O poder legislativo e a regulamentação das profissões auxiliares em saúde bucal

BARROS, Sandra Garrido de; JORDAN, Juliana Minho; BLEICHER, Lana; SOARES, Catharina Leite Matos; ROSSI, Thais Regis Aranha

Sandra Garrido de BARROS Correspondence to: SG Barros. Email: sgb@ufba.br.

Universidade Federal da Bahia, Faculdade de Odontologia, Departamento de Odontologia Social e Pediátrica. Av. Araújo Pinho, 62, Canela, Salvador, BA, Brasil.

https://orcid.org/0000-0002-8255-1230

Juliana Minho JORDAN

Universidade Federal da Bahia, Faculdade de Odontologia, Departamento de Odontologia Social e Pediátrica. Av. Araújo Pinho, 62, Canela, Salvador, BA, Brasil.

https://orcid.org/0000-0003-4891-2511

Lana BLEICHER

Universidade Federal da Bahia, Faculdade de Odontologia, Departamento de Odontologia Social e Pediátrica. Av. Araújo Pinho, 62, Canela, Salvador, BA, Brasil.

https://orcid.org/0000-0002-1123-836X

Catharina Leite Matos SOARES

Universidade Federal da Bahia, Instituto de Saúde Coletiva. Salvador, BA, Brasil

https://orcid.org/0000-0002-8131-4831

Thais Regis Aranha ROSSI

Universidade do Estado da Bahia, Departamento de Ciências da Vida. Salvador, BA, Brasil.

https://orcid.org/0000-0002-2561-088X

Correspondence to: SG Barros. Email: sgb@ufba.br.

Collaborators

SG Barros, substantial contributions to conception and project of the work, data analysis and interpretation and writing and reviewing of the manuscript. JM Jordan, substantial contributions to the design of the work, analysis and interpretation of data and writing of the manuscript. L Bleicher, substantial contributions to the analysis and interpretation of data and critical review of the manuscript. CLM Soares, substantial contributions to the analysis, interpretation of data and critical review of the content of the manuscript. TRA Rossi, substantial contributions to the conception and project of the work, analysis and interpretation of data and critical review of the manuscript.

Assistant editor: Luciana Butini Oliveira

n	Profession	Parliamentary processes	Year	Period
1	ACD/ ASB e THD / TSB	PL 4.465	1977	Pre-SUS
2		PL 4.749	1978	Pre-SUS
3		PL 2.244	1989	Post-SUS
4		PL 284/ PLC 53	1991/ 1993
5		PL 2.487	2000
6		PL 4.381	2001
7		PL 1.140/ PLC 3	2003/ 2007
8		PL 1.537	2003
9		PL 2489	2003
10		Lei 11.889	2008
11		PL 1.187	2011
12		PL 3.644/2015	2015
13	TPD	PLS 620/PL 6.610	2007/2009

Official Documents
Brazil. Presidential Veto, Message n⁰ 1.103, December, 30th, 1993.

Chamber of deputies portal (http://www2.camara.leg.br/deputados/pesquisa)
Searched names: Agnelo Queiroz (Oct 9, 2016); Augusto Silveira de Carvalho (11 Apr. 2016); Cabo Sabino (14 June 2019); Geraldo Freire (26 Mar. 2016); Gorete Pereira (14 June 2019); José Zavaglia (March 26, 2016); Raphael Baldacci Filho (6 Mar. 2016); Robson Marinho (18 Jan. 2016); Rubens Otoni Gomide (May 6, 2016).

Lattes Curriculum (http://buscatextual.cnpq.br/buscatextual)
Searched names: Moacyr da Silva – ID 7204008270876502 (access: 6 apr. 2016; update: 14 apr. 2013); Swedenberger do Nascimento Barbosa – ID 8225365888904509 (accessed: 18 Jun. 2020, update: 15 Apr. 2020); Vitor Gomes Pinto – ID 1647873147509352 (access: 5 apr. 2016, update: 17 jul. 2009); Volnei Garrafa – ID 2059138334891787 (accessed: 18 Jun. 2020, update: 11 Feb. 2020);

Journal of the Interstate Federation of Dentists (In Portuguese “Federacão Interestadual dos Odontologistas”– FIO)
2005 Apr (12p), Aug / Sep. (8p), ten (8p)
2008 Special Edition (8p), Dec. (6p.)

Brazilian Dental Renewal Movement Bulletin (MBRO)
1988 n. 13

Portal of the Federal Council of Dentistry (http://cfo.org.br)
CFO. Federal Council of Dentistry. Vote on the bill of the THD and ACD on the agenda this Tuesday of the CCJC. News published on the CFO 2006 website. Available at: http://cfo.org.br/website/votacao-do-projeto-lei-do-thd-e-acd-na-pauta-desta-terca-da-ccjc /. Accessed on: 21 May. 2019. Jul. 11 2006.

Portal of the Regional Council of Dentistry of São Paulo (http://www.crosp.org.br)
CROSP. Regional Council of Dentistry of São Paulo. Rozângela Fernandes Camapum. Available at: http://www.crosp.org.br/noticia/ver/2190rozngelacamapumanovacoordenadorageraldesadebucaldominist. Accessed on: 06 May. 2016. Aug 26 2015

Portal of the São Paulo Association of Dental Surgeons (In Portuguese “Associação Paulista de Cirurgiões-dentistas” – APCD) (http://www.apcdrp.com.br)
SãO PAULO ASSOCIATION OF DENTAL SURGEONS (APCD). Regional Ribeirão Preto. Emil Adib Razuk. Available at: http://www.apcdrp.com.br/noticia/dremiladibrazukrecebetitulodecidadaoribeiraopretano. Accessed on: 04 Apr 2016.

Internet pages
NARVAI, Paulo Capel. Adeus, Flávio Luce. Jornal do Site Odonto 2007. Available at: https://www.jornaldosite.com.br/materias/artigos&cronicas/aniores/paulo%20capel/artcapel123a.htm. Accessed on: 21 May. 2019. Oct 2007.ÁLVARO SIQUEIRA ... Álvaro Siqueira Vantine. Available at: http://www.sagradafamiliaonline.org.br/nossospadres.php?id=136&key=nossos_padres&. Accessed on: 11 abr. 2016. s.d. ENNEC FORTALEZA. IV North-Northeast Meeting of Buco-maxillofacial Surgery and Traumatology. Who was João Hildo Carvalho Furtado. Available at: http://www.itarget.com.br/clients/ennecfortaleza.com.br/?op=9. Accessed on: 11 abr. 2016.

Cedros mailing list (cedros-l@listas.ufrj.br)
CAMAPUM, Rosângela; BROM, José Carrijo. PL 1140/03 (THD’s and ACD’s): Vote of 11/23/05. Mailing list. List maintained by the Federal University of Rio de Janeiro. Available at: cedros-l@listas.ufrj.br. Accessed on: 24 nov. 2005. Nov 24 2005.

Parliamentary Processes / Year / Author / Rapporteurs / Situation	Proposal	Similarities and Differences
PL 4.465 / 1977 Author: Dep. Geraldo Freire Rapporteurs: Dep. Gomes da Silva (CCJC) Dep. Wilson Braga (CTLS) Situation: Filed on 02/03/1979.	It conferred attribution to THD; He proposed performing dental extractions by the technician, including the discipline of surgery in the courses, under the justification of the small number of DCs. In locations without a DC, the technician’s autonomous exercise would be allowed.	N/A
PL 4,749 / 1978 Author: Dep. José Zavaglia Rapporteurs: Forwarded to the three commissions, but was not analyzed in any of them. There was no rapporteur. Situation: Filed on 02/03/1979	Regulated the exercise of the THD and ACD professions.	Differences: It also provided for the regulation of the ACD; Mandatory to be supervised by the CD; Professional workload for THD 2200 hours and ACD 300 hours; Concession of the exercise of the profession to those who until the decree of the Law had been exercising the profession for 5 years even without a professional course; It did not include in the THD’s competencies “inserting, condensing, sculpting and polishing restorative substances”; It determined the minimum remuneration of 6 minimum wages with an 8-hour working day for THD and 3 minimum wages with an 8-hour working day for ACD.
PL 2,244 / 1989 Author: Dep. Robson Riedel Marinho Rapporteurs: Dep. Marcos Formiga (CJ) Dep. Augusto Carvalho (CT) Situation: Filed on 02/02/1991	Regulated the exercise of the THD and ACD professions.	Similarities: Mandatory CD supervision; Professional workload for THD 2200 hours and ACD 300 hours; Differences: It differs from PL 4.749 / 1978 and rescued from PL 4.465 / 1977 the permission to insert, condense and polish restorative substances; Mandatory Registration with the Federal and Regional Dentistry Councils; Annuities for THD cannot exceed 1/3 of the CD / and for ACD 1/10 of the CD; I veto advertisements for THD or ACD services even in dentistry magazines; Obligation of the CD to inform the Council of the presence of para-dental professionals in its establishments; Concession of the exercise of the profession to those who until the decree of the Law had been exercising the profession for 3 years even without a professional course.
PL 284/1991 in the Chamber PLC 53/1993 in the Senate Author: Dep. Augusto Silveira de Carvalho Rapporteurs: Dep. Sigmaringa Seixas (CCJC) Dep. Zaire Rezende (CTLS) Dep. Nilson Gibson (CCJC) - final writing Situation: Vetoed on 12/30/1993, veto approved by the Chamber of Deputies on 9/9/1999, filed on 9/28/1999	Regulated the exercise of the THD and ACD professions.	Similarities: Mandatory supervision of the CD; Reproduced PL 2,244 / 1989; I veto advertisements for THD or ACD services even in dentistry magazines; Mandatory Registration with the CFO and CRO; Obligation of the CD to inform the Council of the presence of para-dental professionals in its establishments; It allowed THD to “insert, condense and polish restorative substances”; Differences: THD dues cannot exceed 1/4 of the CD; It does not allow concession to act for years of work, different from the provisions of: PL 2,244 / 1989 and PL 4,749 / 1978; It does not refer to the course load.
PL 2,487 / 2000 Author: Dep. Agnelo Queiroz Rapporteurs: Dep. Freire Junior (CTLS) - rejected Situation: Rejected on 8/28/2001	Regulated the exercise of the THD and ACD professions.	Similarities: There is no reference to the concession of professional practice for years of experience; It does not refer to the course load; Differences: Does not refer to annuity costs, differing from: PL 284/1991 and PL 2,244 / 1989.
PL 4,381 / 2001 Author: Dep. Marcos Cintra Cavalcanti de Albuquerque Situation: Joined PL 2487/2000, rejected on 08/28/2001	It regulated the exercise of the TSB and ASB professions.	Similarities: There is no reference to the concession of professional practice for years of experience; It does not refer to the course load; It does not refer to annuity costs. Differences: For the first time it proposes the use of the term Oral Health Technician (TSB) and Oral Health Assistant (ASB), but it presents a more restrictive view of its performance.
PL 1.140 / 2003 in the Chamber PLC 3/2007 in the Senate Author: Rubens Otoni Rapporteurs: Dep. Fernando Coruja (CCJC) Jovair Arantes (CTLS) Dep. Marcelo Barbieri (CTLS) Dep. Benjamim Maranhão (CSSF) Dep. Darci Coelho (CCJC) - final draft Situation: approved on 06/08/2004	It regulated the exercise of the THD and ACD professions (Reproduces the proposal of PL 244/1989).	Similarities: Reproduced PL 2,244 / 1989; Differences: Returns to the nomenclature of THD AND ACD. Annuities for THD cannot exceed 1/4 of the CD / and for ACD 1/10 of the CD, redeeming the annuity, as proposed by PL 284/1991; It gave rise to Law 11,889 / 2008.
PL 1.537 / 2003 Author: Dep. Feu Rosa Situation: Joined to PL 1140/2003 Rejected on 06/08/2004	It regulated the exercise of the TSB and ASB professions.	Similarities: Resumption of Bill 4,381 / 2000, by Deputy Marcos Cintra. it had no similarities with PL 1.140 / 2003. It does not refer to the concession of professional practice for years of activity; it does not refer to the course load; It does not refer to annuity costs. Differences: Proposes the use of the term Oral Health Technician (TSB) and Oral Health Assistant (ASB), with a more restrictive view of their performance.
PL 2,489 / 2003 Author: Dep. Fátima Bezerra Situation: Joined to PL 1140/2003 Rejected on 06/08/2004	It regulated the exercise of the TSB and ASB professions.	Similarities: Proposes the use of the term Oral Health Technician (TSB) and Oral Health Assistant (ASB). Differences: Annuities for TSB cannot exceed 1/4 of the CD / and for ACD 1/10 of the CD; presents a broader perspective of professional activity than that of PL 4,381 / 2001 and PL 1,537 / 2003 .
Law 11,889 / 2008 Author: Dep. Rubens Otoni	It regulated the exercise of the TSB and ASB professions.	Similarities: Annuities for TSB cannot exceed 1/4 of the CD / and for ACD 1/10 of the CD; Direct supervision will be mandatory in all clinical activities, and extra-clinical activities may have indirect supervision; Insert and distribute dental materials for direct dental restoration in the cavity preparation, being prohibited the use of materials and instruments not indicated by the CD.
PL 1,187 / 2011 Author: Dep. Gorete Pereira Rapporteur: Dep. Rogério Carvalho (CSSF) Situation: requires a public hearing by the Social Security and Family Commission to debate the PL Filed on 01/31/2015, unarchived on 02/06, filed on 01/31/2019	Amends Law No. 11,889, of December 24, 2008, which regulates the exercise of the professions of Oral Health Technician – TSB and Assistant in Oral Health – ASB, to establish a national professional salary floor.	Differences: For an eight-hour daily and forty-weekly workweek, the salary floor of R $ 1,020.00 (One thousand and twenty reais) per month will be due to the Technician in Oral Health – TSB; For an eight-hour day and forty-week day, the Oral Health Assistant – ASB will be paid a monthly salary of R $ 770.00 (seven hundred and seventy reais).
PL 3644/2015 Author: Dep. Cabo Sabino Situation: Joined to PL 1187/2011 filed on 31/01/2015	Amends Law 11,889, of December 24, 2008, to define the National Salary Floor for the Oral Health Technician and the Oral Health Assistant	Differences: National Salary Floor for TSB of R $ 1. 312.00 (one thousand, three hundred and twelve reais) and ASB of R $ 1,082.00 (one thousand and eighty-two reais), for an eight-hour workday daily and forty hours a week, with annual adjustment, in the month corresponding to the approval of the Law, by the variation of the IPCA, released by IBGE, in the last 12 months.

Participants, place and date of birth	Education	Activity related to the regulation of auxiliary professions
Agnelo Santos Queiroz Filho Itapetinga-BA, 9/11/1958	Medicine, Federal University of Bahia, 1978-1984; Post-Graduation in General and Thoracic Surgery, Base Hospital – Brasília / DF, 1984-1987; Post-Graduation in Public Policy, Federal University of Rio de Janeiro.	Author of PL 2,487 / 2000 in the Chamber.
Álvaro Siqueira Vantine, Pitangueiras- P, 24/12/1944	Dentistry São Paulo State University “Júlio de Mesquita Filho” (UNESP), no year information.	“Technical advice” to PL 2244/89 (p. 34).
Augusto Silveira de Carvalho, Patos de Minas- MG, 27/7/1953	Sociology, University of Brasília (UnB), 1977.	It presented a substitute for PL 2244/89. Author of PL 284/91.
Cabo Sabino, Quixadá, CE, 16/02/1971	Real estate agent. Incomplete higher education	Author of PL 3.644/2015.
Emil Adib Razuk, Pederneiras-SP	Dentistry, Faculty of Pharmacy and Dentistry of Araraquara, 1957.	Former president of CRO-SP and Federal Deputy. “Invaluable collaboration” in PL 2244/89 (p. 25).
Fátima Bezerra, Nova Palmeira-PB, 19/05/1955	Pedagogy, Federal University of Rio Grande do Norte.	Author of PL 1,187 / 2011 proposing the amendment of Law 11,889, of December 24, 2008, which regulates the profession of Oral Health Technician - TSB and Oral Health Assistant - ASB, to establish a national professional salary floor .
João Miguel Feu Rosa, Vitória-ES, 19/01/1947	Engineering, Federal University of Espírito Santo (UFES), 1970; master in Industrial Engineering, PUC, Rio de Janeiro, RJ, 1973; PhD in Operations Research, Lancaster Univ., England, 1992.	Author of PL 1,537 / 2003.
Francisco Carlos Paludetti, S/I	CD	“Invaluable collaboration” to PL 2244/89 (p. 25).
Geraldo Freire da Silva, Boa Esperança-MG, 29/06/1912	Bachelor of Legal and Social Sciences from the Minas Gerais Law School, 1933; Law from Universidade Federal Fluminense, 1938.	Author of PL 4.465 / 1977, which gives attribution to the Dental Hygiene Technician and makes other arrangements; suggests the inclusion of the surgery discipline in technical courses so that the technician can perform dental extractions under justification for the reduced number of CDs.
Gorete Pereira, Juazeiro do Norte – CE, 10/04/1952	Physiotherapy, University of Fortaleza (UNIFOR), Fortaleza, CE, 1972-1976; Post-Graduation in Educational Technology, UNIFOR, Fortaleza, CE, 1980-1981; Law (Incomplete), UNIFOR, Fortaleza, CE, 1999-2000 ..	Author of PL 1,187 / 2011.
João Hildo de Carvalho Furtado, Fortaleza-CE, 11/04/1933	Dentistry, Faculty of Dentistry and Pharmacy of Ceará, 1953; PhD in Dentistry; Free Teaching in surgery and maxillofacial prosthesis.	“Technical advice” to PL 2244/89 (p. 34).
José Zavaglia, Ribeirão Bonito-SP, 09/01/1918	Economics	Author of PL 4.749 / 1978 that regulates the exercise of the professions of Dental Hygiene Technician and Dental Office Attendant.
Marcos Cintra Cavalcanti de Albuquerque, São Paulo-SP, 23/08/1945	Economics, Harvard College, Cambridge, MA, USA, 1968; Master in Regional Planning, Harvard University Graduate School of Design, Cambridge, MA, USA, 1974; Masters in Economics, Harvard University, Cambridge, MA, USA, 1976; PhD in Economics, Harvard University, Cambridge, MA, USA, 1985. Specialization in Economic Planning, UNICAMP, Campinas, SP, 1970-1971	Author of PL 4,381 / 2001.
Maria Lenice da Silva Avelar, S/I	THD	“Technical advice” to PL 2.244 / 89 (p. 34).
Moacyr da Silva, S/I	Dentistry, University of São Paulo, 1963; PhD in Dentistry, University of São Paulo, 1971.	“Invaluable collaboration” to PL 2244/89 (p. 25).
Raphael Baldacci Filho, Caçapava-SP, 14/10/1928	Dentistry, Federal University of São Paulo, 1950.	President of the São Paulo Association of CD and Federal Deputy. He demanded a total veto of PL 39/64, which deals with the prosthetic profession. However, it is mentioned as having “Invaluable collaboration” in PL 2244/89 (p. 25).
Robson Riedel Marinho, Belo Horizonte-MG, 07/01/1950	Law, University of Vale do Paraíba, 1973.	Author of the Bill of Law (PL) 2.244 / 89, primary and precursor to Law 11.889 / 2008.
Rozângela Fernandes Camapum, Uruaçu-GO, 08/06/1963	Dentistry, Federal University of Goiás, 1984; Specialization in Pediatric Dentistry by ABO-GO, 1989.	Collaborator in PL 2244/89.
Rubens Otoni Gomide, Goianésia-GO, 06/02/1956	Law, Faculty of Law of Anápolis, 1980; Mechanics, Federal University of Uberlândia; Social Sciences, Faculty of Philosophy Bernardo (Anápolis).	Author of PL 1.140 / 2003, which originated Law 11.889 / 2008, a regulation that finally regulates auxiliary professions of technical level in Dentistry.
Swedenberger do Nascimento Barbosa, Natal-RN, 09/11/57	Dentistry, Federal University of Rio Grande do Norte, 1980; Master in Health Sciences, University of Brasília (UnB), 2009; PhD in Health Sciences, UnB, 2015.	“Technical advice” to PL 2244/89 (p. 34).
Volnei Garrafa, Três de Maio, RS 16/09/1946	Dentistry, Pontifical Catholic University of Rio Grande do Sul, 1968; PhD in Sciences, UNESP, 1974	“Technical advice” to PL 2244/89 (p. 34).
Vitor Gomes Pinto, Porto Alegre-RS, 11/11/1941	Dentistry, Federal University of Rio Grande do Sul, 1965; Master in Public Health, University of São Paulo, 1977; PhD in Public Health, University of São Paulo, 1992.	“Technical advice” to PL 2244/89 (p. 34).

[1] Correspondence to: SG Barros. Email: sgb@ufba.br.

Brasil

Brasil

O poder legislativo e a regulamentação das profissões auxiliares em saúde bucal

RESUMO

Objetivo:

Métodos:

Resultados:

Conclusão: