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

jornal O Debate

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.

PortugalDiário

226. Dentists go to schools

At least 310 thousand of students from public elementary schools should begin the academic year to ensure an open mouth smile beautiful in 2008. The management of the Dental Schools, the announcement of the hiring for Social Organization that will provide oral health professionals to work in schools, out until next week.

In the plans of the government, in just over a month, the choice of the organization should also be trained and announced service may be provided immediately. "We're working against time. Although we can not guarantee the date for the beginning of treatment. But the pace that we will certainly be well before the end of the semester, "says the manager of the pulp, the dentist Reinaldo Maia.

The initial idea is to hire about 650 professionals in oral health (among dentists, secretaries, assistants and technicians) to work in schools that house 123 students from six to 15 years. So far, 35 schools are already equipped to meet the students and to the other end of February 57 will be added to the list of credentials. Schools that work full time, must be the first to be equipped for the service.

In these, the order is working in the counter-round school and other treatments will be scheduled in the same period of the school. According to the management of the program, the idea is to prevent students leaving to do the treatment for lack of driving.

The government wants all by 2010 around 400 schools of the Federal District are satisfied with the services of Dental Schools. "Not all offices have fixed, in some cases we will meet with traillers traveling," says Reinaldo Maia.

With the program, the government expects reduce by half the rate of curative treatment, while spending only with prevention and education of oral hygiene. "In addition to economy in the pocket, ensuring self-esteem and health to the student. What is very important in the learning process, "he says Maia.

With the initiative of bringing dentists to the schools, the government will also reduce the demand for professionals in health centers, extending the offer to seniors, adults and children from zero to six, outside the age range served by the public school system. "If we increase the attendance of those who have not yet reached school age, when they arrive in schools need not face more serious curative treatments. We are only with cleaning and prevention, "provides Reinaldo Maia.

Within the government project, is still the training of teachers and educational advisors to work in front of the battle of preventing oral diseases. "Once you start the year, we offer workshops to qualify teachers to work in partnership with dentists. We are studying a way to do that without interfering in the routine of schools, "said the manager of the program.

ComuniWEB

* * *

Does the Ministry of Education and Health in Portugal are also able to think and act this way? No more red tape and unnecessary bureaucracy to society and are within the ministries; assign those duties to teachers in schools that are and certainly will save many millions of euros in the future.

225. Dental consultations to 20 euros

A dental consultation to 20 euros and a massage therapy to 15 are offered by higher prices of Lisbon who wants to pay less for health care and is not 'afraid' to be attended by trainees.

"Students trainees are always accompanied by teachers in any type of intervention", warned the heads of the School of Dental Medicine, University of Lisbon and the School of Traditional Chinese Medicine to calm any fears.

In that way new dental school, students go through pre-clinical training in the dolls head and then practice in people, but "always followed, stressed the head of the college, Antonio Vasconcelos Tavares.

In the range of services offered at the clinic of the students there are preventive treatments, surgery, placement of dental prostheses and appliances (orthodontics), oral hygiene and to the specialty of radiology.

Prices may vary from five euros for an application of fluoride or a type of X-ray or 10 euros for a provisional restoration to 1450 euros in placing a bridge.

"What can happen is the treatments take more time", warned the director of the institution, recalling that the functions are performed by those who are still learning and so the visits also take place during school hours.

The profile of users of services open to the public ranging from people with financial difficulties, who want treatments with institutional guarantee to the advantage that the more flexible hours (up to until midnight) or the conditions of parking 'very rare to find in Lisbon, as recalled Antonio Vasconcelos Tavares.

Revenues are reinvested in the consultations and the possibility of such gross amount equal to or may even exceed the state budget. Until last November there was a plug revenue of 2.6 million.

The number of complaints have been residual and mainly concerns the time of waiting and not the quality, stressed Mario Bernardo, vice-director of the college.

PortugalDiário

224. Inflammation in the gums may cause heart attack

BRAZIL - chronic inflammation in the gums can cause myocardial infarction. It seems strange, but research by the State University of Campinas (UNICAMP) in São Paulo, showed that accumulated bacteria, caused by infection in the gums, can migrate into the blood circulation and affect the coronary arteries. Moreover, the bacteria can generate a greater production of proteins that facilitate the entry of fat in the body, which contributes to the diseases of the heart.

Because of this, experts warn of the need for proper oral hygiene: simple measures such as proper brushing of teeth after each meal and use of dental floss can help prevent the problem. Rinsed mouth also control the growth of bacteria.

Of indirect way, the periodontal disease - and is called the chronic inflammation in the periondonto that surrounds the teeth - can also cause heart problems. The inflammation causes loss of teeth and, if there is no use of prosthesis, the patient will usually eat more fat and pasty.

"He gained weight and obesity is another risk factor for myocardial infarction," explains the researcher and pharmacologist, Fernando Oliveira. He is author of the thesis Systemic Inflammation in periodontal disease and cardiovascular disease, developed at Unicamp. The study done by the researcher was made in the European conference in Berlin, Germany and can be accessed by email http://www.perio.org/ . The expert explains that today about 80% of patients with diseases of the heart have periodontal problems. Statistics shows that 75% of the population above 25 years suffer from chronic inflammation of the gums and 11% of the population are prone to develop periodontal disease.

Moreover, people with more than 30% of dental units involved with the disease have a higher risk of suffering cardiovascular problems. The disease affects between 12% and 15% of the population in Brazil. In severe form, the index is 8%. Causes - The main symptoms of periodontitis, it is also called inflammation are redness and bleeding, in addition to suspension of the gums (the tooth is more due to gingival retraction). In most cases, no pain, so that patients do not seek the dentist immediately.

"People should seek the dentists regularly, but in case of symptoms, and if the table is already advanced, it is good get a specialist in the area," says the researcher, then remembering that put dental health of the municipality may perform the routing.

During treatment, it removes the plaque through scraping or liquid for oral hygiene. Can also be given antibiotics to eradicate the causes of periodontitis. Four months after completion of treatment, the patient should return to the specialist to avoid forming new plaque.

Correio da Baía

* * *

This text is alert to the effects of diseases of the mouth. Disappoint those who think that teaching children to brush their teeth solves all your problems of diseases of the mouth.

223. BRAZIL: Project Smile reaches Corumbá

Project Smile is a private philanthropic organization, non-profit that provides free medical and dental care for low income households. After serving the coal and the settlement Mato Grande project comes to town.

Created by Nelson Nunes Ferreira dental surgeon in 1986 in the city of Pedro Gomes (MS), the bus office of Project Smile is a fully equipped and travels by municipalities, which already had over 100 thousand people, with an average 20 to 30 people per day. Nelson explained to Corumbá On Line project that aims to serve and serve well to those who need a cost.

"As professionals, we need help and do our part. So I decided to work and serve and not be able to go to a dental office. " Besides providing medical and dental care, the project also conducts lectures on oral hygiene, sex education and STD (Sexually Transmitted Diseases).

The project has two buses and remains at least 30 days depending on the demand for public and may be extended for a longer time in each municipality. And it passed by municipalities Anastácio, Bodoquena, Camapuã, Dois Irmãos do Buriti, Rio Verde, Bonito and eleven more municipalities. The other bus is in Miranda and the next city to be visited will be Jardim.

Abrão Marina de Oliveira, resident of the neighborhood Central America, took his son Luciano, 7 years, to receive dental care, as the attendance at the neighborhood has a few professionals to meet the demand. "To be seen that we face a huge queue and often the dentist or the right answer," said the Corumbá On Line Marina.

After his son attended Marina leaves very pleased with the work done by the dentist. "My son has never been so well attended and thanks to the doctor he will not lose the tooth, but we have to get back here next week to finish the treatment. All dentists should be like the Nelson, because he knows my son and not attended with a dedication and an affection as if I had paid. "

Corumbá On Line

* * *

Volunteers in action for a good cause. That the example is contagious and beyond borders in a world where social contrasts between the rich and the poor become ever greater.

A fraternal embrace those who, on the other side of the Atlantic, working for the disadvantaged. It is the hope that here in Portugal, also the volunteer to the next is a reality.

222. Remodeling in Government: Change in Health shows that Prime Minister was aware of the widespread revolt "

António Arnaut, creator of the National Health Service (SNS), was now satisfied with the replacement of the minister of supervision, whereas the Prime Minister was aware of the widespread revolt against the closure of health units. Stating that "no matter whether people change", António Arnaut told the Lusa agency that "the important thing is to change policies."

António Arnaut, who was deputy and Minister of Social Affairs, is the first signatory of a national petition launched last week for the changes introduced by the government of José Sócrates at the SNS are discussed by the Assembly of the Republic. In your opinion, José Sócrates, while in most of the executive, "swept the tested", paving the way for adjustments in health policy towards a "return to parent" of the SNS as a service "general, universal and free, dedicated the Constitution of the Republic. "It seems that the government want to change health policy," stressed.

The founder of the National Health Service, former Grand Master of Grand Orient Lusitano - Portuguese Freemasonry, said that Socrates decided to replace by Correia de Campos, at the Health, in response to "an unsustainable national outcry against the measures sector.

Ana Jorge, the new Health Minister chosen by the Prime Minister, "must now return to the humanist philosophy" of the SNS and "revoke some of the positions taken" by Correia de Campos, called.

RTP / Lusa

221. Oral health: new national program in place this month

The Order of Doctors Dentists (OMD) it is confident that by the end of January, will be put in place new measures of the National Health. A term that the Directorate General of Health prefers not subscribe.

In statements to the TSF, the president of the Association of Medical Dental, Orlando Monteiro da Silva, revealed that, "waiting is the order of the Minister of Health, which is essential to put in motion, in legal terms, this program, what should happen, in a quite realistic, at the end of January. This term is not, however, subscribed for by the oral health of the Directorate General of Health (DGS), Rui draft, which says, in statements to the TSF, do not dare "to give any time limit at this time. What I can say is that there are explicit orders to speed up this process possible.

The officer also revealed that by the end of the week, the time may be defined for the entry into force of a program announced some two months by the Prime Minister in Parliament, as main beneficiaries and that the elderly, pregnant women and children.

Portugal Diário

220. The role of the LBV (Legion of Good Will) in community health (I)

Community involvement: giving without receiving

It was on 31 August, the International Day of Solidarity. Considered one of the fundamental values for human relations in this century, within the medical community dentistry it appears there. Good examples are there.

Mary (fictitious name) runs through the courtyard of one of the centers in support of the Legion of Good Will (LBV), in Porto, with more than two dozen friends. Try not to be caught by the 'bugs' that can hurt the teeth. Run, jink and cries of some wild game, as you escape from colleagues who try to catch.

"The game of the bacteria is one of the activities organized by volunteers of the" Happy Smile ", which runs the Port institutions, promoting hygiene and oral health. With just over six years, Mary still does not understand very well what is the purpose of all this apparatus. "My mom says I have milk teeth and do not need to wash, because sooner or later, will fall. This is an example of the community intervention is so important.

Portugal has high levels of dental caries among young people, to the 'lack of a prevention policy by the authorities that over the years have forwarded the idea of the dentist as curator of a disease and not as preventive. Assertion Cassiano Scapini, dentist who invests part of his time in volunteering.

"We can not be hostage to office. We must, rather, take our commitments to the community ', argues with conviction. "In the twenty-first century is no longer felt to think, only in dental rehabilitation. Our role is increasingly inform and accompany the client to avoid the appearance of diseases' states. The professional not conceive its function without devoting several hours of the day the 'social work'. Because, only then, he believes, can change the landscape of oral health in Portugal that believes, is "catastrophic." However, suggests, "to put the question should be: what role in society in the dentist?

LBV - Legião da Boa Vontade

219. Healthy mouth starts the 2008 campaign

Health Directorate of the Municipality of Colón (Argentina), through the Service Center of Preventive Dentistry and in conjunction with Maternal and Child Dental Columbus Circle, reported the continuation of the oral license to "Healthy Mouth," from the implemented 2000 for all schools in the Columbus game ... This program will be implemented only to students in 1st, 3rd, 5th, 7th and 9th of EGB.

Like the previous year, the student will concur to the dentist of their choice (private or hospital), who find the mouth in terms of good oral health grant a certificate of good oral statement, which will be changed in the Preventive Center Materno Kids (CPMI) for an official certificate with seal legitimized hospital. Otherwise, the student must receive dental treatment until discharge, given by the professional acting.

All procedures and consultations are treated in the CPMI (calle 51 e / 10 and 11). Hours of operation are Monday through Friday from 07 to 12 hours and start date is February 11, 2008.

Colon Doce

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An example (Argentina) where it is compulsory for children and young people have an official certificate of oral health. The attention of the Minister of Education and Minister of Health.

218. Barcelos: Health Center awaiting green light from the Government to proceed with consultations in oral health

The population of Barcelos will have to continue to wait to have consultations in the oral health of local health centers. The idea advanced by the Director of Health of Barcelos in September last year, has not left the paper. Manuel Vilas Boas believes, however, that 2008 will be a year of progress in this area.

The Director of Health Center of Barcelos assured the Voice of Minho which has knowledge of the intention to make available to the population of these consultations dentistry, but admitted that now lack the "green light" by the Ministry of Health "The level of the sub-region of Health of Braga has been spoken and ventilated the arrival here of consultations in oral health and it is not out of choice. 2008 will be the key year for this because the Ministry of Health entered this year in two areas: the fight against obesity and oral health, therefore, believe that 2008 will be a year of progress in this area, "stressed the controller.

Manuel Vilas Boas believes that the creation of a consultation of oral and dental health would be beneficial for the population and the Ministry of Health itself, because through this agreement with CESPU - a private education and health services - the Health Center would only, which pay for teachers of dentists. "We pass the area, a private institution mounts all the equipment and consumables, we would have to pay only a few hours per month to teachers of dentists who are here," informed, adding that users of the National Health Service who had access to that consultation "pay only a moderate rate equal to a normal consultation with general practitioners."

However, the population of Barcelos will have to continue to await the decision of Correia de Campos and will also have to continue to use the private sector dentists to treat their mouths.

Jornal Regional

217. Visual screening for about three thousand children of Albufeira

The Municipality of Albufeira is promoting, this year, the visual screening of children pre-school and 1st cycle of basic education of the county. The measure is included in the Plan of Activities for Health Promotion in schools, implemented by the municipality. To promote a healthy development and good school performance of children.

In January and February will be tracked children from garden-of-childhood, and the second stage, the first cycle of basic education, a total of 2,494 children. This is an action in partnership with the optical, making the technicians of Optometry, and the spaces where the surveys are conducted.
Região Sul
* * *

Another initiative for child health, in this case in the school environment. But as important as vision, also the oral health of children is fundamental to their well-being and personal development. So call the City of Albufeira that incorporates the strength of oral health in the health promotion program in the school environment.

216. The role of the LBV (Legion of Good Will) in community health (II)

Cassiano Scapino, medical

Coming from Brazil 18 years ago, eventually install urn office in Porto, but it never arrived. Staunch advocate of a different position within the class to which it belongs, believes that the medical profession of dentistry is dedicated to the 'monitoring' and not for the 'treatment' of oral diseases. "It is important to be beside the children, always involving the family, because it is often necessary to explain to parents some concepts of oral health to ignore. 'Boot teeth has always been regarded as inevitable in the minds of older people.

Cassiano Scapin summarizes thus a sentence, the importance it gives to the work you do as a volunteer in various activities that have participated in 'volunteering is a good thermometer to change the emotions of the trader. As it is inserted in that context, will feel different too. Believe therefore that change is essential and urgent: "if we have so many needs, knowledge is the best weapon to change the current scenario. Thus, argues, the transformation must occur within the class should not fear a new philosophy of work, because the dentist will always exist, just with a different attitude: "not to treat but to prevent '.

LBV - Legião da Boa Vontade

215. Kissing can cause caries

It would be exaggeration to call caries of "disease" and said it is "contagious." According to the dentist Marcelo Rezende, director of Smiling Dental Care, not all bacteria found in the mouth are responsible for caries, which is an injury. But a person infected with the bacteria of decay can house thousands of other microbes in the mouth. Therefore, all hygiene is poor and kiss may be the primary means of disease transmission.

"Certainly, some care basic hygiene can prevent health complications, including gingivitis, herpes and mononucleosis - known as a 'disease of the kiss,'" says Rezende. "The bacteria that causes cavities, called Streptococcus mutans, can also be transmitted to divide the food using the same cutlery," warns Laurence R. Rifkin, dentist from California.

The bacterium is usually in the dental plaque of infected people. A simple saliva test can detect the bacteria and determine whether the person is at risk of developing cavities. "A toothbrush, the use of dental floss and other oral hygiene are essential to reduce the amount of bacteria that adhere to surfaces of the teeth," says Rifkin. Application of fluoride in the office is also a powerful weapon.

Among the people most at risk of developing caries are cavities that were in the previous twelve months, the diabetic, the hypertensive patients, those with a lower flow of saliva and those whose immune system is deficient.

The dental surgeon warns that babies are also major risk of contamination. Rezende says maternal habits, such as the pap show the baby with the same spoon to serve with the meal is one of the most common mistakes. "A mere teaspoon contaminated by a person infected by the bacteria of decay can house thousands of microbes. If we can keep a child without contact with the bacteria of decay until she completed nine years, the chances of ever having a cavity in life are 90%, "says the specialist.

Maracaja News

214. 10 reasons to go (regularly) to the dentist

Prevent - Through the examination of clinical and professional guidelines is easier to prevent caries, periodontal diseases, thus avoiding future problems in care of the teeth and expenses on long treatments. A regular check up it that the problems are accumulating;

Keep teeth clean and clear - Even with a good cleaning done with brushing teeth and tongue, the use of dental floss, anti-septic mouth and tongue brush, to ensure the non-formation of plaque in caries, a visit to the dentist is vital to answer your question and see if doing all the procedures accurate. Already there are many different techniques to lighten the stains in the teeth. Your dentist will perform the treatment indicated for you. Are techniques that range from raspagens and polishing by the use of laser;

Lose the fear - Dentist is no longer synonymous with pain. Today, the dental treatment is very effective, fast and painless with the technology available in the clinics;

Not having toothache - The best solution for the toothache is prevention. Periodic visits to the dentist, even without the presence of any symptom, can detect the problem early, ensuring the success of treatment;

Avoid the bad breath - A large percentage of the causes of bad breath is mouth. Brush your teeth and tongue is essential to maintain good breath. Visit the dentist twice a year can avoid unpleasant situation;

Prevent cancer of the mouth - Regular examinations help to identify small lesions that if untreated, may develop into some form of cancer;

Maintain the health of the body - A mouth and carefully reflect on the health of the entire body. A bad chewing or even a bite from wrong can cause a headache to stomach problems;

Prevent heart disease - Almost nobody knows, but some bacteria present in the oral environment can attack the heart. Bacterial endocarditis, a type of cardiac problem due to infectious processes, can originate in the oral cavity and cause the proliferation of harmful bacteria to the body;

Regain or maintain their self-esteem - Maintaining a healthy smile and smooth is a good way for you to be okay with it. Like most of your appearance, you'll be safer to face life;

Knowledge of news - Today in all media leaving many reports on the new dental technologies, some serious and others are proven a little more than a marketing move, so it is important to have a person with knowledge in the area and in whom you trust to get all your questions.

Itu.com.br

213. ESPINHO: City is a reference to oral health

With more than 20 minutes late, Joaquim Barbosa, director of Health Center of Espinho, initiated the presentation of the Oral Health Program for the academic year 2007/2008. The director began by talking about the major changes in health in recent times and the satisfactory results of the Oral Health program since its inception, adding that the major objective of this program is the fulfillment of national and European targets.

The Oral Health program involves several entities of the municipality of Espinho, including the Health Center, the Lions Club, the various municipalities in Espinho, several private dentists, schools of the county and the School of Dental Medicine, University of Porto.

The Oral Health program includes three major phases: the cleaning, screening and treatment. In the cleaning phase, the objective is, according to the coordinator of the program, Margarida Albuquerque, "teach children to wash their teeth properly," offering them further, and brush folder. At this stage of cleaning is still frequent sessions are organized for clarification wishing involve "not only students but also teachers and parents."

This year the program includes screening and treatment of three types of problems related to oral health in children of pre-primary, first and second cycle. Among the diseases screened include the caries, the dental fluorosis and periodontal disease or periodontitis. The last, but perhaps the most important phase of the program is the treatment, carried out since 2001. Last year, the Oral Health program dealt with 336 children and 16 other state aid and with the benefit of the municipality.

Margarida Albuquerque made clear that "in general terms, the work is good" and sees it when I found that "children of Espinho, in comparison with the rest of the country are much better. The dream of 18 years ago is worth it. " Since 2001, the Oral Health covers the children of the 2nd cycle, and since 2004 the pre-school because the program initially included only the students of first cycle. The values of the Oral Health Program in 2007 are, according to the coordinator of the project, "very satisfactory".

Over the years, the value of CPO, the index of dental caries, has declined. So, in the second cycle, is 1.3 percent, while the national average is around 2.95 percent. For 2020, the European target is to achieve a rate of less than a CPO. However, Espinho is not far away that goal and still 13 years to get there.

In European terms, Espinho is also well placed at the level of oral health, because the target set in Europe in 2007 proposed that only 50 percent of children entering school with dental caries. Espinho is very near that amount, with caries detected in 54% of the pre-primary.

The discrepancy between the values obtained in the town of Espinho and the rest of the country is again evident when discussing the level of caries in the first cycle. While the program of Oral Health espinhense CPO recorded a rate of 0.7 per cent of the permanent dentition, the national figure is between 2 and 3 percent.

As the screening of fluorosis and periodontal diseases, there is no national or European studies with which to compare the values of Espinho. However, the values of fluorosis suggests that in pre-primary, five percent of children have problems of excess fluoride in the first round six per cent in the second cycle and 28 per cent. Already the periodontal diseases such as gingivitis and plaque, have a total of 28 percent of all children screened.

The first step in the birth of the Oral Health Program has been in the early 90s when Dulce Santos was invited to present a lecture at the Golf Beach Hotel in Espinho, in the context of dentistry. The idea that Dulce Santos had long ago was promoting a program of oral health to children. At the time, according to former secretary of the Portuguese Association of Oral Health, "a series of happy circumstances created an environment for the continued involvement of the program of oral health." There was, first, "an educational interest," but to achieve them, Dulce Santos adds, was "required the collaboration of all entities."

The demand was increasing and the "results were always better." Margarida Albuquerque agrees that the program is now very well organized and to ensure its proper functioning, "the work can not be done without the cooperation of everyone." The coordinator of the program believes that the greater involvement of parents was essential because often the teachers, "who are more interested in the fund, not exploit the opportunity provided by the program" and it lacks many of the consultations scheduled times for children, not thus continue the screening and the treatments themselves.

Jornal Regional

212. Parents know that dental loss drugs can cause

Research shows that most of those responsible does not make oral hygiene in their children after the use of drugs and can not establish a clear relation of cause and effect exists in this association. Many liquid pediatric medicines have sugar in its composition in order to mask the unpleasant taste of some active ingredients. The pleasant taste, however, just hiding the damage that these drugs can cause to the oral health of children, as their frequent intake can cause cavities.

Taking into account that parents act as responsible for the administration and care related to the use of children's medicines, Beatriz Neves team and the Federal University of Rio de Janeiro determined to assess the perceptions and attitudes of leaders on the cariogenic and erosive potential of liquid medications for children. Interviews were carried out on the association of drug use in children with dental caries and erosion, and the care with oral hygiene after ingestion. According to article published in the edition of September / October 2007 the journal Science & Public Health, "in general, those unaware of sugar added to many foods and drinks, including children's liquid medicines, and when recognized the existence of sugar, not identify the type used to sweeten the pediatric formulations, and even its concentration, facts that can induce behaviors that contribute to the development of caries disease."

(...)

According to the researchers, "despite the drugs responsible deem sweet and relate your use of the presence of caries and defects in tooth structure, most of these does not perform oral hygiene on their children after the use of these drugs and do not establish clearly the relationship of cause and effect exists in this association. " Thus, experts warn of the importance of health professionals advise those responsible for the presence of sugar and low pH of these formulations child, taking into account the need to manage them during meals and preferably before the child sleep, and should be followed for proper cleaning of the oral cavity.

"Whereas the disease is likely to caries prevention, the pediatricians are in ideal conditions and to alert parents and guardians to provide information and guidance on the risks of continued use of sugar products and the development of dental caries, when no adequate posterior oral hygiene, stress in the article.

Última Hora News

211. The role of the LBV (Legion of Good Will) in community health (III)

Educating for change

It is a question that may pose a few themselves. The Medical Care International (AMI), for example, has only register a Stomatologist doctor who has participated in campaigns, volunteering within that body and the association "Doctors of the World" does not even have names in the professional spectrum.

Still, there are various activities to which dozens of doctors dentists eventually join. Only that this is a reality that there is often. The National Health System (SNS in Portuguese) to not include this class, requires that the dentist is forced to operate in the private sector, and so, or he is in office or not income to live, "explains Jacinto Durães. The manager of the Oral Health Clinic, the University Fernando Pessoa, acknowledges that "in general, the voluntary culture is weak, compared to what happens abroad. And by the solidarity among peers does not seem to exist. "Many thought we would be competitors' secret, for criticism he received after launching the project coordinator.

Cassiano Scapin explains that this attitude within the class is created once in the Faculty. "The education in Portugal is based on a philosophy that is not based on prevention. Scientifically, it is known that the curative care does not result in an improvement of needs. Only prevention. And, this being a public health issue, you must change the education. Perhaps, then, have more professionals to participate in projects of social, believes the Brazilian, living in Portugal for 18 years. The University must be open to the community ', summarizes. While recognizing the importance of volunteering, Cassiano Scapin believes that the discussion is much more profound. We have to draw to within the community, these issues have to do with how the faculty teach. While it does not, continue to have, only, pioneering initiatives.

LBV - Legião da Boa Vontade

210. Oral health in the Budget 2008 but far from the needs

The oral health came first priority as assumed by the Government in the report of the state budget for 2008 (OE2008) but still falls short of proposals made by the working group appointed by Correia de Campos to prepare the way of a policy for the sector . In a country without public provision of dental and where about half the population has no access to it for obvious lack of purchasing power, the inclusion of the topic in the budget is perceived as positive by the Order of Doctors Dentists (OMD). The report of OE2008 limited to advance the oral health as "priority area, particularly focused on preventing disease so that some segments of the population, particularly children, pregnant and elderly people with low incomes, have healthy teeth."

Certain is that this brief statement of intent not abides all the recommendations of the working group, which Correia de Campos has on his desk since June. Experts suggest the provision of care to more groups, including diabetics.

Jornal de Notícias

209. The importance of fluoride

The ideal age to start the applications of topical fluoride is around two and a half years to three years, when the child is completing the deciduous dentition. Such application must be performed by pediatric dentists.

Parents of children know that a beautiful teeth is essential for living in society. Fluorine is one of the major actors in the reduction of dental caries which is an infectious disease associated with other methods of prevention, such as a balanced diet, brushing to the thong, application of sealant, and very important to water fluoride.

The preventive effect of fluoride is not only caries in children, but also in adults. The carious lesions can be halted by the local application of fluoride, and increase the tendency for remineralization of initial caries. The fluoride strengthens the enamel and dentin, reducing their solubility in acid medium, decrease the ability to adhere to teeth by microorganisms, and have antimicrobial effect, reducing the ability of plaque to produce acid.

Agora MS

208. Intervention of the Minister of Health in the closing session of the XVI Congress of Dentists Doctors in Lisbon

Intervention of the Minister of Health in the closing session

of the XVI Congress of Dentists Doctors in Lisbon (23-11-2007)

* * *

President of the Order of Doctors Dentist, Orlando Monteiro da Silva, President of the Scientific Committee, António Felino, Chairman of the Organizing Committee, Marcus Veiga, honorable Congressmen:

It is with great honor and pleasure to participate in the closing session of the XVI Congress of the Order of Doctors and Dentists in the signing of the Protocol of Cooperation between the Ministry of Health and Medical Association of Dentists in the Congress Center of Lisbon. This is the main scientific and social event of Dental Medicine and a major medical events held in Portugal, with the presence of professionals and students and is a meeting point between the doctors and dentists foreign Portuguese.

The main lines of action of health policy defined in the program of the XVII Constitutional Government is the reform of primary health care, the reform of continuing care for the elderly and strengthening the sustainability of the SNS (National Health Service). Policies are based on health promotion and disease prevention but also based on proximity between the doctor and the citizen and improving the accessibility to health care.

Dentists, as regards the development of the National Oral Health Promotion, in the projects' Oral Health in Pregnant "and" Oral Health in Older People ', while the collaboration with the Oral Health of Children. On November 6, during the presentation of the State Budget for 2008 to Parliament, the Government announced new targets and new target groups in the area of Oral Health. They fall into a broader objective, the National Program for the Promotion of Oral Health, which I will announce:

The first objective of the National Program for Promotion of Oral Health is to expand access to priority groups and vulnerable to dental care, particularly children, pregnant women and the elderly with low incomes. Increasing access to all these groups is our first objective.

The second objective of the National Program for Promotion of Oral Health is to reduce the incidence and prevalence of oral diseases in these target groups (children, pregnant women and elderly) to knowledge and behaviors related to oral health are internalized early and progressively made over the life cycle. As regards children, the National Program for the Promotion of Oral Health in force, although now cover 60 000 children and youth, is inappropriate. We will review and restructure by the end of 2008, which is on the ground and assess the medical-dental contracted to children, to ensure equitable provision of oral health care based on simplified procedures and aimed at meeting of health needs, ensuring the best access to services and the gradual expansion to 80 000 children and young people.

Pregnant women represent a population group to warrant the attention of health professionals, as the hormonal changes characteristic of this period increases the frequency of periodontal diseases, which in turn, adversely affect oral hygiene practices and encourage the increased incidence and severity of dental caries. The program aims to cover 65 000 pregnant women.

Finally, with regard to the elderly, the aging process also contributes to a greater occurrence of oral health, including loss of dental pieces, creating a greater need for dental care. The program will cover up to an initial total of 90,000 elderly people with lower incomes (under 360 euros).

The National Program for the Promotion of Oral Health seeks to attain its objectives through contracting. The program builds on the implementation of a set of promotion, prevention and treatment of oral diseases, through simplified contracting these services, the evaluation has shown gains for the health of the population.

For children, the maximum value of services contracts per child treated, the age group of 3 to 16 years of age will be 75 euros. With regard to pregnant women was defined as the maximum contract for consultation and treatment is 120 euros, and three-dental checks.

As for the elderly, the government participates financially in 75% of the acquisition and repair of removable dental prostheses, up to 250 euros for the elderly beneficiaries of the solidarity supplement and are users of the National Health Service for these users are now to be covered charges for medical consultations for the implementation of prostheses and their subsequent refinements. The maximum value of consultations and treatments contracted for the elderly will be 80 euro to two-dentist checks a year.

In Portugal, according to the National Study of Prevalence of Dental Caries schooling in the Population (2000), presents the dental caries in children and youth an index of moderate severity, ie the number of teeth decayed, missing and filled (DMFT ) per child under 12 years of age is 2.95 and the percentage of children free of dental caries at 6 years is 33%. Another study by the World Health Organization (1999) presents the average values of teeth decayed, missing and filled per child of 1.5, with pronounced deviations between groups of different socioeconomic levels.

Although the figures have been steadily improving, these data reinforce the need to maintain the investment in this area, if we want to contribute to reducing inequalities in health. The European strategy and the targets for oral health, the WHO (World Health Organization), pointed out that in the year 2020 at least 80% (and we are only at 51%) of children under 6 years are free of caries, and to 12 years, the number of teeth decayed, missing and filled does not exceed the value of 1.5.

The strategy of the National Oral Health for 2008, with the curative aspects for the treatment of caries, it will be decisive for the resolution of dental problems that affect children and young people, pregnant women and elderly people. The Directorate General of Health, with support from WHO and the Order of Doctors Dentists will continue to study the prevalence of oral diseases to assess the prevalence of dental caries, the dental fluorosis and periodontal disease at 6, 12 and 15 years .

It is important to systematically evaluate the situation in Portugal in terms of behavior, in terms of habits of oral hygiene and nutrition. But not enough. A good program of dental health, in addition to substantially reduce the burden of dental disease to tens of thousands of children, pregnant women and elderly, has another goal whose importance should be highlighted: the reduction of social inequalities in oral health.

That this protocol will be signed today is a good agreement and a basis for future relationship between the Order of Dentists Doctors, dentists and doctors and the Ministry of Health The Government feels delighted to be able to contribute with this simplified protocol, based on trust and unbureaucratic between agents and providers, in order to respond promptly and effectively to citizens' needs and to help ensure the promotion of oral health and prevention of oral diseases through the National Health Service.

We want to be a method of easy access, free membership, with capacity utilization. In competitions for the purpose of the contract may apply for through an electronic form, the stomatologists doctors and dentists registered in their respective professional bodies, to engage in clinical or consulting licensed or have conditions of hygiene and health and safety properly supported for the year activity. The list of member physicians is available on the websites of the Ministry of Health (Health Portal) and the Regional Health Administrations (ARS) to facilitate access and choice for regional users. The bill also follow a simple procedure through the validation of check-dentist, who will be sent by the doctor attached to the ARS, with the necessary information, registered in the system.

The effort we made in fiscal responsibility to ensure the sustainability of the SNS now allows us to launch this program without jeopardizing the quality of healthcare. The National Program for the Promotion of Oral Health for 2008 is an innovative proposal of the SNS, delivering good accounts without jeopardizing the quality of healthcare. We have it in place during the first quarter of next year. Thanks to efficient management and strict, which is essential to the sustainability of the SNS, we will help increase public confidence in the National Health Service (SNS).

The role of the Order of Doctors Dentists credibility is key to the technical guidelines, ethics and professional ethics validation data of users covered by the program. But also improving the oral health of children, pregnant women and the elderly is the disclosure of the program in the community for greater involvement of parents, the local authority and the institutional partners that can support the promotion and prevention of oral health. Thank you already concedesteis support for this initiative, which falls in line with the pre-existing good cooperation.

We are committed to improving, so sustained, the oral health of the Portuguese, maintaining a health system more efficient, fairer, more flexible and targeted to the individual.

Portal do Governo

207. Doubts ...

Question: Good afternoon, by chance you know me say at the time of today left some information that the ministry prohibits the use of tooth brushes in the gardens of childhood for risk of contamination (exchange brushes)?

Answer: Hello, I am not aware of that fact. I suggest you consult the National Program for the Promotion of Oral Health, typing here.