Desigualdades na distribuição da cárie dentária no Brasil: uma abordagem bioética

Abstract

The scope of this paper was to analyze the problem of dental caries as a public health issue of epidemiological relevance. It is a case study based on documentary analysis of national epidemiological surveys on oral health in the years 1986, 2003 and 2010, with the Bioethics of Protection as an analytical support. The surveys revealed inequalities between population groups; and such inequalities were analyzed with respect to the reduction of the disease in the younger population, access to oral health care, and tooth loss, which is the worst outcome for tooth decay. The good results presented in the surveys have not reached the whole population; data have shown inequalities regarding family income and Brazilian region. It was also found that from 2003 government interventions in protective actions such as the adoption of criteria of equity in the allocation of health resources and inclusion of vulnerable population have contributed to a reduction in caries. Nevertheless, it is considered necessary update oral health care models by using Epidemiology as a structuring tool, and an interface with socially responsible protective bioethics, since regional differences continued to be marked in the analysis.

Longitudinal study into the determining factors of dental caries in children aged 4: socio-behavioral aspects and oral health of pregnant women

“…It is important to include the mother's data in the child's treatment as she is the reference for the child in matters of health. Data such as mother's age at the time she gave birth to the child, her level of education, marital status, number of children, access to services, place where she lives, habits and maternal lifestyle, amongst others, need to be collected and evaluated 29 , as they could interfere with the child's oral condition 30 . It is a question of transmissibility, understood not only in the microbiological context but also, and more importantly, in the broad social, cultural and behavioral relationship of the complex etiology of caries disease 12 .…”

Avaliação clínica de restaurações de ionômetro de vidro em crianças

“…Entretanto, o problema cárie dental ainda persiste no Brasil, exigindo a implantação de outras medidas pertinentes e que legitimem o papel dos órgãos públicos como protetor da saúde pública, proporcionando aos cidadãos em estado de vulneração dispor de ações, além do investimento nos serviços odontológicos, conforme as suas necessidades 28 .…”

Interface Entre Regulação Em Saúde E Equidade: Revisão Integrativa Da Literatura

“…Aspectos relacionados à etnia/raça/cor da pele, região de moradia, escolaridade e condições financeiras, geram barreiras econômicas, organizacionais e culturais, o que exige mais atenção a esses grupos, a fim de identificar suas necessidades de priorização devido à maior vulnerabilidade (23)(24) . O conceito de vulnerabilidade é entendido como a probabilidade de uma população ser atingida por problemas, ameaças, ou danos à saúde.…”