Introduction -The Brazilian Oral Health National Policy Guidelines (BOHNPG) supported by The Oral Health 3 rd National Meeting (OHTNM -2004) reoriented the Brazilian oral health care (BOHC). Objectives -To verify how the São Paulo Municipality (SPM) adopted and implemented the BOHNPG; to identify and to analyze São Paulo state and SPM oral health care (OHC) documents. Methodology -Qualitative, descriptive and interpretative research. It was utilized: theoretical references, official documents, non-participative observation, personal interviews with, oral health coordinators (Municipality Health Secretary), group interviews (with interlocutors) and focal groups applied to oral health teams' representatives and to Management Counselors (users' level). The overall interview basic plan was based upon BOHNPG, SPM documents and 3 rd NBOHC Meeting 4 th axis report. A triangular approach was applied to techniques used for analyzing the data, considering individuals, environment and their sources, an d for identifying individuals' perception, central ideas, problems, successes and proposals. The information was compared with theoretical references and documents context. Results -Individuals' perception at SPM different stages implementation including: access, physical environment, emergency, Family Health Program (FHP), dentistry specialized centers, departments' relationships, partnerships, special programs, fluoride use, and oral hygienic material. Conclusions -The BOHNPG are reflected into the SPM ones, although with operational difficulties. Political issues interfered, but with improvements from 2004. Oral health specialties, vacancies regulation, equipments changes, FHP strategies, programs innovation, home care procedures, cancer prevention campaigns and to management counselor consideration improvements were pointed. Problems identified were: access, especially for adults; physical space (including for special need persons); emergence and basic care services integration and maintenance;conflicts among FHP and SPM personnel; technical divergences; and lack of: materials, sectors integration; fluoride external control, information system protocols for entering and returning data. It was suggested improvement on OHC management with further overall involvement in planning, operation, humanity in the sense to integration and integrality. Local and regional studies need focusing the theme was pointed due to the São Paulo city size.