2017
DOI: 10.1590/1413-81232017225.12402015
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The challenge of the approach to oral cancer in primary health care

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Cited by 18 publications
(22 citation statements)
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References 16 publications
(14 reference statements)
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“…They do not regularly perform an examination of the mucosa, they do an incomplete, inconsistent, and unacceptable screening, they pay more attention to dental and periodontal pathologies, and they do not establish sufficient preventive measures of any kind. [ 21 31 32 33 ] Some authors even report that the majority of dentists prefer not to investigate risk factors, nor do they advise to stop smoking or moderate the consumption of alcoholic drinks, as they consider these as indiscreet and inopportune indications. [ 31 ] However, there is scientific evidence which supports the role of doctors and dentists in this sense: they can play a key role in convincing their patients to reduce or remove such harmful health risks.…”
Section: Discussionmentioning
confidence: 99%
“…They do not regularly perform an examination of the mucosa, they do an incomplete, inconsistent, and unacceptable screening, they pay more attention to dental and periodontal pathologies, and they do not establish sufficient preventive measures of any kind. [ 21 31 32 33 ] Some authors even report that the majority of dentists prefer not to investigate risk factors, nor do they advise to stop smoking or moderate the consumption of alcoholic drinks, as they consider these as indiscreet and inopportune indications. [ 31 ] However, there is scientific evidence which supports the role of doctors and dentists in this sense: they can play a key role in convincing their patients to reduce or remove such harmful health risks.…”
Section: Discussionmentioning
confidence: 99%
“…The scenario observed before this policy was characterized by a curative and individualized dental care model, centered on private services 23 . With its implementation, prevention started guiding oral health care, and procedures for detecting changes in the oral mucosa and biopsies started to be recommended in primary care and in the DSC 24 .…”
Section: Discussionmentioning
confidence: 99%
“…Some problems are inherent to the health system as a whole, which refer to insu cient coverage, unequal distribution of health care units and a decrease in government investments in health in recent years, with the advance of austerity policies 14,15 . The lack of training and insecurity of professionals in relation to the diagnosis of malignant lesions and biopsies should also be highlighted 24 . Furthermore, the global pandemic of Covid-19, in 2020, which required measures of social distance, as well as itslong-term impacts can contribute to the increase of cases that are diagnosed later 28 .…”
Section: Discussionmentioning
confidence: 99%
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“…The large number of oral soft tissue injuries found (33.1%) represents an opportunity to increase the proportion of oral cancer detected at the earliest stage. This could be achieved by referring patients with soft tissue injuries that need biopsy to specialized oral health care centers (15) .…”
Section: Discussionmentioning
confidence: 99%