Prosthetic rehabilitation of facial defects in the Brazilian Unified Health System: Overview of procedures related to oral and maxillofacial prostheses in Brazil (2014–2024)

PURPOSE: To describe the national panorama of outpatient procedures related to oral and maxillofacial prosthetic rehabilitation performed within the Brazilian Unified Health System between 2014 and 2024. MATERIALS AND METHODS: An ecological, retrospective study was conducted based on secondary data from the Outpatient Information System of the Unified Health System, with analysis of production according to type of prosthesis, geographic distribution, approved values, and proportional rates per population. RESULTS: In the period analyzed, 17,052 procedures were recorded, with the highest volume in 2023. Ocular prostheses accounted for the largest contingent (10,854), followed by oculoplastic, mandibular, and nasal prostheses. The spatial distribution showed a concentration of care in the Southeast Region (11,674 procedures), with the state of São Paulo standing out. The proportional rates per million inhabitants ranged from 27.6 (Northeast) to 131.4 (Southeast). The financial values totaled R$3,383,613.34 in the period. CONCLUSION: The national production of oral and maxillofacial prostheses has grown in recent years, with a predominance of ocular prostheses, a low supply of implant-supported prostheses, and regional concentration of care, indicating a need to expand and decentralize specialized services.