ArticleRevista de saude publica2026
Municipal wealth and tooth extractions in the Unified Health System: limits to changing the healthcare model.
Article in Revista de saude publica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo analyze the time trend of dental extractions performed in primary health care and their association with human development indicators and oral health coverage in municipalities at the extremes of wealth distribution.
methodsAn ecological study using secondary data from August 2019 to July 2024, with Brazilian municipalities as the units of analysis. A total of 200 municipalities were selected, comprising the 100 with the lowest and the 100 with the highest gross domestic product per capita. The number of tooth extractions was obtained from national health information systems, and rates were calculated per 1,000 inhabitants. The temporal trend was estimated using generalized least squares regression with an autoregressive structure, and the annual percentage change was calculated. Comparisons between the groups were performed using a mixed-effects model with a negative binomial distribution, adjusted for indicators of oral health coverage, socioeconomic status, and demographics. A significance level of 5% was used.
resultsA total of 355,218 tooth extractions were recorded during the study period. The rates showed stationary trends in both groups, although municipalities with higher per capita gross domestic product exhibited a borderline trend towards an increase (p = 0.06). The Municipal Human Development Index was inversely associated with the outcome, while population coverage of primary patternsoral health care was positively associated with it. Per capita gross domestic product was not significantly associated with tooth extraction rates in the adjusted model.
conclusionThe stability of tooth extraction rates throughout the time series, regardless of municipal wealth, suggests that factors related to human development and the organization of services may be more relevant for understanding the distribution of this procedure within the Unified Health System.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.