Availability of Dental Prosthesis Procedures in Brazilian Primary Health Care

Cunha, Maria Aparecida Gonçalves Melo; Matta-Machado, Antônio Thomaz Gonzaga da; Lucas, Simone Dutra; Abreu, Mauro Henrique Nogueira Guimarães de

doi:10.1155/2018/4536707

Cited by 12 publications

(19 citation statements)

References 22 publications

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“…However, concerning the procedures related to dental prostheses, although they identified people in the need, few are the OHT that reported the confection of it (6,7). In addition, evaluating data from the second cycle of PMAQ-AB, Cunha et al showed that the distribution of teams that performed dental prostheses across the country was unequal and, the provision was almost restricted to partial and total removable prostheses (8).…”

Section: Introductionmentioning

confidence: 99%

What Has Changed in the Dental Prosthesis Procedures in Primary Health Care In Brazil?

et al. 2019

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The study aimed to identify the changes in the provision of dental prosthetics procedures in the Brazilian primary care. Secondary data from the Brazilian “National Programme for Improving Access and Quality of Primary Care” was assessed and three similar questions related to dental prostheses execution that were answered by the same 9,698 oral health teams, in 2011/2012 and 2013/2014, were compared. There was a 4.3% increase in the number of teams that identified individuals with prosthetic needs; a 0.8% increase in the number of teams that performed impression for prosthetic purposes; and the number of teams that reported performing dental prostheses consultations increased by 0.6%. Overall, there was a small modification in the number of teams that provided dental prosthesis procedures in Brazil.

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Section: Introductionmentioning

confidence: 99%

What Has Changed in the Dental Prosthesis Procedures in Primary Health Care In Brazil?

et al. 2019

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“…In relation to the data which represents the majority of PHC nationally, it has been suggested that inadequate provision of dentures may be related to the unequal distribution of SUS regional prosthodontic laboratories throughout the country; even with the care almost restricted to partial/total dentures [26]. It is of concern that dental rehabilitation may not be adequately provided by the public sector, as the need for total/partial dentures and crown/bridges is still great among adults and the elderly [27], and our analysis suggests that these items are not available across SUS dental teams and supports the findings of Cunha et al [26]. It suggests that the population may be forced to use the private sector, or remain on waiting lists for long time, in order to receive necessary dental prosthetic treatment, which increases inequalities.…”

Section: Discussionmentioning

confidence: 99%

“…It suggests that the population may be forced to use the private sector, or remain on waiting lists for long time, in order to receive necessary dental prosthetic treatment, which increases inequalities. This is an area for urgent identification of the barriers to dental care for adults, together with the educational and training needs of the dental workforce so that service barriers can be overcome to ensure that the population has access to prosthodontics [26].…”

Section: Discussionmentioning

confidence: 99%

“…Whilst there is undoubtably significant unmet need and requirement for routine procedures, it is important to provide a comprehensive dental treatment with more complex procedures. Also, this traditional model may reflect dental education and training which is still focused merely on resolution of the current dental problems of the majority of the population [26,29], rather than also extending to preventive care.…”

Section: Discussionmentioning

confidence: 99%

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Using Item Response Theory to evaluate the psychometric characteristics of questions in a Brazilian programme and the performance of dental teams in primary care

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Objectives First, to assess the psychometric properties of key questions included in a public sector evaluation of primary dental care in Brazil; and second, to evaluate the performance of dental teams in relation to these items. Methods Secondary analysis of a national primary care dataset monitoring quality and access to dental care. Data were collected through face-to-face interviews with representatives of dental teams participating in the ‘National Programme for Improving Access and Quality of Primary Care’. Twenty-three mandatory questions about the dentists’ reported delivery of dental procedures were included in the analysis. Item Response Theory (IRT) modelling was applied to measure the psychometric properties of the instrument—level of difficulty and discrimination parameter of each item—and then to estimate dental team performance scores based on these parameters. Based on IRT, possible scores ranged from -4 to +4. Results Three of the 23 mandatory items were removed due to poor internal consistency, resulting in a scale of 20 items for assessing dental team performance. The results showed variation in procedures delivered by the dental teams; whilst more than a half of the procedures were executed by at least 80% of the dental teams, those relating to dentures (partial/total) and frenectomy (lingual/labial) were performed by less than 30%. Amongst the 20 items included in the model, those related to partial/total dentures and oral cancer follow-up presented higher levels of difficulty and were less frequently provided. The items relating to the treatment of deciduous teeth and access to the dental pulp of permanent teeth had the highest discrimination parameters and, consequently, greater weight in the performance’s score estimation; therefore, dental teams that did not perform these items had the lowest performance scores. In the present study, dental team performance scores ranged from -3.66 to +1.87 with a mean/median of -0.06/+0.01. Conclusion The findings suggest that whilst the items within the instrument demonstrated some potential to discriminate between poor and very poor teams, they were ineffective in discriminating between poor and good teams. Whilst Brazilian dental teams perform many mandatory procedures, variation in the nature of their delivery of care requires further investigation to enhance service provision to the population.

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“…Pesquisas demonstram desigualdades na distribuição geográfica dos serviços de prótese dentária pelo SUS [11][12][13] e seu acesso ainda é restrito levando em consideração a demanda populacional por reabilitação protética 11,14 . Dados do Programa de Melhoria do Acesso e da Qualidade da Atenção Básica apresentam que apenas 43% das Equipes de Saúde Bucal (ESB) no país realizam procedimentos de prótese dentária, e a maior proporção delas está localizada nas regiões Nordeste (33,9%) e no Sudeste (33,6%) 12 . Entretanto, ainda não existem publicações específicas deste serviço para o estado da Bahia.…”

Section: Palavras-chaveunclassified

Produtividade dos laboratórios de prótese dentária do SUS no estado da Bahia

Alves¹,

Santos

Oliveira³

et al. 2020

J Dent Pub H

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INTRODUCTION: The difficulty in accessing oral health services and the practice of dental mutilation has led to a high number of individuals affected by edentulism. In order to reverse this situation, the National Oral Health Policy was implemented and with it the Dental Prosthesis Laboratories. OBJECTIVE: To evaluate the productivity of the dental prothesis of these laboratories in the state of Bahia, in 2016. METHODOLOGY: This was a quantitative-descriptive study in which data were collected from Outpatient Information System of the Unified Health System regarding dental prosthesis productivity. The information of physical structure, human resources of the laboratories and their distribution by health regions were collected in the site of the National Registry of Health and other information about the municipality in the Brazilian Institute of Geography and Statistics. The absolute and relative frequency of the variables and the comparison of productivity with the structural characteristics of the laboratories and health regions of Bahia were presented. RESULTS: We analyzed 51 municipalities that offer dental prosthesis services in SUS, of these 32 have CEO. A total of 46,870 prostheses produced of the type dentures, partial removable, fixed and on implant were observed, with the cities with CEO producing 66.49% and the 19 cities without CEO produced 33.51%. The type of prosthesis most performed was the total (58.73%) followed by the removable partial prosthesis (40.07%). The South region presented the highest productivity of dental prostheses (24.26%) while the region Center North produced the lowest amount (2.28%). CONCLUSION: Although there is a considerable amount of prostheses produced, only 12.2% of the municipalities in Bahia have a dental prosthesis laboratory, even demonstrating a considerable amount of productivity.

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Availability of Dental Prosthesis Procedures in Brazilian Primary Health Care

Cited by 12 publications

References 22 publications

What Has Changed in the Dental Prosthesis Procedures in Primary Health Care In Brazil?

What Has Changed in the Dental Prosthesis Procedures in Primary Health Care In Brazil?

Using Item Response Theory to evaluate the psychometric characteristics of questions in a Brazilian programme and the performance of dental teams in primary care

Produtividade dos laboratórios de prótese dentária do SUS no estado da Bahia

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