Abstract:O objetivo deste artigo é analisar as sugestões dos profissionais que atuaram como coordenadores da Pesquisa Nacional de Saúde Bucal (Projeto SBBrasil 2010) para futuros inquéritos na mesma área. Trata-se de um estudo transversal, com abordagem qualitativa. Os dados foram coletados por meio de um questionário eletrônico e semiestruturado. Os participantes eram profissionais do Sistema Único de Saúde (SUS) e docentes que atuaram como coordenadores do SBBrasil 2010. As respostas foram categorizadas segundo a aná… Show more
“…Calibration using the in vivo examination method has been recommended because this method reflects the reality of fieldwork data collection more accurately and simulates the severity of the oral conditions that will be found in the survey. However, previous surveys have criticized the calibration using the in vivo examination method and suggested that there was space to improve the calibration process 28 . Calibration using the in vivo examination method requires a large number of participants, and discomfort is caused due to repeated dental examinations 14 .…”
Section: Discussionmentioning
confidence: 99%
“…However, previous surveys have criticized the calibration using the in vivo examination method and suggested that there was space to improve the calibration process. 28 Calibration using the in vivo examination method requires a large number of participants, and discomfort is caused due to repeated dental examinations. 14 Moreover, calibration using the in vivo examination method depends upon extensive efforts from volunteers and examiners, as well as a considerable amount of time to perform the examinations.…”
ObjectiveTo evaluate the in‐lux examination method to assess the reliability of examiners for oral health surveys.MethodsA calibration study involving 10 examiners and 27 patients was conducted, and high‐quality photographs of dental epidemiological indices were projected. The latter refers to the in‐lux examination method. Two groups, comprised of five examiners each, were trained to assess dental caries (DMFT index) and malocclusion (DAI). The first group carried out in vivo (clinical) and in‐lux examinations in the same patients. The second group performed in‐lux examinations only. The measurements were repeated to obtain intraexaminer weighted kappa coefficients.ResultsInterexaminer weighted kappa coefficients of the in vivo examination method for DMFT and DAI ranged from 0.597 to 0.851 and from 0.574 to 0.844, respectively. The values for in‐lux examination were between 0.440 and 0.856 (DMFT) and between 0.524 and 0.783 (DAI). The intraexaminer kappa coefficients of the in vivo examination method ranged between 0.569 and 0.851 (DMFT) and between 0.644 and 0.834 (DAI). In the in‐lux method, these values were between 0.426 and 0.831 (DMFT) and between 0.341 and 0.838 (DAI). Three examiners did not reach the minimum acceptable kappa value (k = 0.610) for DMFT, and one for DAI. Of these, one examiner managed to reach the minimum kappa coefficient for DMFT after additional training. The three others maintained the kappa coefficients at lower than acceptable limits.ConclusionsCalibration, using both in vivo and in‐lux examination methods, was able to discriminate the examiners regarding their reliability to reproduce dental indices. The in‐lux examination method was considered reliable and can replace the in vivo examination method. The in‐lux method might be more feasible to evaluate the reliability of examiners when clinical calibration is unrealistic due to logistic issues and when a large number of examiners are involved in the survey.
“…Calibration using the in vivo examination method has been recommended because this method reflects the reality of fieldwork data collection more accurately and simulates the severity of the oral conditions that will be found in the survey. However, previous surveys have criticized the calibration using the in vivo examination method and suggested that there was space to improve the calibration process 28 . Calibration using the in vivo examination method requires a large number of participants, and discomfort is caused due to repeated dental examinations 14 .…”
Section: Discussionmentioning
confidence: 99%
“…However, previous surveys have criticized the calibration using the in vivo examination method and suggested that there was space to improve the calibration process. 28 Calibration using the in vivo examination method requires a large number of participants, and discomfort is caused due to repeated dental examinations. 14 Moreover, calibration using the in vivo examination method depends upon extensive efforts from volunteers and examiners, as well as a considerable amount of time to perform the examinations.…”
ObjectiveTo evaluate the in‐lux examination method to assess the reliability of examiners for oral health surveys.MethodsA calibration study involving 10 examiners and 27 patients was conducted, and high‐quality photographs of dental epidemiological indices were projected. The latter refers to the in‐lux examination method. Two groups, comprised of five examiners each, were trained to assess dental caries (DMFT index) and malocclusion (DAI). The first group carried out in vivo (clinical) and in‐lux examinations in the same patients. The second group performed in‐lux examinations only. The measurements were repeated to obtain intraexaminer weighted kappa coefficients.ResultsInterexaminer weighted kappa coefficients of the in vivo examination method for DMFT and DAI ranged from 0.597 to 0.851 and from 0.574 to 0.844, respectively. The values for in‐lux examination were between 0.440 and 0.856 (DMFT) and between 0.524 and 0.783 (DAI). The intraexaminer kappa coefficients of the in vivo examination method ranged between 0.569 and 0.851 (DMFT) and between 0.644 and 0.834 (DAI). In the in‐lux method, these values were between 0.426 and 0.831 (DMFT) and between 0.341 and 0.838 (DAI). Three examiners did not reach the minimum acceptable kappa value (k = 0.610) for DMFT, and one for DAI. Of these, one examiner managed to reach the minimum kappa coefficient for DMFT after additional training. The three others maintained the kappa coefficients at lower than acceptable limits.ConclusionsCalibration, using both in vivo and in‐lux examination methods, was able to discriminate the examiners regarding their reliability to reproduce dental indices. The in‐lux examination method was considered reliable and can replace the in vivo examination method. The in‐lux method might be more feasible to evaluate the reliability of examiners when clinical calibration is unrealistic due to logistic issues and when a large number of examiners are involved in the survey.
“…Na comparação dos resultados do levantamento epidemiológico de saúde bucal no ano de 2003 e 2010 referente a avaliação da necessidade de próteses dentárias, constatou-se que nos adultos de 35 a 44 anos de idade houve aumento da necessidade de prótese no arco superior e redução no arco inferior e em idosos, houve um aumento na necessidade de prótese nos dois arcos20 . No Brasil, 15,4% dos idosos de 65 a 74 anos de idade necessitam de prótese total em ambos os arcos dentários e 17,9% necessitam de prótese total em um dos arcos21 . Estas informações justificam os resultados encontrados no presente estudo referente ao tipo de próteses que são produzidas no estado da Bahia, com maior percentual para prótese total.…”
INTRODUCTION: The difficulty in accessing oral health services and the practice of dental mutilation has led to a high number of individuals affected by edentulism. In order to reverse this situation, the National Oral Health Policy was implemented and with it the Dental Prosthesis Laboratories. OBJECTIVE: To evaluate the productivity of the dental prothesis of these laboratories in the state of Bahia, in 2016. METHODOLOGY: This was a quantitative-descriptive study in which data were collected from Outpatient Information System of the Unified Health System regarding dental prosthesis productivity. The information of physical structure, human resources of the laboratories and their distribution by health regions were collected in the site of the National Registry of Health and other information about the municipality in the Brazilian Institute of Geography and Statistics. The absolute and relative frequency of the variables and the comparison of productivity with the structural characteristics of the laboratories and health regions of Bahia were presented. RESULTS: We analyzed 51 municipalities that offer dental prosthesis services in SUS, of these 32 have CEO. A total of 46,870 prostheses produced of the type dentures, partial removable, fixed and on implant were observed, with the cities with CEO producing 66.49% and the 19 cities without CEO produced 33.51%. The type of prosthesis most performed was the total (58.73%) followed by the removable partial prosthesis (40.07%). The South region presented the highest productivity of dental prostheses (24.26%) while the region Center North produced the lowest amount (2.28%). CONCLUSION: Although there is a considerable amount of prostheses produced, only 12.2% of the municipalities in Bahia have a dental prosthesis laboratory, even demonstrating a considerable amount of productivity.
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