Care for bedridden patients, in Primary Health Care dentistry, in the peripheral region of São Paulo, Brazil

ABSTRACT Objective: The objective is to describe the actions and activities carried out by the dentist during home visits. Methods: The experience took place during visits to users of the Basic Health Unit UBS Vila São Pedro in the Municipality of São Bernardo do Campo, a peripheral region with a lot of socioeconomic vulnerability, recording the periods from January to December 2022. The actions and activities described were cataloged as basic levels in health care: promotion, prevention, and diagnosis of soft tissue injuries and damage limitation. Dentists carried out 84 home visits with the purpose of offering oral health care to users restricted to bed, health promotion actions and activities were based on encouraging the practice of healthy habits, making caregivers of bedridden patients aware of the importance of oral hygiene, and how care should be carried out in the oral cavity of these patients where they no longer have the capacity for self-care. Results: The prevention actions were oral hygiene instruction mainly aimed at caring for patients who have restricted movements and who depend on a caregiver to perform oral hygiene, brushing or cleaning with gauze soaked with 0.12% chlorhexidine, and topical application of fluoride to the patients who still have dental elements. The other actions to limit pre-existing oral damage were tooth extractions with periodontal involvement. Conclusion: Therefore, dentist-in-home visits play a fundamental role in promoting quality of life and social life for patients who cannot go to a Basic Health Unit due to being temporarily restricted or permanently restricted to their home. RESUMO Objetivo: Onde o objetivo é descrever as ações e atividades desenvolvidas pelo cirurgião-dentista nas visitas domiciliares. Métodos: A experiência ocorreu em visitas aos usuários da Unidade Básica de Saúde UBS Vila São Pedro no Município de São Bernardo do Campo, região periférica e de muita vulnerabilidade socioeconômica, sendo registrado os períodos de janeiro a dezembro de 2022. As ações e atividades descritas foram catalogadas como níveis básicos na atenção à saúde: promoção, prevenção e diagnóstico de lesões de tecidos moles e limitação de dano. Os dentistas realizaram 84 visitas domiciliares no propósito de oferecer os cuidados em saúde bucal aos usuários restritos ao leito, as ações e atividade de promoção em saúde basearam-se no estímulo à prática de hábitos saudáveis, conscientizando os cuidadores dos pacientes acamados, a