637. Oral Health PORTUGAL

Group on FaceBook
monitoring of oral health in Portugal
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https://www.facebook.com/groups/376006582519771/

636. Thirty-two teeth invade the streets of Lisbon

The passage of the human denture through the streets of Lisbon coincided with the action of mobile office Colgate, which provided hundreds of check-ups free routine to the population between 12 and 16 March. Inserted in the 15th edition of Oral Health Month Colgate, Lisbon, April 15, 2014 - As part of Oral Health Month ended March 31, 32 giant teeth, forming a true giant teeth, strolled through the streets of historic Lisbon. Who was in the areas of Baixa Chiado and Rossio he was surprised by the passage of a human dentition consists of 32 teeth, in a relaxed way, interacted with the curious who roamed this area and were surprised by the animation created by Colgate.Fun, teeth interacted with who toured the area, approaching people to reinforce the importance of good oral hygiene and reminding them that oral health can be viewed in a cheerful and relaxed.
this action was a great way to draw attention to the importance of hygiene and careful oral health in a didactic way, very funny and original. Here's the funny video of human teeth Colgate in action:

https://www.facebook.com/photo.php?v=230319273843055&set=vb.149596731915310&typ

e=2&theater

635. Oral health program: evolution, instruments and results

The state of oral health in children and young people is particularly worrying for the acquired knowledge that caries and periodontal diseases, if properly prevented or treated early, are of a high vulnerability, with reduced economic costs and gains on relevant health. Since 1985, the General Directorate of Health has an ongoing National Programme for the Promotion of Oral Health. This program of oral health in the National Health Service (NHS), began with the promotion of oral health in schools, and later extended to preventive and curative measures with the entry of Oral Hygienists (HO) and contracting with service private dentistry. In 2008, this contractual model has been revised emerging dentist check. The study aims to contribute to the understanding of the evolution of oral health program, their instruments and their latest results. In the empirical study, we analyzed data resulted from information compilation of the Oral Health Program for Children and Youth and screenings conducted at school. The study intends to reflect on the benefits / costs of a model that favors the traces of dental caries, as a measure of screening versus a universal subsidy model which enables access to all children. Hiring Oral Hygienists may have capital gains not only in the short term through the screening of children to assign dentist check, but also long-term with the systematic implementation of measures to promote oral health. In the sample it was found that only about 45.5% of children at age 7, the free teeth have cavities. The study data reveal a membership of only half of the children to a totally free, with 24.7% of children who actually had oral health needs did not use dental check. However, virtually all children using the check complete their treatment plan. The exception that occurs at age 10, related to the eruption of the premolars, suggests a review of the age cohorts assignment dentist check. With application of screening a universe of 237 children with an average rate of 40.7% caries free, it would be possible to reduce costs in 5700 euros. The economic analysis of the oral health sector can make an important contribution in decision-making in this health sector.

634. March: Month of oral health

Learn more about the month of oral health

http://mesdasaudeoral.colgate.pt/entrada

633. Which the dentist ratio: inhabitant recommended by the WHO?

I believe that all dentists should have ever hearing the phrase WHO recommends a ratio of one dentist for every 1,500 inhabitants. But what did you mean by that? That the ratio of 1: 9,000 is bad, then the ratio of 1: 167 is good? It makes little sense.
Paulo Capel Narvai wrote an article for the Journal's website saying that this data would be a legend. A kind of hoax that had begun even before the popularization of the Internet. He says:

It is not enough to combat the current health manpower training policy - there including dental human resources - the boring quote from the World Health Organization recommends one dentist to 1,500 people. (There are variations as 1 / 1,000 and 1 / 2,000). There are at least two errors in that: firstly, WHO does not recommend anything. At some point someone must have misread somewhere mistakenly cited the WHO and, since then, there has been a mechanical and uncritical repetition of this proportion. I never met the bibliographic reference in articles that mention such proportion. In WHO documents, to which I had access, I never read anything about it. Until some researchers uncover the mystery, it can be concluded that it is pure legend.

I confess that for a long time am not silent, looking for the origins of the legend, as found publications until 1979 with this information. Until you hit me the idea to look for where it started (or not): the WHO itself.

I found a statement from the organization that explains the whole thing:
The World Health Organization (WHO) and the Pan American Health Organization (PAHO) does not recommend or establish optimal rates of number of beds per capita to be followed and enforced by its member countries. Nor define and recommend the desirable number of doctors, nurses and dentists per capita. There is also guidance on the optimal duration of medical appointments or a desirable number of patients seen per hour. Emphasis added.

So how it happened?
In the distant year 1972 took place the III Special Meeting of Health Ministers of the Americas, which resulted in Health Ten-Year Plan for the Americas. The assembled ministers agreed the goal of achieving 8 doctors, 2 dentists, 4.5 nurses and 14.5 nursing auxiliaries per 10,000 inhabitants. Only that. 

The document is the result of a PAHO-WHO event, but is not an official resolution of the organization, which would as dentists should exist for every so many thousand inhabitants.
Even because in 1972 the reality was different, right? Right here a Vitor Pinto Article 1983 does not let me lie.

Marcos Santana 

    

632. Dentistas do Bem come to the North Interior to treat children and young people in need

The Dentistas do Bem have reached the north of Portugal being inside the village of Mogadouro the first town in this region to receive this service provided by volunteer doctors dentists will conduct dental appointments children and needy youngsters.
It is important to reach the interior of the country. Had failed to even launch the project in the Northern Interior and so Mogadouro is first settlement of this area to welcome our initiative, he told Lusa Carla Grace, representative of the Turma do Bem.

The Turma do Bem is a Non Governmental Organization (NGO), whose main project is the Dentist Well, want to start the year 2014 spread north of smiles south of Portugal, and chose Mogadouro to help decentralize the project so far I had not yet arrived in the districts of Bragança, Vila Real and Guarda.

DESTAK

631. Statistics (number of visitors to the blog)

630. Master's thesis (oral health)

Dear colleagues,
My name is Ana Firmino, have basic training in Oral Hygiene since 2010 by FMDUL, I'm not exercising, and now I find myself preparing my master's thesis by ENSP-UNL, whose theme is related to the Oral Health .
Given the current economic conjecture of our country and according to the inequalities of access to the population is subject, in particular in relation to oral health as a public health component, increasingly it appears an oral health deterioration of our population and other associated problems.
Since it is a field of great concern to professionals in our area, mostly argue that oral health should be part and be 'delivered' to the population free of charge, not a right for us acquired described in the Constitution with the following words:

"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 universal service and overall health, and bearing in mind the economic and social conditions of citizens, tend Free;
b) The creation of economic, social, cultural and environmental conditions that guarantee, specifically, the protection of children, youth and old age (...)
3. To ensure the right to health protection, primary duty to the state:
a) Ensuring access of 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 (...). "

We know that in relation to oral health is not what is practiced in reality. Therefore, contact you with goals to request some information (studies, articles, papers, posters, etc.) relevant to me they can provide.
Essentially intend to make an introduction to the hygienist, dentist, stomatologist, dentist in order to highlight what roles and function of each of the oral health of the individual, how they can work together and how they complement each other.

I also want to address the supply and access to oral health in public and private side face the population's needs (No. professionals - those mentioned above, but essentially HO and MD - number of public and private spaces, perceived need of the population - the elderly , pregnant women, children and young people, HIV carriers, etc.).
Desire to seek out new approaches and programs applied in other reference countries (European or otherwise), avant-garde in this area and pointing positive results due to the implementation of their programs.

In order to address the aspect of Human Resource Management (number of professionals, number of professionals in service, number of professionals by type public or private, dentist check number issued by various levels and number of use thereof, results of programs oral health previously carried out, etc.) over the existing needs, we need reliable information and based on the evidence.
Still intend to compare results of oral health with other countries and its programs, finally intend to propose new methods and more effective programs that create larger population conditions for access to a public shed with equal access for all.

I really appreciate if I can provide as much information and I ask or think that may be relevant for my study.
I accept suggestions or some sort of guidance if they wish or deem necessary.
They will eventually require a statement of the institution to which I belong belongs, thank you ma request as soon as possible in order to carry out the project without further delay.
I await feedback.
Thanks,
Ana M. P. Firmino,
24 HO Course (FMDUL)
VIII Master in Health Management (National School of Public Health - UNL).
Electronic mail:
margarida_firmino88@hotmail.com or FaceBook

629. Seven foods that make healthy teeth and gums

Raw Food - The strength made for chewing raw food support teeth stronger, guaranteeing them firmly. In this case, other difficult to chew food, such as meat and mace, also help.Vitamin C - Lack of vitamin C causes bleeding gums and decreased bone mass, which in the long term can lead to tooth loss. One should not overdo the intake of very acidic foods - like orange and pineapple, rich in vitamin C - because let their teeth more porous. One option is to rinse with water to neutralize the acid after ingestion, not advising immediate brushing, because the friction of the brush with the glaze will cause the teeth to further wear.Water - Consuming water is important because it eliminates waste, sugars and acids. Furthermore, water of big cities contains fluorine, which enhances the resistance of tooth enamel.Milk and milk products - in this case, what is essential is the consumption of calcium, as the nutrient composition is part of teeth, and appropriate levels ensures good health and tooth formation. Another source of calcium are dark leafy greens such as kale.High-fiber foods - Besides contributing to gastrointestinal health, these foods promote self-cleaning teeth, preventing the formation of plaque - causing cavities and gingivitis.Vitamin D - Vitamin D increases the efficiency of intestinal calcium absorption by 40% the phosphorus and 80%; also help in fixing the calcium in bone and tooth bases.Sugarless gum - sugar-free chewing gum between meals stimulate saliva formation, which contributes to cleaning teeth. The chewing gum may become even more valuable when provided xylitol (see the label), a sweetener that helps the dental remineralization process and contributes to the longevity and protection of the teeth.

Oneida Werneck

Yahoo

628. The SNS is necessary and sustainable

By ignorance of reality or political strategy, some people say that the National Health Service (SNS) is spender and unsustainable. It is exactly the opposite!Let's talk numbers, based on the latest OECD data, relating to 2010. In terms of percentage of GDP, Portugal spent 10.7% in Health (public and private spending), France and Germany 11.6% and OECD average was 9.5%. But per capita, the comparison is fair and honest, Portugal spent only $ 2,728, compared to 3974 in France, 4338 in Germany and 3268 the average of OECD countries. However, for the previous amount, the Portuguese State only contributes 65.8%. Against 77.0% in France, 76.8% in Germany and 72.2% on average across OECD countries. In other words, Portugal has a global budget system and, above all, cheaper for the state. It is recalled that in the meantime, from 2010 to 2012, the government reduced the public contribution to the SNS by 20% and that for 2013 the State Budget provides that public spending on health is only 5.1% of GDP.

And the quality? Portugal has 3.4 hospital beds per 1,000 inhabitants, while France has 6.4, Germany 8.3 and the OECD average is 4.9. You can not cut more hospital beds without harming patients! The mean duration of hospitalization in days was 5.9 in Portugal, 5.7 in France, 9.5 in Germany, 7.1 in the OECD average. The Portuguese hospital specialists work well!

Life expectancy of women at 65: 20.6, 22.6, 20.9 and 20.7 years respectively in Portugal, France, Germany and the OECD average. We are very well, but we can improve, which goes mainly to combat risk factors, prevent and treat chronic diseases.

Infant mortality in 2010 (deaths in the first year per 1,000 live births): 2.5 in Portugal, 3.6 in France, 3.4 in Germany and 4.3 in the OECD. One of the best parameters of global analysis of the quality of a health system. Portugal was the best in 2010!

Only in per capita expenditure on the consumption of drugs would compare not so well. This year we spent $ 508.1 versus 634.5 in France, 640.0 and 495.4 of Germany to the OECD average. But in the meantime, from 2010 to 2012, the value of the drug in ambulatory market and the average cost per package declined about 20% as a result of the measures implemented by the Government. Which means that today we are already below the OECD average and that there is slack to introduce innovative medication.

As shown by the coldness of the OECD numbers, the SNS is of great quality and cheap. As recently stated in Brussels at a meeting organized by the European Public Health Alliance (EPHA), the Portuguese health system is the world's best, excludes no one, is sustainable and should be preserved. Who want to claim otherwise, you will have to show underlying!

If any government want to have democratic legitimacy to destroy the SNS, the parties that support it will need to apply for elections with this explicit program, or undergo option for Health in Portugal to a national referendum. It was not the 10% of GDP on health Portugal that led to bankruptcy. It was mediocre, spender and corrupt way "the other 90%" is spent by successive governments.

José Manuel Silva

Fundação para a Saúde

627. Pope receives the TURMA DO BEM, largest network of volunteer dentists in the world

As it has done since becoming pontiff, the pope Francisco yesterday broke the rules of the Vatican in the audience who received the largest network of volunteer dentists in the world, the TURMA DO BEM, alongside heads of state and religious organizations. Dismissed the restricted Sala São Paulo and welcomed the 348 delegations in St. Peter's Square, crowded by 100,000 people.

Friendly and smiling, she kissed children, rang true, spoke to pilgrims. After the catechesis that invited everyone, on World Environment Day, to change the culture of waste disposal and the culture of solidarity and meeting, blessed faithful and received bishops and guests. Among them, two of the 23 representatives of the TURMA DO BEM: Fabio Bibancos, founder and winner of the Social Entrepreneur Award 2006 partnership leaf with the Schwab Foundation, and Osvaldo Magro Filho, elected world's best dentist for the non-governmental organization for the impact of their work.

You are very good, pray for me, the Pope said the Bibancos, who reported to Francis that the organization has 14 000 volunteer dentists in 11 countries and has served 38,000 children and youth. See dentists being respected in this way was beautiful, Bibancos said. Even if you are not Catholic, it is a power of faith, of hope.

Also thrilled, Magro Filho said the expectation is to multiply the social technology. It's time for society to roll up our sleeves and rescue solidarity.

Folha de S. Paulo 

626. Portugal buy military submarines and cuts in child welfare and juvenile

The government lowered the value of each check-dentist from 40 to 35 euros, according to an order published today in the Official Gazette.

The current economic and financial environment requires the implementation efforts, which should be shared by all. It is therefore decreased the amount of the check-dentist, on the one hand, without reducing access and population coverage and, second, with enhanced coverage of the 15 full years, justified the order signed by the Deputy State Secretary Health Minister.

Thus, the value of each check dental down five euros, going from 40 to 35 euros.

DESTAK

625. virtual dentistry

http://www.odontologiavirtual.com/search/label/Articles%20of%20dentistry

624. INTERVIEW: Brazilian Dentists in Portugal

Early in the 1990 decade, category of Brazilian immigrants who became best known was that of dentists in Portugal. Armed with their diplomas, some Brazilian dentists moved to Portugal and started to exercise their profession there, a more favorable market. At the time, there was an agreement between Portugal and Brazil which established the direct equivalence between all university degrees in Brazil and Portugal. The migratory flow of Brazilian dentists bother both the Portuguese dentists that until the legislation was changed.

It was on this issue that the journal Science With spoke with Igor José de Renó Machado, anthropologist and researcher at the International Migration Studies Center (CEMI). The research focuses on the different views produced in Portugal over the Brazilians. In these visions, Machado realizes an association between the stereotype of the Brazilian trickery with the figure of immigrants dentists.

With Science - summarize for us what you know of the problem of Brazilian dentists in Portugal.

Igor Machado - By 1991 the APMD, the Professional Association of Doctors Dentists Portugal, begins to complain about the presence of illegal Brazilian dentists in Portugal. This body is what regulates the profession of dentist in Portugal and, to practice, it must be associated. Therefore, it is she who gives the equivalence of diplomas. The point is that the Brazilian and Portuguese formations have differences (which are significant for Portuguese and Brazilians do not). Before the diplomatic impasse, since Brazil-Portugal Cultural Agreement of 7 September 1966, Article XIV regulates the equivalence of Brazilian and Portuguese professional degrees, the low Portuguese government for Ordinance administratively legalizing the practice of dental surgeons Brazilians in Portugal. Ordinance 180-A / 92 of June 1992 equaled Brazilian dentists and technicians allowed them to practice the profession and, as they were not dentists, were linked to the health ministry and not the APMD. The fragility of this ordinance was challenged in court by APDM on 04.16.1993, and all Brazilian dentists were being personally cited in individual cases. In 1998, the time of my first contact with the leaders of ABOP, was in transit a discussion at the meeting to try to resolve the case of dentists, while the process was running in justice.

With Science - The Association of Brazilian dentists is relevant in Portugal?

Machado - The importance of movement of Brazilian dentists is such that in 1994, the Brazilian and Portuguese governments began negotiations to resolve diplomatic disputes. Among these negotiations, it was intended to renegotiate the Cultural Agreement Luso-Brazilian, at which time the Brazilian government imposed the condition of recognition of 416 Brazilian dentists processed by APMD. The problem has worsened due to the fact of CLAD (Art Liaison Committee Dental EU), the body that regulates the equivalence of dentist curricula in Europe, have threatened the Portuguese government with a complaint to the European Court of Justice case Portugal recognizes the Brazilian dentists and dentists. Finally, in 1999 the Brazilian dental associations and Portuguese stomatology (the equivalent of our "dentistry"), pressed by their national diplomacies, can reach an agreement that resolved the problems of these dentists, and force the writing of a new cultural agreement which shall cover situations such as the Brazilian dentists. The new treaty provides for granting equivalence of diplomas is a problem of professional associations of both countries. Having achieved their goals, the Portuguese Association admitted that the affiliates dentists to ABOP be integrated into the Portuguese order by a soft schedule adaptation of curricula courses.

With Science - What is the reaction of the Portuguese media to this dispute?

Machado - Part of Portuguese mixed media misinformation, sensationalism and bias and part sought to properly inform about the problems. The fact is that both associations were in open war, which implied the dissemination of slanderous information on both sides. Did not see any serious work that sought to investigate the claims of both parties (such as check which are, in fact, differences in training between Brazilian and dentists). But biased reports that dentists related to stereotypes about Brazilian trickster, smart were the ones that stood out, of course. They, on the one hand, sensitized the Brazilian media that highlighted the prejudice coverage in the Portuguese media and on the other, rentabilizaram the position of dentists who could say that his case was a case of defending the image of Brazil, against prejudices, etc.

With Science - What is the political positioning of dentists leaders during the struggle for equivalidação of diplomas? Within the universe of Brazilians in Portugal the political leadership of dentists was or is significant?

Machado - The position was declared confrontation. While the CBL (Casa do Brazil Lisbon) sought to articulate a rights extension speech because of Luso-Brazilian brotherhood, as shown by Gustavo Adolfo Santos [the Master's thesis Interethnic Relations in Lisbon: Immigrants Brazilians and Africans in the context Lusophone, also a researcher at the CEMI], the ABOP wanted the letter of the treaty of 1966 was fulfilled, even claiming that Portugal was the Brazilians the good treatment that the Brazilian government gave runaway Portuguese revolution of the carnations and all Portuguese immigrants. The discourse of ABOP was so hard that the Brazilian consulate prevented the presence of leaders of this association in the international symposium on Brazilian immigration in Lisbon, organized by CEMI and CBL. To get an idea at the time ABOP to say Brazilian Dental Association Section Portugal, a deep contempt for APMD. Of course, the leadership of these dentists is significant, just see they were always welcomed by Brazilian heads of state (Itamar and Cardoso), however it is not representative. Today the vast majority of Brazilians in Portugal is poor and with low schooling, and they definitely do not feel represented by dentists, seen as true tycoons.

With Science - What are the consequences of the resolution of the case of dentists to other Brazilian?

Machado - short, ABOP solve your particular problem and at the same time triggered a new cultural treaty that makes life difficult for other Brazilian professionals (even for new dentists) who now are completely dependent on the Portuguese orders and no longer has the support of the old treaty cultural, which included a requirement for granting equivalence. This process ended in July 2000, when the last module of adaptation courses was completed, along with a solemnity that was intended to stifle the crisis years and a resolution that is in no way beneficial to the community of Brazilians in Portugal, as it tries assert ABOP. If before the ABOP fought for law enforcement, it was beneficial to Brazilians, now they managed to solve the problem itself and abolish the law was good and allowed the right claims. Well, from now on the new skilled migrants should resolve their issues directly with their Portuguese associations, which always tried to defend its market, as we can imagine. For Brazilians without training the only effect of this whole fight was reinforcing stereotypes by the Portuguese media, which negatively affects the lives of everyone.

With Science - What is the current policy position of dentists after the resolution of the problems?

Machado - If previously combative, now are more realistic than the king. During the congress that ended the problem with the latest training modules for the equivalence of diplomas, which I attended, what else could hear was on the Luso-Brazilian brotherhood, about the eternal bonds of friendship, on the strengthening of relations between the Brazilian association of Dentistry and the Portuguese, etc. To the Brazilian ambassador was there and made his speech at the end of closing section, celebrating the end of the fights between the transatlantic brethren.
IGOR MACHADO

Com Ciência 

 

623. Aracatuba (Brazil): 70% of babies arrive to nine years without decay

Of every ten babies served by Unesp (State University of São Paulo) Araçatuba seven arrive at nine years without decay. The average is calculated by means of the work done in the Bebê Clinic, FOA program (Faculty of Dentistry Aracatuba) since its founding in 1996. During this period were made 16,000 calls. The result is due, according to the coordinator of the clinic, Robson Cunha, the guidance given by professionals working in service with the parents of the babies met.

Parents are encouraged to take care of the oral health of children and with this, they also learn to be healthy, said Cunha, remembering that it is difficult to detect cavities in babies followed in the clinic. When appears, they are white specks. The baby has to have up to six months of life to be enrolled in the program. Parents should also participate in an educational lecture on the subject. From there, there is a follow-up at the clinic every three months where the gum and the child's teeth are examined by the Dental course students.

We make an oral structural assessment, fluoride application, cleaning with gauze, brushing, flossing, lists the coordinator. During consultations, parents receive guidance to avoid giving soda, which contains a lot of sugar, for example. I take my daughter in Bebê Clinic since two months. Today she has a year and a month and the teeth are healthy because we are educated to take care of the little mouth of our children, he told the negotiator Renata Ribeiro dos Santos, 30, mother of Izadora.

Folha da Região

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This article portrays the result of the work done by the State University of São Paulo (Brazil) and demonstrates that it is possible to control and eradicate child dental caries.

Unfortunately it is an example that does not exist in Portugal. On the contrary, the state prefers to spend continuously tens of millions of euros every year on treatments in older children's age groups, using private institutions instead of using the resources of the National Health Service (SNS), bleaching any prevention work which should begin as early as six months of life of children and that it is not the responsibility of the private sector.

Portugal portrays a bad example to the world in the provision of oral health care, why bet on age ages already too advanced and waste of human resources and existing equipment in the public sector.