Sunday, 30 May 2010

340. Milk teeth - how to keep them healthy?

Baby teeth are emerging at around six months and give rise to permanent teeth of approximately six years. Despite being a short episode in the history of our life, must be cared for, since its conservation status will influence the health of the permanent teeth.
If milk teeth are decayed to a child there is a real risk that they will contaminate from the outset, the permanent teeth, weakening its enamel, even fragile during the early days of activity.
See what the precautions for the child to always have healthy teeth:
1. Brushing teeth - The existence of bacteria in the oral cavity is a perfectly normal situation. However, when the number of bacteria becomes excessive, shattering the balance and decay can arise. The main cause of this imbalance is the lack of oral hygiene.
To prevent tooth decay, between six and twelve months, the mother should clean the child's teeth with a swab. After this age, usually the child is able to handle their own toothbrush (no toothpaste use). From the 24 months the child is able to use small amounts of toothpaste without swallowing, and little by little, you should be instilled into the habit of brushing teeth after meals.
Warning: Many of the medicines to children are sugared and should be administered prior to cleaning teeth.
2. Provide a supplement of fluoride - fluoride supplements are available in tablets or drops. Can be given to the child since the birth of their first tooth until about the time the child begins to have a power similar to adults (fourteen months). If the waters of the county are not (as often happens) enriched with fluoride, it is advisable to keep the add fluoride to adolescence.
3. An anti-caries diet - The sugars contained in foods are the main responsible for the first cavities. The bacteria that normally inhabit the oral cavity convert these sugars into acids. These acids create cavities in which they settle and continue their work of destruction.
To eliminate this risk should be eating a varied, low in foods rich in sugars. It is also very important to set specific times for meals, banning the consumption of foods (ie chocolates, candies, gum and other foods of this nature) between meals. Why? For these occasions the saliva, which contains enzymes that break the molecules of sugar, is less active. Hence, these molecules are much more available to be transformed into acids by bacteria. It is also important not to exaggerate the amount of food that stung the child (now with an efficient dentition) consumes.
Know bottle caries? This problem can reach all the teeth of babies, other canines and incisors. Due to excessive exposure to sugars and stems from the bottles with sugar water, fruit juices, flavored milk, and on teats dipped in honey. To not address this problem, do not give sugary drinks to children and do not let it use the bottle as a pacifier.
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Addendum (received by email)
Currently no longer recommend fluoride supplements except in cases of children identified with more than three years old and at high risk for dental caries. The effect of fluoride in the body and came to the conclusion that the preventive effect of fluoride in relation to dental caries is not only topical and systemic as previously thought.
As such only recommended in specific cases that I mentioned, the use of fluoride tablets (not droplets) as they are sucked and remain in high concentrations in the oral cavity during this administration.
The supply of fluoride is best done through the toothpaste and mouthwash fluoride topical in its activities.

Friday, 28 May 2010

339. The debacle of oral health in Portugal in the XXI century

Of relevance to bring here two comments that were sent to oral health. The first stems from a medical dentist who works with children and young people in a health center, drawing attention to the fact of being put out of work by the famous check dentist who treats children that hour of the day of that month of that year in that place with that guy even if it takes now officially have to wait two, three or more years to be old to be treated an abscess or a cavity (would want to laugh if it were not true and we were not in Portugal, with a Socialist Party government):
1 - I'm a doctor and dentist working at a health center to serve only children from 3 to 18 years. Am I at risk of being unemployed due to the creation of the famous dentist check that it is more than pulling the wool over the eyes of our people ... a child under 8 years, for example, will have to wait until 10 to treat an abscess? A child under 5 years already with the first molars will have to wait until July for sealants?
The second comment is of someone who also is on the ground and knows what will happen to most children and young people with whom you are dealing with: five, ten or fifteen years (2015, 2020 or in 2025) many of them have lost half ( written well, half) of the teeth because now they have no chance of gaining access to oral health care (I speak of course, oral health care towards the exact term):
2 - Working as a psychologist in a group of schools housed in a housing estate very problematic. I have students there who have the clear perception that when they reach adulthood, they will have half of the teeth, ie the prevention of these youth is gone. Require numerous treatments, but the responsible adults they can not claim pay for consultations.
I say adult, because many have no parents, let alone someone who could be considered early oral health as a priority alongside other. With two or three dental checks, as these students will do the treatments they need? Not to mention the number of youths who are now past 13 years ... There is no form of social support to these people?
Although we are in the XXI Century and Portugal join the European Union, it seems that fate and the course of these children and young people is little different from others who have now reached adulthood (see here).
But there's more ... You know, if you have the unfortunate need for a dental emergency in certain central hospitals (and I mean central hospitals), there is even a medical expert to attend? Come on, imagine a weekend in Vila Real and happens to him the misfortune of having an accident and facial needs urgently to be seen by a dentist or dental hygienist? Well, the best is that it never happens!
And know more? Mr. Prime Minister, Minister of Health, the Minister of Education, Mr Director-General of Health, the honorable Members of the Assembly of the Republic, the President of the Republic and the Order of Dentists are aware of these facts. And what they do to solve them?
We all know that these gentlemen deal with tens of billions of euros and that was enough so little to this problem was not a cancer within our country, just bad faith itself of them all (come to know why the devil do that) deny access to oral health to hundreds of thousands of children and youth of the country, with devastating consequences for the rest of their lives.

338. More than 200 000 children covered with dental checks

More than 200 000 children under seven, ten and 13 years who attend public schools will be covered by dental checks, today announced the Secretary of State for Health, Manuel Pizarro. The ordinance extending dental checks for children was published today in the Official Gazette and has as its primary objective the preservation of permanent teeth.
Speaking to Lusa, Manuel Pizarro said that will be covered by this measure 210 000 children. "All children who complete this year seven, ten and 13 years and who attend public schools," he said. There will still be 20 000 vouchers for children from pre-school, aged four and five years, which are indicated by their family doctors, told Lusa.
According to Manuel Pizarro, children with seven to ten years will receive a maximum of two checks for 13 years and three. If we take as reference what is happening to pregnant women who use the National Health Service and receive dental checks since May 2008, each check you can do an average of two treatments, he argued.
The measure is part of the National Programme for the Promotion of Oral Health, which was prepared by the Directorate General of Health and professional organizations representing dentists and dentists. I think that we all recognize that one of the limitations of the National Health Service was access to oral health, the secretary of state, adding. We want, in a balanced and technically supported, go gradually introducing oral health programs exploiting the National Health Service (SNS in portuguese).
In 2008, pregnant women and the elderly covered by this measure, which in 2009 was extended to children. This is to be continued that is sustainable in terms of technical and financial support and to allow the Portuguese to smile with a smile more beautiful, he added.
The users beneficiaries have freedom of choice of doctors and dentists dental members, listed on a national list of functional units available in groups of health centers and in the website "https://www.saudeoral.min-saude.pt/sisoral/pnpso/".
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Another drop of water to fill the precariousness and the abandonment of the valence of oral health in our country. After an extensive study on oral health (National Study of Prevalence of Oral Diseases, 2008), measures emerge piecemeal and without any sense to fight and solve the problem effectively, it seems that after all not worth the effort and money spent in that study paid for by taxpayers' money.
Instead of making an innovative design and efficiency, access to all children and adolescents, based on that study, highlighting the quality and not numbers, we return to government initiatives to assist the pure demagoguery and winning votes on the eve of elections, because what matters are numbers and more numbers, without any concern for quality, durability and sustainability of the measures taken.
It is expected that the professional bodies related to the oral health sector know if these measures to distance demagoguery, not lining up in the distribution of sweets to children, offering oral health policies and alternatives that are effective and efficient and have sole and exclusive interest children and young portuguese.

Monday, 24 May 2010

337. The Dental Association wants lower tax on value added in toothpastes with fluoride as a public health measure

The Dental Association (OMD) advocates reducing the tax on added value in toothpaste with fluoride through a reclassification of the product, proven to be effective in preventing the most common infectious disease, tooth decay. At Lusa, the president Orlando Monteiro da Silva argued that it is a public health measure.
Fluoride is a substance proven effective in preventing and why toothpaste should not be taxed like any other cosmetic or perfume, this twenty per cent, said. The Order has already asked to rate change in 2007, in a letter to then Health Minister Correia de Campos but received no response.
The OMD want the folders currently considered luxury goods, cosmetics, essential goods are reclassified as preventive and therapeutic, as has happened with diapers and condoms. After reclassification, the decrease in tax rate of added value can be entered in the state budget, predicted Orlando Monteiro da Silva.
On the other hand, soft drinks or the lollipops are taxed at five percent while products are highly cariogenic, also noted the president. Source of the Directorate General of Health (DGS) today indicated that any decision in this area is political and that the DGS has received no request for comment. It is for the DGS and support technically evaluate the relevance and importance of applications, added the same source told Lusa.
Supply Authority's National Pharmaceutical (INFARMED) reported being responsible for quality assurance of what is marketed in terms of medicines, cosmetics and personal hygiene. To be considered as a drug, manufacturers must submit the product to various European bodies concerned, the same source also explained.
The president of OMD contended, for its part, the folders you do not want to spend on drugs, which carries a complex process but the essentials and noted that the reclassification is for each Member State. At Lusa, responsible exemplified the difference of value added tax priced between Portugal (twenty percent) and Spain (seven percent) in dental materials for medical use.
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The Dental Association has an obligation to intervene in the policies followed oral health in the country, it is time to take responsibility for the bleak outlook in the provision of primary and preventive care that today (not) do in Portugal.
Not only is the decline in value added tax sore on the toothpaste, the OMD should and is obliged to go much further and require firmness and determination in solving the problem of abandonment of oral health care to provide the population made by current government of the Socialist Party, as well as for others before him.
Why is all of us to pay taxes for the training of dentists in Portugal, these physicians may not then be formed only at the service of the rich and give to oblivion that the assistance must be with the rest of the people who paid for his training with the money from their taxes.
It is regrettable misfortune that befalls the most disadvantaged, including children, young and old who are neglected any kind of access to oral health care worthy, although we are a country full member of the European Union.

Friday, 21 May 2010

336. Portugal and Spain: two distinct and completely opposite to treat the oral health of children

The Health Ministry launched a campaign for oral health in all Spanish children between 7 and 15 can freely visit the dentist during the year 2009. Bernat Soria, Minister for Health and Consumer Protection, said the aim is that oral health with respect to all and the smile of every child should never depend on its status. Therefore, it will promote the extension of these services in Spain, with the signing of agreements with the Autonomous Communities. The project includes extensive coverage of dental services, from annual reviews to special treatment, through fillings, extraction of teeth or mouth cleaning, for instance.
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The same problem in two sister countries: Spain makes up prevention campaigns to correct the problem; in Portugal is hiding the problem to avoid at prevention.
Quite disgraceful conduct of public and private Portuguese, directly related to oral health care by restricting the access of children and young people to primary health care according to their social class, it was not for this that made the revolution on April 25, 1974. It is imperative to expose the scandal, here and abroad, because we all pay taxes equally for the training of dentists and dentists, who can not only be serving the rich social classes.

335. State Budget funds sufficient to maintain and improve health care says minister

The Health Minister, Ana Jorge, held that the State Budget for 2009 is enough to maintain and improve health care to the population. Speaking on the sidelines of the signing of a protocol with the Boards of Vila do Conde and Povoa de Varzim to build a new hospital, Ana Jorge said that we have a budget that is possible at this time and therefore have an obligation to manage it well.
According to Minister of Health, to manage well does not mean cutting means thinking about the resources and the needs that exist there. It is essential to define priorities, to involve practitioners and also the population that needs to be able to appeal to health services in a rational and responsible, said Ana Jorge.
The purpose of the proposed State Budget for 2009 the Minister stressed that it was done with reality and thinking about what you can do since it is well managed. To her, the priorities are set, highlighting the continuity of the reforms of health care and primary care facilities and hospitals, and health programs that are part of the national plan and that has to be monitored.
With regard to waiting lists for surgery and oral health, Ana Jorge said let's focus in some areas to improve aspects complicated.
The minister who holds the portfolio of Health also announced that it will release a program on reducing waiting lists for surgery on ambulatory surgery. This new model, with a set of attitudes and practices that will post Monday to shorten waiting lists because there are many surgeries that can be done with just one day after admission, under conditions of full safety for the patient, concluded Ana Jorge.
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The Minister acknowledges that there are funds which constitute the main obstacle to productivity in public health and therefore the provision of primary health care to populations. In fact, there is a lack of organization in the way of administering the various departments of public health, how often outdated and that instead of improving the healthcare of the population, have the perverse effect of acting in the opposite direction.
Technological advances can relieve many features of National Health Service wasted on bureaucracy to be implanted directly in the provision of health care.
For example, why the Ministry of Health does not transfer the money it spends on oral health for schools or health centers? Power would thus gain immensely in terms of productivity and results in oral health, while not, is the despair of those who have refused treatment and see oral health, especially the layers of the poorest people, children and elderly who they are denied any possibility of effective treatment in time.
Words for what? Is required is action and enough bureaucracy in the bodies of the Ministry of Health.

Monday, 17 May 2010

334. Training in volunteer (non-governmental organization World's Smile)

Dear Colleagues,
As you know, the non-governmental organization World Smiling to develop their projects with the support of its members on a voluntary basis. So and so we can develop that same volunteer service quality, we are investing in training our associates, as well as potential volunteers who want to join our cause on behalf of Oral Health.
It is in this context that we went to schools of dentistry and other media partners in order to request authorization for the release of our Volunteer Action Training among your associates and Bloggers, and ask how best to do so. We take this moment to inform the two major projects that we initiate, both approved by the High Commissioner of Health, and in the case of the Clinic, also by EDP Solidarity Foundation:
1) "Project Oral Health on Wheels," a bus that will circulate through the city, visiting schools in the first cycle and will be made where information sessions and training, with the main goals of its intervention: the promotion of information campaigns, prevention and Oral Health Promotion and development of a work which contributes to the improvement of living conditions of families. Since the aim was also to prepare these visits an epidemiological study of oral health status of the population covered by the project.
2) "Project Support Oral Health Clinic - CASO", a clinic in solidarity to support specific groups, particularly in young, pregnant women, elderly and risk groups and you want to be a vehicle for improving oral health in a social inclusion perspective users.
Some of your attention, thank you in advance for your valued response, sending Best Regards
Mundo a Sorrir - Associação de Médicos Dentistas Solidários Portugueses
Rua Ciríaco Cardoso 265-C 5ºDT
4150-213 Porto
+351220169882/+351931653608
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Institution of Public Utility Portugal
Non-Governmental Organisation for Development
Member of the Portuguese Platform of Non-Governmental Organizations

Tuesday, 11 May 2010

333. Shame of the National Health Service: Health Centre without a dentist for a month

Since September that users of the Health Center of Aveiro not have at their disposal the services of a dentist. The professional retired and its replacement is not forthcoming, the second found JN. The retirement of medical dentist last September that service the health center of Aveiro, left users with no possibility of recourse for the provision of oral health care, for acute patients.
The solution to remedy the lack of health care now, was second in charge of the Health Center of Aveiro, João Terrível distribution of "dental checks" for the elderly and pregnant and contracting with physicians, dentists and private dentists. "The acute patients will have to resort to private services," said JN, João Terrível that lessened the effects of lack of dental services in Health Center.
"She had a schedule of twelve hours per week, so not many users who had," said the Director of Public Health Center Aveiro who recalled that unit in the health service has a dental hygienist. "We are trying to solve the problem and is being equated a solution, either way will never be found in the short term but the medium term," said JN.
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It is absolutely shameful oral health policy followed in Portugal. This example clearly shows the attempt by the Ministry of Health in destroying the little that will still exist in the care of the population.
Between promises and actions left a bad faith and settlement, by the Government, the oral health care provided by the National Health Service, something unthinkable during the dictatorship that existed in Portugal before 1974.
There is courage and report the situation, because the taxes that each of us paid (whether rich or poor) for the training of dentists in Portugal can not then revert solely on the benefit of the social class of high yields, which can pay for private consultations. Unfortunately (why?), The Order of Dentists seems to be deaf before such a serious attack on the country's population perpetrated by this government.

Saturday, 8 May 2010

332. Line Dental - Your Space on the Net to exhibit and learn about their oral health

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English version here

331. Oral Health: What should be compulsory in school education and no one speaks

Without a firm attitude of parents or guardians, any child or teen may have jeopardized his smile definitely for the rest of his life, with serious psychological and physical problems associated with it.
Why are these issues are not directly addressed and treated, are now virtually banned from mandatory school curricula of primary and secondary?
After all, if there is an Order of Dentists, what is its function within the policies of disease prevention for oral health in childhood and adolescence? There are surely to fall asleep next to concerns that the Ministries of Education and Health have always been negligible, in general, the oral health of children and adolescents covered by primary and secondary education in our country.
After all, much, really, to be done by the young Portuguese democracy was born on April 25, 1974, and one of those things is to combat the systematic violation of human rights by the Portuguese and their governments, when we talk in children's access and young people to oral health treatment in our country, drafted in light of the economic possibilities of each family.
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Recommended reading for any parent or educator, binding in all libraries and learning resource centers at any school:


Sorri Dente (Smile Tooth)
Author: Trigo, Maurício
Publisher: Garrido Editores
ISBN 972-8471-42-4
ISBN 972-8738-15-3

Thursday, 6 May 2010

330. Municipality of Silves promotes free medical screenings

A set of medical screenings and awareness campaigns were held in March in Silves. This initiative resulted from a cooperation protocol established between the municipality of Silves and the Company Tecnifar - Industrial Technique, which allowed the implementation of the "SMS - Medical Social Solidarity."These screenings took place in Fissul and four school groups in the county. In the building Fissul exams to be adult and elderly population, between 9:30 a.m. and 18:00 without interruption. In school groups are privileged children of the first cycle of basic education, happening activity between 09:30 am and 17:30. There were also traces of HIV / AIDS and collection / donation of blood, with collaboration from the mobile CAD and Faro Hospital Center in the western Algarve.
Thus, during the days when these actions take place, all interested parties can make visual traces, participate in moments of awareness on oral hygiene, making nutritional assessments, various measurements (blood pressure, glucose, cholesterol and body mass index), Densitometry Bone (to determine the presence or absence of osteoporosis), ECG and spirometry (exams that let you see how your lungs by measuring the amount of air that can support and speed of expirations).
In the case of schools have been conducted also traces the children flagged for visual effect, and an Action Awareness Oral Hygiene for all students.
Altogether, the initiative will involve the participation of 25 health professionals, including physicians and nurses, in addition to the staff of the Municipality of Silves, especially the technicians of the Social Sector - Division of Sport, Youth and Social Action, which will coordinate this initiative.
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More praise from a local government initiative; fortunately beginning to emerge that municipalities understand the needs of local populations. Although we know that many other mayors still invest thousands of euros on luxury trips abroad by (where is the government and Procudaria General's Office to investigate these trips?), today begins a new generation of people in town that put the interests community above the interests of their navels.

Monday, 3 May 2010

329. The oral health of the Ministry of Health: Among the promises and practice ....

The total debt unsuccessful (over 90 days) of the Portuguese National Health Service amounted to 908 million euros at the end of September. The bulk (727 million) is the responsibility of corporate public hospitals, which constitute about ninety percent of hospitals in Portugal in financial size and number of beds.
It was to "get over the fact that hospitals do not pay on time" and "inject liquidity into the economy" at a time of crisis that the government decided to extend and enable the fund to support payments from the National Health Service (never used despite the existence since 2006).
Hospitals SPA and central services will result in a reallocation of funds, including transfers between deactivations and programs - using, for example, money that this year (2008) on the oral health programs and medically assisted procreation.
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It is absolutely shameful that the current team from the Ministry of Health to "hide" the oral health programs, thus taking advantage of dividends to pay off debts of poor management, while denying oral health treatment to hundreds of thousands of Portuguese people, especially children and adolescents, keeping them in a permanent ignorance concerning their health needs.
Message to the Minister of Health: after all, promises politically correct to actually going to a large container; absolutely demagogue this evolution of oral health policy in Portugal.
At least to send this message to the Socialist Youth to also remember, in Parliament, who really need our children in schools.

328. Analysis of the National Study of Prevalence of Oral Diseases in 2008 (Part 6)

Children and young people with dental caries
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Reading the National Study of Prevalence of Oral Diseases in 2008 shows that tooth decay affects too alarming levels among children and youth of our country. The situation can be said that almost catastrophic, because the percentage of affected children reaches 49% at 6 years of age, reaching 72% at 15 years of age. This finding should be, first, absolutely vital concern in terms of health education at the primary level.
At a time when the advance party youth projects for introduction of other facilities and strengthening educational, it is quite urgent to tackle the problem of oral health that grace combined, so overwhelming, affecting the vast majority of the school population and physical and psychological consequences unpredictable for the future.
You can not get a clear conscience when we learn that 88.5% of adolescents aged 15 years in the Azores and 75.4% of adolescents aged 15 to submit dental caries in Alentejo, knowing of the billions of euros in funds that the country enjoys from the Europe Union.
This is why it is urgent and necessary to change the irrational policies of governments followed by oral health in Portugal since April 25, 1974, it is inconceivable that in a European Union member country, children and young people continue to be treated in a discriminatory manner in which the origin of social class determines their access to health care (something that happens today in Portugal and that is more typical of a Third World country).
Thus, it is also you, dear reader of this blog, to denounce this situation and warn the public, children and young people of today are the men who tomorrow will shape the future of our country. Do not let a summit of political leaders and incipient have the right to limit and constrain the physical and psychological development of those who are men and women of Portugal in the next generation.
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Final note: Is the Presidency of the Republic will be available to perform a week open nationally on the issue of provision of primary health care to the population, including their access to oral health care? Is a suggestion of who is on the ground and knows the reality.