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Results The frequency of services use was 44.3% and there was greater use by children with treatment needs in 4 to 8 teeth (PR=1.48, and lower in those with very high socioeconomic risk (PR = 0.79, ConclusionThe results suggested a persistent iniquity, with less use and resolubility of oral health services among children presenting worse socioeconomic status.

Objectives To assess the association between dentin hypersensitivity (DH) (with or without non-carious cervical lesions (NCCL)) and physical and psychosocial oral health impact. Methods A cross-sectional population-based study with one-stage random sample of adults living in a Brazilian municipally was conducted between 2018 and 2019. Interviews and oral examinations were performed by calibrated examiners (Kappa ≥0.7). The participant was considered as having physical and psychosocial impact if at least one item of the Oral Health Impact Profile (OHIP-14) was experienced fairly often or very often. NCCL was assessed by the Tooth Wear Index (codes 2 to 4) and DH was evaluated by a tactile test with a probe in the cervical area of teeth. The combination of these clinical variables resulted in categories of the independent variable: without DH or NCCL, NCCL without DH, DH without NCCL, and both DH with NCCL. The covariables were sociodemographic and economic factors, health habits, and oral conditions. Associations were investigated by Poisson Regression models using Direct Acyclic Graph (Stata 17). Results Of 197 adults, 59.3% had oral health impact and 31.3% had DH with NCCL. Higher frequency of oral health impact was observed in adults with DH alone. A higher impact on the physical pain dimension of the OHIP-14 was observed in adults with DH and NCCL (PR: 2.46; 95% CI: 1.21–5.00) and with DH alone (PR: 2.03; 95% CI: 1.21–3.41). Conclusion NCCL and DH are common conditions in adults and the presence of DH is associated with higher oral health impact. Regardless the presence of NCCL, DH is associated with the physical pain dimension of OHRQoL.

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OBJECTIVE: To evaluate the annual variation of oral health and primary care coverage, the tooth extraction ratio, and the average of supervised toothbrushing in Brazilian municipalities according to social development and population size. METHODS: Public secondary data were analyzed. The outcomes were health service indicators (oral health coverage, primary health care coverage, tooth extraction ratio, and average of supervised tooth brushing) estimated for all Brazilian municipalities annually from 2008 to 2015. Mixed-effect multilevel regression models with random intercept and slopes were fitted with a cross-interaction term to estimate the annual percent variation according to the Municipal Human Development Index (MHDI) and population size. RESULTS: Municipalities with low MHDI presented an annual increase in oral health and primary care coverage of 2.65% and 2.23%, respectively, which was significantly higher than municipalities with medium and high MHDI. Oral health and primary care coverage were 69.26% and 35.00% lower among municipalities with a large population. Municipalities with medium and high MHDI showed an annual decrease in tooth extractions of 5.15% and 5.02%, respectively. An annual decrease was observed in the average of supervised toothbrushing of 9.81% and 4.57% in municipalities with low and medium MHDI, respectively. The tooth extraction ratio was higher among larger municipalities; the relation is inverse for supervised toothbrushing. CONCLUSIONS: The access to primary care and oral health services increased in Brazil, while a decrease occurred in mutilating treatment and provision of preventive actions, with disparities among municipalities with different MHDI levels over time.

Approximately one-third of elders have a dependence on others for brushing; a smaller proportion is dependent on others for rinsing. Older people who are dependent on others for BADL and who present hand deformities are more likely to be dependent on others for denture brushing and rinsing. Elders may perform oral self-care even when they present frailty.

ObjectiveTooth loss is a worldwide public health problem affecting mainly socioeconomically disadvantaged groups. Dental services utilization may increase access to preventive actions and conservative treatment, reducing the prevalence of tooth loss. This study evaluated the income‐ and education‐based inequalities in edentulism according to the utilization of dental services among adults and older adults in Brazil.MethodsData from the National Oral Health Survey (SB Brazil, 2010) of adults (ages 35–44 years, n = 9779) and older adults (ages 65–74 years, n = 7619) were analysed. Socioeconomic indicators (SES) included education and income. The magnitude of inequality in edentulism by education and income levels was estimated by the Relative Index of Inequality (RII) and the Slope Index of Inequality (SII). The changes in the RII and SII according to the utilization of dental services were estimated. Regression models estimated the association between SES and edentulism and whether dental services utilization modified this association.ResultsHigher edentulism prevalence was observed among those with lower education and income levels. The utilization of dental services changed the education‐based inequality index in edentulism for adults, with percentage changes of 17.4% (RII) and 56.8% (SII). For adults with low education (0–4 years of study), the odds of edentulism were 80% (OR 0.2; 95% CI 0.1–0.6) and 90% (OR 0.1; 95% CI 0.01–0.2) lower for those who had used dental services within the preceding year and within 1–2 years compared with those who had used such services within the preceding 3 or more years, respectively.ConclusionThere was a social gradient in the prevalence of edentulism in adults and older adults, and the education‐based inequalities in edentulism were lower among adults reporting utilization of dental services in the preceding year.

Este estudo teórico reconstrói as principais categorias conceituais que orientam a ação intersetorial, a partir da experiência empírica dos autores cotejada com a literatura sobre o tema. O texto está organizado como um glossário e apresenta treze termos selecionados: agenda, colaboração intersetorial, conflito, governança, governança colaborativa, indivíduo, mecanismo integrador, modelo de gestão, parceria, processo comunicativo, setor, sustentabilidade, território. A partir desses conceitos estruturantes foi desenvolvido um modelo das dimensões da colaboração intersetorial: dimensão política, dimensão técnica e dimensão da interação. Todas elas inter-relacionadas e produtoras de mecanismos de integração e de sustentação para a colaboração intersetorial. Espera-se oferecer repertório e campos de possibilidades que, ao promoverem um melhor entendimento da prática intersetorial, facilitarão o uso desta estratégia no desenvolvimento de políticas públicas de corte social, assim como contribuirão no delineamento de pesquisas sobre o tema. As definições e reflexões daqui extraídas confirmam a complexidade da colaboração intersetorial e a necessidade da busca de suporte em diferentes áreas do conhecimento, tanto para sua construção quanto para sua efetivação como prática geradora de equidade e justiça social.