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Background There is a paucity of population-based surveys on oral health conditions in Ecuador. Thus, the aim of this study was to conduct an epidemiological survey with a representative sample of children aged 12 years from public schools of Quito, Ecuador. The aim of this initial report was to describe the methodology used in the survey, as well to present results regarding calibration procedures and prevalence of oral-health related outcomes. Methods We invited 33 public schools’ coordinators from the urban area of Quito, and 1100 children (12 years old) to take part in this study. Six trained and calibrated examiners conducted clinical examinations using oral mirrors and ball-ended probes to assess: dental caries, traumatic dental injuries, malocclusion, gingival bleeding, presence of calculus and fluorosis. Children also responded a questionnaire on Oral Health-Related Quality of Life (OHRQoL). Individual sociodemographic data was collected through a questionnaire sent to parents. Moreover, some contextual data on school environment (infrastructure conditions, promotion of health practices and negative episodes) were also evaluated. Prevalence values, crude and weighted by sampling weights, and 95% confidence intervals (95%CI) were calculated. Results Nine hundred and ninety-eight children from 31 schools were examined from March to May 2017. The adjusted prevalence values (95%CI) for the six outcomes evaluated were: dental caries = 60.3% (55.3 to 65.0%); traumatic dental injuries = 20.7% (17.2 to 24.8%); dental fluorosis = 63.7% (58.5 to 68.5%); gingival bleeding = 92.0% (87.1 to 95.2%); presence of calculus = 69.9 (60.5 to 77.9%); and malocclusion = 25.8% (21.8 to 30.3%). Adjusted mean of number of decayed, missed or filled permanent teeth (DMF-T) was 1.61 (1.37 to 1.84). Results on OHRQoL and other contextual variables will be reported in other articles. Conclusion The prevalence of the majority of oral health problems in 12-year-old children from public schools in Quito-Ecuador was compatible with those observed in other similar cities. However, periodontal health and fluorosis seem to be highly prevalent in children from Quito. Electronic supplementary material The online version of this article (10.1186/s12903-019-0863-9) contains supplementary material, which is available to authorized users.

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A Universidade apresenta um importante papel na formação de um profissional capaz de atender às demandas da população, buscando a relevância social. As Diretrizes Curriculares Nacionais trouxeram para a Odontologia a flexibilização do currículo, permitindo que cada instituição de ensino formulasse sua proposta pedagógica para abranger e se adequar à realidade social local. Dessa forma, são necessários novos perfis de profissionais com condições de responder às necessidades de saúde da população de acordo com os princípios e diretrizes do Sistema Único de Saúde (SUS). Para isso, a formação do cirurgião-dentista deve resgatar o caráter coletivo da prática odontológica, graduando um profissional apto a interferir na realidade do indivíduo e do território. O estudo objetiva verificar as expectativas e motivações dos estudantes ingressantes na Faculdade de Odontologia da Universidade de São Paulo no ano de 2013 em relação ao curso e ao mercado de trabalho no contexto das Diretrizes Curriculares Nacionais e integração com o SUS. Foi aplicado um questionário aos ingressantes no primeiro semestre de 2013 e os dados foram tabulados no software Microsoft Excel. Os resultados revelaram que 46% dos ingressantes já entram na faculdade objetivando uma especialidade, 76,59% dos ingressantes almejam um bom retorno financeiro, ao passo que 53,19% desejam ter seu próprio consultório ou trabalhar como autônomo. Concluímos que diante do perfil de trabalho autônomo, privado e altamente especializado, a academia tem um grande desafio de desconstruir o imaginário trazido pelo ingressante, a fim de que este possa estar apto a trabalhar de forma adequada no SUS.

The objective of this study was to identify and analyze the geographic distribution of dentists, in the global context, through available scientific evidence, highlighting the following aspects: 1) the determinants of the geographic distribution of dentists, 2) corrective intervention implemented, and 3) their monitoring and evaluation. A scoping review of the published and gray literature was carried out in scientific databases and in relevant websites. We used an adaptation of a World Health Organization framework to study the distribution of human resources in health to analyze selected publications. After applying the eligibility criteria, 53 publications were included in the review; 10 related to the determinants of geographical distribution, 5 to interventions implemented, and 38 to the monitoring and evaluation process. More studies are needed to identify local determinants of the geographical distribution of dentists and to define adapted intervention strategies to make it more equitable. Knowledge Transfer Statement: The geographic inequality of dentists is a problem for health systems because it has a direct impact on access to services and the oral health conditions of a population. Our study was based on a theoretical conceptual framework formulated in 3 components: 1) determinants of the geographical distribution, 2) strategies implemented to correct the problem, and 3) monitoring and evaluation. It can assist in designing oral health policy and guide decisions by policy makers.