Soares Catharina Leite Matos, Paim Jairnilson Silva, Chaves Sonia Cristina de Lima, Rossi Thais Regis Aranha, Barros Sandra Garrido, Cruz Denise Nogueira
Instituto de Saúde Coletiva, Universidade Federal da Bahia (UFBA). R. Basílio da Gama s/n, Canela. 40110-040 Salvador BA Brasil.
Departamento da Ciência da Vida, Universidade do Estado da Bahia. Salvador BA Brasil.
Cien Saude Colet. 2017 Jun;22(6):1805-1816. doi: 10.1590/1413-81232017226.22972016.
Group Oral Health (GOH) is a specific phenomenon in time, separate from other "Alternative Odontology", and a theoretical reference for dental practice in healthcare services. This study is an attempt to understand how long "Alternative Odontology" will remain with the social context of struggling for oral health in Brazil, based on the positions of the founding agents and their precursors, bearing in mind the concepts of GOH, GH (Group Health) and the SUS (Unified Healthcare System). We started out with Pierre Bourdieu's Practice Theory, complemented with Gramsci's concept of hegemony and counter-hegemony. We completed 12 in-depth interviews, reviewed the literature and analyzed the scientific output. We also looked at the trajectories of the agents and their capital between 1980 and 2013. The results show that the concept of GOC and GH as a breach with health practices, which gave rise to "Alternative Odontology", prevailed among those with the political will to defend democracy and Healthcare Reforms. Although GOC is a critical proposal, the older "Odontology" remains in scientific journals, and in the practice of oral care.
群体口腔健康（GOH）是特定时期的一种独特现象，有别于其他“替代牙科学”，是医疗服务中牙科实践的理论参考。本研究旨在基于创始者及其先驱者的立场，结合群体口腔健康、群体健康（GH）和统一医疗系统（SUS）的概念，来理解在巴西为口腔健康而奋斗的社会背景下，“替代牙科学”还会存在多久。我们以皮埃尔·布迪厄的实践理论为出发点，并辅以葛兰西的霸权与反霸权概念。我们完成了12次深度访谈，查阅了文献并分析了科研成果。我们还研究了1980年至2013年间这些参与者及其资本的发展轨迹。结果表明，群体口腔健康和群体健康作为与健康实践的决裂，催生了“替代牙科学”，这在那些有捍卫民主和医疗改革政治意愿的人当中颇为盛行。尽管群体口腔健康是一项批判性提议，但传统的“牙科学”仍存在于科学期刊以及口腔护理实践中。
