title: Advances and challenges in oral health after a decade of the "Smiling Brazil" Program.
abstract: OBJECTIVE
  To analyze oral health work changes in primary health care after Brazil's National Oral Health Policy Guidelines were released.
  
  
  METHODS
  A literature review was conducted on Medline, LILACS, Embase, SciELO, Biblioteca Virtual em Saúde, and The Cochrane Library databases, from 2000 to 2013, on elements to analyze work changes. The descriptors used included: primary health care, family health care, work, health care policy, oral health care services, dentistry, oral health, and Brazil. Thirty-two studies were selected and analyzed, with a predominance of qualitative studies from the Northeast region with workers, especially dentists, focusing on completeness and quality of care.
  
  
  RESULTS
  Observed advances focused on educational and permanent education actions; on welcoming, bonding, and accountability. The main challenges were related to completeness; extension and improvement of care; integrated teamwork; working conditions; planning, monitoring, and evaluation of actions; stimulating people's participation and social control; and intersectorial actions.
  
  
  CONCLUSIONS
  Despite the new regulatory environment, there are very few changes in oral health work. Professionals tend to reproduce the dominant biomedical model. Continuing efforts will be required in work management, training, and permanent education fields. Among the possibilities are the increased engagement of managers and professionals in a process to understand work dynamics and training in the perspective of building significant changes for local realities.
authors.affiliation: Faculdade de Ciências da Saúde, Universidade de Brasília, Brasília, DF, Brasil.
authors.forename: Charleni Inês
authors.initials: CI
authors.lastname: Scherer
authors.affiliation: Departamento de Saúde Coletiva, Faculdade de Ciências da Saúde, Universidade de Brasília, Brasília, DF, Brasil.
authors.forename: Magda Duarte dos Anjos
authors.initials: MD
authors.lastname: Scherer
mesh_terms: D001938:Brazil; D006267:Health Education, Dental; D006801:Humans; D009313:National Health Programs; D009909:Oral Health / Q000193:education; D011320:Primary Health Care / Q000458:organization & administration*; D011636:Public Health Dentistry / Q000193:education / Q000458:organization & administration*; D012904:Smiling; D000078329:Workforce
references.citation: Cad Saude Publica. 2008 Sep;24(9):2131-40
references.pmid: 18813689
references.citation: Cien Saude Colet. 2010 Jun;15 Suppl 1:1643-52
references.pmid: 20640326
references.citation: Rev Saude Publica. 2013 Dec;47 Suppl 3:161-7
references.pmid: 24626593
references.citation: Rev Saude Publica. 2008 Jun;42(3):464-70
references.pmid: 18461254
references.citation: Cien Saude Colet. 2013 Feb;18(2):471-80
references.pmid: 23358772
references.citation: Cad Saude Publica. 2007 Jan;23(1):75-85
references.pmid: 17187106
references.citation: Cien Saude Colet. 2013 Jan;18(1):221-32
references.pmid: 23338512
references.citation: Cien Saude Colet. 2009 Oct;14 Suppl 1:1325-35
references.pmid: 19750338
references.citation: Cad Saude Publica. 2012;28 Suppl:s146-57
references.pmid: 22714963
references.citation: Cien Saude Colet. 2010 Jun;15 Suppl 1:1487-95
references.pmid: 20640311
references.citation: Cien Saude Colet. 2008 Sep-Oct;13(5):1669-74
references.pmid: 18813667
references.citation: Health Policy. 2008 Apr;86(1):119-28
references.pmid: 18035447
references.citation: Cien Saude Colet. 2007 Nov-Dec;12(6):1697-710
references.pmid: 18813506
references.citation: Cien Saude Colet. 2011 Jan;16(1):211-20
references.pmid: 21180829
references.citation: Cien Saude Colet. 2013 Aug;18(8):2453-60
references.pmid: 23896928
references.citation: N Z Med J. 2009 Aug 21;122(1301):43-52
references.pmid: 19829391
references.citation: Int Dent J. 2013 Oct;63(5):237-43
references.pmid: 24074017
references.citation: Cien Saude Colet. 2009 Oct;14 Suppl 1:1507-12
references.pmid: 19750360
references.citation: Cien Saude Colet. 2008 Jul-Aug;13(4):1343-54
references.pmid: 18813635
references.citation: Cien Saude Colet. 2009 Oct;14 Suppl 1:1367-77
references.pmid: 19750345
references.citation: Cien Saude Colet. 2010 Jul;15(4):2189-96
references.pmid: 20694341
references.citation: Cad Saude Publica. 2005 Jul-Aug;21(4):1026-35
references.pmid: 16021240
references.citation: Cad Saude Publica. 2004 Sep-Oct;20(5):1411-6
references.pmid: 15486686
references.citation: Rev Saude Publica. 2013 Dec;47 Suppl 3:129-37
references.pmid: 24626589
references.citation: Cad Saude Publica. 2007 Nov;23(11):2727-39
references.pmid: 17952265
references.citation: Cad Saude Publica. 2004 Nov-Dec;20(6):1538-44
references.pmid: 15608855
references.citation: Cien Saude Colet. 2010 Aug;15(5):2355-65
references.pmid: 20802869
references.citation: Cien Saude Colet. 2011 Jul;16(7):3169-80
references.pmid: 21808905
references.citation: Rev Saude Publica. 2009 Jun;43(3):455-62
references.pmid: 19300861
references.citation: Cien Saude Colet. 2010 Oct;15 Suppl 2:3243-8
references.pmid: 21049165
references.citation: Cad Saude Publica. 2010 Jun;26(6):1187-93
references.pmid: 20657983
references.citation: Cien Saude Colet. 2008 Jan-Feb;13(1):35-41
references.pmid: 18813518
references.citation: Cien Saude Colet. 2010 May;15(3):907-15
references.pmid: 20464204
references.citation: Cien Saude Colet. 2011 Nov;16(11):4425-32
references.pmid: 22124823
references.citation: Cien Saude Colet. 2013 Jul;18(7):2095-104
references.pmid: 23827914
references.citation: Rev Bras Enferm. 2010 Sep-Oct;63(5):762-9
references.pmid: 21103769