Ciências Odontológicas

URI Permanente desta comunidade

http://repositorio.ufes.br/handle/10/17573
Programa de Pós-Graduação em Ciências Odontológicas

Centro: CCS
Telefone: (27) 3335 7244
URL do programa: http://www.odontologia.ufes.br/pt-br/pt-br/pos-graduacao/PPGCienciasOdontologicas

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Navegando Ciências Odontológicas por Assunto "Atenção Primária à Saúde"

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    Caracterização dos fatores dificultadores do diagnóstico precoce do câncer de boca por cirurgiões-dentistas do serviço público de saúde do Estado do Espírito Santo – um estudo transversal
    (Universidade Federal do Espírito Santo, 2025-07-17) Martins, Bárbara Campo Dall’Orto; Almeida, Tahyná Duda Deps; https://orcid.org/0000-0002-5780-1576; http://lattes.cnpq.br/5705338964053484; Barros, Liliana Aparecida Pimenta de; https://orcid.org/0000-0002-1649-3116; http://lattes.cnpq.br/8635277660080840; https://orcid.org/0009-0001-0880-7752; http://lattes.cnpq.br/7874095033006385; Toporcov, Tatiana Natasha; https://orcid.org/0000-0002-8929-5137; http://lattes.cnpq.br/5345064895953228 ; Pigatti, Fernanda Mombrini; https://orcid.org/0000-0001-8495-8571; http://lattes.cnpq.br/8243371686189167
    Oral cancer represents a serious public health issue in Brazil, characterized by high morbidity and mortality rates, largely due to late-stage diagnosis. Primary Health Care (PHC), as the preferred entry point to the Brazilian Unified Health System (SUS), plays a strategic role in the early detection of the disease, particularly through the work of dental surgeons. This cross-sectional study aimed to identify the main barriers to the early diagnosis of oral cancer within the PHC network in the state of Espírito Santo, Brazil. A structured questionnaire was applied to 248 dental surgeons, alongside an analysis of diagnostic support infrastructure data. The findings revealed low service resolvability, evidenced by the limited performance of biopsies among PHC professionals (16.13%), a high rate of insecurity in diagnosing potentially malignant lesions (64.5%), and lack of knowledge regarding institutional referral pathways. Among professionals who reported limited knowledge and low confidence in diagnosing oral potentially malignant disorders, 47.9% stated they did not feel capable of performing a biopsy (p < 0.001). These results suggest that limited practical training and structural deficiencies compromise the effectiveness of PHC, highlighting the need for integrated continuing education initiatives, expansion of diagnostic support networks, and stronger coordination across levels of care.