 Hello everyone, welcome back to a new session on Tentistry and more. So today's topic is a long essay that is Dental Public Health Problems in India and the problems which associated with oral health. So this answer is not very much detailed given in the textbook. So I have collected a little bit of information from the articles and from other sources. So let's see what are the dental public health problems of India. So that means the problems associated with dental health of a public. So how the oral health problems are prevalent in our country. So we know that our country is a developing country. We have a lot of problems with affordability because majority of the population are under poverty lines. So their affordability and their accessibility to a dentist and many problems they are facing. So let's see what are the problems in detail. So first we have a definition of dental public health. So it is the science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. So controlling the disease and preventing the formation of diseases by organized community efforts. So this war is important community efforts. Now single individual can do any change in a community or a population. So it should be a community effort in order to control the disease. So what are the dental public health problems in India. So the first one is related to the workforce because we have a lot of dentists working in the private sectors and they are practicing as a clinical dentist not as a public health dentist. So I have mentioned in my one after session what is a clinical dentist and what is a public health dentist. So clinical dentist is based on curative services like patient comes with pain, they treat the patient and they go back. But public health dentist is what actually doing a promotion book like how to promote oral health, how to prevent dental diseases. Such things are promoting to a group of people. So only a public dentist can bring out a good change in a society or a country related to the oral health. So public dentist department in the country are not rooted in the community rather than it is confined to hospitals that is one of the main problem. So the branch which is supposed to serve this population by providing them oral health facilities and educational services they are confined to hospitals, they are not going much into the field work. So the department has been used only to increase the number of patients. So in every college the PhD department is actually working to get the patient from the outside to college to increase the revenue because they are not actually helping the people but actually they are helping the college by providing many patients by conducting CAMS so that the college will get a better revenue and it is act as a advertising agency for the colleges because they do dental checkup CAMS which has very little benefit for the community. And the government has not properly executed oral health policy we don't have a proper oral health policy in our country that is a first and foremost problem. The next one is primary oral health care. So we know that what is primary health care we have seen primary health centers and sub centers these are the grass root level where the first level of the people's contact with the health system but we know that very few that is not even 20 percentage of primary health centers around the country have a dentist for a dental public health personnel so it is very very rare in our country that a PHC is having a dentist post so primary level care for a dentistry is not at all happening in our country that is the biggest problem because everywhere we have a doctor that is an MPVS doctor but we don't have a dentist at a primary level so that is the biggest problem because we know how primary health care has improved the health system of our country because it has ease of access any layman, any slump people, any underprivileged people can go to a primary health center and get the basic treatment but if the same person is suffering from an oral health disease he has to travel to city or he has to travel to a private clinic and pay a lot of money for the treatment that he would definitely neglect and that ultimately affect his oral health so the primary level care is not provided in our country at any primary health center very few primary health centers having a dentist post even that they are under-equipped they don't have a proper dental chair no instruments no equipments no other materials so even though we have few dentists at few places they are under-equipped another problem is the under utilization of internship programs so we have a one-year internship after the completion so the new dentist or the fresh dentist they don't know much about the community oral health they are not aware of the responsibility towards society so the attitude of new dentist is just to make money start up a new clinic and it is very much self-centered that attitude building of towards a compassion towards a community is not happening at any places in our curriculum so that is one of the problem another one is self-medication of dental condition because majority of the conditions are like pain so pain has to be dealt properly because pain means we know that if a pain comes it is reaching pulse so we might go to a dentist and get a proper treatment done but most of the patients what they do they go to over the counter medicines and take some painkillers and just get rid of that pain but they are not treating the problem because if they go to the dentist they might need to pay a hefty amount if the dentist asking for a root canal treatment or any other procedure so to avoid that he uses the medication so self-medication is the biggest problem in our country because it is a universal phenomenon so most of the European countries and other countries are also following it but our country the problem is the affordability is a big issue people can't afford a dental treatment because most of the dentists are working in private sector and the another thing is mobile dentistry so mobile dentistry we know that every college will be having a mobile dental clinic they go to the rural areas and get the treatment done but we know that how is the actual scenario most of the college is dental ones not only working sometimes they don't go to very rural places and they go conveniently to few places with some NGOs which they have some connection with so it is all priorities so serving a community is the least priority in most of the cases and the research and other programs in dental public health so we know that research is very much happening in our country but the problem is research in our the public health sector or the dental public sector is very very at nascent stage even though we have a 300 odds dental colleges in India so research in other branches are happening but that is a clinical dentistry that is pertaining to that is focusing on an individual and this but public health is not a matter of concern in any of the research that is another problem we are facing so that is a few problems in the dental public health I'm not talking about dental health dental health is like a individual's health dental public health is a health of a public related to oral cavity or oral health so that part is over now we have some national programs this is a part of five year plans so till 2014 we had five year plans now it is replaced by NET IOC so we don't have a planning commission so Modi government removed the planning commission and five year plans and it got replaced by NET IOC NET IOC means National Institute of Transforming India so we have many programs preventive and promoting healthcare like mission Indra Dhanush programs or communicable disease like RNTCP, NAACP, pulse polio program, non communicable disease like NPC DCS, NPPCD I'm not explaining everything I just mentioning few names national nutrition program is there like mid-day male scheme program for strengthening like national program for healthcare of elderly miscellaneous programs so we have many programs but what we are trying to focusing on national programs associated with the dental public problems that is related to dental health so these are the general health problems but few problems are assessed or addressed by few of the national health programs and one of that program is national tobacco control program RNTCP and we had a COTPA Act 2003 that we had discussed in our epidemiology of oral cancer in detail so you can have a look on that video then we have a cigarette act 1975 we have national oral health program mid-day male program and few other programs like flu roses program so what is national tobacco control program this is important this tobacco control program I mentioned it very clearly in that video anyway tobacco is responsible for mainly cancer so cigarette act was passed in 1975 then 2003 this COTPA Act later government of India piloted a national tobacco control program in 2007 and 2008 so program is under implementation in 21 out of 35 total monitored recent states so countries has witnessed a community level initiatives for tobacco control there is a positive side of this tobacco control program so Sikkim was the first state in country to be declared smoke free in 2010 and Chandigarh was the first city to declare smoke in 2007 this is a state and this is city so we have some national oral health program that is NOHP which was drafted in 1984 we don't have still a oral health policy we have national health policy 1983 and 2000 we have two different policies but we don't have a national oral health policy national oral health policy which was drafted in 1984 put forward some formulations some resolutions so after 1984 there were two national workshops held at Tilley and Mysore during 1991 and 94 respectively so after that both conference of central council of health and family welfare in October 1995 formulated a policy so it is the same time when WHO had given importance to dental health by selecting the theme oral health for healthy life for global health for the year 1994 that was only one year where oral health was given as world health theme so let's see what were the oral health policy drafts resolutions so there were 10 resolutions these are not very much important so we can just have a look on this the first one was there is a urgent need on oral health policy for the nation so we need to prevent curative educational oral health care program integrated into existing system a post of full-time dental advisor should be appointed at DGHS then prevent the rising trends of dental diseases and oral cancer oral health services be introduced from the village level onwards and accordingly as a pilot project which is launched by ministry of health and family welfare during 1995 and 96 in five districts then council further resolves the legislative measures to adopt to reduce the dental carries by wrapping up the sweets with quads such as too much eating sweets may lead to decay of tooth similar measures also pull for tobacco and pan masala related products so 23 states and out of 29 it's already banned this good girl and 11 states banned smokeless tobacco then the council recommend a national oral health care program training center the council also resolves that all district hospitals and community health centers have a dental clinic and all dental college colleges should have courses on dental hygienist and dental technician and further resolves that the pilot project may be extended to all the states at the rate of one district in every state so these were the resolutions not the plans these resolutions many were not reached beyond the paper so few of them were taken up into consideration but many of the projects or the resolutions were not been implemented so what happened after that so the national oral health policy oral health care program has been launched by pilot project by state that's just we discussed then health programs are giving negligence importance to oral health model for infant and child oral health promotion so that was proposed by javdecker in 2013 and oral health policy phase one for karnataka so those two were no recent development then world health organization and government of india was held a workshop to expand the role of dental frozen and now that is national oral health mission so current oral health programs not much oral health programs is running in india though one of the very few is mild train which actually started in new york uh so every year 35 000 children in india are born with cleft palate or the cleft clip so these are corrected by smile train which is a train with hospital facility under totally free so 2000 smile train has sponsored over 45 450 000 surgery across india but there are still estimated 10 lakh untreated cases of cleft clip so that were the few programs one of the very few programs which is happening on the oral health side so we were discussing dental public health programs my dental public health problems then national health programs and the few programs associated with oral health so this was a essay asked once what are the national health problems or national health programs associated with oral health and what are the dental public health problems so dental public health problems is different like what is a public health sector is facing related to oral health and this is different like tobacco program and other programs it is not very interesting topic but a question I have asked so I kept this few articles points here so you can refer the points and make note of it and write it for an essay or short note it won't be asked for short note mostly it will be a 10 more or 14 more question so thank you