Desafios e conquistas da implantação dos centros de especialidades odontológicas pela política nacional de saúde bucal

Abstract

To expand access to dental care, the Health Ministry launched in March 2004 the program Smiling Brazil. One of the fronts was the implantation and improvement of Dental Specialties Centers (DSC) to serve as a reference of primary care teams. It is important to know the reality of secondary care in dentistry, to continue investing in positive aspects and improve the negatives. So, the present work aims to present a review of literature on oral health in secondary care in the Unified Health System, demonstrating the challenges, achievements of implantation of DSC by the National Oral Health Policy and the situation of specialized care in Brazil. The study covers the period since the launch of the Smiling Brazil until the year 2012. The search of the references was conducted by the keywords, corresponding to the same below this summary, in Virtual Health Library and in site Scholar Google. In conclusion, Brazil has 890 DSC, the profile of the user population centers made up of mostly women, patients with low income and low education level. As achievements of implementation of DSC and of attention secondary was found large investments, increasing the number of specialized procedures, greater access to endodontics, extractions decreased and positive evaluation of services. As for challenges to be faced stands out the delay to consult and problems the reference and counter-reference. Lastly, there are need to create regional policies that add up federals to improve access, ensuring the integrity in oral health.