Factors associated with the needs of specialised dental treatment among adults aged 35-44 years old in the state of Minas Gerais, Brazil: a multilevel cross-sectional study

Abstract

This study evaluated the individual and contextual factors associated with the specialised dental treatment needs of a population of adults aged 35 to 44 years old in the state of Minas Gerais. The individual variables were obtained from the database of the SB Minas Gerais project - a survey of oral health status of the population of Minas Gerais, Brazil. The variables at the municipal level were derived from any available public databases related to oral health services. A multilevel analysis was performed to evaluate the association of independent individuals and contextual variables with or without dental treatment needs in the secondary care of the oral health network. Individuals with a higher income (OR 0.53; CI95% 0.31-0.93) and with greater access to oral health care (OR 0.94; CI95% 0.90-0.99) had less secondary care treatment needs. Income and access to oral health care are related to the needs of specialised dental treatment in Minas Gerais.

Contextual and local determinants associated with the achievement of goals in the endodontics specialty in Brazilian dental speciality centres: A multilevel analysis

“…35 It has already been found that the factors related to the organization of primary health care were the same factors responsible for a lower need of dental treatment at the secondary level. 36 Despite the lack of association between contextual variables and the number of achieved goals in endodontic treatment in this study, population size and HDI have been associated…”

Evaluation of Endodontic Productivity in Oral Public Healthcare Services in Minas Gerais, Brazil

“…The establishment of healthcare networks allows for the proper primary/secondary interface, which is an important factor for a greater productivity of the DSCs (Brazil, 2014). This interface concerns the integration of primary and secondary healthcare as regards the supply and the rendering of services to the population (Morris & Burke, 2001), given that an ideal interface includes access to secondary care for all cases referenced without barriers (Machado et al, 2015) and the organization of primary healthcare implies less need for secondary oral care (Azevedo et al, 2020). Martins et al (2016) suggested certain difficulties in the relationship between primary and secondary care in specific specialties in oral health, with a large number of oral health teams (OHT) of primary care with limited access to DSCs, in addition to different performance in terms of OHT access to DSCs throughout Brazilian regions.…”

Condições de saúde bucal autorrelatadas entre adultos brasileiros: resultados das Pesquisas Nacionais de Saúde de 2013 e 2019

“…No que se refere ao autorrelato das práticas de higiene bucal, ressalta-se que esses cuidados preventivos individuais estão associados a menor necessidade de tratamento odontológico especializado. 11 Contudo, para adequada higiene bucal, é necessário acesso a escova, dentifrício e fio dental.…”