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Cadernos ESP, Ceará 7(2): 28-39 jul./dez. 201328 ARTIGO DE REVISÃO Do Brasil sem Dentes ao Brasil Sorridente: Um Resgate Histórico das Políticas Públicas de Saúde Bucal no Brasil From Brazil without teeth to Smiling Brazil: a historical review of Oral Health Public Policies in Brazil José Amilton Costa Silvestre1, Andréa Silvia Walter de Aguiar2, Edson Holanda Teixeira3 Resumo $� HYROXomR� KLVWyULFD� GDV� SROtWLFDV� S~EOLFDV�GH�VD~GH�UHODFLRQD�VH�GLUHWDPHQWH� FRP�D�HYROXomR�SROtWLFD�VRFLDO�H�HFRQ{PLFD� GD� VRFLHGDGH� EUDVLOHLUD�� $V� SROtWLFDV� S~EOLFDV� GH� VD~GH� EXFDO� DWUDYHVVDUDP� KLVWRULFDPHQWH� XP� SURFHVVR� GH� HYROXomR� GH�IRUPD�H[FOXGHQWH�H� LQGLYLGXDO��7UDWD�VH� GH�XPD�DQiOLVH�FUtWLFD�GD�OLWHUDWXUD�SRU�PHLR� GH�XP�HVWXGR�H[SORUDWyULR�H�VLVWHPDWL]DGRU�� FRP� GHPDUFDomR� WHPSRUDO� VLPSOL¿FDGD� DWUDYpV� GH� SHUtRGRV� KLVWyULFRV� QR� %UDVLO�� 1R�%UDVLO� &RO{QLD�� DV� Do}HV� UHODFLRQDGDV� j�VD~GH�EXFDO�HUDP�H[HUFLGDV�SRU�PHVWUHV� �FLUXUJL}HV�H�EDUEHLURV��1R�,PSpULR��D�DomR� GR� (VWDGR� ¿[RX�VH� QD� UHJXODPHQWDomR� GH� UHFXUVRV� KXPDQRV� H� H[HUFtFLR� GDV� DWLYLGDGHV��$SyV�DQRV�SURPRYHQGR�SROtWLFDV� H[FOXGHQWHV�H�FHQWUDOL]DGDV��IRL�ODQoDGR�HP� ����� R� 3URJUDPD� %UDVLO� 6RUULGHQWH� FRPR� VyOLGD�SROtWLFD�SDUD�R�VHWRU��2�SURFHVVR�GH� HYROXomR� GDV� SROtWLFDV� S~EOLFDV� GH� VD~GH� EXFDO� FDUUHJRX� HP� VL� R� SRGHU� GH� XPD� SROtWLFD� YROWDGD� SDUD� R� OXFUR� H� R� GHVFDVR� VRFLDO��H�QD�VXD�JUDQGH�PDLRULD�UHÀHWLGD�DR� ORQJR�GD�KLVWyULD�QD�PXWLODomR�GH�ERFDV�H� YLGDV� 3DODYUDV�FKDYH�� 6D~GH� %XFDO�� 3ROtWLFDV�3~EOLFDV��+LVWyULD�GD�2GRQWRORJLD�� $EVWUDFW 7KH� KLVWRULFDO� GHYHORSPHQW� RI� SXEOLF� KHDOWK� SROLFLHV� LV� GLUHFWO\� UHODWHG� WR� WKH� SROLWLFDO� VRFLDO� DQG� HFRQRPLF� HYROXWLRQ� RI� %UD]LOLDQ�VRFLHW\��2UDO�+HDOWK�3XEOLF�3ROLF\� WKURXJK� D� SURFHVV� HYROXWLRQ� KLVWRULFDOO\� VR� H[FOXVLYH� DQG� LQGLYLGXDO�� ,W� LV� D� FULWLFDO� UHYLHZ� RI� WKH� OLWHUDWXUH� IRXQG� WKURXJK� DQ� H[SORUDWRU\� DQG� V\VWHPDWLF� VHDUFK�� ZLWK� WHPSRUDO� VLPSOL¿HG� GHPDUFDWLRQ� WKURXJK� KLVWRULFDO�SHULRGV�LQ�%UD]LO��,Q�FRORQLDO�%UD]LO�� WKH� DFWLRQV� UHODWHG� WR� RUDO� KHDOWK� ZHUH� SHUIRUPHG�E\�PDVWHU�VXUJHRQV�DQG�EDUEHUV�� ,Q� WKH� (PSLUH�� WKH� DFWLRQ� RI� 6WDWH� VHWWOHG� RQ�KXPDQ� UXOHV� UHVRXUFHV�DQG�HQJDJH� LQ� DFWLYLWLHV��$IWHU�\HDUV�RI�SURPRWLQJ�H[FOXVLYH� DQG� FHQWUDOL]HG� SROLFLHV�� ZDV� ODXQFKHG� LQ� �����6PLOLQJ�%UD]LO�3URJUDP�DV�VROLG�SROLF\� IRU� WKH� VHFWRU�� )URP� &RORQLDO� %UD]LO� XQWLO� 1 Cirurgião-Dentista. Mestre em Saúde da Família (UFC-CE). Professor Substituto. Curso de Odontologia. Universidade Federal do Ceará. Campus Sobral. Professor NDE. Gestor Adjunto de Extensão. Faculdades INTA. Sobral, Ceará, Brasil. amiltonc@gmail.com 2 Doutora em Odontologia (FOP-UPE). Professora Adjunta Faculdade de Farmácia, Odontologia e Enfermagem – Universidade Federal do Ceará (FFOE/UFC). Professora Adjunta da Faculdade de Farmácia, Odontologia e Enfermagem-Universidade Federal do Ceará (UFC). Andrea.aguiar@ufc.br 3 Doutor em Bioquímica (UFC). Bolsista de Produtividade em Pesquisa/CNPq. 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