mobiledentistry-.pptx in public health dentistry

mobiledentistry-.pptx in public health dentistry

1. MOBILE DENTISTRY Presented BY: tAnusha paonarkar Guided by: Dr. Prakash kasbe

2. CONTENTS INTRODUCTION HISTORY SPECIFICATIONS ADVANTAGES LIMITATIONS WORLD SCENARIO INDIAN SCENARIO CONCLUSION REFERENCE

3. INTRODUCTION The Mobile Dental Clinic is used primarily when oral health care is to be delivered to small pockets of patients that are scattered over a specific geographical area .

4. FEATURES Initial cost is less but maintenance cost is higher. Useful life is shorter. Requires water and waste disposal methods. Equipments may be traditional or portable. Requires generator .

5. Target Populations Low Income Individuals. Rural populations. Very young children. Persons in residential care facilities. 5) Bedridden Individuals. Persons with variety of health care needs. Migrants and seasonal workers. Homeless or temporarily displaced .

6. HISTORY In 1917,the Preparedness League of American Dentists presented an dental ambulance to the army in the name of RED CROSS.4 dentists and 2 assistants operated the ambulance.

7. Portable dentistry began during the World War II. The dental officer of each tactical unit was supplied one large shoulder pouch and his assistant carried two smaller pouches. The pouches included items required for the relief of pain, simple extractions, emergency treatment of maxillofacial injuries and temporary fillings.

8. Born out of the Dental Ambassadors program, the USC Mobile Clinic first came into being in 1968 when the program began serving migrant farm workers in Central and Southern California at clinics set up in high school gymnasiums and recreation centers.

9. In 1969, the program’s success attracted the attention of USC alumnus Walter Kiefer, president of Condor Coach Company. Kiefer donated a coach to the program, and it was outfitted for mobile dentistry through a grant from the Doris Duke Foundation. A year later, faculty member Charles Goldstein became advisor to the student-run Mobile Clinic. At Goldstein’s suggestion, the Mobile Clinic focused on serving children in need rather than an entire population

10. A year later, faculty member Charles Goldstein became advisor to the student-run Mobile Clinic. At Goldstein’s suggestion, the Mobile Clinic focused on serving children in need rather than an entire population In 1971, the Mobile Clinic expanded to include Ventura County resulting in an increase from 20 to 30 weekend clinics per year. To meet the increased demand, dental students from UCLA (University of California, Los Angeles) joined this program.

11. Mid-week clinics were added in 1975. The program now boasts five vehicles, including a sterilization van and modern, portable dental equipment. Since 1994, the Mobile Clinic has been a required clinical rotation for all doctoral dental students.

12. SPECIFICATIONS The Mobile Dental Clinic should be equipped with 2 dental chairs with all attachments and seating space for 15 to 20 people

13. Equipments : Dental Chair Hydraulically operated Air ventury suction Aerotor Micromotor Scalers 3 way syringe Multi functional foot control Basin Stainless steel instrument tray X-Ray viewer Dental operator’s stool

14. Operating light with two intensity. Dental X-Ray unit. Autoclave. Glass Bead Sterilizer. Metal cabinets with wash basins. Portable dental unit. Mobile suitcase unit Compact compressor

15. Stabilizer Generator Water Tank Oxygen cylinder Public address system TV and DVD player Health education models

16. DESIGN OF A MOBILE DENTAL VAN

17. ADVANTAGES Moderate start up costs. Problem of transportation to clinics is solved. Decreases missed appointments when run in conjunction with schools. Services can be made available at multiple sites. Services are made available to the needy population.

18. LIMITATIONS Difficult to access and store patient’s record. Provides limited services like which can be done in one sitting. Follow up is difficult. Requires permission for site use. Difficult to use during monsoon.

19. 6) Difficult to manage complications. 7) Always complete with the treatment started. 8) More work cannot be done on a single patient because of limited time. 9) It is difficult to obtain a blood test of source patient, in case of occupational exposure .

20. WORLD SCENARIO The world’s population has grown rapidly in recent years and India is the world’s second most populous country. World Health Organization (WHO) recommends a dentist to population ratio of 1:7500 for achieving optimal oral health, The dentist population ratio in India was 1:3,00,000 in 1960, which at present stands at 1:10,000. In India a clear cut disparity was noted in distribution of population between rural and urban areas.

21. Some Mobile Dental Clinics Across the Smiles:[Generation Family Health Centre, Connecticut] It is a 40 foot long flat-bed truck which is used for providing, EDUCATION PREVENTIVE CARE RESTORATIVE CARE CASE MANAGEMENT SCREENING AND ASSISTANCE FOR DENTAL INSURANCE APPLICATION

22. 2) Smiles 2 go: [The hospital of Saint Raphael, Connecticut] It is 65 foot articulated Tractor-trailer, which provides, Dental care for school children Dental care at community sites

23. 3) Molar Express: [The Hartford City Public School, Connecticut] It is a 30 foot Winnebago van which is used for providing dental services to the children of 17 schools.

24. 4) Miles for Smiles mobile dental clinic: It’s a collaborative effort between, Denver, Colorado-based KIND(Kids in Need Dentistry) Southwest Community Resources(SCR) Montrose Memorial Hospital Northwest Colorado Dental Coalition Catholic Charities

25. It provides comprehensive dental services and school based dental education to children and families residing in western slope region of Colorado. The unit travels year round and covers a service area of 16 rural and frontier countries equaling 31,019 square miles. The program targets children aged 0-18 from low income families.

26. INDIAN SCENARIO IDA and Colgate conduct Free Dental Check-Ups for Children from Pratham in Mobile Dental Vans To mark Oral Health Month (OHM) October, 2008, Colgate-Palmolive (India) Ltd. and the Indian Dental Association (IDA) organized free dental check ups in Pune, Mumbai and Chennai for children from Pratham, the community based organization that promotes education of underprivileged children, in an OHM Mobile Dental Van.

27. The event organized by Colgate and IDA, used one of the OHM Mobile Dental Van equipped with Dental equipment to conduct free dental checkups. These vans work in underprivileged areas of city where people have limited access to dental care, to create awareness for good oral health care habits.

28. Proposed Model for oral health care delivery using mobile dental clinics for the population of a district in India The principal unit of administration in India is the district under a collector. A proposed model for Bhopal district is suggested here: Bhopal District has approximately 1850 villages. Most of these villages have schools and they lack an access for basic oral health services .

29. 2) Bhopal District has 6 dental institutions for training undergraduate students. It is mandatory to have a mobile dental clinic with a portable dental chair in each such institutions as per DCI regulations.

30. 3) A memorandum of understanding (MOU) has to be developed between these dental institutions and the NGOs to execute the program in a prescheduled manner so that every institution will have fixed number of villages to be covered in academic year. The District Collector (DC), District Health Officer (DHO), District Education Officer(DEO), the Heads of Dental Institutions, representatives of NGOs and local civil societies should be made the parties to the MOU.

31. The roles and responsibilities of each party in the MOU should be specified. The DC,DHO and DEO may coordinate the entire program with close monitoring on monthly progress. The dental institutions may offer onsite and specialist dental services through referral and teledentistry. The NGOs may finance and publicize the program, local civil societies to schedule and make local arrangements for the successful implementation of program.

32. 6) If one mobile dental clinic works for 3 days in a week, covering a new village every time, then total number of villages covered by each institute per year will be 156 (52 weeks x 3 days/week). 7) Total number of villages covered by all these colleges together every year will be 936 (156 villages x 6 colleges). 8) In this way, all villages will be covered within 2 years and thus, periodicity of dental services in each village will be once in every 2 years.

33. SMILE TRAIN Smile Train is a organization and charity providing corrective surgery for children with cleft lips and palates. Headquartered in New York City and founded in 1999, Smile Train provides free corrective cleft surgery in 87 countries, training local doctors and providing hospital funding for the procedures.

34. Smile Train was created in 1998 by Brian Mullaney and Charles Wang, who had previously worked with Operation Smiles, another charity focused on correcting cleft lips and palates. Smile Train began working in India in 2000. In 2011, Aishwarya Rai, a Bollywood actress and former Miss World, became Smile Train's first goodwill ambassador. By 2013, Smile Train was conducting 50,000 corrective surgeries in India annually.

35. Smiles Train Mission Over a million children in India with untreated clefts live in isolation, but more importantly, have difficulty eating, breathing and speaking. Cleft repair surgery is simple, and the transformation is immediate. Our sustainable model provides training, funding and resources to empower local doctors to provide 100%-free cleft repair surgery and comprehensive cleft care.

36. Smile Train India's Journey At A Glance 2000 Smile Train started in India 4,50,000+ Surgeries Smile Train has provided in India 50,000+ Children Smile Train will help this year, in India 300+ Doctors Smile Train will help train this year in India Rs. 18,000 Average cost-per-surgery as per Smile Train standards 45 Minutes to repair a simple unilateral cleft lip 180+ Number of smile train partner hospitals in South Asia 5 People involved in Smile Train programs in India 80+ Countries that have Smile Train programs, including India

37. Unique Model Unlike many charities that do many different things, Smile Train is focused on solving a single problem: cleft lip and palate. We focus all our time, effort and money on studying, understanding and treating clefts. With the support of our donors and partners around the world, Smile Train has transformed the lives of more than one million children by giving them the power of a smile - that's roughly 350 surgeries a day and 128,000+ every year.

38. Supporters INDIVIDUALS: Aishwarya Rai Bachchan Late Dr. APJ Abdul Kalam ORGANISATIONS: Bajaj Group Indiabulls Foundation The Himalaya Drug Company

39. CONCLUSION Fully equipped mobile dental clinics to provide effective dental care to the doorstep of underprivileged, rural population is need of the hour. The focus should be on reducing the major disparities in oral health status and inequities in access to oral health care, while providing the highest caliber of dentistry for patients in a highly efficient manner.

40. 3) Even with the limited literature available at present regarding the efficacy and role of mobile dental units independently, their future looks promising regarding filling the gap between health care facilities provision and utilization.

41. REFERENCES Soben Peter. Reach the Unreached- by V. Vashishtha (Article). Mobile Portable Dental Services- by R. Ganavadiya. World Dental Relief- Chapter 16.