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.
Highlights
The National Oral Health Policy, called Brasil Sorridente, is one of the largest public health policies in the world [1]
The Centers for Dental Specialties (CEOs) were a great milestone in the implementation of the Brasil Sorridente program, in such a way that they became a synonym of this policy, since for the first time, an oral health policy included specialized dentistry treatments through secondary care
Regarding the type of CEO, the highest proportion was type II CEO (50.9%), which offer 4 to 6 dental specialties per service, and only 11.7% of services are type III, which provide above 7 specialties (Table 1)
Summary
The National Oral Health Policy, called Brasil Sorridente, is one of the largest public health policies in the world [1]. Sorridente program was implemented in 2004 and follows the same guidelines of integrality and equity of care proposed by the Unified Health System (SUS) [2,3]. The Centers for Dental Specialties (CEOs) were a great milestone in the implementation of the Brasil Sorridente program, in such a way that they became a synonym of this policy, since for the first time, an oral health policy included specialized dentistry treatments through secondary care [4]. Each CEO must provide dental care at least in the following specialties: Oral Diagnosis, Periodontics, Minor Oral Surgery, Endodontics, Care of Persons with Special Needs, respecting the norms established by law The unique characteristics of this type of service have led to several surveys regarding the scope, type of services provided, management, regional differences, user satisfaction and service providers [5,6,7].
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