Saúde bucal coletiva: caminhos da odontologia sanitária à bucalidade

Abstract

This essay focuses on the pioneer activities of public health dentistry in Brazil and its evolution in the 20 th century with emphasis on the emergency of a landmark, the sanitary dentistry. Social and preventive dentistry and market dentistry, with reference to the main theoretical works representative of these trends, are presented. The essential characteristics of collective oral health (Brazilian variant of public health dentistry) and buccality are presented. The relationship between collective oral health and collective health as well as the implications of the buccality concept for the development of public health dentistry actions and new guidance of clinical practice in public services of the Brazilian Health System (SUS) are discussed. The key elements of an agenda for collective oral health based on proposals presented at the 3 rd National Conference on Oral Health are addressed.

Evaluation of scientific production in the field of Dentistry in Public Health from 1999 to 2009

“…According to Narvai, the framework of the Dentistry in Public health occurred with the publication of "Manual de odontologia sanitária" (The manual of sanitary dentistry) in 1960 by Mario Chaves who establishes that Sanitary Dentistry is "a discipline of public health that addresses the diagnosis and treatment of oral health conditions […] and is an effort undertaken by the community, in the community and for the community to achieve the best average oral health conditions 5 . "…”

“…Recently a new bias called Collective Oral Health is growing within Dentistry in Public Health, whose framework is to "replace all types of technicism and de biologism existing in specific formulations in social and preventive dentistry, [....] by carrying out a theoretical reconstruction of collective health thinking 5 . "…”

Teaching-learning process in times of the Unified Health System (SUS): training of faculty and dental surgeons in Brazil

“…Here, we will consider the Dentistry training process, keeping in mind that the tasks of this profession have in the past been particularly focused on technique, diseases, cure and assistance, with little consideration of preventive measures, the latter usually only being developed in particular cases (8). We will discuss the current training of dental surgeons, the participation of instructors in such training, and the SUS requirements, emphasizing the need for integration of the dental training process into the network of health services.…”

Formação pela experiência: Revelando novas faces e rompendo os disfarces da odontologia \'in vitro\'

“…Em outras palavras, entende-se que o objeto da atuação do trabalho odontológico é a boca, para o qual são dispensadas tecnologias que visam reestabelecer o equilíbrio funcional do indivíduo, enquanto a saúde bucal coletiva se volta para o social como lócus de produção de doenças bucais e utiliza tecnologias que buscam não a "cura", como a odontologia, e sim a diminuição e controle das morbidades em sua dimensão coletiva (Botazzo, 2013;Narvai, 2006).…”

“…A determinação social do processo saúde-doença se constitui em um conceito que permite explicar a gênese das doenças, sua distribuição e localização nos grupos populacionais. "As práticas de saúde derivadas desta concepção denominam-se Saúde (Bucal) Coletiva" (Botazzo, 2013, p. 50).Em outras palavras, entende-se que o objeto da atuação do trabalho odontológico é a boca, para o qual são dispensadas tecnologias que visam reestabelecer o equilíbrio funcional do indivíduo, enquanto a saúde bucal coletiva se volta para o social como lócus de produção de doenças bucais e utiliza tecnologias que buscam não a "cura", como a odontologia, e sim a diminuição e controle das morbidades em sua dimensão coletiva (Botazzo, 2013;Narvai, 2006). …”