Revista Brasileira de Odontologia Legal

ESTUDO COMPARATIVO ENTRE A REDE PÚBLICA E PRIVADA SOBRE CONHECIMENTO E ATITUDE DE CIRURGIÕES-DENTISTAS EM CASOS DE MAUS-TRATOS INFANTIS

2024-12-13T10:52:11-03:00

Child Abuse has been a part of human history for centuries and represents a serious public health issue. Most injuries affect the head and neck area, positioning the Dentist in a strategic role in identifying these cases. The aim of this study was to assess and compare the knowledge and attitudes of Dentists working in public and private services regarding cases of Child Abuse in the municipality of Suzano-SP. Ninety professionals participated in the study, both male and female, with 45 from the Public Health Network (PHN) and 45 from Private Services (PS). They were invited in person to answer a semi-structured questionnaire covering topics related to professional identification, knowledge about the subject, conduct when handling cases, and their responsibility in reporting. After data collection, the results were analyzed and compared using Chi-square and Mann-Whitney tests (α=5%). The professionals had an average age of 37.72 ± 12.64 years, with women being the majority in both groups (p<0.05). The PS group reported receiving information about the topic during their undergraduate studies (p<0.001), mainly in Pediatric Dentistry (75.6%) and Forensic Dentistry (53.3%) courses (p≤0.001), with theoretical classes (57.8%) being the most used teaching method (p<0.001). Professionals in the PHN group demonstrated greater knowledge and attitude compared to the PS group (p<0.001). Therefore, it can be concluded that PHN professionals showed better knowledge and attitude, and there is a need for educational strategies to increase awareness, leading to improvements in the identification and reporting of cases.

DIFERENÇA ENTRE ERRO ODONTOLÓGICO E IATROGENIA: UM LEVANTAMENTO SOBRE A PERCEPÇÃO DE CIRURGIÕES-DENTISTAS DA CIDADE DE CURITIBA, PARANÁ

2024-10-30T14:36:02-03:00

Given the growing number of lawsuits against dentists aimed at damage repair, the debate surrounding the difference between dental error and iatrogenesis becomes relevant. In the former, the professional acts with fault, either through incompetence, recklessness, or negligence. The latter represents an adverse outcome that does not derive from poor dental practice. Understanding these concepts is essential for the dentist to defend themselves in civil actions. However, despite the relevance of the topic, the literature shows that many professionals mistakenly use these terms, often treating them as synonyms. This study aimed to assess knowledge on the topic among dentists in Curitiba (PR). To this end, a quantitative study was conducted using an online questionnaire on the Forms platform, with a total of 107 professionals of different ages, fields, and years of experience. The results obtained showed that the term iatrogenesis is understood and used incorrectly. Most believe that the term is synonymous with dental error or that it derives from it. Furthermore, a large part of the study participants incorrectly associated the iatrogenic outcome with professional fault. These data clearly show a knowledge gap regarding the concepts encompassing dentists' civil liability among professionals working in Curitiba. Thus, to promote a safer clinical practice, it is important to find ways to broaden professionals' understanding of these concepts and their legal applications.

MORDIDAS CRIMINOSAS NO BRASIL: ANÁLISE DE REPORTAGENS DIVULGADAS ANTES, DURANTE E APÓS A PANDEMIA DO COVID-19

2024-11-19T23:06:55-03:00

Introduction: The bite mark is defined as a mark made by the teeth that can be found on the skin, objects and food, which is capable of becoming evidence of great legal importance in forensic cases. Therefore, Forensic Dentistry plays a fundamental role in cases of aggression involving human bites, since professionals in this area can identify the perpetrator of the crime by analyzing the traces of the bite mark. Objective: To analyze the prevalence of human bite marks in Brazil, before, during, and after the Covid-19 pandemic, between the years 2018 and 2024 from news sites. Material and method: This is a study of the prevalence of bite marks in the last 7 years on the search engine "Google news", organized in a comparative table for later analysis. Results: A total of 107 cases were recorded, with the state of São Paulo having the highest number of occurrences. The prevalence was higher among females. The head and upper limbs were the most affected regions. Conclusion: It was possible to observe that there was an increase in the prevalence of human bite marks during and after the pandemic period. Therefore, it is essential that the Coroner's dentist increase his mastery and technical knowledge of bite marks, due to the growing number of cases of bite marks in Brazil.

COMIC STRIPS IN DENTISTRY: USE OF STORIES IN THE TEACHING OF DENTAL ETHICS AND LEGISLATION

2024-12-02T16:57:09-03:00

This study evaluated the use of comic stories as a collaborative methodology in the teaching of Dental Ethics and Legislation from the perspective of undergraduate students in Dentistry. This was a cross-sectional study with a quantitative approach, approved by the Research Ethics Committee. Initially, students were presented with the proposal to use comic strips (CS) to approach the Code of Dental Ethics (CDE). In groups, students were guided on how to create stories that should portray one of the CDE's chapters. Afterwards, the CS produced were shared and the moment allowed the discussion of the different CDE topics among the class, then the questionnaires were applied. The data obtained were tabulated and analyzed descriptively. The survey response rate was 78.26% and the sample comprised 36 students, 69.4% (n=25) female, with an average age of 24.2 years, studying in the 4th to 8th semesters of the course. Most participants (86.1%; n=31) reported having already used collaborative methodologies in other disciplines, however, only 12.5% (n=4) had used CS. 80.6% (n=29) of the students did not use the website proposed by the professors to create the stories and only 11.1% (n=4) had significant difficulties in carrying out the activity. In addition, 69.4% (n=25) evaluated that this methodology contributed a lot to the assimilation of the subject content. The CS comprised an approach that was well evaluated by the students and that contributed to the effective learning of the content of Dental Ethics and Legislation.

DENTAL AGE ESTIMATION QUIZ: TEST YOUR KNOWLEDGE

2024-10-26T13:32:38-03:00

Forensic odontology plays a vital role in criminal investigations and medico-legal cases, utilizing dental evidence to assist in the identification of individuals and the resolution of legal matters. This paper introduces a comprehensive educational resource that integrates an advanced-level multiple-choice quiz with detailed answers and explanations, aimed at testing and enhancing the knowledge of forensic odontologists and dental professionals. The quiz comprises twenty carefully designed questions that cover various aspects of dental age estimation in children, subadults, and adults. Each question presents a challenging scenario or concept, requiring participants to apply their understanding of forensic dental age estimation principles and techniques. In addition to the quiz, this paper provides thorough answers and explanations for each question, offering valuable insights into the underlying principles, methodologies, and techniques involved in dental age estimation. A section dedicated to research methodology and statistics has also been included, emphasizing its importance for professionals pursuing dental age estimation research. By presenting detailed explanations and rationales, this publication serves as both an educational tool and a reference guide for those seeking to deepen their expertise in forensic odontology. This integrated approach supports continuous education and professional development by clarifying advanced-level topics and concepts while encouraging practitioners to expand their proficiency in this specialized field

ANÁLISE DO PERFIL EDUCACIONAL DOS CURSOS DE ESPECIALIZAÇÃO EM ODONTOLOGIA LEGAL NO BRASIL

2024-08-21T11:26:38-03:00

Introduction: Forensic dentistry is a specialty linked to forensic medicine that allows us to apply knowledge that ranges from helping the courts to elucidate cases that have affected living or dead people or bones, to dental and legal ethics in the practice of the profession. Objective: To quantify the active specialization courses in Legal Dentistry in Brazil. Material and methods: This was a quantitative, observational, descriptive and cross-sectional study. The population consisted of active in-person and distance specialization courses in Legal Dentistry, obtained through the e-MEC portal, from which all available information was obtained, and through institutional websites. The data was analyzed to check prevalence in relation to: modality (face-to-face or distance learning), category (private or public), region, maximum qualification of the coordinator and practices in the IML. Results: It was found that of the 41 active courses, 30 were face-to-face (73.17%); the majority in the private category (92.68%); the Southeast region had the highest concentration of courses (33.33%); a doctorate was the most prevalent degree among the coordinators (43.90%) and only 2 courses presented data regarding practices (4.87%). Conclusion: It was observed that the number of courses in Legal Dentistry is still low, which may explain the number of specialists in the area in relation to the number of dentists in Brazil. Practices are important, but few of the courses present this data. Face-to-face teaching is still more common than distance learning.

DENTAL ADVERTISING AND THE GENERAL DATA PROTECTION LAW (LGPD): LITERATURE REVIEW AND PROPOSAL FOR IMAGE USE AUTHORIZATION TERM

2025-01-30T16:05:59-03:00

In dentistry, advertising has gained strength with the advancement of social media, and with that, dentists have found an opportunity to attract new patients with the dissemination of their work, through the publication of their clinical cases, without a concern for the aspects of ethical and legal rules governing their profession. Laws such as the General Data Protection Law (LGPD) came into force as a way to guarantee the privacy of personal data of individuals that are eventually exposed on the internet, where previously allowed by Resolution CFO 196/2019, the publication of diagnostic images and completion of treatment provided that using a Term of Free and Informed Consent (TCLE), generating a legal inconsistency about advertising in dentistry. This work aims to gather information on how the LGPD is applied in dental advertisements, debating good practices and more effective ways of carrying out professional marketing in the health area. In addition to proposing a roadmap for the elaboration of an authorization term for the use of an image compatible with the General Data Protection Law. Therefore, from the analysis of the LGPD regarding the privacy of data of individuals, it can be seen that there is a risk of the professional misusing the sensitive data of patients when exposing their images. Identity, diagnosis, planning, and others are examples of characteristics that can harm the client's image. The patient's autonomy in granting authorization is also recognized by law, with great support for the protection of the individual. In this context, the image authorization term is a necessary document that meets the legal demands, guaranteeing the exercise of the individual's autonomy. This must have the patient's identification, the purpose of using the image, and the deadline for authorization of use.

The teaching of forensic dentistry in Brazilian universities

2024-12-14T12:29:53-03:00

Legal Dentistry is an essential specialty in the education of dentists, equipping them to act ethically, technically, and legally. This study conducted a literature review to evaluate how Brazilian dental courses integrate this discipline into their curricula, focusing on aspects such as workload, faculty qualifications, teaching modalities (in-person or distance learning), and compliance with the Brazilian Association of Legal Dentistry (ABOL) guidelines. Findings reveal that, although most institutions offer the subject, disparities remain regarding the recommended workload and the standardization of program content. Additionally, the lack of specialized faculty poses significant challenges, potentially affecting the quality of teaching and its practical application. The integration of Legal Dentistry with related subjects, such as Ethics and Bioethics, while common, may hinder the depth required for comprehensive training. This study underscores the need for consistent educational policies and curriculum adjustments to ensure professionals are adequately prepared for forensic and legal challenges. It reinforces the importance of comprehensive training that supports ethical and technical performance by dentists in contemporary practice.

ASPECTOS ÉTICOS, LEGAIS E TERAPÊUTICOS DO USO DE PRODUTOS À BASE DE CANNABIS NA ODONTOLOGIA BRASILEIRA: UMA REVISÃO INTEGRATIVA

2024-12-25T11:42:03-03:00

Introduction: Cannabis sativa is a plant with medicinal uses, whose compounds can be extracted and used in different areas. Its use in clinical dental practice is discussed due to its therapeutic properties. Objective: This scoping review sought evidence about the legal, ethical and therapeutic aspects of the clinical prescription of Cannabis-based products in Dentistry. Material and methods: The selection of articles was carried out through a search in the PubMed and SCOPUS databases, with the keywords “C. sativa”, “cannabidiol”, “cannabis” and “Dentistry”. The scientific articles were selected for qualitative analysis after applying the eligibility criteria. Results: 24 articles were included that discussed the applicability of Cannabis-based products in Dentistry and Brazilian legislation. The study designs of the included articles were: literature review, randomized clinical trial, in vivo study, in vitro study, scoping review and systematic review. Law No. 11,342/2006 registers the legal use of Cannabis for medicinal and scientific purposes. RDC ANVISA No. 660/2022 regulates that these products can be prescribed by qualified professionals, such as dentists. CFO Resolution No. 82/2008 regulates the use of herbal medicines in Dentistry. The main therapeutic properties of Cannabis-based products described were anti-inflammatory, analgesic, osteoinductive and antimicrobial actions, which have applicability in Dentistry. Conclusion: the literature on the properties of cannabinoids and legal records suggests the ethical, legal and therapeutic predictability of Cannabis-based products in Dentistry.

EDITORIAL

2025-02-14T11:15:59-03:00

MISSÃO CUMPRIDA!
Mais um ano que se encerra! E mais um ciclo de edições da RBOL – Revista Brasileira de Odontologia Legal cumpre a
missão de levar ciência e informação de qualidade a todos que se interessam e militam em nossa belíssima especialidade.

Assim, chegamos ao terceiro e último número referente ao ano 2024 onde, antes de falar dessa nova edição, é importante ressaltar que também foi cumprida a missão de mais uma gestão da ABOL – Associação Brasileira de Ética e Odontologia Legal, sob a presidência do Prof. Dr. Edgard Michel Crosato, a quem o corpo editorial da RBOL agradece por todo o
suporte e apoio ao longo da gestão; e temos o início de uma nova gestão, com o importante marco da primeira mulher Presidente da ABOL, Profa . Dra . Jamilly de Oliveira Musse, registrando nossos votos de muito sucesso e que nossa
Odontologia Legal cresça cada vez mais.

...

CFM Resolution 2373/2023 (on medical exclusive activities in craniomaxillofacial areas that are common to other professions) and Dentistry: any change?

2025-01-16T09:00:54-03:00

Dentistry is a profession that acts directly on health, which includes promotion, prevention and recovery related to the dentist's activities. The knowledge this professional acquires during undergraduation, as well as in graduation courses, brings the ability to perform all acts related to Dentistry. The aim of this article is to discuss the publication of CFM Resolution 2373/2023 on medical exclusive activities in craniomaxillofacial areas that are common to other professions in the dental field and the implications are for dentist's activities. Specific laws and rules from its respective professional council, which guarantee that professionals registered within their competence, can fulfill their activities, respecting the limits and professional ethics, support Dentistry. The perception left by the CFM Resolution 2373/2023 is to establish doubts on different work fields in a way that can hinder practical collaboration among different health professionals, which can hinder the coordination of patient care. However, Dentistry has its technical and scientific foundations, as well as specific regulations and this resolution (and no other issued by a professional council other than the Dental Council) does not interfere with the professional performance of dentists.