170) Sponsorships for the implementation of projects of oral health in schools

Varzea Grande (Brazil) - The municipal secretary of health, Guilherme Maluf, met yesterday (01) morning with entrepreneurs and representatives of entities of class to present the project Learning Smiling created with the aim of resuming the program of prevention in oral health in schools in the municipal system of education.

Under the coordination of Oral Health of SMS, Rita Sinohara, prevention brings extremely important in preventing cavities and extractions. "In addition to teaching to brush their teeth, our teams apply fluoride and dental kits distributed to children," he explains.

Today the Secretary Guilherme Maluf met potential partners for the resumption of the program. Participants of the meeting representatives of networks of supermarkets, hotels, pharmacies, entities of class, dental, dental conventions and businessmen from other branches that will return in media in the form of sponsorship.

"We noticed that the entrepreneurial class is increasingly aware of their social responsibilities and we believe the project will be well received mainly because it represents better quality of life for local people," concludes the Secretary.

During the meeting the president of the Association Shopping Popular, Misael Galvão, said participation in the partnership. "We know the reality of the periphery and know how will this project may represent in terms of reduction of caries and extractions," said.

Gustavo Moreira de Oliveira - President of the Union of Dentists of Mato Grosso (Sinodonto), praised the initiative of the Municipal Department of Health "Caring oral health of citizens is still possible to avoid many other complications to the health of people," said Gustavo, referring to problems of low birth weight, premature births, heart problems, among others. "Our union is available to this partnership," he said.

The project also received unrestricted support of the Regional Council of Dentistry. "There are campaigns in preventive oral health in the media and this project with support from partners, will allow the guidelines to schools and thus reach the families," considered the organization's president, Hani Fares.

Representatives of the supermarkets Comper and Model also attended the meeting and acknowledged the importance of learning Smiling. The University of Cuiabá also was present and confirmed its willingness to resume the partnership in human resources.

O Documento

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I have presented a whole series of examples of initiatives taken in Portugal and abroad in the field of oral health. I hope and wish that the authorities may take away some initiatives so that can put into practice. Because time is short, it is now necessary to act today.

Gerofil

169) Talk: Children taking

Children given the lecture on oral health in Cuiabá.

Oral health was the theme of the speech given today (08) morning by community health agents to students of the School Milk Municipal Silvino de Arruda in the Planalto district. This is a preventive action and took the initiative whose own officials, under the coordination of nurse Luciana Regina de Silva Aguiar, responsible for the Program of Community Health Agents (PACS).

"We are working with the prevention of diseases through the promotion of health," said the nurse to students to open the activities. On occasion, staff members sang a song whose theme was also health, animating the attentive audience. Dr. Irani Gnoatto Ribeiro, responsible for the management team of the school, praised the work of the Community. "Prevention is the best way to promote health," acknowledged, regretting that many parents do not worry about preventive care, promoting the development of caries and premature loss of teeth.

The municipal secretary of health, Guilherme Maluf, it welcomed the action of the Community and announced: "we are organizing to resume the program of decentralization of collective dental procedure from the second half." This is a preventive work articulated by the Coordination of Oral Health of SMS and target audience are students in public schools.

24 horas News

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This story illustrates the importance that the issues of health are among the newest. This is why you must also begin to act and practice of systematic way, with the educational community, providing it with the weapons they need to prevent the disease entirely preventable.

Just the mere intentions coming from people placed in offices, often unaware of the reality of everyday life.

Gerofil

168) Oral health in the health centers

The last few weeks have brought some stuff to ineptitude that has lived on the lack of capacity of health centers and hospitals to meet the needs of oral health of populations. The hypothesis of the presence of doctors in the dental health center was again raised and supported by different personalities of the area of Health.

It is a fact that successive governments and politicians in the Parliament have made a point of not raising the issue too. Apart from the Left Block who has recently submitted a proposal for integration of doctors in NHS dentists, which was firmly rejected.

But actually the (non) policy followed so far is scandalously irresponsible and with implications for quality of life and increased health costs in quite disproportionate.

It seems that finally the conditions are created for that is beginning to feel a pressure of public opinion and the media on this subject. Even the World Health Organization has guidelines for all countries to give priority to oral health of their populations. The opinion on this matter requested recently by various media of the President of the Order of Doctors Dentists, Dr Orlando Monteiro da Silva, is paradigmatic of the negative impact that lack of doctors in NHS dentists has had on the population.

In our country, more and more voices that are raised against the lack of dentists in the medical centers Health. On one side we have families with lower economic capacity that have no possibility of recourse to private dentist, to resolve their problems. The other, are the teachers of schools, who speak of absenteeism, and stating that children ever have the worst teeth and come to class with immense problems, not that they know how to forward them to see these problems resolved.

Also the family of doctors have felt it increasingly difficult to respond to oral health problems that their clients face. Our population has the need for doctors in the NHS dentists to meet their needs for treatment!

The excuse that the inclusion of a strength as the NHS dental increases costs for the Ministry of Health is not substantiated. Even the costs involved in this lack of support for oral health by the NHS are incalculable, because we would have to add the days low of workers and the lack of students per class dental problems, recourse to the emergency room of hospitals routinely with decisions, examinations and medications do not always appropriate, the impact on the general health with worsening of certain diseases or the beginning of another, between an endless number of implications.

As I said many times, I consider the provision of oral health care to people within the NHS is a key measure in a country with needs that more than half the population shows. The current dynamics of the Ministry of Health, with the opening of the health units of public-private partnerships, seems to have created another kind of opportunity and possibility for a decision, far from the games lobbies against doctors in NHS dentists. These structures, more oriented towards the optimization of resources and improving responsiveness to the needs of the population, will surely give strong and decisive steps for a more than legitimate desire of the population would be implemented in the short to medium term.

Paulo Macedo

O Primeiro de Janeiro

167) What is gingivitis? Signs and symptoms

What is gingivitis? Gingivitis - an inflammation of the gums - is the initial stage of gum disease and easier to be treated. The direct cause of the disease is plaque - a film, gummy and without color of bacteria that form, so that, in the teeth and gums.

If the card is not removed by brushing and using dental floss daily, it produces toxins (poisons) that irritate the lining of the gums causing gingivitis. In this initial stage of gum disease, the damage can be reversed, since the bone and connective tissue that holds the teeth in place have not yet been achieved. However, if the gingivitis is not treated, it can evolve into a periodontitis and cause permanent damage to teeth.

I know I have gingivitis? The classic symptoms of gingivitis include gums red, swollen and sensitive that may bleed during brushing. Another symptom of disease is the decline or retraction of the gums, giving teeth to an elongated appearance. The disease can form of gum pockets between teeth and gums, where they accumulate scraps of food and board. Some people have bad breath or frequently feel bad taste in the mouth, even if the disease is in advanced stage.

How can I prevent gingivitis? Good oral hygiene is essential. A professional cleaning is also very important because once the plaque builds up and hardens (or becomes tartar), only a dentist or hygienist can remove it. You can prevent gingivitis by:
- A correct brushing and appropriate use of dental floss to remove plaque and debris, and control the appearance of tartar;
- Food-correct to ensure adequate nutrition for their teeth;
- Avoid cigarettes and other forms of tobacco;
- Go to the dentist regularly.
Jornal Nortão On Line

166) Distressing

The Prime Minister, José Sócrates, announced a program to ensure the half a million people - students, teachers and workers in education - access to reduced prices to a computer and Internet broadband. Speaking in parliament, José Sócrates said that starting in September all students falling in the 10th year will have access to a computer and broadband connection.

RTP

* * *

This news is ask, to anyone, what the real intentions of the government on policies aimed at children and youth of the country. Without wishing to underestimate the scope of the measures advocated, it is distressing indeed the stark contrast between the government initiatives and the actual needs that children and young people need today in Portugal.

As bread for the mouth, each day that passes is restricted to cut up and social rights and people to throw up many years of waiting in queues for simple dental treatment much cheaper than the whole range assumed by the government on the bet that is in new technologies ...

And I expect that the Prime Minister would finally disclose the country that all children and adolescents in this country would finally have access to oral health consultations.

Gerofil

165) Watch the teeth

The teeth are crucial to many vital tasks, such as nutrition (through chewing), speech, the smile and appearance, contributing, unequivocally, to the well-being and self-esteem of our children. Let us therefore learn to take care of our small smile!

Promote good oral health in the parents - the first preventive measure should include the care of his own mouth. The first bacteria to invade the mouths of our babies are often from the mouths of those closest!

Start the care of teeth as soon as possible - Wash the gums with a compress soaked in hot water should be part of the hygiene rules soon after birth. The use of tooth brushes to be postponed for the moment when the first teeth start to appear.

In older children and to reinforce the importance of washing the teeth. Do not make it an obligation, because you may be making the simple act of brushing teeth a real martyrdom for your child. Choose to enter 'the wave', giving the example and accompanying him when it comes time to pick up the brush.

Show that washing your teeth is a task of 'great' can be very useful to encourage them. It is a pedagogical strategy that has proven quite effective, at least until around 6 years, when the good habits should already be well rooted. At this time, this small task now should be a healthy routine as basic as the pee before bed.

The selection of the brush - the first 'brush' will not be more than a compress soaked in hot water with which to massage the gums of your baby after each feeding. When the first tooth appears, you should buy is a small, soft brush, so colorful and attractive as possible.

The brushes should be replaced when the filaments start to open (approximately 3 in 3 months). The electric brushes are more effective than manual used in an appropriate manner. However, they are easier to use. In addition, they are sometimes more attractive by that are not miraculous, can be an excellent incentive.

The selection of toothpaste - it should be a child, with pleasant taste. The toothpaste with fluoride are shown only from 3 years, when the kids are beginning to achieve its avoid swallowing. After 6 years now will be allowed folders adult and mouthwash with elixir.

Should be used when a small amount of pulp, because a small portion is sufficient to ensure an effective wash. Ideally it should always wash your teeth after meals or ingestion of sugary foods. In day-to-day is more practical stipulate a minimum of two washes (one in the morning and another at night).

Thus strengthen the quality of washing, not quantity. Better make two washes cared more than two times!

Recognizing the importance of fluoride in oral hygiene - Fluorine is fundamental in the prevention of dental caries, acting by inhibiting demineralization of enamel, or increasing the resistance of teeth to decay. Should be administered in the form of oral supplement from 6 months through toothpaste after 3 years and in the form of elixir in children over 6 years. In appropriate amount, fluoride has no side effects.

Using dental wire - The spaces between teeth are especially prone to the accumulation of food debris and hence plaque. In addition are the least affordable places in the regular brushing, so the use of dental wire acts as a complement to brushing, not as an alternative.

See the dentist regularly - The first visit should occur around 12-24 months. At this point, the goal is more educational than medical, trying to establish early and empathy with the local people. Often the first contact is made during a consultation with parents, during which little is familiar with new smells and sounds, inspiring them with confidence for a next meeting.

After an annual visit will be at the outset, sufficient. Never, under any circumstances, should scare your child with stories or threats related to dentists. It will only help to nurture their fears!

Enjoy the dentist to inquire about your child's sealant for cracks. It is a product that applies for small indentation of healthy teeth, usually from 6 years, acting as a physical barrier against dental caries. An excellent weapon in the prevention of this disease!

Establish a healthy and balanced diet - A healthy diet is particularly beneficial to the health of your child's mouth. Reducing the intake of sugary foods is the key to a healthy mouth!

We will not ask the impossible and try to transform our small children to adults, asking them to renounce their sweets. It was the same as for starting a race already established with the defeat. Choose to explain the evil that soft drinks, sweets and chocolate can do to your teeth, trying to 'negotiate' to establish two or three per week excesses. They should preferably occur after meals, when our teeth are more protected against the aggression of sugars.

Ariana Afonso (Internal Complementar of Pediatrics) Department of Pediatrics, Hospital of São Marcos de Braga

Educare

164) Non-governmental organization recruits volunteers to meet the dentists children

The dental program of the good, the Civil Society Organization of Public Interest (OSCIP) Class of Well, will start to meet children of Bauru and Lençois Paulista. For this reason, dentists are recruiting volunteers.

Currently, four professionals from the region are part of the project, which already exists across the country. The surgeon-dentist Elizandra Paccola Moretto, coordinator of the project, explains that children from 5th to 8th grades of the public school system will pass through a screening and then commence free treatment from the experts volunteers. Shares in Bauru still depend on approval from the mayor, but the expectation is that once the evaluations begin. In Lençois Paulista, sorting also begin soon. Moretto explains that children are sent to private offices of dentists and dental treatment will receive the necessary. To increase the capacity to care, she hopes that experts be included in the project. Every dentist may take the number of children who have interest. The sorting of children will be made by Moretto.

Priorities are taken into account as pain, cavities and extraction of teeth. Although no start date set for the care, the program keeps professionals registered in the region since 2002. "Although there was a regional coordinator," says Moretto. She met the project earlier this year when part of an international conference. "I went to the stand of the program and get interested in the project. So, I was invited to participate" recalls.

The dentists interested in participating in the program DENTISTA DO BEM can obtain information on the site www.turmadobem.org.br or by telephone (14) 3226-2331, (14) 9714-3189.

Jornal da Cidade de Barau
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Well, there are people to afford the good of children. That in Portugal there are also those who look for the needy and that the state takes its obligation to protect those who can not find answers in the treatment of existing institutions. The oral health must be understood as a right of first necessity and not as an economic activity for only the more affluent social classes by the system.

Gerofil

163) National Association of Dental Technicians of Angola (ANTEA)

The National Association of Dental Technicians of Angola (ANTEA) will hold the 1st National Congress on "Dental Medicine in the country" during the days 20 and 21 July this year. The event is in line with the continuous training of technicians, dental, in collaboration with the Order of Doctors Dentists Portugal.

The information was made recently in Luanda, the vice president of Antea, Avelino Cachilandala at the end of the lecture on "the importance of oral health buco and the prevention of diseases of the mouth" at the seminar of "Training of trainers of community agents "that runs on the premises of the Pediatric Hospital of Luanda. When Congress participate physicians, specialists in dentistry, nurses, technicians, diagnostics, and businesses, the distribution of medicines.

According Avelino Cachilandala the dental situation in the country because it is controlled in all provinces Antea has the technical and in collaboration with the Ministry of Health have developed training and actions of the campaign on dental health. The specialist said that oral hygiene is the implementation of a series of activities, using different elements to remove the waste of food, among other plaque from tooth surfaces, gums, tongue and mucous. For good dental health, Avelino Cachilandala recommended a good diet with fruits like banana, papaya, apple, other foods such as cereals, meat, fish, plants, vegetables, bread, cheese, milk and yogurt, which are rich in calcium, vitamin A and help care for and strengthen the teeth.

As for individual brush, the specialist advises the public to be replaced every three months and replace if it is used very much. "After using the brush, wash it with water and shake itself to be saved. You should avoid eating fresh for many citizens are not getting cavities or gengivites, "wrapped up.

A cavity, according Cachilandala Avelino, and is an infectious disease. It happens when there is the association between plaque cariogenic (a kind of film composed of bacteria live and food waste that would be deposited on and between teeth), inadequate diet and poor hygiene.

"When the sugar comes into contact with the plaque, made up acids that are responsible for removal of minerals from tooth", he stressed.

Jornal de Angola

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Let's see if the OMD is also due to efforts to look into and solve the serious problems of oral health that affect much of the population of Portugal.

Gerofil

162) Portugal in the last

The nearly six thousand dentists (5056 members are enrolled in Portuguese Dental Association) in Portugal would be enough for everyone to the Portuguese received the necessary care in dentistry. However, it is not what happens. And Portugal presents itself as the last of the European Union countries on health care at this level, about the second paragraphs of the order, 40 percent of the population does not receive the care they need.

And given this reality we can only lament the specialists Portuguese. And try to explain. The clarification - they say - based on the lack of dentists in the National Health Service and the weak economic resources of most Portuguese. Also the lack of information is often behind the mouths of the Portuguese badly treated, reminded the President of the Portuguese Dental Association (ODM) and - strengthened - "the lack of mechanisms facilitating access to Dental Medicine." And in this field, which includes elderly, the disabled or inherited diseases and infection of the forum, in need of care (even more) special.

For all this and more, particularly because "there is no health in general without oral health" is necessary that this specialty is introduced in the National Health.

When we refer to prices more or less stable throughout the country and from office to office - the order ensures that there are no tables or conciliation of prices, up by prohibition of the Competition Authority - as inhibitors of access services to a large part of Portuguese, Orlando Monteiro, Chairman, and Paulo Melo, medical and dental professor at the School of Dental Medicine of the University, are unanimous. "The prices only reflect the high costs imposed by the specificities of the consultation." And the chairman of the MDGs pointed out that the consultations this specialty are paid in full by the user, to give a real sense of values. On the contrary - argued - "the other specialties are offered by the state, paid by taxpayers through the tax, then, the burden is so diluted and mitigate."

Also the expert Paulo Melo acknowledged that "people of lower economic resources will not be able to go to a private consultation", but sent the justification for the failure of prices in this specialty in that direction was given by Orlando Monteiro: the costs involved in a Consultation of dentistry are high and that could easily fall. "The solution lies in an open access to consultation within the NHS to the poorest people," reinforced the specialist, whose numbers that made for those who can not be seen by a doctor dentist is close to 60 percent.

The lack of expertise in the management of Public Service, in addition to depriving a large number of Portuguese people from accessing "the constitutionally enshrined fundamental right, namely the right to health", led to the elimination of, because at the time, inadequate services the level of oral health. And the expert Paulo Melo gave his vision of what is happening. "Portugal must be of the few European countries that do not have a department of oral health in the Ministry of Health", so there is no national strategy at this level. " And reminded the process for the withdrawal of those services in health centers.

What exists in these structures were stomatologists health (people with the stroke of Medicine who made a specialization in Stomatology), but the current European legislation does not address the formation of this group of professionals, they will be endangered and ceased to be in health centers. "What would be normal" was the replacement of those dentists by doctors, but there is the career of these specialists in Civil Service, it seems obvious situation could not be achieved, leading to the cessation of oral health in the public sector.

Paulo Melo, who made the trip by the time to explain the purpose of the consultations in public service, referred to the still topical. And this shows that there are few health centers that rely on doctors and dentists when this happens is himself before hiring outside the ranks of the Civil Service.

In addition to the above reasons for which the Portuguese have 'mouths ugly, you can not pass along the news that from time to time give account of the illegality of around the sector. Generally, the unlawful actions based on lack of qualifications or inadequate qualifications of people who act as a dentist. The reported cases are awaiting response from the courts, which are often "poor", up by delays in resolving cases, pointed Orlando Monteiro. It is not easy (as in any other area) for the common user understand who are the real or those who are going through this.

Against this uncertainty, the chairman of the ODM advises the patient to seek professional certificate to whom it is providing the treatment. Or alternatively try out to the order if the doctor dentist is registered and has the appropriate qualifications to carry on or not, the treatment to which it proposes. This information can be obtained by phone or the Web site http://www.omd.pt/.

O Primeiro de Janeiro

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The radiograph of the situation is made; only lack the political will to resolve the situation.

Gerofil

161) IV Meeting of Oral Health of the Azores with the support of Executive Azores

The Regional Secretariat for Social Affairs will support the implementation of the Fourth Meeting of Oral Health of the Azores which will run from 26 to 28 this month, in the valley of Furnas, in San Miguel. The meeting, organized by the Center for Health of Povoação and accredited by the Portuguese Dental Association, aims to promote oral health among the population Azores, and especially of the school community.

This initiative, a biennial, national and regional professional part of Dental Medicine that will outline goals and strategies for continuity of work for the promotion of Oral Health. In addition to its scientific and social, the event aims to be the corollary of the work of prevention in the area of Oral Health that has developed over the past 10 years in primary schools of the Autonomous Region.

Alongside the conference which will take place for Medical and Dental Assistants in Clinical Dentistry, some activities are planned for the general public, including a session for children on the 26th, by 10 hours in the Povoação, and conferences on Oral Health for the population in general, on the morning of 28, in Terra Nostra Garden Hotel in Furnas.

Governo Regional dos Açores

160) In the Azores - About 18 thousand children with bulletin Oral Health

Introductory note: This post I want to be the public knowledge of Minister of Health and members of the Assembly of the Republic in the current legislatur.

==========================

About 18 thousand children already have the Azores Bulletin Single Oral Health, a document unprecedented in the country which has all the information and medical history, announced today source connected to the project. The regional coordinator of the Program of Oral Health Promotion, Ricardo Cabral, said the agency Lusa that the project, which started in 2006, is taking place in a "positive" and already covers the nine islands of the Azores.

According to the doctor explained dentist, the bulletin is aimed at children and young people up to 18 years and can be requested free of charge in the 16 health centers in the region. "The aim in future is that the whole population may have a individual form of oral health, "said the expert, who represents the Azores in the National Program of Oral Health. With the creation of this document, the executive wanted to give the Azores Regional Health Service (SRS) of a tool for registration and consultation for health promotion and prevention of oral diseases in the islands.

For Ricardo Cabral, this document represents a further contribution to the oral health of Azorean, which together with other public awareness and information already held, has allowed the public awareness. The doctor dentist said that, although slow, the results of this study have emerged, pointing to the example of the rates of tooth decay in children Azores, which in 2000 stood at 4.5 percent and in 2005, rose to 2 , 1 percent.

Citing the findings of the latest survey of oral health conducted in the archipelago, Ricardo Cabral said that between 2000 and 2005, there was a "gain in health" at the level of real rates of tooth decay among children from 2.4 percent. As for the percentage of children free of caries at age six, the region fell from 30.8 percent in 2000 to 37.3 percent in 2005, and the World Health Organization recommends that in 2020, is reached the 80 per cent, he said.

The president of the Delegation of the Azorean Portuguese Dental Association, Arthur Lima, the Bulletin of Single Oral Health is an "important contribution" to health promotion, although alert to difficulties in implementing the project on the island of Faial. Arthur Lima said the Lusa that, in Faial, no dental practitioners in the public sector, so the distribution of newsletters have been done by teams of nursing. "The six medical dentists who work in Faial exercise all private clinic because the government Regional never opened vacancies for the civil service, "said Arthur Lima.

In the Azores carrying 74 dental professionals, covering all islands in the archipelago. Contacted by Lusa, the Regional Director of Health, Teresa Brito, said that the situation of Faial is unresolved, not a lack of will of guardianship, but due to issues with legal. "The hiring of employees required to unfreeze the first waves and the holding of a public tender," said Teresa Brito, for whom "the solution to this gap will reach the short term." According said, the legal proceedings "are not compatible" with the urgency of the situation, but underlines that the Azores government has done "a gradual work" to provide all health centers with new equipment and materials essential to the practice of dentistry.

Around hundred and half of doctors participating dentists at the end of the month, at a meeting on oral health in San Miguel Island, which will also serve to a free screening the population, said the source organization. The Fourth Meeting of Oral Health of the Azores runs from 26 to April 28 at the county's village, showed Ricardo Cabral, for whom the event will facilitate discussion and exchange experiences among the professionals associated with the oral health of the entire country. The program, beginning the April 26, is an act of free screening for the population, which will take place in the flag of the town's sports village.

ViaOceânica

159) The complete absurdity of the current policy of oral health in Portugal

In Portugal there are seven faculties of Medicine and Dentistry are being trained doctors in excess numbers, moving up - warned the president of the OMD - for "unemployment". The warning from Orlando Monteiro had the intention to reinforce the need for "political intervention".

The president noted, moreover, that "there are already more than 140 dentists Portuguese to exercise the function in the NHS from other European countries [England and Holland, for example]." As in the rest of the European Union there is this specialty in public health service and present shortage of dentists. The explanation of the relocation is not a free choice, but an alternative to economic difficulties that prevent these professionals to open their own clinics (only chance to practice in Portugal).

Again, the situation would minimize the introduction of specialty in public service.

O Primeiro de Janeiro

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Black and white: it is wide spend thousands and thousands of euros of our taxes to train specialists who treat patients go abroad, where it is denied by our assistance to the NHS wide hundreds of thousands of children, young and old Portuguese for something like bread for the mouth.

Indeed, urges change whatever it is to put the final point in the trivialization of the person who runs practiced by the state.

Gerofil

158) Ministry of Health without department of oral health. The consequences to life.

"Portugal must be of the few European countries that do not have a department of oral health in the Ministry of Health." The observation of the doctor dentist Paulo Melo shows has also been a challenge. And the consequence of that statement is the absence of a national strategy for the oral health of the Portuguese.

The national policy - also continued the professor in the School of Dental Medicine, University of Porto - "never bother with the oral health of the Portuguese and never had the desire to go replacing the stomatologists that would be reforming for dental practitioners in health centers ". More a situation that has consequences and they "are there for all to see."

It would not be necessary to OECD (Organization for Economic Cooperation and Development) said that Portugal is in the tail of Europe at this level, because "those who walk in the street can realize the number of people without teeth." This is a undeniable reality, representing "an embarrassment, that politicians insist on ignoring."

Paulo Melo regrets a situation that - guarantees - "is not only worse by Portugal have the best dental practitioners in Europe."

"Embarrassing" is also the adjective used by the president of the Portuguese Dental Association (OMD), who, describing himself as "naive", is to be deposited in hopes of Oral Health Commission that the current government has established to assess the situation. At the end of May should be known conclusions.

Orlando Monteiro did not hide it expects "the conclusions are the obvious ...." And the obvious is the poor state of the mouths of Portuguese and need for the creation of means of access to consultations under the National Health Service, the poorest people. This public access to oral health is a battle of former OMD, which the president has given voice and which is striving. For now - though skeptical about the commissions in general - expected to see. But not for nothing.

And, drawing on the restructuring of health services, Orlando Monteiro has tried, particularly in the health units for the family (USF), responsible for raising the awareness of the need for this specialty be introduced in health centers and hospitals. This indicates responsible criticism, but also makes proposals. For example, Orlando Monteiro does not consider how best to open dental clinics in all health centers in the country at large investment that implies, advocates the creation of conventions and protocols between those establishments and private offices that exist within the geographical area which include the establishment, "taking advantage of that investment in infrastructure has been done by the private sector."

Recognizing that the Health Minister Correia de Campos, has shown "sensitivity in this area and will at least consider what might be done," the president of doctors dentists expected to be passed to practice the goodwill that has been demonstrated. And if that strengthened the National Health Plan is fulfilled, then by 2010 the hospitals must be equipped with this expertise, to respond to emergencies and emergencies that can not currently be treated. In situations of accident there is no response in emergencies.

In case of emergency be for the pain - "one of the strongest that the human body feels," pointed out - "at best is prescribed a painkiller." The expert is to ask point-blank: "We must act politically." And knowing that "it is impossible that everyone has everything, it is essential to do everything possible so that everyone has the best possible".

And, despite being short of the needs of society, the creation of a program of prevention and treatment, aimed at children from three to 16 years has been seen as positive by the president: "Despite still inaccessible to most children," even within this age group.

Even though for most people can be difficult to understand or even indifferent, the expert Paulo Melo wanted to separate the wheat from the chaff and highlighted the differences between various types of professionals who treat oral cavity of the Portuguese.

"There are three," he said. The stomatologists, trained in medicine, specializing in Stomatology and scope only differs from doctor dentist in access to the areas neighboring the oral cavity, where the can Stomatologist act. Doctors dentists with a course of six years (soon reduced to five seconds Bologna), have during the early years of medicine and general concepts of late training following a path itself. Its scope for action is broad, but includes only those structures that relate to the oral cavity.

There are also the dentist, who "have long exercised the function illegally, many had not even the basic training," and who have since been legalized by the Portuguese after they were given a few hours of training. Its scope for action is very narrow and is unable to perform more complex surgeries, prostheses and orthodontic fixed.

To complicate all this, the doctor assured dentist and lecturer at the Faculty of Dental Medicine, University of Porto, "the terminology adopted in various countries differ from ours, so that European professionals with the same name are the formations and areas of action completely different" . Paulo Melo also noted a fourth class of professionals who are the oral hygienists, more oriented to prevention "and should exercise the profession supervise by a medical doctor or dentist."

O Primeiro de Janeiro

157) ERS requires clinics that says the fees are illegal

The chairman of the Portuguese Dental Association classifies as' at least strange "and causing of" great indignation "the accusations made by the Health Regulatory Authority (ERS) according to which the majority of private health units (83%) are not licensed. This is because the ERS has been charged since the start of last year, mandatory fees to all of them.

In statements published in yesterday's edition of the Diário de Notícias, Orlando Monteiro da Silva says agree with the diagnosis outlined in the ERS report, but noted also that this is because, "even for those who wish fervently to complete the sacred way of licensing, the task it is practically impossible. " Acknowledging that there is no practice of dentistry degree in Portugal, the president criticizes, however, the ERS by drawing this situation without ever having made part of its responsibility in monitoring the functioning of the units.

"The case of the books of complaints from users is an example. The experience I have is that they go to the ERS and this is limited to distribute the cases to other organisms, 'says Monteiro da Silva.

Also the chairman of the Order of Physicians, Pedro Nunes, desfere criticism of ERS, the question: "The millions that the health units used to pay the ERS to make reports to conclude what everybody else knows for years?". Pedro Nunes denounces the fact that, while pointing the problems, the ERS does not move a "consistent solution" to deal with them, despite knowing for years that the law on licensing is not appropriate to the reality and "unlawful render all hospitals public, including St. Maria or St. Jose 'case should apply to units of the National Health Service.

Diário dos Açores (March 23, 2007)

156) 19 thousand students in the municipal network receive kit with brush and paste

Bauru (BRAZIL) - About 19 thousand students of the municipal system of education in Bauru, the nursery to primary education, are receiving education kit, containing oral door-brush, tooth brush and paste. The city invested U.S. $ 50 thousand in purchase of 23 thousand kits and even heaven puppet, macro models, books and educational slides that are being used in the activities of the Smile Bauru.

The program was restructured and, in this new phase, the dentists and dental assistants, are making visits to local schools. They hold lectures for students and teachers emphasizing the importance of oral health care with and teaching the correct brushing.

Yesterday, the municipal secretaries of Health, Mario Ramos, and Education, Ana Maria Daibem, participated in a visiting team's Smile program to Bauru Emei Maria Helena Amantini in Nucleus Green Gold. The Municipal Department of Health has three educational programs. Alongside them, and in addition to the dental clinics in schools, the city also offers free care to the population. Besides the Center for Dental Specialties (CEO), inaugurated at the University of the Sacred Heart (USC) last month, Aja has units in the dental office of health and Mobile Office. In 2006 were conducted 81,177 in dental care in the municipal system of health.

Jornal da Cidade de Bauru

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On the contrary, we all right here! While this remains general anesthesia society, there remains a continuing inertia and lack of efficiency of the competent authorities in relation to a policy of oral health for the entire population, this is, basically, always forgotten and doomed to the fate that has.

Unfortunately, both governments, parliaments and associations of professionals linked to oral health sector have complete and total responsibility for what has occurred over the last twenty years in Portugal - infest the public opinion on the facts but never been interested in solving the real problems of Oral health in our country.

I do not understand spending a few crumbs here and there, showing generosity by a handful of unfortunate people in life, then when there are thousands of millions to invest in treatment costs and completely avoidable, for the benefit and income from it is known there for whoever ...

Here's how it is the policy of oral health in Portugal.

Gerofil

155) Four out of five units do not have private health license

Most private health units (83 percent) in business in Portugal is not licensed, although this process is mandatory, advances to the Health Regulatory Authority (ERS).

Among the some 2 000 medical and dental clinics that exist in Portugal, there is not even a single licensee, as are the spas. "The licensing system does not work in Portugal", summarizes the chairman of the ERS, Alvaro Almeida Santos, stressing that this does not mean that the plants healthy is legalized not being able to work, but that this process is too "cumbersome and time consuming."

So how do people have assurances that these institutions are able to operate? "There are no guarantees ...", admits the chairman of the ERS. The "extreme case" of medical and dental clinics have a justification: the inability to set up a committee of technical verification - that made the surveys and inspections required for this type of establishments in the regional health - and the manual of good practices due to disagreement between the various stakeholders in the process (orders of doctors, dentists and the doctors associations of dentistry), explains the ERS.

In the case of spas, there is no licensing for lack of regulation of various issues, such as the requirements of a technical nature or the tables of staff. The problem of lack of licensing is still "particularly serious" in the laboratories of clinical pathology or clinical analysis (of 393, are licensed 98) and the more providers of radiation therapy and diagnostic radiology (of 451, only 90 are licensed).

Despite the lower the percentage of graduates is not yet significant in physical medicine and rehabilitation (47 percent) and private health units with hospitalization (25 percent). Already the 89 units of dialysis, only 11 are not licensed.

But this is not the only reason for the delays in examining applications for licensing. Anyway, the situation varies depending on the type of plant health, because there is no single legal regime for licensing, but specific qualifications. And there are even establishments - such as a doctor - which are not subject to this process, because the diploma that fits (a decree law of 1942) only obliges them to report their existence to the Directorate General of Health (DGS) and the Order of Doctors.

But even bizarre is that the applications for licensing of nursing posts (also made from DGS) have to be made upon presentation of a form of the National Printing-Mint (INCM). The problem is that "the INCM says that this form does not exist", which means that there is no center of licensed nursing, means that the ERS. In addition, the establishments of the public sector and social sector (such as private institutions of social solidarity) are not subject to licensing, but only to power guiding and inspection of the Ministry of Health.

Jornal O PÚBLICO

154) On the other side of the border

In 2006, PADIEx included 30,000 children aged 6, 7 and 8 years of age, of whom about 55% attended the dentist, a percentage that other communities, pioneers in this type of plan, it took five years to achieve.

In this regard, the Government has extremeño nuanced that this year, during the month of January, all children covered by the plan, born between 1998 and 2001, they were sent to his home for the heel of dental care and directory of dentists covered by the plan. In this way, parents of the child to be seen and can receive the appropriate assessment and treatment required by one of the 173 points located in the assistive region.

Specifically, each year join the plan that meet the children 6 years and remain there until Dec. 31 of that year met 15 years. Since the health centers and referral services for the monitoring of pregnancy, preventive activities are also conducted on pregnant women, and this activity, in recent introduction, has allowed that during the past year, were treated in these consultations around 3000 pregnant women. Also, activities of health education and prevention that benefit the oral health of the pregnant and are in the their unborn son.

In addition, the Plan of Dental Care of the Disabled has handled to date more than 10,000 consultations and has conducted more than 21,000 therapeutic procedures. According to the Board, have been intercepted under general anesthesia about 500 people who have not been met so conventional units Oral Health.

Region Digital

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Here is an example of the work done in the field of oral health in the Community of Extremadura (Spain). Clearly it is expected that the Portuguese authorities are also aware of the extreme urgency in the need of making the same kind of programs for oral health to the entire population, after all, like Spain, also are part of the European Union (or, saying in other words, it is not for lack of resources that do not deploy in Portugal these programs, oral health).

Gerofil

153) Mr. Antonio Goncalves wants clarification on health care in Flores

The member of the PSD Antonio Maria Goncalves, elected by constituency of Flores, expressed its concern regarding the provision of health care on the island. In the application tabled Regional Assembly, the parliamentary emphasizes that "the inhabitants of the island do not have access to some health care essential," and who recently questioned the Government on the status of the machine for imaging in the existing Health Center site, because "it presents no technical conditions of reliability as a supplementary means of diagnosis to be obsolete."

Antonio Goncalves says that the executive foresaw "the purchase and installation of a new unit of" X-ray "digital for the Health Center of Santa Cruz das Flores until the end of 2006", which is not turned out and motivates the question now presented. Concerning the Public Health Service Oral practiced in their island, he stressed that "the medical dentist who has moved to the island for the provision of primary health care of those unable to meet all the demands placed upon it because of its large number ", and" the inhabitants of the island have no other option but to resort to the provision of private services in the area, which involves huge costs for the family budget. " Further, "a first visit to oral health could mean a wait of more than four months, with access to the list made so bureaucratic and constrained by the second consultation, which is the dentist recommends medical treatments by following the same insiders.

Antonio Goncalves is whether there is knowledge of these realities and that government measures will be taken to modify the existing situation.

Canal de Notícias do Açores.net

152) Jose Falcon School inaugurated Office of Health Promotion

The Falcon School Jose de Miranda do Corvo inaugurated the Office of Health Promotion (GPS), which will operate each Monday afternoon with the presence of a nurse's Health Center for questions to students. "In a school population with about 700 students and a multitude of problems, it is essential that students find answers technical and professional questions about their" stressed Luis Fausto, chairman of the Group of Schools of Miranda do Corvo and director of the School Jose Falcon .

In an informal atmosphere, the inauguration was attended the councilwoman Carla Baptista, medical that will support the project technically, the director of the Center for Health, Cesar Fernandes, the head of the department of nursing, Jose Taborda, and nursing interns from the 4 . th year of the School of Nursing from Coimbra, who were authors of the project, in addition to other officials and a representative of the Association of Students. Through GPS, students will clarify questions about health, oral, healthy diet, physical activity, safety and accident prevention, sexuality, alcohol, drugs and other issues related to health.

The councilwoman Carla Baptista stressed the great 'educational value of the project ", which is based on a section on health promotion and disease prevention. "The aspect of health promotion has been forgotten in the country, but the Health Center of Miranda do Corvo showed that remains at the forefront of primary health care, promoting interventions of great educational value", stressed the mayor.

For the director of the Center for Health, Cesar Fernandes, the creation of GPS belongs to "implement a philosophy of medicine to a close, ever closer to the people". According to this doctor responsible, "the school population is so vulnerable that could benefit quite this space ', where students can present their concerns and questions in a space of open dialogue and confidential".

The GPS results from the partnership between the Health Center, the grouping of Schools Joseph Falcon and the City Council, with support from the Institute of Sport in Portugal.

Diário de Coimbra

151) Guardianship does not contain health centers

The regional secretary for Social Affairs in the government pledged yesterday that management is not foreseen in the medium term, the closure of any health center in the region. Conceição Estudante who spoke on the balance sheet presentation of activities relating to these units of health said that at the moment the main concern is to provide conditions for the smooth functioning of existing health centers.

Critical of those who believe that the closure of these services is a way to reduce costs, the regional secretary for Social Affairs sought to prove just the opposite, asserting that the effect may be contrary to the extent that the whole panoply of medical care and nurse assigned to the emergency room is a hospital or a health center is "objectively more expensive than the provision in a medical consultation."

In this sense, Conceição Estudante has left a clear idea that the reduction of costs on health goes, first, by backing the prevention and the proper provision of primary health care. One objective should be reflected in an increase in the number of available medical consultation in health centers.

Conceição Estudante also said that in recent years, the growth rate of expenditure of the Regional Health Service was below the rate of inflation. Because the efficiency of healthcare delivery in health centers passes for ensuring a sufficient number of doctors, family, the secretary assured of protection that goes in the right direction region. Are currently engaged in the health centers 109 professionals, among doctors from family and general practitioners that the sum is 24 more interns, doctors who are to finish this specialty. Although the number is sufficient for the approximately 114,387 users who attended last year, the health centers, does not satisfy the authority, which wants to raise the number of visitors these units.

According to figures released yesterday by Chairman of the Board of the Regional Health Service (SRS) the number of visitors amounts to only 42.5 percent of total subscribers (269,379), with an average of 3 for regular consultations during the last year. Regarding the total number of consultations, the SRS found about 334,507 documents, of which 13,524 were consultations of family planning, there is at this level, an increase of 5.5 percent over 2004.

Consultations home growth has been strong, around 42 percent over the past two years. The dentist was another area of greatest increase, with an increase of 113.9 percent. Indeed related to the extension of the Oral Health Program of the whole region, emphasized Filomeno Paulo.

Tânia Caldeira
Jornal da Madeira
* * *

While this news does not carry the numbers of oral health consultations conducted in the region, at least it seems appropriate that this strength has reached a higher proportion of the local population.

Already have been submitted data on the evolution of oral health programs for children and young people in the mainland (previous posts). I thank those who can provide more statistics on trends in time and place of the national territory, on oral health.

Gerofil

150) Play and learn

On Monday, the Office of Public Health of Barreiro was doing an action to promote health among the young, this action which includes the school health project. Students of the School of the 1st cycle of Basic Education and the School of Coina 2 of the 1st cycle of basic education da Telha (St.André) that were well and happy in the end said they learned a lot.

Techniques, nurse, dietitian and oral hygienist did a puppet show to teach children how to eat well and wash your teeth.

The story begins with Little Red Riding Hood which is very greedy and has lazy to wash your teeth. The Capuchin will take your lunch to your friend Snow White who is ill, but finds the way in which Pinocchio is very liar. The girl tells you not like soup or fruit and who always wanted to eat sweets, the Pinocchio tells you to eat the sweets, do they do poorly. What is certain is that the Capuchin got belly ache and with a cavity in the tooth. Then find the Robin Hood says it is necessary that the intervention of Fairy Nutritionist, this tells the Capuchin who should always eat the breakfast before leaving home, eat soup, meat or fish and fruit to grow healthy and with energy. As the Capuchin also had pain of tooth, it was necessary to draw the oral hygiene taught to the boys and girls how to wash your teeth and can not eat many sweets.

The puppets to play, the boys learned that they should not eat candy in exaggeration, it is important to a healthy diet and should wash their teeth well, at least 3 times a day. The students were very carefully to the theater because they were interested in learning a different way. In the end, promised to take no more candy for lunch, thereby taking a healthy diet.

This is a good example of health promotion, so that the little ones to begin to take care of their health and live happy and healthy adults.

Jornal do Barreiro

149) Stomatology: Central Hospital with a waiting list of 3 years!

The Hospital of the Holy Spirit of Evora, providing public health care covering a population of over 150 000 residents, is now a waiting list of about 3 years for the consultation of Dentistry.

This deeply regrettable and the waiting list is inconsistent with a civilized country said, and it urgently deserves special attention in its resolution by the Minister Correia de Campos. Why is concerned a serious public health problem of the population of the district of Evora.

148) Pregnancy and oral health

One tip: during pregnancy visit your doctor dentist in the 3 months to perform a cleaning of the teeth, thus preventing the gingival problems, and to make a topical application of fluoride, which prevents tooth demineralization, thus preventing the emergence of new caries, or the development of caries background.

This way you can enjoy a pregnancy with an oral health much more stable.

A doctor's advice Jose Antonio Teixeira (Doctor of Dental Medicine, the Higher Institute of Health Sciences Egas Moniz, and Post-Graduate in Surgery and prosthesis on implants; teacher asked the chair of periodontics, the Higher Institute of Sciences Egas Moniz)

Jornal Oeste Online

147) Public Health

The air we breathe, the water are two public areas of intervention of the project to the environment and health clinic that the University Fernando Pessoa (UFP) is preparing to launch in the course of this month, in Ponte de Lima. The start of another project clinic not the end of the initiative said that since 2003, the UFP dedicated to oral health and public and which already amounted to 34,603 screenings poorest people.

The public health clinic project, covering the control of cholesterol, blood glucose and blood pressure, oral hygiene, medical tests and speech therapy, has been initiated in the district of Viana do Castelo and spent the last year for four counties in the district of Braga. The project manager, Jacinto Durães, makes an overall "highly positive".

In the district of Braga, where the project covered the counties of Guimaraes, Braga, Vila Verde and Fafe, 4784 surveys were conducted. "We meet people that we sought, but also schools, nurseries and homes for the elderly" said Jacinto Durães, which believes that with this project, the University gives a signal that "wants to reach people."

The areas are the most sought medical tests and health (cholesterol and glucose), as well as monitoring blood pressure, describes the project manager of the clinic. "We found many people with high cholesterol and blood glucose, blood pressure and the" points. For all institutions and educational establishments covered, was sent a report on the conditions encountered. In addition to the populations, the project involved hundreds of students of nursing, medical tests, dental care and speech.

After the district of Braga, in the academic year 2005/6, the project followed to Baião. Jacinto Durães ensures that the public health clinic "is to continue", in partnership with local authorities. "Given how important it is, the public health clinic project is claimed by other parts of the country" refers one responsible.

During the month of August last year, a team of graduates in dentistry, nursing, physiotherapy and medical tests was in Angola. The graduates of UFP have the technical training in these areas of health (282 in total) and had traces of oral hygiene and medical tests at two hospitals and two health centers.

Correio do Minho

146) The role of businesses in the health of its employees

BRAZIL - Shares of health promotion and prevention still has key role in corporations, who seek a better quality of life of employees, aim to maintain control over costs with the benefit-health. That is the view of Watson Wyatt to complete the research on health care benefits.

The highlight of the study was for the large number of companies (82%) offer dental plans, signaling to raise awareness that processing and maintenance of dental assistant avoid future health complications. In most cases, that membership is on a voluntary basis and with coverage intermediate (includes basic and complex treatments, except dentures and orthodontic), and the company assumes, in general, 50% of the cost.

Portal Nacional de Seguros & Saúde

145) Two Euros for their health

In the coming weeks to assess the campaign will launch "Two euros for their health." "Each person makes an application, two euros paid monthly and is entitled to access to medical care and the nursing home, paying five euros by doctors and three nurses per euro," said the president. This phase will be purchased two vehicles for the movement of doctors and nurses.

In the two days following the publication of the notice asking for general practitioners, assessing received several curricula. Regarding the clinic will open soon in the urbanization of Monte Penedo in Milheirós, in the municipal facilities, with the specialties of dentistry and podology. Are planned introduction of other medical specialties, which are not yet defined.

This draft medicine at home, organized by an association of local authorities, is unique in Portugal. Its clinical director is Jorge Rodrigues, plastic surgeon, and with the collaboration of the Hospital of Our Lady of Valongo, so they are carried in emergencies or in cases where it is necessary to perform more complex tests.

The draft of the doctors at home AVAL autosustentável want to be and do not rely on support from the town hall or other institution. The mayor of Milheirós states that "local authorities have changed their philosophy, no longer mere administrative posts, often developing the tasks of the town hall, and are now working to develop a more autonomous. That is why we have been increasingly systematically to say that the parishes must have own powers, and not delegated, and must have funds distributed by the General State Budget for these tasks. "

O Primeiro de Janeiro

144) Coimbra will receive the dental specialists

The University of Coimbra (UC) announced that the sixteenth Annual Meeting of Dental Medicine and Dentistry will take place in the UC Hospitals, between 22 and 24 March. The meeting will bring together students and scholars as well as national and international experts in the field of dentistry.

The program includes lectures tied to themes such as "The dental care to take in the elderly population", "News in implantology" and "How to perform an action of school education for oral health", but also includes several roundtable meetings and activities of conviviality . The sixteenth Annual Meeting of Dental Medicine and Dentistry is organized by the Department of Dental Medicine, Dentistry and Maxillofacial Surgery at the University of Coimbra.

Contacts:

Telef.: 239 484 183
Fax: 239 402 910
E-mail: mailto:cirur3dir@huc.min-saude.pt

143) Friendly business: taking care of teeth

BRAZIL - Alice Melgaço dos Santos, 11 years, is assiduous client 5 years ago the Social Project "Tooth that you want tooth," which has existed since 2000, financed by EIM plant. She is one of 150 children benefited from the free services of a dentist's office assembled by the company to meet certain neighborhoods at risk in Fortaleza, as Pantanal, Round Lake, Jangurussu and swampy New: "This is very good, the doctors are legal. The people taking part in various lectures we explain how to best take care of our teeth. I'm involved because of all is free. "

Jornal O POVO

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I am grateful that I communicate the name of entities, agencies or companies in Portugal, also worry about the oral health of children and youth population.

Gerofil

142) Scientists create teeth of rats in the laboratory

JAPAN - For the first time, japanese scientists managed to successfully replace natural teeth in mice by others created from individual cells, tells this week's issue of the journal "Nature Methods." The scientists, coordinated by Takashi Tsuji, used mesenchymal stem cells from bone marrow and epithelial cells, which then turned into a tooth.

First, the scientists promoted the growth of each separate type of cell to obtain larger quantities of them. Then they were injected into a drop of collagen, a substance that the cells in an organism. The cells have grown up to become a tooth with great effectiveness.

When they were implanted in the tooth cavity of a mouse, have developed normally and have been shown to have the same composition and structure as the natural incisors.

According to the authors of the article, the study presents the first evidence of the successful regeneration of an organ through the full deployment of material obtained through bioengineering. For scientists, the search results greatly contribute to the development of bioengineering technologies and the future reconstruction of vital organs in vitro.

Moreover, the findings may encourage the development of organ replacement by regenerative treatment.

imirante.com

141) Pacifier: Leaving it up to three years

For years, the pacifier has become a pediatric maximum. This article that the babies so fond had become to blame for not wanting the little maternal breast, catch up infection in the ears, are apathetic and ill-tempered when no dummies and even by their smiles were a disaster in terms of teeth. Over time, demystify the science most of these beliefs and revealed in chucha a very useful tool for children and parents.

Portuguese experts warn, however, that the benefits of their use exist only up to two or three years of age at most. Thereafter, the child develops deformations of the cavity of the mouth, with consequences at various levels. The bottle reduces the incidence of sudden death of the newborn, is a very effective analgesic in painful procedures and the adverse effects that has on the proper alignment of the teeth are passengers. This means that for the toothlet back to the right place, the pacifier should disappear at the latest, to three years of age.

Nevertheless, a scientific study published in the latest issue of the journal 'General Dentistry' ultimately overthrow the idea that the pacifier is not as damaging to teeth of children. When a baby introduces the nipple drinker in the mouth of the bottle and do what the experts called non-nutritive sucking (the purpose of this act is not eat), the central lower teeth were slowly to deviate from inside, while those who are in the same plan, but in the upper jaw, tend to break away and go out ( 'teeth of rabbits'). Over time, the canine teeth clash with each other and both rows of teeth do not close properly (open bite).

In addition, the suction puts in place a series of muscles of the face, which together with the language, make the teeth in the upper and lower jaw lose parallelism (cross bite). To that malformations are appreciable is estimated to be necessary to exert a pressure more or less constant for six hours daily. The time factor and energy that applies in the small suction make a difference here.

"That explains why many children who use pacifiers do not develop any kind of tooth deformation," emphasizes Jane Soxman, author of the study and member of the American Society of Pediatric Dentistry, referring to children who use the bottle off at times (to go to sleep, for example) or are confined only to have it in your mouth without sucking. Liberius Ribeiro, the Portuguese Society of Pediatrics, suggests the consequences of a prolonged use of chucha: "The buccal cavity adapts to the characteristics of the pacifier and deforms the dental arch." But not only. According to pediatrician at the hospital in Santa Maria, Lisbon, the sky's mouth (palate) develops is oval in shape, which affect the mastication, respiration (by mouth) and orality. "In such cases, the child breathes evil, it is difficult to articulate words and chew on. The later withdrawing from the bottle to the child [after three years] becomes increasingly difficult to repair the deformation of the mouth. "

The long experience tells you that most parents can withdraw the bottle in due time - up to three years - but "there are still many cases of bottle five and six years". In these cases, Liberius Ribeiro advises parents to take the bottle after the child prior explanation, so that the small realize the situation and gives them incentives such as trips to playgrounds. This process must be done on vacation, which will allow parents and children relax after nights bad nights.

Correio da Manhã

140) Care from the cradle

The recipe is simple: brush their teeth after meals and using dental floss. That is the main measure for children and adults who have good oral health and prevent the onset of caries. It's that easy.

(...) The professor of preventive dentistry and social Unirp, Andre Luiz Marçal Terrero, explains that the consumption of sweets and biscuits should always be after meals and before brushing. "Foods with sugar favor the installation of caries in the tooth," he says. (...) According Terrero, the habit of brushing begins in the first days of life. Until the six months, the mother should do the cleaning with the use of gauze and filtered water. From that age, already exists in the specific brush for use in babies. The mother must also accompany the brushing up to eight years of age when the child acquires motor coordination alone to remove the plaque.

Terrero said that the use of dental floss should be done as soon as the first teeth emerge in children. He is to remove the plaque that causes cavities. The disease, according to specialists, is caused by bacteria that are in the mouth. They consume the sugar ingested in food and produce acids that decalcify the teeth until the formation of the lesion. If not treated, the caries progresses and reaches the pulp of the tooth, which must be removed (known treatment for channel).

From there the tooth has no life and is arrested only by the root. You can also move to gingivitis (inflammation of the gums) and periodontal disease, which is the loss of bone that leads to the collapse of the tooth. Terrero directs that the main brushing should be done at night, before bed. "When a person falls asleep, the natural cleansing of the mouth is reduced because of reduced production of saliva and the risk of developing dental caries is greater."

The oral health also depends on good calcification of the teeth, which is guaranteed early in the gestation period. The "teeth-of-milk" beginning to graduate from the 6th week and standing from the 5th month of intra-uterine life. "The pregnant woman must have healthy diet rich in calcium, phosphorus and vitamins so that the baby has a good dental calcification, says Professor Andrew Terrero.

He warns that the mother is more responsible for the transmission of microorganisms that cause decay. "As the caries is a disease can be transmitted to blow even when the pap or give a kiss on the lips of the baby. Mother or nanny must have good oral health standard, "he says.

Jornal Bom Dia

(It is prohibited to reproduce all or part of the contents for commercial purposes)

139) Trailer takes oral health to students

A trailer adapted with dental equipment will benefit students in the School Hall Maria Ovidiu Junqueira, with dental treatment free of charge from next Monday (12). The dental office sold by itinerant Sesi in partnership with City Hall, aims to bring oral health to students of 1st to 8th grades of municipal schools. In addition to basic treatment such as dental cleaning, filling and extraction, students will also receive as a work of prevention, talks of motivation, guidance of correct brushing and application of fluoride. The special treatment will be sent to the Center for Dental Specialties (CEO).

Students will be met from Monday to Friday from 7 am to 11 am and from 13h to 17h, for twenty-two professionals from dentists and auxiliaries, state and municipal network, which will rotate doing in school until meet all the demands of students. The professionals will be under the supervision of the coordinator of the Municipal Department of Dental Health, Agnaldo Augusto. " The trailer takes the oral care at all locations. Many of these children and young people have not yet had the opportunity to take care of the teeth, either by lack of guidance or financial difficulties. The trailer in the school will offer this contact and promote health, "said the coordinator." Before starting the treatment, students will go through a screening to detect if there is a need of treatment, to ascertain what degree of urgency of the problem mouth and with the permission of parents or guardians, the treatment begins, "said the current school director Maria Ovidiu, Rosemary Aparecida Perugini Torres.

The technique in dental hygiene Alice da Silva Jonsson, who will act as an auxiliary to the dentists, emphasizes the importance of working with students. "Here the students will be aware of the need to visit the dentist regularly. The trailer is at the school helps the student to receive guidance by the teacher of this need, and have the incentive and motivation the company's colleague, who also makes the treatment," said Alice.

The Oral Health Program of the Municipal Health Department also has two other dental trailers that are also working in rural areas.

Perfeituria Municipal de Poços de Caldas (Brasil)

* * *

I think the whole interest that in Portugal, also is due to copy some practical examples exist in Brazil. Have you had the opportunity to talk about the Oral Health Program that exists in Portugal - missing now see in practice this program in all our schools.

Why is any unfair discrimination in health care, whatever the reasons, access to this type of program is required to be disclosed and made available to all children and youth of the country, lest we violate the fundamental rights of the human being. It is therefore made here to call attention of the Minister of Health and the Minister of Education.

Gerofil

138) Dental implant

Who suffered bone loss and want to do dental implant without grafting or those who dream of entering into an implant on the same day and leave the office now with the provisional prosthesis but well installed can smile at will. This is possible thanks to technical innovations such as an anchor or fixing zygomatic. In addition to efficient, the technique of anchoring that is already held in Santa Maria, avoids the disadvantage of making the withdrawal a part of bones out of the mouth (chin, rib or pelvic) for graft in the jaw and then fix the implants and then the prostheses.

"With this method, which involves the zygomatic bone, the patient does not need to do bone graft. The titanium implants, measuring about 50 millimeters each, are placed in the back of the jaw, and set anchored to the bone cheeks. After installing the anchorages and the formation of bone around the implant, which runs the six-month period, are the definitive prosthesis, "explains the surgeon-dentist and periodontists, Jose Oscar Carlesso, 58 years, the first in town to do surgery. In total, as were five patients who returned the smile and safely recovered their self-esteem after the procedure which, he says, is less time (surgical procedure requiring general anesthesia and takes between 48 hours and 72 hours) and less traumatic . On the waiting list for more than 20 patients.

"With their teeth fixed, the sensation of eating better, smiling and talking with security being used to restore the self-esteem," celebrates one of the patients who came to surgery recently and who preferred not to identify. Without revealing figures, Carlesso, who is a member of the Latin American Academy of Osseointegration since 1993 and operates in 18 years with implants retirement, advance only that the procedure is on average 30% cheaper than the conventional. In conventional implants graft with the patient have to wait up to eight months for temporary placement of implants and wait one more time (around six months) for osseointegration to the placement of the long-awaited final prosthesis.

Lover of the profession, the surgeon-dentist who, as a child, came running out of the chair of a doctor in fear of the treatment, has courses in Sweden, London, Barcelona and Italy, among other countries and three children following the same path. "We never saw his father get home earlier and much less sad. A fact that just motivates us, "says one of the sons, Jonathan Carlesso, 23, which is post-graduate in implantodontic in Porto Alegre.

Elisete Tonetto

A Razão

137) Dental services in the NHS (Braga)

Website: Department of Stomatology

Hospital of San Marco (Braga)

Phone: (00 351) 25 320 9061

E-mail: estomato@hsmbraga.min-saude.pt

136) Dental services in the NHS (Oporto)

Website: Children's Specialized Hospital Center MARIA PIA

Office of Stomatology (Oporto)

Phone: (00 351) 22 608 9900

E-mail: addoentes@hmariapia.min-saude.pt

135) Dental services in the NHS (Lisbon)

Website: Department of Stomatology of

HOSPITAL OF SANTA MARIA (Lisbon)

Phone: (00 351) 21 780 5106

E-mail: estomatologia@hsm.min-saude.pt

134) "True national disgrace" (?)

"The National Health Service is able to achieve what the Portuguese ask, to fairness and quality arising from the decriminalization of a situation that is truly a national disgrace." (Correia de Campos, the prepositional the referendum on the Law of abortion, in: Public 12-02-07)

* * *

Minister, if in fact the National Health Service is able to achieve what the Portuguese ask, then it is requested that an immediate end to the shameful waiting list for dental consultations that in some hospitals, it reaches 3 years of waiting for a consultation - this is a real national disgrace in a country member of the European Union. Because you have been lucky enough to not go through that others passed (link), the rest of the conversation is meant as pure political demagoguery directed to the public.

Gerofil

133) Babies can have problems with teeth and oral cavity detected in the first year of life

Parents are worried about the oral hygiene of children and so it is increasingly common babies up to a year, making his first dental consultations. According to Marcelo Bonecker pediatric dentistry, the ideal age for the baby made his first visit to the dentist is the six months of life, a period in which the teeth begin to rise.

"It's interesting that parents bring the child to the dentist in the first year because their parents are more receptive to us to guide them and thus they use the methods outlined for the oral hygiene of children," said Bonecker. Moreover, in this age the child is also open to changes in habits, such as the care of their teeth.

In the first consultation, the pediatric dentistry is an analysis to see parents and children for, well, there are those such as food and hygiene habits of the family. "After that first conversation, we do a clinical examination to examine whether the baby is all right or if there is a problem in the dentition, oral cavity, or others. If there is, starts to be the most appropriate treatment, "emphasizes Marcelo.

In this first stage of life, parents are the main "agents of oral health", therefore, for children, they are the main examples. "Healthy Habits for hygiene, like brushing your teeth after meals, and meals are essential for the promotion of children," explains the pediatric dentistry. The brushing teeth begins as soon as the teeth start to rise and parents need to help children up to seven years and supervise up to 12 years.

Another point that parents can help greatly in the oral health of children is the prevention of diseases such as caries. Bonecker says that sweetened foods help prevent this action. "If the child receives sweetened milk or even the chest, or consume any food containing sugar, it is necessary to make the oral hygiene. Also, give preference to toothpaste with fluoride. " The pediatric dentistry also says that fluoride is the main vehicle for the prevention of caries.

"The quantity and frequency of application of fluoride in a dentist's office depends on each child, depends on whether you have cavities or not. Recalling that the minimum age of the baby is six months for this action, "said.

Caries, trauma, such as broken teeth and problems with the bite are the main problems that children face. "At this stage, children are learning to walk, run. So is the high incidence of injuries, "reports. Even so, parents have more access to information than in the past, and may help prevent more on issues of oral health of children.

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