Monday, 31 August 2009

237. France, so close to us!


The device for preventing oral M'T Dents allows all children ages 6, 9, 12, 15 and 18 years receive a free review of prevention and a 100% reimbursement for care resulting from this review.
Health insurance and dental surgeons have set up these appointments in order to promote early and regular contact with the dentist. Indeed, regular monitoring began in childhood prevents care more painful and more costly in the future.
During these appointments, the dentist examines your teeth, gums and, if necessary, makes radios. It establishes an appropriate plan of care. It also gives advice and teaches good habits of oral health (brushing, food hygiene, awareness about the harms of smoking for adolescents, ...). In Practice: A month before her birthday, you receive a letter from the Health Insurance inviting your child to conduct a review of preventive dentistry at the contracted dentist of your choice. It's free for you, health insurance rule the dentist directly (third payer).
After the examination, whether treatment is necessary (caries, scaling, sealing grooves ...), you need to advance fees but will be refunded 100% if they are started within 9 months after the first examination. In contrast, other treatments (orthodontic appliances, dentures) are not supported under this scheme, they are reimbursed at the usual rate.
The dental oral exam is free and painless, it would be a shame not to enjoy. For more information:

236. A look at the reality

Years ago, as a parliamentary aide, when the Left Bloc had only three members, spent some time around a law that dentistry be integrated into the National Health Service. The law provided for a phased implementation. The ideal is that instead of a law was a government policy. But the rules leave the parliamentary opposition there is little room for the legislature.
The project was very conservative, since, with some injustice, did not include dentists in the hospital for a medical career does not add up all the predictable resistance and fierce opposition from doctors. He thought that was the way to open a door and then would be much easier to go further. It was possible for the law and try to pass, when applied, overcoming resistance to go.
It was very educational to see the result. The Portuguese Communist Party did not like because of the issue of career. The other parties even less and can not be said that they have taken the trouble to draw big argument. And see why. The media was not in the room.
There was no power grid stability in any election of a vice-president of a bench and in any place for the journalists was only one. The other went on a run unleashed through the corridors because of a matter that two days later it had not been in the memory of any of them. What there was struggling, however, affected millions of people. But it was irrelevant before a small cock fighting a parliamentary seat. Most journalists, I realized in later conversations, nor had any awareness of the importance of the issue, it found, at first sight, rather esoteric.
The discussion of the project was cleared in an hour. Was disapproved because it would be prohibitive ensure the most basic rights of health.
The Dental Association (OMD), which originally helped to design a project that was technically difficult, is now against the government when it beckoned with the promise of more contracts between the public and private. Now I read amazed that this president has met several times with me and that at the last minute turned his back to the entry of dentistry in the National Health Service (SNS) to complain that "while there is no dentists in health centers or delivery systems, people will be excluded from the oral health "(Público). He dropped the first for the second (and more attractive to dentists already installed in their offices and without raising the question of the status-fated career in hospital), was no and now repeat what I heard then but that did not lead to the end . Hopefully this is, but this I am actually listening to one foot behind. Because at that time only the students of dentistry moved and appeared today in the stands, stunned before the lack of members, the media and their future colleagues. The Order was trying to sign a deal between the offices of its members and the state. Dentists in hundreds of health? I sure did not want.
At the end of last week I read in Público what I knew then and was even the main argument for the project: "around half of its population is unable to pay for a dental consultation." A large part of the Portuguese simply is a life without going to the dentist. We have the worst oral health in Europe, unlike what happens in most other areas of medicine. The numbers are worthy of the Third World. And the reason is just this, as well as the João Rodrigues: There is the National Health Service and, as you must not understand João Miranda, the private course does not guarantee the welfare of the majority population. Especially in poor countries.
And there's dentistry in the National Health Service because the parliament refuses to represent those who elected them, the political journalists live submerged in the foam of day and are completely insensitive to the social reality of the country in which they live and corporations represent only their senior professionals. As I said, this was my very educational experience.
DANIEL OLIVEIRA, September 24, 2007

Friday, 28 August 2009

235. Oral Health: More than a thousand doctors have joined the program for pregnant women and elderly

More than a thousand dentists and dentists, of which almost half of the North, joined in the program two weeks of oral health of pregnant women and the elderly, according to data released today by the Dental Association. According to statistics, 1148 dentists and dentists have joined the program from 12:00, 11 March, the date of opening of registration, and 15:00 on Tuesday.
Of this number, nearly half of professionals (508) are from the north, followed by the Center (349) and Lisbon and Tagus Valley (236). Alentejo (28) and the Algarve (27) are the regions where doctors less joined the program.
Health care was provided in 1278 different places, and the coverage rate by county was higher in the central region (91 percent). This was followed by the North (87 percent), Lisbon and Tagus Valley (76 percent), Algarve (69 percent) and Alentejo (35 percent).
Of the 1148 professionals who joined the program, 1,023 (dentists) are registered as Dental and 125 (stoma) in the Medical Association.
Commenting in a statement to Lusa, the data, the president of Dental Association, Orlando Monteiro da Silva, highlighted the "great support" of professionals, though there are "active dentists in 5500. "It's a large membership, which is sufficient to ensure the functioning of the program," he claimed, eventually admitted to being "more desirable inscriptions" of doctors. Orlando Monteiro da Silva said that the entries on-line "(the website of the Directorate General of Health) are open until the end of April and that the Order will promote two actions in May for information on Porto and Lisbon.
The program of oral health of pregnant women and the elderly, the National Health Service provides "check-dentist" (contributions in consultations and treatments) that can only begin to be used from 01 May, the president said.
Each pregnant then at the health center will have three dental checks, a maximum total of 120 euros. The program will cover 65 thousand pregnant. The elderly beneficiaries of the solidarity supplement can enjoy a maximum of two dental checks for a total of 80 euros.
Where appropriate, are essential requirements of a certificate of pregnancy or evidence of the situation as a beneficiary of Completion issued by the Institute of Social Security. Users can choose any doctor or dentist office, since that is part of the list of professionals who have joined the system in its health region.

Wednesday, 26 August 2009

234. Help grow ORAL HEALTH

Thank the collaboration of several people to make some posts and correction of other posts which have already been published. THE ORAL HEALTH is an open place where anyone can help, publishing articles, text, images, stories or what they consider best to draw public attention to the apathy of the current situation of oral health policy in our country.
We all need to fight the demand for more and better oral health for the portuguese population, and for that I thank the effort of all readers ORAL HEALTH contributing to their dissemination and knowledge.
Of course, a vast set of information may, in any case, any error present, thank you, when this should occur, is made due reference to be corrected.
We thank all readers.

Saturday, 22 August 2009

233. School oral health programs: the necessary cooperation of Oral Hygienists

For programs to students of primary and secondary education, is key to collaboration between physicians and dentists and hygienists stomatologists oral: they are competent oral health care professionals, trained by credible public and private institutions (Faculty of Dental Medicine, University of Lisbon and higher institute of health Alto Ave), authorized to carry out various activities and community clinics, including the application of sealants to crack!
The readers know that the scientific literature is unanimous in considering the Oral Hygienists as one of the groups who most effectively apply sealants to crack. Fortunately, many competent dentists in this country already working in a team and actually act to improve the oral health of Portugal.

232. With oral health care should begin during pregnancy

According to experts, the oral health depends on good health from childhood and many have dental problems can be avoided even during pregnancy.
Teeth perfect and healthy in adulthood begin to be cultivated even in the womb. Therefore, care must start with the teeth even before the birth of the baby. A good diet during pregnancy, attention to oral care of the newborn, and much of the breast milk are the ingredients of a baby with teeth and gums healthy.
The future mom who worries about the baby's teeth should be concerned with its own power since the period of pregnancy. Balanced food and particularly the dose of calcium intake that contributes significantly to the formation of the baby tooth. After birth, the care do not stop.
According to the specialist in Pediatric Dentistry, Dr. Caroline Jorge Zarvos, many dental problems has its roots early in the process of breastfeeding. "Many people do not know, but the correct way to breastfeed a baby is put it up, recumbent chest. When the child lying breast, the chances of a strain on the dental arch is higher," she explains. The sooner the mother begin to perform the cleaning of the mouth of the baby better.
Cleaning baby's mouth can be made with cotton or a cotton swab dipped in water. "It is important to clean because, first of all, age is not for hygiene and also because when the toothlet on average at 6 months, and we need to use toothbrush, a child is already used to something" different "in the mouth and will not complain or feel bad for brushing. Once the first toothlet birth, the mother must already using brushes and soft not to hurt the baby's gums. And paste without fluoride use, "said Dr. Caroline.
Apart from hygiene, it is important that mothers are aware of some events of the eruption of teeth. Since the birth of toothlet usually cause itching in the gums, it is common that children take their hands in their mouths too, to rub the area. "It is this stage that the baby is susceptible to contracting certain bacteria and may have symptoms such as diarrhea," explains Dr. Caroline.
Dummies at the birth of the teeth should also be avoided. According to the dentist, they are related to problems of occlusion, deformation of the dental arch, among other problems. "Pacifiers are always contra-indicated. Furthermore, the milk teeth are the basis for the adult teeth. Thus, the care is better, better future results will be achieved," said Dr.
Source: Dr. Caroline Jorge Zarvos

Friday, 7 August 2009

231. Laboratory of Health visited by 400 children

The idea was born during the Child Support, and to the trainer José Cabral, decided to challenge teachers and students of the course of sociocultural animator. Thus, 40 young people the first year of these courses built "laboratories" for over two days and with the support of health professionals such as nutritionists Mafalda Oliveira, show how to wash your teeth and disseminate care with food.
In all, and up to 15 hours, covered by this initiative were 400 children from schools in the 1st cycle of the Matriz and Conceição in Ribeira Grande, who also danced and played. Angela Pereira, aged 16, shares her satisfaction with the course, because from the outset is "having contact with children." The front has two more years and equivalent to 12 years, then warms the hope of working in a nursery. Until then, teacher José Cabral proposes to further actions of this kind, therefore, beyond the objective of benefiting the community "awareness and demystify the visits to the doctor," it considers "essential to the future who will work with children and professional of health. "
Therefore, ensures Marco Sousa, the company's Municipal Ribeira Grande Mais, the municipality has to give space and equipment. Moreover, for the success of the action Eprosec had, besides the City Council, with support from the Health Center of Ribeira Grande and Atlas Optical Center. The occasion was used to see reports of vaccine, measure body mass, making the vision screening and, in the middle of the morning, because of the technical center were detected during the screening, children need to carry out optical and / or screening of ophthalmic . The technician took Nuno Santos to warn about the effects caused by excessive time in poor posture in front of television and computer monitors.
Viveiros Ricardo Cabral, dentist, has been dedicated since 1994 to promote oral health. Yesterday, while distribution of tooth paste and brushes, moved that the Health Center of Ribeira Grande will extend operations to the homes of older information. The doctor notes that the Azores are the only region of the country with dental public. "Currently, all health centers, except in Horta, campaigns promoting the community and providing consultations and treatments," he says. Tables of health centers are 17 doctors and five more are in service. Ie "quintupled the number of physicians," concludes.

Wednesday, 5 August 2009

230. First dental check-in two months of delay

The order that sets conditions for pregnant women and the elderly benefit from dental treatment was published in Diário da República, but contrary to what is set by the Government, the first-dental checks will be issued only in May than in March and President of Order of Dentists Doctors says that is still being developed the software that lets you connect the centers of the health clinics, which also lack the launch site where dentists could enroll in the program. "Entries will start from March 1 and May only come from the first check-dentist," explains Orlando Monteiro de Almeida.
The order, signed by the former minister also Correia de Campos, is determining what was a bet for the Government of the state budget this year: to allow the elderly and pregnant women access to some oral health care, which were absent in the National Service health so far. The measure advances in these two groups because they are considered a priority. But the idea is to extend these services in the future to other people. Each pregnant then a health center will be entitled to three checks - dentist, a total of 120 euros. The elderly will receive 80 euros per year, divided by two valleys.
The President of the Order of Doctors Dentists say they are already defined the treatments that can be made with this money. For pregnant women, will pass through extraction, processing, control of tartar and advice on health and oral hygiene. "There is Gambrinus, but not the soup of the poor" for dental care, states the president of OMD. "The idea is to try to achieve the objectives within it is possible, knowing that you can not do everything. Not enough to make implants, for example," he said.
The software, which is being developed by the University of Aveiro, will allow family doctors to consult the list of dentists who have joined and then inform their clients of the options. Orlando Monteiro de Almeida says that dentists can then see some clinical information to users, such as whether it is diabetes or who are taking medicines.
The head of the Order believes that many dentists and concerned that the measure is important for young professionals. "Registration is very simple, just give the name, a sign of honor to have the shares in order to date and have not ethical processes to run." And remember that this program has a social aspect and a philosophy itself, "providing care to a population that would otherwise not have money to go to the dentist. In addition to the dentists, may also join the initiative stomatologists the doctors. The format of this program is innovative in the Portuguese NHS. The state pays for services that are made in private, by agreement and without the need for conventions. It is based on the English model and is the first step in what was one of the major shortcomings of health care public.
To evaluate this experience will set up a monitoring committee. The order also provides that local authorities can proceed with "a further extension to other groups - target". In addition to the pregnant and the elderly, there is another program aimed at children, which should also be extended this year.

229. Programs for oral health

The existence of various programs in oral health in Portugal application currently in need of clarification on a procedural level of quality control and monitoring. Thus, it is a vigilante action by the authorities to ensure social justice and benefits for their recipients.
On the program for the elderly population, but there is social justice as it has addressed the people "really" lacking; advocates that the distribution of funds is done according to the percentage of elderly population existing in each county in the country, giving the distribution of checks and consultation with representatives of local populations; thereby avoid falling into temptation to favor certain regions of the country, economic groups with direct interests in or other installed favored by the government.

228. unsafe school

Sunday, 2 August 2009

227. Dentists want to create the 'dentist for family'

Dentists Portuguese Minister of Health proposed the creation of the figure of 'the family dentist, to be given to children like the doctor, a proposal that so far has not been accepted, inform the Lusa. The proposal was made by two representatives of the Order of Doctors Dentists included in the analysis of oral health program, said Paulo Rompante, one of the doctors responsible.
The idea is to give to a child, when born, a dentist who works as a kind of a family doctor for oral health, but without integrating professionals in the health centers. "We are not proposing dentist for the health centers. The proposal is for a system of convention ", explained Paulo Rompante in the margins of the Congress of Medical Dental, which runs until Saturday in Lisbon.
As to the promotion of oral health in schools, the doctor points out some flaws and advocates a reorganization of this project, which critics are accompanied by other clinicians and by the President of the Order of Doctors Dentists. The basic and essential step of this program is to promote daily brushing at school, which is not being done in most institutions.
"Since the program was designed, only entitled to access the other steps of the schools that promote the daily brushing. No program works if the brushing is not promoted, said the expert. The argument by some schools that are unable to promote oral health can not be among dentists.