Month: October 2011

The concern with the complexities of the health of the patient sometimes make such care prevents that Orthodox to seek appropriate solutions to the idiosyncrasies of each individual.< p style = "text-align: center;" >

< p style = "text-align: center;" > “is much more important to have clear understanding of general principles, without consider them fixed laws and definitive than straining the mind with a set of detailed technical … for thought creator is more important to see the forest from the trees.” -William Beveridge

William Beveridge was an economist and social reformer who worked with Sir Winston Churchill, British Prime Minister, in the reconstruction of Britain during and after the second world war. Beveridge recommended that the Government find ways to combat the five major evils of society: scarcity, disease, ignorance, squalor and idleness. The Beveridge Plan, 1942, was an extensive social security plan, based on the argument of universality, as unmet needs reflecting on society as a whole, therefore, everyone should have access to health services.

But, so what? What is Beveridge with patients with special needs? You must be wondering. Anything. Or all, if we look at his words with care. If we analyse the evils mentioned in the Economist, virtually all have a link with the PNE, and even idle shows the neglect in which are often treated these patients. However, based on social issues of the last century, Beveridge still toast with a quote, which begs the essence of dentistry for patients with special needs: the need to be creative.

No, this is not an abdication of a strong base of studies and the scientific rigour, but the question is: only the experts will be able to account for the high demand that this population requires?

the most recent data from the Federal Council show that only 445 dental professionals are experts in the field, and this number tends to grow slowly due to little commitment to directions of professional colleges and

entities.

traditionally, dentistry has been focused on educational and motivational techniques to prevent or control oral diseases. Dental professionals have sought to provide patients with effective programmes of treatment, but there is no “recipe” to treat that patient. Patients with special needs require creativity, imagination, experimentation and research, so to achieve a realistic plan of treatment is necessary in the knowledge of the cause of diseases in these

individuals.

existing idealized ratings, even hard for those who propose, are still questionable, and it is difficult to understand the PNE without the use of creativity (…) and

practical experience.

creativity seems to not be as developed when dental education. Of course there are masters concerned in developing his pupils in the course of the courses, but usually they uphold in following the pre-conceived and bye

programming.

taking into account the Dentistry for patients with special needs, the situation is more scathing (this when the school is preparing to “teach” this discipline for their undergrads).

concern about the complexities of the health of the patient sometimes make such care prevents that Orthodox to seek appropriate solutions to the idiosyncrasies of each individual

.

after all who is this “patient”? Initially they were individuals who had standard deviations from normality, specifically physical disabilities and intellectual, and were termed “exceptional patients.”

In 1981, under the auspices of the American Dental Association (ADA), the journals of the American Association of hospital Dentists, the Academy of Dentistry for persons with disabilities and of the American society for Geriatric Dentistry teamed up to form a single journal: Special Care in Dentistry (SCD). This was the first time the term “special care” (special care) was used within the profession.

Glassman and Miller, in 1998, proposed that the term “patient with special needs” referred to people who had medical disabilities, social, psychological or physical. This made it necessary to modify the normal course of dental treatment

.

For Ettinger, the terms “Special Care Dentistry” and “Special Needs Dentistry” became essentially synonyms.

over the years, this exceptional patient “terminology” eventually became extremely restrictive and was replaced by “special patient”, for being more comprehensive and encompass other changes beyond the intellectual and physical disabilities. Currently, the term “patient with special needs” (PNE) is considered more instructive

.

with the concept of “limited ability” used by the World Health Organization, it is estimated that today, in Brazil, more than 100 million people are directly or indirectly involved with people with special needs

.

Obviously cannot depend only of professional specialists and of selfless, that attempt in one way or another to give some kind of attention to PNE without even minimal technical training. We need all that might help. Study a little more help, ask who has more experience, but are mainly

creative.

guarantee to you, without further study, 50% of those who feel “special” are treated by any dental surgeon formed

last month.

the numbers seem exaggerated, if we don’t have good will. But these figures are expressive and that despite the coldness with which they are presented, mean people, people who are on our side, are part of our piece, go to our beach, attend our shopping

.

you’re not seeing? Look at your side! If necessary, open the eye! If still unable to see, try looking within yourself!

generous society

, good living, will be one in which there is social justice and democratic freedom coupled with sustainability, that is, to the respect for nature and conservation of its resources and its participants. Preserve our forests “and” our “trees.”

/> José Reynaldo Figueiredo/> Surgeon-dentist. Odontopediatra. Specialist in Dentistry for patients with special needs. />