Legislation in Hospital Dentistry: Gaps, Perspectives and Desires

Simões, Ana Clara Correa Duarte; Campos, Felipe Rodrigues de Oliveira; Câmara, João Victor Frazão; Probst, Livia Fernandes; Groisman, Sonia; Cedro, Vinicius Queiroz Miranda; Pereira, Antonio Carlos

doi:10.1590/pboci.2024.003

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Pesquisa Brasileira em Odontopediatria e Clínica Integrada

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ORIGINAL ARTICLE • Pesqui. Bras. Odontopediatria Clín. Integr. 24 • 2024 • https://doi.org/10.1590/pboci.2024.003 copy

Legislation in Hospital Dentistry: Gaps, Perspectives and Desires

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective:

To analyze the existing state legislation, including not only the ordinary laws, but also their infralegal regulation and the state legislation on Hospital Dentistry.

Material and Methods:

A survey was carried out in the databases of the Legislative Assemblies of the Brazilian States and the Federal District, as well as the Regional and Federal Councils of Dentistry in Brazil. Subsequently, a survey was carried out in the databases of the Ministry of Health, State Dental Councils and Federal Dental Council in Brazil.

Results:

Only 8 Brazilian states have legislation in force regarding hospital dentistry, which represents 29.63% of the federative units. Among the Brazilian regions, the Midwest presented the highest prevalence of the laws found (37.50%), followed by the North (25%) and the other regions with the same coverage (12.50%). Also, an orientation and an ordinance from the Ministry of Health, six resolutions from the Federal Council of Dentistry, and a technical note from the National Health Surveillance Agency were found.

Conclusion:

Several States do not have rules on the subject, making it imperative to create a federal rule that not only imposes the presence of the dentist, but also regulates the proportion of the team, workload, and availability.

Keywords:
Oral Health; Dental Staff, Hospital; Intensive Care Units; Legislation

State	Law	Year	Subject
Alagoas	8.009	2018	Provides for the obligation to provide dental care to hospitalized patients and those with chronic diseases in public and private health units.
Amapá	2.508	2020	Makes the provision of dental care to hospital patients mandatory.
Distrito Federal	5.744	2016	Provides for the constitutional right to oral health in the Unified Health System where patients are hospitalized.
Mato Grosso	10.659	2017	Mandatory assistance dentistry to patients in hospital.
Mato Grosso do Sul	5.163	2018	Provides for the mandatory presence of dentistry professionals in Intensive Care Units.
Paraná	18.120	2014	Makes the provision of dental care to patients in general hospitals mandatory.
Rio de Janeiro	6.580	2013	Amends law 6.580, of 7/11/2013, to determine dental care in establishments that maintain medical care services under the inpatient modality, in the public and private health network.
Rondônia	4.082	2017	Provides for the mandatory presence of dental professionals in the multidisciplinary team of private hospitals.

Resolution	Objective
Guidance without a registration number from the Ministry of Health, 2005	Issuance by the dentist of the Hospitalization Authorization. Establishes the National Oncology Care Policy. It establishes guidelines for the care of the sick and implements a state care network through care units and reference centers. It includes dental care in the accreditation of the High Complexity Assistance Centers in Oncology (CACON) [⁹9 Câmara dos Deputados. Projeto de lei n. 2776 de 2008. Estabelece a obrigatoriedade da presença de profissionais de odontologia nas unidades de terapia intensiva e dá outras providências. Available from: https://www.camara.leg.br/proposicoesWeb/fichadetramitacao?idProposicao=383113 [Accessed on February 13, 2008]. [In Portuguese]. https://www.camara.leg.br/proposicoesWeb... ]
Ordinance 1032/2010 of the Ministry of Health of June 5, 2010.	Includes dental procedures in the Table of Procedures, Medicines, Orthoses and Prostheses and Special Materials of the Unified Health System (SUS) to assist people with special needs [⁸8 Conselho Federal de Odontologia. Resolução nº. 162, de 03 de novembro de 2015. Reconhece o exercício da Odontologia Hospitalar pelo cirurgião dentista. Diário Oficial da União 16 nov 2015; Seção 1. Available from: https://website.cfo.org.br/wp-content/uploads/2015/12/ResolucaoCFO-162-15.pdf [Accessed on October 10, 2021]. [In Portuguese]. https://website.cfo.org.br/wp-content/up... ,¹⁰10 Câmara dos Deputados. Projeto de lei n.º 2.776-B, de 2008. Estabelece a obrigatoriedade da presença de profissionais de odontologia nas unidades de terapia intensiva e dá outras providências. Available from: https://www.camara.leg.br/proposicoesWeb/prop_mostrarintegra;jsessionid=ADE697BEAF7144851AE6AA567350FA0F.node2?codteor=1077018&filename=Avulso+PL+2776/2008> [Accessed on February 13, 2008]. [In Portuguese]. https://www.camara.leg.br/proposicoesWeb... ,¹¹11 Brasil. Lei de Responsabilidade Fiscal: lei complementar nº 101, de 4 de maio de 2000. – 4. Reimp. – Brasília: Senado Federal, Subsecretaria de Edições Técnicas, 2005. 80p. Available from: https://www2.senado.leg.br/bdsf/bitstream/handle/id/70313/738485.pdf?sequence [Accessed on May 04, 2000]. [In Portuguese]. https://www2.senado.leg.br/bdsf/bitstrea... ]
Resolution nº 7 of February 24, 2010 - ANVISA	Provides for the minimum requirements for the operation of Intensive Care Units, provides dental care at the bedside and integrates Dentistry into the multidisciplinary team [⁸8 Conselho Federal de Odontologia. Resolução nº. 162, de 03 de novembro de 2015. Reconhece o exercício da Odontologia Hospitalar pelo cirurgião dentista. Diário Oficial da União 16 nov 2015; Seção 1. Available from: https://website.cfo.org.br/wp-content/uploads/2015/12/ResolucaoCFO-162-15.pdf [Accessed on October 10, 2021]. [In Portuguese]. https://website.cfo.org.br/wp-content/up... ]
Resolution nº 118 of May 11, 2012, of the Federal Council of Dentistry	Recognizes the specialty of the dentist's performance in a hospital environment [¹⁰10 Câmara dos Deputados. Projeto de lei n.º 2.776-B, de 2008. Estabelece a obrigatoriedade da presença de profissionais de odontologia nas unidades de terapia intensiva e dá outras providências. Available from: https://www.camara.leg.br/proposicoesWeb/prop_mostrarintegra;jsessionid=ADE697BEAF7144851AE6AA567350FA0F.node2?codteor=1077018&filename=Avulso+PL+2776/2008> [Accessed on February 13, 2008]. [In Portuguese]. https://www.camara.leg.br/proposicoesWeb... ]
Technical Note nº 1/2014 of December 26, 2013, from the General Coordination of Oral Health of the Ministry of Health	Establishes the record of dental procedures performed in a Hospital Environment [⁸8 Conselho Federal de Odontologia. Resolução nº. 162, de 03 de novembro de 2015. Reconhece o exercício da Odontologia Hospitalar pelo cirurgião dentista. Diário Oficial da União 16 nov 2015; Seção 1. Available from: https://website.cfo.org.br/wp-content/uploads/2015/12/ResolucaoCFO-162-15.pdf [Accessed on October 10, 2021]. [In Portuguese]. https://website.cfo.org.br/wp-content/up... ,¹⁰10 Câmara dos Deputados. Projeto de lei n.º 2.776-B, de 2008. Estabelece a obrigatoriedade da presença de profissionais de odontologia nas unidades de terapia intensiva e dá outras providências. Available from: https://www.camara.leg.br/proposicoesWeb/prop_mostrarintegra;jsessionid=ADE697BEAF7144851AE6AA567350FA0F.node2?codteor=1077018&filename=Avulso+PL+2776/2008> [Accessed on February 13, 2008]. [In Portuguese]. https://www.camara.leg.br/proposicoesWeb... ]
Resolution nº 162/2015 of November 3, 2015 of the Federal Council of Dentistry	Recognizes the practice of Hospital Dentistry by the dentist and establishes a 350hour qualifying course, a limit of students per class and mandatory subjects [⁸8 Conselho Federal de Odontologia. Resolução nº. 162, de 03 de novembro de 2015. Reconhece o exercício da Odontologia Hospitalar pelo cirurgião dentista. Diário Oficial da União 16 nov 2015; Seção 1. Available from: https://website.cfo.org.br/wp-content/uploads/2015/12/ResolucaoCFO-162-15.pdf [Accessed on October 10, 2021]. [In Portuguese]. https://website.cfo.org.br/wp-content/up... ]
Resolution nº 163/2015 of November 9, 2015 of the Federal Council of Dentistry	Conceptualizes Hospital Dentistry and defines the role of the dentist qualified to exercise it [⁴4 Carvalho CG, Câmara JVF, Santos PS da S. The positive impact of dental care on the patient’s quality of life after cancer treatment: a case report. Res Soc Dev 2020; 9(9):e650997639. https://doi.org/10.33448/rsd-v9i9.7639 https://doi.org/10.33448/rsd-v9i9.7639... ]
Resolution nº 203/2019 of May 21, 2019 of the Federal Council of Dentistry	Amends Resolution CFO-162/2015, on the criteria for qualification in Hospital Dentistry, reduction of students per class, requirement of course completion work and other measures [²³23 Conselho Federal de Odontologia. Resolução CFO-203, de 21 de maio de 2019. Altera a Resolução CFO-162/2015 e dá outras providências. Available from: https://sistemas.cfo.org.br/visualizar/atos/RESOLU%c3%87%c3%83O/SEC/2019/203 [Accessed on September 13, 2021]. [In Portuguese]. https://sistemas.cfo.org.br/visualizar/a... ]
Resolution nº 204/2019 of May 21, 2019 of the Federal Council of Dentistry	Changes the paragraphs of Art. 2 of Resolution CFO-163, which deals with the areas of expertise in Hospital Dentistry [²⁴24 Conselho Federal de Odontologia. Resolução CFO-204, de 21 de maio de 2019. Altera as alíneas do art. 2º da Resolução CFO-163/2015. Available from: https://sistemas.cfo.org.br/visualizar/atos/RESOLU%c3%87%c3%83O/SEC/2019/204 [Accessed on September 14, 2021]. [In Portuguese]. https://sistemas.cfo.org.br/visualizar/a... ]

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[1] Correspondence: Ana Clara Corrêa Duarte Simões E-mail: anaclara13simoes@gmail.com