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Na última década, a formação de profissionais de saúde tem sido reformulada com políticas de educação e de saúde promovidas pelos Ministérios da Educação e Cultura e da Saúde. Este artigo apresenta a experiência do Curso de Graduação em Odontologia da Universidade Federal de Santa Catarina (UFSC) na implantação do Programa Nacional de Reorientação da Formação Profissional em Saúde – Pró-Saúde. Como processo indutor, o programa direcionou asmudanças com vistas à integração ensino-serviço e à utilização de novas metodologias de ensino-aprendizagem, enfatizando a atenção básica. Na área de Odontologia, tais movimentos mostram-se necessários tendo em vista que, historicamente, tanto o sistema formador como o mercado de trabalho foram regidos pela iniciativa privada. Na UFSC, as atividades foram estruturadas em conformidade com os três eixos de desenvolvimento do Programa e impulsionaram o movimento de reforma curricular. O Pró-Saúde foi fundamental para a indução desse processo de mudança em uma perspectiva interdisciplinar, trazendo contribuições em todos os eixos.

The aim of this study was to develop a theoretical model to describe the role that the dentist plays in Brazilian hospital settings. This qualitative study was based on the grounded theory research method. Participants were a total of 27 individuals in three groups: dentists and general practice and oral and maxillofacial surgery residents; faculty; and other health professionals who interacted with dental patients in the hospital setting during the 2012-13 year. Data were collected in three teaching hospitals in the state of Santa Catarina, Brazil, through scripted interviews using open-ended questions. The stages of collection, codification, ordination, and integration of data were guided by constant comparative techniques to formulate a theoretical model. The codes generated were organized into seven categories: identifying the hospital as a working and teaching environment; recalling the dentists' professional pathways; reflecting on the dentist's work in the hospital; considering the political and organizational dimension of the role of the dentist in the hospital; understanding patients' life and health contexts; education and professional practice; and moving on towards interdisciplinary practices in the hospital setting. Integrating the categories led to a theoretical model called "The Dentist's Role in the Hospital Setting: An Interdisciplinary Construction." This theoretical model provides a framework to understand how dentists perform in the hospital setting, with a focus on interdisciplinary practice, which in this study was shown to be incipient and heterogeneous.

IntroductionEnamel demineralization adjacent to orthodontic brackets has been shown to be a consequence during orthodontic treatment. Fluoride-releasing resin-modified glass ionomer cements (RMGICs) have been shown to protect the enamel from white spot lesions, but their bond strength has been proven inadequate. The purpose of this study was to evaluate ACTIVA BioACTIVE-RESTORATIVE, a bioactive material with strength superior to RMGICs, for inhibition of enamel demineralization surrounding orthodontic brackets.Materials and MethodsFifteen human teeth were sectioned and divided into two groups. One group was the control and had orthodontic brackets bonded with Transbond XT, while the second group had orthodontic brackets bonded with ACTIVA. The teeth were varnished within 2 mm of the bracket margins and immersed in an artificial caries solution for 3 days to create carious lesions. The teeth were sectioned and viewed under polarized light microscopy for the detection of enamel demineralization adjacent to the bracket, and then, the lesion areas were measured with a computer imaging system.ResultsThere was a statistically significant difference (P≤ 0.001) that ACTIVA had less enamel demineralization adjacent to the bracket when compared to the control group.ConclusionsThe results of this study have demonstrated that ACTIVA, a fluoride-releasing bioactive restorative material, inhibits demineralization of enamel adjacent to orthodontic brackets when compared to a nonfluoride-releasing control.

Objetivo: Conhecer as expectativas das puérperas e profissionais de saúde para a atenção à saúde bucal do recém-nascido (RN), no âmbito da Maternidade. Método: Estudo qualitativo-exploratório, com 31 participantes, 16 puérperas e 15 profissionais da Equipe de Saúde, da Maternidade do Hospital Universitário da Universidade Federal de Santa Catarina (HU/UFSC). Os dados foram coletados por meio de entrevistas individuais e analisados pela técnica da análise temática de conteúdo. As categorias encontradas foram orientações e cuidados à saúde bucal do RN, expectativas das puérperas para a atenção à saúde bucal e expectativas da Equipe de Saúde para o trabalho do Cirurgião-dentista na Maternidade. Resultados: Para as puérperas, a atenção à saúde bucal de seus filhos, desde o nascimento, significa a oportunidade de obter orientações para promover cuidado com a boca do RN. Suas expectativas para a atenção à saúde bucal, iniciada na Maternidade, está na possibilidade da ausência de cárie dentária futuramente e, como consequência, a beleza dos dentes e melhor relacionamento dos filhos com o meio social. Os profissionais discorreram sobre a troca de conhecimento entre o Cirurgião-dentista e a equipe no atendimento integral do RN internado. Porém com a diversidade de atribuições que já assumem, ressaltaram a necessidade da inserção do Cirurgião-dentista na equipe para que essa atenção possa ser viabilizada no ambiente da Maternidade, bem como, da capacitação da Equipe de Saúde nesta temática. Conclusão: As expectativas relatadas, tanto pelas puérperas quanto pelos profissionais da Equipe de Saúde, relacionam-se à lacuna da atenção à saúde bucal na Maternidade. As puérperas manifestam interesse em obter conhecimento sobre cuidados à saúde bucal e os profissionais almejam um trabalho interdisciplinar, inserindo a saúde bucal na atenção integral prestada ao RN.Recém-nascido; Saúde Bucal; Pesquisa Qualitativa.Objective: To know the expectations of puerperal women and health professionals about the attention to the oral health of newborns (NB) in the maternity ward. Method: This was a qualitative-exploratory study comprising 31 subjects, 16 puerperal women and 15 health professionals of the University Hospital Maternity Ward of Santa Catarina Federal University (HU/UFSC), Brazil. The data were collected from individual interviews and reviewed by thematic content analysis technique. The obtained categories were oral health instructions and care to NB, new mothers' expectations concerning oral health attention to their babies and Health Team's expectations concerning the dentist's work at the Maternity Ward. Results: For the puerperal women, starting attention to the oral health of their children at birth is the opportunity to receive guidance on how to provide oral health care to NB. The mothers' expectations on the attention to oral health started at the Maternity Ward resides on the possibility of their children not having caries disease in the future and, therefore, having good dental esthetics and a better social relationship...

Objectives The aim of this study was to compare the shear bond strength (SBS) of brackets systems with four different base technologies. Materials and Methods Maxillary first premolars were randomly divided into four groups of thirty specimens each: (1) Master Series™ conventional twin, (2) T3™ self-ligating, (3) Victory series™ conventional twin, and (4) H4™ self-ligating brackets. Maxillary first premolars were bracketed using an acid-etch composite system, and the SBS measured using an Instron Universal Testing Machine at a crosshead speed of 2 mm/min. The ANOVA and Tukey’s multiple comparison tests were performed with significance predetermined at P ≤ 0.05. Results The overall mean bond strengths were 8.49 ± 2.93, 10.85 ± 3.34, 9.42 ± 2.97, and 9.73 ± 2.62 for the Groups 1, 2, 3, and 4 brackets, respectively. One-way ANOVA test gave an F = 3.182 with a P = 0.026. The Group 1 and Group 2 were observed to have statistically significant difference with a P = 0.014. Conclusions The T3 self-ligating one-piece design with microetched Quadra Grip™ base brackets had the highest bond strength. The SBS difference between Group 2, Group 3, and Group 4 was not significant, but the difference between Group 2 and Group 1 was statistically significant.

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