ANÁLISE DA PREVALÊNCIA E ESTADIAMENTO DE CÂNCER DE BOCA E OROFARINGE, COBERTURA DE SAÚDE BUCALE DADOS DOS SERVIÇOSEM MUNICÍPIOS SUL-MATO-GROSSENSES

Abstract

Considering an estimate of 15,190 new cases of oral and oropharyngeal cancer in Brazil for the three-year period 2020 to 2022, the importance of the Oral Health Team in Primary Care being qualified for the early diagnosis of suggestive and incipient lesions of oral and oral cancer is justified. oropharynx; qualified to perform the biopsy; and knowledge of the flow of regulation for specialized services, promoting access, longitudinality, completeness and coordination of care. OBJECTIVE Evaluate the behavior of the Oral Health Teams in Primary Care in the management of oral and oropharyngeal cancer in municipalities in the south of Mato Grosso. METHODOLOGY Descriptive, cross-sectional, quantitative study of official and public secondary databases, referring to municipalities in the state of Mato Grosso do Sul. Data on the prevalence of oral and oropharyngeal cancer, ICD-10 C00 - C10, oral health coverage, staging and oral health care were analyzed based on data from the PMAQ-AB, 3rd Cycle. RESULTS All municipalities in Mato Grosso do Sul, with the exception of Caarapó and Tacuru, had oral health coverage above the national average. Diagnosis in the advanced stage was predominant, even in those with 100% oral health coverage. It showed weaknesses in oral cancer prevention and diagnosis services; active search for potentially cancerous lesions and cases in the community; and systematic examination of the oral mucosa. There was a lack of knowledge about referral flows for performing biopsies and treatment of oral and oropharyngeal cancer to Dental Specialty Centers among teams in the same municipality. CONCLUSIONS Failures were found in the work process in relation to prevention actions, active search, examination of the oral mucosa, performance of biopsies, referral for biopsy and treatment, which may influence the staging of the diagnosis, treatment, quality of life and patient survival with malignant neoplasms of mouth and oropharynx cancer. As a potential for application to the Unified Health System, the need for permanent education for dental professionals is reinforced to qualify preventive actions in health and knowledge of care flows, in order to qualify care.