Dental emergencies in public health services: what is the role of the Dental Surgeon?

Authors

  • Leonardo Essado Rios Federal Institute of Education Science and Technology of Goiás
  • Maria Goretti Queiroz Universidade Federal de Goiás

DOI:

https://doi.org/10.15448/1980-6523.2017.1.26441

Keywords:

Public Health Dentistry, Dental Health Services, Emergencies, Public health policy, Dental Care

Abstract

OBJECTIVE: To assess the opinions of Brazilian dental surgeons (DS) about their roles in Public Emergency Dental Services (PEDS).
METHODS: A cross-sectional study was conducted with an intentional sample of 44 DS who worked at the PEDS in a large municipality in the central-western region of Brazil, in 2013. To collect data we designed, pretested and applied a self-administered questionnaire with Likert scale assertions about the DS duties, referral of patients and execution of dental procedures in PEDS. Post-hoc tests revealed an instrument’s reliability of 91%.
RESULTS: As their main duty, DS pointed out providing relief to patients’ complaints in cases of dental pain and trauma. Regarding referral of patients, they considered typically that they should refer to services at a higher complexity level those patients exhibiting infections in advanced stages under risk of disseminations. Most of them disagreed with performing dental restorations in emergency consultations, while the majority stated that they should mainly perform intraoral abscesses drainage, alveolitis and haemorrhage treatment.
CONCLUSION: To provide pain and trauma relief to patients was pointed out by DS as their key role in PEDS, as well as to refer at-risk patients to high-level complexity services and to perform procedures aimed at solving emergency situations, instead of providing restorative treatment to patients.

References

Brasil. Ministério da Saúde. Diretrizes da Política Nacional de Saúde Bucal. Brasília: Ministério da Saúde; 2004. http://dab.saude.gov.br/portaldab/biblioteca.php?Conteudo=publicacoes/pnsb

Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Acolhimento à demanda espontânea: queixas mais comuns na Atenção Básica. Brasília: Ministério da Saúde; 2012. 290 p. (Cadernos de Atenção Básica n. 28, Volume II). http://189.28.128.100/dab/docs/publicacoes/cadernos_ab/caderno_28.pdf

Brasil. Ministério da Saúde. Política Nacional de Atenção Básica. Brasília: Ministério da Saúde; 2012. http://dab.saude.gov.br/portaldab/biblioteca.php?conteudo=publicacoes/pnab

Brasil. Ministério da Saúde. Política Nacional de Atenção às Urgências. 3. ed. ampl. Brasília: Ministério da Saúde; 2006. 256 p. http://187.17.2.102/fhs/media/files/samu/politica_nacional_de_atencao_as_urgencias.pdf

Austregésilo SC, Leal MCC, Góes PSA, Figueiredo N. An Evaluation of the Urgent Dental Services Units (UDS): The View of Health Managers, Supervisors and Professionals. Pesq Bras Odontoped Clin Integr. 2013;13(2): 161-9.

Cassal JB, Cardozo DD, Bavaresco CS. (2011). Perfil dos usuários que procuram atendimento de urgência odontológica em uma unidade de atenção primária à saúde. Rev APS. 2011;14(1):85-92.

Carnut L, Figueiredo N, Goes PSA. Assessing the satisfaction level of out-of-hours dental services users in Recife. UFES Rev Odontol. 2008; 10:10-5.

Machado GC, Daher A, Costa LR. Factors associated with no dental treatment in preschoolers with toothache: a cross-sectional study in outpatient public emergency services. Int J Environ Res Public Health. 2014;8;11(8):8058-68.

Austregésilo SC, Leal MCC, Figueiredo N, Góes PSAD. The Interface

between Primary Care and Emergency Dental Services (SOU) in the SUS: the interface between levels of care in oral health. Ciênc Saúde Colet. 2015; 20(10):3111-20. https://doi.org/10.1590/1413-812320152010.12712014

Rios LE, Queiroz MG. Perception of Dentists about the Functioning of Emergency Public Dental Services. Pesq Bras Odontoped Clin Integr. 2017; 17(01): e3019. https://doi.org/10.4034/PBOCI.2017.171.04

Fonseca DAVD, Mialhe FL, Ambrosano GMB, Pereira AC, Meneghim MDC. Influence of the organization of primary care and the socio-demographic characteristics of the population on the demand for municipal emergency dental care. Ciênc Saúde Colet. 2014;19(1):269-78. https://doi.org/10.1590/1413-81232014191.2048

Tramini P, Al Qadi Nassar B, Valcarcel J, Gibert P. Factors associated with the use of emergency dental care facilities in a French public hospital. Spec Care in Dent. 2010; 30(2): 66-71. https://doi/10.1111/j.1754-4505.2009.00125.x/abstract

Wong NH, Tran C, Pukallus M, Holcombe T, Seow WK. A three-year retrospective study of emergency visits at an oral health clinic in southeast Queensland. Aust Dent J. 2012;57(2):132-7. https://doi.org/10.1111/j.1834-7819.2012.01688.x

Trikhacheva A, Page M, Gault H, Ochieng R, Barth BE, Cannon CM, Shakhnovich O, Engelman KK. Dental-related Emergency Department Visits and Community Dental Care Resources for Emergency Room Patients. KS J Med. 2015;8(2):61-72.

Cachovan G, Phark JH, Schön G, Pohlenz P, Platzer U. Odontogenic infections: an 8-year epidemiologic analysis in a dental emergency outpatient care unit. Acta Odontol Scand. 2013;71(3-4):518-24. https://doi.org/10.3109/00016357.2012.696694

Verma S, Chambers I. Dental emergencies presenting to a general hospital emergency department in Hobart, Australia. Aust Dent J. 2014;59(3): 329-33. https://doi.org/10.1111/adj.12202

Oliveira FAM, Oliveira MG, Orso VA, Oliveira VR. Dentoalveolar Traumatism: Literature Review. Rev cir traumatol buco-maxilo-fac. 2004;4(1):15-21.

Freitas ABDA, Bifaroni MF, Bruzadelli RR, Barros LM. Prevalence of dental fractures at the emergency clinic of a Dentistry School. Arq Odontol. 2009; 45(4):184-90.

Brasil. Ministério da Saúde. Departamento de Atenção Básica. Coordenação Geral de Saúde Bucal. SB Brasil 2010: resultados principais. Brasília: Ministério da Saúde, 2011. http://dab.saude.gov.br/CNSB/sbbrasil/arquivos/projeto_sb2010_relatorio_final.pdf

Lemes MGC, Peixoto MRG, Meneses IHCF, Freire MCM. Dental pain and associated factors in 2 to 4-year-old children in Goiania. Rev bras epidemiol. 2015;18(3):630-41.https://doi.org/10.1590/1980-

Cavalheiro CH, Abegg C, Fontanive VN, Davoglio RS. Dental pain, use of dental services and oral health-related quality of life in Southern Brazil. Braz oral res. 2016;30(1):e39.https://doi.org/10.1590/1807-3107BOR-2016.vol30.0039

Souza JGS, Martins AMEBL. Dental pain and associated factors in Brazilian preschoolers. Rev Paul Pediatria. 2016;34(3):336-42. https://doi.org/10.1016/j.rppede.2016.03.002

Silva Jr. MF, Sousa ACC, Batista MJ, Sousa MLR. Oral health condition and reasons for tooth extraction among an adult population (20-64 years). Ciênc Saúde Colet. No prelo 2017.

Albuquerque YE. Treatment profile at dental urgent care clinic for children and teenagers from Faculdade de Odontologia de Araraquara (FOAr) – UNESP. Rev Odontol UNESP. 2016;45(2):115-20. https://doi.org/10.1590/1807-2577.01915

Campos CDC, Frazão BB, Saddi GL, Morais LA, Ferreira MG, Setúbal PCO et al. Manual prático para o atendimento odontológico de pacientes com necessidades especiais. Goiânia: Universidade Federal de Goiás-Faculdade de Odontologia; 2009.

McKenna SJ. Dental management of patients with diabetes. Dent Clin North Am. 2006; Oct;50(4):591-606. https://doi.org/10.1016/j.cden.2006.06.008

Robertson DP, Keys W, Rautemaa-Richardson R, Burns R, Smith AJ. Management of severe acute dental infection. 2015; BMJ 350:h1300.

Dailey YM, Martin MV. Are antibiotics being used appropriately for emergency dental treatment? Brit Dent J. 2001;191(7). https://doi.org/10.1038/sj.bdj.4801190a

Rios LE, Essado REDP, Freire MCM. Tratamento restaurador atraumático: conhecimentos e atitudes de cirurgiões-dentistas do serviço público de Goiânia-GO. Rev Odontol UNESP. 2006;35(1):75-80.

Brasil. Ministério da Saúde. Normas e Manuais Técnicos. Caderno de Atenção Básica nº.17: Saúde Bucal. Brasília: Ministério da Saúde; 2006.

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Published

2017-10-03

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Original Article