Assistência odontológica pré-natal na Atenção Primária à Saúde: estudo transversal em nível nacional: Prenatal dental care in Primary Health Care: a national cross-sectional study

Malu Oliveira Santos; Augusto Cesar Souza Raimundo; Livia Fernandes Probst; Vanessa Pardi; Letícia Santos Alves de Melo; Elaine Pereira da Silva Tagliaferro

doi:10.17765/2176-9206.2025v18e13183

Authors

Malu Oliveira Santos Instituto Federal de Educação, Ciência e Tecnologia Baiano https://orcid.org/0000-0002-4110-4071
Augusto Cesar Souza Raimundo Universidade Estadual de Campinas https://orcid.org/0000-0001-7736-9189
Livia Fernandes Probst Hospital Alemão Oswaldo Cruz https://orcid.org/0000-0002-4696-0862
Vanessa Pardi School of Dental Medicine - East Carolina University https://orcid.org/0000-0001-7120-4332
Letícia Santos Alves de Melo rsidade Estadual Paulista Júlio de Mesquita Filho https://orcid.org/0000-0001-7106-9783
Elaine Pereira da Silva Tagliaferro Universidade Estadual Paulista Júlio de Mesquita Filho https://orcid.org/0000-0001-6225-6915

DOI:

https://doi.org/10.17765/2176-9206.2025v18e13183

Keywords:

Oral health, Primary health care, Pregnant women, Prenatal care, Health management

Abstract

Dental care during pregnancy is an important indicator of prenatal care quality. This cross-sectional study aimed to analyze the practice of prenatal dental care (PDC) in Brazilian Primary Health Care (PHC) (CAAE 48183421.9.0000.5416). Data were collected among 753 oral heath managers (OHM), using a questionnaire specifically developed for this study (n=753) focusing on the outcome measure “practice of PDC in PHC”. Descriptive data analyses and logistic regression models were performed (p<0.05). The majority of OHM were from the Southeast region (39.0%) with an average age of 40.1 years. Most (68.8%) considered PDC as an established practice. Municipalities that referred pregnant women for dental evaluation at the start of prenatal care (PNC) (OR=11.58) or where PHC dentists participated in health education activities during PNC (OR=9.42) were more likely to recognize PDC as an established practice. Most participants considered PDC as an established practice associated with early referral of pregnant women for dental evaluation and active involvement of dentists in health education activities.

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Author Biographies

Malu Oliveira Santos, Instituto Federal de Educação, Ciência e Tecnologia Baiano

She has a degree in Dentistry from the State University of Southwest Bahia - UESB (2015), a specialization in Pediatric Dentistry from the Paraná Institute of Research and Education in Dentistry - IPPEO (2019) and a Master's degree in Dental Sciences (Area of Pediatric Dentistry) from the Faculty of Dentistry of Araraquara, São Paulo State University - FOAr / UNESP (2023). She is currently taking a Specialization course in Public Health, Area of Concentration in Family Health at the Institute of Public Health, Federal University of Bahia - ISC / UFBA. She works as a dentist at the Federal Institute of Education, Science and Technology of Bahia (Campus Valença-BA).

Augusto Cesar Souza Raimundo, Universidade Estadual de Campinas

He holds a degree in Dentistry from Universidade Vale do Rio Verde de Três Corações (2000) and a degree in Public Administration from Universidade Federal de Lavras (2017). He is a Specialist in Public Health, sub-area of Health Planning from UFBA, Primary Care and Family Health from UFMG, Health Management and Economics from the Faculty of Dentistry of Piracicaba (FOP - UNICAMP). He has a Master's degree in Management and Public Health from FOP - UNICAMP and is a regular student of the Postgraduate Program in Dentistry, Doctorate level, area of Public Health, at FOP-UNICAMP. He has an MBA in Health Technology Assessment from Hospital Alemão Oswaldo Cruz (HAOC). He is part of the Center for Health Technology Assessment (NATS) of FOP - UNICAMP. He is a permanent employee of the municipality of Varginha-MG, where he works as a dentist and currently holds the position of Oral Health Coordinator. He has worked with the research area of health economics in dentistry. He has experience in health management, information systems, public policies, management instruments, bidding, fundraising, data mining, health technology assessment, health monitoring and evaluation.

Livia Fernandes Probst, Hospital Alemão Oswaldo Cruz

PhD in Dentistry (Public Health Concentration Area) and Master in Dentistry in Public Health from FOP-UNICAMP, MBA in Economics and Health Technology Assessment from Hospital Alemão Oswaldo Cruz (HAOC) and Dentistry from UFES. Currently works as a researcher in the area of Health Technology Assessment (HTA) at Hospital Alemão Oswaldo Cruz (HAOC) in São Paulo, SP. Previously, she worked as an external consultant in Health Technology Assessment (HTA) at the Coordination of Monitoring and Assessment of Health Technologies (CMATS) in the Department of Management, Incorporation of Technologies and Innovation in Health (DGITIS/SCTIE) at the Ministry of Health. She also works as a collaborating researcher at FOP-UNICAMP, where she is doing a postdoctoral internship. She has experience in interdisciplinary themes and works mainly in the areas of Health Economics and Health Technology Assessment, Evidence-based Health, Health Management, Epidemiology and Public Health.

Vanessa Pardi, School of Dental Medicine - East Carolina University

She holds a degree in Dentistry from the State University of Campinas (1998), a master's degree in Dentistry from the State University of Campinas (2002) and a PhD in Dentistry from the State University of Campinas (2004). She is currently an assistant professor at the School of Dental Medicine - East Carolina University (ECU), an adjunct professor in the Department of Public Health at the Brody School of Medicine - ECU and a tenured professor in the postgraduate program in Dental Sciences, with a concentration in Pediatric Dentistry, at the Araraquara School of Dentistry - UNESP. She has experience in Dentistry, with an emphasis on Oral Epidemiology, working mainly on the following topics: dental caries, occlusal caries, fissure sealants, caries diagnosis and prevention.

Letícia Santos Alves de Melo, rsidade Estadual Paulista Júlio de Mesquita Filho

Currently a student of the Postgraduate Program in Dental Sciences at the Doctorate and Master's level in Pediatric Dentistry at the São Paulo State University "Júlio de Mesquita Filho" (UNESP) - Araraquara Campus - FOAr/UNESP - CAPES Concept 5. Graduated in Dentistry from the Federal University of Pernambuco (UFPE), she worked during her undergraduate studies as a monitor for the subjects of Dental Materials 1, Pediatric Dentistry and Comprehensive Clinic 1, participant of the Academic League of Dentistry of UFPE and member of the research group Dentistry and Dental Materials: Teaching, Laboratory and Clinical Research, at the Federal University of Pernambuco.

Elaine Pereira da Silva Tagliaferro, Universidade Estadual Paulista Júlio de Mesquita Filho

He holds a degree in Dentistry from the School of Dentistry of Ribeirão Preto - USP (1995), a master's degree in PPG-Dentistry, area of Cariology from the School of Dentistry of Piracicaba - UNICAMP (2004), a doctorate in the Postgraduate Program in Dentistry from the School of Dentistry of Piracicaba - UNICAMP (2008) and a post-doctorate from the Department of Social Dentistry of FOP/UNICAMP (2012). He currently works as an associate professor at the Department of Social Dentistry of the School of Dentistry of Araraquara, FOAr/UNESP. He has experience in the area of Dentistry in Public Health, with an emphasis on Epidemiology; Cariology; Research Based on Dental Practice.

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