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Objective: To determine the difference between patients and dentists regarding the assessment of attributes for choosing a dental center in Trujillo, Peru. Materials and Methods: A comparative cross-sectional observational study was conducted involving a sample of 162 dentists and 162 patients from the Trujillo province in Peru. The data was collected through a virtual questionnaire, validated by experts, and assessed for reliability. Statistical analysis was performed using the U-Mann Whitney and Spearman correlation tests, with a significance level set at 5%. Results: Patients, in comparison to dentists, demonstrated a greater preference for selecting a dental center where the practitioner is a recognized specialist (p<0.001). Similarly, patients showed a preference for centers offering expedited appointments, advanced technology, and equipment, providing affordable and flexible payment options, free consultations, and having convenient parking and comfortable facilities (p<0.05). Conversely, dentists perceived that the most valued attribute by patients is the recommendation of the dentist (p=0.031). Conclusions: When choosing a dental center, patients primarily value attributes related to both the professional responsible for care and administrative management. Conversely, dentists consider the main factor influencing a patient's choice of dental center to be recommendations of the dentist. Valoración de los atributos para la elección de un centro odontológico en Trujillo, Perú: pacientes versus odontólogos

Objetivo: Determinar la diferencia entre pacientes y odontólogos con respecto a la valoración de atributos para la elección de un centro odontológico en Trujillo. Materiales y Métodos: Se realizó un estudio observacional transversal comparativo con una muestra de 162 odontólogos y 162 pacientes de la provincia Trujillo (Perú). La data fue recogida a través de un cuestionario virtual, sometido a validación por expertos y prueba de confiabilidad. El análisis estadístico se realizó mediante las pruebas U-Mann Whitney y correlación de Spearman, considerando un nivel de significancia del 5%. Resultado: Los pacientes, con respecto a los odontólogos, mostraron mayor valoración para la elección del centro odontológico cuando el profesional es especialista y reconocido (p<0.001); así mismo, cuando se le brindan citas rápidas, se usa tecnología y equipamiento adecuados, se brindan facilidades de pago con precios bajos y consultas gratuitas, y el centro cuenta con estacionamiento y espacios cómodos (p<0.05). Por su parte, los odontólogos consideran que el atributo más valorado por los pacientes es que el profesional sea recomendado (p=0.031). Conclusión: Para la elección del centro odontológico, los pacientes valoraron en mayor medida los atributos relacionados al profesional responsable de la atención y la gestión administrativa. Por otro lado, los odontólogos consideraron preferentemente que el atributo principal para la elección del centro odontológico por parte del paciente es que el odontólogo haya sido recomendado.

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AIMS: We conducted a systematic review of post-test communication protocols and observational studies regarding counseling for a positive sexually transmitted infection (STI) result and also discuss the role of dental specialist (e.g., oral medicine) in this sense. METHODS AND RESULTS: The search process followed the parameters of PRISMA 2020 guidelines. MEDLINE/PubMed, Web of Science, Scopus, EMBASE, and LILACS were consulted with a specific search strategy for each one. Additionally, the references of the included studies, grey literature, and experts were consulted. Four protocols and 18 observational studies were included in this systematic review, published between 1997 and 2022 in the Americas and Europe. The communication protocols emphasized the importance of conducting personal and private discussions with patients to address their fears and questions. Among the observational studies, 56% indicated that post-test counseling was either ineffective or absent. Furthermore, 22% of the studies used telephone communication to deliver results to patients. CONCLUSIONS: Our study showed that the communication process of a positive STI result affects the patients in several aspects, as treatment adherence and their relationship with the community. Nevertheless, this process of STI post-test communication seems to be flawed, which brings potential negative effects to patients.

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Los fracasos y complicaciones en el campo de la cirugía bucal son analizados generalmente desde un punto de vista técnico o biológico. En términos generales, a partir del es- píritu fragmentario del conocimiento, se tiende a enfocar la atención odontológica en la parte técnica y teórica. Actual- mente se están produciendo cambios socioculturales que están generando modificaciones en los paradigmas de la atención odontológica, considerando también la comunicación con el paciente y la situación psicológica tanto del paciente como del equipo profesional. En este editorial se busca reflexionar so- bre estos temas analizando perspectivas más integradas para lograr un mayor equilibrio en la atención profesional (AU)

Failures and complications in the field of oral surgery are generally analyzed from a technical or biological point of view. In general terms, based on the fragmentary spirit of knowledge, dental care tends to be focused on the technical and theoretical knowledge. We are currently witnessing so- ciocultural changes that are producing modifications in the paradigms of dental care, also considering communication with the patient and the psychological situation of both the patient and the professional team. This editorial seeks to re- flect on these issues, considering the most integrated visions to achieve greater balance in professional care (AU)

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Resumo Este artigo explora sentidos e significados do trabalho odontológico no SUS, no contexto da relação profissional-paciente. Pesquisa qualitativa com 20 cirurgiões-dentistas que atuavam em um município paulista de médio porte, abordada por meio de três grupos focais, com a pergunta disparadora "Qual é o sentido ou significado do seu trabalho, aqui na prefeitura, para você?". O material foi áudio-gravado, transcrito na íntegra e analisado pelo método de análise de conteúdo temática. Procedemos a realização de leitura flutuante, categorização e discussão dos achados junto aos pares de pesquisadores para validação final. Como resultados, aponta-se a construção das categorias 1) Estranheza às necessidades percebidas pelos pacientes e a consequente medicalização da vida, e 2) Poder e consumo como significados da prática. O trabalho do cirurgião dentista, nesse contexto, evidenciou as diferenças entre as necessidades percebidas pelo paciente e aquelas que o dentista considera. Além disso, revelou o poder que emana da assimetria entre paciente e profissional como dificultador da produção de autonomia do paciente. Tais significações parecem trazer sofrimento para esses profissionais no seu trabalho. Concluiu-se que há necessidade de reflexão sobre o trabalho em saúde como forma de se evitar sofrimento, e que a prática desses dentistas é carregada de sentidos e significados.

Abstract This study explores the senses and meanings attributed to dental work in the Brazilian National Health System (SUS) focusing on dentist-patient relations. A qualitative research was conducted with 20 dentists working in a medium-sized municipality in São Paulo, divided into three focus groups and asked the guiding question "What sense or meaning do you attribute to your work here in the city?" Data were audio-recorded, fully transcribed, and analyzed using thematic content analysis. Floating reading, categorization, and peer discussion of the findings were performed for the final validation, resulting in two categories: 1) Strangeness to patients' needs and the subsequent medicalization of life, and 2) Power and consumption as meanings of practice. In this context, the dental practices showed the differences between patients' needs and those considered relevant by dentists. It also showed the power imbalance between patients and professionals as a hindrance to patients' autonomy. Such meanings seem to cause suffering to these professionals. In conclusion, reflections on health work are paramount to avoid suffering and understand that the practice of these dentists bears many senses and meanings.

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Aim: to evaluate the association of the patients' perception about dentist's affect and cognition on trust and, consequently, on intention to return and patient satisfaction with life. Methods: Analytical cross-sectional study conducted in patients' adults and elderly at of two dentistry clinics in the south of Brazil. Patients had to have a previous relationship with the dentist (at least one previous consult) and 18 years of age or older. The data were collected through self-administrated questionnaire using measures adapted from other research, using structural equation modeling. We test using a chi-square difference test (p-value<0,05). Results: The mean age of the 197 patients was 37.0 years (σ = 15.5). The affect perceived by the patient at the dentist had a positive effect (ß = .53) on the trust that the patient develops in relation to the dentist. The same is true for the effect of the rational or cognitive aspects perceived by the patient at the dentist (ß = .41). The trust positively influences the patient's intention to return to that dentist (ß = .82). In addition, the intention to return to the dentist positively influences the patient's satisfaction with life (ß = .49). Conclusions: Affective and cognitive aspects positively influenced the patient's trust in the dentist. The greater the patient's trust in the dentist, the greater the intention to return to that dentist. Furthermore, a good relationship with the dentist improve the patient's satisfaction with life

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O desempenho de atributos profissionais de integralidade do atendimento de mulheres em situação de violência depende de como os cirurgiões-dentistas (CDs)estruturam suas práticas de cuidado e como compreendem a violência. Por isso, o objetivo desta revisão foi acumular evidências da responsabilidade profissional e obrigações sociais do CDe sua imprescindibilidade no enfrentamento da violência contra a mulher. Foram selecionados artigos nas bases de dados PubMed, SciELOe LILACS, a partir de Descritores emCiências da Saúde, para fundamentar e aprofundar as perspectivas sobre a integralidade do atendimento odontológico, considerando os conflitos sociais subentendidos na queixa principal. Constatou-se que a violência contra a mulher é resultante de processoshistóricos-sociais de desigualdade entre os gêneros; a agressão física sobressai-se entre as principais queixas e mulheres agredidas por seu parceiro têm alta prevalência de sofrer injúrias na cabeça e na face. As sequelas da violência vão além dos vestígios físicos e difundem-se a inúmeros problemas orais. Verificou-se pouca aptidão dos cirurgiões-dentistas para identificar, conduzir e propor alternativas de tratamento global à paciente, mesmo com protocolos para naturalização da investigação por meio da anamnese. A ampliação do conhecimento e discussão das políticas de ensino são oportunidades para consolidar a humanização e a integralidade de saúde, evitando exames e tratamentos mecânicos, sem afeto ou respeito. Essa estratégia faz parte da construção coletiva para o estabelecimento e manutenção do compromisso ético e social do Ensino em Odontologia, em que o CD compreende a magnitude de sua profissão e presta seus serviços articulado com a realidade social (AU).

Improving integrality on dental care for women in a violent situation depends on how the dentist conducts the care practices and how to comprehend the violence. For that reason, the goal of this review was to gather evidence and concerns about the role of dentists in addressing violence against women, professional responsibilities, and social obligation. At PubMed, SciELO, and LILACS were selected research and studies to substantiate and deepen perspectives about integrality on dental care attendance considering the social conflicts implied in the main complaint. Violence against women is produced in gender inequality arising from historical and social processes. Physical aggression is the main complaint. Women assaulted by their partners have a high prevalence of suffering head and face injuries. The violence's sequelae spread to countless problems beyond the physical traces. Dentists do not be able to identify, conduct, and purpose alternatives of global treatment even though with protocols of investigationthrough the anamnesis. Multiprofessional discussion expands the knowledge and it is an opportunity to reinforce oral health inclusive criteria avoiding mechanicaltreatment with no respect or affect. Thus, this is a collective construction strategy to establish and maintenance of the ethical and social commitment of Dentistry, on what dentists improve the dental care screening, intervening, and changing behavior according to the real demand of our society (AU).

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Embora se saiba muito sobre os dados mensuráveis da Saúde Bucal na Atenção Primária à Saúde (APS), pouco se sabe sobre os aspectos individuais e subjetivos do profissional da odontologia. No desempenho de suas funções, o cirurgião-dentista entra em contatocom ambientes, tecnologias e pessoas em sua total complexidade, desencadeando, como resposta, uma série de emoções do organismo, as quais se expressam de forma consciente através dos sentimentos.Diante desse cenário, o presente trabalho partiu do pressuposto de que os dentistas têm muito a dizer sobre as representações cotidianas que possuem sobre seu trabalho. O objetivo deste estudo foi identificar -a partir do que se tem produzido na literatura -os sentimentos expressos pelos dentistas na sua práticana APS. Optou-se por conduzir uma revisão de escopo por ser um campo pouco pesquisado. O presente estudo foi elaborado obedecendo os vinte itens essenciais e os dois itens opcionais da Extensão Prisma para revisões de escopo apresentado por Tricco et al.em 2018. As buscas foram realizadas no período de agosto a outubro de 2020, utilizando-se para a construção da pergunta da pesquisa do mnemônico que representa População, Conceito e Contexto, definido assim: P = cirurgiões-dentistas, C = sentimento e C = atenção básica. Por meiodeste estudo percebe-secomo a prática odontológica está sujeita a emoções e sentimentos muitas vezes antagônicos e, assim, necessários de elaboração (AU).

Although much is known about measurable data on Oral Health in Primary Health Care (PHC), little is known about the individual and subjective aspects of the dental professional. In the performance of their functions, dentists keep in touch with some environmental and technological aspects, and with people in their total complexity. In response, these conditions trigger a series of emotions in the [dentist's] body, which are consciously expressed through their feelings. Given this scenario, the present studyarose from the assumption that dentists have a great deal to say about the everyday representations they have about their job. The objective of this study was to identify the feelings expressed by dentists in their practice in PHC, based on the data that has been produced in the. The scope of the review was chosen due to the limited number of researches in this field. The present study was conducted taking into consideration the twenty essential items and the two optional items of the Prisma Extension for scope reviews presented by Tricco et al. in 2018. The search was conducted in the period from August to October 2020, by using the construction of the mnemonic research question that represented Population, Concept and Context, which was defined as follows: P = Dentists, C = feeling and C = primary care. Based on this study, we were able to perceive the extent to which dental practice was subject to emotions and feelings that were frequently antagonistic and, therefore, it was necessary to examine them in greater depth (AU).

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Con el propósito de analizar el comportamiento de las relaciones entre médico/odontólogo y paciente, mediadas por la comunicación intercultural, se realizó un estudio que contó con la participación de 200 indígenas de la etnia Kichwa Salasaka y 33 profesionales sanitarios. Mediante la aplicación de encuestas fueron explorados elementos esenciales como los idiomas que ambos grupos dominan; asistencia a consulta de los indígenas; calidad de la atención; formación bilingüe del odontólogo y percepción de la comprensión por parte de ambos grupos. Entre los resultados obtenidos se encuentra la no comprensión de los pacientes de las orientaciones que reciben en la consulta, insuficiente conocimiento la lengua Kichwa por parte del equipo de salud y en consecuencia insuficiente transferencia de la información. Identificada la problemática comunicacional médico/odontólogo - paciente, se recomienda la implementación de políticas de salud sustentadas en el enfoque intercultural(AU)

With the purpose of analyzing the behavior of the medical/dentist-patient relations, mediated by the intercultural communication, a study was carried out that counted on the participation of 70 indigenous people of the ethnic Kichwa Salasaca and 33 doctors and dentist. Through the application of surveys, essential elements were explored such as the languages that both groups dominate; assistance to indigenous consultation; Quality of care; Bilingual training of the dentist and perception of the understanding on the part of both groups. Among the results obtained is the non-comprehension of the patients of the orientations they receive in the consultation, insufficient knowledge the Kichwa language by the health team and consequently insufficient transfer of the information. Identified the communicational problems medical/entist-patient, we recommend the implementation of health policies based on the intercultural approach(AU)

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Este estudo objetivou avaliar o perfil socioeconômico e a satisfação dos pacientes em relação aos serviços prestados na Clínica de Endodontia de uma instituição de ensino de pós-graduação. A coleta de dados foi realizada em corte transversal por meio de questionário estruturado e autoaplicável. A amostra foi intencional e aleatória (n=50) para usuários que haviam finalizado o tratamento endodôntico. Para avaliar a satisfação ao final do tratamento foiutilizada escala dimensionale bipolar, com escores atribuídos entre as extremidades. As notas dadas aos diferentes aspectos do tratamento variaram de 0 a 10 com cutoffno valor 7. Os resultados foram catalogados e submetidos às análises descritiva e inferencial com nível de significância fixado em 5%. O perfil socioeconômico dos pacientes atendidos contempla, em sua maioria, mulheres casadas, pardas, acima da terceira década de vida, com vínculo empregatício e baixa renda familiar, com ensino médio completo, residentes na capital e que usam ônibus e carro próprio como meio de transporte. O atendimento foi consideradosatisfatório. Os usuários procuram o atendimento mais por indicação de outros indivíduosdo que pela própria condição financeira, estão satisfeitos com o atendimento do aluno e do professor e consideram a infraestrutura da instituição confortável. Mesmo assim,ainda há aspectos que necessitam ser melhorados, principalmente no que diz respeito ao tempo de espera e de atendimento e àpossibilidade atendimentomais de uma vez na semana (AU).

This study aimed to assess the socio-economic profile and patient satisfaction with the services provided at the Endodontics Clinic of a postgraduate teaching institution. Data collection was carried out in cross-section through a structured and self-administered questionnaire. The sample wasintentional and random (n = 50) for users who had completed endodontic treatment. Adimensional and bipolar scale was usedto evaluate satisfaction at the end of the treatmentwith scores attributed between the extremities. The scores given to the different aspects of the treatment ranged from 0 to 10 with a cutoff of 7. The results were cataloged and submitted to descriptive and inferential analysis with a significance level set at 5%. The socio-economic profile of the patients treated includes, in its majority, married, brown women, above the third decade of life, with employment and low family income, with complete high school education, residing in the capital,and who use buses and their own car as a means of transport. The service was considered satisfactory. Users seek care more by referral from other individuals than by their financial condition, are satisfied with the care provided by the student and the teacher,and consider the infrastructure of the institution comfortable. There are still aspectsthat need to be improved, especially concerningwaiting and service times and the possibility of attending more than once a week (AU).

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El objetivo de esta revisión narrativa es analizar críticamente las publicaciones sobre las diferentes estrategias y técnicas que la literatura odontológica mundial recomienda para la atención de los niños que rechazan el tratamiento (AU)

The purpose of this narrative review is to do a critically analysis of all the papers currently published on different strategies and techniques recommended by the world dental literature for the management of children who refuse dental treatment or non-compliant child patients (AU)

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