Atenção à saúde bucal de gestantes e crianças de até seis anos na rede pública de saúde de Belo Horizonte - MG

Abstract

Objective: To evaluate the use and resolubility of public oral health services offered to pregnant women and children up to 6 years. Methods: Cross-sectional study among pregnant women and children up to 6 years enrolled in the Family Health Strategy of Belo Horizonte - MG. The indicators of the use and resolubility for pregnant women were first dental appointment and completed dental treatment in 2013. Representative sample of children that presented need of dental treatment has been selected, their records were consulted to assess the use of services and status of dental treatment: completed, in progress, evasion and referral to secondary care. Other variables were also collected age, gender and child ethnicity, socioeconomic classification of the family and Social Vulnerability Index. Association between use of services and socioeconomic variables was assessed by single and multiple Poisson regression. Results: In 2013, there were 16,450 pregnant women in prenatal care; 9,143 (55.6%) held the first dental appointment and 4,793 (52.4%) had completed their treatment. We analyzed 1344 medical records of children up to 6 years and 70.1% had no need for dental treatment. Those in need, 55.7% did not use the service in 2014. There was a higher prevalence of use of services for children in need of treatment for 4-8 teeth (OR = 1.48; 95% CI: 1.23-1.78), and 9 or more teeth (OR = 1.80; 95% CI: 1.32-2.46) and lower in those with very high socioeconomic risk (OR = 0.79; 95% CI: 0.63-0, 99). Of those who used the service, 49.6% completed the treatment and 35% were under treatment. Conclusions: The use of dental services during prenatal care is not a routine health care network and the solving of these services is low for this priority group. Approximately half of the children in need have used dental service, being higher in those with the greatest need and the least with high socioeconomic risk. Oral health services in Belo Horizonte have difficulties to reach children with low socioeconomic conditions. A new dental care prioritization criteria should be built, based on combination of INTO code and populations socioeconomic risk.