Projeto SB Brasil 2010 - pesquisa nacional de saúde bucal revela importante redução da cárie dentária no país

Abstract

In December 2010, the Ministry of Health announced the first results of this population survey, with data collection concluded a month before in the State capitals plus an additional 150 municipalities in the country's five geographic regions. Oral health teams from the Unified National Health System (SUS) examined and interviewed approximately 38 thousand children, adolescents, adults, and elderly. The most significant results include an important reduction in dental caries. At 12 years (the standard age used for international comparisons), the mean DMFT (the total number of decayed, missing, or filled teeth) was 2.1, or 25% less than in 2003 (2.8). For the component on untreated (decayed) teeth, the decrease was 29% (from 1.7 to 1.2). The proportion of "caries-free" children (DMFT = 0) increased from 31% in 2003 to 44% in 2010, indicating that in 12-year-old children there was a significant decrease in the prevalence and severity of oral disease, associated with greater access to restorative dental services. This important downward trend in tooth decay and the increase in access to dental services also occurred in adolescents (15 to 19 years of age), and was even more striking in adults (35 to 44 years), in whom the mean DMFT in 2003 was 20.1, decreasing to 16.3 in 2010, or a 19% drop. Along with the important decrease in DMFT, there was a proportional increase in the "filled" component, from 4.2 to 7.1 (an increase of 69%), along with a decrease of nearly 50% in the "missing" component. These figures show that in addition to lower caries attack, Brazilian adults are achieving access to adequate dental care. Although the results are encouraging at the national level, the survey also identified issues that deserve greater attention by government: (a) persistent regional differences in the prevalence and severity of caries, indicating the need for policies focused on equity of care; (b) there was only a small reduction in caries in the deciduous dentition (18%), with 80% of decayed deciduous teeth still untreated; (c) despite the decreasing need for dental prostheses in adolescents and adults, there is still a significant deficit in the elderly; and (d) the prevalence of occlusal disorders requiring treatment is 10% in Brazilian adolescents, suggesting the need to adjust the supply of orthodontic procedures in secondary care. Thus, the SB Brazil 2010 Project, planned and implemented under the National Health System at the Federal, State, and Municipal levels and by Brazilian universities through Ministry of Health Collaborative Centers, has become a strategic resource for extending knowledge on oral diseases in the country, while making an inestimable contribution to the National Oral Health Policy and the establishment of an oral health model based on health surveillance.

Oral health habits, prevalence of dental caries and dental erosion in adolescents

“…Approximately half of the adolescents presented a DMF-T equal to or lower than 3, corroborating the findings of Cangussu et al 25 and Rocalli et al 26 . The reduction in the dental caries indicators in Brazil is clear, and has been demonstrated in population-based studies 25 .…”

“…The reduction in the dental caries indicators in Brazil is clear, and has been demonstrated in population-based studies 25 . This important trend towards decline in caries is linked to the spread of access to services, greater perception of oral health diseases and exposure to fluoride, considered the main factor for local control 3,26 .…”

Avanços e desafios à Política de Vigilância à Saúde Bucal no Brasil

“…32 The Project was integrated between sectors and shared with a wide community of interested parties, having been submitted for public consultation in 2009 and, through eight Collaborative Centers, the Management Group responsible for executing the project was formed.…”

“…29,32 The main results of the SBBrasil 2010 l show, for example, that Brazil moved from average to low prevalence of dental caries according to the classification adopted by the WHO. m The research revealed a 52% decrease in the need for prostheses in adolescents aged 15 to 19, and a 70% decrease in adults aged 35 to 44.…”

Processo de trabalho em saúde na implementação da atenção especializada em saúde bucal no nível local

“…A omissão na oferta de procedimentos especializados pode ser constatada por meios dos inquéritos epidemiológicos, a exemplo do SB-Brasil 2003 no qual se observou que 70,99% da população examinada necessitava de prótese dentária para arcada inferior e 35,83% para arcada superior nos adultos (35 -44 anos), a maioria por combinação de elementos, o que se caracteriza como procedimentos especializados. A necessidade de tratamento endodôntico, também considerado como procedimento especializado, esteve presente em 6,19% dos dentes examinados já na faixa etária de 15 a 19 anos (RONCALLI, 2011). O SB- Brasil 2010 apontou 68,8% da população de 35 a 44 anos e 92,7% dos idosos (65 a 74 anos) com necessidade de prótese dentária.…”