Tag: Dental

Current Status of Dental Graduates in India – Oral Health

Article

August 2, 2021
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6 min
2 years
1,174 word

Tagged Dental, Dental Care, Dental Graduate, Dental Problem, Oral

Current Status of Dental Graduates in India – Oral Health

AUTHOR : DR. SAUMYA LAL

Introduction

Oral illnesses such as tooth decay, gum disorders and oral cancer impact around half of the world’s population and are among the most frequent health conditions in the world, with untreated dental decay. The most common ailment is oral problem in India and has stayed intact for the last 30 years. The fast expansion in the number of dental schools in the country, however, has neither reduced the burden of oral illnesses or provided oral health care access to all sections of society.

Most oral conditions may be avoided or may simply be handled with little intervention, if diagnosed early. A suitable “skill blend” in the dental staff is necessary. For nearly 313 dental colleges in India, dentists are only trained by 54 dental schools; dentistry mechanics training is provided by 90 dental colleges; and dental assistants are trained by 25 dental colleges. The incidence of oral illnesses has not improved significantly in India during the last three decades, emphasizing that the political and service-life aspects of oral health are not of any relevance.

There are several obstacles to oral health in India, as:

lack of recognition that oral health is important to people, which perceives it independent of and secondary to general health;
no access to oral health care services for many on account of geographical distances;
Dental health workers in India have a low population-to-population ratio. Dentists are unequally distributed nationwide, most of them are found in metropolitan areas.

Current Situation

There are other estimates that there are 3 lakh dentists in India but their dispersion across the country is unequal. India in 2001 had a dentist in urban regions for every 10,000 people and a dentist in rural regions for every 2.5 lakh. The demand for an equilibrium supply was excellent at one point, but the current imbalance might see up to 1 lakh of dentist oversupply in India by 2020.

DCI tried hard to decrease dental graduates’ performance by allowing colleges only when they had a medical school affiliated to them. However, this was not sufficient, as is clear by the increasing number of dental graduates with reduced chances of employment each year. Unemployment has invaded the health industry with supply overloads in the number of new dental graduates on the market. India has decided to discontinue allowing the opening of new dentistry schools. It was adopted at the last General Board Meeting of the Indian Dental Council (DCI), which granted new institutes authorization. It was decided that many of the current colleges want the council to refuse authorization for new institutions to make fresh bids. They also claimed that the high unemployment rate is a reason why new institutions should not be given approval. In recent years, dentistry in India has developed rapidly. Notably, the number of dental schools and of persons joining the dental profession has increased considerably in the previous 15 years. The quality of education and likely reduction of jobs in the next few years for dentists due to excessive dental output and market saturation are nonetheless a major worry for both professionals and the general public.

Dentistry is a noble occupation. A Bachelor of Dental Surgery degree demands years of commitment to the dental topic. However, the present status of dental graduates in India is serious even after such arduous efforts. The major source of the problem is a number of problems. As a result of a lack of assistance from the government, dental graduates are in difficulty. If it continues, the credibility of the dental profession will be negatively affected and the country’s highly qualified dental staff would go in vain. In dental grads, there are several causes that contributed to the present issue. Some of these factors could be related to lack of dental attention, a random distribution of dental colleges throughout the country, lack of government jobs, high competition in private practise, expensive equipment, insufficiency in Indian public awareness of oral medical care, very few postgraduate seats in government universities, very high fees for private schools, etc.

Different actions to alleviate inequity in dental care in India.

establishment in villages, schools, old-fashioned homes or orphanages;
satellite services for oral health services for the people in remote and poor areas;
mobile vans for remote village access;
use of oral health staff and preventive programmes.
the Indian Dental Council might provide competence-based, communal training in internships for pro-professional bodies in India;
reducing the tax on toothpastes and dental equipment in order to make them publicly and dentistry more affordable;
supporting the local production of dental products to create and reduce employment; and
integrating oral health into overall health, making it more community-acceptable.
The Indian government initiated the AIIMS national oral health program: changes in the causes of poor verbal health;
reductions in oral morbidity; integrate the oral health promotion and preventive services with the overall health care system; and
support the development of oral health and prevention services with a general healthcare system;

Conclusion

Dentistry planners and policymakers have a need to grasp the specific requirements and resources of development for an efficient oral health policy with suitable credentials and training in public health dentistry. Other government initiatives that offer basic oral health requirements of the large underserved populations of this nation can also be supported by professional dentistry organizations.

There are several articles on the issues of dentists in India published in the medical literature. However, the government of India is still not taking drastic efforts to improve the dental graduates’ condition. Several actions are necessary to manage the dental graduates’ bad position. First, the number of dental schools should be controlled, as the number of dental schools is larger than the total number of graduates’ posts. It is high time to manage dental surplus, as this simply leads to increased rates of unemployment.

Suggestions

Increasing employment possibilities in rural areas might increase the imbalance between the rural and urban dentists, therefore attracting dental graduates in rural regions and therefore divert the concentration of dentists in urban areas to underserved areas. Initiatives are being taken by the government of India to establish dental practises in rural regions through incentives that are genuinely important. In government hospitals and primary health centres, the government of India must prepare to generate new dentistry graduate jobs. Some of the causes that play a leading role in such a crisis are the non-uniformity of the method, unfair distribution in dental institutions across India, lowered education quality and obstacles to private practise, difficulties in graduating, financial stability etc. While not all such issues can be addressed quickly, DCI and the Indian government can do something to maintain their interest in the dentistry stream for dental graduates.

Unless suitable choices are taken on time, the integrity of the dental trade will be affected, and the country’s highly qualified dental workforce would be in vain.

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Endodontic in the Pandemics : Clinical Tips and Considerations

Medical

July 9, 2021
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6 min
2 years
1,082 word

Tagged Clinical, Dental, Doctor, Endodontics, Health Care

Endodontic in the Pandemics : Clinical Tips and Considerations

During a pandemic, providing endodontic care should include measures that limit the potential of virus transmission among patients, employees, and clinicians. This entails using tele-dentistry to reduce needless patient visits, being prepared to give same-day treatment, shortening treatment durations, and minimising the creation of contaminated aerosols and air droplets.

AUTHOR : DR. SAUMYA LAL

The ongoing pandemic is one of the biggest issues in the healthcare industry. The COVID-19 clinical features are yet not fully established. In terms of oral problems, dental treatment and emergency care, the dental management of these individuals might occasionally be problematic. The examination and care of these individuals is one of the problems facing dental experts today. It is crucial to remember while treating patients during a pandemic, as patients must limit their time spent outside their homes.

Prepare to treat a patient who has merely come in for a consultation in order to decrease the number of patient visits. This planning should begin well in advance of the appointment.
Patients should be educated on why restricting their excursions outside of their “safe” residences and receiving same-day treatment, if necessary, is beneficial to their safety during a pandemic. As a result, whether it’s decided that a patient needs emergency or non-emergency therapy, you and your team should be ready to act quickly.
Immediate action involves front-desk personnel rearranging the schedule to accommodate the unexpected treatment, as well as phoning and shifting the next scheduled patients a “few minutes” later, as you may be running late due to the unscheduled emergency. It also entails putting in place logistical clinical processes that allow for quick treatment. Patients’ and staff’s safety, as well as the practice’s efficiency and output, would all benefit from a reduction in patient visits.

The increased risk of coronaviral transmission and usage of valuable costly and perhaps restricted PPE supplies may be increased by the addition of patient visits.
When contacting your office with a tooth discomfort, you should try to remotely and virtually telemedicine and triage people.
Consider excluding non-ended symptoms such dentin hypersensitivity (i.e., brushing or sweating brief acute pain) and parafunction (i.e. non-localized pressure tenderness waking patients up at night or present upon waking up in the mornings).
Encourage your patients to use smartphones to deliver intraoral and extraoral photographs.
More extraoral imaging, such as CBCT or panorex, should be used to diagnose patients whenever possible. This reduces the need for intra-oral radiography, which are associated with a higher risk of patients coughing or choking, resulting in contaminated droplets.
A CBCT scan can frequently substitute the requirement for invasive exploratory endodontic access and/or surgery, both of which entail contact with contaminated saliva and/or blood.
Keep in mind the necessity of conclusive therapies while organising your therapy. Explain to patients that heroic endodontics are not appropriate during a pandemic. Due to postoperative problems or failures, treatments with a poor prognosis are more likely to have follow-up visits. For example, when compared to extraction and implant replacement, retreatment of a complicated molar case with questionable restorability may have a bad prognosis.
When endodontic treatment is judged to be essential, bear the few points in mind. Reduce the virus’s airborne transmission by employing rubber dam isolation to reduce, if not eliminate, the generation of infected aerosols and droplets.
Rubber dam isolation is an unmistakable standard of care and it must be used for all non-surgical root canal procedures. The removal of contact with contaminated saliva during drilling and file handling, as well as the avoidance of air droplets in the event that patients cough during the process, is a COVID-related advantage of its use.
Not only do we have to employ rubber dam isolation, but it’s also possible that it makes non-surgical endodontic therapy one of the least probable methods to create contaminated aerosols and air droplets. Oral washing with an antiviral solution, as well as rinsing the isolated tooth’s crown with an antiviral solution, are recommended before endodontic access preparation.
Reduce the time spent in the chair for the patients by using the following procedures and armamentaria to complete the process as quickly as feasible.
To detect canals, particularly calcified and MB2 canals, use increased magnification and light. High-powered loupes, an overhead light, and/or a dental microscope are used to do this. Face shields may be required depending on the regulations in your jurisdiction. When using dental loupes, it may be simpler to wear a face protection than when using a dental microscope. Incorporating shields into your practise may need a little innovation.
To determine working lengths, use a good electronic apex finder. This will minimise the number of intra-oral radiographs required, which will expose you and your assistant to contaminated saliva, as well as the danger of the patient coughing while taking x-rays, and will make the process more efficient overall.
Use endodontic NiTi filing systems instead of conventional NiTi filing systems, which need fewer files and processes. As a result, the operation will be more efficient, and you will be able to handle endodontic emergencies and same-day procedures.
For teeth with necrotic pulps, multi-visit root canal procedures were once frequent. However, as previously said, root canal procedures should be completed in one visit whenever feasible. This may be accomplished by more effectively conducting root canals and using certain techniques. When specific protocols are used, studies demonstrate that there is no difference in the result of single and multi-visit root canals. Improved intracanal medicament and activation are some of them. Single-visit root canal treatments have also been proven to have no higher risk of postoperative discomfort compared to multi-visit root canal treatments.
In the same appointment, try to repair the endodontically treated tooth permanently. Especially while the rubber dam is still in place and right after root canal treatment. By decreasing coronal bacterial microleakage, this improves the result. While the tooth is not completely repaired, it also helps to minimise the chance of tooth and/or temporary restoration fracture.

Endodontic care was as critical as ever during the COVID-19 epidemic. But because of this constant epidemic, we must adapt our practise with the adoption of particular procedures, as we encounter never before seen clinical problems. We should focus on the fast and successful endodontic treatment and a decrease in viral dental hazards is to be adapted to COVID-related issues.

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