REVIEW ARTICLE


The Oral Health Team in the Family Health Strategy: Trajectories and Challenges



Renata Maria Colodette1, 2, Tiago Ricardo Moreira1, *, Andréia Patrícia Gomes1, 2, Rodrigo Siqueira-Batista1, 3, 4
1 Department of Medicine and Nursing, Postgraduate Program in Health Sciences, Universidade Federal de Viçosa (UFV), Av. Peter Henry Rolfs, s/n, Campus universitário, 36570-000, Viçosa, MG, Brazil
2 Postgraduate Program in Bioethics, Applied Ethics and Collective Health, Escola Nacional de Saúde Pública Sérgio Arouca (ENSP), Oswaldo Cruz Foundation (FIOCRUZ). Rua Leopoldo Bulhões, 1480, Térreo, Manguinhos, 21041-201, Rio de Janeiro, RJ, Brazil
3 Postgraduate Program in Bioethics, Applied Ethics and Collective Health, Universidade Federal do Rio de Janeiro (UFRJ), Praça Jorge Machado Moreira,100 - Ilha do Fundão, Cidade Universitária, 21941-598, Rio de Janeiro, RJ, Brazil
4 Medical School, Faculdade Dinâmica do Vale do Piranga (FADIP). Rua G, 205 - Lote 11, Paraíso, 35430-324, Ponte Nova, MG, Brazil


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© 2018 Colodette et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Medicine and Nursing, Postgraduate Program in Health Sciences, Universidade Federal de Viçosa(UFV), Av. Peter Henry Rolfs, s/n, Campus universitário, 36570-000, Viçosa, MG, Brazil; Tel: 055 31389 94083; E-mail: tiagoricardomoreira@gmail.com


Abstract

Objectives:

The objective of this study was to review literature focused on the introduction of Brazilian oral healthcare service models, incorporation of Oral Health Teams (OHTs) within the Family Health Strategy (FHS), changes occurring in the work process of the professionals that make up OHTs, difficulties for successful implementation of this new healthcare model and impacts on indicators of oral health.

Methods:

A review of the literature was conducted through an electronic consultation of the Pubmed and Virtual Health Library (VHL) databases published between 2001 and 2016, using a combination of descriptors. We selected 44 studies for review.

Results:

Oral healthcare in Brazil evolved from exclusionary and curative models to those aimed at prevention and promotion of health. The increase in government resources dedicated to oral healthcare in Brazil represented an improvement in access to dental treatment, however, some studies demonstrated that OHTs within the FHS still operate by the traditional curative models.

Conclusion:

Lack of proper planning for hiring OHTs and precariousness of their work contracts were also reported. The need for better managerial planning for implementation of OHTs within the scope of the FHS was demonstrated.

Keywords: Dental Health Services, Dentists, Family Health Strategy, Oral Health, Primary Health Care, Unified Health System.