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Objetivo: O presente estudo teve como objetivo principal, descrever os aspectos metodológicos do Projeto SB Minas Gerais e os resultados principais sobre problemas bucais da população do estado de Minas Gerais Métodos: Trata-se de um inquérito epidemiológico de saúde bucal realizado no ano de 2012 com representatividade estadual cuja amostra foi realizada por conglomerados e com múltiplos estágios de sorteio. Capital e municípios do interior de Minas Gerais compõem os três domínios da amostra. Avaliou-se a situação da população mineira em relação à cárie, condição periodontal, necessidades de próteses, condições da oclusão e ocorrência de dor de dente, dentre outros aspectos nas idades de 5 e 12 anos e nas faixas etárias de 15-19, 35-44 e 65-74 anos. Resultados: Em relação à cárie, a média ceo/CPO-D para o estado foi de 2,1 na idade de 5 anos, 1,8 aos 12 anos, 3,9 nos adolescentes, 15,9 em adultos e 28,7 nos idosos. Os problemas periodontais aumentam com a idade, sendo 1,60 vezes maior o número de adultos acometidos em relação ao número de adolescentes. Em relação às oclusopatias, aos 5 anos, 54,7% possuíam pelo menos um dos problemas avaliados. O percentual de crianças aos 12 anos e de adolescentes que apresentaram algum tipo de oclusopatia foi de 33,8% e 26,7%, respectivamente. Em relação à prótese dentária, a faixa etária de 65-74 anos foi a que apresentou maior percentual de indivíduos com necessidade de prótese total nos dois maxilares. Conclusão: Associando os indicadores de saúde bucal avaliados às variáveis socioeconômicas, os resultados apontam para importantes desigualdades regionais que devem ser levadas em consideração para elaboração das estratégias de planejamento e avaliação.Descritores: Saúde bucal. Inquéritos epidemiológicos. Políticas públicas.

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The objective of this study was to describe dental prescriptions of non-steroidal anti-inflammatory drugs (NSAID), opioids, and analgesics dispensed by the Brazilian National Health System (BNHS, SUS in Portuguese) of a Southeastern state from January to December 2017, and to analyze their association with socioeconomic and oral health care services' characteristics at municipal level. Data were collected from the Brazilian Integrated Pharmaceutical Care Management System. Medicines were grouped according to the Anatomical Therapeutic Chemical Classification System. The total number of Defined Daily Doses (DDD) and DDD per 1,000 inhabitants (inhab.) per year were presented and compared between groups of municipalities. Data analysis used the Classification and Regression Tree model performed with IBM SPSS 25.0. The total number of NSAID, opioids, and analgesics prescriptions was 70,747 and accounted for 354,221.13 DDD. The most frequently prescribed medicine was ibuprofen (n = 24,676; 34.88%). The number of dental practitioners in the BNHS per 1,000 inhab. (p < 0.001), first dental appointment coverage (p = 0.010), oral health teams per 1,000 inhab. (p=0.022), and the proportion of rural population (p = 0.014) were variables positively associated with the number of DDD of NSAID per 1,000 inhab. per year. Bolsa Família program coverage per 1,000 inhab. (p = 0.022) was negatively associated with NSAID prescription. Regarding analgesics, first dental appointment coverage (p=0.002) and Bolsa Família program coverage per 1,000 inhab. (p = 0.012) were positively associated with DDD per 1,000 inhab. per year. In conclusion, dental prescriptions of analgesics and NSAID in the BNHS were associated with socioeconomic and oral health care services' characteristics.

The objective of this study was to analyze possible associations between antibiotic dental prescriptions in the public health service, health service characteristics, and social characteristics of the municipalities. Using the register of dispensing in the public health service of a state in the Southeast region of Brazil, in 2017 we analyzed patterns of antibiotic prescriptions by dentists. Data were obtained from the Integrated Pharmaceutical Services Management System (SIGAF, in Portuguese). The outcome variable was the number of Daily Defined Doses (DDD) per 1,000 residents/year in each municipality. CART (Classification and Regression Tree) technique was used to determine the influence of the following variables: populational social characteristics (Human Development Index, Gini Index, the proportion of rural population and proportion of families benefiting from the Bolsa Família Program) and oral health services characteristics (access to individual dental care, number of dentists and oral health teams per 1,000 residents, and percentage of preventive and restorative individual dental procedures. Data analysis was performed using IBM SPSS Statistics 21.0. Antibiotics were the medications most prescribed by dentists in the public health service, with penicillin being the most frequently prescribed class. The average DDD/1,000 residents/year for the 421 municipalities surveyed was 96.54 (range 0.008 and 619.660). Select factors were associated with antibiotic prescriptions including access to individual dental care (Adjusted p-value ≤0.001), a number of oral health teams/1,000 inhabitants (Adjusted p-value=0.001), and Gini Index (Adjusted p-value = 0.046). Access to oral health services and inequality were associated with the use of antibiotics.