ArticlePloS one2016
Relationship between Primary and Secondary Dental Care in Public Health Services in Brazil.
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 46 citations in OpenAlex.
- Trial
- Relation between primary and secondary health care coverage with periodontal disease in Brazil: a multilevel study.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026Article
- Time-series trends and regional disparities in complete denture production in Brazil (2000-2023): an epidemiological analysis.Journal of applied oral science : revista FOB · 2026Article
- Quality of referral letters in oral medicine: a two-year study in a Brazilian public dental specialty center.Einstein (Sao Paulo, Brazil) · 2026Article
- Integration of Endodontic Services Into Preventive Oral Health Care: A Narrative Review.International journal of dentistry · 2026Review
- Provision of dental prostheses in the oral health care network: a mixed methods study, Goiânia, Brazil, 2019.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2026Article
- Accessibility for people with motor disabilities at CEOs in Brazil: an ecological study.Brazilian oral research · 2025Article
- Evolution of orthodontic services in the Brazilian Unified Health System: a time series analysis (2011-2022).BMC oral health · 2024Observational
- Non-surgical endodontic retreatments in Brazil's public dental services: a 15-year nationwide register-based study.Brazilian dental journal · 2024Article
- Factors Associated with Avoiding Referrals by Dental Teleconsulting Sessions in Brazil.International journal of environmental research and public health · 2023Article
- Economic analysis of the different endodontic instrumentation techniques used in the Unified Health System.BMC oral health · 2022Article
- Tooth- and Patient-Related Conditions May Influence Root Canal Treatment Indication.International journal of dentistry · 2021Article
- Factors associated with the performance of primary dental health care in Brazil: A multilevel approach.Medicine · 2020Article
- The Role of Organizational Factors and Human Resources in the Provision of Dental Prosthesis in Primary Dental Care in Brazil.International journal of environmental research and public health · 2020Article
- Spatial analysis of the death associated factors due oral cancer in Brazil: an ecological study.BMC oral health · 2018Article
- Availability of Dental Prosthesis Procedures in Brazilian Primary Health Care.BioMed research international · 2018Article
- Dental Procedures in Primary Health Care of the Brazilian National Health System.International journal of environmental research and public health · 2017Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This cross-sectional study evaluated the relationship between primary and secondary oral health care in Brazil. For this purpose, data from the National Program for Improving Access and Quality of Primary Care were used. Dentists from 12,403 oral health teams (OHTs) answered a structured questionnaire in 2012. The data were analyzed descriptively and by cluster analysis. Of the 12,387 (99.9%) OHTs that answered all the questions, 62.2% reported the existence of Dental Specialties Centers (DSCs) to which they could refer patients. The specialties with the highest frequencies were endodontics (68.4%), minor oral surgery (65.8%), periodontics (63.0%), radiology (46.8%), oral medicine (40.2%), orthodontics (20.5%) and implantology (6.2%). In all percentiles, the shortest wait time for secondary care was for radiology, followed by oral medicine and the other specialties. In the 50th percentile, the wait for endodontics, periodontics, minor oral surgery and orthodontics was 30 days, while for implantology, the wait was 60 days. Finally, in the 75th percentile, the wait for endodontics, orthodontics and implantology was 90 days or more. Two clusters, with different frequencies of OHT access to specialties, were identified. Cluster 1 (n = 7,913) included the OHTs with lower frequencies in all specialties except orthodontics and implantology compared with Cluster 2 (n = 4,474). Of the Brazilian regions, the South and Southeast regions had the highest frequencies for Cluster 2, with better rates for the relationship between primary and secondary care. This study suggests certain difficulties in the relationship between primary and secondary care in specific specialties in oral health, with a great number of OHTs with limited access to DSCs, in addition to different performance in terms of OHT access to DSCs across Brazilian regions.
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