Access |
Monthly average for PW’s* one dental appointment |
Values equal to or greater than one PW were considered “Compliance”. |
|
Strategy that facilitates scheduling dental appointments for PW |
Public policies establish that teams should adopt strategies for scheduling dental appointments for PW, aimed at facilitating access to treatment [1414 Bradburn NM, Sudman S, Wansink B. Asking questions. The definitive guide to questionnaire design - For market research, political polls, and social and health questionnaires. San Francisco: Jossey-Bass; 2004. 426p.,1515 Rakchanok N, Amporn D, Yoshida Y, Harun-Or-Rashid M, Sakamoto J. Dental caries and gingivitis among pregnant and non-pregnant women in Chiang Mai, Thailand. Nagoya J Med Sci 2010; 72(1-2):43-50.]. |
Treatment Adherence |
Adherence to dental treatment |
Mean frequencies (sometimes) and high frequencies (always and frequently) were considered “Compliance”. |
Collective Activity |
There are collective activities for PW at the health center |
Public policies recommend that collective health education measures should be conducted at health centers to provide PW with guidance and clear up any doubts and beliefs [77 Achtari MD, Georgakopoulou EA, Afentoulide N. Dental care throughout pregnancy: What a dentist must know. Oral Health Dent Manag 2012; 11(4):169-176.,88 Silva FWGP, Stuani AS, Queiroz AL. Atendimento odontológico a gestante – Parte 2: A consulta. Rev Fac Odontol Porto Alegre 2006; 47(3):5-9. [In Portuguese].,99 Vieira DR, de Oliveira AE, Lopes FF, Lopes Maia Mde F. Dentists' knowledge of oral health during pregnancy: A review of the last 10 years' publications. Community Dent Health 2015; 32(2):77-82.]. |
|
Dental surgeon participates in collective activities for PW |
Public policies recommend the participation of dental surgeons in collective health education activities as a member of a multiprofessional team [77 Achtari MD, Georgakopoulou EA, Afentoulide N. Dental care throughout pregnancy: What a dentist must know. Oral Health Dent Manag 2012; 11(4):169-176.,88 Silva FWGP, Stuani AS, Queiroz AL. Atendimento odontológico a gestante – Parte 2: A consulta. Rev Fac Odontol Porto Alegre 2006; 47(3):5-9. [In Portuguese].,99 Vieira DR, de Oliveira AE, Lopes FF, Lopes Maia Mde F. Dentists' knowledge of oral health during pregnancy: A review of the last 10 years' publications. Community Dent Health 2015; 32(2):77-82.]. |
|
Professionals at the health center who participate in collective activities for PW |
The presence of at least one of the professionals from the oral health team was considered “Compliance”. |
|
Frequency at which the dental surgeon participates in collective activities for PW |
Mean frequencies (sometimes and only when invited) and high frequencies (always) were considered “Compliance”. |
Individual Care |
Procedures |
Minimum procedures were those considered essential for the dental treatment of PW, based on studies that assessed the patterns of oral health needs and dental care protocols [77 Achtari MD, Georgakopoulou EA, Afentoulide N. Dental care throughout pregnancy: What a dentist must know. Oral Health Dent Manag 2012; 11(4):169-176.,1212 Codato LAB, Nakama L, Melchior R. The beliefs of pregnant women about dental care during gestation. Ciênc Saúde Coletiva 2008; 13(3):1075-1080. https://doi.org/10.1590/S1413-81232008000300030 https://doi.org/10.1590/S1413-8123200800...
,1313 Belo Horizonte. Secretaria Municipal de Saúde. Relatório Anual de Gestão - 2021. Belo Horizonte (MG); 2022. Available from: https://prefeitura.pbh.gov.br/sites/default/files/estrutura-de-governo/saude/2022/rag2021.pdf [Accessed on July 15, 2023]. [In Portuguese]. https://prefeitura.pbh.gov.br/sites/defa...
, 1414 Bradburn NM, Sudman S, Wansink B. Asking questions. The definitive guide to questionnaire design - For market research, political polls, and social and health questionnaires. San Francisco: Jossey-Bass; 2004. 426p.]. Surveys indicate that PW seek care when they have dental pain [1414 Bradburn NM, Sudman S, Wansink B. Asking questions. The definitive guide to questionnaire design - For market research, political polls, and social and health questionnaires. San Francisco: Jossey-Bass; 2004. 426p.], described in the questionnaire as emergency care (dental pain management). Among the major dental disorders detected in PW are cavitated carious lesions [1212 Codato LAB, Nakama L, Melchior R. The beliefs of pregnant women about dental care during gestation. Ciênc Saúde Coletiva 2008; 13(3):1075-1080. https://doi.org/10.1590/S1413-81232008000300030 https://doi.org/10.1590/S1413-8123200800...
,1313 Belo Horizonte. Secretaria Municipal de Saúde. Relatório Anual de Gestão - 2021. Belo Horizonte (MG); 2022. Available from: https://prefeitura.pbh.gov.br/sites/default/files/estrutura-de-governo/saude/2022/rag2021.pdf [Accessed on July 15, 2023]. [In Portuguese]. https://prefeitura.pbh.gov.br/sites/defa...
], treatable with restorations [55 Brasil. Ministério da Saúde. Secretaria de Atenção Primária à Saúde. Departamento de Saúde da Família. Nota técnica nº 3/2022. Ministério da Saúde, Secretaria de Atenção Primária à Saúde, Departamento de Saúde da Família. Brasília: Ministério da Saúde; 2022. [In Portuguese].], and gingivitis [77 Achtari MD, Georgakopoulou EA, Afentoulide N. Dental care throughout pregnancy: What a dentist must know. Oral Health Dent Manag 2012; 11(4):169-176.,1313 Belo Horizonte. Secretaria Municipal de Saúde. Relatório Anual de Gestão - 2021. Belo Horizonte (MG); 2022. Available from: https://prefeitura.pbh.gov.br/sites/default/files/estrutura-de-governo/saude/2022/rag2021.pdf [Accessed on July 15, 2023]. [In Portuguese]. https://prefeitura.pbh.gov.br/sites/defa...
,1414 Bradburn NM, Sudman S, Wansink B. Asking questions. The definitive guide to questionnaire design - For market research, political polls, and social and health questionnaires. San Francisco: Jossey-Bass; 2004. 426p.], in which treatment includes prophylaxis or supragingival scaling [55 Brasil. Ministério da Saúde. Secretaria de Atenção Primária à Saúde. Departamento de Saúde da Família. Nota técnica nº 3/2022. Ministério da Saúde, Secretaria de Atenção Primária à Saúde, Departamento de Saúde da Família. Brasília: Ministério da Saúde; 2022. [In Portuguese].]. |
|
Medications |
The Food and Drug Administration (FDA) [1515 Rakchanok N, Amporn D, Yoshida Y, Harun-Or-Rashid M, Sakamoto J. Dental caries and gingivitis among pregnant and non-pregnant women in Chiang Mai, Thailand. Nagoya J Med Sci 2010; 72(1-2):43-50.] classifies medications according to their teratogenic effects. Medications classified as category B and C were among the answer options for this question [1515 Rakchanok N, Amporn D, Yoshida Y, Harun-Or-Rashid M, Sakamoto J. Dental caries and gingivitis among pregnant and non-pregnant women in Chiang Mai, Thailand. Nagoya J Med Sci 2010; 72(1-2):43-50.]. Dental surgeons who chose category B (amoxicillin, metronidazole, dipyrone, paracetamol, ibuprofen, nystatin, chlorhexidine) [55 Brasil. Ministério da Saúde. Secretaria de Atenção Primária à Saúde. Departamento de Saúde da Família. Nota técnica nº 3/2022. Ministério da Saúde, Secretaria de Atenção Primária à Saúde, Departamento de Saúde da Família. Brasília: Ministério da Saúde; 2022. [In Portuguese].,1616 Belo Horizonte. Secretária Municipal de Saúde. Manual de Saúde Bucal. Belo Horizonte: Secretária Municipal de Saúde; 2022. [In Portuguese].] were considered “Compliance” and those who chose at least one medication from category C (acyclovir and acetylsalicylic acid) [1616 Belo Horizonte. Secretária Municipal de Saúde. Manual de Saúde Bucal. Belo Horizonte: Secretária Municipal de Saúde; 2022. [In Portuguese].] were considered “Noncompliance”. |
|
Anesthetics |
Answer options included local anesthetics available from the public health system: 2% lidocaine + epinephrine 1:100.000, 3% prilocaine + felypressin 0.03 IU and 3% mepivacaine without vasoconstrictor. The literature recommends the use of 2% lidocaine + epinephrine 1:100.000, considered to be safe for PW [77 Achtari MD, Georgakopoulou EA, Afentoulide N. Dental care throughout pregnancy: What a dentist must know. Oral Health Dent Manag 2012; 11(4):169-176.,1616 Belo Horizonte. Secretária Municipal de Saúde. Manual de Saúde Bucal. Belo Horizonte: Secretária Municipal de Saúde; 2022. [In Portuguese].,1717 Rocha JS, Arima LY, Werneck RI, Moysés SJ, Baldani MH. Determinants of dental care attendance during pregnancy: A systematic review. Caries Res 2018; 52(1-2):139-152. https://doi.org/10.1159/000481407 https://doi.org/10.1159/000481407...
]. |
|
Referral to X-ray |
Radiographs during pregnancy are not contraindicated because the radiation dose that reaches the fetus in the uterus is not enough to cause congenital malformations [55 Brasil. Ministério da Saúde. Secretaria de Atenção Primária à Saúde. Departamento de Saúde da Família. Nota técnica nº 3/2022. Ministério da Saúde, Secretaria de Atenção Primária à Saúde, Departamento de Saúde da Família. Brasília: Ministério da Saúde; 2022. [In Portuguese].,77 Achtari MD, Georgakopoulou EA, Afentoulide N. Dental care throughout pregnancy: What a dentist must know. Oral Health Dent Manag 2012; 11(4):169-176.,1616 Belo Horizonte. Secretária Municipal de Saúde. Manual de Saúde Bucal. Belo Horizonte: Secretária Municipal de Saúde; 2022. [In Portuguese].]. Given the benefits to diagnosis and treatment, referral to X-ray was considered “Compliance”. |