Dental implant therapy in the Brazilian Public System
an overview of the last decade
Keywords:Dental health services, Dental implants, Health policies, Health services administration
Aim: This retrospective study aims to describe and analyze the number of dental implants and implant-retained prostheses performed by the Unified Health System (SUS) in the last decade. Methods: This study is based on secondary data from the official government database (DATASUS) performed from January 2010 to December 2019 and is reported following the STROBE. A descriptive analysis was performed of the total sample and the stratified sample divided by Brazilian states. Results: A total of 143,037 dental implants and 93,325 implant-retained prostheses were provided by SUS. It is possible to observe that some states played a massive role on the provision of dental implants and implant-retained prostheses (Parana state: 58.4% and 55.9% and Paraiba state: 21.1% and 25.2% of the total amount of dental implants and implant-retained prostheses, respectively) while some states did not provide a single implant-retained prosthesis. Also, inland cities were mostly responsible for the number of procedures compared to the state capitals. Conclusion: Although dental implant therapy is available in SUS across the country, the number of treatments provided in the last decade is still very limited and is also mainly concentrated in the southeastern region of Brazil.
Almeida AMR, Gurgel GSCA, Campos CG, Azevedo Guimarães EA. [Access to dental implant osseointegrated in the Unified Health System (SUS): description of the national panorama]. Arq Odontol. 2016;52(3):145-53. Portuguese. doi: 10.7308/aodontol/2016.52.3.03.
Bueno RE, Moysés ST, Bueno PA, Moysés SJ. [Social determinants and adult oral health in Brazilian state capitals]. Rev Panam Salud Publica. 2014 Jul;36(1):17-23. Portuguese.
Cardoso M, Balducci I, Telles Dde M, Lourenço EJ, Nogueira Júnior L. Edentulism in Brazil: trends, projections and expectations until 2040. Cien Saude Colet. 2016 Apr;21(4):1239-46. doi: 10.1590/1413-81232015214.13672015.
Chaves SCL, Almeida AMFL, Reis CS, Rossi TRA, Barros SG. Oral Health Policy in Brazil: transformations in the period 2015-2017. Saude Debate. 2018;42:76-91. doi: 10.1590/0103-11042018s206
Da Cunha MC, Santos JF, Santos MB, Marchini L. Patients' Expectation Before and Satisfaction After Full-Arch Fixed Implant-Prosthesis Rehabilitation. J Oral Implantol. 2015 Jun;41(3):235-9. doi: 10.1563/AAID-JOI-D-12-00134.
De Lima EA, dos Santos MB, Marchini L. Patients' expectations of and satisfaction with implant-supported fixed partial dentures and single crowns. Int J Prosthodont. 2012 Sep-Oct;25(5):484-90.
De Siqueira GP, dos Santos MB, dos Santos JF, Marchini L. Patients' expectation and satisfaction with removable dental prosthesis therapy and correlation with patients' evaluation of the dentists. Acta Odontol Scand. 2013 Jan;71(1):210-4. doi: 10.3109/00016357.2012.654612.
Dos Santos MBF, Agostini BA, de Moraes RR, Schwendicke F, Sarkis-Onofre R. Industry sponsorship bias in clinical trials in implant dentistry: Systematic review and meta-regression. J Clin Periodontol. 2019 Apr;46(4):510-9. doi: 10.1111/jcpe.13100.
Fernandes J. de K.; Pinho JR; Queiroz R.C; Thomaz, E. B. Avaliação dos indicadores de saúde bucal no Brasil: tendência evolutiva pró-equidade? [Evaluation of oral health indicators in Brazil: a trend towards equity in dental care?]. Cad Saude Publica. 2016 Feb;32(2):e00021115.
Haag DG, Peres KG, Brennan DS. Tooth loss and general quality of life in dentate adults from Southern Brazil. Qual Life Res. 2017 Oct;26(10):2647-57. doi: 10.1007/s11136-017-1587-4.
Hammerle CH, Chen ST, Wilson TG Jr. Consensus statements and recommended clinical procedures regarding the placement of implants in extraction sockets. Int J Oral Maxillofac Implants. 2004;19 Suppl:26-8.
Hartmann R, Bandeira ACFM, Araújo SC, Brägger U, Schimmel M, Leles CR. A parallel 3-group randomised clinical trial comparing different implant treatment options for the edentulous mandible: 1-year effects on dental patient-reported outcomes and chewing function. J Oral Rehabil. 2020 Aug 9. doi: 10.1111/joor.13070.
Hartmann R, De Menezes Bandeira ACF, de Araújo SC, McKenna G, Brägger U, Schimmel M, et al. Cost-effectiveness of three different concepts for the rehabilitation of edentulous mandibles: Overdentures with 1 or 2 implant attachments and hybrid prosthesis on four implants. J Oral Rehabil. 2020 Aug 9. doi: 10.1111/joor.13071.
Kassebaum NJ, Bernabé E, Dahiya M, Bhandari B, Murray CJ, Marcenes W. Global Burden of Severe Tooth Loss: A Systematic Review and Meta-analysis. J Dent Res. 2014 Jul;93(7 Suppl):20S-28S. doi: 10.1177/0022034514537828.
Mello CC, Lemos CAA, Verri FR, Dos Santos DM, Goiato MC, Pellizzer EP. Immediate implant placement into fresh extraction sockets versus delayed implants into healed sockets: A systematic review and meta-analysis. Int J Oral Maxillofac Surg. 2017 Sep;46(9):1162-1177. doi: 10.1016/j.ijom.2017.03.016.
Ministry of Health of Brazil. [Health Care Secretariat Ordinance n.718, from Dec-12-2010]. Brasilia: Ministry of Health; 2010. Portuguese.
Ministry of Health of Brazil. [Health Care Secretariat Ordinance n.398, from Jul-28-2011]. Brasilia: Ministry of Health; 2011. Portuguese.
Ministry of Health of Brazil. [Resolution Nº 510, from Apr-07-2016]. Brasilia: Ministry of Health; 2016.
Ministry of Health of Brazil. [Technical Note/CGSB/DAB/SAS/MS: Nº 23/ 2017. Information on implantology procedures in SUS]. Brasilia: Ministry of Health; 2017 [cited 2020 Sep 11]. Available from: http://188.8.131.52/dab/docs/portaldab/documentos/nt_cgsb_23_2017.pdf. Portuguese.
Ministry of Health of Brazil. Health Unic System. [DATASUS Health Information (TABNET)]. [cited 2020 Mar 19]. Available from: tabnet.datasus.gov.br. Portuguese.
Neves M, Giordani JMDA, Hugo FN. [Primary dental healthcare in Brazil: the work process of oral health teams]. Cien Saude Colet. 2019 May 30;24(5):1809-1820. Portuguese. doi: 10.1590/1413-81232018245.08892017.
Paim J, Travassos C, Almeida C, Bahia L, Macinko J. The Brazilian Health System: history, advances, and challenges. Lancet. 2011 May 21;377(9779):1778-97. doi: 10.1016/S0140-6736(11)60054-8.
Peres MA, Barbato PR, Reis SC, Freitas CH, Antunes JL. [Tooth loss in Brazil: analysis of the 2010 Brazilian Oral Health Survey]. Rev Saude Publica. 2013 Dec;47 Suppl 3:78-89. Portuguese. doi: 10.1590/s0034-8910.2013047004226.
Pucca GA Jr, Gabriel M, de Araujo ME, de Almeida FC. Ten Years of a National Oral Health Policy in Brazil: Innovation, Boldness, and Numerous Challenges. J Dent Res. 2015 Oct;94(10):1333-7. doi: 10.1177/0022034515599979.
How to Cite
Copyright (c) 2020 Brazilian Journal of Oral Sciences
This work is licensed under a Creative Commons Attribution 4.0 International License.
The Brazilian Journal of Oral Sciences uses the Creative Commons license (CC), thus preserving the integrity of the articles in an open access environment.