Oral Health is arguably a decisive element in the general welfare of the people and the attitude of compartmentalization, which involves a view of the mouth in the non-holistic or integrated, is the cause of negative and sometimes permanent changes in the overall health of individuals, thus In their quality of life.
Oral diseases are the most common chronic diseases. Moreover the current Portuguese Constitution states:
Article 64. º Health
1. Everyone has the right to health protection and the duty to defend and promote.
2. The right to health protection is achieved:
a) through a national health service and general and universal, taking into account the economic and social conditions of citizens require;
b) the creation of economic, social, cultural and environmental conditions that guarantee, inter alia, the protection of children, youth and old age, and the systematic improvement of living conditions and working as well as the promotion of physical culture and sports in schools and popular, and for the development of health education for the people and practices of healthy living.
3. To ensure the right to health protection, primary duty to the State:
a) ensure access for all citizens, regardless of their economic circumstances, care of preventive medicine, curative and rehabilitative;
b) ensure a rational and efficient coverage of the whole country in human resources and health facilities;
c) to guide its work for the socialization of the costs of medical care and medicines;
d) to regulate and supervise the business and private forms of medicine, linking them to the national health service, to ensure, in the institutions of public and private health, adequate standards of efficiency and quality;
e) to regulate and control the production, distribution, sale and use of chemical, biological and pharmaceutical products and other methods of treatment and diagnosis;
f) establish policies for preventing and treating drug addiction.
4. The national health service is decentralized and participatory management.
Thus, regardless of what the Constitution calls for the country as we saw in relation to other areas of Health, the State generally better or worse, has been met, but now with regard to the area of oral health, may said that there was a regression in relation to what existed before April 25, 1974. To date, the New State contained in the ranks of the former Provident Fund offices of Dental Medicine, where they were practiced at least some basic treatments.
But after April 25, although in the new Health Centres then created, some of them want United States aid, both from Sweden and Norway, contained offices of Dental Medicine, which gradually came to be dismantled, not giving the opportunity to new dentists in abundance that started coming out of colleges, would eventually be integrated into the SNS, just like the other clinical areas of health, to provide functionality to such offices, providing access to oral health care to the general Portuguese population, which is the same as bald as the fundamental law of the country so determines.
Knowing the state Oral Health of individuals produces significant effects on their quality of life and that some aspects of oral pathology has implications:
Not only Physics,
- How Psychic,
- And turn Social.
Consider:
a) Some studies have shown that a child affected by caries at 3 years of age have on average less than one kilogram of a child without caries;
b) The occurrence of infection and pain can change their eating habits and sleep disturbances (irritability);
c) The estimated number of hours lost from school for reasons related to oral health is 117 000 per 100,000 children;
d) These impacts daily activities are not limited to the individual, also end up affecting your family;
e) Thus also the society in general.
We also know that the whole cascade of problems associated with oral diseases are not limited to younger age groups may be even more significant in the elderly, who experience rates of edentulism (missing teeth), which ranges from 30 to 70% as communities, treatment practices and the availability of rehabilitation (technical and budget). It will be noted that the dietary choices of elderly individuals are often compromised and thus may cause significant nutritional deficits.
One of the aims of the Primary Health Care is the reduction of social inequalities among individuals, especially in relation to health, will therefore be necessary to increase the attention on Oral Health Care, for accessibility to such care can translate into valid results and staff for the General Health of individuals. However, the lack of Oral Health Professionals (Doctors and dentists Dentist) in the overwhelming majority of the Portuguese Health Centres and the limitations of Oral Hygienists in the treatment of some diseases of the oral cavity have led to one of the lowest rates of dental treatment Europe, a fact perfectly compatible with policies for the budgeting of the Portuguese Ministry of Health Oral Health of 0.0035% of the total budget.
In contrast to the previously mentioned:
- Some studies have classified as oral treatments rooms most expensive of all treatments;
- Many developed countries spend between 50-10% of its budget for Public Health Oral Health. As examples, in some Spanish provinces, the rate of oral treatment in children and adolescents over 80%.
In our country, by order No. 153/2005, 5 January, which set the objectives of the National Oral Health Promotion (PNPSO) reducing the incidence and prevalence of oral diseases in children and young people, improving the skills and behavior about oral health and promoting equity in the provision of oral health care to children and youth with special health needs, was underway by 2007, a School Oral Health Program, in which dentists or dentists, received per patient € 75, they had many or few treatments to do, ie, the state appealed, and appeals to the excess supply / demand and a competitive way, to make oral health, on top of the current agreement with OMD (the Medical dentists), which I think is not the correct path, as many times as it takes into disrepute by encouraging the neglect and poor professionalism on the part of many professionals who get caught in the flurry of others that go every year for a multitude of Colleges (7), given the present needs of the country, without regulatory frameworks in fact, whether existing medical associations, unions, or more recently the Regulators, are forced to participate in these campaigns opportunistic Ministry of Health, the Conventions and even the insurance companies, each with its own rules and tables obsolete and limiting, in a true chaos of service offerings and economicíssimo maladjusted to reality.
More recently, from 2008, with the order No. .4324/2008, 19 February, was given the extension of the PNPSO two other groups deemed particularly vulnerable (pregnant women and elderly people in need) and developing an intervention strategy oriented to the provision of oral health care to a much larger number of children and youth. So PNPSO, now covers:
1 - Pregnant women followed in the SNS - Sum of assigned dental checks (maximum 3) can not exceed 120 € (the execution of the treatments can be completed within 60 days after delivery);
2 - Beneficiaries of the solidarity supplement for older users of the SNS - Sum of assigned dental checks (maximum 2) may not exceed 80 € per year;
3 - Children and Youth under the age of 16 years - Sum of assigned dental checks (maximum 2) may not exceed 80 € per year.
For the purposes of Removable Prosthodontics, there is a financial contribution to 75% of expenditure for the purchase and repair of removable dentures for up to € 250 per period of 3 years.
Conclusion:
From everything stated above and given the disclosure of data to check the current OMD, the Sun newspaper on 13/11/2009, the number of users of the SNS has benefited from 305,382 to date, so here is concludes that although the Portuguese population is of a few million (Portugal, including Azores and Madeira an estimated population of 10,529,255 people - INE estimate of the December 31, 2004, representing a population density of 114 persons per square kilometer ) the number of users above treated under the SNS National Programme for the Promotion of Oral Health (PNPSO) is negligible if not ridiculous, and this program does not comply with what is recommended in the fundamental law of the country, since the point of view of oral health, citizens are being treated in a preventive, curative and rehabilitative, equally universal and tend to free.
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SNS - National Health Service in Portugal
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