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Public policy

Brasil Sorridente: National Oral Health Policy

Problem
Oral health care in the SUS. The guidelines of the National Oral Health Policy were published by the Ministry of Health in 2004; in 2023, Law No. 14,572, which according to Senator Jussara Lima arose from a bill by Senator Humberto Costa, instituted the policy in the SUS and included oral health in the SUS's field of action in Law 8,080/1990.
Who it serves
According to the Ministry of Health, one should go to the nearest UBS (basic health unit) with an identification document, the SUS card, and proof of residence.
How it works
Dental Specialty Centers and Regional Dental Prosthesis Laboratories accredited by the Ministry of Health based on a proposal from the municipal manager approved by the Bipartite Intermanagerial Commission (Ordinance GM/MS No. 1,570/2004). According to the Ministry, access begins with the Oral Health teams of the Basic Health Units, which refer patients to the CEO when specialized care is needed. According to Senator Jussara Lima, the dental surgeon had already been included in the Saúde da Família teams in 2000.

Health

Relation to the Lula governments

Reshaped under Lula · First term (2003 to 2006) · since 2004

The 'Guidelines of the National Oral Health Policy' were published by the Ministry of Health (Health Care Secretariat, Primary Care Department, National Oral Health Coordination) in 2004. The presentation is dated January 2004 and signed by Humberto Costa, Minister of State for Health, with Jorge Solla, Secretary of Health Care, Afra Suassuna, Director of the Primary Care Department, and Gilberto Alfredo Pucca Jr., National Oral Health Coordinator.[1]

Ordinance GM/MS 1,570/2004 defined the CEOs as establishments that provide, at a minimum, oral diagnosis with an emphasis on oral cancer, specialized periodontics, minor oral surgery, endodontics, and care for people with special needs; and the LRPDs as services for complete and partial removable dental prostheses.[2]

Reshaped under Lula · Third term (since 2023) · since May 2023

Law No. 14,572 of May 8, 2023, signed into law by Luiz Inácio Lula da Silva, instituted the National Oral Health Policy in the SUS and amended Law 8,080/1990 to include oral health in the SUS's field of action.[3]

Origin and precursors

Origin milestone: founding legal act, First term (2003 to 2006).

The 'Guidelines of the National Oral Health Policy' were published by the Ministry of Health (Health Care Secretariat, Primary Care Department, National Oral Health Coordination) in 2004. The presentation is dated January 2004 and signed by Humberto Costa, Minister of State for Health, with Jorge Solla, Secretary of Health Care, Afra Suassuna, Director of the Primary Care Department, and Gilberto Alfredo Pucca Jr., National Oral Health Coordinator.[1]

Precursors

  • Inclusion of dentists in Family Health (Ordinance 1,444/2000), according to a parliamentary speech earlier technical basis According to Senator Jussara Lima, who chaired the 69th Meeting of the Senate Social Affairs Committee, at a hearing on November 27, 2025, the dental surgeon was included in the Saúde da Família teams in 2000, by Ordinance GM/MS No. 1,444 of December 28, 2000, which establishes a financial incentive for reorganizing oral health care in the municipalities; and Ordinance GM/MS No. 267 of March 6, 2001 approved rules and guidelines for including oral health in the PSF.[4]
  • Reinforcement of the oral health teams of the Family Health Strategy earlier technical basis In the same remarks, the senator states that the 2004 guidelines of the new National Oral Health Policy included reinforcing the inclusion of oral health teams in the family health strategy and the creation of the Dental Specialty Centers. The MS guidelines document (2004) contains the item 'Incorporate Saúde da Família as an important strategy in the reorganization of primary care' and records that the Saúde da Família strategy was created in 1994.[5]
  • Ordinance 74/2004 earlier legal basis Ordinance GM/MS 1,570/2004 mentions, in its recitals, Ordinance No. 74/GM of January 20, 2004, which indicates the need for support from a network of specialized dental services.[6]

Precursor investigation: inconclusive (October 13, 2026).

Scope: Norms and statements of reasons at the Planalto, publications of the ministries and oversight bodies, searches recorded in the dossier (research of October 13, 2026). Specialized care (CEO and prosthesis laboratories) is new; in primary care there is continuity. The 2000 antecedent comes from a parliamentary speech, not from the ordinance (404 at the BVS). Act that creates the name "Brasil Sorridente" not located.

Responsibilities

  • Municipalities, bipartite commissions, and Ministry of Health municipal implementation

    Under Ordinance GM/MS 1,570/2004, the municipal manager submits the CEO or LRPD proposal to the state's Bipartite Intermanagerial Commission (CIB); the CIB informs the Primary Care Department of the MS of the approved units, and the Department reviews the request; it is up to the Minister of Health to approve and formalize the accreditation of the CEOs, limited by the MS's financial availability.[7]

  • Public units and universities (CEO providers) partnership

    Under Ordinance GM/MS 1,570/2004, only health units with a public legal nature and universities of any legal nature may be accredited as CEOs; for LRPDs there is no restriction on legal nature.[8]

  • National Congress (Law 14,572/2023) legislative approval

    According to Senator Jussara Lima, Law No. 14,572/2023, which instituted the National Oral Health Policy in the SUS, arose from a bill by Senator Humberto Costa.[9]

Timeline

Timeline of Brasil Sorridente: National Oral Health Policy
DatePhaseWhat happened
2004Legal actThe Ministry of Health publishes the Guidelines of the National Oral Health Policy.[1]
July 29, 2004Legal actOrdinance GM/MS 1,570 defines criteria for the Dental Specialty Centers.[10]
May 8, 2023Legal actLaw 14,572 institutes the National Oral Health Policy in the SUS.[3]

How it works

According to the Ministry of Health, access to oral health actions in the SUS begins with the Oral Health teams of the Basic Health Units and the Mobile Dental Units; when specialized care is needed, the team refers the user to the Dental Specialty Centers (CEO); the Regional Dental Prosthesis Laboratories (LRPD) carry out the laboratory stage of making the prostheses.[11]

The Brasil Sorridente frequently asked questions page (updated August 25, 2025) reports monthly operating funds of R$23,100.00 for Type I CEOs, R$30,800.00 for Type II CEOs, and R$53,900.00 for Type III CEOs, transferred fund to fund.[12]

Who it serves

To access the program, the Ministry of Health advises bringing an identification document, the SUS card, and proof of residence and going to the nearest UBS (basic health unit) to schedule an appointment with the oral health team.[13]

Budget and spending

Figures are nominal unless stated otherwise. Announced, authorized, committed, liquidated and paid amounts are different things and appear with the type indicated. In SIOP lines, "paid" means paid within the same fiscal year (arrears settled later are not counted), and one budget action can fund more than one program: the text says when the action is only part of a program.

In the SIOP, nominal values: in 2006, action 6838 (Oral Health Care) had an authorized appropriation (law plus credits) of R$109,175,749, a commitment of R$84,746,488, a liquidation of R$84,746,488, and a payment in the fiscal year of R$49,537,261; in 2010, action 8730 (Primary Oral Health Care) had an authorized appropriation (law plus credits) of R$56,142,062, a commitment of R$38,882,108, a liquidation of R$38,882,108, and a payment in the fiscal year of R$2,244,270; and in 2010, action 8934 (Specialized Oral Health Care) had an authorized appropriation (law plus credits) of R$89,296,102, a commitment of R$85,513,827, a liquidation of R$85,513,827, and a payment in the fiscal year of R$75,739,810.[14]

Deliverables

Announcement, contracting, completion and operation are different phases.

According to the Ministry of Health's frequently asked questions, at the end of 2012 there were 22,139 oral health teams operating in 4,907 municipalities, and between 2004 and 2012 943 CEOs were implemented in 771 municipalities.[15]

In the Ministry of Health's open data (Oral Health Care Network dataset), the number of Dental Specialty Centers implemented and funded in Brazil (column vl_indicador_calculado_br) was 1,087 in December 2016, 1,158 in December 2022, 1,186 in December 2025, and 1,243 in June 2026.[16]

In the Ministry of Health's open data (Oral Health Care Network dataset), the number of Oral Health teams (40 hours plus differentiated workload) in Brazil (column vl_indicador_calculado_br) was 24,384 in December 2016, 28,253 in December 2022, 34,936 in December 2025, and 35,613 in September 2026.[17]

Audits

In Evaluation Report No. 1558750, the CGU recorded that the minimum targets currently set by the Ministry of Health for the different types of CEO are not being met by 96.6% of the sample of municipalities and the Federal District (28 of 29 federative entities inspected), although all of these units continue to receive the federal public funding for operating costs every month; in the CGU's view, the minimum production rules set by the Ministry may be excessive and need to be changed.[18]

Limitations

According to CGU Evaluation Report No. 1558750, the PNSB is operationalized through a network that brings together more than 40 thousand eSB (oral health teams), in addition to 1.2 thousand CEOs, with federal investment of approximately R$4.3 billion in 2024; the current coverage of about 45% corresponds to approximately 91 million people, against the government target of reaching at least 70%.[19]

According to the article by Pucca Jr. et al. (Journal of Dental Research, 2015), a descriptive assessment of the policy's first 10 years, the most significant results appear in the epidemiological indicators, in investment, and in the building of the care network, but the oral health network still needed to be expanded, improved, and consolidated so that the policy would endure and not be the action of a single government.[20]

Context

According to the Ministry of Health, Brasil Sorridente is a dental care program created in 2004, integrated into the National Oral Health Policy.[21]

What remains to be documented

  • Origin: Normative act that creates the program under the name 'Brasil Sorridente': not found.
  • Deliverables: Series of establishments with CEO accreditation in the CNES (2007 to 2026) without an archivable document.
  • Deliverables: Oral health teams registered in the CNES in 2007 to 2010 without an archivable document.

Sources and evidence

Excerpts are quoted in the original language of the source.

  1. 1. The 'Guidelines of the National Oral Health Policy' were published by the Ministry of Health (Health Care Secretariat, Primary Care Department, National Oral Health Coordination) in 2004. The presentation is dated January 2004 and signed by Humberto Costa, Minister of State for Health, with Jorge Solla, Secretary of Health Care, Afra Suassuna, Director of the Primary Care Department, and Gilberto Alfredo Pucca Jr., National Oral Health Coordinator.

    • Diretrizes da Política Nacional de Saúde Bucal · Ministry of Health: SAS/DAB/National Oral Health Coordination Government communication
      Where: PDF p. 2 (Presentation). Accessed October 13, 2026.
      “Este documento apresenta as diretrizes do Ministério da Saúde para a organização da atenção à saúde bucal no âmbito do SUS [...] Brasília, DF, janeiro de 2004. Humberto Costa”
    • Diretrizes da Política Nacional de Saúde Bucal · Ministry of Health: SAS/DAB/National Oral Health Coordination Government communication
      Where: PDF p. 1 (cover). Accessed October 14, 2026.
      “MINISTÉRIO DA SAÚDE SECRETARIA DE ATENÇÃO À SAÚDE DEPARTAMENTO DE ATENÇÃO BÁSICA COORDENAÇÃO NACIONAL DE SAÚDE BUCAL DIRETRIZES DA POLÍTICA NACIONAL DE SAÚDE BUCAL BRASÍLIA 2004”
    • Diretrizes da Política Nacional de Saúde Bucal · Ministry of Health: SAS/DAB/National Oral Health Coordination Government communication
      Where: PDF p. 2, closing of the Presentation. Accessed October 14, 2026.
      “Brasília, DF, janeiro de 2004. Humberto Costa Ministro de Estado da Saúde Jorge Solla Secretário de Atenção à Saúde Afra Suassuna Diretora do Departamento de Atenção Básica Gilberto Alfredo Pucca Jr. Coordenador Nacional de Saúde Bucal”

  2. 2. Ordinance GM/MS 1,570/2004 defined the CEOs as establishments that provide, at a minimum, oral diagnosis with an emphasis on oral cancer, specialized periodontics, minor oral surgery, endodontics, and care for people with special needs; and the LRPDs as services for complete and partial removable dental prostheses.

    • Portaria GM/MS nº 1.570, de 29 de julho de 2004 · Ministry of Health (Saúde Legis / BVS) Official legal act
      Where: art. 1, § 1. Accessed October 13, 2026.
      “I - diagnóstico bucal, com ênfase no diagnóstico e detecção do câncer bucal; II - periodontia especializada; III - cirurgia oral menor dos tecidos moles e duros; IV - endodontia; e V - atendimento a portadores de necessidades especiais.”
    • Portaria GM/MS nº 1.570, de 29 de julho de 2004 · Ministry of Health (Saúde Legis / BVS) Official legal act
      Where: art. 1, § 2. Accessed October 13, 2026.
      “§ 2º O LRPD é o estabelecimento cadastrado no CNES como Unidade de Saúde de Serviço de Apoio Diagnóstico Terapêutico - SADT para realizar, no mínimo, os serviços de prótese dentária total e prótese parcial removível.”

  3. 3. Law No. 14,572 of May 8, 2023, signed into law by Luiz Inácio Lula da Silva, instituted the National Oral Health Policy in the SUS and amended Law 8,080/1990 to include oral health in the SUS's field of action.

    • Lei nº 14.572, de 8 de maio de 2023 · Presidency of the Republic (Planalto) Official legal act
      Where: summary and art. 1. Accessed October 13, 2026.
      “Institui a Política Nacional de Saúde Bucal no âmbito do Sistema Único de Saúde (SUS) e altera a Lei nº 8.080, de 19 de setembro de 1990, para incluir a saúde bucal no campo de atuação do SUS. [...] Art. 1º Fica instituída a Política Nacional de Saúde Bucal”
    • Lei nº 14.572, de 8 de maio de 2023 · Presidency of the Republic (Planalto) Official legal act
      Where: closing and signatures. Accessed October 13, 2026.
      “Brasília, 8 de maio de 2023; 202o da Independência e 135o da República. LUIZ INÁCIO LULA DA SILVA Maria Izolda Cela de Arruda Coelho Nísia Verônica Trindade Lima”

  4. 4. According to Senator Jussara Lima, who chaired the 69th Meeting of the Senate Social Affairs Committee, at a hearing on November 27, 2025, the dental surgeon was included in the Saúde da Família teams in 2000, by Ordinance GM/MS No. 1,444 of December 28, 2000, which establishes a financial incentive for reorganizing oral health care in the municipalities; and Ordinance GM/MS No. 267 of March 6, 2001 approved rules and guidelines for including oral health in the PSF.

    • Notas taquigráficas — 69ª Reunião da Comissão de Assuntos Sociais, 27/11/2025 · Federal Senate (Secretariat of Parliamentary Records and Writing) Official record
      Where: PDF p. 1, remarks by the chair (Jussara Lima). Accessed October 13, 2026.
      “Somente em 2000, o cirurgião dentista foi inserido nas equipes do programa Saúde da Família, programa que havia sido lançado em 1994. A inclusão de dentistas no PSF ocorreu por meio da Portaria GM/MS nº 1.444, de 28 de dezembro de 2000, do Ministério da Saúde, que estabelece incentivo financeiro para a reorganização da atenção à saúde bucal prestada nos municípios, por meio do programa Saúde da Família.”
    • Notas taquigráficas — 69ª Reunião da Comissão de Assuntos Sociais, 27/11/2025 · Federal Senate (Secretariat of Parliamentary Records and Writing) Official record
      Where: PDF p. 1, remarks by the chair (Jussara Lima). Accessed October 13, 2026.
      “A Portaria GM/MS nº 267, de 6 de março de 2001, aprovou as normas e diretrizes de inclusão da saúde bucal na estratégia do PSF, por meio do Plano de Reorganização das Ações de Saúde Bucal na Atenção Básica.”
    • Notas taquigráficas — 69ª Reunião da Comissão de Assuntos Sociais, 27/11/2025 · Federal Senate (Secretariat of Parliamentary Records and Writing) Official record
      Where: PDF p. 1, header and opening. Accessed October 14, 2026.
      “REUNIÃO 27/11/2025 - 69ª - Comissão de Assuntos Sociais A SRA. PRESIDENTE (Jussara Lima. Bloco Parlamentar da Resistência Democrática/PSD - PI. Fala da Presidência.)”
    • Notas taquigráficas — 69ª Reunião da Comissão de Assuntos Sociais, 27/11/2025 · Federal Senate (Secretariat of Parliamentary Records and Writing) Official record
      Where: PDF p. 2, remarks by Edson Hilan Gomes de Lucena. Accessed October 14, 2026.
      “quero saudar a Senadora Jussara Lima, presidindo este momento da Comissão de Assuntos Sociais e Relatora do PL.”

  5. 5. In the same remarks, the senator states that the 2004 guidelines of the new National Oral Health Policy included reinforcing the inclusion of oral health teams in the family health strategy and the creation of the Dental Specialty Centers. The MS guidelines document (2004) contains the item 'Incorporate Saúde da Família as an important strategy in the reorganization of primary care' and records that the Saúde da Família strategy was created in 1994.

    • Notas taquigráficas — 69ª Reunião da Comissão de Assuntos Sociais, 27/11/2025 · Federal Senate (Secretariat of Parliamentary Records and Writing) Official record
      Where: PDF p. 1. Accessed October 13, 2026.
      “1. Reforço da inclusão das equipes de saúde bucal como integrantes da estratégia da saúde da família. 2. Criação dos Centros de Especialidades Odontológicas.”
    • Diretrizes da Política Nacional de Saúde Bucal · Ministry of Health: SAS/DAB/National Oral Health Coordination Government communication
      Where: PDF p. 4, item 2.7. Accessed October 13, 2026.
      “2.7. Incorporar a Saúde da Família como uma importante estratégia na reorganização da atenção básica;”
    • Diretrizes da Política Nacional de Saúde Bucal · Ministry of Health: SAS/DAB/National Oral Health Coordination Government communication
      Where: PDF p. 15, item 8. Accessed October 13, 2026.
      “Fundamental à organização da atenção básica do SUS, a estratégia de Saúde da Família foi criada em 1994 e normatizada pela Norma Operacional Básica do SUS de 1996 – NOB/SUS-96, que definiu suas formas de financiamento,”

  6. 6. Ordinance GM/MS 1,570/2004 mentions, in its recitals, Ordinance No. 74/GM of January 20, 2004, which indicates the need for support from a network of specialized dental services.

    • Portaria GM/MS nº 1.570, de 29 de julho de 2004 · Ministry of Health (Saúde Legis / BVS) Official legal act
      Where: recitals. Accessed October 13, 2026.
      “Considerando o disposto na Portaria nº 74/GM, de 20 de janeiro de 2004, que indica a necessidade de suporte por uma rede especializada de serviços odontológicos especializados;”

  7. 7. Under Ordinance GM/MS 1,570/2004, the municipal manager submits the CEO or LRPD proposal to the state's Bipartite Intermanagerial Commission (CIB); the CIB informs the Primary Care Department of the MS of the approved units, and the Department reviews the request; it is up to the Minister of Health to approve and formalize the accreditation of the CEOs, limited by the MS's financial availability.

    • Portaria GM/MS nº 1.570, de 29 de julho de 2004 · Ministry of Health (Saúde Legis / BVS) Official legal act
      Where: art. 5, § 3. Accessed October 13, 2026.
      “§ 3º O gestor municipal, interessado em implantar CEO ou LPDR ou em habilitar alguma unidade de saúde com o serviço e classificação relacionados, deverá apresentar sua proposta à Comissão Intergetores Bipartite - CIB do respectivo Estado”
    • Portaria GM/MS nº 1.570, de 29 de julho de 2004 · Ministry of Health (Saúde Legis / BVS) Official legal act
      Where: art. 5, § 1. Accessed October 13, 2026.
      “§ 1º Poderão habilitar-se como CEO quantas unidades sejam necessárias para atendimento à demanda da população da região/microrregião de saúde, limitada à disponibilidade financeira do Ministério da Saúde.”
    • Portaria GM/MS nº 1.570, de 29 de julho de 2004 · Ministry of Health (Saúde Legis / BVS) Official legal act
      Where: art. 5, § 7. Accessed October 13, 2026.
      “§ 7º Caberá ao Ministro da Saúde aprovar e formalizar a habilitação dos CEO.”
    • Portaria GM/MS nº 1.570, de 29 de julho de 2004 · Ministry of Health (Saúde Legis / BVS) Official legal act
      Where: art. 5, § 4. Accessed October 14, 2026.
      “§ 4º A partir da proposta do pleiteante, a Comissão Intergestores Bipartite - CIB informará o município e a(s) Unidade(s) de Saúde aprovada(s) para que o Departamento de Atenção Básica – Coordenação de Saúde Bucal, da Secretaria de Atenção à Saúde, do Ministério da Saúde – DAB/SAS/MS aprecie a solicitação de habilitação.”
    • Portaria GM/MS nº 1.570, de 29 de julho de 2004 · Ministry of Health (Saúde Legis / BVS) Official legal act
      Where: art. 5, § 6 (transitional exception). Accessed October 14, 2026.
      “§ 6º No caso das Unidades que já atendam às condições aqui estabelecidas, e observado o exposto no artigo 3º, os municípios poderão encaminhar, diretamente ao DAB/SAS/MS, em até 60 (sessenta) dias, a partir da data de publicação desta Portaria, a solicitação de habilitação das unidades de saúde.”

  8. 8. Under Ordinance GM/MS 1,570/2004, only health units with a public legal nature and universities of any legal nature may be accredited as CEOs; for LRPDs there is no restriction on legal nature.

    • Portaria GM/MS nº 1.570, de 29 de julho de 2004 · Ministry of Health (Saúde Legis / BVS) Official legal act
      Where: art. 7. Accessed October 13, 2026.
      “I - somente as Unidades de Saúde de natureza jurídica pública e universidades de qualquer natureza jurídica poderão habilitar-se como CEO; II - não haverá restrição quanto à natureza jurídica para as Unidades de Saúde habilitarem-se como LRPD.”

  9. 9. According to Senator Jussara Lima, Law No. 14,572/2023, which instituted the National Oral Health Policy in the SUS, arose from a bill by Senator Humberto Costa.

  10. 10. Ordinance GM/MS No. 1,570 of July 29, 2004 established criteria, rules, and requirements for implementing and accrediting Dental Specialty Centers and Regional Dental Prosthesis Laboratories, with express reference to the National Oral Health Policy.

    • Portaria GM/MS nº 1.570, de 29 de julho de 2004 · Ministry of Health (Saúde Legis / BVS) Official legal act
      Where: summary and recitals. Accessed October 13, 2026.
      “PORTARIA Nº 1.570, de 29 de julho de 2004 Estabelece critérios, normas e requisitos para a implantação e habilitação de Centros de Especialidades Odontológicas e Laboratórios Regionais de Próteses Dentárias. O MINISTRO DE ESTADO DA SAúDE, no uso de suas atribuições, e Considerando o princípio da integralidade da assistência à saúde; Considerando o que estabelece a Política Nacional de Saúde Bucal em relação aos Centros de Especialidades Odontológicas;”

  11. 11. According to the Ministry of Health, access to oral health actions in the SUS begins with the Oral Health teams of the Basic Health Units and the Mobile Dental Units; when specialized care is needed, the team refers the user to the Dental Specialty Centers (CEO); the Regional Dental Prosthesis Laboratories (LRPD) carry out the laboratory stage of making the prostheses.

    • Brasil Sorridente — Ministério da Saúde · Ministry of Health Government communication
      Where: section Care flow. Accessed October 13, 2026.
      “através das equipes de Saúde Bucal, que estão presentes nas Unidades Básicas de Saúde (UBS) e nas Unidades Odontológicas Móveis (UOM)”
    • Brasil Sorridente — Ministério da Saúde · Ministry of Health Government communication
      Where: section Care flow. Accessed October 13, 2026.
      “Quando são necessários procedimentos mais complexos que necessitem de atendimento especializado, a equipe de Saúde Bucal encaminhará o usuário aos Centros de Especialidades Odontológicas (CEO)”
    • Brasil Sorridente — Ministério da Saúde · Ministry of Health Government communication
      Where: section Care flow. Accessed October 13, 2026.
      “responsáveis pela etapa de confecção laboratorial de próteses dentárias”
    • Brasil Sorridente — Ministério da Saúde · Ministry of Health Government communication
      Where: section Care flow, sentence on the LRPDs. Accessed October 14, 2026.
      “Além destes serviços, a Política conta com os Laboratórios Regionais de Prótese Dentária (LRPD) , responsáveis pela etapa de confecção laboratorial de próteses dentárias, servindo como ponto de apoio para as equipes de Saúde Bucal.”

  12. 12. The Brasil Sorridente frequently asked questions page (updated August 25, 2025) reports monthly operating funds of R$23,100.00 for Type I CEOs, R$30,800.00 for Type II CEOs, and R$53,900.00 for Type III CEOs, transferred fund to fund.

    • Perguntas frequentes (FAQ) – Brasil Sorridente · Ministry of Health Government communication
      Where: question 'What is the amount of the transfer made by the Ministry of Health?' (first occurrence), item Dental Specialty Center. Accessed October 13, 2026.
      “Recurso de custeio mensal: CEO Tipo I: R$ 23.100,00 CEO Tipo II: R$ 30.800,00 CEO Tipo III: R$ 53.900,00”
    • Perguntas frequentes (FAQ) – Brasil Sorridente · Ministry of Health Government communication
      Where: question 'What is the form of transfer of the funds?'. Accessed October 13, 2026.
      “As transferências ocorrem Fundo a Fundo”
    • Perguntas frequentes (FAQ) – Brasil Sorridente · Ministry of Health Government communication
      Where: page header. Accessed October 13, 2026.
      “Atualizado em 25/08/2025”

  13. 13. To access the program, the Ministry of Health advises bringing an identification document, the SUS card, and proof of residence and going to the nearest UBS (basic health unit) to schedule an appointment with the oral health team.

    • Brasil Sorridente — Ministério da Saúde · Ministry of Health Government communication
      Where: section How to access Brasil Sorridente?. Accessed October 13, 2026.
      “Documentos necessários: é preciso levar um documento de identificação, cartão do SUS e comprovante de residência.”
    • Brasil Sorridente — Ministério da Saúde · Ministry of Health Government communication
      Where: section How to access Brasil Sorridente?, Basic Health Units (UBS). Accessed October 13, 2026.
      “Procure a UBS mais próxima para agendar consulta com a equipe de saúde bucal.”

  14. 14. In the SIOP, nominal values: in 2006, action 6838 (Oral Health Care) had an authorized appropriation (law plus credits) of R$109,175,749, a commitment of R$84,746,488, a liquidation of R$84,746,488, and a payment in the fiscal year of R$49,537,261; in 2010, action 8730 (Primary Oral Health Care) had an authorized appropriation (law plus credits) of R$56,142,062, a commitment of R$38,882,108, a liquidation of R$38,882,108, and a payment in the fiscal year of R$2,244,270; and in 2010, action 8934 (Specialized Oral Health Care) had an authorized appropriation (law plus credits) of R$89,296,102, a commitment of R$85,513,827, a liquidation of R$85,513,827, and a payment in the fiscal year of R$75,739,810.

  15. 15. According to the Ministry of Health's frequently asked questions, at the end of 2012 there were 22,139 oral health teams operating in 4,907 municipalities, and between 2004 and 2012 943 CEOs were implemented in 771 municipalities.

    • Perguntas frequentes (FAQ) – Brasil Sorridente · Ministry of Health Government communication
      Where: question 'How many municipalities and teams in the country have joined Brasil Sorridente?'. Accessed October 13, 2026.
      “Ao final de 2012, a população brasileira contava com 22.139 equipes de saúde bucal operando em 4.907 municípios.”
    • Perguntas frequentes (FAQ) – Brasil Sorridente · Ministry of Health Government communication
      Where: same answer. Accessed October 13, 2026.
      “Entre 2004 e 2012 foram implantados 943 CEO em 771 municípios brasileiros.”

  16. 16. In the Ministry of Health's open data (Oral Health Care Network dataset), the number of Dental Specialty Centers implemented and funded in Brazil (column vl_indicador_calculado_br) was 1,087 in December 2016, 1,158 in December 2022, 1,186 in December 2025, and 1,243 in June 2026.

  17. 17. In the Ministry of Health's open data (Oral Health Care Network dataset), the number of Oral Health teams (40 hours plus differentiated workload) in Brazil (column vl_indicador_calculado_br) was 24,384 in December 2016, 28,253 in December 2022, 34,936 in December 2025, and 35,613 in September 2026.

  18. 18. In Evaluation Report No. 1558750, the CGU recorded that the minimum targets currently set by the Ministry of Health for the different types of CEO are not being met by 96.6% of the sample of municipalities and the Federal District (28 of 29 federative entities inspected), although all of these units continue to receive the federal public funding for operating costs every month; in the CGU's view, the minimum production rules set by the Ministry may be excessive and need to be changed.

    • Relatório de Avaliação nº 1558750 – Avaliação da execução do Programa Brasil Sorridente – Exercício 2025 · Office of the Comptroller General (CGU): Federal Internal Control Secretariat Audit
      Where: Finding 3.3, p. 33 of the PDF. Accessed October 13, 2026.
      “Os resultados desta auditoria indicam que as metas mínimas atualmente estabelecidas, pelo Ministério da Saúde, para os diferentes tipos de CEO, não estão sendo alcançadas por 96,6% da amostra de municípios e o DF, embora todas essas unidades continuem recebendo mensalmente o recurso público federal de custeio.”
    • Relatório de Avaliação nº 1558750 – Avaliação da execução do Programa Brasil Sorridente – Exercício 2025 · Office of the Comptroller General (CGU): Federal Internal Control Secretariat Audit
      Where: Finding 3.3, p. 35 of the PDF. Accessed October 13, 2026.
      “Nessa esteira, no período de agosto a outubro de 2024, quando a quase totalidade dos municípios e DF auditados (28 de 29 entes federativos inspecionados, ou 96,6%) não conseguem produzir o mínimo pactuado com o MS, ou quando a quase a totalidade de CEO credenciados pelo gestor federal (54 de 57, ou 94,74%) não cumpriram integralmente os requisitos, significa que as regras de produção mínima determinadas pelo Ministério, podem ser excessivas e precisam ser alteradas.”

  19. 19. According to CGU Evaluation Report No. 1558750, the PNSB is operationalized through a network that brings together more than 40 thousand eSB (oral health teams), in addition to 1.2 thousand CEOs, with federal investment of approximately R$4.3 billion in 2024; the current coverage of about 45% corresponds to approximately 91 million people, against the government target of reaching at least 70%.

    • Relatório de Avaliação nº 1558750 – Avaliação da execução do Programa Brasil Sorridente – Exercício 2025 · Office of the Comptroller General (CGU): Federal Internal Control Secretariat Audit
      Where: Introduction, p. 12 of the PDF. Accessed October 13, 2026.
      “No plano nacional, a PNSB é operacionalizada por rede que reúne mais de 40 mil eSB, além de 1,2 mil CEO, 4,2 mil LRPD e UOM credenciadas, com investimento federal aproximado de R$ 4,3 bilhões em 2024. A cobertura atual de cerca de 45% corresponde a aproximadamente 91 milhões de pessoas, diante da meta governamental de alcançar ao menos 70%.”

  20. 20. According to the article by Pucca Jr. et al. (Journal of Dental Research, 2015), a descriptive assessment of the policy's first 10 years, the most significant results appear in the epidemiological indicators, in investment, and in the building of the care network, but the oral health network still needed to be expanded, improved, and consolidated so that the policy would endure and not be the action of a single government.

  21. 21. According to the Ministry of Health, Brasil Sorridente is a dental care program created in 2004, integrated into the National Oral Health Policy.

    • Brasil Sorridente — Ministério da Saúde · Ministry of Health Government communication
      Where: 'Info' section, paragraph 1. Accessed October 13, 2026.
      “O Brasil Sorridente é um programa de assistência odontológica, criado em 2004, que apresenta diretrizes nacionais de saúde bucal, integradas na Política Nacional de Saúde Bucal.”

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