v. 17, n.47, p.937-46, out./dez. 2013 937 COMUNICAÇÃO SAÚDE EDUCAÇÃO IntroduçãoConforme o Plano Nacional de Extensão Universitária, elaborado no Fórum de Pró-Reitores de Extensão das Universidades Públicas Brasileiras (Brasil, 2002a), a extensão universitária é o processo educativo, cultural e científico que articula o ensino e a pesquisa de forma indissociável e viabiliza a relação transformadora entre universidade e sociedade. Apresenta-se, ainda, como uma das práticas acadêmicas com potencial para interpretar, na universidade, as demandas que a sociedade impõe, uma vez que permite socializar o conhecimento e promover o diálogo entre o saber científico e o saber popular. Entende-se, aqui, que esta aproximação e (re)significação dos saberes deva ser exposta como uma importante estratégia para a ação e a transformação da realidade em saúde de diferentes populações, num verdadeiro processo de mudança do método formativo tradicional.Especificamente para o campo acadêmico, verifica-se uma preocupação crescente com o modelo formador do profissional em saúde, na qual, cada vez mais, se configura a necessidade de profissionais aptos a contribuírem com a sociedade num contexto de profundas mudanças, não somente em seu próprio campo profissional, mas, também, nos campos político e social (Costa, 2007). Neste sentido, a extensão universitária assume o papel de potencializadora desta relação, por meio da diversificação de cenários e metodologias de aprendizagem, implementando novos espaços de discussão, análise e reflexão das práticas no cotidiano do trabalho e dos referenciais que as orientam (Ferreira Fiorini, Crivelaro, 2010;Ceccim, 2005;Feuerwerker, Costa, Rangel, 2000), reafirmando, ainda, o seu compromisso na formação acadêmica humana e social.A partir do reconhecimento da importância de ações extensionistas para docentes, discentes, técnicos e sociedade, com vistas a potencializar e ampliar os patamares de qualidade das ações institucionais, o Departamento de Odontologia da Universidade Estadual de Ponta Grossa (UEPG) desenvolve uma iniciativa inovadora intitulada 'Projeto nós na rede: contribuições da Odontologia para educação, prevenção e manutenção da saúde'. Como principais objetivos, destacam-se: atenuar a carência de políticas de apoio voltadas para a comunidade acadêmica da UEPG, especialmente em situação de vulnerabilidade social, e a sua espaço aberto
The sealing of infected carious dentin in young permanent molars reduced the expression of MMP-8, which is consistent with the initial remodeling process of the dentin matrix.
RESUMO DESCRIPTORS DESCRITORESSaúde bucal em bebês; Programa educativo/preventivo; Cárie dentária em bebês.Oral health in babies; Educative/preventive program; Dental caries in babies. Incidence of Carious Lesions in Infants After 15 Months of an EducativePreventive ProgramObjetivo: Avaliar um programa educativo/preventivo no controle da doença cárie em 160 bebês na faixa etária de 1 a 21 meses. Purpose:To evaluate an educative-preventive program in the control of caries disease in 160 infants aged 1 to 21 months. Method: Healthy and caries-free children were enrolled in the study and attended clinical visits at three-month intervals during 15 months. At each visit, depending on the child's age, the biofilm was removed with gauze or pediatric toothbrush. After visual examination, the number of teeth and eventual alterations were recorded. The mothers were instructed during adequate preventive practical activities using verbal instruction, posters and slide projection. Educative lectures were given at the beginning of the study and at 6-month intervals thereafter. The oral examination and maternal training were conducted at Basic Health Units, Community Centers and at the University. To verify the occurrence of changes in the dietary and hygiene habits, questionnaires were applied at the beginning of the study and after 12 months. Results: Most mothers have not completed the elementary education and their family income ranged from 1 to 3 minimum salaries. After 15 months, the withdrawal rate was 23.8%, totalizing an examined population of 122 babies. In these babies, caries incidence was 7.3% with 0.25 decayed teeth on average. Including the white spot lesions, caries incidence was 9.8% with 0.4 decayed teeth on average. Conclusions:The educative-preventive program contributed to lessen caries incidence by stimulating the adoption of healthier habits, as it was observed a reduction of 33% in nocturnal bottlefeeding and an increase of 20.9% in oral hygiene.
Aim:This study evaluated the impact of liner material on the fluorescence, morphological and mineral characteristics of permanent carious dentin after cavity sealing.Methods:Thirty children (11.0 ± 2.7 years old) presenting at least one active deep carious lesion in permanent molars were selected. Fragments of carious dentin were removed from teeth before lining the cavity (baseline samples) with high-viscosity glass ionomer cement (G1) or an inert material (wax - G2). Cavities were restored with composite resin and reopened 60 days later, and other fragments were removed (60-day sample). The laser fluorescence (LF) readings and morphological and mineral changes of both groups were compared.Results:After 60 days, forty teeth were available for evaluation. Lower LF means were obtained (Wilcoxon signed-rank test; P < 0.05), and enhanced calcium and phosphorus levels were detected for both groups (t-test, P < 0.05). An uptake of fluorine was observed only in G1 (t-test; P < 0.05). Regardless of the group, baseline samples exhibited clear signs of bacterial invasion, and the collagen fibers were exposed; the 60-day samples showed a better-organized tissue with a more compact intertubular dentin.Conclusion:Caries arrestment with dentin reorganization occurs regardless of the lining material placed in contact with the infected dentin.
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