462. A clinic that deals with family smiles for over 30 years

Smile because it shows emotion is always a sentence in the waiting room of the Laboratory of Clinical Implant Dentistry and Jesus Luis Neves has been operating for over thirty years on the street Gualdim Pais No. 9, 2. º left, in Tomar (near the Municipal Library).

Accumulating experience and know Luis Neves and his wife Hortense, dental technicians, this was among the first to open five offices in the city of Tomar, maintaining a customer base that spans generations already. A company of family who now see this is reinforced since the couple's youngest daughter, Diana Neves, with 25 years of age, eventually graduating in dentistry.

My parents opened the business as a dental laboratory but patients have evolved and it was decided 15 years ago, to expand the clinical portion of dental medicine, explained to O MIRANTE, Diana Neves who has worked for about a year and a half in the clinic, where many patients to know as a child. A dentist was, after all, a dream of Diana Neves, who specialized in Implantology and Aesthetic Dentistry. The most rewarding is to see people smile at the end of treatment and see their self-esteem boost, consider the young doctor.

Currently working at the Laboratory of Clinical Implant Dentistry and Jesus Luis Neves three dentists, who offer all treatments in the field of dentistry, and two dental technicians. There are no protocols with institutions but the clinic joined the dentist-check, made available by the Health Ministry to pregnant women followed in the National Health Service (S.N.S. in portuguese), S.N.S. users who benefit from the Solidarity Supplement for the elderly and children or young people under 16 years.

We are always looking for new techniques, we rely on innovative materials and equipment and training, participating in national and international workshops, said Diana Neves also stresses the very close relationship and even friendship established with patients. In future, the clinic will move to a facility that are at present being built from scratch in the Estrada da Serra, which could increase the number of specialties offered.

The Laboratory of Clinical Implant Dentistry and Jesus Luis Neves is open Monday through Friday, from 09h00 to 13h00 and from 14h30 to 19h00. Although this time, there is an emergency service 24 hours while the phone the clinic, with the number 249 321 110, directed to meet any emergency situation, regardless of the time that happens.
O Mirante

461. Newspaper interview i Orlando Monteiro da Silva (Part 1: Interview)

Today with 47 years of age, Orlando Monteiro da Silva was the youngest president ever in the country. Since 2001 is ahead of the Order of Dentists, an area that came later on the train in health, but - says - in an intelligent way. Will propose a meeting of the Orders of health on Wednesday in Lisbon to amend the Constitution: the National Health Service can not tend to be free, as it is written, and self-responsibility of patients is essential. Reduce the numerus clausus School of Dental Medicine is another objective. But there are also safe and conventions such as ADSE to strangle the class.I Journal - You see measures to reduce the expense of the National Health Service (SNS in portuguese language)?

Orlando Monteiro da Silva - I called the SNS sort of a train, where the dentist did not come until very recently, approaching a cliff if nothing is done, particularly in terms of funding. They are symbolic measures, in a political context in which there is great pressure for doing something, but will not change anything substantial.

I Journal - Do you have any proposal?

Orlando Monteiro da Silva - is necessary to revise the Constitution in relation to the SNS. Article 64, which talks about it, should be as brief as possible, without reference to an SNS tends to be free. It is essential that there is a degree of economic participation in the use of health services.

I Journal - But this participation exists ...

Orlando Monteiro da Silva - existed. Were given mixed signals in a way to electioneering. We symbolic user fees were increased and were later abolished. Should be taken into account that about 50% of users were already exempt. The Constitution must have a general principle of the SNS, but its modus operandi can not be restricted. Say for example that the SNS has decentralized and participatory management, when is anything but that. It is centralized and decisions are taken by a small group of people.

I Journal - see other gaps?

Orlando Monteiro da Silva - The health sector can not exist in isolation. We need a better link to refocus the SNS for prevention. Another disagreeable notion, probably, is the self-responsibility.

I Journal - unsympathetic why?

Orlando Monteiro da Silva - is a concept foreign to most people. The first and last is responsible for their own health. It is the principal and the principal person responsible.

I Journal - This has not happened?

Orlando Monteiro da Silva - No. Every day we see a projection for health services in the resolution of problems caused by actions or lack thereof, by decisions that were taken throughout life. We must help people make better decisions for your health.

I Journal - once said that the Ministry was the Portuguese as if they had mouths. Keep this opinion?

Orlando Monteiro da Silva - positive steps have been taken. We do not take the train from the NHS, but our way was to get smarter and less taxing society. With the program's dental check some basic services were contracted for some population groups, which is a very logic of outsourcing in the NHS then English. The State has to provide health care but ensure they are provided, regulated and funded.

I Journal - The treatments are the same for those who arrive with the check-dentist?

Orlando Monteiro da Silva - This is our ethics. Investment in treating a child is a good opportunity to retain patients / customers.

I Journal - But there are complaints that this difference exists with health insurance ...

Orlando Monteiro da Silva - The Order is forbidden to have tables of values ​​in terms of minimum or maximum fees. The intervention in the dentist-check was different because it is a social program that requires the involvement of social care. I remember the conversation with the former Health Minister Correia de Campos on the amount of checks: 80 euros suggested it, 35 euros and the final value was 40 euros. With regard to insurance, contracts / agreements are an individual decision, every doctor or not to accept work under the conditions placed.

I Journal - There was some awareness?

Orlando Monteiro da Silva - I did. There's only one thing that sensitizes insurers - money - which is nonetheless legitimate. This follows a logic of the market: insurance companies take advantage of the number of physicians-dentists to unilaterally impose the tariffs. Give yourself the luxury to download the tables of the values ​​they propose. No more treatments or interventions to be offered at no cost. Here we have an allegation of dumping about a year and we are waiting. But these are situations in the private realm, between the dentist and the convention or the insurer. ADSE situation is quite different, which does not update the values ​​in your tables for 19 years.

I Journal - are very low?

Orlando Monteiro da Silva - the value of a tooth extraction is around 10 euros, which does not even pay the materials involved. It is completely unacceptable and unfair competition. But there's more: an insurer is entitled to make contracts, while the ADSE should work with the contest. A dentist who wants to contract with ADSE can not, because there are more than ten years that the Convention is closed. But if a large economic group appears soon open a clinic with all these conventions. There is no effective regulation in Portugal.

I Journal - What do you think the race of the clinical faculty?

Orlando Monteiro da Silva - The function of schools is not to compete with the healthcare market, but it is important that these services exist for training of students.

I Journal - But there are also medical colleges to give advice.

Orlando Monteiro da Silva - only if embedded in post - graduate.

I Journal - This is what happens in practice? Only in Lisbon and Oporto, the colleges provide more than 70 000 visits per year.

Orlando Monteiro da Silva - I have no data on the subject, but I think there is a growing temptation to do so, through the bottleneck of funding. Want to make faculty hypermarkets dental treatment is a profound mistake. But my main challenge for colleges is being a factory of dentists.

I Journal - Go to intervene?

Orlando Monteiro da Silva - We have a petition approved and in June we will start collecting signatures to bring it to discussion in committee and plenary early next year. The aim is to change some aspects of the law to match the entries in the colleges to the needs of the country. We have about 500 graduates a year, a figure that has increased with the Bologna process. Dentists have an average age of 37 years and we know that there will be people retiring over the next 4 / 5 years. I estimate that this number has gradually decreased to be 10% / year, to reach the half.

I Journal - will propose the termination of a course?

Orlando Monteiro da Silva - No, although seven colleges excessive. The United Kingdom, with more than 50 million people have nine faculties.

I Journal - What are the prospects of these young dentists?

Orlando Monteiro da Silva - Much is forced to leave the country. Portuguese society does not need more dentists, and we are seeing a brain drain after an expensive education. Many of them never come back and this is a huge disservice if we think that this training was around a few years ago, the 100 thousand euros.

I Journal - The number of doctors leaving the country is increasing?

Orlando Monteiro da Silva - In the United Kingdom are close to 440. For other European countries do not have numbers.

I Journal - Thinking in the United Kingdom, which is that they have here and what will get there?

Orlando Monteiro da Silva - Here have an uncertain future, a considerable difficulty in entering the market, a network of more than 5000 clinics and open another one in which it is virtually a suicide. Especially the number of patients who attend is very low. There are our colleagues who are in the office all day waiting for a patient, which may appear or not. The difference is that they come to England to win seven or eight thousand pounds per month.

I Journal - Graduates?

Orlando Monteiro da Silva - Yes And this in Portugal or a senior. But no solution to propose to young people who leave the country.

I Journal - But how do you compete with a salary of 8000 pounds?

Orlando Monteiro da Silva - Leaving the country is a right, but there is something to say about the politics of human resources training. If there is an increased access of the population to dentist if there is a country's economic growth, if there are products / quality assurance, most of these people will not have a future in dentistry.I Journal - There's clandestine exercise?

Orlando Monteiro da Silva - long illegal practice in Portugal, with smuggling of recruitment. With Brazil is very common. There are other colleagues who know, come here three / four months to make some queries, then go back there.

I Journal - How are revenues?

Orlando Monteiro da Silva - In the name of the legal colleagues hid. Hence the importance of the new licensing law: until next year all offices will have to ask permission. There will be periodic inspections.

I Journal - How big is the problem?

Orlando Monteiro da Silva - We thought the complaints, but no idea what it is only with effective supervision is that it would be possible.

I Journal - Portuguese is the first elected president in the International Dental Federation. Sit to represent Portugal?

Orlando Monteiro da Silva - I feel it's good for the country. My voice is more magnified in the Order by virtue of being elected president of the IDF, but my duties in the day to day but try to focus on the Portuguese case, this is not what is expected. I was not elected to be Portuguese, not for being president.

I Journal - But this is a good example of Portuguese, what would it be?

Orlando Monteiro da Silva - The quality of dentists, private practice and dental check program. The experience of the dentist-check, though limited, has been followed with great interest in international terms. Do not think only in Portugal is that oral health is neglected. At this point it would be very disadvantageous if one wanted to end the program.

I Journal - Have you heard that?

Orlando Monteiro da Silva - I have heard that the cut could include SNS dental check.

I Journal - Who?

Orlando Monteiro da Silva - Above all commentators, outsiders. First, because you spend with the program - 30 million - against the benefit that gives thousands of people is irrelevant. Then because there is nothing, and there is much to cut. The biggest problem with the dentist-check is the expectation that you are creating in the population not covered. This is what I imagine can become difficult to manage ...

I Journal - There's envy in other medical specialties?

Orlando Monteiro da Silva - I am convinced that this program will be extended to other areas. Ophthalmology, ... It is important to see that this program is born by the political will but also aware that eventually an area is valued. More than half the population has no teeth in the mouth. I remember a few years you are missing two teeth to a miss of Portugal, which is unthinkable.

(Continued)

Jornal i

460. Smiley Paranho Project: Presentation of results

invitation

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The Director of the School of Dental Medicine, University of Porto and the President of the Parish of Paranhos have the honor to invite you to participate in the presentation of results for the ParanhoSorridente Project, held in the Auditorium of the Faculty of Dental Medicine, University of Porto on June 30, 2010, at 18:00.
Afonso Pinhão Ferreira, Director of the School of Dental Medicine, University of Porto; Alberto Machado, President of the Parish of Paranhos.

Faculdade de Medicina Dentária da Universidade do Porto

459. Dentists adopt children and provide free care

They are dentists and undertake to adopt children and ensure that they have free medical care to teeth up to 18 years. To implement this pioneering project of solidarity in the country, the dentists are on the ground in the most deprived areas, and have identified 489 children. Of these, 109 have been selected because they had serious dental problems.

There is much to be done on oral health in Portugal and the children do not escape. Our idea is to take care of those most in need, but taking into account that, in addition to treatment, we help them to form themselves as people, says Virgínia Milagre, project coordinator of the Dentista do Bem, being presented today in Lisbon and has the support of the EDP.

In Portugal, since the beginning of the year, the project already has dozens of volunteer dentists, who promise to transform the lives of children and young people most in need through free dental care up to 18 years.

And we may be few, but that our work will help to change someone's life and that alone is important, said Virgínia Milagre, which will also receive children for free in your office.The Dentista do Bem promoted by the NGO Turma do Bem started in 2002 in Brazil.

In this first phase, the professionals, in liaison with schools, visit the establishments for a first screening, during which students are identified in need.

Next comes the second phase, in which every young person between 12 and 18, is placed the responsibility of a doctor-dentist, who adopts professionally.

In times of crisis we are aware of our reality and willing to help. But I also know that we may provide these treatments for free should not please all colleagues vents coordinator. On the ground two months ago, the Dentista do Bem it already has volunteers in schools, particularly in the Lisbon area, to identify young people who can provide a new smile.
Orlando Silva is one of the doctors who will adopt these children. I have two offices, so I can treat four children and young people. Further on is soon, who knows if there will be more, he says. Joined the project by contact with other colleagues and is now awaiting the allocation of minors. It is a way of providing a service to the community. These are kids who probably would not have another chance to receive support and so here I am, adds.
All children in the project are selected through a screening of public schools according to a national method itself, the Index of Complexity Hierarchy. There are three basic selection criteria: serious oral health problems, few economic opportunities and up to 18 years old. The project has the support of the Directorate-General for Health and ultimately serve as a complement to the dentist-check. This program is for children up to 12 years. Our project is 12 years for children with difficulties, justifies Virgínia Milagre. So somehow complement each other.
Portugal will be through the Dentista do Bem it will debut in Europe. But this non-governmental organization has proved its worth in a few years of existence, has helped more than 12,000 children and youth in Latin America, involving a network of more than 7,000 volunteer dentists.

Diário de Notícias

458. Dentists applaud new rules for licensing of clinics

The Dental Association (O.M.D. in portuguese) has come this Wednesday, the public, praising the new rules for licensing of dental clinics, which are deemed an important tool to combat the illegal practice.

The OMD welcomes the publication of this legislation that will enable the public to identify the sites properly licensed, ensuring thus the quality and safety of health services, says the institution said in a statement quoted by the online edition of i. This legislation will also be important in combating the illegal practice, since these situations are more easily identifiable, doing justice to the overwhelming majority of dentists who meet all the requirements for a safe delivery of the acts of dentistry.

At issue is the decree 268/2010 on the Decree-Law No. 279/2209 of 6 October that, among other things, require them to be placed in a prominent public opening hours, the name of medical director the procedures to be adopted in emergency situations and the rights and obligations of users and should still be available for consultation to price list.

abola.pt

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Great, the oral health needs and needs to evolve in our country. Hopefully now also for legislation that would rectify the activity of all oral health professionals in Portugal, periodically assessing their needs and exercise professionals to acquire new knowledge and professional improvement.

457. Young asks for help to smile again without pain

Luís Lourenço liked to put braces on her teeth but one first has to be operated to align the jaws intervention that costs about 15 000 euros and that is not reimbursed by the National Health System.
After seeing all the doors close, Luís Lourenço with 21 years of age, resident in the Rossio ao Sul do Tejo, Abrantes, decided to publicly expose your problem to try to find someone who sympathize with the teething problems that plagued . I have a hard time eating because the front teeth (upper and lower) do not come together and ends up injured in the roof of your mouth with the incisors of the lower jaw, reports, accompanied by his sister, Ana.

Luís, who always had many dental problems and complex for their situation, I would like to place an orthodontic appliance but was told by the dentist who came to the lower jaw was very small. According to the certificate issued by a doctor, and who is keen to show, would only be possible to do a corrective surgery in order to expand the bone bases.

I was referred to a plastic surgeon who confirmed that he had a severe deficit bimaxillary and only then could stretch the jaw line and get a skeletal and dental to put the unit reported. The whole process that allowed Luís to smile again without pain is estimated at 15 000 euros.

The problem is that the National Health Service (S.N.S. in portuguese) dentistry is not a share. In September 2007, the president of the Dental Association, Orlando Monteiro da Silva stressed that about half of the Portuguese population was not able to pay for a dental consultation. While there are no dentists in health centers or delivery systems, people will be excluded from oral health, told a news agency Lusa.

Despite having a lot of pain, I know I can come to have serious breathing problems if they do not correct this problem, attests, sad to have seen refused funding from various banking institutions. Also insurance companies refused to make the policy once the problem already exists. My father is retired, my mother is home and I do not give me the loan because I work at a temporary employment agency, said the young man who says his health problem is more than aesthetic, being angry for not being operated via a state hospital, even making their discounts and contributions to Social Security.

We do not have 15 thousand euros or who lend us this amount. We have no other solution and I am worried about my brother to be suffering. This is not a matter of aesthetics but of health. My brother at this moment is to take every day for pain medication, attests Ana Lourenço, 27 years, with the vexed problem that drags on and without having to mortgage anything that might help. For hope and believe accepted to explain the position.

In Portugal, only the autonomous regions have oral health systems to serve users of the S.N.S. Statistics of the time, indicated that in the Azores Autonomous Region there are 19 dentists in regional public health system and the Order provides that, in some years, the Azores are the best indicators of oral health. In the Autonomous Region of Madeira, there is an agreement between the regional health service and private, in the public system to reimburse in part the cost of users who use private dentists.

O Mirante
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Perhaps the Director - General for Health and Minister of Health Ana Jorge had more tact and sense to solve this situation immediately, rather than being to finance the Portuguese TV channels on hundreds of thousands of euros, without bringing out a single act doctor.

Alternatively, put your seats immediately available to those who know better manage public goods in the country.