267. VILA REAL: Inform the younger population on prevention in oral health

Built in 2002, the Clinic of Dentistry Dr. Daniel Azevedo (Qt. St Iria Lt. 6-Lj 1 Vila Real 5000-722 VILA REAL Phone.: 259327004) has been growing, with new expertise and contributing to improving the quality of care provided in the municipality of Vila Real. Inform the younger population on prevention in oral health is increasingly important.

Aware of this reality, Daniel Azevedo is developing a project together with local authorities, which relates to screening in schools and at the same time, motivate the children to the importance of prevention. "Initially this project will be done only with the schools of Vila Real, and later be extended to the whole county."

According to our interviewee, in the last ten to 15 years dentistry has undergone many changes, particularly in terms of materials. "The materials are becoming more advanced, giving greater security to doctors, for it can be solved more quickly and quality problems of users. This is very important for people to stop being afraid of going to the dentist, "waging a daily struggle to combat the phobia of visiting your dentist and slowly we have achieved great results at this level, which is very important, especially if given that ten percent of the world population is totally toothless. Our trip to the schools will also contribute greatly to the children stop being afraid of going to the dentist, then they will themselves encourage parents to take better care of their dental hygiene, because oddly enough, many Portuguese still do not know What is a toothbrush. "

In oral health, the most frequent problems in terms of prosthesis fixation. Although at first glance this seems very simple, turns out to be complex, because users who have this problem end up not getting a nice relationship with others, become more depressed and isolate themselves from society. "We wanted enough to solve such problems. Today is starting to be a change of mentalities and the implants are becoming increasingly in demand."

Contrary to popular belief, sometimes it is easier to rehabilitate a patient who had an implant than one that has an extraction, "which got three to four hours the user get out of here with my teeth fixed and ready to chew," it said . On the other hand, Daniel Azevedo advice to parents of children that they should begin to brush their teeth since very young, and to consult your dentist in order to familiarize them with doctors and with their own dentists. "By maintaining a daily dental hygiene from an early age can avoid more serious problems in the future."

The Clinic has established protocols with the Medis, with Caixa Geral de Depósitos, with the SAMS Quadros and with Visavital. The latter protocol was established about a year and, according to our interviewee, is having very positive results, "because it is an insurance policy that greatly reduces the cost of any dental treatment."

The cost of dental care continues to be one of the factors that most people away from doctors. "It's difficult for us to work around this problem, because the cost of the materials are very high due to its quality, as someone who values the quality has to use better materials and of course this increases the cost to the customer. So it is that we try to present several solutions, such as financing and insurance with which we work."

Daniel Azevedo admits he tried to establish protocols with other institutions, which was not possible because they have sufficient providers in the region. "We face an increasing demand for some health subsystems. I believe that the needs of these people are not being taken into account. On the other hand, is an injustice to the young professionals who come into the market with more timely and concepts which can not provide a response to being denied the convention, which ends up determining some treatments.

The investment in space, materials and equipment required a major financial undertaking. The Clinic has acquired all the equipment necessary to develop the best possible job. "Today, we are aiming primarily at the level of material we put into the mouth of users, because that is what gives us more immediate results. In terms of equipment, the differences are many brand to brand. I think that always accompany the technological developments and the moment there is nothing on the market to justify the purchase of new equipment. My dream, since I created the clinic, was to end with the drill, but it is not yet possible. There is a laser treatment that replaces the drill, but only in very specific and does not justify spending a copious enough money in equipment to treat an estimated one percent of situations."

The future should be always at the forefront in terms of technological developments. Daniel Azevedo also states that in the months of October or November, along with other professionals in the country, will steer a course in dentistry in the area of implant. This course will be held at the clinic and is intended for all practitioners who want to start in implantology.

Motor

266. Disclosure of other blogs and sites

The friend reader knows other blogs and sites relating to health and especially about oral health? National or foreign, in any language?

Use e-mail tempogero@gmail.com to make their suggestions.

265. Regional Study on oral health in school-age population shows improvement in health care

The regional secretary for Social Affairs chaired, in Angra do Heroísmo, the public presentation of the Regional Study of Prevalence of Oral Diseases in the Population Educated in the Azores, which started in 2006 by the Executive and which shows a reduction in the incidence of dental caries in Azorean youth. According to Domingos Cunha, the document that will be delivered to all schools and health units of the Azores, clearly demonstrates that the measures implemented by the Government of the Azores and supported by the Working Group on Oral Health, resulted in favor of oral health".

Integrated in the Regional Oral Health, the study, prepared by dentists Ricardo Cabral, Madalena Mont´Alverne and Artur Lima, covered 517 children from six, 12 and 15 years, examined in schools and health centers in all the islands, and been proven to reduce the rates of dental caries in young populations of the Azores. Praising the "judicious work, methodical, with scientific and clinical support" a team led by screening, the regional secretary highlighted the regional characteristics of the study: "first, was done by professionals who are active in the region, and second, is the first directed study in the area of oral diseases; third is a study that goes from Santa Maria and Corvo".

The minister also recalled the "pioneer" of the region in this sector, having created the Bulletin Single Oral Health for the users of the Regional Health Service, through Decree No. 93/2005 of 29 December.

In the presentation of research, Dr. Ricardo Cabral stressed that the Azores are the only regions of the country that holds 25 thousand visits per year, also having a "single policy for reimbursement." The investigator said that, under this project, is already prepared the Regional Study of the Determination of Fluoride in drinking water that is intended to cover the 154 municipalities existing in the Azores.

Currently, there are 108 dentists in the Region, 15 of which are integrated into regional health centers and 14 fellows, seven of them with degree completion.

Canal de Notícias do Acores.Net

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For when the placement of a multidisciplinary team of oral health professionals in each of the groups of health centers in Portugal? For when the creation of a hierarchy which will include the provision of oral health care in the country, finally established the link between family doctors, schools, homes and families and the structures of oral health state and private nurseries in the existing country? There will be technical enough to line ministries with the ability to establish these recommendations?

Just the policy loose and having no connection with reality on the ground that the governments have been toast for years, follow up, instead, a public policy toward people because they pay taxes and need to they are provided health care.

264. Minister available to discuss possible extension of the Oral Health Program

Health Minister, Ana Jorge, criticized the "pressure" of the Dental Association for the enlargement of the National Oral Health Promotion, but expressed willingness to discuss with partners the possibility. 'The dentist made a proposal, we can analyze, but the dentist can not, of course, do what I almost say it's a pressure on the Ministry of Health [to extend that program], "said Ana Jorge .

The president of the Dental Association, Orlando Monteiro da Silva, met with the President of Portugal, has addressed the issue of the National Oral Health Promotion, which entered into force on 1 March, which involved placing a dental checks to pregnant women and elderly beneficiaries of the solidarity supplement. The president welcomes the initiative, but defends its extension to children, people with diabetes to holders of special diseases.

In response, Health Minister said that the current program already has been "a big step" to help two groups most in need, and argued that it should now gain experience and see what happens this program, but expressed willingness to discuss the possible expansion. "We are ready, together with partners, discuss what you can do, 'he said, stressing, however, that it must set priorities.

"Let's see if this will be a priority or not," said Ana Jorge, in Viana do Castelo, the margins of the First Congress on Lifestyles of Health Promoters.

Destak

263. Dental Association is considering preventing access to the profession if they continue to miss career opportunities

The Dental Association is considering preventing access to the profession, they still do not exist solutions to employment for these professionals, told Lusa the president of the class. Orlando Monteiro da Silva spoke to the Lusa at the end of the hearing that he had with the President of the Republic, they discussed the issue of employment of dentists.

For Dental Association, the situation of these professionals is reaching a limit, since every year out 600 graduates who join the 6000 dentists that exist in Portugal. Without employment for the occupation, many have chosen to emigrate, which the Dental Association regrets. This situation are already 247 dentists in the profession in England.

Against this background, he considers "very serious", the Dental Association is considering preventing access to the profession, claiming that covered the health needs of the country in terms of dentistry.

Another issue that the Dental Association discussed with Aníbal Cavaco Silva was the National Program for Promotion of Oral Health, which entered into force on the 01 March and which involves the allocation of dental checks. According to the program, each pregnant then at the health center will have three dental checks, a maximum total of 120 euros. The program will cover 65 thousand pregnant. The elderly beneficiaries of the solidarity supplement can enjoy a maximum of two dental checks for a total of 80 euros.

Where appropriate, are essential requirements of a certificate of pregnancy or evidence of the situation as a beneficiary of Completion issued by the Institute of Social Security. Users can choose any doctor or dentist office, since that is part of the list of professionals who have joined the system in its health region.

The president of the Dental Association welcomed the initiative but maintains its extension to children, diabetics to holders of special diseases.

Sapo Notícias

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Comments taken from SAPO NOTÍCIAS:

- I did not realize. There are dentists out of work? So why is it that instead of the state spending millions of euros in dental checks in individual amounts not miserable places at the service of the general population in hospitals and health centers? Ah, because the lords of the order could not continue to ask for 100 per consultation, and no longer able to accumulate wealth. Health has to cease being a means of access to individual wealth. Health professionals have a right to a dignified life - as we all - but not at the expense of the disadvantaged. What is an elder who earn a minimum of survival will make 2 checks for 40 euros? What services will get access to this value? I hope they find a dentist who agreed to be sympathetic with the check and give them the value of money to buy food. But with the mentality of the class probably will only do so if only returning 70%, after all, have to pay the vacation home, luxury car and other essential expenses;

- Dental Association wants the same for the dental health of the Portuguese we have for the health of the body. Let the Portuguese choose, to inform young people of the courses where there is no way to employment, but does not prevent them from studying;

- My Portuguese friends. Now go to the dentist is necessary to obtain a bank loan! Yet with so many doctors, as the president of the Dental Association, the prices and the policy of treatment used by dentists are quite unrealistic for purchasing power, as the middle class disappeared. Only the rich, politicians, parliamentarians, judges, footballers, the ministers have a chance to consult a private doctor, with prices of consultations in force! Each physician that way, once the subconscious is the idea of getting rich in the following month;

- The question is simple: more than half of dentists preferred to have followed medicine ... but there are no vacancies! We got to the ridiculous oversubscribed dentists and lack of doctors in almost all specialties. It's a shame this country;

- Since when does the professional denying access to a profession duly recognized by the Republic? Here are ideas manifestly unconstitutional, such as in other areas, and no one protests;

- The president of the Dental Association, the fact that there is a Constitution and a right of access to the profession. The Dental Association, neither this nor the other, has the power to foreclose.

262. Region supports universal

Portugal advances with dental checks

but the autonomous region of Madeira think so not fair

* * *

The Government of the Republic, yesterday launch a new program that provides for the allocation of dental checks for pregnant and elderly. The program provides annual ceilings of 120 euros for pregnant women followed in the National Health Service and 80 euros for the elderly beneficiaries of the solidarity supplement.

The Region will not follow this policy and the regional secretary for Social Affairs explains why. "Our support is a universal form, are the people that group are. Need not be pregnant or elderly. Just having financial difficulties and that the evidence in the social security services," said Francisco Jardim Ramos, which exemplified by saying that 'there may be pregnant women whose family income does not need such support, as there are women that are pregnant, have more financial difficulties. " Moreover, the regional secretary for Social Affairs pointed out what has been done in Madeira, the level of the regional health plan, which bet on the preventive (with full coverage of all children in the region) and in the healing , which currently functions in health centers of Bom Jesus, Porto Santo and Porto Moniz.

With regard to oral health preventive Francisco Jardim Ramos stressed that in this last year, Funchal have come to be covered by this project, which already covers 16 thousand and 333 children. Only in this county, three thousand and 840 children, those who were covered by the initiative to visit schools and presenting an innovation: "The school equipment includes brush and toothpaste. Children are forced to take to school these two objects of hygiene".

With regard to the curative, Jardim Ramos has no specific dates but ensures that the purpose in the future, is to extend it to a larger number of health centers in the region. "The goal is to do with the users to go deal with their teeth in a larger number of health centers to cover the pass well to be full ', outlines the regional secretary for Social Affairs.

Jornal da Madeira

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How is it possible within the same country there are two separate guidelines on oral health policy? It is more that since the oral health of the Portuguese should be purely and simply for political choices, since there is no lack of resources.

While so, the children will be disinherited of fortune, the old, poor and disadvantaged luck executioners of health policies of the regime? There are billions of euros to invest (megalomaniac projects like transport of high-speed TGV - Trans Grand Vitesse, or a new airport in the region of Lisbon), the politicians continue to do the make-believe about the health of most Portuguese.

No longer sufficient unemployment, poverty and hunger that affects so many like to pretend that there are health problems in the country. Unfortunately, there is the powerful politicians benefited from the April 25, 1974 that has to confront this reality.

261. Oral health: dental checks only in public is 'expensive'

The health minister said today that an oral health program in the public sector would require an "investment too costly 'to be necessary to install equipment and put many professionals in the health centers. In the issue of symbolic first dentist to check a pregnant woman, the Health Center of Olivais (Lisbon), Ana Jorge assumed not to be made from savings accounts to the National Health Service (S.N.S. in Portuguese) with the use of contracted services in private area, where there are equipment and professionals in the field of oral health. This year, the extension of the oral health program will cost the state 21 million euros.

"[Download exclusively in the public oral health program] would require a huge effort for the program to be extended equally," stressed the Minister, ensuring that the initiative of dental checks allows the program to be extended in a 'faster and more equitable across the country. " So far 43 have been issued vouchers dentist, but the minister ensures that all health centers have already been offered.

For the president of Dental Association, Orlando Monteiro da Silva, although certainly continue to be much to do, a good start is always a good start. The program provides annual ceilings of 120 euros for pregnant women followed in the S.N.S. and 80 euros for the elderly beneficiaries of the solidarity supplement.

The order in February ruled that the extension of the National Program for Promotion of Oral Health include upgrading the health care coverage to 80,000 people per year, estimating that the program covers 65 thousand pregnant annually. The previous access to dentistry is done by a dentist custom-check issued to the user by the health center where it is followed, and necessary, as appropriate, a certificate of pregnancy or evidence of the situation as a beneficiary of Completion issued the Institute of Social Security.

In the initial check, pregnant women can receive two more checks for dental consultations and treatments, a total of 120 euros. The performance of treatments can be completed within 60 days after delivery.

The elderly can receive covered by two dental checks per year, a maximum of 80 euros. Users can choose from any doctor on the list of professional members of its health region. The list currently comprises 2,600 professionals, which is equivalent to 40 percent of doctors registered as a dentist (about six thousand), said the president of the Dental Association, stating that this is a process of continuous membership.

Maria de Fatima, pregnant over 35 weeks, was the face of the symbolic beginning of the issue of dental checks. The wearer's Health Center of Olivais received today from the hands of a Health Minister that will allow you to check "a check-up to the teeth and then we can see," but for not having dental problems, your plan calls for a cleaning procedure. "The teeth are weaker during pregnancy and it appeared not to [check this] is a help. Not all people have the means to go to a private doctor and so I agree with this measure, 'he said.

Diário Digital

260. Request for help (models of the mouth and brush)

Hello !

I've been watching your blog and thought maybe I could help with the question: will this summer as a volunteer missionary for a school in Mozambique, among other projects, I will make oral health promotion, teaching teachers and students how to perform their hegiene oral.

I thought it would be useful to have a model of a mouth in proportions increased and also more brush to easily explain the technique of brushing. I know there on sale, but I do not know whether it is someone other than me could provide a model, even if it was borrowed? I thank you for your attention.

Contact Address: tempogero@gmail.com

259. Violence against the elderly in hospitals and care PGR

The Attorney General's Office showed today concerned about the violence against the elderly and in hospitals, crimes still go unreported. Pinto Monteiro, who was speaking at the Parliamentary Commission for Education and Science, said there is fear of making investments.

I already have data on school violence, domestic violence - and then much larger - of violence on children, but about violence in hospitals so far has not managed elements, ie, there are still more afraid to report violence in hospitals than others type of violence, "he said.

The Attorney General's Office reveals that his priority is the investigation of various crimes of violence and, now, what worries him most is the violence against the elderly. "I have little evidence of violence on the elderly and I am extremely worried, is what worries me most, perhaps because the elderly have no voice," said Pinto Monteiro.

Renascença

258. Surveillance actions in child and youth have "undoubted impact"

The Regional Director of Health assured the Azores in Horta, the monitoring activities in child and adolescent health, relevant and quality, have an "undoubted impact in the lives of children. Teresa Brito spoke at the Fifth Seminar of Child Health, held in Faial, an initiative of the Center for Health Horta, whose opening and chaired on behalf of the regional Social Affairs.

As underlined at the time, health does not depend, however, only the provision of care, since the "influence of social environment, biophysical and ecological is also crucial." For Teresa Brito, support for children with special needs, at risk or particularly vulnerable, reducing inequalities in access to health services and recognition of parents as primary care providers "are key priorities."

He remembered also that the increased level of knowledge and motivation of families, including improving the living conditions, "favor the development of the parental role and make it possible for parents and families to assume, as a right and duty, competing professionals to facilitate and promote it." He also said that feeding and infant health are important and current issues, to the extent that the "acquisition of eating habits result of obtaining knowledge and skills in childhood, reflected in improved quality of life throughout the life cycle."

"Children do not have innate abilities that enable them to choose one food discerned," the regional director noted, adding that this option results in "simple apprehension from the experience, observation and education." In this context, "the paper we as managers, professionals, parents and educators, takes a leading role in production practices conducive to proper nutrition, balanced and comprehensive," said Teresa Brito.

For physicians, nurses, teachers, kindergarten teachers, social workers and psychologists, this seminar discussed issues such as adolescence, school health, pediatric diseases, immunization and emotional attachment.

Canal de Notícias

257. Azores: Number of children without tooth decay increases

The number of children Azores with six years free of tooth decay increased from 30 to 38 percent, according to regional prevalence study on oral educated population, today announced the Government.

The regional secretary for Social Affairs, Domingos Cunha, said that the significant increase of dentists and access of citizens to obtain "very positive results, according to the recommendations of the World Health Organization. "With the hiring of 15 dentists in the health units of all the islands of the archipelago and the work of over 108 dentists from the private sector, there is a greater supply which has been tapped by the people," he said.

According to Domingos Cunha, the health centers in the region are making every year, 25 thousand queries oral health policy and reimbursement for those using private services makes a decisive contribution.

The "Regional Study of Prevalence of Oral Diseases in the Population Educated in the Azores in 2005" was conducted by dentists Ricardo Cabral, Magdalena Mont'Alverne and Artur Lima. The study examined 517 children of nine islands, of which 250 were male (48 percent) and 267 females (52 percent) at six years (165), twelve years (179) and fifteen (153). The results showed that the average rate of dental fluorosis in the Azores is 0.7, with the islands of São Miguel and Pico those with the highest rate (0.9) and Flores and Corvo those with the lowest index (0.1).

The dental caries, is 0.2 in children aged six years, 2.1 to twelve years and from 3.6 to fifteen years. In children or young age of six, twelve and fifteen years, the highest rate of tooth decay occurs on the island of Corvo, while the lowest is in Santa Maria (six and fifteen years) and Pico (12 years). According to the study, the prevalence of children free of dental caries in permanent teeth in the Azores is 44.9 percent.

The conclusions of the study recommended the creation of a regional study of the determination of fluoride in drinking water, covering 154 towns in the Azores. The document, according to Domingos Cunha, will be delivered to all schools and health units Azores.

Açoriano Oriental

256. Dental checks are available for pregnant women and elderly

The first dentist to check pregnant was issued on 2 June. The oral health program will have 21 million euros for the first year, and also pregnant women will also cover elderly people in need.

The users will be able to choose any doctor on the list of professional members of its health region. So far 43 have been issued checks dentist.

"It will be prescribed by the family doctor. In the elderly it is necessary that they are entitled to the supplement supportive, "said Ana Jorge, Minister of Health, the issue of symbolic first dentist to check a pregnant woman, the Health Center of Olivais (Lisbon). On occasion, the Minister of Health will take that are not made from savings accounts to the National Health Service (SNS).

According to Ana Jorge, a program of oral health in the public sector would require "a very expensive investment, because it is necessary to install equipment and put many professionals in the health centers. "Putting exclusively in the public oral health program would require a huge effort for the program be extended equally," he added.

The Ministry of Health ensures that all health centers in the country may provide the dentist checks. The program provides for ceilings of 120 euros for pregnant women, divided into three checks and the completion of treatments can be completed within 60 days after delivery. For the elderly the maximum value is 80 euros and an estimated more than 250 euros for the placement of dental prostheses.

Cristina Sambado
RTP

255. Dentists complain oral health program in schools

The program of oral health promotion in schools, the Directorate General of Health want to evaluate before proceeding with dental checks for children, invites criticism of dentists who advocate a reorganization of the project.

Reviews were forwarded to the bank of the Congress of Dentists Association, held in November, one of the representatives of the Dental Association in the group of analysis of the oral health, Paulo Rompante. The basic and essential step of this program is to promote the daily brushing at school, which is not being done in most institutions.

"As the program is designed only entitled to access to the other stages of the program, schools that promoted daily brushing, no program works is that brushing is not promoted," commented the expert. The argument advanced by some schools that are unable to promote oral health can not be accepted among dentists. "If a school is unable to do this, then almost better to close the school ', it Frias Bulhosa, another element of the Order who participated in the analysis group has made proposals to the Minister of Health.

Especially because, says the expert, to brush your teeth is not sufficient that students have a toothbrush and toothpaste, and the use of water to be dispensed with. Along with brushing, the schools included in the program of oral health promoting fluoride administration every two weeks between their students.

After this, should be selected children who must put sealant on the teeth - a plastic material that is used to prevent cavities. But again there are flaws in the program conducted in schools, dentists say. This is because, before the sealant, it is necessary to detect whether the child is already developing tooth decay, which should be done by a dentist, which is not present at school.

"The selection of children is not always done by qualified professionals. Currently it is most often done by school health teams, which often do not even have a dental hygienist, "argued Paulo Rompante. The doctor stressed that caries is a disease "infectious and contagious', the diagnosis should be made by the dentist.

For the doctor Frias Bulhosa, one of the shortcomings of oral health has to do with the lack of follow-up. "A child of four, five or six years you can get in a given year in the program, but then again not being monitored. The child is not followed in subsequent years, "he lamented.

Diário Digital

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Anyway, if that is how the state treats children in the country ...

254. The oral health status of children is not what it should be

Pindamonhangaba, São Paulo (BRAZIL) - "The oral health status of children is not what it should be." This is the opinion of the dentist Janaina Costa Tavares de Castro, who holds a social work orientation to children in a private school in the district of Cesar Moreira in Pindamonhangaba. Graduated in the Faculty of Dentistry Pindamonhangaba, Susan has improved in the field of dentistry. She believes that often the poor oral oral health of many children is due to lack of time and information of many parents.

"Today, many mothers work outside and have this difficulty to supervise. The child ends up with the maid or even in kindergarten. And is not the same thing. It is difficult to perceive the existence of cavities, "says the dentist. For this reason, she says that the performance of dentists in schools would be of fundamental importance to improving the oral health of children. In the city of Guaratinguetá, for example, she said that many public schools already have dental.

In the opinion of Janaina, it is important for parents to do the monitoring of brushing and flossing. She said this work should take place through interaction between parents, teachers and professionals in dentistry. The specific work done in school Moreira César, Susan is doing a survey of oral health status of children. But, she said, the first screening, in which 70 children were, the number of cavities was found than expected.

"Let's do this survey, the school meet, interact with parents and, through reports and seminars, show cases and be giving a warning," he said. The professional warning that the appearance of white spots on the teeth of children is not always perceived. "These spots are already the first manifestation of decay and sometimes goes unnoticed," justified.

Janaina believes that a joint effort between dentists, schools and parents is of paramount importance for the prevention, helping to reduce the oral problems.

Saúde Vale

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Attention is also drawn to the need to conduct surveys of the student population in Portugal. Detecting problems early can prevent these tragedies in the future of many children and young people. When is screening at national level?

253. Bad breath? See causes and how to

What is halitosis?

Halitosis means bad breath, a problem that many people face eventually. It is estimated that approximately 40% of the population suffers or will suffer from chronic halitosis at some time in your life. There are many causes of this evil, including inadequate oral hygiene (lack of proper brushing and lack of flossing), gingivitis, to certain foods such as garlic or onion, tobacco and alcohol products, dry mouth (caused by certain drugs for disorders and lower production of saliva during sleep), systemic diseases such as cancer, diabetes, problems with the liver and kidneys.

How do I know if I have halitosis?

One way to know if you have bad breath is to cover your mouth and nose with your hand, exhale and feel the breath. Another way is to ask someone you trust as is your breath. But do not forget that many people have this problem when they wake up in the morning, as a result of lower production of saliva during the night, allowing acid and other substances to deteriorate inside the mouth. Measures such as brushing teeth, and tongue, and floss before bed and get up often help eliminate morning breath.

How to prevent bad breath?

Avoid foods that cause bad breath and note the following: brush thoroughly twice daily and floss daily to remove plaque and food particles that accumulate every day (brushing your tongue also helps reduce bad breath) remove the denture before bed, and clean it well before putting it in the morning and visit your dentist regularly to make a review and cleaning of your teeth.

If your bad breath persists even after a good brushing and flossing, see your dentist, as this may be an indication of the existence of a more serious problem. Only the dentist can tell if you have gingivitis, dry mouth or excess plaque, which are the probable causes of bad breath.

Copyright 2007 Colgate-Palmolive

O Nortão Jornal

252. Oral health more intensified

Pedro Avelino (Rio Grande do Norte), BRAZIL - The Department of Health Pedro Avelino intensified investment in promoting oral health among children and adolescents. The project seeks to create a generation healthier than before, to grow free from the need to make dental care more serious or even extract teeth for lack of care.

The council, which is administered by Mayor Sergio Cadó, is promoting an overhaul in the health sector. Investments also include improvements to the municipal hospital, in care of the program strategy of Family Health. The city maintains a service consultation and dental procedures varied across sues clinics and offices distributed at headquarters and in other communities.

But the project geared towards the public school proposes to establish a more direct relationship between dentist and patient, through a range of visits to public schools. The initiative is made possible through a partnership between the municipal education and health. According to the municipal court of public health, all the teaching units administered by the city are included in the project, which has a lineup consisting of lectures on oral hygiene and actions such as applying fluoride and toothbrushing.

The main goal is to secure the education of students need to brush your teeth always after each meal and before bed, as well as flossing and visiting your dentist regularly. The project seeks to attack, locally, a culture of neglect of oral health, traditionally dominant on the inside. According to the Municipal Health Department, investment in oral health in schools comes at a time when the city directs resources to other projects in the area of dental care.

One goal this year is to buy a mobile dental office to serve mainly the rural population. The equipment will be used for dentists to serve residents in communities farther from the center without the need to move residents, a factor that discourages people time to seek treatment.

Diário de Natal

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And for us here in Portugal, who takes the responsibility to reach those who can not go to a consultation? How's Oral Health Program School for these schools across the country?

251. Taking care of your child smile

Brushing (1) - You should always brush your teeth after eating - a ritual that must be repeated at least three to four times per day, from the birth of the first tooth. Supervise brushing the child - and even the teenager - until she has control of the procedure and know how to use dental floss.

At about six years, on average, can be introduced using mouthrinse. Then you can start making a lifestyle complete with brush, floss and rinse with a brush-to finish. The wire should be used at least twice a day. And remember: the largest and most effective example is the parents. Therefore, not enough to have them, you need to do well.

Brushing (2) - also need to brush their teeth after snacks out of hours. This guidance applies to all sweet and savory. It is very important to maintain the habit and the frequency of brushing.

It is easier when the child has a routine to eat: come at the right time and right away, do the cleaning. In the morning, on waking, the ideal is to brush your teeth, take breakfast and go back to brush.

Injuries - If your child has suffered a fall and lose a tooth, attention, just join the tooth by holding the crown (the part that is apparent in the mouth, not the root) and dip it, preferably in a glass of milk. If you can not milk at the time, so please use the order, saline, saliva (put the tooth that fell under his tongue) or water. Make a compress with gauze in place and look for the dentist immediately, so try a reimplantation.

Never wrap the tooth in a cloth or napkin, which would make him lose the fibers. Even if it is dirty, leave it as is. If the strike did not make the tooth fall, but only the left half loose in the mouth, do not try to pull it out. Plug it back in place and go to the office. Keep calm, in both situations is essential.

Vida Feminina

250. Autonomous Region of Madeira: Twelve complaints against dentists

The regional delegation of the Dental Association sent recently a complaint from one user to the Council of Ethics that Order. This was the only case recorded this year so far, according to Gil Alves, chairman of Madeira.

This year, Gil Alves has received 12 complaints, a result that keeps the meetings, all on Thursdays, at the head of regional delegation, with users who will complain of any act of a dentist. That charge states that most people just want to be clarified and cases are easily resolved between the parties in conflict. "This year, only one case became more serious, which meant that it may guide to the Council of Ethics of OM, in Oporto.

Last year, throughout the year, there were 16 requests for reunion, by users. Of those cases resulted in two cases sent to the Council of Ethics. Moreover, Gil Alves announced that the card is going to identify dentists Portuguese is held by professionals Madeira, no later than the end of June. The first copies will be sent along this month.

The representative of dentists Madeira explains that the purpose of the Order was to identify, to the user, the professionals who can carry and use the title of doctor-dentist. This is because, as noted, there are "some curious" that do not have any certifications and, especially on the mainland, are engaged in the profession illegally. To these we must add the orthodontist, persons certified, but can not provide medical interventions. There are still considering, the dentists, licensed physicians, registered as doctors.

It was to "separate the waters" that the OM has chosen a card, to be placed on clothing care, which enables users to more easily identify physicians and protect them from people with no qualifications to do so.

Gil Alves, questioned by JM stressed that the last two years there have been cases of persons found to exercise the profession illegally. It recalls that, in Madeira and the Azores, any doctor of medical dentistry is at the beginning, the Board inspected the area where it is located and also by the delegate, within the same county.

Jornal da Madeira

249. In the Azores, about 18 thousand children with oral health newsletter

The regional coordinator of the Program for Promotion of Oral Health, Ricardo Cabral, said the agency Lusa that the project, which started in 2006, proceeded in a "positive" and that includes the nine islands of the archipelago. He explained the dentist, the newsletter is intended for children and young people up to 18 years and can be requested free of charge in 16 health centers in the region.

"The aim in future is that the entire population may have an individual medical oral health," said the expert, who represents the Azores in the National Oral Health. With the creation of this document, the Azorean executive intended to provide the Regional Health Service (SRS) of an instrument 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 the Azores, which together with other awareness-raising and information already held, has allowed the public awareness. The dentist assured that, although slow, the results of this study have emerged, pointing to the example of the decay rates of children in the Azores, which in 2000 were 4.5 percent and in 2005 moved to 2,1 per cent.

Citing the findings of the latest study of oral health carried out in the archipelago, Ricardo Cabral said that between 2000 and 2005, there was a "health gain" at the level of real rates of tooth decay of children of 2.4 percent. The percentage of children caries-free six years of age, the region has fallen from 30.8 percent in 2000 to 37.3 percent in 2005, and the World Health Organization recommends that, in 2020, to be achieved 80 percent, he said.

For the chairman of the Azorean the Dental Association, Artur Lima, the Bulletin Single Oral Health is an "important contribution" to the promotion of health are alert to difficulties in implementing the project on the island of Faial. Artur Lima said to the Lusa that, in Faial, no dentists in the public sector, and the distribution of newsletters has been done by teams of nursing. "The six dentists who work in Faial exercise all private practice, because the Government never opened positions to the public," said Artur Lima.

In the Azores carrying 74 dental professionals, covering all the islands of the archipelago. Contacted by Lusa, the regional director of Health, Teresa Brito, assured that the situation of Faial is to be resolved not by the unwillingness of guardianship, but due to legal issues. "The hiring of employees first requires the unfreezing of vacancies and the holding of a tender," said Teresa Brito, for whom "the solution to this gap is expected to reach the short term." He added that legal procedures are not consistent "with the urgency of the situation, but noted that the Azorean government has done" work out "for providing all health centers with new equipment and materials essential to the practice of dentistry.

A União

* * *

A direct question to the Minister of Health: For when the Bulletin Individual Health for all children and adolescents in Portugal?

248. 10 tips to keep your smile forever young

1. Brush your teeth at least twice / three times a day, preferably after meals and before bedtime;

2. Use a brush of appropriate size, soft and with a small head to prevent injuries to the teeth and gums;

3. Look always use a toothpaste with 1,000 to 1,500 ppm of fluoride;

4. Avoid brushing your teeth horizontally. Place the toothbrush slightly tilted in the passage by the teeth, so they do not wear down over time;

5. Use dental floss daily before brushing to remove food debris and bacteria are the spaces between teeth and between them and the gums;

6. Follow the recommendations of your healthcare professional the use of oral elixir to rinse;

7. Try to keep your teeth and clean, especially at the gum line, preventing plaque and tartar;

8. Make a regular dental review, preferably of 6 in 6 months, and an oral check-up at least once during the year;

9. Maintain a balanced diet and try to replace the sweets with more nutritious foods such as cheese, fruit or vegetables;

10. If you have sensitive teeth visit a dentist because it may be an indicator of decay, a fractured tooth.

Médicos de Portugal

247. Support for young

Dental checks in the amount of 80 euros per year to distribute the children from three to 16 years. This is the proposal of the Medical Association (OMD) to extend the program of oral health to young people in 2009.

The idea will be today (May 5) discussed with the Health Minister, Ana Jorge, a meeting to evaluate the start of the initiative that provides for the first time, oral health care for users of the National Health Service (SNS in portuguese) - the Portuguese are treated by private physicians, but the State ensures the payment. This year limit will be for pregnant women and the elderly. But the idea is to extend it gradually to other segments of the population.

There are now a program of oral health for children. Encompasses 65 thousand between six and seven years and ten and 12. But the president of the OMD, Orlando Monteiro da Silva considers that the 'ideal' is to use the change in the model and move towards a wider track, 'continuing care and counseling that will be provided to pregnant women'. If the authority agrees with the age range will be 1.3 million users per year. The value of checks advocated by dentists would be equal to that which is given to older people - 80 million, five million more than the current value.

It is not enough to handle everything - is out, for example, the placement of braces - but would be an important step, explains the President of the OMD. The question is whether there will be availability of funds from the Ministry of Health for an extension that could cost 104 million euros.

In the case of pregnant women and elderly people, everything is ready for the first dental checks are distributed later this month. All that is needed to complete the testing computer program to record the treatments and direct users of health centers to clinics that have joined the program.

Already signed up 2300 dentists and dentists from all over the country (the Alentejo is the area under accession). Today is an information session for professionals interested in the School of Dental Medicine of Lisbon.

The order gave rise to the oral health program also provides that local authorities can play a role in care. How? Funding to extend the consultation to other groups that are not covered, or increasing the value of dental checks. Orlando Monteiro da Silva says that dozens of municipalities have contacted the OMD, showing interest in joining. But the lack of available funds has acted as a barrier to the completion of negotiations.

In addition to the treatments, the program will allow you to take a radiograph of the oral health status of the Portuguese, as are appraisals of the result.

Comments:

-Some kind soul can tell me where to go get the vouchers? Is that my daughter is about to do 17 years and seen the case from there now can walk with the rotten teeth;

-Another inequality of this government ... the other between 16 and 65 are not Portuguese or need to go to the dentist;

-Oral health in Venezuela is free and very good. Every time I'm more ashamed of my country, where is that Portugal will arrive?;

-This is just another maneuver 'cosmetic' of this government. Like previous governments, we are contributing to a third world country. It's a shame the state of oral health of elderly people and children in this country. 80 per year! Only by this government people on the street, and also repeated until we installed the chaos and they rethink the welfare of the people is that it followed. Shame on you;

-This is just another patch and a sweet for a toothless people.

Correio da Manhã

246. Education: Student Dental Medicine of Lisbon require extraordinary funding to restore "decent"

Students of the Faculty of Dental Medicine of Lisbon called the Minister of Higher Education to transfer the outstanding amount promised in 2007 to "restore the proper conditions for teaching and provision of health care."

In an open letter addressed to the Minister for Science, Technology and Higher Education Mariano Gago, students ask to be transferred "with the utmost urgency" the extraordinary sum they had been promised in November 2007, to that "can take immediate necessary improvements to the replacement for decent education and the provision of health care."

In the document, the students of the Faculty of Dentistry, University of Lisbon (FMDUL) emphasized the continuing "deep dissatisfaction with the poor conditions of education and the provision of health care and the lack of funds forced" closure of the clinic and the operating conditions due to infrastructure below the minimum acceptable parameters ".

According to students, also "the physiological clinics, pre-clinical and laboratory are working with serious limitations and the facilities are in a state of degradation rampant.

The same situation had led the students to do FMDUL a period of strike in December 2007, which reiterated the need to implement appropriate measures.

Following this protest, the students were received by the Secretary of State for Higher Education, Manuel Heitor, and then the Ministry of Science, Technology and Higher Education ordered an "inspection as a matter of urgency at the premises of FMDUL.

During the inspection, says the letter, were confirmed "shortcomings 'Third World' premises and equipment reported by the students during the protest and that can only embarrass the supervision of a school that is either level.

Students have reported that, after this inspection, the ministry is committed to providing the University of Lisbon "by a special grant to meet the need of this financial institution" to that in January 2008 sent a plane detailed budgeting for the improvements to be made in a joint paper by the FMDUL and the rector of the UL, and so far got no response.

"The situation with regard to the promised funding has not changed, bringing very grievous consequences for the functioning of FMDUL" and "show operating conditions incompatible with maintaining the image of a modern university," regrets the students.

In the letter, students report that lack of funds, beyond the closure of the clinic and operating room and the limitations on the operation of other facilities, has also forced "to relocate students to already crowded areas functionally, which has created serious problems scientific and educational nature.

"How do you expect your letter that the College can maintain its status as a great school of practice and education in oral health in the country?", Question students in a letter to the Minister Mariano Gago.

The Lusa contacted a source of office of the Minister of Science, Technology and Higher Education, who later referred to a possible comment on this subject.

Sapo Notícias

* * *

I show here my full solidarity with the students of FMDUL; Portugal is part of the European Union and not of any Third World country. Politicians can not do just mere promises.

245. Oral Health: Children are entitled to dental checks next year

The Portuguese children will be covered next year for dental checks, which give the users of the National Health Service the right to consultation or treatment in clinics or private clinics, Lusa said the president of the Dental Association.

There is still no decision on what age you are entitled to such dental checks, but children from six to 12 years should be covered. According to the president of the Medical Association (OMD), Orlando Monteiro da Silva, is also unclear what the value of these checks.

The Dental Association is still negotiating with the Ministry of Health to involve other groups of people such as diabetics, this program that gives users access to the National Health Service (SNS) to oral health care in private.

Next month will begin to be used dental checks for pregnant women and elderly. According to Orlando Monteiro da Silva, have joined so far this program more than two thousand dentists and dentists all over the country. A list of all offices and clinics can be found on the website of the Directorate General of Health (www.dgs.pt) and the choice lies with the user.

Each pregnant then at the health center will have three dental checks, a maximum total of 120 euros. The program will cover 65 thousand pregnant. The elderly beneficiaries of the solidarity supplement can enjoy a maximum of two dental checks for a total of 80 euros.

Where appropriate, are essential requirements of a certificate of pregnancy or evidence of the situation as a beneficiary of Solidarity Supplement issued by the Institute of Social Security. Data from the Dental Association estimates that there will be 195 thousand consultations for pregnant women (a total of 7.8 million euros) and 190 thousand appointments for the elderly (for a total of 7.6 million euros). If there were a fair distribution of checks by dentists members, each clinician had revenues of more than 6800 per year.

RTP

244. Patients with bulimia and anorexia nervosa suffer from tooth wear

Bulimia and anorexia nervosa are psychiatric disorders related to food that cause several health problems to their patients. But beyond the well-known nutritional impairment, patients who vomit frequently cause your teeth exposed to stomach acid, suffering dental erosion, as shown by a study at the Faculty of Dentistry of Bauru (FOB) at USP.

The surgeon dentist Juliana Julianelli evaluated 30 patients of Group Relief and Eating Disorders (grate) Hospital of the Medical School of Ribeirão Preto (HC / FMRP), USP and reached an alarming result: they all showed some degree of wear , a problem at higher levels can lead to loss of teeth affected. Within the index used, ranging from 0 to 4, almost 70% of patients had level 2, which corresponds to a moderate wear, when erosion affects the enamel and dentin.

And 13% were in even more serious erosion of level 4, with severe dentin and also pulp (inner tooth). "There are cases where the person had to do root canal treatment in almost all teeth, because the nerves were already exposed," says Juliana.

There was statistically compared the prevalence of tooth wear in patients with eating disorders and in the general population, but the experience of the researcher, it became clear that the first group suffer much with the problem.

Misinformation - The new findings may contribute to a better preparation of oral health professionals to deal with these patients. "Some dentists also offer guidance wrong, saying, for example, for the patient to brush teeth after vomiting. The toothpastes contain abrasives that can enhance the wear and would be better to wait a while before use, "explains the researcher.

Are ongoing in FOB own research in search of a therapeutic agent to minimize the problem to be applied in the teeth of these patients. "Once the results are complete, we intend to take this treatment for patients GRATA we evaluated," says the dentist.

Eating disorders - Anorexia nervosa is characterized by an insatiable desire for thinness, leading the patient to a severe self-induced weight loss, using resources such extreme long periods of fasting, excessive exercise, voluntary vomiting, laxatives, diuretics or appetite suppressants. There is distortion of body image and menstrual cycles are interrupted by at least three months.

Since bulimia nervosa is presented as a feeling of complete loss of control of food the patient eats compulsively and indiscriminately large amounts of food in a very short period of time. This intake is followed by a feeling of guilt, shame and fear of weight, causing him to induce vomiting, usually several times a day, and the use of laxatives, diuretics or appetite suppressants and the practice of physical exercises too much.

Portal UAI

243. Periodontitis can lead to loss of teeth

All people recognize that the smile serves as a real card. However, poor grooming, hereditary hormonal problems and can cause an inflammation of the oral tissues, known as periodontitis, which if not treated early on can lead to tooth decay.

"The biggest problem of periodontitis, because it is a disease with no pain symptoms, the patient feels no pain, thinking that all is well and do not seek treatment in the early stages," explains the dentist sydney Goldmann.

According to experts, periodontitis is the result of accumulation of bacteria on the gums that destroys the fibers of the teeth, cause bleeding, tooth mobility, rather than bone, and in some cases, tooth loss. Thus, poor brushing causes the food to remain in the mouth and increase plaque.

Among women, at the time of menopause, of course, increases the number of germs that can make oral periodontitis. Should also be warned that pregnant women should be on guard to pass on to children in harmful bacteria. Studies have proven clinically that babies can inherit microorganisms mother and be favorable to an inflammation of the mouth.

The basic treatment against inflammation of the oral tissues is the removal of bacterial plaque (tartar) by scraping the gum and the tooth root. Early tooth loss is severe. The guidance is not leaving the table to get serious, then, seek the assistance of a specialist. In accordance with Goldman, the concept that everything is treated before is more likely to cure also serves to oral health.

Paraná-Online

242. Health Zone: What is the correct way to floss?

When used properly, dental floss removes plaque and food particles from areas where the toothbrush can not easily accessible, for example, the gum line and the areas between the teeth. Daily use of dental floss is highly recommended because the plaque can lead to tooth decay and gum disease.

To floss correctly do the following: Wind about 40 inches of floss around each middle finger, leaving about four inches between the fingers. Holding the floss between the thumb and forefinger of both hands, slide it gently up and down between the teeth. Carefully guide the wire around the base of each tooth, beyond the line of the tooth to the gum. Never force the floss against the gum, it can cut or bruise delicate gum tissue.

Use a new piece of the piece of floss for each tooth to be cleaned. To remove the wire, use moves backwards, removing it from the teeth.

What kind of floss should I use? There are marketing dental nylon yarn, waxed or not, with a wide variety of flavors. Because this type of wire is composed of many strands of nylon, it may sometimes tear or shred, especially if the teeth are close together. Although more expensive, single filament yarn (PTFE) slides easily between teeth, even with little space, and no breaks. Used properly the two types of wire to remove plaque and food particles.

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

1) Use about 40 inches of wire, leaving

a free section between the fingers.

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

2) Follow carefully the curves of the teeth.

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

3) Be sure to clean beneath the gumline,

but do not push too wire against the gums.

Jornal NORTÃO

241. In Praia da Vitoria (Azores) - dental screening for children

The Integrated Primary School Francisco Ornelas, in Praia da Vitoria, is the stage of an initiative to raise awareness of oral health carried out by the dentist Carla Vilas Boas and her collaborators Clinic MedicAngra. The aim is to screen and prepare a report to deliver to parents about the state of the mouths of children, since they are at a critical stage of transition from teeth.

This assessment will cover 300 children in primary education. The medical team works every Thursday morning and serves between 25 to 30 children per day until the month of May.

"Happy Tooth" - This trace left of a private initiative, in the case of clinical MedicAngra in the city of Angra do, where its head, Carla Vilas Boas, saw interest in understanding the local situation on the health and oral hygiene. 'Happy Tooth' was the name given to the project whose main aim "to realize the state of dental health of children, instilling important concept of oral hygiene, to demystify the figure of the dentist in the minds of children."

The ages involved in this study, between 6 and 12 years, are still unclear to dentists in the region, since "most had never been to a dentist, and not the class knows very well as are the mouths these children. " Actually that brings us to a problem worse, "the children's parents are unaware of how 'oral health of their children", because there is the idea that while the surfaces of lens available, it is not necessary to have consultations and monitoring professionals.

According to Carla Vilas Boas this idea is completely wrong because "the transition from teeth to another is gradual and take place in this process problems that worsen with growth, and malformation of teeth, cavities that are milk teeth to the final among other even more serious." The children are excited and being in an environment they know, the school, feel safe, with no fear of the problems that happen in offices.

After a diagnosis, identify existing problems and cataloging of the permanent teeth, are transmitted and advice to young people especially are "encouraged to see a dentist regularly." As a reward for participation and how to encourage children is provided with a textbook, a toothbrush, toothpaste and a balloon. The results have been encouraging, many problems and many children who should have an effective monitoring and improved by professionals, or even by the parents in instilling the best oral hygiene habits.

In the diploma to be distributed to children to deliver to parents and guardians will mention the problems that have been detected so they can still be solved in time. "There are free consultations at health centers and should be used by parents to prevent such problems in children with this initiative we want to make parents feel the need to consult a dentist," says the charge.

Cavities, tartar and bad formation or growth of permanent teeth are the most recurring problems. "In the vast majority are due to bad habits and oral hygiene practices, others are involuntary and need professional help to avoid future complications and longer and more expensive. Schools must also take a role in the education of best practices in oral hygiene, not only an informative but more active. The vast majority of children have a meal in school and have no way of cleaning the teeth, especially the children.

"This initiative was made possible with support from some private companies, with the participation and commitment of the Integrated Primary School and Praia da Vitoria, in collaboration with the Medical Clinic of the beach and with the participation of my collaborators in MedicAngra" concludes Carla Vilas Boas.

Fernando Pereira (fernandopereira@auniao.com)
A União - Jornal on line

* * *

Here is the proper recognition for the initiative. What other entities know the same example to the rest of the country.

240. There are cases of death caused by piercing

The president of the Dental Association, Orlando Monteiro, told Lusa that "the tongue piercing does not have a direct bearing on cancer in the language but there are cases of death caused by these piercings, although not many."

"This (bill) is a very sensible proposal, because these piercings have increased risks to health, including bleeding, infections and fractures in the teeth, as well as being difficult to sanitize. To be made, should be for doctors, said the president of the Dental Association, referring to are the only ones who recognize the knowledge to do so.

Portugal Diário

239. Wisdom tooth, synonym problems

Wisdom teeth, as they are known, are the last molars on each side of the jaws, appearing around 18 years ago, when it is assumed that the individual acquires the majority and the court. But mostly, the teeth of the court are a number of problems to be born.

The most common problems occur when the tooth is totally or partially surrounded by bone and gum and can not be born normally. Tooth completely retained can cause root resorption of neighboring teeth, the appearance of odontogenic cysts and even tumors. When partially erupted may cause infection of the mucous membrane on the tooth where there was infiltration of bacteria. In these cases there is the possibility of removal of teeth or dental follow. "In cases where the patient shows no symptoms, the removal is not necessary, it just made a clinical and radiographic follow-up," said Prisco Bortholi professor of dentistry Umesp (Methodist University of São Paulo).

The regular visits to the dentist is the best way to avoid complications of poor positioning of wisdom teeth, since there is no possibility of prevention. Currently, the removal of impacted teeth has become a routine surgical procedure. In most cases removal is a fast and comfortable for patients. Generally, younger patients tolerate the procedure better.

Many of the cases of impacted teeth are due to the fact slow to rise and when the normal period to come not find enough space. This lack of space can be for a hereditary factor or because the evolution of species. It is common for members of one family presented impacted teeth in a similar fashion and the evolution of man, the jaw bones and jaw dropped, because the modern diet consisting of bland foods and cooked, it requires larger structures.

Repórter Diário

238. Researchers detect signs of osteoporosis from single panoramic radiograph of the mouth

From the panoramic radiograph of the mouth of patients, researchers at the Faculty of Dentistry, University of São Paulo (USP), Ribeirão they are finding signs of osteoporosis, a disease caused by loss of bone mass, as a worldwide epidemic by the World Health Organization (WHO).

The loss of bone mass affects the world one in three women and one in five men, according to the International Osteoporosis Foundation. The dentists will not treat the disease, but knowing recognize, can guide the patients, as has happened with diabetes, hypertension and a host of other problems that are caught in dental examinations.

Animal testing done by researchers at forp so far have shown that coffee in excessive doses (more than six cups a day) can increase the chances of osteoporosis in young women and overweight (groups that would be less vulnerable to the problem). According to the researchers, the first two stages of the research laboratory, the animals who took the drink had an increase of up to 20% in the elimination of calcium daily.

To find out if caffeine is the substance responsible for the loss - which would put other foods such as soft drinks in the list of danger - the researchers are now in guinea pigs by injecting the pure substance, in doses proportionate to those found in coffee.

Gazeta de Ribeirão

237. France, so close to us!

The device for preventing oral M'T Dents allows all children ages 6, 9, 12, 15 and 18 years receive a free review of prevention and a 100% reimbursement for care resulting from this review.

Health insurance and dental surgeons have set up these appointments in order to promote early and regular contact with the dentist. Indeed, regular monitoring began in childhood prevents care more painful and more costly in the future.

During these appointments, the dentist examines your teeth, gums and, if necessary, makes radios. It establishes an appropriate plan of care. It also gives advice and teaches good habits of oral health (brushing, food hygiene, awareness about the harms of smoking for adolescents, ...). In Practice: A month before her birthday, you receive a letter from the Health Insurance inviting your child to conduct a review of preventive dentistry at the contracted dentist of your choice. It's free for you, health insurance rule the dentist directly (third payer).

After the examination, whether treatment is necessary (caries, scaling, sealing grooves ...), you need to advance fees but will be refunded 100% if they are started within 9 months after the first examination. In contrast, other treatments (orthodontic appliances, dentures) are not supported under this scheme, they are reimbursed at the usual rate.

The dental oral exam is free and painless, it would be a shame not to enjoy. For more information:

http://www.mtdents.info/
ameli.fr

236. A look at the reality

Years ago, as a parliamentary aide, when the Left Bloc had only three members, spent some time around a law that dentistry be integrated into the National Health Service. The law provided for a phased implementation. The ideal is that instead of a law was a government policy. But the rules leave the parliamentary opposition there is little room for the legislature.

The project was very conservative, since, with some injustice, did not include dentists in the hospital for a medical career does not add up all the predictable resistance and fierce opposition from doctors. He thought that was the way to open a door and then would be much easier to go further. It was possible for the law and try to pass, when applied, overcoming resistance to go.

It was very educational to see the result. The Portuguese Communist Party did not like because of the issue of career. The other parties even less and can not be said that they have taken the trouble to draw big argument. And see why. The media was not in the room.

There was no power grid stability in any election of a vice-president of a bench and in any place for the journalists was only one. The other went on a run unleashed through the corridors because of a matter that two days later it had not been in the memory of any of them. What there was struggling, however, affected millions of people. But it was irrelevant before a small cock fighting a parliamentary seat. Most journalists, I realized in later conversations, nor had any awareness of the importance of the issue, it found, at first sight, rather esoteric.

The discussion of the project was cleared in an hour. Was disapproved because it would be prohibitive ensure the most basic rights of health.

The Dental Association (OMD), which originally helped to design a project that was technically difficult, is now against the government when it beckoned with the promise of more contracts between the public and private. Now I read amazed that this president has met several times with me and that at the last minute turned his back to the entry of dentistry in the National Health Service (SNS) to complain that "while there is no dentists in health centers or delivery systems, people will be excluded from the oral health "(Público). He dropped the first for the second (and more attractive to dentists already installed in their offices and without raising the question of the status-fated career in hospital), was no and now repeat what I heard then but that did not lead to the end . Hopefully this is, but this I am actually listening to one foot behind. Because at that time only the students of dentistry moved and appeared today in the stands, stunned before the lack of members, the media and their future colleagues. The Order was trying to sign a deal between the offices of its members and the state. Dentists in hundreds of health? I sure did not want.

At the end of last week I read in Público what I knew then and was even the main argument for the project: "around half of its population is unable to pay for a dental consultation." A large part of the Portuguese simply is a life without going to the dentist. We have the worst oral health in Europe, unlike what happens in most other areas of medicine. The numbers are worthy of the Third World. And the reason is just this, as well as the João Rodrigues: There is the National Health Service and, as you must not understand João Miranda, the private course does not guarantee the welfare of the majority population. Especially in poor countries.

And there's dentistry in the National Health Service because the parliament refuses to represent those who elected them, the political journalists live submerged in the foam of day and are completely insensitive to the social reality of the country in which they live and corporations represent only their senior professionals. As I said, this was my very educational experience.

DANIEL OLIVEIRA, September 24, 2007

Arrastão

235. Oral Health: More than a thousand doctors have joined the program for pregnant women and elderly

More than a thousand dentists and dentists, of which almost half of the North, joined in the program two weeks of oral health of pregnant women and the elderly, according to data released today by the Dental Association. According to statistics, 1148 dentists and dentists have joined the program from 12:00, 11 March, the date of opening of registration, and 15:00 on Tuesday.

Of this number, nearly half of professionals (508) are from the north, followed by the Center (349) and Lisbon and Tagus Valley (236). Alentejo (28) and the Algarve (27) are the regions where doctors less joined the program.

Health care was provided in 1278 different places, and the coverage rate by county was higher in the central region (91 percent). This was followed by the North (87 percent), Lisbon and Tagus Valley (76 percent), Algarve (69 percent) and Alentejo (35 percent).

Of the 1148 professionals who joined the program, 1,023 (dentists) are registered as Dental and 125 (stoma) in the Medical Association.

Commenting in a statement to Lusa, the data, the president of Dental Association, Orlando Monteiro da Silva, highlighted the "great support" of professionals, though there are "active dentists in 5500. "It's a large membership, which is sufficient to ensure the functioning of the program," he claimed, eventually admitted to being "more desirable inscriptions" of doctors. Orlando Monteiro da Silva said that the entries on-line "(the website of the Directorate General of Health) are open until the end of April and that the Order will promote two actions in May for information on Porto and Lisbon.

The program of oral health of pregnant women and the elderly, the National Health Service provides "check-dentist" (contributions in consultations and treatments) that can only begin to be used from 01 May, the president said.

Each pregnant then at the health center will have three dental checks, a maximum total of 120 euros. The program will cover 65 thousand pregnant. The elderly beneficiaries of the solidarity supplement can enjoy a maximum of two dental checks for a total of 80 euros.

Where appropriate, are essential requirements of a certificate of pregnancy or evidence of the situation as a beneficiary of Completion issued by the Institute of Social Security. Users can choose any doctor or dentist office, since that is part of the list of professionals who have joined the system in its health region.

RTP

234. Help grow ORAL HEALTH

Thank the collaboration of several people to make some posts and correction of other posts which have already been published. THE ORAL HEALTH is an open place where anyone can help, publishing articles, text, images, stories or what they consider best to draw public attention to the apathy of the current situation of oral health policy in our country.

We all need to fight the demand for more and better oral health for the portuguese population, and for that I thank the effort of all readers ORAL HEALTH contributing to their dissemination and knowledge.

Of course, a vast set of information may, in any case, any error present, thank you, when this should occur, is made due reference to be corrected.

We thank all readers.

233. School oral health programs: the necessary cooperation of Oral Hygienists

For programs to students of primary and secondary education, is key to collaboration between physicians and dentists and hygienists stomatologists oral: they are competent oral health care professionals, trained by credible public and private institutions (Faculty of Dental Medicine, University of Lisbon and higher institute of health Alto Ave), authorized to carry out various activities and community clinics, including the application of sealants to crack!

The readers know that the scientific literature is unanimous in considering the Oral Hygienists as one of the groups who most effectively apply sealants to crack. Fortunately, many competent dentists in this country already working in a team and actually act to improve the oral health of Portugal.

232. With oral health care should begin during pregnancy

According to experts, the oral health depends on good health from childhood and many have dental problems can be avoided even during pregnancy.

Teeth perfect and healthy in adulthood begin to be cultivated even in the womb. Therefore, care must start with the teeth even before the birth of the baby. A good diet during pregnancy, attention to oral care of the newborn, and much of the breast milk are the ingredients of a baby with teeth and gums healthy.

The future mom who worries about the baby's teeth should be concerned with its own power since the period of pregnancy. Balanced food and particularly the dose of calcium intake that contributes significantly to the formation of the baby tooth. After birth, the care do not stop.

According to the specialist in Pediatric Dentistry, Dr. Caroline Jorge Zarvos, many dental problems has its roots early in the process of breastfeeding. "Many people do not know, but the correct way to breastfeed a baby is put it up, recumbent chest. When the child lying breast, the chances of a strain on the dental arch is higher," she explains. The sooner the mother begin to perform the cleaning of the mouth of the baby better.

Cleaning baby's mouth can be made with cotton or a cotton swab dipped in water. "It is important to clean because, first of all, age is not for hygiene and also because when the toothlet on average at 6 months, and we need to use toothbrush, a child is already used to something" different "in the mouth and will not complain or feel bad for brushing. Once the first toothlet birth, the mother must already using brushes and soft not to hurt the baby's gums. And paste without fluoride use, "said Dr. Caroline.

Apart from hygiene, it is important that mothers are aware of some events of the eruption of teeth. Since the birth of toothlet usually cause itching in the gums, it is common that children take their hands in their mouths too, to rub the area. "It is this stage that the baby is susceptible to contracting certain bacteria and may have symptoms such as diarrhea," explains Dr. Caroline.

Dummies at the birth of the teeth should also be avoided. According to the dentist, they are related to problems of occlusion, deformation of the dental arch, among other problems. "Pacifiers are always contra-indicated. Furthermore, the milk teeth are the basis for the adult teeth. Thus, the care is better, better future results will be achieved," said Dr.

Source: Dr. Caroline Jorge Zarvos

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231. Laboratory of Health visited by 400 children

The idea was born during the Child Support, and to the trainer José Cabral, decided to challenge teachers and students of the course of sociocultural animator. Thus, 40 young people the first year of these courses built "laboratories" for over two days and with the support of health professionals such as nutritionists Mafalda Oliveira, show how to wash your teeth and disseminate care with food.

In all, and up to 15 hours, covered by this initiative were 400 children from schools in the 1st cycle of the Matriz and Conceição in Ribeira Grande, who also danced and played. Angela Pereira, aged 16, shares her satisfaction with the course, because from the outset is "having contact with children." The front has two more years and equivalent to 12 years, then warms the hope of working in a nursery. Until then, teacher José Cabral proposes to further actions of this kind, therefore, beyond the objective of benefiting the community "awareness and demystify the visits to the doctor," it considers "essential to the future who will work with children and professional of health. "

Therefore, ensures Marco Sousa, the company's Municipal Ribeira Grande Mais, the municipality has to give space and equipment. Moreover, for the success of the action Eprosec had, besides the City Council, with support from the Health Center of Ribeira Grande and Atlas Optical Center. The occasion was used to see reports of vaccine, measure body mass, making the vision screening and, in the middle of the morning, because of the technical center were detected during the screening, children need to carry out optical and / or screening of ophthalmic . The technician took Nuno Santos to warn about the effects caused by excessive time in poor posture in front of television and computer monitors.

Viveiros Ricardo Cabral, dentist, has been dedicated since 1994 to promote oral health. Yesterday, while distribution of tooth paste and brushes, moved that the Health Center of Ribeira Grande will extend operations to the homes of older information. The doctor notes that the Azores are the only region of the country with dental public. "Currently, all health centers, except in Horta, campaigns promoting the community and providing consultations and treatments," he says. Tables of health centers are 17 doctors and five more are in service. Ie "quintupled the number of physicians," concludes.

Açoriano Oriental

230. First dental check-in two months of delay

The order that sets conditions for pregnant women and the elderly benefit from dental treatment was published in Diário da República, but contrary to what is set by the Government, the first-dental checks will be issued only in May than in March and President of Order of Dentists Doctors says that is still being developed the software that lets you connect the centers of the health clinics, which also lack the launch site where dentists could enroll in the program. "Entries will start from March 1 and May only come from the first check-dentist," explains Orlando Monteiro de Almeida.

The order, signed by the former minister also Correia de Campos, is determining what was a bet for the Government of the state budget this year: to allow the elderly and pregnant women access to some oral health care, which were absent in the National Service health so far. The measure advances in these two groups because they are considered a priority. But the idea is to extend these services in the future to other people. Each pregnant then a health center will be entitled to three checks - dentist, a total of 120 euros. The elderly will receive 80 euros per year, divided by two valleys.

The President of the Order of Doctors Dentists say they are already defined the treatments that can be made with this money. For pregnant women, will pass through extraction, processing, control of tartar and advice on health and oral hygiene. "There is Gambrinus, but not the soup of the poor" for dental care, states the president of OMD. "The idea is to try to achieve the objectives within it is possible, knowing that you can not do everything. Not enough to make implants, for example," he said.

The software, which is being developed by the University of Aveiro, will allow family doctors to consult the list of dentists who have joined and then inform their clients of the options. Orlando Monteiro de Almeida says that dentists can then see some clinical information to users, such as whether it is diabetes or who are taking medicines.

The head of the Order believes that many dentists and concerned that the measure is important for young professionals. "Registration is very simple, just give the name, a sign of honor to have the shares in order to date and have not ethical processes to run." And remember that this program has a social aspect and a philosophy itself, "providing care to a population that would otherwise not have money to go to the dentist. In addition to the dentists, may also join the initiative stomatologists the doctors. The format of this program is innovative in the Portuguese NHS. The state pays for services that are made in private, by agreement and without the need for conventions. It is based on the English model and is the first step in what was one of the major shortcomings of health care public.

To evaluate this experience will set up a monitoring committee. The order also provides that local authorities can proceed with "a further extension to other groups - target". In addition to the pregnant and the elderly, there is another program aimed at children, which should also be extended this year.

DN Online

229. Programs for oral health

The existence of various programs in oral health in Portugal application currently in need of clarification on a procedural level of quality control and monitoring. Thus, it is a vigilante action by the authorities to ensure social justice and benefits for their recipients.

On the program for the elderly population, but there is social justice as it has addressed the people "really" lacking; advocates that the distribution of funds is done according to the percentage of elderly population existing in each county in the country, giving the distribution of checks and consultation with representatives of local populations; thereby avoid falling into temptation to favor certain regions of the country, economic groups with direct interests in or other installed favored by the government.

228. unsafe school

227. Dentists want to create the 'dentist for family'

Dentists Portuguese Minister of Health proposed the creation of the figure of 'the family dentist, to be given to children like the doctor, a proposal that so far has not been accepted, inform the Lusa. The proposal was made by two representatives of the Order of Doctors Dentists included in the analysis of oral health program, said Paulo Rompante, one of the doctors responsible.

The idea is to give to a child, when born, a dentist who works as a kind of a family doctor for oral health, but without integrating professionals in the health centers. "We are not proposing dentist for the health centers. The proposal is for a system of convention ", explained Paulo Rompante in the margins of the Congress of Medical Dental, which runs until Saturday in Lisbon.

As to the promotion of oral health in schools, the doctor points out some flaws and advocates a reorganization of this project, which critics are accompanied by other clinicians and by the President of the Order of Doctors Dentists. The basic and essential step of this program is to promote daily brushing at school, which is not being done in most institutions.

"Since the program was designed, only entitled to access the other steps of the schools that promote the daily brushing. No program works if the brushing is not promoted, said the expert. The argument by some schools that are unable to promote oral health can not be among dentists.

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