Banca de DEFESA: INGLIDE DA SILVEIRA PEREIRA

EVALUATION OF THE EFFECT OF THE NATIONAL ORAL HEALTH POLICY ON THE PROVISION OF DENTAL PROSTHESIS IN PRIMARY CARE

Dental prosthesis; Health Assessment, Public Health Policy; Oral Health

Edentulism is considered an important problem for oral health, with biological and social precursors, generating a set of difficulties and limitations that impact the quality of life and daily life of the affected population. As a way of expanding and qualifying the services offered and moving towards overcoming the current situation, the National Oral Health Policy (PNSB) enables the inclusion of prosthetic rehabilitation in Primary Care (AB) through the installation of equipment in Regional Dental Prosthesis Laboratories (LRPD), in order to cover different regions of the country. The present study aims to evaluate the effect of the National Oral Health Policy on the provision of dental prostheses in PC in the state of Bahia considering the types of LRPD accreditation, from 2008 to 2019. The study was divided into two stages. In the first stage, a descriptive ecological study was conducted, describing the outpatient production of dental prostheses according to the quantity produced, in the state of Bahia, from 2008 to 2019 and the temporal evolution of municipalities with accredited LRPD in the state of Bahia, from the years 2008 to 2019. In the second stage, an evaluation of the effect of the PNSB on the supply of dental prostheses in the state of Bahia was carried out from 2008 to 2019, using a linear regression model. Greater production of prostheses was observed

maxillary and mandibular, total and partial, and non-significant production values for coronary and temporary prostheses. In the analysis of the temporal evolution of municipalities with accredited LRPD, an increasing percentage was observed between 2010 and 2011, with a subsequent drop between 2012 and 2013. The percentage rose again from 2014, with 2019 being the year with the highest number of accreditations. There was an effect of the PNSB on the production of prostheses for municipalities accredited by the Ministry of Health (MS), with greater significance in the results, and in municipalities accredited by the MS and on the Expansion Plan list. A low magnitude effect was observed for municipalities with accreditation only through the Expansion Plan. The policy provided an increase in the provision of rehabilitation services using dental prostheses, mainly through accreditation through MS ordinances for adherence to the LRPD. However, the creation of the Expansion Plan as an additional tool to increase coverage participated to a lesser extent in this process.