Evaluation of Endodontic Productivity in Oral Public Healthcare Services in Minas Gerais, Brazil





Health services research; Dental health services; Secondary care; Endodontics.


The aim of this study was to evaluate the factors associated with the average monthly productivity in endodontic services at Dental Specialty Centers (DSCs) of Minas Gerais. Secondary data were collected: the dependent variable was the average monthly productivity in endodontic services at DSCs, and the independent variables: population size, Human Development Index (HDI), Gini Index, Family Health Program’s (FHP) population coverage rate, DSC type, and accreditation time. 76 DSCs were included. Median values for population size, HDI, Gini Index, FHP coverage, and accreditation service time were, respectively, 67,442.50, 0.732, 0.410, 77.945, and 8.00. The endodontic treatment of single-rooted teeth exhibited the highest median production. Most of the DSCs (61.7%) did not reach the targets set. Population size (p=0.001) and DSC type (p=0.025) were associated with the average monthly productivity. The average monthly productivity in endodontic services at these DSCs was low, which was positively associated with population size and accredited DSC type.

Author Biographies

José Leonardo Barbosa Melgaço-Costa, Universidade Federal de Minas Gerais

Department of Restorative Dentistry, Faculty of Dentistry

Renata Castro Martins, Universidade Federal de Minas Gerais

Department of Social and Preventive Dentistry, Faculty of Dentistry

Efigenia Ferreira Ferreira, Universidade Federal de Minas Gerais

Department of Social and Preventive Dentistry, Faculty of Dentistry

Antonio Paulino Ribeiro-Sobrinho, Universidade Federal de Minas Gerais

Department of Restorative Dentistry, Faculty of Dentistry


Aquilante, A. G. & Aciole, G. G. (2015). Oral health care after the National Policy on Oral Health - "Smiling Brazil": a case study. Cien Saude Colet, 20(1):239-48.

Azevedo, M. B., Pinto, R. S., Abreu, M. H. N. G. & Lucas, S. D. (2020). Factors associated with the needs of specialized dental treatment among adults aged 35–44 years old in the state of Minas Gerais, Brazil: a multilevel cross-sectional study. Ciênc Saúde Coletiva, 25(7):2783-92.

Bjorndal, L., Laustsen, M. H. & Reit, C. (2006). Root canal treatment in Denmark is most often carried out in carious vital molar teeth and retreatments are rare. Int Endod J, 39(10):785–90.

Brazil (2011). [Decree 7508 of June 28, 2011, which regulates Law 8080 of September 19, 1990, to provide for the organization of the Universal Health System (SUS), health planning, health care, the structure among the federation and other measures]. 2011. Official Diary of the Union 2011, 28Jun.

Brazil (2015). Ministry of Health. Basic Care Department. History of Family Health coverage, 2014. https://egestorab.saude.gov.br/paginas/acessoPublico/relatorios/relHistoricoCoberturaAB.xhtml.

Brazil. Ministry of Health (2006). Ordinance No. 600 / GM of March 23, 2006. It establishes the funding of Dental Specialized Centers (DSC). Official Diary of the Union, 23Mar, 2006.

Brazil. Ministry of Health. Guidelines of the National Oral Health Policy, 2004.

Cabral, D. C. R., Flório, F. M. & Zanin, L. (2019). Performance analysis of the specialized dental centers of the Brazilian southeast region. Cad Saúde Colet, 27(2):241-247.

Cabreira, F. D. S., Hugo, F. N. & Celeste, R. K. (2022). Pay-for-performance and dental procedures: A longitudinal analysis of the Brazilian Program for the Improvement of Access and Quality of Dental Specialities Centres. Community Dent Oral Epidemiol, 50:4–10.

Celeste, R. K., Moura, F. R., Santos, C. P. & Tovo, M. F. (2014). Analysis of outpatient care in Brazil municipalities with and without specialized dental clinics, 2010. Cad Saude Publica, 30(3):511-21. Text in Portuguese.

Chaves, S. C. L., Barros, S. G., Cruz, D. N., Figueiredo, A. C. L., Moura, B. L. A. & Cangussu, M. C. T. (2010). Brazilian Oral Health Policy: factors associated with comprehensiveness in health care. Rev Saude Publica, 44(6):1005-13.

Chiavegatto-Filho, A. D. P., Lebrão, M. L. & Kawachi, I. (2012). Income inequality and elderly self-rated health in São Paulo, Brazil. Annals of Epidemiology, 22(12):863-67.

Cortellazzi, K. L., Balbino, E. C., Guerra, L. M., Vazquez, F. L., Bulgareli, J. V., Ambrosano, G. M. B. et al. (2014). Variables associated with the performance of Centers for Dental Specialties in Brazil. Rev Bras Epidemiol, 17(4):978-88.

Donabedian, A. (1973). Aspects of medical care administration: specifying requirements for health care. Cambridge: Harvard University.

Donabedian, A. (1997). The quality of care. How can it be assessed? Arch Pathol Lab Med, 121:1145-50.

Figueiredo, N. & Goes, P.S.A. (2009). Development of secondary dental care: a study on specialized dental clinics in Pernambuco State, Brazil. Cad Saude Publica, 25(2):259-67. Text in Portuguese.

Goes, P. S. A., Figueiredo, N., Neves, J. C., Silveira, F. M. M., Costa, J. F. R., Pucca Júnior, G. A. et al. (2012). Evaluation of secondary care in oral health: a study of specialty clinics in Brazil. Cad. Saúde Publica, 28 Suppl:S81-S89. Text in Portuguese.

Herkrath, F. J., Herkrath, A. P. C. Q., Costa, L. N. B. S. & Gonçal¬ves, M. J. F. (2013). Performance of Specialized Dental Care Centers considering the sociodemographic context of municipalities of the Amazonas State (Brazil, 2009), Brasil, 2009. Saude Debate, 37(96):148-58. Text in Portuguese.

Instituto Brasileiro de Geografia e Estatística (IBGE). Censo demográfico 2010.http://www.ibge.gov.br/estadosat/perfil.php?sigla=mg.

Lino, P. A., Werneck, M. A., Lucas, S. D. & Abreu, M. H. (2014). Analysis of secondary care in oral health in the state of Minas Gerais, Brazil. Cien Saude Colet, 19(9):3879-88. Text in Portuguese.

Machado, F. C., Silva, J. V., & Ferreira, M. A. (2015). Factors related to the performance of Specialized Dental Care Centers. Cien Saude Colet, 20(4):1149-63.

Magalhães, B. G., Oliveira, R. S., Gaspar, G. S., Figueiredo, N. & Goes, P. S. A. (2012). Avaliação do Cumprimento de Atenção Secundária em Saúde Bucal. Pesq Bras Odontoped Clin Integr, 12(1):107-12. Text in Portuguese.

Magalhães, M. B. P., Oliveira, D. V., Lima, R. F., Ferreira, E. F. & Martins, R. C. (2019). Evaluation of secondary care in endodontics at Dental Specialties Centers (DSC). Cien Saude Colet, 24(12):4643-4653.

Martins, R.C., Reis, C.M.R., Matta Machado, A.T.G., Amaral, J.H.L., Werneck, M.A.F. & Abreu, M.H.N.G. (2016). Relationship between Primary and Secondary Dental Care in Public Health Services in Brazil. PLoS ONE, 11(10): e0164986. DOI: 10.1371/journal.pone.0164986.

Minas Gerais (2014). State Health Department (SES/MG). Consolidated/2014 worksheet of the Dental Specialized Centers (DSC) of Minas Gerais. State Archive of Minas Gerais, in 2014.

Monteiro, C. N., Gianini, R. J., Barros, M. B., Cesar, C. L., & Goldbaum, M. (2016). Access to medication in the Public Health System and equity: populational health surveys in São Paulo, Brazil. Rev Bras Epidemio, 19(1):26-37.

Morris, A. J. & Burke, F. J. T. (2001). Primary and secondary dental care: the nature of the interface. Br Dent J, 191(12):660-64.

Pedrazzi, V., Dias, K. R. H. C. & Rode, S. M. (2008). Oral health in Brazil – Part II: dental specialty centers (CEOs). Braz Oral Res, 22(Suppl 1):18-23.

Pinto, R. D. S., Lucas, S. D., Goes, P. S. A. D., Silva S. L., Neves, E. S. M., Zina, L. G. et al. (2022). Contextual and local determinants associated with the achievement of goals in the endodontics specialty in Brazilian dental speciality centres: A multilevel analysis. Community Dent Oral Epidemiol, 50:74–82.

Pucca Jr., G. A., Costa, J. F. R., Chagas, L. D. & Sivestre, R. M. (2009). Oral health policies in Brazil. Braz Oral Res, 23 Suppl 1:9-16.

Reeve, C., Humphreys, J. & Wakerman, J. (2015). A comprehensive health service evaluation and monitoring framework. Eval Program Plann, 53:91-8.

Roncalli, A. G., Tsakos, G., Sheiham, A., de Souza, G.C. & Watt, R.G. (2014). Social determinants of dental treatment needs in Brazilian adults. BMC Public Health, 14:1097.

Sanchez, R. M. & Ciconelli, R. M. (2012). The concepts of health access. Rev Panam Salud Publica, 31(3):260-68. Text in Portuguese.

Vázquez, M. L., Vargas, I., Unger, J. P., De Paepe, P., Mogollón-Pérez, A.S., Samico, I. et al. (2015). Evaluating the effectiveness of care integration strategies in different healthcare systems in Latin America: The EQUITY-LA II quasi-experimental study protocol. BMJ Open, 5(7): e007037.




How to Cite

MELGAÇO-COSTA, J. L. B. .; MARTINS, R. C. .; FERREIRA, E. F. .; RIBEIRO-SOBRINHO, A. P. Evaluation of Endodontic Productivity in Oral Public Healthcare Services in Minas Gerais, Brazil. Research, Society and Development, [S. l.], v. 11, n. 2, p. e57411225484, 2022. DOI: 10.33448/rsd-v11i2.25484. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/25484. Acesso em: 29 feb. 2024.



Health Sciences