A prótese parcial removível acrílica na atenção em saúde bucal das unidades básicas de saúde da Prefeitura de Belo Horizonte: a visão dos cirurgiões-dentistas

Abstract

The guidelines of the National Oral Health Policies directed to the inclusion of elementary prosthesis in the Primary Care (PC) highlighting their relevance. This research was about the experience of Dental Surgeons (DS) with the Acrylic Partial Denture Partial Prosthesis (APD), as part of the index of procedures which constitute the Basic Health Units (BHU) in the city of Belo Horizonte (11.949 units between August 2010 and September 2016). It aimed at identifying the difficulties regarding inthe various phases of confection of the ARPP, satisfaction of dentists and failures. 155 dental surgeons of the public health system were part of the sampling (sampling calculation via proportion estimate, with a sampling error of 7%, condition prevalence of 50% and significance level of 95%), who were selected amongst the 359 who are part of it, through a random choice (simple random sampling). The final sample was proportionally distributed to the number of dental surgeons within each sanitary district of Belo Horizonte. A structured questionnaire was built, with 72 questionsconcerning the daily practice of performance of the ARPP beyond dentistry sociodemograph and work data, using the platform SurveyMonkey . Both descriptive and statistic analysis of the results were performed. A factorial analysis from the policoric correlation matrix was carried out for the questions about satisfaction, difficulties and preparation and scores were obtained through the correlation coefficient calculation of Spearman. The analysis of the correlations found showed that being better prepared for performing ARPP implied in presenting fewer difficulties in its various stages. Being more satisfied implied in being more prepared to perform it. The same scores related to failures in the various stages were seen later. When correlating the failures and preparation scores, it could be seen that the better prepared, the higher the lack of failures. With regards to satisfaction and failures, it was verified that the higher the satisfaction rate, the higher the lack of failures. As for the scores of difficulties and failures, it could be pinpointed that the greater the difficulty, the fewer failures, the opposite of what had been expected. From a socio-demographic bivariate analysis and the reports of failures of the work of professionals, the logical regression of the most significant results was conducted, realizing that the DS who negatively evaluated the inclusion of ARPP in the index of procedures of the PCs has 1,71 more chances of achieving the highest failure in the making of ARPP. For those who graduated in private institutions there are 4,51 times more chances of having failures in comparison to those who graduated in public institutions. When the experience with the performance was negative there were 3,85 times more chances of failing. The high frequency of confection from PPRA in several countries financed most cases by public health systems points to the need to study it and to train professionals to perfom it, under penalty, otherwise it will become a public health problem. However, there is no how to disregard their social role.