RESUMEN
Apresenta-se a experiência da simulação clínica realística (SCR) efetuada no Laboratório de Simulação Clínica Realística e de Realidade Virtual Aumentada da Faculdade de Odontologia da Universidade de São Paulo (inaugurado em junho de 2022). Essa metodologia contribui significativamente na formação do estudante de Odontologia em todas as áreas do conhecimento odontológico. Sua aplicação deve submeter-se a protocolos corretos construção do problema (briefing), a simulação e discussão posterior (debriefing). Este cenário constitui o presente e o futuro da realidade do ensino odontológico. De fato, sua estratégia possibilita a simulação de uma multiplicidade de situações clínicas. Para tal, impõe-se a estruturação de um ambiente específico (aqui denominado "laboratório"). Este trabalho resume os fundamentos dessa simulação e a avaliação interna de sua aplicabilidade e inequívoca eficácia na nossa Faculdade. De fato, a simulação é uma estratégia facilitadora imprescindível no processo ensino-aprendizagem da Odontologia, cujo papel nesse processo deve delinear-se cada vez mais importante, na medida em que outros centros formadores forem adotando esse recurso e forem progressivamente intercambiando suas experiências e avaliações (AU).
Se presenta la experiencia de simulación clínica realista (SCR) realizada en el Laboratorio de Simulación Clínica Realista y Realidad Virtual Aumentada de la Facultad de Odontología de la Universidad de São Paulo (inaugurado en junio de 2022). Esta metodología contribuye significativamente a la formación de los estudiantes de odontología en todas las áreas del conocimiento odontológico. Su aplicación debe someterse a protocolos correctos para la construcción del problema (briefing), simulación y posterior discusión (debriefing). Este escenario constituye la realidad presente y futura de la educación odontológica. De hecho, su estrategia permite simular una multiplicidad de situaciones clínicas. Para lograrlo, es necesario estructurar un entorno específico (aquí llamado "laboratorio"). Este trabajo resume los fundamentos de esta simulación y la evaluación interna de su aplicabilidad y efectividad inequívoca en nuestra Facultad. De hecho, la simulación es una estrategia facilitadora esencial en el proceso de enseñanza-aprendizaje de la Odontología, cuyo papel en este proceso debe ser cada vez más importante, a medida que otros centros de formación adopten este recurso e intercambien progresivamente sus experiencias y valoraciones (AU).
This report on the experience of realistic clinical simulation (RCS) is linked to the Realistic Clinical Simulation and Augmented Virtual Reality Laboratory, launched in June 2022 at the Faculty of Dentistry of the University of São Paulo (São Paulo). RCS is an active methodology that can significantly contribute to the education of dental students in all areas of dental knowledge. Its application must adhere to correct protocols for problem construction (briefing), the simulation itself, and the subsequent discussion (debriefing). This scenario represents both the present and the future of dental education. Indeed, its strategy enables the simulation of a multitude of clinical situations, for which the establishment of a specific environment (herein referred to as a "laboratory") is needed. The present work summarizes the basis of this simulation and the internal evaluation of its applicability and effectiveness. It is concluded that simulation is a facilitating strategy in the dental teaching-and-learning process. In fact, its role in this process will become increasingly important as far as other educational institutions adopt this resource and progressively exchange their experiences and assessments (AU).
Asunto(s)
Simulación de Paciente , Aprendizaje Basado en Problemas/métodos , Educación en OdontologíaRESUMEN
BACKGROUND: With the COVID-19 pandemic, thousands of children had their dental care interrupted or postponed, generating a pent-up demand for primary care. To minimize the impact of this outage, information and communication technologies (ICT) could be an alternative. The aim of this study is to elucidate the impact of implementing the ICTs in primary dental care for children on resolving the pent-up demand for primary dental care to children in the national health system service (SUS) due to the COVID-19 pandemic. METHODS: Different research strategies are being proposed to demonstrate such effect and extrapolating findings to a real-world context to guide further research, practice and policies: two clinical trials (one randomized controlled by the waiting list trial (RCT) and a before-and-after study), one simulation study to prospect trial results to a broader population and three economic evaluations using different effects. Children enrolled in a reference dental unit will be invited to participate in the before-and-after study for trials. The first 368 families will be randomized for the RCT to the intervention vs waiting list. All participants will receive the intervention, but the waiting list group will be assessed before the intervention is available for them. The intervention comprises standardized non-face-to-face primary dental care using the V4H platform. The problem-solving and the family's perception will be the primary outcomes set for the before-and-after study and RCT, respectively. They will be measured 2 weeks after randomization. Based on trial findings, we will develop theoretical models to estimate how the intervention could benefit the population included in the national health system. Three economic evaluations will be carried out considering different trial effects (cost-effectiveness analyses). A societal perspective and the pandemic time horizon will be considered. Possible social impact (inequalities) will also be explored. DISCUSSION: This ongoing trial may be an essential contribution to clarify positive and negative aspects related to the use of technologies for non-face-to-face dental care for children. Trial products may bring relevant contributions to the pandemic context and the post-pandemic period. Potential benefits may be feasible to implement and preserve in the health system even in the post-pandemic period. Trial registration Clinicaltrials.gov registration NCT04798599 (registered March 2021).
Asunto(s)
COVID-19 , Pandemias , Brasil/epidemiología , COVID-19/prevención & control , Niño , Comunicación , Atención Odontológica , Humanos , Ensayos Clínicos Controlados Aleatorios como Asunto , Proyectos de InvestigaciónRESUMEN
INTRODUCTION: Dental undergraduates will access the Internet searching for learning materials to complement their training; however, open access content is not generally recommended by dental schools. This study aimed to evaluate how dental students are using online video content. MATERIALS AND METHODS: Students from eight Universities (Athens, Birmingham, Brescia, Cardiff, Melbourne, Paris, Sao Paulo and Valdivia) representing three continents were invited to complete a survey on their access and learning from online videos. RESULTS: International students behave similarly when studying dental content online. Of 515 respondents, 94.6% use the Internet as a learning tool. It was observed that videos are not frequently recommended during didactic lectures (9.6%). But many students (79.9%) will use YouTube for their learning which includes clinical procedures. Students will check online content before performing procedures for the first time (74.8%), to understand what was explained in class (65.9%) or read in books (59.5%), to relearn clinical techniques (64.7%) and to visualise rare procedures (49.8%). More than half of the students do not fully trust the accuracy or the reliability of online content. This does not prevent students from watching and sharing dental videos with classmates (64.4%). The content watched is not shared with teachers (23.3%) even when it contradicts what was learnt in the school (38.2%). CONCLUSION: This study concludes that students regularly integrate open access digital resources into learning portfolios but are hesitant to inform their teachers about their viewing habits. Students wish to receive critical skills on how to evaluate the material they encounter outside their traditional learning space.
Asunto(s)
Curriculum , Educación en Odontología , Brasil , Humanos , Reproducibilidad de los Resultados , EstudiantesRESUMEN
A pandemia da COVID-19 impôs ações assertivas em todos os níveis da sociedade. Aqui se relata o apoio emergencial na Resposta Rápida do Núcleo de Evidências e Análises Econômicas da Faculdade de Odontologia da Universidade de São Paulo (EvipOralHealth) para a coordenadoria estadual de saúde bucal de São Paulo, em prol da tomada de decisão e ressignificação do processo de trabalho. Foram implementadas duas estratégias de teleodontologia para a educação permanente (EP) dos trabalhadores de saúde bucal: 1. Lives com pesquisadores, estudantes, gestores e trabalhadores das diversas áreas da saúde pública e da Odontologia para estabelecer marcos teóricos; 2. Ambulatórios virtuais - via webconferência. Reuniu-se gestores e trabalhadores para a condução de diálogos de políticas sobre o dia a dia do enfrentamento e de adaptações e condições de trabalho de cada região. A experiência revela a importância da relação ensino-serviço-comunidade efetiva, pautada na tradução do conhecimento e na construção de espaços de troca possibilitando a implementação de práticas, programas e políticas. Precisamos repensar as estratégias de EP, sermos mais ágeis, mais flexíveis, menos acadêmicos e capazes de adaptar conteúdos e formatos às necessidades. A teleodontologia e a teleducação podem conferir escala e fazer chegar mais facilmente o conhecimento aos que necessitam.
Asunto(s)
Salud Bucal , Educación Continua , TeleodontologíaRESUMEN
Aim: To compare Enterococcus faecalis reduction after antimicrobial photodynamic therapy (aPDT) used with methylene blue, toluidine blue, tannin, and curcumin as photosensitizers, an adjunct to endodontic chemomechanical preparation (CMP) in root canals of human teeth. Methods: A total of 120 single-rooted teeth were divided into 6 groups (n = 20): G1- CMP and 2.5% sodium hypochlorite (NaOCl); G2- CMP and saline solution; G3- CMP, 2.5% NaOCl, and aPDT with 0.005% methylene blue; G4- CMP, 2.5% NaOCl, and aPDT with 0.005% toluidine blue; G5- CMP, 2.5% NaOCl, and aPDT with 0.005% tannin; and G6- CMP, 2.5% NaOCl, and aPDT with 0.005% curcumin. A portable semiconductor laser was used (660 nm, 100 mW, 1.8 J, 180s) in groups 1, 2, 3, 4, 5, and a blue LED light-curing (420-480 nm, 1200 mV/cm2 ) in G6. For all groups, a 5 min pre-irradiation time was applied. Samples were collected before (initial collection), immediately after (intermediate collection) and 7 days after CMP (final collection) for colony-forming unit (CFU) counting. The Kruskal-Wallis test and analysis of variance (ANOVA) were performed (p < 0.05; 95% confidence interval). Results: In between-group comparisons, there was no significant difference observed in the number of CFUs at the initial (p >< 0.001) and final collections (p >< 0.001) for G2 and G3. In within-group comparisons, the number of CFUs showed a decreasing trend in G4 (p = 0.007) and G5 (p = 0.001). Conclusion: Photosensitizers promoted E. faecalis reduction, with better results for tannin and curcumin. Alternative photosensitizers should be the focus of further studies.>< 0.05; 95% confidence interval). Results: In between-group comparisons, there was no significant difference observed in the number of CFUs at the initial (p < 0.001) and final collections (p >< 0.001) for G2 and G3. In within-group comparisons, the number of CFUs showed a decreasing trend in G4 (p = 0.007) and G5 (p = 0.001). Conclusion: Photosensitizers promoted E. faecalis reduction, with better results for tannin and curcumin. Alternative photosensitizers should be the focus of further studies.>< 0.001) and final collections (p < 0.001) for G2 and G3. In within-group comparisons, the number of CFUs showed a decreasing trend in G4 (p = 0.007) and G5 (p = 0.001). Conclusion: Photosensitizers promoted E. faecalis reduction, with better results for tannin and curcumin. Alternative photosensitizers should be the focus of further studies>< 0.001) for G2 and G3. In within-group comparisons, the number of CFUs showed a decreasing trend in G4 (p = 0.007) and G5 (p = 0.001). Conclusion: Photosensitizers promoted E. faecalis reduction, with better results for tannin and curcumin. Alternative photosensitizers should be the focus of further studies
Asunto(s)
Fotoquimioterapia , Taninos , Fármacos Fotosensibilizantes , Curcumina , EndodonciaRESUMEN
Abstract This paper describes the possibilities of using Teledentistry to expand and qualify health care in oral health care networks. WHO already recommended to its member countries, even before the pandemic, Telehealth as a strategy to improve the quality of services, especially in universal systems, as the Unified Health System (SUS). Teledentistry opens opportunities for oral health to resume the provision of various services, remotely, such as: 1) Tracking, active search, monitoring of priority users, those at risk and with systemic problems, suspicions of COVID-19 and contacts, through Telemonitation; 2) Initial listening, individual or collective educational activities, through Teleorientation; 3) Discussion of clinical cases for the definition of the opportunity / need for operative procedures, matrix support, sharing, solution of doubts among professionals and between these and teaching and research institutions, by Teleconsulting, among others. In addition to a review of Teledentistry in the context of the pandemic, we conceptualized the terms used and possibilities offered to SUS professionals, in addition to specifying the possible protocols for recording these activities to provide safe data for their monitoring and evaluation. Besides, we bring a brief discussion with promising experiences, carried out in the pre- and trans-pandemic contexts, which can be important strategies for the resumption of oral health in the post-pandemic scenario.
Asunto(s)
Política Pública , Telemedicina , Infecciones por Coronavirus/patología , Odontología Comunitaria , Teleodontología , Atención Primaria de Salud , Sistema Único de Salud , Brasil/epidemiología , Salud Bucal , Pandemias , TeleorientaciónRESUMEN
Este artigo revisa a literatura publicada entre 2009 e 2014 sobre aplicação de Business Intelligence (BI) na saúde, indexada nas bases de dados Scopus, PubMed, Bireme, Web of Science e Google Scholar. A busca pelos descritores "Business Intelligence" e "saúde" e a sua combinação retornou 339 artigos, sendo selecionados 17 adequados aos critérios estabelecidos. Os artigos foram classificados nas temáticas "cuidados em saúde" e "gestão". Não houve predominância de temáticas. O ano 2010 foi o de maior número de publicações e Portugal, Canadá e EUA os países de origem da maior parte dos autores. Com as práticas de BI a estruturação e análise da informação possibilitou o monitoramento do desempenho do ponto de vista assistencial e gerencial. Confirmou-se que as práticas de Business Intelligence podem ser aplicadas no setor de saúde, com valorização das ações gerenciais estratégicas.
This article reviews literature on Business Intelligence in healthcare (BI), indexed in databases Scopus, PubMed, Bireme, Web of Science and Google Scholar databases between 2009 and 2014. Search using the descriptors "Business Intelligence", "Health" and their combination returned 339 articles, of which 17 matched the established criteria. Articles were classified as either pertaining to the subject "healthcare" or "management". No subject was predominant. The year 2010 yielded the most results. Canada, Portugal and the United States were the countries of origin for the majority of the authors. Structuring and analyzing information that stems from BI practices allowed for monitoring performance from both care and management points of view. The study confirms that Business Intelligence practices may be applied to the health sector, with an increase of strategic management actions.
Este artículo revisa la literatura sobre "Inteligencia de Negocios" en salud, indexadas en bases de datos Scopus, PubMed y Google Scholar, Bireme, Web of Science entre 2009 y 2014. La búsqueda usando los descriptores de inteligencia de negocios, salud y su combinación resultó 339 artículos, de los cuales 17 cumpliran los criterios establecidos. Artículos fueron clasificados como referentes a la "salud del sujeto" o a "gestión". Ningún tema fue predominante. El año 2010 rindió la mayoría de los resultados. Canadá, Portugal y Estados Unidos fueron los países de origen para la mayoría de los autores. Estructuración y análisis de la información que proviene de BI prácticas permitió monitorear el performance tanto del punto de vista de salud como de gestión. El estudio confirma que las prácticas de Inteligencia de Negocios pueden aplicarse al sector de la salud, con las acciones estratégicas de gestión mejoradas.
Asunto(s)
Base de Datos , Atención a la Salud , Tecnología de la Información , Comunicación en Salud , Gestión de la Información en SaludRESUMEN
BACKGROUND: The World Health Organization's World Health Assembly WHA58.28/2005 Resolution recommends the adoption of e-health by health systems of State Members. The Brazilian Telehealth Program integrates the national policy of education for health that combines many strategies with complementary foci, including technical-level workers, undergraduate students of the 14 health professions, residency, postgraduate courses, support, and continuing health education at work. The Brazilian Unified Health System has approximately 1.5 million workers. The objectives of this work areas are as follows: to define a new concept, the so-called "formative second opinion" (FSO); to describe the methodology for its construction; and to show its structure as well as the number of FSOs already available, classified according to the field of knowledge. MATERIALS AND METHODS: The Brazilian Telehealth Program was created in 2007 and has already offered around 41,000 teleconsultations. Based on their relevance and pertinence, 710 questions asked through teleconsulting by health professionals were selected. The questions were handled so that each question should not contain any specific information about patients, preserving professional confidentiality. For each question, a bibliographic review was performed and used to build a structured and standardized answer, based on the best available scientific and clinical evidence. RESULTS: This question-and-answer combination, originated thru teleconsulting, created by the Brazilian Telehealth Program, was termed the FSO and has been made available, with open access for all health professionals, at the Web site of the Program. Among the total number of 710 FSOs, diagnosis and treatment support corresponded to 238 questions (33.5%), followed by primary healthcare (90 questions) and then by subjects concerning oral health (68 questions) and nursery (39 questions). The structure and design of the FSO are also shown. CONCLUSIONS: The FSO helps professionals and health workers to use the already produced best evidence and scientific knowledge to solve their daily practice questions, improving, qualifying, and increasing the resolution of primary healthcare by the Unified Health System in Brazil. Oral health is frequently asked about by professionals, matching the high prevalence of oral disease in primary healthcare.
Asunto(s)
Personal de Salud/educación , Telemedicina/normas , Brasil , Educación Continua/métodos , Educación Continua/normas , Humanos , Telemedicina/métodosRESUMEN
Na era da colaboração, surge o Ensino a Distância (EaD) como poderosa ferramenta de divulgação de realidades, permitindo que a importância do BDH seja divulgada adequadamente. Diversas iniciativas estão sendotomadas de modo articulado, a fim de facilitar a criação e a consolidação de uma rede de colaborativa detrabalho em Telessaúde e Teleodontologia para a divulgação e implementação de Bancos de Dentes Humanosem sua faculdade ou centro de pesquisasbaseado no caminho trilhado pela Faculdade de Odontologia da USP (AU).
In the era of collaboration, arises Distance Education (DE) as a powerful tool for the dissemination of realities, allowing the importance of BDH is disclosed properly. Several initiatives are being taken in an articulate manner in order to facilitate the creation and consolidation of a network of collaborative working in Telehealth and Teledentistry for the dissemination and implementation of Banks Human Teeth at your college or research center based on the path followed by School of Dentistry, USP (AU).
Asunto(s)
Telemedicina , Educación a Distancia/métodos , Red Social , TeleodontologíaRESUMEN
A Universidade Aberta do SUS UNA-SUS (www.unasus.gov.br) foi concebida pelo Ministério da Saúde do Brasil, em parceria com 18 universidades públicas e serviços estaduais e municipais de saúde, com o objetivo de oferecer capacitação e educação profissional aos trabalhadores da saúde em atividade no SUS, o Sistema Único de Saúde, que conta, hoje, com cerca de 2,5 milhões de profissionais da área. Um dos principais focos da UNA-SUS é a produção de objetos de aprendizagem (OAs) interoperacionais e reutilizáveis, segundo as demandas identificadas pelos profissionais em atividade, tanto pelos que lidam com atenção à saúde, quanto pelos que lidam com assuntos de gerenciamento. Os OAs são publicados em arquivo gratuito, aberto ao público (http://ares.unasus.gov.br/acervo/). Um assunto estratégico para a expansão e, concomitantemente, para a manutenção da qualidade do que é sustentado com recursos públicos, é o estabelecimento de padrões. Para esse fim, planejamos construir uma taxonomia capaz de definir as competências pedagógicas, técnicas e profissionais, bem como as habilidades desejáveis que se espera de um determinado OA, para que este seja interoperacional e reutilizável.
The Open University of the Unified Health System UNA SUS (www.unasus.gov.br) was developed by the Brazilian Ministry of Health, in partnership with 18 public universities, as well as state and municipal health services, in order to provide capacity building and education for health professionals working at Brazilian Unified Health System (SUS), which has approximately 2.5 million health workers. One of its main components is the production of interoperable and reusable learning objects (LOs) according to the needs identified by the professionals at work, those who deal with healthcare, as well as management matters. The LOs are published in an archive that is open to the public and free of charge (http://ares.unasus.gov.br/acervo/). One strategic issue for expanding, and at the same time maintaining quality of what is financed by public funds, is establishing standards, and for this purpose we plan to develop a taxonomy capable of describing pedagogical, technological and professionals competencies and skills that are expected to be developed by a determined LO, in order for it to be interoperable and reusable.
Asunto(s)
Educación en Odontología , Capacitación de Recursos Humanos en Salud , Tecnología de la Información , Aprendizaje , Atención Primaria de Salud , Sistema Único de Salud , Brasil , Clasificación , Gestión de la Información en Salud , Modelos Teóricos , Competencia ProfesionalRESUMEN
Este artigo descreve a experiência da Rede Brasileira de Teleodontologia como parte das estratégias em eHealth. Várias instituições de todo o país participam ou vêm recebendo treinamento e suporte para a implantação de seus próprios núcleos de Telessaúde e Teleodontologia. Diversas iniciativas estão sendo tomadas de modo articulado, a fim de facilitar a criação e a consolidação de uma rede de colaborativa de trabalho em Telessaúde e Teleodontologia.
This paper describes Brazilian experience of the National Teledentistry Network as part of the Brazilian eHealth Strategy. Many institutions from all over the country participate or are being trained and receiving support to constitute their own Telehealth and Teledentistry Centers. Multiple initiatives are held in an articulated plan, enabling capacity building and consolidation of a network for collaborative work in telehealth and teledentistry.
Asunto(s)
Educación en Odontología/métodos , Educación a Distancia/métodos , Red Social , Telemedicina , Brasil , Redes de Comunicación de Computadores , Tecnología de la Información , Política Pública , Sistema Único de SaludRESUMEN
O Núcleo de Teleodontologia da Faculdade de Odontologia da Universidade de São Paulo (NTO-FOUSP) foi criado em articulação com o Núcleo São Paulo de Telessaúde, como parte do Programa Telessaúde Brasil, pelo Ministério da Saúde. Seu foco: dar suporte aos professores para uso das TIC. Também deverá oferecer teleconsultorias e Segundas Opiniões Formativas aos profissionais de saúde do Sistema Único de Saúde (SUS).
The Teledentistry Center at the Faculty of Dentistry (NTO-FOUSP), University of São Paulo, was created in articulation with the Center of Telehealth of São Paulo, as part of the Brazilian Telehealth Program, by the Ministry of Health. Its first aim was to offer support to the professors for a better use of ICT. It should also offer teleconsulting and the Second Formative Opinion for health professionals working at the Unified Health System (SUS).
Asunto(s)
Educación en Odontología/métodos , Tecnología de la Información , Telemedicina , Brasil , Redes de Comunicación de Computadores , Política de Educación Superior , Salud Pública , Sistema Único de SaludRESUMEN
A ciência inovadora da Teleodontologia oferece conhecimento odontológico em dois âmbitos principais: a teleassistência e a teleducação. Em se tratando de inovações tecnológicas trazidas pelas Novas Tecnologias de Informação e Comunicação (NTICl, é possível recorrer a esses conhecimentos para aplicação em diversos âmbitos da vida profissional, como uma nova visão de clínica interdisciplinar ou maneiras criativas de se aplicar o marketing profissional. O texto ainda retrata os cuidados devidos à manutenção do sigilo das informações relativas aos pacientes e formas seguras e criativas de se incorporar as NTIC no dia a dia do Cirurgião-Dentista, acrescentando valor à ação profissional e qualificação na atenção à saúde bucal brasileira.
The innovative science of Teledentistry offers dental knowledge in two main areas: the teleducation and teleassistance. Technological innovations brought by the New Information and Communication Technologies (lCTs) offers this knowledge for application in various areas of professional life, as a new vision of interdisciplinary clinical and creative ways to apply in the marketing professional. The text also explores the care of the confidentiality maintenance of information relating to patients and safe and creative ways to incorporate ICT in the dentist day-by-day, adding value to the professional action and qualifying the oral health care in Brazil..
Asunto(s)
Humanos , Masculino , Femenino , Ciencia/educación , Tecnología Educacional/métodos , Tecnología de la Información/métodos , Telemedicina/métodosRESUMEN
Atualmente, a internet está sendo utilizada como recurso didático de auxílio às aulas presenciais ou para realização de disciplinas à distância. Na Odontologia, assim como em outras áreas, a Teleducação vem avançando e ocupando espaço nos cursos de graduação e pós-graduação. A Teleodontologia amplia as condições de aprendizagem do aluno, facilitando o contato com diferentes materiais e trazendo oportunidade de escolha do momento de estudo. A preparação de material didático pelos tutores deve ser prioridade, como forma de estimular o aprendizado do aluno. Este trabalho descreve a utilização do software Macromedia Flash® para desenvolvimento de material didático dinâmico relativo à progressão da lesão de cárie e traumatismo dentário, executado por duas alunas da turma de pós-graduação em Odontopediatria da Faculdade de Odontologia da USP...
Currently, websites are being widely used as a resource to support traditional teaching lessons or for long distance teaching. In dentistry, as well as in other areas, teleeducation is moving forward and taking up space in undergraduate and graduate courses. Teledentistry extends the student's learning, since it enables contact with different materials and offers the opportunity to study at the most appropriate moment. The development of dynamic educational material by tutors should be a priority, as a way to stimulate student's learning. This paper describes the use of Macromedia Flash® software used to development educational materials on the progression dental carious lesions and dental trauma. These were developed by two pediatric dentistry is graduate students at the Faculty of Dentistry at USP...
Asunto(s)
Informática , Informática Odontológica , Materiales de Enseñanza , Odontología PediátricaAsunto(s)
Humanos , Comunicación , Odontología , Confidencialidad , Difusión de Innovaciones , Relaciones InterprofesionalesRESUMEN
Objetivo: Avaliar o tempo despendido e possíveis linhas de fissura, trincas e outros danos causados na superfície dentinária ao redor do retentor intra-radicular submetido à vibração ultra-sônica para a sua remoção, utilizando o microscópio clínico. Métodos: Foram utilizadas 15 raízes de incisivos centrais inferiores bovinos, portadoras de retentores intra-radiculares Flexi-Post nº 3 cimentados com o cimento resinoso RelyX CRA® e incluídas em um alvéolo artificial, envoltas com uma camada de silicone. Os retentores foram submetidos à vibração ultra-sônica com o aparelho ENAC modelo EO-5 na sua potência máxima e, após a remoção, foi realizada uma avaliação a olho nu e outra com o microscópio clínico nos aumentos de 5, 8, 12,5 e 20 vezes. Resultados: Os resultados mostraram que nenhuma superfície dentinária apresentou linhas de fissura, trincas ou outros danos, e que o tempo médio para remoção dos retentores foi de 13,25 minutos. Conclusão: O ultra-som demonstrou ser um aparelho eficaz e seguro para a remoção de retentores intra-radiculares.
Objective: To evaluate the time spent and possible fissure lines, fractures and other damage caused on the dentinal surface around the intra-radicular retainer submitted to ultrasonic vibration to remove it, using a clinical microscope. Methods: The roots of 15 bovine mandibular central incisors were used. These contained Flexi-Post No. 3 intra-radicular retainers cemented with RelyX CRA® resinous cement and were included in an artificial alveolus, surrounded by a layer of silicone. The retainers were submitted to ultrasonic vibration with the ENAC model EO-5 appliance at maximum power, and after removal, an evaluation was made by the naked eye, and another with a clinical microscope, at magnifications of 5, 8, 12.5 and 20 times. Results: The results showed that no dentinal surface presented fissure lines, cracks or other damage, and that the mean time for removal of the retainers was 13.25 minutes. Conclusion: Ultrasound was shown to be an efficient and safe appliance for intra-radicular retainer removal.
Asunto(s)
Animales , Bovinos , Dentina/lesiones , Técnica de Perno Muñón , UltrasonidoRESUMEN
Este trabalho avaliou o desempenho dos 29 alunos da primeira turma de Endodontia do curso de Graduação em Odontologia da Faculdade São Leopoldo Mandic, Campinas São Paulo, que contou com oensino presencial suportado pela disponibilização de conteúdos em plataforma educacional TelEduc. A sala de aula foi projetada para que cada aluno tivesse acesso a um computador desktop. O material de apoio desenvolvido somou slides do professor, apostilas,links para sites de conteúdos aprovados, perguntas freqüentes, diretrizes para o desenvolvimento de trabalhos, avaliações e tutoriais animados projetados de maneira interativa e sob aspectos educacionais adequados à mídia proposta. O resultado apresentado no desempenho dos alunos foi comparado com o número de acessos ao material de apoio. O sugerido no início do curso foi de, pelo menos, 2 acessos semanais,totalizando 40 acessos ao final das 20 semanas da disciplina. Os alunos aprovados alcançaram a média de 91,5 acessos, significando 128,75 por cento além do número de acessos mínimos exigidos.