Evaluation of the impact of pain from dental urgencies on the patients' oral health- related quality of life: a cross- sectional study

Background. This cross-sectional study aimed to evaluate the impact of pain from dental urgencies on the oral health-related quality of life (OHRQoL). Methods. A sample of sixty-eight patients seeking urgent attention to a primary health unit were included. Clinical diagnosis and sociodemographic data were assessed, dental pain measured by visual analog scale (VAS) and numerical pain rating scale (NPRS). The Oral Health Impact Profile-14 (OHIP-14) instrument was used to measure the OHRQoL. Associations were analyzed using the Student t-test, except for types of urgencies, that were evaluated with one-way analysis of variance (ANOVA) test. Results. The most prevalent urgency type was of endodontic origin (81%). There was no difference between pain and other variables. The type of tooth showed significant differences in OHIP-14 scores. Conclusion. Dental urgencies were associated with a high level of pain and impacted negatively on the patients' OHRQoL. The type of tooth had a positive association the OHRQoL measures.

O apoio institucional e as ações das equipes de saúde bucal na atenção primária à saúde no Brasil / Institutional support and actions of oral health teams in primary health care in Brazil

O apoio institucional é uma ferramenta de articulação de práticas e de estratégias de gestão colegiada fundamental para construção de espaços de produção de saúde bucal no escopo da atenção primária à saúde. O presente estudo tem o objetivo de analisar a atuação do apoio institucional em relação a participação das equipes de saúde bucal em ações de monitoramento, reunião de equipe e organização de processo de trabalho na Atenção Primária. Trata-se de um estudo transversal de base em serviço, com dados coletados pelo segundo ciclo do PMAQ- AB-SB por meio do instrumento de Avaliação Externa para as Equipes de Saúde Bucal. Para análise dos dados foi proposto um desfecho construído a partir do conjunto de ações realizadas pelo apoio institucional nas Unidades Básicas de Saúde. O desfecho foi analisado segundo ações não clínicas realizadas por equipes de saúde bucal na atenção primária. Os dados foram analisados por descrição de prevalência e associações bivariadas por meio do Teste do Qui-quadrado e do Teste Exato de Fisher. Como resultado observou-se que a taxa de prevalência nacional do conjunto de ações do apoio institucional foi de 23,3%. As macrorregiões Nordeste (25,2%) e Sudeste (26,6%) apresentaram melhores resultados. Houve associação entre o conjunto de ações do apoio institucional com realização de discussão dos dados de monitoramento, participação em reuniões da equipe de atenção primária e planejamento e organização do processo de trabalho. Conclui-se que há necessidade de maiores investimentos na implementação do apoio institucional em Unidades de Saúde qualificando processos de trabalho.

Institutional support is a tool for the articulation regarding practices and strategies of collegiate management, which are important for the construction of oral health production spaces at the primary health care space. This study aims to analyze the role of institutional support in relation to the participation of oral health teams in monitoring actions, teamwork and work process organization in Primary Care. This is a cross-sectional in-service study, with data collected by the second cycle of PMAQ- AB-SB through the External Assessment Tool for Oral Health Teams. For data analysis, an outcome was proposed based on the set of actions performed by institutional support. The outcome was analyzed according to actions performed by oral health teams in primary care. The data were analyzed by the description of prevalence and bivariate associations using the cChi-square test and Fisher's exact test. As a result, it was observed that the national prevalence rate of institutional support actions was 23.3%. The Northeast (25.2%) and Southeast (26.6%) macroregions had better results. There was an association between the set of institutional support actions and the discussion of monitoring data, participation in primary care team meetings, and planning and organization of the work process. It is concluded that there is a need for greater investment in the implementation of institutional support in Health Units, qualifying work processes.