initiative to contact the EDP Foundation to try to reconcile this project with a program developed worldwide. António Faria showed the willingness of Clínica Jardim to materialize the social responsibility inherent in partnership with GaiaSocial and announced the continuation of the project Strengthening the Know with a Smile Valer, necessary consultations shall be held to finalize the processing of all situations.

António Faria launched the challenge to the 800 dentists Portuguese colleagues to contribute also to the social reintegration of the most disadvantaged children. Give as little of us has an immeasurable value, he said. Based on how the project is underway, the charge of the clinic expressed full readiness to participate in future activities, in partnership with the City of Gaia.

The implementation of the project Strengthening the Know with a Smile Valer fits the constant concerns of the municipality for the dignity of the human person, the family support and personal appreciation of the citizens living in social enterprises. The Municipality of Gaia is committed to strengthening the social support measures to the most disadvantaged families to minimize the difficulties and sacrifices resulting from the economic crisis in the country, promoting and encouraging other projects aimed at social cohesion.

Portal do Cidadão de Gaia

498. Portugal, a country with no future

The televising of football friendly match between teams from Portugal and Spain in promoting the implementation of the application Iberian World Cup football in 2018, is a further injection ideological inflicted on society by a Portuguese bourgeoisie affects the political system , which obtained the blessings to support yourself and live off the exploitation of the middle classes and poor who constitute the overwhelming majority of its population.

It is incomprehensible that a country heading for bankruptcy and economic bankruptcy, insist on promoting deplorable performances of 22 people chasing a ball, involving sums in the order of several billion euros, when hundreds of thousands of children and teens will never have any chance of proper accompaniments primary health, and particularly the possibility of having access to proper oral health.

It is extremely regrettable that political power (government, Parliament and President of the Republic) forget the systematic violation of children's rights and do nothing to change the status of oral health in Portugal, preferring to spend tens of billions of euros in useless and not caring about the suffering of innocent people and needy.

It is extremely unfortunate that, at those times, organizations engaged in the oral medicine in our country do nothing to denounce the situation, both in Portugal and abroad, including the FIFA itself, preferring to keep everything the same and showing a mentality of a backward country without any interest in contributing to give a solution to the problem of oral medicine in Portugal.

It is extremely regrettable that there is almost no promotion in Portugal as part of scientific research in the fight against oral diseases.

It is extremely unfortunate that economic interests outweigh the interests of the health of children and adolescents.

Portugal is truly a country with no future for coming generations; 700,000 Portuguese emigrated in the last 10 years.

497. AIDS patients are enjoying the dental checks

A resolution from the tutelage of Health, published in the Official Gazette, gives the extension of dental checks for patients with AIDS. The patients concerned, to take advantage of the program need to be properly referenced by their family doctor.

The Government has decided to extend the program taking into account the substantial risks to oral health problems that HIV / AIDS represents. The program has included pregnant women, elderly and needy children and youth from public schools until age 16.

Actualidades

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A crumb in the ocean of oral health needs of the population, clearly the shameful actions of the central government, which prefers to help people so socially irresponsible.

This continues the policy of oral health in the Ministry of Health,shameful, demagogue and without any discrimination by the real needs of those who work and pay taxes, but they have no right to oral health in Portugal.

496. Technique to sanitize the baby

Proceed to clean your baby's mouth

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Thoroughly mix one tablespoon of hydrogen peroxide 10 volumes, plus three tablespoons of filtered or boiled water and store in a plastic bottle type dropper.
To clean the tip of a wet diaper with this solution, rubbing the teeth and inside the mouth, including language, at least once a day, at night, after the last feeding.

Apply fluoride, when the baby has teeth at least once a day since the last cleaning before bed.

Place 4 drops at each end of the swab; with the tips rub all teeth surfaces. This done, take the swab to the child suck.

Reminder: never let the fluoride out of reach of children. Control sugar, avoid nighttime feedings, avoid eating between meals.

Take your child to the dentist before they were born the first teeth. You should receive guidance on all cleaning, fluoride application and the diet. Do not forget to return to your dentist on schedule.

Saúde Bucal.net

495. Colgate UK

http://www.colgate.co.uk/app/Colgate/UK/HomePage.cvsp

494. It's Always Smiling

http://www.youtube.com/watch?v=K3WXiHkSasg

493. Scientist creates Unesp biomaterial to regenerate teeth in 15 days

Sybele Saska, a doctoral candidate at the Institute of Chemistry (IQ) of UNESP, Araraquara campus, created a membrane that can replace current treatments to regenerate minor trauma to the teeth. The product is based on cellulose from Acetobacter xylinum, a micro-organism easily found in fruits and vegetables rotting.

Laboratory tests and a test pilot rabbits showed that the biomaterial retrieves bone tissue for a period 7-15 days, depending on the size of the damage. Only small bone defects can be treated with the film positioned on the traumatized area.

Lesions may be caused, for example, around a dental implantante in extraction processes when there is tooth or bone cysts. The biomaterial does not replace pins, plates and titanium screws.

The product was developed in about a year and a half, and his patent was filed in May, with support from FAPESP. Tests in mice are due in the first half of 2011.

The study Sybele Saska was considered the best dental materials in the category at the 88th General Session of the International Association for Dental Research in Barcelona, Spain.

G1 Ciência e Saúde

492. Faculty of Dentistry of Piracicaba studying genes involved in malformations of the teeth

Teeth are not born, and dental enamel staining with irregular features are some problems that can occur during tooth formation. Study them so wide was the objective of the Thematic Project Defects in the formation of the tooth, which was supported by FAPESP and was coordinated by Sérgio Roberto Peres Line, Department of Morphology, Faculty of Dentistry of Piracicaba, State University of Campinas (FOP-UNICAMP) in Piracicaba (SP), Brazil.

One of the objects of study was the effect of fluoride on the occurrence of spots on tooth enamel. Considered a mild malformation, this problem occurs during the formation of organic matrix and calcification of the tooth and primarily affects your enamel. Although it is basically composed of minerals, the enamel begins to form from a protein matrix, and at this stage the tooth is already suffering the action of fluoride.

We developed a method that uses polarized light microscopy and allows to study the state of aggregation of the proteins of tooth enamel, said the Line Agency FAPESP. It was known that fluoride affects tooth enamel, but the FOP team has shown how this occurs. We show that fluoride disrupts the protein matrix of enamel during its formation, he said. This part of the doctoral research composed of Alexandre Ribeiro do Espírito Santo, who studied the effects of genetic alterations on the organic matrix of tooth enamel and had fellowship from FAPESP.

Another change found in dental enamel analyzed in the project was amelogenesis imperfecta, a problem caused by mutations in different genes related to the formation of this part of the tooth. This anomaly may manifest itself in different ways, for example, an enamel hard, thin and full of irregularities.

In the most common form of the disease, the enamel comes with a soft consistency, and to be worn by chewing, and eventually disappears exposing the dentin, the inside of the tooth. Thus, the disease has also functional and aesthetic consequences because after wear can be left only a small piece of the tooth, said Line.

This part of the survey was conducted in conjunction with Pragna Patel, Institute for Genetic Medicine at the University of Southern California (USC), the United States. The teams Brazilian and North American region mapped a gene related to amelogenesis imperfecta. The genetic survey also attended the National Institutes of Health (NIH, its acronym in English). At this stage, we studied families who had people with the disease to identify genes related to its occurrence.

None of the cases tested correlated with amelogenesis imperfecta. Even so, the results are important because we analyzed all genes related to enamel formation and we now know that they alone are not responsible for the disease, indicating that other genes are involved, said Line. The analysis of genes involved in amelogenesis imperfecta was the theme of the doctoral thesis of Maria Cristina Leme Godoy dos Santos, who developed his work with Grant from FAPESP.

The team also investigated the absence of the formation process of the tooth called the dental agenesis, which is more frequent among the upper lateral incisors and third molars known as wisdom teeth. In more severe cases, a few teeth are formed, causing serious problems chewing and speaking, and those related to aesthetics.

To study this disease, the FOP team analyzed the polymorphisms of PAX9 gene called and got some of them relate to agenesis of molar teeth, especially wisdom teeth. The PAX9 has been the focus of researches of Carolina Vieira de Almeida, Cristiano Pereira Borges Saito and Liza Ramenzoni Lima, with grants from FAPESP. The work required the collection of DNA from patients attending the clinic suffering from FOP agenesis. With this, the researchers were able to compare regions of DNA with that of healthy people and, therefore, possible to identify parts involved with the disease.

Started in 2005, the work was finished in May 2010, having produced important papers like the New locus for autosomal dominant amelogeneis imperfecta on chromosome 8q24.3, published in the journal Human Genetics in 2006 and identifies the chromosome 8 as a new locus of amelogenesis imperfect.

Another work produced in the same project was accepted recently by the journal Cell Biochemistry and Function, and will be published later this year, according to Line. The FOP group intends to further studies in the regions of the PAX9 identified that were more likely to be related to dental problems. This is the focus of the study of Mariana Martins Ribeiro and Luciana Souto Mofatto - the first is Technical Training Scholarship from FAPESP and, second, Postdoctoral.

The training of human resources was a key outcome of the project, according to Line. Students who worked on this theme are now teachers at the Federal University of Parana, Federal University of Bahia and Amazonas State University, said. Line also consider upgrading the research infrastructure an important consequence of the theme. The purchase of a freezer that reaches - 70 °C and a luminometer [for measurement of luminescence] and the assembly of a cell culture room, which will be used by other areas of Unicamp, are important contributions that allowed the support of FAPESP feasible, he said.

O Repórter

491. Interview with President of the Order of Dentists

490. 10 tips for choosing your dentist

1-On the first visit to the dentist, look closely from the reception room to the inner office. Be attentive to issues related to cleaning the environment, the sterilization of the material, and the use of caps, gloves, mask and disposable needles. Many diseases can be transmitted in the office.

2-Passing through the first query, do not be shy and ask all the explanations about the treatment that will be held in his mouth. This is where you will feel if the professional is competent or not. If you do not feel safe, find another dentist.

3-Ensure that, during treatment, teaches professionals how to take care of the teeth to prevent future problems. This quality shows that he cares about the oral health of their patients and not only interested in making money.

4-Note the way the dentist treats his patients, employees, and also in the attention that needs to your questions. If he treats everyone with kindness, is a sign that will do the same with you.

5-The time formed the professional is not vital, but also counts. After all, a perfect result of treatment is what really matters.

6-Do not look for a dentist prioritizing only the financial side. When the price is too high, ask for discounts, and if too low, be suspicious.

7-For your choice is permanent and safe, you should consult different professionals in order to obtain different budgets, which may be charged or not.

8-Be careful not to get carried away by misleading advertisements. After all, advertising does not mean competence. What should be taken into consideration is the professional curriculum and the results of their work. A good dentist should be well updated and attend conferences to specialize more and more.

9-Note the amount of time that the professional reserve for each patient, and if the consultation is made between a correct cleaning of the office.

10-Take a spin at the first appointment if there was the concern of the professional as to your problem, or simply, if the professional is restricted to the budget.

Saúde Bucal.net

489. International Dental Congress of the Centenary of APCD

http://www.apcd.org.br/centenario/
* * *

From January 29 to February 10, the International Dental Congress will mark the centenary of APCD 100 years with many new features, will be promoted at the Expo Center Norte, with free membership to all surgeons and dentists voluminous scientific grid with new activities and more international conferences.

To open the celebrations of 100 years of its activities, the APCD - São Paulo Association of Dentists will, from January 29 to February 10, the International Dental Congress of the Centenary, which will bring together 70,000 professionals from Brazil and abroad . Under the unifying theme to grow, the anniversary edition will be held at Expo Center Norte, without charging the membership fee of dentists and a voluminous scientific grid with three new activities - sequential course for clinical use, clinical solutions and national course for academics - as well as more international conferences. Registration is now open and can be made ​​through the website http://www.apcd.org.br/centenario/ or by phone 0800 12 85 55.

It is a historic and unique because Congress will be held in a very special date, the event celebrates the president, Jorge Silvio Cecchetto. He points out that the move to the Expo Center Norte will bring comfort to the participants. It is a modern and well located, equipped with air conditioning and classrooms reversible, which may be enlarged or reduced according to the number of people, he says.

A marathon courses, workshops, hands-on panels, boards make up the scientific and clinical programming of the Centennial Congress. In parallel, there is the realization of Fiosp - International Dentistry of São Paulo and Community Dentistry, APCD project's social, theater presentations and educational activities for children and seniors.

488. Learn about foods that help to protect teeth

Brushing and flossing teeth every day is the best way to ward off dental disease. But a diet rich in nutrients such as vitamin C, D and calcium can help to make teeth whiter and gums healthy. The American dentist Anthony M. Lacopino, University of Manitoba, says the first step to having a pretty mouth is to reduce snacking between meals, so that the teeth are not so exposed to substances that erode the enamel.

To reduce the chances of tooth decay, prefer to eat three meals a day, says Lacopino. Also beware that some foods can chip or even break teeth. Chewing ice is prohibited, as well as olive stones, fruit or popcorn.

Foods to avoid

Chocolates and sweets: In addition to increasing the amount of bacteria in the mouth, teeth and adhere to difficult cleaning;

Simple carbohydrates: potatoes, pasta, bread and white rice also increase the acidity of the mouth and create an optimal environment for bacteria. Best exchange for full or brush your teeth soon after;

Coffee, tea and red wine: All these drinks contain pigments that stain teeth. Tea and coffee, if they are sweetened with sugar, also stimulate the proliferation of bacteria.

Beneficial foods

Water: Drinking helps reduce the acidity of the mouth and decreases the amount of bacteria in the mouth;

Sugarless gum: The gum increase the amount of saliva in the mouth, which neutralizes acid and protects tooth enamel. After meals, it is a good choice if you do not like brushing your teeth;

Citrus fruits: Despite being acidic, it helps increase saliva and end up cleaning the teeth. Bet on orange, cherry, lemon and kiwi;

Cheese and milk: The protein in dairy products, calcium and phosphorus decrease the acidity of the mouth and also protect the enamel erosion. In addition, the minerals help strengthen the surface layer of the teeth;

Fish and flaxseed: They help keep the risk of gum disease and reduce oral inflammation. The omega-3, found in both foods, also makes the body more resistant to inflammation and infection;

Chocolate: Substances found in cocoa decrease inflammation and help protect the teeth from erosion. Chocolate, although rich in sugar, is a better option for your teeth than cookies, cake and even raisins, Lacopino says.

O Globo Saúde

487. It is true that smoking causes tooth loss?

Yes, smoking can lead to tooth loss. Research worldwide has shown that smoking is directly related to most diseases of the mouth, including the squamous cell carcinoma, which is the main type of oral cancer.

Studies show that smokers are four times more chances of getting periodontitis, a disease that causes destruction of the bone supporting the teeth. This is because smoking increases the peeling of the oral mucosa, gums and causes heating of tissue inflammation, with consequent destruction of bone tissue, which may result in total loss of the tooth.

Depending on the severity of the event (time of smoke, volume and lack of care for oral hygiene) the destruction of bone tissue can reach the point of preventing the placement of the implant. If the smoking persists and the person does not take the necessary precautions to keep your mouth healthy, you can even lose the implant ever.

Tooth loss is a slow process before it becomes evident the smoker suffer other dental problems. A study by Elizabeth Krall Kaye, epidemiologist and professor of health policy and research services in health at Boston University's School of Dental Medicine, found that people who smoke cigarettes have a probability up to 70% more likely to need to do root canal treatment (endodontic ) compared to nonsmokers.

Ideal for good oral health and whole body is to stop smoking. Better still is not starting. But for those who can not quit, the best option is to prevent making frequent and routine visits to the dentist for cleaning and possible interventions to prevent the aggravation of installation and potential problems.

Danielli Spina, specialist in aesthetic dentistry and prosthetics

Bonde

486. Brushing your teeth reduces risk of cardiovascular disease

Brushing your teeth regularly reduces the risk of cardiovascular disease, according to a study in Scotland. Researchers ensure that people who rarely or never brushed their teeth, had a 70% higher relative risk of suffering a myocardial infarction or other cardiovascular complication, even after adjusting for other cardiovascular risk factors. Even individuals who brushed their teeth only once a day instead of twice or more, presenting a 30% lower relative risk of these events cadiovasculares fatal or not.

Periodontal inflammation, which is gingivitis, promotes the development of atherosclerosis, the formation of fatty plaques in artery walls of the heart. About 40% of the population has some degree of periodontal disease, a chronic inflammatory disease complex, largely caused by poor oral hygiene.

Experts say that promote oral health can be an effective measure in preventing cardiovascular disease.

Correio do Brasil

485. Oral Health in Silves (Algarve)

LINK:

Translation to English by Google

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Portuguese version

484. Alliance for a Cavity-Free Future

Alliance for a Cavity-Free Future

* * *

The Alliance for a future free of dental caries is formed by a worldwide group of experts who have joined to promote an integrated clinical and public health in order to prevent and eliminate caries, advancing to a future free of dental caries in all the age groups.

Overall, the group believes that an overall collaboration is needed to challenge world leaders and other regional and local actors to the need to warn the importance of dental caries as a factor inducing the disease and to participate in activities that promote the prevention of caries, allowing an overall management that can positively influence the ongoing problem of caries.

Given the purpose of conducting an action for global collaboration, the Alliance aims to partner global, regional or local level, involving political and community leaders, health professionals and oral health education and the general public.

WEBSITE

http://www.allianceforacavityfreefuture.org/en/us/home

===============================

Promoters
University of Dundee
Global Child Dental Health Task Force
Colgate-Palmolive

483. Azorean schools healthier

The Regional Directorate of Health today launched, in Ponta Delgada, the first of three training courses in the area of ​​health in schools, in partnership with the Regional Directorate of Education. According to the Regional Director of Health, Sofia Duarte, this training aims to provide technical health teams with the skills needed to identify potential challenges in middle school.

This program, which aims to promote health and healthy lifestyles, covering such areas as nutrition, oral health, exercise, prevention of the consumption of licit and illicit substances, as well as stress management for young people in a school. Sofia Duarte ensured that the project is of extreme importance, since it will perform a physical examination required of all students between five and six years and from 11 to 13 years. The medical school intends to make an assessment of capacity and physical development of children and youth, in terms of vision, hearing, oral health, posture and language, in which the results will be recorded on the Child and Youth Health, which includes a platform to record all student data.

In this context, where it detects a situation of negligence or need for special monitoring, the school health team will integrate the student or referral to the relevant departments.

Jornal Diário

* * *

This example should be applied throughout the country. There is political courage and take me to want to do better by children and young people, they are the future generation of this country.

For when a bulletin Oral Health for all children and young people in Portugal?

It's important to say that few, if any, are currently missing the extermination policies of essential public services carried out by the last governments and have contributed to the remarkable increase in access of most of the population to primary health care, including oral health.

482. Dentists and world leaders in public health have signed commitment to fight tooth decay in the world

Tooth decay is the most common chronic disease on the planet, affecting an estimated five billion people, equivalent to 80% of the world. To address this issue, experts from around the world are to mobilize, through a Global Alliance For A Future Free of decay, to define strategies, goals and implement programs to help combat tooth decay in the world.

An important step in that direction was given during the FDI World Dental Congress 2010, held this month in the city of Salvador (Brazil). During the event, world leaders in oral health have signed an agreement for the implementation of comprehensive prevention and management of caries in the world. Among the participants were representatives of the World Health Organization (WHO), Pan American Health Organization, the International Dental Federation (FDI), International Association for Dental Research (IADR) and the Brazilian Dental Association (ABO) as well as leading experts in health dental and public authorities in Brazil and elsewhere.

The Global Alliance is formed by a worldwide group of experts in dentistry and public health advocate the importance of decay be understood as an ongoing illness that requires comprehensive prevention and control its progression is interrupted in the world and can be walked in the direction of future without a cavity.

According to Roberto Vianna associate professor at the Federal University of Rio de Janeiro and president of the IDF, tooth decay is a global problem that causes harmful effects to health, society and economy. Despite the progress made ​​in prevention and treatment, caries is still a neglected epidemic in many countries, says the expert.

Following the trend of changes in dietary patterns in the world, some countries struggle to prevent the growth and prevalence of caries in the population. These changes result in a decrease of habits of oral health care, and impact on other health issues, reduce the quality of life, self-esteem, employability and social mobility.

From the economic point of view, in recent years, the incidence of caries has increased significantly, linked social inequalities, affecting the productivity of people and impacting the growth of countries, notes the expert.

As a first step, the Global Alliance plans to increase awareness about the problem of caries, including on their economic and social impact, through the launch of a public health campaign. This campaign should intensify international commitment by signing a formal declaration of public health and reveal online tools that enable a new approach to the problem.

Caries is an infectious disease that can result in the destruction and tooth loss if not treated. It is caused by the proliferation of bacteria and other determinants, such as food waste remaining in the mouth. One of the most effective ways to prevent tooth decay is prevention.

New feature on the Internet for Professionals and Communities - The first initiative undertaken by the Global Alliance For A Free Future Caries is a free online resource that provides professionals and communities, evidence-based tools and support materials (eg case studies, analysis systematic) for local action. The goal of the website is to offer subsidies for communities, groups and individuals committed to fighting tooth decay, and is a platform to mobilize resources, share best practices and contact with other stakeholders.

Although there are many tools and sources of information to guide the development of interventions against caries; we approved the evidence-based analysis, because it will help us have success through the use of tools and technologies that improve the prevention and management decay Pucca Gilberto says, National Coordinator of Oral Health of the Ministry of Health of Brazil. We hope to take these resources in Brazil as we work with the Ministry of Health, the dental community, and other leaders to ensure that people of all economic levels are benefited.

Continued Public Health Action - As a next action, the Global Alliance wants to continue to stimulate a dialogue with world health organizations, as well as running campaigns at local level. The main future steps include:

§ By 2015, 90% of dental schools and dental associations will have adopted and promoted a new approach to caries as a continuous problem in order to improve the prevention and management;

§ By 2020, regional members of the Global Alliance For A Future Free of decay should be integrated in a locally appropriate systems of prevention and management of caries, closely monitored;

§ All children born since the year 2026 should have no decay throughout his life.

Global Alliance For A Future Free of Caries - The Global Alliance For A Free Future Caries was created in collaboration with a panel of world experts in dentistry and public health. It is sponsored by Colgate-Palmolive, which supports the improvement of oral health through partnerships with dental professionals, governments and public health agencies, and project management Smiles Bright Futures, an initiative of oral health education for children in around the world. Because the goal of stimulating collaborative global action, the Alliance also seeks partnerships with global leaders and other stakeholders at regional and local - including leaders of countries and communities, health professionals and dentistry, community and public policy education and population.

Portal Fator Brasil

* * *

The results emerged from the meeting of the IDF must be reflected in the guidelines and policy options for public health of various governments. It is imperative that the Portuguese health authorities (Ministry of Health, Directorate - General Health, Ministry of Education) clearly take tooth decay as the main infectious disease affecting the Portuguese population and to establish an immediate goals for their effective control and eradication.

Portugal can not continue to be a poor relation in the third - world in Europe, with regard to oral health care provided by the National Health Service is unacceptable that, compared to Portugal, there is currently poor and underdeveloped countries of the Third - World to do more and better oral health for their populations.

It is clearly time to take that Portugal has all the facilities and human and financial resources that enable the control and eradication of dental caries, missing only the political will to take the right step in that direction.

481. Father of the National Health Service asks another oral medicine for Portugal

The socialist and founder of the National Health Service (SNS) Antonio Arnaut would like the share of the State Budget for 2011 to increase and focus on health care facilities and in oral medicine. A month and a half for the Government to present the Budget for 2011, Antonio Arnaut aspire to Lusa news agency says that the budget for health (about 1 / 6 of the state budget, not reaching nine billion euros) is increased, but not only to improve the NHS.

He has to be improved, but can be improved regardless of the money because there are services that can spend less and work better advocates. For the social background, the increase should focus on enhancing the network of continuing care and palliative care, which is now spread across the country, and the creation of another oral medicine, which is virtually nonexistent.

There are already checks dentists for pregnant women, children and elderly, but it should be moving towards the creation of a valence of oral health, which is very important, not just to have beautiful teeth and functional, but to prevent other diseases, he says.

On the other hand, observes the former Minister of Social Affairs, at the time of crisis we live, the social sector must be strengthened to compensate for the inequalities that now aggravated by unemployment and other precarious situations.

Diário Digital

* * *

These wise words illustrate the current bleak picture of oral health in Portugal, the responsibility of governments past and with the full connivance of the Directorate - General for Health and, in parallel, installed in groups with interests in the sector.

The drastic difference in which we live today in access to dentistry between the wealthy bourgeoisie and the illustrious rulers of the state apparatus of the regime, against overwhelming majority of the population voted to contempt and without rights, reminds us that Portugal is closer to of poor and underdeveloped countries than their European Union partners in terms of oral health.

480. Portugal is at least newer than in most OECD

Report puts Portugal among the least developed countries to invest in children under five years. And generally, those under 18 have a quality of life below the OECD (Organization for Economic Cooperation and Development) average, due to factors such as poverty and low levels of education.

Portugal is one of the OECD countries that less public investment channel for children up to five years. The data contained in a report - Childhood Decides - released by this organization, which concludes that, in general, the quality of life of children in our country is far below the average for the developed world.

With regard to indicators of public investment for each person under 18 years, Portugal is a group of countries that invest between 60 and 70 thousand euros per year. Values ​​that are the lowest, will not be particularly negative in view of the per capita income.

Problems arise when analyzing the proportion of this investment that is channeled to the fringe of zero to five years. Precisely that age when, according to the Organization for Economic Cooperation and Development, may be the most decisive investment for the future of these children. Especially when concerning poverty.

In this chapter - in which no country has a performance that is acceptable to the OECD - Portugal is among the least invest: of public funds for the children, just over 20% lower reaches six years.

The data, assumed as the OECD, are based at the crossroads of a wide range of indicators, not all recent. Measurements of the current government - reinforcements as the School Social and pledge for new gardens-care - are not yet reflected in accounting. But also aspects such as the values ​​of family allowances and tax incentives to families in which the portuguese advances have been timid in comparison.

Moreover, when the Portuguese under 18 are seen in the light of a broader framework - which the OECD defines as well-being or quality of life for children - the conclusions are still worrying.

A total of six items compared, relating to three major areas - Living Standards, Education and Protection - the situation of Portuguese children is only clearly positive at the level of risk behaviors. Low rates of alcohol and tobacco among children contribute to a sixth place among 30 countries.

But in all other categories, Portugal is below half of the table. In the material well-being is twenty-fifth, at the level of wellness education, twenty sixth, and in terms of quality of life in school appears in twenty first.

The performances are proof of these low rates as 16.6% of children living in poor households. A value that, even taking into account the estimated average income of each country, only allows to overcome Spain to Portugal, the United States, Poland, Mexico and Turkey. The chronically poor performance of Portuguese students in international comparisons are another negative contribution.

Different indicators give an account yet full of anachronisms Portugal, where 85% of children grow up with both parents but a third live in housing below the desired level, where there is little deaths at birth but many - particularly boys - in adolescence.

DN Portugal

479. New treatment promises to eliminate decay without the use of drills

A new procedure called Kariesinfiltration, the DMG company, promises to treat tooth decay without the use of drills. But it can only be used in some cases, explains the director of DMG, Susanne Stegen. The procedure is effective in fighting tooth decay at an early stage, one that is in the tooth enamel and moved no later than the first third of dentin. All that is requires deeper, unfortunately, the drill.
Usually the dentist has two treatment options: the first one he makes use of fluoride in the tooth in question and calls the patient to have a better oral hygiene. Then you wait to see if the glitch does not become a real hole.

Or he just uses the drill to remove decay at their early stages. In this case, however, healthy parts of the tooth are removed, the dentist explains Ulrich Schiffner, University Clinic of Eppendorf. In this case the problem is that, in holes that affect only the tooth enamel or a little more, you must first remove one part of the tooth in order to get to where the cavity.

Now, the new method offers the ability to fill a small hole without resorting to the drill and prevent the spread of decay to the deeper regions of the tooth. First the mineral layer on the defective area is eliminated with the use of a gel, then the new plastic material, called Icon, is still applied in liquid form. This plastic substance penetrates the enamel matrix, due to capillarity, and it is then, like any other plastic filler, hardened with light.

The procedure is designed especially for cavities located in the region between the teeth, but also for minor defects in smooth surface, such as in patients using the device.

Throughout Germany there are approximately six thousand professionals already applying the method Kariesinfiltration. The treatment lasts approximately 20 minutes and costs between 80 and 100 euros. The value is not covered by insurance in the country.

Early clinical trials with the Icon are not conclusive and are based, according to Schiffner, a period of 18 months. These studies show that approximately 75% of the treated tooth surface, cavities were eliminated.

DW-WORLD.DE, Deutsche Welle

478. Young autistic been waiting over a year for a surgery (II)

477. Young autistic been waiting over a year for a surgery (I)

Duarte appeared to be a normal boy, but at 2 years old was diagnosed with autism. The boy is now 13 years and is more than one waiting to be operated at the Hospital of Ponta Delgada. However, the clinical picture of Duarte gets worse every day.

The teenager can no longer chew food by having almost all decayed teeth and can not go to a conventional dentist. The hospital claims that the couple is on a waiting list, but the desperation of the family begins to increase. The patient's mother states that already have to grind all the food you eat the young, and has no family doctor, a factor that has delayed the process further.

In desperation, the mother delivered a letter from a pediatrician to request the operation. She has written, including a letter to the director of the clinic to explain the whole situation. Jump to a private out of the question because Fernanda Tomé can not sustain the costs. For one, the expected date of operation is the last week of September.

RTP Açores

* * *

The Minister of Health, Mr Director - General for Health and Dental Association: see here the effects of the ridiculous policy of oral health who play for our country. This is an example of flagrant violation of human rights in Portugal when a child needs medical attention.

A case that deserves to be condemned internationally.

476. Four years of ORAL HEALTH

It is now four full years to publish the Oral Health. Over these four years here have been treated the most widely varying issues related to oral health in Portugal, unfortunately, there is still a lot of work on, because the balance of four years on oral health in Portugal brought little positive to society, and much less for the poor and excluded.

The Oral Health has tried to be always updated, informing its readers about the latest news relating to oral health in our country. Keeping an independent editorial line, the Oral Health has tried to be always on the defense of civil society, never aligning interests by co-operative, did not hand the disastrous policies pursued by various governments and the Directorate - General of Health in this area, and there was a protagonist of big business with large vested interests in the sector.

The Oral Health was guided by the right to indignation and straightforwardness, I was always concerned the rights of citizens enshrined in the Constitution of the Republic.

The constant trampling of the rights enshrined in the Constitution, access to health care, favored policies of the Ministry of Health outputs, sometimes aligned interests within the cooperative sector, coupled with the ineffectiveness of amorphous powers of Parliament and President, allow the systematic violation of demagogic and fundamental human rights, including the Charter of rights of the Child, denying them one of the most basic human rights: access to health care.

In a country where the training of dentists is at the expense of all the Portuguese who work and pay taxes, continue to use schemes that prohibit access to dental care to the majority of the population. The oral health care are now almost exclusively the right of the political positions of the central government and the bourgeoisie, the working class will still have much to fight to get equal rights in this society atrocious output from April 25, 1974.

Shame demagogic exercised by those who want the system remains as it is going to have the company for Oral Health for many more years.

475. Pingo Doce helps treat oral health of residents

The project "the VRSA Smiling" was released by the city of Vila Real de Santo António (VRSA) at the end of last year and to date has funded dental care to 85 people.

From the moment that authority announced a protocol with six clinics in the county and the financing of oral health care to the most needy that the number of subscribers continues to grow. Currently there are about 1500 people waiting to be called.

Not all individuals listed meet the criteria required by the municipality, which were established in the economic conditions of each household. In this sense, the City continues to make the respective social analysis to determine which people are able to integrate the program, says the Mayor of VRSA.

After the protocol signed with the county's six dentists, last week the project received a new lease of life support through the Pingo Doce, which collaborated with EUR 150 000 under social patronage. It is clearly a very important financial boost and a gesture of welcome. We have a budget of 300,000 euros for this year and only with this contribution can fund the project by 50 percent, said Luis Gomes.

However, the mayor acknowledged that the budget needed to finally resolve the problems of oral health of residents has no limits and you can not define, because there are people to sign up continuously.

Helder Jacinto, Pingo Doce, recalled that this is the first supermarket chain that support for the field of dentistry and oral health. Regarding the Chamber of Vila Real de Santo António, one official stated that it is an example to be followed by other municipalities.

JA, Jornal do Algarve

* * *

Here is an example of what should be good practice in relation to sponsorship of initiatives to promote oral health of populations.

Projects in which the promoters of patronage are the same as managing resources and "contract" to show dentists work have no place in the actual promotion of population health, often aimed at schemes of tax evasion and embezzlement.

It is necessary and critical to separate the promoters of the patronage of the entities that manage the resources available; turn to dentists only they are responsible for the implementation of clinical interventions, being duly compensated for their work.

The City Council of Vila Real de Santo António, Pingo Doce and the dentists who participated in this project are to be congratulated, so there are other municipalities in the country to copy this example.

474. The degradation of harmful working conditions of dentists in Portugal

Dentists for Leiria

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This offer is no longer active

The Sucesso24horas, company Human Resource Management specializes in providing services in health, present throughout the national territory and islands, makes recruitment and selection of health professionals to Prison, on scales of Hospital Emergency Services, Centers Health and other agencies, to address existing needs.

We are currently recruiting for Prison Dentists in Leiria area, to replace Holiday with the following profile: Degree in Dentistry (valid practicing certificate), availability to work various schedules (part-time) and availability to perform duties through green receipts.

We offer: remuneration compatible with the functions and ensuring project until December 2010, with possibility of renewal. If you have the required profile, please send your CV to:

ssoares@sucesso24horas.com
Net Emprego

* * *

What is the reaction of the Order of Dentists of this subordination of the working conditions imposed by the state, violating the rights enshrined in the Portuguese Constitution?

473. Diário Digital / Lusa interview President of the Order of Dentists (Part 2: Analysis of interview)

The Dental Association considers excessive vacancies available in higher education courses for dentistry in Portugal, justifying the fact that the activity is exercised almost exclusively by the private sector, the ratio of professionals in Portugal is above the European average and age on the current young dentists.

Indeed, two major barriers to the business of dentistry in Portugal is that it is concentrated in the private sector, imposing exorbitant prices for any treatment and making their access restricted to a small percentage of the population with economic wealth, the most of the Portuguese simply unable to have continued access to dentistry. Perhaps it was here that the Order of Dentists should act, agreeing to respect for the Constitution of the Portuguese Republic and requiring the integration of oral medicine at the National Health Service SNS in portuguese), in perfect competition with the private sector. Everyone would benefit:

-better career choice for young dentists;

-increased competition between the public and the private sector, lowering considerably the current prices charged by expensive clinics and offices and greatly improving the quality of services provided;

-easier access to oral health care, translated by a significant improvement in oral health of its population.

The fact that the ratio of professionals in Portugal is above the European average is an asset that has not been translated in terms of gains for the population, since studies show a significant lag indicators of oral health relative to other european countries. Thus, there is still a large gap in oral health care to provide the Portuguese population that can easily absorb all the existing professional.

The existence of dentists still relatively young age is beneficial for the country, young people are always more willing to do more and better oral health for the population of our country. It is up to them to open up new prospects for the provision of oral health care to the population, overcoming obstacles and inertia of those already installed in the area for a long time and that reluctance has adaptations, breaking vested interests in the sector and placing the dental the service of those who most need to be effectively met. Have the Order of Dentists capacity to invest in these young doctors and dentists seeking to boost the oral health sector in the country, betting on innovative initiatives that enhance young doctors and dentists that are beneficial to the population - and the cooperative unions, for example, may be alternative ways to defend the interests of young dentists against the abused and exploited by big business of health and the Ministry of Health.

If there are several hundreds of dentists Portuguese emigrants, then it is because you will be offered dignified conditions of work that makes up for his trip abroad, the Dental Association and other organizations related to oral health should strive to practice and also demand these same conditions in Portugal.

The Order of Dentists should provide, first, access to all Portuguese to oral health care on equal terms in both the public and the private sector, limiting the places for dentistry should never be a priority while own Dental Association recognize that a large majority of the Portuguese population remains unable to have access to oral health care. Current pained in terms of career opportunities in our country lie in the lack of regulation and the almost complete lack of active monitoring of activity of dentistry in our country, by allowing multinational corporations, big business groups and insurers do every kind of exploitation of labor, work, or any health guarantee for customers.

472. The most prevalent disease in the Portuguese society is tooth decay

Carlos Pereira, 46 years old with a doctorate from the Faculty of Medicine, University of Porto, dentist, professor at the School of Health of Viseu (ESSV) coordinated a study on the oral health of young people in the Centre Region. Natural Sátão, began her career in nursing, but the passion for oral health was stronger, becoming the first doctorate in ESSV. Viseu chose to live, but opted for the hometown to open an office. I knew that the mouths of most of the Portuguese is a serious problem, but the results of the study coordinated still managed to surprise: it is amazing that 20 percent of teens have no idea of what the dental floss.

-How does the opportunity to conduct this study with young people between 12 and 18 in the Center?

-The idea of ​​developing this study arose from the lack of evidence, evidence, hard data on this phenomenon we have studied. We had no data on population and in the case of adolescents on how they performed their oral hygiene, the number of times they visited the dentist, and because we do not, this was the most important motivation.

-The lack of hard data was a barrier?

-It is impossible to plan care, a care plan is based not know the most basic data of this phenomenon, about which we can intervene.

-Party with the idea that the situation was not good and you need to achieve on the ground?

-We had the notion that the scenery was not encouraging. That is to say that the scene did not surprise us. Who makes clinical faced every day with this issue of oral hygiene performed in a less correct. Hence we planned to study and realize it was a step.

-The study covered the six districts of Centro (Aveiro, Viseu, Guarda, Castelo Branco, Coimbra and Leiria)?

-We have an approach-mostly in the district of Viseu and after studies in other districts.

-Do not be abusive to say it is a study of the Center?

-No. All districts in the Central region were visited. If you ask me: It was done fairly? Not true, the region where more focused was the district of Viseu, where we include all public schools in the second and third cycles and secondary schools, except the first cycle and the pre-school.

-The study was done in partnership with the Faculty of Medicine, Medical University of Porto. Why this partnership?

-I did my graduate training, including master's and doctorate at the Faculty of Medicine of Porto. Then they were friends, were contacts of research, my taste for investigation came during my time in Porto. Another aspect is that one of the topics presented [the study], the issue of oral health behaviors among adolescents in the central region, was studied by the doctor Nelio Veiga, my graduate student and did his Masters in Public Health at the School of Medicine Port. This kind of two in a university also makes the legitimate co-author of the study.

-This privileged link opens the way for other studies in the School of Health of Viseu?

-This is not the first study done in partnership with the Faculty of Medicine of Porto. We worked on the prevalence of obesity in the district of Viseu, in partnership with the College. Also a few years ago, and I remind myself to work with greater visibility, we conducted another study on sexual behavior in adolescents.

-There are others in development?

-There are others in the pipeline. One with the School of Health at the University of Aveiro we're doing, but it is still early to lift the veil.

-This type of work is a constant in the School of Health of Viseu?

-Yes. In the investigation that our teachers have to perform under its post-graduate training, there has been caution on the part of their advisors, that such research may be different from what is done with the purpose of defending a thesis.

-Different in what way?

-Research-only makes sense if it turns into knowledge, and knowledge is the service of citizens, of all who need to consult scientific research, consult the evidence to care. I think that was part of our care to do research that can answer specific questions of specific populations.

-What are the general results of the study that brought us to this conversation?

-In conclusion we can say that one in five teens do not brush your teeth. We are talking about 20 percent.

-This is bad or very bad?

-It is bad enough. The ideal was that from an early age instilled in children is oral hygiene habits, passing by brushing your teeth, brush your tongue, brush your gums, deep down, take a careful hygiene in the mouth and teeth. Then say that only one of four teens (25 percent) brush their teeth twice or more per day, assuming that brushing twice a day is the minimum. Another note that is important to remember that if they brush their teeth twice or more per day, use of dental floss at least once a day and regular visits to the dentist twice a year, we found that less than two percent of our teenagers have oral health habits correct. Another note, to say it is amazing that 20 percent of teens have no idea of what the dental floss.

-What else surprised?

-This question-flossing.

-Have you found reasons for this?

-Probably never heard of, and admit that not happen in all this teaching consultations. Often, there are basic issues, emerging more and more disturbing. If the person goes to the doctor because it hurts the tooth, it should be talking about flossing?

-The results were worse than expected?

-I think so. We are talking about young people between 12 and 18 years and hoped they were more informed. I still lack a fifth note [of the findings of the study] to say that young people from less educated social classes - determined based on the school that the father or mother had - were those who had worse oral hygiene, visiting less dentist, was where the highest prevalence of adolescents who did not know the end tooth.

-We also have to add here a financial issue of their parents?

-This is another question. These health issues add, that is, it is not known, it is poor, do not go to health care, there is no information about where to turn, etc., etc.. All this is kind of a snowball when it comes to education.

-Oral health is also a social problem?

-If you ask what is the most common disease in the Portuguese society, certainly I will say it is the myocardial infarction, cancer or stroke. But if we see the numbers as cold as they should be seen, the most prevalent disease in the Portuguese society is tooth decay. We forget that dental caries is an infectious disease with a major component. And if you do the question: Who ever had tooth decay? Probably 99.9 percent either have or have ever had.

-How do you make a good brushing of the mouth?

-In one of my tickets for youth hostels, one day I shared a room with a Norwegian and hygiene morning when I went to the showers came across that the individual was dealing with oral hygiene. I came, I did my oral hygiene, shaving unpacked, showered, and when I returned to the base, he continued with his oral hygiene. This reflects the importance that we give to the questions of others and give oral hygiene. After meals, it is always convenient to oral hygiene, morning and evening is the minimum requirement. Using a suitable brush should be replaced every three months.

-What is a suitable brush?

-Must be a soft brush, is a principle.

-The market has good brushes?

-Yes, yes. When asked whether they should use electric or manual toothbrush, the answer I give is: use as well. The physician should indicate the proper brush in each case.

-And the toothpaste?

-Tags [market], are marked with the amount of fluoride recommended by the World Health Organization.

-The study shows that boys are more lax than girls. Is there any explanation for this?

-I have no explanation.

-This should be the target of an individual study?

-When doing research, in whatever area is always in the same study looked at men and women, a good research practice demands that we separate men and women to one side to another, without any prejudice or interpretations. Being a man is to be different for women and has an explanation of the problems with sex.

-When do young people go to the dentist?

-Those who belong to more privileged economic classes seek the dentist on a regular basis and a more routine.

-And soon?

-Yes. Check The Dentist opened some doors. We have children with four / five years or even earlier. The first visit should be as soon as possible for the child to play with the dentist and realized that this ghost has a tendency to disappear.

-The program Dental Check is working? There are already some criticism.

-I believe that is not working by feature and I've said that does not reach all children, but the little we do good is always welcome. The message goes on.

-What more can be done through the mouth of the young?

-I think it's so bad that the little we can do is welcome. I'm sure a toothbrush and toothpaste cost a tenth part of what is necessary to spend time to make an oral rehabilitation.

-You are talking about the failure of prevention?

-Of course. In the overwhelming majority of cases, if the patient reaches this state is because primary prevention has failed.

-The problem is not just the young, the elderly is a difficult age. Do you agree?

-There is a slice of our elderly oral health call [what they do] is an attack. That health will be someone who has pain that feels psychologically and socially affected? This is more important than we think.

-Treat your teeth in Portugal is very expensive. This is also a barrier to the oral health of the Portuguese?

-We must be realistic, there are many people who can not afford a consultation.

-There should enter the National Health Service.

-Do not believe in austerity plans that might happen, but easier access to those lower classes who can not afford. I must admit I find that people who have difficulty paying the simple consultation of 40 euros or 50 euros.

-There are more dentists in Portugal?

-I usually tell my students that this world today, as I see it, must be understood in the logic of the global village that everyone is talking about. We have to run. People must be willing to leave, to make the leap. Since there, there are opportunities for success in various parts of Europe and the world. If they start to be too many for us? Maybe so, but there are other areas where it starts to be more supply and less demand.

-What is the relationship between health of the mouth with our health?

-We talked of obesity, malnutrition ... the teeth are not just for chewing, are used for various things, even to smile. Those who have no teeth with which one can make effective chewing, of course this will be reflected in terms of digestion, the nutrients are not absorbed as efficiently and downward anything can happen: gastrointestinal problems, digestive disorders, the malabsorption of food, malnutrition. Then, if we consider that a poorly maintained mouth is a mouth where there are many different species of microorganisms, these microorganisms themselves may be related to a set of diseases, the level of the heart, kidneys, acute articular rheumatism, sinusitis and all other diseases that today are known to have a direct relationship. It happens quite often appear in patients with horrible pain clinics in the face, head, ear pain, ringing, etc.. And often appear after being found in ENT, to be seen by a neurologist, a psychiatrist and by colleagues in other specialties. It is impossible to be healthy, well-being seen as physical, mental and social, if there is a proper oral health.

Jornal do Centro / Região de Viseu