Situation of Endodontics in the Public Health Service in Brazil through the Access and Quality Improvement Program (PMAQ-CEO)

Abstract

Objective: To describe and analyze the situation of endodontics in the Brazilian public service. Material and Methods: Data from questions about endodontics were divided by states and regions and organized in spreadsheets for descriptive statistical analysis, with absolute and relative data. Results: It was found that the northern region of Brazil concentrates the smaller number of services (6.4%). Pre-established protocols with basic attention to the endodontics specialty are applied in 73.3% of CEOs. Overall, 24% of services use rotating instruments and 38% use apical locators; 87.4% perform endodontic treatment in teeth with 3 or more roots. In these centers, 75.7% of dentists who perform endodontics are specialists, masters or PhD in dentistry. Endodontics has the highest absenteeism rate and the longer waiting time to initiate treatment compared to the other basic specialties. Conclusion: The endodontics situation of the resulting PMAQ-CEO revealed that the specialty is the most requested, but services lack more effective management mechanisms to minimize the observed absenteeism problem by reducing existing waiting lines. The situation also revealed that endodontics services at CEOs are provided by specialists, almost half of the services perform single session treatment on vital pulp teeth and that the same proportion of CEOs use apical locators and / or rotating instruments to perform endodontic treatment. Investments in the installed capacity, permanent management and education are still needed to improve the quality of services provided to the population.

Orthodontics in the oral health care network of the Unified Health System (SUS)

“…This problem has already been discussed in the scientific literature and points to inequity in access to the services offered, which aggravates inequalities and imposes barriers to comprehensive and longitudinal care plans. 12,[17][18][19] Therefore, situational diagnosis, situational strategic planning, and expansion of these services, considering aspects such as demand, territorial extension, installed capacity, among others, will certainly be fundamental strategies, 12,17 highlighting the importance of government programs such as PMAQ-CEO.…”

“…599 of 2006) was one of the major milestones of the BS program. 12 Periodontics, surgery, endodontics, prosthodontics, and care for patients with special needs are offered by all CEO, with the possibility of including other specialties. Orthodontic and implant treatments were the last to be included, and the possibility of financing by the Brazilian Ministry of Health (Ministerial Ordinance No.…”