Saturday, 31 July 2010

364. The National Study of Prevalence of Oral Diseases 2008

Read
the national study of prevalence of oral diseases in Portugal
in Scribd, typing here (Portuguese Version)
Warning: It takes a few seconds to open the document

Sunday, 25 July 2010

363. Maybe in a clinic near you

This video reveals the scandal committed by various clinics, including the provision of oral health care. Also I've been victim of such abuse exists in a given clinical Elvas (Portugal), on the first floor near the center of town where a particular doctor did not hesitate to pass me three receipts for one query for which I had to pay a price completely unreasonable, without having been informed before the consultation.
This just is and always will be possible while the state government and regional health administrations continue to collude with unscrupulous private and only seek profit and exploitation of the patient, not looking at ways to achieve their ends. I believe that this would be impossible to occur in another member country of the European Union.

362. When the first consultation is free


Several clinics and dental practices offer a free consultation first observation (no dental treatment or else offering a simple cleaning). Enjoy and take advantage, as it can get to know how is your oral health and what are the recommendations for your case.
Remember: take advantage of the offer the first appointment and choose to spend two or three practices or clinics, at least, to better ascertain their oral health, check prices and request quotations, in consultation where the quality of service provided. Then choose rationally to make the right decision, taking into account first in your healthcare.

Thursday, 22 July 2010

361. Oral Health Forum (Dental Association)

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The Dental Association provides a forum for discussion on - line. Join and spread the Forum, do oral health a national public health issue.
Most existing social achievements have only been achieved only with great effort, dedication and commitment of anonymous people who did their best for the good of society. Also we will have to leave our mark for future generations, contributing selflessly for social causes. And in Portugal, oral health is still not considered by the State as a disease; so join in this journey by public cause; participate and streamline all activities that may contribute to the declaration of oral health as a disease public health, in full equality with the other medical specialties.

Tuesday, 20 July 2010

360. There is a greater care in the presentation of the mouth

After a delay of decades in the prevention of oral health, the Portuguese are now starting to give real significance to the teeth. Fundamental to chew food, to the pronunciation of words, but also to the physiognomy of the face, the loss of a tooth can have serious consequences. Besides being unsightly and deform the face, there is also bone loss in the long term, it is difficult to recover.
To make the rehabilitation of the mouth, the implant has an important role since it allows the "recovery" of the teeth. As explained to our newspaper the chairman of the Scientific Society Implantology Portugal, Vasco Carvalho, an implant is an artifact that replaces the root of a tooth, being finalized by the crown, now very similar to a natural tooth.
"The implant looks like a screw, but it is very rough in the bone grabs during osseointegration. The outside is the crown. Five or six implants may support 12-14 teeth ', exemplified one dentist who is also professor at the Catholic University.
The implant is a technique that is developed just 15 years ago in the archipelago and there are few dentists who develop it. The high cost of the technique limits the access of the population. However, Vasco Carvalho ensures that each case is a different situation. He acknowledges that the dentist placing implants for people who have financial difficulties is a mirage, but it is also true that increasing the amount of dental implants are placed it will allow the loss of patents and these prices start to be more accessible everyone.
Still, stresses that people sometimes prefer to change the car to invest in health. So, remember that today no one get a job with no teeth or no one goes to the television without teeth, the appearance of mouth counts.
The positive aspect of this rehabilitation technique of mouth is that the success rate of implants is currently very high, reaching 98 per cent and can last a lifetime if hygiene care. It is that the tissues around the implants may suffer the same diseases that arise in the cultural roots of the teeth, as pyorrhea, which often attack the bone and tissue around it.
Still, the technique of implant does not have many contraindications. Years ago, people with diabetes could not place implants, but with the evolution of materials used and provided that the protocol is followed, a diabetic can have your mouth restored. The same goes for a patient who has made cancer treatment. In this case, you must meet a set deadline, before undergoing surgery. In both cases, the risk of the bone does not integrate the implant is about the same as that in healthy people.
Vasco Carvalho argues that the implant can not be viewed the same way that it goes to the supermarket to buy products because there must be a work by a team of professionals. In this sense, it argued that the implant over time will have to be part of the assistance of colleagues, of course there are more complex cases that deserve more invasive techniques and more complex, but the implant is a good solution for the recovery of the mouth of anyone who walks toothless.
Too many dentists - While the United States or some European dental schools already had many years in Portugal they only appeared in 1976 and were offered by Norway. Until then the population was delivered to the care of some practical stomatology, told Vasco Carvalho, Professor of History of Dentistry, at Catholic University. Even so, the evolution of dentistry in Portugal has been very fast and for years was the best the country had.
Currently has over 6,500 professionals, an excess, she considers. Before, if we did not care, as we have good teeth? Questioned Vasco Carvalho. However, there is a question that haunts him is the adaptation of courses to Bologna, which will take a year course in dentistry. Let loose and much, considering.
Faced whether dentists should integrate national and regional systems of health professional said that it would be too expensive for governments. As regards prevention of oral health, Vasco Carvalho says it has to start by the parents. The action at school is important, but they are adults who have to limit children's access to refined sugars and encourage eating, for example, an apple to bite that has important fibers to the teeth.
Despite the difficult economic environment, the Portuguese go to the dentist for prevention and many people joined the dentist checks the Order of Dentists. It's little, but better than nothing. The problem is that there is a core of people who otherwise have to eat, will not have to buy paste for brushing teeth, he said.
Marília DantasJornal da Madeira

359. Opinions about oral health program broadcast on public television Portuguese

Some considerations about the various interventions in the program:
- positively was João Pimenta, which focuses on exactly the main problem today in Portugal in the area of oral health: Oral health professionals should be in the Health Centres and Hospital Centers, there is money for many things but there is no money to have dental Health Centers I also agree, commenting on the sarcastic smile of Rui Calado, in this program, you know exactly where they should be the oral health professionals in Portugal;
- Francisco Salvado, Coordinator of the Department of Stomatology, Hospital Santa Maria was also very well to remember that the check-dentist comes just less than one million Portuguese, leaving out more than nine million, also questioned about the need for support other risk groups, including elderly people with mobility difficulties, the disabled and cancer patients, and the danger of the abandonment of school health. By the way, let me remind you that I await clarification from the Directorate General of Health Protocol for the promotion of health education at school, signed between the Ministries of Health and Education on September 7, 2006, as the post number 347 of this blog, who, after more than a month, still waiting for the reply, I have some doubts that this protocol has not even passed it, having died the same day it was signed;
- by contrast, was very badly Paulo Melo, management of the Order of Dentists, considering that the national situation has changed a lot and it would be inappropriate that the National Health Service spending a huge amount of human and financial resources to equip health centers and it is exactly this position defended by Paul Melo that causes increasingly exacerbate the problem of oral health among the Portuguese. With these views we are just going backwards, because denying the integration of oral health services in health centers will unfortunately continue with more of the same, increasingly alienating the majority of the population to pay taxes of any access oral health, and half private;
- Finally, emphasize what Rui Calado said, while commenting that oral health is not considered a disease in Portugal and I would add, view starting with the politicians and then by the Ministry of Health;
- I pity anyone who has spoken during the program, all Portuguese are required to pay taxes to the training of dentists but, after graduation, dentists are not available to treat the oral health of all the Portuguese, more I believe a lack of morality and extremely malicious there concerns about spending of money today, when everyone knows the earnings and savings of resources that would begin immediately to get in tomorrow.
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Wednesday, 14 July 2010

357. Mouthwash promotes oral cancer

The use of mouthwash in Brazil grew 2277% from 1992 to 2007, shows a survey conducted by the dental surgeon Marco Antônio Manfredini, a researcher at the School of Public Health at USP (Universidade de Sao Paulo), based on information from the Brazilian Association Personal Hygiene, Perfumery and Cosmetics. From 2002 to 2007, the increase was 190%.
For Manfredini, encouraging the indiscriminate use of mouthwash should be criticized. "We observed a large investment in inducing the use of the product. And it's important to say that, unlike the paste, brush and floss, mouthwash does not have universal statement. We need to concentrate to use specific cases."
Besides not being essential to oral health, the frequent use of mouthwash with alcohol increases the risk of cancer of the mouth and pharynx. A scientific review published in late 2008 in the journal of the Australian Academy Dental compiled studies from around the world who have found this relationship. According to the researchers, there is enough evidence to accept the idea that mouthwash with alcohol contributing to higher rates of oral cancer.
Much of the products sold in Brazil contains ethanol. A Brazilian study conducted with 309 patients last year and published in the Journal of Public Health also found the same association. Some brands have up to 26% alcohol, and there are people who use every day. Today there are products on the market without alcohol, which should be the chosen, the oncologist said Luiz Paulo Kowalski, director of the Department of Head and Neck Surgery, Hospital A. C. Camargo and an author of the work.
According to Anvisa (National Agency for Sanitary Vigilance), manufacturers are obliged to inform the packaging the presence of alcohol in the composition. The alcohol present in enxaguantes contributes to increasing rates of oral cancer in a manner similar to alcohol - and it is known that alcohol is a second risk factor for the disease, after smoking, increasing from five to nine times the risks.
Joke that the person drinks without enjoying the good part of the drink. The product is not because alcohol is an antiseptic, but because it is a very efficient vehicle, industrially convenient and very cheap. So no alcohol versions tend to be more expensive, explains Alberto Consolaro dentist, professor of pathology, Faculty of Dentistry of Bauru, USP.
Alcohol is not a cancer-causing agent in isolation, but an enzyme the body turns into acetaldehyde, a substance that can alter cells in the mouth and cause tumors in the region. The problem is to use the product every day, because the harm of not giving the cells time to repair. The use of mouthwash [alcohol] needs further study, but it's something like what happens with the cigarette, the more exposure the greater the risk, says Kowalski. Therefore, dentists recommend the use of the product without alcohol, be manipulated, either brand.
The product is a good helper to clean the mouth but do not contain alcohol. People think that burning a mouth rinse is best, but good product need not give that feeling. The antiseptic is not Alcoa, says Consolaro.
Dentists recommend using mouthwash after surgery, tooth scaling, cases of high incidence of tooth decay, gum disease and for people who have no motor skills to accomplish a good brushing. For the general population, the use is optional, although much of this type of product advertising to suggest that he fights bad breath.
From the viewpoint of oral hygiene, it is not necessary. Who has good oral hygiene usually does not have halitosis - and, if so, is not the mouthwash will solve the problem, says Manfredini.

Friday, 9 July 2010

356. Dental check: How to pass the praise to disappointment ... Shame!

José Socrates delivered the first
dental checks for children
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CopyRight @ Socrates2009.pt
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José Socrates considered the "dentist check" which will cover 200,000 children, as a good example of "strategic cooperation" between private and public admitted to extend this experience to other areas of the National Health Service.
The prime minister has attended a meeting in the grouping of schools Nuno Gonçalves, Penha de France, in Lisbon, after having delivered the first dental checks for students with seven, ten and thirteen years, and highlighted as key features of the program free choice of provider, ensuring fairness and absence of waiting lists. According to Jose Socrates, with the start of the assignment of the first dentist checks for young students, the National Health Service gave a very important step:
- Elsewhere in the developed world, is a challenge for the National Health Services the question of hygiene and oral healthcare. The National Health Service began to fulfill its mission with regard to oral health for society when the Portuguese Government has decided for the allocation of dental checks for specific target audiences such as youth, elderly and pregnant women.
The prime minister also said that the goal of government is mobilizing structures and resources already existing in the country in the area of oral health in the service of the National Health Service. Therefore, the Government refused to create more than one service within the National Health Service, which is an alternative to the private system, before deciding to use the system to the private services of public objectives.
We want everyone, regardless of economic status, have access to dentistry. Families who are enrolled in this program with complete autonomy to choose which dentist to go. And choose without having to wait for the next year or in three or four months, because this system ensures access to a dentist with no waiting list, stressed José Sócrates.
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Delays in payments away from dentists
dental checks

Again the first compliment that reality comes later; for those who are not minimally aware, it is good to start thinking about the good intentions of leaders we have. After all, when the work first and then the praise?

355. Soft brushes and clean teeth

The correct choice of toothbrush should begin in early childhood and care for the teeth should begin from the birth of the first teeth. For this reason, you must use the correct brush for this stage of life.
Brushing the teeth of babies and children should be done in an enjoyable and fun, just to encourage the habit of brushing and ensure the quality of oral health in later years. According to the dentist Hugo Roberto Lewgoy at this stage of life, one must be careful not to cause an aversion of tiny in relation to oral hygiene habits.
- The gums of babies and children are very delicate and sensitive. Recommend the use of brushes with a large number of bristles and ultra texture - explains the expert.
Offer to children a toothbrush that allows the efficient and proper cleaning of the teeth without hurt or injure the gums, is the greatest contribution that parents can offer to ensure oral health throughout life for their children. Therefore, the brush is shown shortly after the outbreak of the first deciduous teeth (also known as "baby teeth"), between five and nine months, until six or seven years old, when there is the beginning of eruption of permanent teeth.
An important issue is that the child brush can not only be beautiful or full of flashy visual appeal, it must be a quality and can not injure the gums.
- The brush should provide features developed specifically for this age group, for example, the presence of a small head and anatomical setae rounded and polished and a cable that adapts easily to small little hands - he explains.

Monday, 5 July 2010

354. Analysis of the National Study of Prevalence of Oral Diseases in 2008 (Part 7)

Oral diseases in childhood and adolescence (Part 1)
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The National Study of Prevalence of Oral Diseases 2008 identifies tooth decay and disease periodontist in children and young Portuguese, which comes on top of fluorosis in certain geographic areas.
The calculation of the indices of dental caries has shown that its value grows with increasing age of children and young people, which can assume a condition attached to a neglect of oral health as children and young people grow and / or greater attention to oral health of children when they are smaller. We can not forget the changing environment that children and young people are going on as they grow older, which may also contribute to the development above. Are the gardens-schools and schools of the first cycle more apt to support and help in better and more consistent than the other levels of higher education? If yes, why?
Dental caries at 6 years old - Very troubling is the discrepancy observed between the various regions of the country: "In the temporary dentition, Madeira, with a DMFT of 3.61, had the highest prevalence of disease, the difference being statistically significant against the national average. In the permanent dentition, the Azores, had a DMFT of 0.24, which was triple the national average. The regions of Central (0.02), Lisbon and Tagus Valley and the Algarve (0.03) had the lowest values: these changes are statistically significant. (...) For health regions the proportion of temporary teeth decayed (at six years old) was very high, ranging from 83% in the Alentejo and the Azores and 94% in Lisbon and Tagus Valley."
These contrasts show clearly the lack of opportunity of access to oral health in much of the country, constituting a grave injustice committed on children living in disadvantaged areas, in other words, health oral evidence to the discrimination made in favor of richer regions, always hurting the poorest regions (absurd logic if we are talking about national cohesion, as are children living in poorer regions that have fewer guarantees of oral health).
Dental caries in 12 years - In this study it was found that at 12 years old, "the regions of Alentejo, the North and the Azores, such as those youth groups with dental caries rates higher." They are also the Alentejo and the Azores where there are young people with fewer teeth treated. Thus, the study shows that dental caries affect more often in young people who have their teeth treated.
Note that the study finds that these changes are significant, given the national average, this means that there are significant regional disparities in the country and as such, the geographic residence of young people 12 years of age directly determines its oral health.
Obviously there will be cultural factors intrinsic to the families that determine the importance given to oral health care of children under 12 years of age, but identified the significant contrasts between the different regions will also have to be to a large extent with the wicked policies of health followed by the country over the past decades and helped to enhance the discrimination of more peripheral regions.
We therefore urgently implement the transfer of resources and public resources to where today there are so many needs, it is to implement public policies to encourage organizations and oral health professionals to settle down with those who need it most, while those not arise policy, children who are now living in Alentejo and the Azores are more unprotected and without equal access to oral health care that exist in other regions of the country, of course, this will bring incalculable consequences that will extend throughout the lives of these children.