Estimating the burden of care for oral potentially malignant disorders and oral cancer in Brazilian dental practice

• João Paulo Gonçalves de Paiva ^[1] ; Jacks Jorge ^[1] ; Erison Santana dos Santos ^[1] ; Arn Migowski ^[3] ; Daniel Cohen-Goldemberg ^[4] ; Luiz Paulo Kowalski ^[5] ; Thaís Bianca Brandão ^[1] ; Ana Carolina Prado Ribeiro ^[1] ; Marcio Ajudarte Lopes ^[1] ; Pablo Agustin Vargas ^[1] ; Eurípides Alves da Silva ^[6] ; Saman Warnakulasuriya ^[2] ; Alan Roger Santos-Silva ^[1]
  1. [1] Universidade Estadual de Campinas

     Universidade Estadual de Campinas

     Brasil

     
  2. [2] King's College London

     King's College London

     Reino Unido

     
  3. [3] MD, PhD. Clinical Research and Technological Development Division, Research and Innovation Coordination, National Cancer Institute (INCA), Ministry of Health, Rio de Janeiro, Brazil. Professional Master’s Program in Health Technology Assessment, Teaching and Research Coordination, Instituto Nacional de Cardiologia (INC), Ministry of Health, Rio de Janeiro, Brazil
  4. [4] DDS, PhD. Clinical Research Division, National Cancer Institute of Brazil (INCA), Rio de Janeiro, Brazil. Honorary Associate Professor of Oral Medicine, Eastman Dental Institute, University College London, UK
  5. [5] MD, PhD. Head and Neck Surgery Department, Institute of Cancer of São Paulo, University of São Paulo Medical School, São Paulo, Brazil
  6. [6] Bmath, PhD. Instituto de Biociências, Letras e Ciências Exatas, UNESP - São Paulo State University, São José do Rio Preto, São Paulo, Brazil

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• Localización: Medicina oral, patología oral y cirugía bucal. Ed. inglesa, ISSN-e 1698-6946, Vol. 29, Nº. 5 (September), 2024
• Idioma: inglés
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• Resumen

  • Oral cancer (OC) and oral potentially malignant disorders (OPMD) pose significant challenges to public health in Brazil. This study aimed to estimate the prevalence of oral cancer (OC) and oral potentially malignant disorders (OPMD) among patients who would be treated by Brazilian dentists during their careers.

    Data on the number of dentists in Brazil were extracted from the 2022 census data, while incidence rates for OC cases were sourced from the Brazilian National Cancer Institute (INCA). Population estimates for Brazil and data on dental check-up rates were obtained from relevant national sources.

    Our analysis indicates that a general dentist in Brazil can expect to encounter on average two to three OC patients and on average 675 patients with OPMDs over a 35-year career. Regional disparities were observed, with certain regions showing higher than the average number of encounters due to low density of dentists in some rural districts.

    Brazilian dentists are likely to confront a substantial number of OPMD cases during their professional tenure, emphasizing the need for public health policies aimed at enhancing dental surgeons' education in oral cancer prevention and early detection.