RESUMO Este estudo objetivou analisar os fatores contextuais do desempenho do atendimento odontológico para gestantes na Atenção Básica entre municípios baianos. A série temporal utilizou dados secundários dos 417 municípios, entre 2018 e 2022. O desfecho foi a meta do indicador de proporção de gestantes com atendimento odontológico por município: insuficiente (<60,0%) ou suficiente (≥60,0%). As variáveis contextuais foram: fatores sociodemográficos (Porte Populacional, Índice de Desenvolvimento Humano Municipal, Produto Interno Bruto municipal per capita – PIB, Índice de Gini da renda domiciliar per capita, Índice de Vulnerabilidade Social e Núcleos Regionais de Saúde) e serviço de saúde (Cobertura de Estratégia Saúde da Família – ESF e de Saúde Bucal). Realizou-se regressão de Poisson uni e multivariada (p<0,05). No último quadrimestre de cada ano: 2,9% (2018), 2,4% (2019), 5,3% (2020), 37,2% (2021) e 71,2% (2022) dos municípios atingiram a meta. No terceiro quadrimestre de 2021, os municípios com menor PIB, e em 2021 e 2022, com maior cobertura de ESF, apresentaram maior chance de atingir a meta. Conclui-se que houve aumento da proporção de atendimento odontológico para gestante ao longo dos anos entre os municípios baianos e atingir a meta foi associado a fatores sociodemográficos e de serviço de saúde.

ABSTRACT This study aimed to analyze the contextual factors of the performance of dental care for pregnant women in Primary Care among municipalities in Bahia. The time series used secondary data from 417 municipalities between 2018-2022. The outcome was the target indicator for the proportion of pregnant women with dental care per municipality: insufficient (<60.0%) or sufficient (≥60.0%). The contextual variables were: sociodemographic factors (Population Size, Municipal Human Development Index, municipal Gross Domestic Product per capita – GDP, Gini Index of household income per capita, Social Vulnerability Index and Regional Health Centers) and health service (Coverage of Family Health Strategy – ESF and Oral Health). Poisson regression was performed (p<0.05). In the last four months of each year: 2.9% (2018), 2.4% (2019), 5.3% (2020), 37.2% (2021) and 71.2% (2022) of the municipalities reached the goal. In the third four months of 2021, municipalities with lower GDP, and in 2021 and 2022, with greater ESF coverage, had a greater chance of reaching the target. It is concluded that there was an increase in the proportion of dental care for pregnant women over the years among the municipalities in Bahia, and achieving the goal was associated with sociodemographic and health service factors.

Este estudo qualitativo multicêntrico objetivou compreender como as dificuldades no processo de trabalho foram percebidas e sentidas por trabalhadores de saúde bucal (cirurgiões-dentistas, técnicos e auxiliares) em termos éticos e de saúde mental no enfrentamento da pandemia de Covid-19. Realizou-se a análise textual discursiva das respostas de 2560 trabalhadores a três questões abertas de um websurvey, entre agosto e outubro de 2020, na região sul do Brasil. As principais dificuldades do processo de trabalho foram: compreensão sobre suspensão dos atendimentos eletivos e priorização de urgências; acesso aos serviços; e implementação de protocolos de biossegurança. As dificuldades tornaram-se base para alguns problemas éticos: incertezas na priorização de casos, riscos aumentados e condutas profissionais heterogêneas. O sofrimento dos trabalhadores foi explícito: angústia por cobranças da população, medo pela situação da pandemia, situação de exaustão no trabalho e descaso da gestão.

El objetivo de este estudio cualitativo multicéntrico fue comprender cómo las dificultades en el proceso de trabajo fueron percibidas y sentidas por trabajadores de salud bucal (cirujanos-dentistas, técnicos y auxiliares) en términos éticos y de salud mental en el enfrentamiento de la pandemia de Covid-19. Se realizó el análisis textual discursivo de las respuestas de 2560 trabajadores a tres preguntas abiertas de un websurvey, entre agosto-octubre de 2020, en la región Sur de Brasil. Las principales dificultades del proceso de trabajo fueron: comprensión sobre la suspensión de las atenciones efectivas y priorización de urgencias, acceso a los servicios e implementación de protocolos de bioseguridad. Las dificultades pasaron a ser la base para algunos problemas éticos: incertidumbres en la priorización de casos, riesgos aumentados y conductas profesionales heterogéneas. El sufrimiento de los trabajadores fue explícito: angustia por exigencias de la población, miedo por la situación de la pandemia, situación de agotamiento en el trabajo y falta de atención de la gestión.

This multicentric qualitative study aimed to understand how difficulties in the work process were perceived and felt by oral health workers (including dentists, technicians, and assistants) in ethical and mental health terms during the Covid-19 pandemic. A discursive textual analysis was conducted analyzing responses from 2560 workers to three open-ended questions in a websurvey from August to October 2020 in the Brazilian Southern region. The main difficulties in the work process included understanding the interruption of elective appointments and prioritizing emergencies, accessing services, and implementing biosafety protocols. These difficulties became the basis for several ethical problems, including uncertainties in case prioritization, increased risks, and heterogeneous professional conduct. The suffering of the workers was explicit, including anguish due to public demands, fear of the pandemic situation, work exhaustion, and managerial neglect.

RESUMO Este estudo objetivou analisar os fatores contextuais do desempenho do atendimento odontológico para gestantes na Atenção Básica entre municípios baianos. A série temporal utilizou dados secundários dos 417 municípios, entre 2018 e 2022. O desfecho foi a meta do indicador de proporção de gestantes com atendimento odontológico por município: insuficiente (<60,0%) ou suficiente (≥60,0%). As variáveis contextuais foram: fatores sociodemográficos (Porte Populacional, Índice de Desenvolvimento Humano Municipal, Produto Interno Bruto municipal per capita – PIB, Índice de Gini da renda domiciliar per capita, Índice de Vulnerabilidade Social e Núcleos Regionais de Saúde) e serviço de saúde (Cobertura de Estratégia Saúde da Família – ESF e de Saúde Bucal). Realizou-se regressão de Poisson uni e multivariada (p<0,05). No último quadrimestre de cada ano: 2,9% (2018), 2,4% (2019), 5,3% (2020), 37,2% (2021) e 71,2% (2022) dos municípios atingiram a meta. No terceiro quadrimestre de 2021, os municípios com menor PIB, e em 2021 e 2022, com maior cobertura de ESF, apresentaram maior chance de atingir a meta. Conclui-se que houve aumento da proporção de atendimento odontológico para gestante ao longo dos anos entre os municípios baianos e atingir a meta foi associado a fatores sociodemográficos e de serviço de saúde. 41 201 2022 município <60,0% 600 60 0 (<60,0% ≥60,0%. ≥60,0% . (≥60,0%) foram Porte Populacional Municipal PIB Cobertura Bucal. Bucal Bucal) Realizouse Realizou se p<0,05. p005 p p<0,05 05 (p<0,05) ano 29 2 9 2,9 2018, , (2018) 24 4 2,4 2019, 2019 (2019) 53 5 3 5,3 2020, 2020 (2020) 372 37 37,2 (2021 712 71 71,2 (2022 202 Concluise Conclui 20 <60,0 6 (<60,0 ≥60,0 (≥60,0% p00 p<0,0 (p<0,05 2, (2018 (2019 5, (2020 37, (202 7 71, <60, (<60, ≥60, (≥60,0 p0 p<0, (p<0,0 (201 (20 <60 (<60 ≥60 (≥60, p<0 (p<0, (2 <6 (<6 ≥6 (≥60 p< (p<0 ( < (< ≥ (≥6 (p< (≥ (p

ABSTRACT This study aimed to analyze the contextual factors of the performance of dental care for pregnant women in Primary Care among municipalities in Bahia. The time series used secondary data from 417 municipalities between 2018-2022. The outcome was the target indicator for the proportion of pregnant women with dental care per municipality: insufficient (<60.0%) or sufficient (≥60.0%). The contextual variables were: sociodemographic factors (Population Size, Municipal Human Development Index, municipal Gross Domestic Product per capita – GDP, Gini Index of household income per capita, Social Vulnerability Index and Regional Health Centers) and health service (Coverage of Family Health Strategy – ESF and Oral Health). Poisson regression was performed (p<0.05). In the last four months of each year: 2.9% (2018), 2.4% (2019), 5.3% (2020), 37.2% (2021) and 71.2% (2022) of the municipalities reached the goal. In the third four months of 2021, municipalities with lower GDP, and in 2021 and 2022, with greater ESF coverage, had a greater chance of reaching the target. It is concluded that there was an increase in the proportion of dental care for pregnant women over the years among the municipalities in Bahia, and achieving the goal was associated with sociodemographic and health service factors. Bahia 41 20182022. 20182022 2018 2022. 2022 2018-2022 municipality <60.0% 600 60 0 (<60.0% ≥60.0%. ≥60.0% . (≥60.0%) were Population Size GDP Centers Coverage Health. Health) p<0.05. p005 p p<0.05 05 (p<0.05) year 29 2 9 2.9 2018, , (2018) 24 4 2.4 2019, 2019 (2019) 53 5 3 5.3 2020, 2020 (2020) 372 37 37.2 (2021 712 71 71.2 (2022 202 coverage 2018202 201 2018-202 <60.0 6 (<60.0 ≥60.0 (≥60.0% p00 p<0.0 (p<0.05 2. (2018 (2019 5. (2020 37. (202 7 71. 20 201820 2018-20 <60. (<60. ≥60. (≥60.0 p0 p<0. (p<0.0 (201 (20 20182 2018-2 <60 (<60 ≥60 (≥60. p<0 (p<0. (2 2018- <6 (<6 ≥6 (≥60 p< (p<0 ( < (< ≥ (≥6 (p< (≥ (p

Abstract Objective: To compare the use of sealants in permanent molars between public and private dentists in Brazil. Material and Methods: This was a cross-sectional and analytical web survey study. The convenience sample consisted of dentists in Brazil who answered a pre-tested online form released via social media between July and October 2021. Descriptive analysis was performed using absolute and relative frequencies (%) and associations using the Chi-square test (p<0.05). Results: Brazilian professionals participated in the study (n=2,244). Comparing the professionals from the public service with those from the private service, the former had a higher positive perception of the use of sealants as a preventive (92.4% vs. 81.1%, p<0.00l) and therapeutic procedure (90.7% vs. 82.4%, p=0.00l), higher percentage of non-invasive (91.7% vs. 83.8%, p<0.00l) and invasive (22.8% vs. 12.0%, p< 0.001) techniques. Professionals from the private service reported more frequently that they did not use sealants than those from the public service (14.0% vs. 4.8%, p<0.00l). Resin sealant (97.7% vs. 94.9%, p=0.0l5) and Flow resin (62.0% vs. 54.3%, p=0.013) were the most used by professionals in the private service. The use of glass ionomer cement was not associated with the type of service (75.1% vs. 77.2%, p=0.172), nor was the use of adhesives (0.6% vs. 1.4%, p=0.195) or resin with Giomer technology (1.9% vs. 2.2%, p=0.856) (p>0.05). Conclusion: The percentage of use of sealants among dentists in Brazil is high, especially among professionals in the public service, and the most used materials were resinous sealants and glass ionomer cement. Objective Methods crosssectional cross sectional pretested pre tested 2021 % (% Chisquare Chi square p<0.05. p005 p p<0.05 . 0 05 (p<0.05) Results n=2,244. n2244 n n=2,244 2 244 (n=2,244) 92.4% 924 92 4 (92.4 vs 811 81 1 81.1% p<0.00l p000l pl 00l l 90.7% 907 90 7 (90.7 824 82 82.4% p=0.00l, p=0.00l , p=0.00l) noninvasive non 91.7% 917 91 (91.7 838 83 8 83.8% 22.8% 228 22 (22.8 120 12 12.0% 0.001 0001 001 techniques 14.0% 140 14 (14.0 48 4.8% p<0.00l. 97.7% 977 97 (97.7 949 94 9 94.9% p=0.0l5 p00l5 0l5 62.0% 620 62 (62.0 543 54 3 54.3% p=0.013 p0013 013 75.1% 751 75 (75.1 772 77 77.2% p=0.172, p0172 p=0.172 172 p=0.172) 0.6% 06 6 (0.6 1.4% p=0.195 p0195 195 1.9% 19 (1.9 2.2% p=0.856 p0856 856 p>0.05. p>0.05 (p>0.05) Conclusion high 202 ( p00 p<0.0 (p<0.05 n224 n=2,24 24 (n=2,244 92.4 (92. 81.1 90.7 (90. 82.4 91.7 (91. 83.8 22.8 (22. 12.0 0.00 000 00 14.0 (14. 4.8 97.7 (97. 94.9 p=0.0l p00l 0l 62.0 (62. 5 54.3 p=0.01 p001 01 75.1 (75. 77.2 p017 p=0.17 17 0.6 (0. 1.4 p=0.19 p019 1.9 (1. 2.2 p=0.85 p085 85 p>0.0 (p>0.05 20 p0 p<0. (p<0.0 n22 n=2,2 (n=2,24 92. (92 81. 90. (90 82. 91. (91 83. 22. (22 12. 0.0 14. (14 4. 97. (97 94. 62. (62 54. p=0.0 75. (75 77. p01 p=0.1 0. (0 1. (1 2. p=0.8 p08 p>0. (p>0.0 p<0 (p<0. n2 n=2, (n=2,2 (9 (2 (6 p=0. (7 p>0 (p>0. (p<0 n=2 (n=2, p=0 p> (p>0 (p< n= (n=2 p= (p> (p (n= (n

ABSTRACT Objective: To analyze the supply of input and procedures, non-invasive and micro-invasive, for dental caries lesions in Primary Care in Brazil, comparing the Brazilian geographic regions in three different periods. Material and Methods: Historical series study based on secondary data extracted from the 1st Cycle (2012), 2nd (2014), and 3rd cycle (2018) of the External Evaluation of the National Program for Access and Quality of Primary Care. The proportions of Oral Health Teams offering non-invasive (fluor) and micro-invasive (sealants) supplies and procedures between Brazilian geographic regions were compared using the Chi-square test, using the Z Test adjusted by the Bonferroni method, and between the years (2012, 2014, and 2018) using the Cochran Q test (p<0.05). The percentage variation between the proportions per cycle was calculated. Results: The availability of inputs of fluor gel in Brazil increased between 2014 (91.6%) and 2018 (94.1%) (p<0.001), but statistically only in the Northeast and North (p<0.001). The offer of the topical fluorine procedure increased between 2012 (78.8%) and 2018 (87.4%) (p<0.001) in Brazil, with the most significant increase in the North (+7.5%) and Northeast (+22.0%). There was greater availability of inputs of sealants in Brazil between 2012 (56.8%) and 2018 (69.5%) (p<0.001) in Brazil, and more significant expansion in the Northeast (+43.4%). There was a greater offer of the sealing procedure in Brazil between 2014 (98.6%) and 2018 (98.5%), compared to 2012 (94.7%) (p<0.001), with more significant expansion in the North (+5.8%). Conclusion: There was an increase in the supply of input and procedures, non-invasive and micro-invasive, in Primary Care in Brazil. Despite maintaining regional inequalities, they were reduced, with greater expansion in the North and Northeast regions between the years evaluated. Objective noninvasive non invasive microinvasive, microinvasive micro invasive, periods Methods st 2012, , (2012) nd (2014) rd (2018 (fluor (sealants Chisquare Chi square method (2012 p<0.05. p005 p p<0.05 . 0 05 (p<0.05) calculated Results 201 91.6% 916 91 6 (91.6% 94.1% 941 94 1 (94.1% p<0.001, p0001 p<0.001 001 p<0.001. 78.8% 788 78 8 (78.8% 87.4% 874 87 4 (87.4% (p<0.001 +7.5% 75 7 5 (+7.5% +22.0%. 220 +22.0% 22 (+22.0%) 56.8% 568 56 (56.8% 69.5% 695 69 (69.5% +43.4%. 434 +43.4% 43 (+43.4%) 98.6% 986 98 (98.6% 98.5%, 985 98.5% (98.5%) 94.7% 947 (94.7% +5.8%. 58 +5.8% (+5.8%) Conclusion inequalities reduced evaluated (2014 (201 p00 p<0.0 (p<0.05 20 91.6 9 (91.6 94.1 (94.1 p000 p<0.00 00 78.8 (78.8 87.4 (87.4 (p<0.00 +7.5 (+7.5 +22.0 2 (+22.0% 56.8 (56.8 69.5 (69.5 +43.4 (+43.4% 98.6 (98.6 98.5 (98.5% 94.7 (94.7 +5.8 (+5.8% (20 p0 p<0. (p<0.0 91. (91. 94. (94. 78. (78. 87. (87. +7. (+7. +22. (+22.0 56. (56. 69. (69. +43. (+43.4 98. (98. (98.5 +5. (+5.8 (2 p<0 (p<0. (91 (94 (78 (87 +7 (+7 +22 (+22. (56 (69 +43 (+43. (98 +5 (+5. ( p< (p<0 (9 (7 (8 + (+ +2 (+22 (5 (6 +4 (+43 (+5 (p< (+2 (+4 (p

Este estudo qualitativo multicêntrico objetivou compreender como as dificuldades no processo de trabalho foram percebidas e sentidas por trabalhadores de saúde bucal (cirurgiões-dentistas, técnicos e auxiliares) em termos éticos e de saúde mental no enfrentamento da pandemia de Covid-19. Realizou-se a análise textual discursiva das respostas de 2560 trabalhadores a três questões abertas de um websurvey, entre agosto e outubro de 2020, na região sul do Brasil. As principais dificuldades do processo de trabalho foram: compreensão sobre suspensão dos atendimentos eletivos e priorização de urgências; acesso aos serviços; e implementação de protocolos de biossegurança. As dificuldades tornaram-se base para alguns problemas éticos: incertezas na priorização de casos, riscos aumentados e condutas profissionais heterogêneas. O sofrimento dos trabalhadores foi explícito: angústia por cobranças da população, medo pela situação da pandemia, situação de exaustão no trabalho e descaso da gestão. cirurgiõesdentistas, cirurgiõesdentistas cirurgiões dentistas, dentistas (cirurgiões-dentistas auxiliares Covid19. Covid19 Covid 19. 19 Covid-19 Realizouse Realizou se 256 websurvey 2020 Brasil urgências serviços biossegurança tornaramse tornaram casos heterogêneas explícito população gestão Covid1 1 Covid-1 25 202 Covid- 2 20

This multicentric qualitative study aimed to understand how difficulties in the work process were perceived and felt by oral health workers (including dentists, technicians, and assistants) in ethical and mental health terms during the Covid-19 pandemic. A discursive textual analysis was conducted analyzing responses from 2560 workers to three open-ended questions in a websurvey from August to October 2020 in the Brazilian Southern region. The main difficulties in the work process included understanding the interruption of elective appointments and prioritizing emergencies, accessing services, and implementing biosafety protocols. These difficulties became the basis for several ethical problems, including uncertainties in case prioritization, increased risks, and heterogeneous professional conduct. The suffering of the workers was explicit, including anguish due to public demands, fear of the pandemic situation, work exhaustion, and managerial neglect. dentists technicians assistants Covid19 Covid 19 Covid-1 256 openended open ended 202 region emergencies services protocols problems prioritization risks conduct explicit demands situation exhaustion neglect Covid1 1 Covid- 25 20 2

El objetivo de este estudio cualitativo multicéntrico fue comprender cómo las dificultades en el proceso de trabajo fueron percibidas y sentidas por trabajadores de salud bucal (cirujanos-dentistas, técnicos y auxiliares) en términos éticos y de salud mental en el enfrentamiento de la pandemia de Covid-19. Se realizó el análisis textual discursivo de las respuestas de 2560 trabajadores a tres preguntas abiertas de un websurvey, entre agosto-octubre de 2020, en la región Sur de Brasil. Las principales dificultades del proceso de trabajo fueron: comprensión sobre la suspensión de las atenciones efectivas y priorización de urgencias, acceso a los servicios e implementación de protocolos de bioseguridad. Las dificultades pasaron a ser la base para algunos problemas éticos: incertidumbres en la priorización de casos, riesgos aumentados y conductas profesionales heterogéneas. El sufrimiento de los trabajadores fue explícito: angustia por exigencias de la población, miedo por la situación de la pandemia, situación de agotamiento en el trabajo y falta de atención de la gestión. cirujanosdentistas, cirujanosdentistas cirujanos dentistas, dentistas (cirujanos-dentistas auxiliares Covid19. Covid19 Covid 19. 19 Covid-19 256 websurvey agostooctubre agosto octubre 2020 Brasil urgencias bioseguridad casos heterogéneas explícito población gestión Covid1 1 Covid-1 25 202 Covid- 2 20

Resumo O objetivo deste estudo transversal foi analisar os fatores associados ao estresse ocupacional entre cirurgiões-dentistas atuantes no setor privado no primeiro ano da pandemia de COVID-19 no Brasil. Incluiu 384 profissionais do estado do Paraná, cujos dados foram obtidos entre agosto e outubro de 2020 por meio de formulário online. Dois desfechos compuseram proxy de estresse ocupacional: (1) ansiedade e preocupação e (2) preparo e segurança para o trabalho durante a pandemia. As variáveis independentes foram agrupadas segundo modelo teórico explicativo em fatores individuais, organizacionais e extraorganizacionais. As associações foram testadas por regressão logística bi e multivariada. Apesar de preparados e seguros, os profissionais se sentiam ansiosos e preocupados para o atendimento clínico. Mulheres, mais jovens e que não receberam orientações sobre as medidas de segurança apresentaram maiores chances de relatar insegurança e despreparo. Profissionais mais jovens, que não participavam da tomada de decisões e que às vezes dispunham de auxiliar para o trabalho a quatro mãos, tiveram maiores chances de se sentirem ansiosos e preocupados. Além dos fatores individuais, fatores organizacionais do trabalho estão associados ao estresse ocupacional entre cirurgiões-dentistas no primeiro ano da pandemia. cirurgiõesdentistas cirurgiões dentistas COVID19 COVID 19 COVID-1 Brasil 38 Paraná 202 online 1 (1 2 (2 individuais extraorganizacionais multivariada seguros clínico Mulheres despreparo mãos COVID1 COVID- 3 20 (

Abstract This cross-sectional study examined factors associated with occupational stress among 384 dentists working in the private sector in the first year of the COVID-19 pandemic in Brazil. Data were collected from August to October 2020 through an online form. Two outcomes - (1) anxiety and worry and (2) preparation and safety for work during the pandemic - constituted a proxy for occupational stress. The independent variables were grouped according to the explanatory theoretical model into individual, organisational and extra-organisational factors. Associations were tested by bivariate and multivariate logistic regression. Although prepared and confident, dentists felt anxious and worried about providing clinical care. Women, younger respondents and those who received no guidance on safety measures were more likely to report insecurity and unpreparedness. Younger professionals, those who did not participate in decision-making and who only sometimes had an assistant for four-hand work, were more likely to feel anxious and worried. In addition to individual factors, work organisation factors were associated with occupational stress among dentists in the first year of the pandemic. crosssectional cross sectional 38 COVID19 COVID 19 COVID-1 Brazil 202 form 1 (1 2 (2 extraorganisational extra regression confident care Women unpreparedness professionals decisionmaking decision making fourhand four hand 3 COVID1 COVID- 20 (

Resumo O objetivo deste estudo transversal foi analisar os fatores associados ao estresse ocupacional entre cirurgiões-dentistas atuantes no setor privado no primeiro ano da pandemia de COVID-19 no Brasil. Incluiu 384 profissionais do estado do Paraná, cujos dados foram obtidos entre agosto e outubro de 2020 por meio de formulário online. Dois desfechos compuseram proxy de estresse ocupacional: (1) ansiedade e preocupação e (2) preparo e segurança para o trabalho durante a pandemia. As variáveis independentes foram agrupadas segundo modelo teórico explicativo em fatores individuais, organizacionais e extraorganizacionais. As associações foram testadas por regressão logística bi e multivariada. Apesar de preparados e seguros, os profissionais se sentiam ansiosos e preocupados para o atendimento clínico. Mulheres, mais jovens e que não receberam orientações sobre as medidas de segurança apresentaram maiores chances de relatar insegurança e despreparo. Profissionais mais jovens, que não participavam da tomada de decisões e que às vezes dispunham de auxiliar para o trabalho a quatro mãos, tiveram maiores chances de se sentirem ansiosos e preocupados. Além dos fatores individuais, fatores organizacionais do trabalho estão associados ao estresse ocupacional entre cirurgiões-dentistas no primeiro ano da pandemia.

Abstract This cross-sectional study examined factors associated with occupational stress among 384 dentists working in the private sector in the first year of the COVID-19 pandemic in Brazil. Data were collected from August to October 2020 through an online form. Two outcomes - (1) anxiety and worry and (2) preparation and safety for work during the pandemic - constituted a proxy for occupational stress. The independent variables were grouped according to the explanatory theoretical model into individual, organisational and extra-organisational factors. Associations were tested by bivariate and multivariate logistic regression. Although prepared and confident, dentists felt anxious and worried about providing clinical care. Women, younger respondents and those who received no guidance on safety measures were more likely to report insecurity and unpreparedness. Younger professionals, those who did not participate in decision-making and who only sometimes had an assistant for four-hand work, were more likely to feel anxious and worried. In addition to individual factors, work organisation factors were associated with occupational stress among dentists in the first year of the pandemic.

Resumo Este estudo objetivou comparar a disponibilidade de fornecimentos e restaurações de amálgama e resina composta entre as Equipas de Saúde Oral (OHT) por regiões brasileiras. Os dados secundários foram extraídos dos módulos I e II do 1º (2012) e V e VI do 2º (2014) e 3º ciclo (2017) da avaliação externa do Programa Nacional de Acesso e Qualidade em Cuidados Primários. As proporções entre regiões e ciclos foram comparadas utilizando o teste Qui-quadrado com o teste z ajustado pelo método de Bonferroni (p<0,05). Entre 2012, 2014, e 2017 houve uma redução significativa na proporção de OHT que realizou restaurações de amálgama (87,5%, 89,2%, e 80,2%; p<0,001) e um aumento na resina composta (92,5%, 97,7%, e 99,0%; p<0,001), com a mesma tendência nas regiões brasileiras (p<0,001). A disponibilidade de amalgamadores diminuiu entre 2012 (99,0%), 2014 (98,4%) e 2017 (85,6%) (p<0,001). A disponibilidade de amálgama foi menor em 2017 (80,1%), em comparação com 2012 (87,5%) e 2014 (97,5%) (p<0,001). A disponibilidade de polimerização por luz diminuiu entre 2012 (99,0%), 2014 (98,4%) e 2017 (85,6%) (p<0,001), estando menos disponível no Norte (95,7%) (p<0,001). A resina fotopolimerizadora aumentou entre 2012 (94,1%), 2014 (96,6%) e 2017 (97,0%) (p<0,001), sem aumento apenas no Norte (p=0,134). Embora tenha havido uma redução nos fornecimentos e restauração de amálgamas, houve um aumento nos fornecimentos e restaurações de resina composta no período avaliado em todas as regiões brasileiras. Contudo, as disparidades regionais são ainda evidentes, com menos oferta de serviços de restauração na região Norte. (OHT º (2012 (2014 (2017 Primários Quiquadrado Qui quadrado p<0,05. p005 p p<0,05 . 0 05 (p<0,05) 201 87,5%, 875 87 5 (87,5% 892 89 2 89,2% 80,2% 802 80 p<0,001 p0001 001 92,5%, 925 92 (92,5% 977 97 7 97,7% 99,0% 990 99 p<0,001, , p<0,001. (p<0,001) 99,0%, (99,0%) 98,4% 984 98 4 (98,4% 85,6% 856 85 6 (85,6% 80,1%, 801 80,1% 1 (80,1%) 87,5% 97,5% 975 (97,5% 95,7% 957 95 (95,7% 94,1%, 941 94,1% 94 (94,1%) 96,6% 966 96 (96,6% 97,0% 970 (97,0% p=0,134. p0134 p=0,134 134 (p=0,134) amálgamas Contudo evidentes (201 p00 p<0,0 (p<0,05 20 8 (87,5 89,2 80,2 p<0,00 p000 00 92,5% 9 (92,5 97,7 99,0 (p<0,001 (99,0% 98,4 (98,4 85,6 (85,6 80,1 (80,1% 87,5 97,5 (97,5 95,7 (95,7 94,1 (94,1% 96,6 (96,6 97,0 (97,0 p013 p=0,13 13 (p=0,134 (20 p0 p<0, (p<0,0 (87, 89, 80, 92,5 (92, 97, 99, (p<0,00 (99,0 98, (98, 85, (85, (80,1 87, (97, 95, (95, 94, (94,1 96, (96, p01 p=0,1 (p=0,13 (2 p<0 (p<0, (87 92, (92 (99, (98 (85 (80, (97 (95 (94, (96 p=0, (p=0,1 ( p< (p<0 (8 (9 (99 (80 (94 p=0 (p=0, (p< p= (p=0 (p (p=

Abstract This study aimed to compare the availability of supplies and amalgam and composite resin restorations among Oral Health Teams (OHT) in Brazilian regions. Secondary data were extracted from Modules I and II of the 1st (2012) and V and VI of the 2nd (2014) and 3rd cycle (2017) of the external evaluation of the National Program for Access and Quality in Primary Care2. The proportions between regions and cycles were compared using the Chi-square test with the z-test adjusted by the Bonferroni method (p<0.05). Among 2012, 2014, and 2017 there was a significant reduction in the proportion of OHT that performed amalgam restorations (87.5%, 89.2%, and 80.2%; p<0.001) and an increase in resin composite (92.5 %, 97.7%, and 99.0%; p<0.001), with the same trend in Brazilian regions (p<0.001). Amalgamator availability decreased among 2012 (99.0%), 2014 (98.4%) and 2017 (85.6%) (p<0.001). Amalgam availability was lower in 2017 (80.1%), compared to 2012 (87.5%) and 2014 (97.5%) (p<0.001). The availability of light curing decreased between 2012 (99.0%), 2014 (98.4%) and 2017 (85.6%) (p<0.001), being less available in the North (95.7%) (p<0.001). The light-curing resin increased between 2012 (94.1%), 2014 (96.6%) and 2017 (97.0%) (p<0.001), with no increase only in the North (p=0.134). While there was a reduction in supplies and amalgam restoration, there was an increase in supplies and resin composite restorations in the period evaluated in all Brazilian regions. However, regional disparities are still evident, with fewer supplies of restorative services in the North region. (OHT st (2012 nd (2014 rd (2017 Care2 Care Chisquare Chi square ztest z p<0.05. p005 p p<0.05 . 0 05 (p<0.05) 201 87.5%, 875 87 5 (87.5% 892 89 2 89.2% 80.2% 802 80 p<0.001 p0001 001 92.5 925 92 (92. % 977 97 7 97.7% 99.0% 990 99 p<0.001, , p<0.001. (p<0.001) 99.0%, (99.0%) 98.4% 984 98 4 (98.4% 85.6% 856 85 6 (85.6% 80.1%, 801 80.1% 1 (80.1%) 87.5% 97.5% 975 (97.5% 95.7% 957 95 (95.7% lightcuring 94.1%, 941 94.1% 94 (94.1%) 96.6% 966 96 (96.6% 97.0% 970 (97.0% p=0.134. p0134 p=0.134 134 (p=0.134) restoration However evident region (201 p00 p<0.0 (p<0.05 20 8 (87.5 89.2 80.2 p<0.00 p000 00 92. 9 (92 97.7 99.0 (p<0.001 (99.0% 98.4 (98.4 85.6 (85.6 80.1 (80.1% 87.5 97.5 (97.5 95.7 (95.7 94.1 (94.1% 96.6 (96.6 97.0 (97.0 p013 p=0.13 13 (p=0.134 (20 p0 p<0. (p<0.0 (87. 89. 80. (9 97. 99. (p<0.00 (99.0 98. (98. 85. (85. (80.1 87. (97. 95. (95. 94. (94.1 96. (96. p01 p=0.1 (p=0.13 (2 p<0 (p<0. (87 ( (99. (98 (85 (80. (97 (95 (94. (96 p=0. (p=0.1 p< (p<0 (8 (99 (80 (94 p=0 (p=0. (p< p= (p=0 (p (p=

Aim To analyze associations between sociodemographic factors, self-perception, self-care practices in health with Oral Health Literacy (OHL) levels among users of Primary Health Care (PHC). Methods A cross-sectional and analytical study was performed in Piracicaba (São Paulo), Brazil, in 2018, with a convenience sample of users of PHC that were aged over 18 years. Data were collected with a questionnaire by a trained dentist in two Family Health Units. The outcome variable was OHL, measured by the OHLA-B instrument, which was dichotomized by median into low (≤8 point) and high (>8 point). The independent variables were sociodemographic conditions (age, sex, self-declared skin color, and education), self-perceived oral health and self-care practices in health (tooth brushing frequency, smoking habits, reason for the last visit to the dentist, and source of health information search). Unadjusted and adjusted analyses were performed between OHL and independent variables for multiple logistic regression model (p≤0.05). Results The sample consisted of 450 adults. A total of 54.7% had a low OHL. After adjusting for sex and age, OHL was associated with skin color (OR=0.57; 95%CI=0.37-085), educational level (OR=4.92; 95%CI=3.16-7.79), health information from health professionals (OR=2.40; 95%CI=1.42-4.16) and internet (OR=2.88; 95%CI=1.59-5.32), toothbrushing >1 time a day (OR=3.23; 95%CI=1.27-9.92) and smokers (OR=0.42; 95%CI=0.23-0.73). After adjusting for sex, age and income, OHL was associated with (OR=0.63; 95%CI=0.41-096), educational level (OR=4.06; 95%CI=2.57-6.51) and smokers (OR=0.48; 95%CI=0.26-0.84). Conclusions Low OHL was associated with socioeconomic factors, source of information and smoking. This fact highlights the importance of health professionals to promote OHL. factors selfperception, selfperception self perception, perception self-perception selfcare care (OHL PHC. . (PHC) crosssectional cross sectional São Paulo, Paulo , Paulo) Brazil 2018 1 years Units OHLAB OHLA B instrument ≤8 8 (≤ point >8 (> point. (age selfdeclared declared education, education education) selfperceived perceived tooth frequency habits search. search search) p≤0.05. p005 p p≤0.05 0 05 (p≤0.05) 45 adults 547 54 7 54.7 OR=0.57 OR057 OR 57 (OR=0.57 95%CI=0.37085, 95CI037085 CI 95%CI=0.37 085 95 37 95%CI=0.37-085) OR=4.92 OR492 4 92 (OR=4.92 95%CI=3.167.79, 95CI316779 95%CI=3.16 7.79 3 16 79 95%CI=3.16-7.79) OR=2.40 OR240 2 40 (OR=2.40 95%CI=1.424.16 95CI142416 95%CI=1.42 4.16 42 95%CI=1.42-4.16 OR=2.88 OR288 88 (OR=2.88 95%CI=1.595.32, 95CI159532 95%CI=1.59 5.32 59 5 32 95%CI=1.59-5.32) > OR=3.23 OR323 23 (OR=3.23 95%CI=1.279.92 95CI127992 95%CI=1.27 9.92 27 9 95%CI=1.27-9.92 OR=0.42 OR042 (OR=0.42 95%CI=0.230.73. 95CI023073 95%CI=0.23 0.73 73 95%CI=0.23-0.73) income OR=0.63 OR063 63 (OR=0.63 95%CI=0.41096, 95CI041096 95%CI=0.41 096 41 95%CI=0.41-096) OR=4.06 OR406 06 (OR=4.06 95%CI=2.576.51 95CI257651 95%CI=2.57 6.51 6 51 95%CI=2.57-6.51 OR=0.48 OR048 48 (OR=0.48 95%CI=0.260.84. 95CI026084 95%CI=0.26 0.84 26 84 95%CI=0.26-0.84) (PHC 201 ≤ ( p00 p≤0.0 (p≤0.05 54. OR=0.5 OR05 (OR=0.5 37085 95%CI=0.37085 95CI03708 95CI037 95%CI=0.3 08 95%CI=0.37-085 OR=4.9 OR49 (OR=4.9 167 95%CI=3.167.79 95CI31677 95CI316 95%CI=3.1 779 7.7 95%CI=3.16-7.79 OR=2.4 OR24 (OR=2.4 424 95%CI=1.424.1 95CI14241 95CI142 95%CI=1.4 416 4.1 95%CI=1.42-4.1 OR=2.8 OR28 (OR=2.8 595 95%CI=1.595.32 95CI15953 95CI159 95%CI=1.5 532 5.3 95%CI=1.59-5.32 OR=3.2 OR32 (OR=3.2 279 95%CI=1.279.9 95CI12799 95CI127 95%CI=1.2 992 9.9 95%CI=1.27-9.9 OR=0.4 OR04 (OR=0.4 230 95%CI=0.230.73 95CI02307 95CI023 95%CI=0.2 073 0.7 95%CI=0.23-0.73 OR=0.6 OR06 (OR=0.6 41096 95%CI=0.41096 95CI04109 95CI041 95%CI=0.4 09 95%CI=0.41-096 OR=4.0 OR40 (OR=4.0 576 95%CI=2.576.5 95CI25765 95CI257 95%CI=2.5 651 6.5 95%CI=2.57-6.5 260 95%CI=0.260.84 95CI02608 95CI026 084 0.8 95%CI=0.26-0.84 20 p0 p≤0. (p≤0.0 OR=0. OR0 (OR=0. 3708 95%CI=0.3708 95CI0370 95CI03 95%CI=0. 95%CI=0.37-08 OR=4. OR4 (OR=4. 95%CI=3.167.7 95CI3167 95CI31 95%CI=3. 77 7. 95%CI=3.16-7.7 OR=2. OR2 (OR=2. 95%CI=1.424. 95CI1424 95CI14 95%CI=1. 4. 95%CI=1.42-4. 95%CI=1.595.3 95CI1595 95CI15 53 5. 95%CI=1.59-5.3 OR=3. OR3 (OR=3. 95%CI=1.279. 95CI1279 95CI12 99 9. 95%CI=1.27-9. 95%CI=0.230.7 95CI0230 95CI02 07 0. 95%CI=0.23-0.7 4109 95%CI=0.4109 95CI0410 95CI04 95%CI=0.41-09 95%CI=2.576. 95CI2576 95CI25 95%CI=2. 65 6. 95%CI=2.57-6. 95%CI=0.260.8 95CI0260 95%CI=0.26-0.8 p≤0 (p≤0. OR=0 (OR=0 370 95%CI=0.370 95CI0 95%CI=0 95%CI=0.37-0 OR=4 (OR=4 95%CI=3.167. 95CI3 95%CI=3 95%CI=3.16-7. OR=2 (OR=2 95%CI=1.424 95CI1 95%CI=1 95%CI=1.42-4 95%CI=1.595. 95%CI=1.59-5. OR=3 (OR=3 95%CI=1.279 95%CI=1.27-9 95%CI=0.230. 95%CI=0.23-0. 410 95%CI=0.410 95%CI=0.41-0 95%CI=2.576 95CI2 95%CI=2 95%CI=2.57-6 95%CI=0.260. 95%CI=0.26-0. p≤ (p≤0 OR= (OR= 95CI 95%CI= 95%CI=0.37- 95%CI=3.167 95%CI=3.16-7 95%CI=1.42- 95%CI=1.595 95%CI=1.59-5 95%CI=1.27- 95%CI=0.230 95%CI=0.23-0 95%CI=0.41- 95%CI=2.57- 95%CI=0.260 95%CI=0.26-0 (p≤ (OR 95%CI 95%CI=3.16- 95%CI=1.59- 95%CI=0.23- 95%CI=0.26- (p

Resumo Introdução O nível da literacia em saúde pode ser um fator que influencia os comportamentos e a saúde dos indivíduos. Objetivo Analisar a percepção de adultos e idosos sobre os seus comportamentos e sua condição de saúde bucal segundo o seu nível de literacia em saúde (LS). Método O presente estudo qualitativo foi realizado com adultos e idosos que que participaram da ‘Coorte de Saúde Bucal de Adultos de Piracicaba’, sendo classificados conforme os três perfis de perda dentária seguintes: 1) nunca ter perdido dentes; 2) incidência de perda dentária ≥ 4 dentes; 3) edêntulo total e com nível de literacia em saúde alta e baixa de acordo com a variável LS dicotomizada a partir da mediana. Para a coleta dos dados, foi feita uma nova entrevista domiciliar gravada com uso de roteiro-guia e após a transcrição foi realizada a análise de conteúdo. Resultados Independente do nível de LS, os indivíduos identificaram fatores de risco e proteção determinantes para o processo saúde-doença bucal. No entanto, os entrevistados com baixa LS apresentaram uma maior propensão aos comportamentos de risco. Os fatores individuais foram preponderantes para o entendimento de sua condição bucal, seja pelo sentimento de descuido ou de responsabilidade pela falta de acesso aos serviços odontológicos, seja pelo aspecto socioeconômico ou geográfico. Conclusão Os indivíduos com alta LS apresentaram uma capacidade argumentativa e um entendimento maiores sobre os comportamentos saudáveis, como higiene bucal e uso regular do serviço odontológico, independente do tipo de serviço utilizado. LS. . (LS) Coorte Piracicaba, Piracicaba , Piracicaba’ seguintes 1 dentes 2 3 mediana dados roteiroguia roteiro guia conteúdo saúdedoença doença entanto odontológicos geográfico saudáveis odontológico utilizado (LS

Abstract Background The level of health literacy can be a factor that influences the behaviors and health of individuals. Objective To analyze the perception of adults and the elderly on their behaviors and their oral health conditions according to their level of health literacy (HL). Method The qualitative study was carried out with adults and the elderly who participated in the “Piracicaba Adult Oral Health Cohort” and had been classified into three tooth loss profiles: 1) never having lost teeth; 2) incidence of tooth loss ≥ 4 teeth; 3) total toothlessness and the level of health literacy dichotomized in the median at high and low HL. There was a new home interview recorded using a script, and after transcription, content analysis was performed. Results The individuals, regardless of the HL level, identified risk and protective factors that were decisive in the oral health-disease process. However, individuals with low HL were more adept at risky behavior. The individual factors were preponderant for the understanding of his oral condition, either by the feeling of carelessness or by the feeling of responsibility for the lack of access to dental services, either by the socioeconomic or geographical aspect. Conclusion Individuals with high HL showed greater argumentative capacity and understanding of healthy behaviors, such as oral hygiene and regular use of dental services, regardless of the type of service used. . (HL) Piracicaba Cohort profiles 1 teeth 2 3 script transcription performed healthdisease disease process However behavior condition services aspect used (HL

ABSTRACT This cross-sectional study aimed to identify adjustments regarding the use of Personal Protective Equipment and the organization of the work process in outpatient dental care in Paraná during the first year of the COVID-19 pandemic. The convenience sample included 1,105 oral health professionals (dental surgeons, oral health assistants, and dental hygienists) during the first year of the pandemic (August to October, 2020). An online form (Google Forms®) was sent by email by the Regional Council of Dentistry. COVID-19’s measures were compared between the types of dental services: ‘outpatient clinic of the Unified Health System – SUS’ (Primary Care, Dental Specialty Center, and Emergency Care), ‘private clinic’ and ‘other services’ (Sistema S, security forces, trade union, public and private hospitals, and teaching clinics). Professionals from SUS outpatient services reported more frequently: that they suspended elective care, avoided generating aerosols, and worked four-handed. Professionals from ‘private clinics’ used teleorientation and telemonitoring more regularly. In the ‘other services’, there was a more significant proportion reduction in work hours and handpieces autoclaving after each service. It is concluded that, despite the high adequacy of the measures to combat COVID-19, there was a difference in professional practice among the different types of dental services.

RESUMO O objetivo deste estudo transversal foi identificar adequações quanto à utilização de Equipamentos de Proteção Individual e organização do processo de trabalho no atendimento odontológico ambulatorial no Paraná durante o primeiro ano da pandemia da Covid-19. A amostra de conveniência incluiu 1.105 profissionais de saúde bucal (cirurgiões-dentistas, técnicos e auxiliares em saúde bucal) durante o primeiro ano da pandemia (agosto a outubro de 2020). Formulário on-line (Google Formulários®) foi enviado por e-mail pelo Conselho Regional de Odontologia. As medidas de enfrentamento da Covid-19 foram comparadas entre os tipos de serviços odontológicos: ambulatorial do Sistema Único de Saúde – SUS (Atenção Primária, Centro de Especialidades Odontológicos e Pronto Atendimento), clínica privada, e outros (Sistema S, forças de segurança, sindicatos, hospitais públicos e privados e clínicas de ensino). Os profissionais dos serviços ambulatoriais do SUS relataram com maior frequência que: suspenderam atendimentos eletivos, evitavam gerar aerossóis e trabalhavam a quatro mãos. Nas clínicas privadas, utilizavam frequentemente teleorientação e telemonitoramento. Nos ‘outros serviços’, houve maior proporção de redução das horas de trabalho e autoclavagem de peças de mão após cada atendimento. Conclui-se que, apesar da alta adequação às medidas de enfrentamento da Covid-19, houve diferença na prática profissional nos diferentes tipos de serviços odontológicos.

RESUMO O objetivo deste estudo transversal foi identificar adequações quanto à utilização de Equipamentos de Proteção Individual e organização do processo de trabalho no atendimento odontológico ambulatorial no Paraná durante o primeiro ano da pandemia da Covid-19. A amostra de conveniência incluiu 1.105 profissionais de saúde bucal (cirurgiões-dentistas, técnicos e auxiliares em saúde bucal) durante o primeiro ano da pandemia (agosto a outubro de 2020). Formulário on-line (Google Formulários®) foi enviado por e-mail pelo Conselho Regional de Odontologia. As medidas de enfrentamento da Covid-19 foram comparadas entre os tipos de serviços odontológicos: ambulatorial do Sistema Único de Saúde – SUS (Atenção Primária, Centro de Especialidades Odontológicos e Pronto Atendimento), clínica privada, e outros (Sistema S, forças de segurança, sindicatos, hospitais públicos e privados e clínicas de ensino). Os profissionais dos serviços ambulatoriais do SUS relataram com maior frequência que: suspenderam atendimentos eletivos, evitavam gerar aerossóis e trabalhavam a quatro mãos. Nas clínicas privadas, utilizavam frequentemente teleorientação e telemonitoramento. Nos ‘outros serviços’, houve maior proporção de redução das horas de trabalho e autoclavagem de peças de mão após cada atendimento. Conclui-se que, apesar da alta adequação às medidas de enfrentamento da Covid-19, houve diferença na prática profissional nos diferentes tipos de serviços odontológicos.

ABSTRACT This cross-sectional study aimed to identify adjustments regarding the use of Personal Protective Equipment and the organization of the work process in outpatient dental care in Paraná during the first year of the COVID-19 pandemic. The convenience sample included 1,105 oral health professionals (dental surgeons, oral health assistants, and dental hygienists) during the first year of the pandemic (August to October, 2020). An online form (Google Forms®) was sent by email by the Regional Council of Dentistry. COVID-19’s measures were compared between the types of dental services: ‘outpatient clinic of the Unified Health System – SUS’ (Primary Care, Dental Specialty Center, and Emergency Care), ‘private clinic’ and ‘other services’ (Sistema S, security forces, trade union, public and private hospitals, and teaching clinics). Professionals from SUS outpatient services reported more frequently: that they suspended elective care, avoided generating aerosols, and worked four-handed. Professionals from ‘private clinics’ used teleorientation and telemonitoring more regularly. In the ‘other services’, there was a more significant proportion reduction in work hours and handpieces autoclaving after each service. It is concluded that, despite the high adequacy of the measures to combat COVID-19, there was a difference in professional practice among the different types of dental services.

Aim This study analyzes factors associated with dimensions of health literacy (HL) functional, communicative and critical among public health service users with chronic non-communicable diseases. Methods A cross-sectional analytical research was carried out in Piracicaba, São Paulo, Brazil, with adults and older adults attending Family Health Units (FHU). Data were collected by oral exam (CPOD and CPI) and a questionnaire on systemic conditions, sociodemographic factors, health behaviors and HLS (HLS-14). The outcomes consisted of functional, communicative, and critical HL dimensions dichotomized by median (high and low), which were analyzed by chi-square test (p<0.05) to find associations with the variables studied. Results The study sample comprised 238 FHU users with 62.7 (± 10.55) mean age, of which 47.5% (n=113) showed high functional HL, 50.0% (n=119) high communicative HL, and 46.2% (n=110) high critical HL. High functional HL was associated with men (p<0.05). Functional and communicative HL were associated with having higher education (p<0.001 and p=0.018, respectively). High communicative and critical HL were associated with regular use of dental and medical services (p<0.05). Individuals with low functional HL were more likely to present poor tooth brushing (p=0.020). High HL (in all three dimensions) was associated with regular flossing and having more teeth (p<0.05). Conclusion Functional, communicative and critical HL were associated with health behaviors and clinical outcomes, whereas the functional dimension was also associated with sociodemographic factors. HL dimensions allowed to differentiate health-related factors.

RESUMO A tetralogia de Fallot é a cardiopatia cianótica congênita mais prevalente, e apresenta alta mortalidade. O objetivo do presente artigo foi descrever um caso clínico de atendimento odontológico de paciente infantil com tetralogia de Fallot em ambiente hospitalar. O paciente de 7 anos de idade, sexo masculino, morador da zona rural, não possuía o diagnóstico da cardiopatia quando buscou o serviço e foi atendido pela equipe multidisciplinar do Hospital Universitário Ana Bezerra, em Santa Cruz, Rio Grande do Norte, Brasil. O paciente, após atendimento médico, recebeu no leito da enfermaria do hospital a visita do cirurgião-dentista residente na Residência Multiprofissional em Saúde Materno-Infantil. Após avaliação bucal, verificou-se múltiplas lesões de cárie, e necessidade de tratamento odontológico urgente para redução de risco do foco infeccioso, previamente ao procedimento cirúrgico da cardiopatia. O tratamento iniciou pela abordagem preventiva, com orientações de higiene oral e condicionamento psicológico, e em seguida foi feito tratamento restaurador, pela técnica restauradora atraumática e extração de um fragmento radicular. A profilaxia antibiótica foi realizada antes da extração, para minimizar o risco de endocardite bacteriana. Após o atendimento odontológico, o paciente foi encaminhado pela equipe multidisciplinar para a abordagem cirúrgica da tetralogia de Fallot. A integração da residência multiprofissional com a equipe médica foi importante para a redução de riscos de endocardite bacteriana durante os procedimentos odontológicos, visando uma atenção integral ao paciente.

ABSTRACT Tetralogy of Fallot is the most prevalent cyanotic congenital heart disease and it has a high mortality rate. The aim of this article was to provide a clinical case, describing the dental treatment of an infant patient with tetralogy of Fallot done at a hospital. The patient was a 7-year-old male, lived in a rural area with no previous diagnosis of this cardiopathy when he was attended to by a multidisciplinary team at University Hospital Ana Bezerra, at Santa Cruz, Northern Rio Grande, Brazil. After his medical appointment, the patient received a visit from the dental resident in Mother-Infant Health in his hospital room. During the dental exam, multiple carious lesions were found and there was an urgent need to reduce the risk of dental infection before the patient underwent heart surgery. The treatment started with a preventive approach, including oral hygiene instruction and behavior management. The treatment was completed using the atraumatic restorative technique, and a root tip was extracted. Antibiotic prophylaxis was administered before the extraction to minimize the risk of infectious endocarditis. After the dental treatment, the multidisciplinary team referred the patient for surgery to address the tetralogy of Fallot. The integration between the multidisciplinary residency and the medical team was important to reduce the risks of infectious endocarditis during the dental treatment, aiming to provide integral care to this patient.