Care network for individuals with temporomandibular disorders in the Brazilian Unified Health System: Perspective of managers and dental surgeons.

IF 5.4 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Cranio-The Journal of Craniomandibular & Sleep Practice Pub Date : 2026-10-05 DOI:10.1080/08869634.2026.2741835

Pâmela Lopes Pedro da Silva, George Azevedo Lemos, Maelly Vicente Lôbo, Yuri Wanderley Cavalcanti, André Ulisses Dantas Batista

{"title":"Care network for individuals with temporomandibular disorders in the Brazilian Unified Health System: Perspective of managers and dental surgeons.","authors":"Pâmela Lopes Pedro da Silva, George Azevedo Lemos, Maelly Vicente Lôbo, Yuri Wanderley Cavalcanti, André Ulisses Dantas Batista","doi":"10.1080/08869634.2026.2741835","DOIUrl":null,"url":null,"abstract":"Objective: To analyze the care network for individuals with orofacial pain (OFP) and temporomandibular disorders (TMD) in the Brazilian Unified Health System (SUS).Methods: Oral health managers and primary health care (PHC) dentists completed electronic questionnaires addressing service availability, clinical practices, knowledge-related items, and referral services for TMD and OFP. Data were statistically analyzed at a significance level of 5% (p < .05).Results: Most managers reported that neither PHC (n = 82; 85.4%) nor secondary care (n = 68; 70.8%) treats patients with TMD. Most dentists reported not treating TMD patients (n = 209; 56.3%) and being unaware of public referral services (n = 268; 72.2%). Dentists' responses differed from evidence-based recommendations on TMD etiology, diagnosis, and treatment. Specialist status was associated with more evidence-consistent responses, particularly regarding traditional occlusal concepts.Conclusion: The findings suggest challenges in organizing TMD/OFP care within SUS, particularly regarding service availability, alignment of dentists' responses with current evidence, and awareness of referral pathways.","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-13"},"PeriodicalIF":5.4000,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cranio-The Journal of Craniomandibular & Sleep Practice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/08869634.2026.2741835","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: To analyze the care network for individuals with orofacial pain (OFP) and temporomandibular disorders (TMD) in the Brazilian Unified Health System (SUS).

Methods: Oral health managers and primary health care (PHC) dentists completed electronic questionnaires addressing service availability, clinical practices, knowledge-related items, and referral services for TMD and OFP. Data were statistically analyzed at a significance level of 5% (p < .05).

Results: Most managers reported that neither PHC (n = 82; 85.4%) nor secondary care (n = 68; 70.8%) treats patients with TMD. Most dentists reported not treating TMD patients (n = 209; 56.3%) and being unaware of public referral services (n = 268; 72.2%). Dentists' responses differed from evidence-based recommendations on TMD etiology, diagnosis, and treatment. Specialist status was associated with more evidence-consistent responses, particularly regarding traditional occlusal concepts.

Conclusion: The findings suggest challenges in organizing TMD/OFP care within SUS, particularly regarding service availability, alignment of dentists' responses with current evidence, and awareness of referral pathways.

查看原文本刊更多论文

巴西统一卫生系统中颞下颌疾病患者的护理网络：管理人员和牙科外科医生的观点。

目的：分析巴西统一卫生系统（SUS）中口腔面部疼痛（OFP）和颞下颌疾病（TMD）患者的护理网络。方法：口腔卫生管理人员和初级卫生保健（PHC）牙医完成关于TMD和OFP的服务可获得性、临床实践、知识相关项目和转诊服务的电子问卷。结果：大多数管理人员报告初级保健（n = 82, 85.4%）和二级保健（n = 68, 70.8%）均未治疗TMD患者。大多数牙医报告没有治疗TMD患者（n = 209, 56.3%），不知道公共转诊服务（n = 268, 72.2%）。牙医的反应与基于证据的TMD病因、诊断和治疗建议不同。专家身份与更符合证据的反应相关，特别是关于传统咬合概念。结论：研究结果表明，在SUS内组织TMD/OFP护理存在挑战，特别是在服务可用性、牙医响应与当前证据的一致性以及对转诊途径的认识方面。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Cranio-The Journal of Craniomandibular & Sleep Practice DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.50

自引率

12.50%

发文量

审稿时长

>12 weeks

期刊介绍： CRANIO: The Journal of Craniomandibular & Sleep Practice is the oldest and largest journal in the world devoted to temporomandibular disorders, and now also includes articles on all aspects of sleep medicine. The Journal is multidisciplinary in its scope, with editorial board members from all areas of medicine and dentistry, including general dentists, oral surgeons, orthopaedists, radiologists, chiropractors, professors and behavioural scientists, physical therapists, acupuncturists, osteopathic and ear, nose and throat physicians. CRANIO publishes commendable works from outstanding researchers and clinicians in their respective fields. The multidisciplinary format allows individuals practicing with a TMD emphasis to stay abreast of related disciplines, as each issue presents multiple topics from overlapping areas of interest. CRANIO''s current readership (thousands) is comprised primarily of dentists; however, many physicians, physical therapists, chiropractors, osteopathic physicians and other related specialists subscribe and contribute to the Journal.