universal oral care

AMAR SINGH FOUNDER & CEO

UNIVERSAL ORAL CARE

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CLOVE DENTAL (STAR DENTAL CENTER PVT. LTD.)

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Today 2016 2020 Clinics 60 150 600 Mobile Clinics 2 6 20 Community Clinic 1 3 10 Dentists 180 450 1800 Dental Assistants 120 350 1300


CLOVE HERITAGE – CSR

§  2 Mobile Clinics §  Community Clinic

§  Motivation v  Philanthropy v  Employee satisfaction & engagement v  Innovation & Research v  Training v  Branding / Business

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H E R I T A G E


AGENDA

§  Oral disease – a global challenge

§  Impact on overall health + cancer / HIV detection

§  Challenges providing oral care & Indian perspective

§  Towards universal oral care


WHAT IS ORAL DISEASE §  Oral disease is among most common diseases, with high social &

economic burden to society – yet neglected in many countries §  Good oral health is critical for :

v  Eating, drinking, biting, chewing, swallowing, breathing, speaking v  Smiling, kissing, expressing feelings v  The oral cavity plays central role for intake of basic nutrition ��

and protection against microbial infections §  Oral health more than just dental health

v  Healthy gums; Hard and soft palate; Linings of mouth & throat; Tongue; Lips; Salivary glands; Chewing muscles; Upper and lower jaws

§  World Oral Health Day – FDI, March 20, 2016


LIFESTYLE DISEASE WITH MANY CONTRIBUTORS


ORAL DISEASE: A SERIOUS GLOBAL CHALLENGE

§  25% of all genetic birth defects are craniofacial malformations

§  30% of people worldwide aged 65-74 years are edentulous

§  2.4M days of work & 1.6M school days lost in US due to oral diseases

§  The burden of oral disease higher among poor & disadvantaged population

§  Oral disease share risk factors with other non-communicable diseases ��such as heart disease, diabetes, cancer, respiratory disease, etc.

§  Tooth decay affects an estimated 60–90% of schoolchildren and ��nearly 100% of adults worldwide, according to WHO


PERIODONTAL DISEASES IS ONE THE MOST COMMON DISEASES OF HUMANKIND

TONGA

SAMOA

FIJI

MICRONESIA, FED. STATES OF

MARSHALL ISLANDS

KIRIBATI

VANUATU

SOUTHKOREA

NORTHKOREA

EAST TIMOR

ANTIGUA & BARBUDA

BARBADOSST LUCIA

TRINIDAD & TOBAGO

ST VINCENT & GRENAD. DOMINICA

BAHAMAS

UGANDA

GEORGIAAZERBAIJAN

ARMENIA

SRI LANKA

JAMAICA

CUBADOMINICANREP.

BRUNEI

M A L A Y S I A

VIET NAM

CAMBODIA

LAOS

THAILAND

BHUTAN

BANGLADESH

CYPRUS SYRIALEBANON

ISRAELJORDAN

BAHRAINQATAR

UAE

OMAN

KUWAIT

YEMEN

NEPAL

CENTRALAFRICAN REP.

SOUTHSUDAN

SENEGALGAMBIA

CAPE VERDE

S!O TOME & PRINCIPE

GUINEA-BISSAU GUINEA

LIBERIA

C‘TE DíIVOIRE

BURKINAFASO

GHAN

A NINEB

CAMEROONEQUATORIALGUINEA

GABON

CONGO BURUNDIRWANDA

KENYA

DJIBOUTI

TOGO

SIERRA LEONE

SWAZILAND

LESOTHO

ERITREAGUATEMALA

EL SALVADOR

HAITI

HONDURAS

NICARAGUA

COSTA RICA

PANAMA GUYANA

SURINAME

BELIZE

PAPUANEW

GUINEA

MAURITIUS

MALDIVES

COMOROS

SEYCHELLES

SINGAPORE

GRENADA

MYANMAR

WEST BANKGAZA

TUNISIAMALTA

SOLOMONISLANDS

TURKMEN.

UZBEK.

TAJIKISTAN

KYRGYZSTAN

SAUDI ARABIA

MONGOLIA

PAKISTAN

AFGHANISTAN

TURKEY

IRAQ

KAZAKHSTAN

A L G E R I A

NIGER CHAD

NIGERIA

SUDAN

DEM. REP.OF CONGO

ETHIOPIA

ANGOLA

EGYPT

MOROCCO

L I B YA

MAURITANIA

NAMIBIABOTSWANA

SOUTH AFRICA

MOZAMBIQUE

SOMALIA

MALI

BOLIVIA

PARAGUAY

VENEZUELA

COLOMBIA

ECUADOR

PERU

ARGENTINA

URUGUAY

CHILE

PHILIPPINES

NEWZEALAND

I N D O N E S I A

ZIMBABWE

MALAWIZAMBIA

MADAGASCAR

TANZANIA

IRAN

AUSTRALIA

CHINA

INDIA

U S A

CANADA

MEXICO

BRAZIL

JAPAN

R U S S I A

CROATIA

ANDORRA ITALY

MOLDOVA

UKRAINE

FYROM

LITHUANIALATVIA

ESTONIA

ALBANIAMONT.

AUSTRIA HUNGARY

BULGARIA

ROMANIA

GREECE

POLAND

SLOV.B-H

BELARUSUKIRELAND

ICELAND

DENMARK

FRANCE

SPAIN

PORTUGAL

GERMANY

SWITZ.

BELGIUM

LUX.

NETH.

NORWAYFINLANDSWEDEN

SLOVAKIACZECHREP.

SERBIA

KOSOVO

more than 15.0%

10.1% – 15.0%

10% or less

no data

SEVERE CHRONIC PERIODONTITIS

Estimates of average prevalence

among those 15 years or older per country

2010

From The Challenge of Oral Disease – A call for global action by FDI World Dental Federation. Maps and graphics © Myriad Editions 2015


ORAL CONDITIONS AFFECTED 3.9 BN PEOPLE GLOBALLY LEADING TO LOST OF LIFE YEARS

TONGA

SAMOA

FIJI

MICRONESIA, FED. STATES OF

MARSHALL ISLANDS

KIRIBATI

VANUATU

SOUTHKOREA

NORTHKOREA

EAST TIMOR

ANTIGUA & BARBUDA

BARBADOSST LUCIA

TRINIDAD & TOBAGO

ST VINCENT & GRENAD.DOMINICA

BAHAMAS

ZIMBABWE

UGANDA

GEORGIAAZERBAIJAN

ARMENIA

SRI LANKA

JAMAICA

CUBADOMINICANREP.

BRUNEI

M A L A Y S I A

VIET NAM

CAMBODIA

LAOS

THAILAND

BHUTAN

BANGLADESH

CYPRUS SYRIALEBANONISRAEL

JORDAN

BAHRAINQATAR UAE

OMAN

KUWAIT

YEMEN

NEPAL

CENTRALAFRICAN REP.

SOUTHSUDAN

SENEGALGAMBIA

CAPE VERDE

SÃO TOME & PRINCIPE


LIBERIA

CÔTE D’IVOIRE

BURKINAFASO

GHAN

A NINEB


GABON

CONGO

MALAWIZAMBIA

TANZANIA

BURUNDIRWANDA

KENYA

DJIBOUTI

TOGO

SIERRA LEONE

SWAZILAND

LESOTHO

ERITREAGUATEMALAEL SALVADOR

HAITI

HONDURAS

NICARAGUA

COSTA RICAPANAMA GUYANA

SURINAME

BELIZE

PAPUANEW

GUINEA

MAURITIUS

MALDIVES

COMOROS

SEYCHELLES

SINGAPORE

GRENADA

MYANMAR

WEST BANKGAZA

TUNISIA

FAROE IS.

LIECHT.

MALTA

SOLOMONISLANDS

MADAGASCAR

TURKMEN.

UZBEK.

TAJIKISTAN

KYRGYZSTAN

SAUDI ARABIA

MONGOLIA

PAKISTAN

AFGHANISTAN

TURKEY

IRAQ

KAZAKHSTAN

ALGERIA

NIGER CHAD

NIGERIA

SUDAN

DEM. REP.OF CONGO

ETHIOPIA

ANGOLA

EGYPT

MOROCCO

LIBYA

MAURITANIA

NAMIBIABOTSWANA

SOUTH AFRICA

MOZAMBIQUE

SOMALIA

MALI

BOLIVIA

PARAGUAY

VENEZUELA

COLOMBIA

ECUADOR

PERU

ARGENTINA

URUGUAY

CHILE

PHILIPPINES

NEWZEALAND

INDONESIA

IRAN

AUSTRALIA

CHINA

INDIA

U S A

CANADA

MEXICO

BRAZIL

JAPAN

R U S S I AFAROE IS.

LIECHT.TL T.

RUS.

CROATIA

ANDORRA

ITALY

MOLDOVA

UKRAINE

FYROM

LITHUANIALATVIA

ESTONIA

ALBANIAMONT.

AUSTRIA HUNGARY

BULGARIA

ROMANIA

GREECE

POLAND

SLOV.B-H

BELARUSUKIRELAND

ICELAND

DENMARK

FRANCE

SPAIN

PORTUGAL

GERMANY

SWITZ.

BELGIUM

LUX.

NETH.

NORWAYFINLANDSWEDEN

SLOVAKIACZECHREP.

SERBIA

KOSOVO 1.9m – 2.3m

100,000 – 462,000

10,000 – 99,999

less than 10,000

no data

BURDEN OF ORAL

CONDITIONS

Disability adjusted life years

(DALYS) lost due to tooth decay

and periodontal disease

2010

From The Challenge of Oral Disease – A call for global action by FDI World Dental Federation.

Maps and graphics © Myriad Editions 2015


ORAL DISEASE – HIGH TREATMENT COST THIRD HIGHEST IN 27 EU COUNTRIES – ASIAN COUNTRIES FOCUS LESS ON ORAL HEALTH

diabetes

¤137.0bn

CVDs

¤105.0bn

¤79.0bn

oral diseases

Alzheimer’s

¤71.1bn

cancer

¤51.0bn

stroke

¤38.0bn

¤7.7bn

neuromuscular

disorders

multiple sclerosis

¤14.6bn

respiratory

diseases

¤55.0bn

COST OF DISEASES

Direct expenditure (public and private)

for selected diseases in the

27 European Union countries

average yearly expenditure 2008–12




AGENDA






*(1) Tsakos G, Watt RG, Rouxel PL, De Oliveira C , Demakakos P: Tooth loss associated with physical and cognitive decline in older adults . J Am Geriatr Soc. 2015 Jan; 63 (1):91-9. DOI:10.1111/JGS.13190. Epub 2014 Dec 19 (2) Kaye EK , Valencia A , Baba N, Spiro A 3rd, Dietr ich T, Garcia RI . Tooth loss and per iodontal disease predict poor cognitive function in older men: J Am Geriatr Soc. 2010 Apr ; 58 (4):713-8. DOI: 10.1111/J .1532-5415.2010.02788.X (3) Eur J Prev Cardiol. 2015 Dec 16. pii : 2047487315621978. [Epub ahead of pr int] Tooth loss is independently associated with poor outcomes in stable coronary hear t disease (4) Relationship between per iodontal diseases and preterm bir th: Recent epidemiological and biological data: Int . J . Appl. Basic Med. Res. 2015 Jan-Apr ; 5 (1):2-6 . DOI: 10.4103/2229-516X.149217 (5) Par ihar AS, Katoch V, Rajguru SA , Rajpoot N, Singh P, Wakhle S . Per iodontal Disease: A Possible Risk-Factor for Adverse Pregnancy Outcome; J . Int . Oral Health. 2015 Jul;7(7):137-42. Clove Dental is the only Indian Healthcare Company granted membership of the prestigious Royal Society of Medicine, U.K . (6) The Challenge of Oral Disease. The Oral Health Atlas . 2nd ed. Geneva:FDI World Dental Federation; 2015.

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Got BlEEDiNG Gums, BaD BREath, loosE, missiNG oR sENsitivE tEEth?DoN’t iGNoRE. talK to YouR DENtist.

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DIRECT IMPACT TO OVERALL HEALTH

PNEUMONIA

MALNUTRITION DIABETES

STOMACH ULCERS

NOMA

ENDOCARDITIS CARDIOVASCULAR

DISEASE

ORAL CANCER

“Oral health is essen@al to general health and quality of life” WHO fact sheet on Oral Health, 2012


BIGGER ISSUE IN UNDER-PRIVILEGED SOCIETIES EDENTULOUSNESS – HIGHEST IN MANUAL WORKERS AND LOWEST IN MANAGERS / PROFESSIONALS

SOCIAL GRADIENTS OF

EDENTULOUSNESS

Age-standardized prevalence

among those aged 45 or older

by occupation and

welfare state regime

2013

Anglo-Saxon

5.2%

12.1%

18.4%

Southern

6.3%

8.2%

12.7%

Eastern

17.1%

18.6%

25.6%

Scandinavian

2.4%

4.2%

11.6%

Bismarckian

5.4%

11.6%

15.0%

manual workers

intermediate

manager and professionals

Levels of edentulousness

show similar patterns in

people with similar

professional and

education background,

irrespective of the type

of healthcare system in

the country they live in.

In surveys,

edentulousness is always

highest for manual

workers and lowest for

managers and

professionals.



Most Low-income folks choose to extract tooth versus treatment


ACCESS TO ORAL CARE IS NOT UNIVERSAL MORE THAN 50% INDIANS WERE UNABLE TO ACCESS ORAL HEALTHCARE WHEN NEEDED

Slovakia Luxembourg Finland Russia Brazil Malaysia Paraguay South Africa

India China Philippines Ghana Bangladesh Zambia Laos Burkina Faso

94.3% 92.8%

81.8%77.0%

71.4%66.7%

58.8% 56.8%

48.0% 46.5%41.6%

32.2% 32.1% 30.5% 28.4%21.2%

GETTING ORAL HEALTHCARE WHEN NEEDEDPercentage of adults reporting oral health problems

and able to get oral care in selected countries 2002–04



ORAL CANCER: 40% OF CANCERS IN INDIA GLOBALLY, AMONG TOP TEN. IMPROVED SURVIVAL RATES WITH EARLY DETECTION

NEW CALEDONIA

SAMOA

FIJI

GUAM

VANUATU

SOUTHKOREA

NORTHKOREA

EAST TIMOR

PUERTO RICO

BARBADOSTRINIDAD & TOBAGO

BAHAMAS

ZIMBABWE

UGANDA

GEORGIAAZERBAIJAN

ARMENIA

SRI LANKA

JAMAICA

CUBADOMINICANREP.

BRUNEI

M A L A Y S I A

VIET NAM

CAMBODIA

LAOS

THAILAND

BHUTAN

BANGLADESH

IRAN

CYPRUS SYRIALEBANON

ISRAELJORDAN

BAHRAINQATAR

UAE

OMAN

KUWAIT

YEMEN

NEPAL

SOUTHSUDAN

SENEGALGAMBIA

CAPE VERDE


LIBERIA

C‘TE DíIVOIRE

BURKINAFASO

GHAN

A NINEB


GABON

CONGO

MALAWIZAMBIA

TANZANIA

BURUNDIRWANDA

KENYA

DJIBOUTI

TOGO

SIERRA LEONE

SWAZILAND

LESOTHO


HAITI

HONDURAS

NICARAGUA

COSTA RICA

PANAMA GUYANASURINAME

FRENCH GUIANA

BELIZE

PAPUANEW

GUINEA

MAURITIUS

MALDIVES

COMOROS

SINGAPORE

MYANMAR

WEST BANKGAZA

TUNISIA

GUADELOUPEMARTINIQUE

MALTA

SOLOMONISLANDS

R…UNION

MADAGASCAR

TURKMEN.

UZBEK.

TAJIKISTAN

KYRGYZSTAN

SAUDI ARABIA

MONGOLIA

PAKISTAN

AFGHANISTAN

TURKEY

IRAQ

KAZAKHSTAN

A L G E R I A

NIGER CHAD

NIGERIA

SUDAN

DEM. REP.OF CONGO

ETHIOPIA

ANGOLA

EGYPT

MOROCCO

L I B YA

MAURITANIA

NAMIBIABOTSWANA MOZAMBIQUE

SOMALIA

MALI

BOLIVIA

PARAGUAY

VENEZUELA

COLOMBIA

ECUADOR

PERU

ARGENTINA

URUGUAY

CHILE

PHILIPPINES

NEWZEALAND

I N D O N E S I A

AUSTRALIA

CHINA

INDIA

U S A

CANADA

MEXICO

BRAZIL

JAPAN

R U S S I A

TURKEY

RUS.

CROATIA

ITALY

MOLDOVA

UKRAINE

FYROM

LITHUANIALATVIA

ESTONIA

ALBANIAMONT.

AUSTRIAHUNGARY

BULGARIA

ROMANIA

GREECE

POLAND

SLOV.B-H

BELARUS

RUSSIA

UKIRELAND

ICELAND

DENMARK

FRANCE

SPAINPORTUGAL

GERMANY

SWITZ.

BELGIUMLUX.

NETH.

NORWAYFINLANDSWEDEN

SLOVAKIACZECHREP.

SERBIA

KOSOVO

7.0 or more

5.0 – 6.9

2.5 – 4.9

less than 2.5

no data

ORAL CANCER

Incidence per 100,000 population

of oral and lip cancer

among those 15 years or older

2012 estimates




HIV / AIDS: FIRST SIGNS OFTEN IN MOUTH EASY AND NON INVASIVE TESTING VIA ORAL EXAMS AND ORAL CAVITY FLUIDS

SOUTHKOREA


BAHAMAS

ZIMBABWE

UGANDA

GEORGIAAZERBAIJAN

ARMENIA

SRI LANKA

JAMAICA

CUBADOMINICANREP.

M A L A Y S I A

VIET NAM

CAMBODIA

LAOS

THAILAND

BHUTAN

BANGLADESH

IRANLEBANONISRAEL

YEMEN

NEPAL

CENTRALAFRICAN REP.

SOUTHSUDAN

SENEGALGAMBIA

CAPE VERDE



LIBERIA

CÔTE D’IVOIRE

BURKINAFASO

GHAN

A NINEB

CAMEROON

EQUATORIALGUINEAGABON

CONGO

MALAWIZAMBIA

TANZANIABURUNDIRWANDA

KENYA

DJIBOUTI

TOGO

SIERRA LEONE

SWAZILAND

LESOTHO


HAITI

HONDURAS

NICARAGUA

COSTA RICA

PANAMA GUYANA

SURINAME

BELIZE

PAPUANEW

GUINEA

MAURITIUS

MALDIVES

SINGAPORE

MYANMAR

MALTA

MADAGASCAR

UZBEK.

TAJIKISTAN

KYRGYZSTAN

MONGOLIA

PAKISTAN

KAZAKHSTAN

A L G E R I A

NIGER CHAD

NIGERIA

SUDAN

ETHIOPIA

ANGOLA

EGYPT

MOROCCO

MAURITANIA

NAMIBIA

BOTS

WAN

A

SOUTH AFRICA

MOZAMBIQUE

SOMALIA

MALI

BOLIVIA

PARAGUAY

VENEZUELA

COLOMBIA

ECUADOR

PERU

ARGENTINA

URUGUAY

CHILE

NEWZEALAND

I N D O N E S I A

AUSTRALIA

INDIA

U S A

CANADA

MEXICO

BRAZIL

R U S S I A

RUS.

ITALY

MOLDOVA

UKRAINE

LATVIA

ESTONIA

AUSTRIA

BULGARIA

ROMANIA

GREECE

POLAND

SLOV.

BELARUS

RUSSIA

UKIRELAND

ICELAND

DENMARK

FRANCE

SPAIN

PORTUGAL

GERMANY

SWITZ.

BELGIUM

LUX.

NETH.

NORWAYFINLANDSWEDEN

CZECHREP.

SERBIA

KOSOVO

20.0% or more

10.0% – 19.9%

1.0% – 9.9%

2 million or more

1 million – 1.6 million

600,000 – 790,000

less than 1.0%

no data

HIV/AIDS

Percentage of the population

aged 15–49 years

who are HIV-positive

2011 estimates

Largest populations of

people living with HIV

2013 estimates




AGENDA






CHALLENGES OF PROVIDING DENTAL TREATMENT

§  All dental treatments ��are surgeries v  Blood and saliva v  Hard and soft tissue v  High infection risk v  Hygiene & sterilization v  Bio-medical waste mgmt.

§  Specialized Equipment ��and Supplies v  300,000 skus in dentistry v  Capital cost of equipment v  Specialized consumables

In 2015, NHS in UK recalled 22,000 patients treated in a

particular dental clinic


ORAL CARE CONTINUUM

Specialist Care

Advanced Oral Care

Basic Oral Healthcare

Informal Community Care and tradi@onal medicine

Self Care and Preven@on

Low

High

High

Low

Freq

uency of Need

Costs

By Dentist & ��Specialists

By General Dentist first entry to formal dental professional

By non-dentist healthcare��professional

By non healthcare��professional

Using Fluoride toothpaste, avoiding risk factors to oral health


ORAL DISEASE – HIGHEST IN INDIAN SUBCONTINENT UNTREATED TOOTH DECAY IS THE MOST COMMON CHRONIC DISEASE GLOBALLY

TONGA

SAMOA

FIJI

FRENCH POLYNESIA

NIUE

COOK ISLANDS

KIRIBATI

VANUATU

TUVALU

TOKELAU

SOUTHKOREA

ANTIGUA & BARBUDAANGUILLA

PUERTO RICO

BARBADOSST LUCIA

TRINIDAD & TOBAGO

ST KITTS & NEVISDOMINICA

BAHAMAS

SRI LANKA

JAMAICA

CUBA DOMINICANREP.

BRUNEI

M A L A Y S I A

VIET NAM

CAMBODIA

LAOS

THAILAND

BHUTAN

BANGLADESH

CYPRUS SYRIALEBANON

ISRAELJORDAN

BAHRAINQATAR

UAE

OMAN

KUWAIT

YEMEN

NEPAL

MOROCCO

SENEGALGAMBIA

C‘TE DíIVOIRE

BURKINAFASO

GHAN

A NINEB

SWAZILAND


HAITI

HONDURAS

NICARAGUA

COSTA RICA

PANAMA GUYANA

SURINAME

BELIZE

NEWZEALAND

PAPUANEW

GUINEA

SEYCHELLES

SINGAPORE

GRENADA

MYANMAR

TUNISIA

CAYMAN IS.

MALTA

SOLOMONISLANDS

HK SAR

Macau SAR

I N D O N E S I A

MONGOLIA

NIGER

NIGERIA

SUDAN

ETHIOPIA

EGYPTL I B YA

NAMIBIA

SOUTH AFRICA

TANZANIA

SAUDI ARABIA

BOLIVIA

VENEZUELA

COLOMBIA

ECUADOR

PERU

CHILEMOZAMBIQUE

IRAN

PAKISTAN

IRAQ

PHILIPPINES

TURKEY

UZBEK.

UGANDA

GABONKENYA

PARAGUAY

URUGUAY

A U S T R A L I A

C H I N A

INDIA

U S A

C A N A D A

B R A Z I L

R U S S I A

MEXICO

JAPAN

CROATIA

ITALY

MOLDOVA

UKRAINE

FYROM

LITHUANIALATVIA

ESTONIA

ALBANIAMONT.

AUSTRIA HUNGARY

BULGARIA

ROMANIA

GREECE

POLAND

SLOV.B-H

BELARUSUKIRELAND

ICELAND

DENMARK

FRANCE

SPAIN

PORTUGAL

GERMANY

SWITZ.

BELGIUM

LUX.

NETH.

NORWAYFINLANDSWEDEN

SLOVAKIACZECHREP.

more than 3.5 high

2.6 – 3.5 moderate

1.2 – 2.5 low

0.0 – 1.1 very low

no data

TOOTH DECAY WORLDWIDE

Average number of decayed (D), missing (M),

and filled (F) teeth (T) in 12-year-olds

latest available data

1994–2014

SOUTHSUDAN


§  95% adults – Gingivitis

§  60% adults – Dental caries

§  80% children – Tooth decay

§  35% children – Misaligned

§  78% Seniors – Missing teeth

§  17% Seniors – Edentulous


DENTAL DISEASE / DENTAL CARE PROVIDER RATIO INDIA HAS REASONABLE NUMBER OF DENTAL HEALTH PROFESSIONALS AVAILABLE

TONGA

SAMOA

FIJI

MARSHALL ISLANDS

KIRIBATI

VANUATU

EAST TIMOR

ANTIGUA & BARBUDA


DOMINICA

BAHAMAS

ZIMBABWE

UGANDA

AZERBAIJANARMENIA

SRI LANKA

JAMAICA

CUBADOMINICANREP.

BRUNEI

M A L A Y S I A

CAMBODIA

LAOS

THAILAND

BHUTAN

BANGLADESH

IRAN

CYPRUS SYRIALEBANON

ISRAELJORDAN

BAHRAIN QATARUAE

OMAN

KUWAIT

YEMEN

NEPAL

CENTRALAFRICAN REP.

SENEGALGAMBIA

CAPE VERDE



LIBERIA

CÔTE D’IVOIRE

BURKINAFASO

GHAN

A NINEB


GABON

CONGO

ZAMBIA

TANZANIABURUNDIRWANDA

KENYA

DJIBOUTI

TOGO

SIERRA LEONE

SWAZILAND

LESOTHO


HAITI

HONDURAS

NICARAGUA

COSTA RICA

PANAMA GUYANA

SURINAME

BELIZE

PAPUANEW

GUINEA

MAURITIUS

MALDIVES

COMOROS

SEYCHELLES

SINGAPORE

GRENADA

MYANMAR

TUNISIAMALTA

SOLOMONISLANDS

MADAGASCAR

TURKMEN.

UZBEK.

TAJIKISTAN

KYRGYZSTAN

SAUDI ARABIA

MONGOLIA

PAKISTAN

AFGHANISTAN

TURKEY

IRAQ

KAZAKHSTAN

ALGERIA

NIGER CHAD

NIGERIA

SUDAN

DEM. REP.OF CONGO

ETHIOPIA

ANGOLA

EGYPT

MOROCCO

LIBYA

MAURITANIA

NAMIBIABOTSWANA MOZAMBIQUE

SOMALIA

MALI

BOLIVIA

PARAGUAY

VENEZUELA

COLOMBIA

ECUADOR

PERU

ARGENTINA

URUGUAY

CHILE

PHILIPPINES

NEWZEALAND

I N D O N E S I A

AUSTRALIA

CHINA

INDIA

U S A

CANADA

MEXICO

BRAZIL

JAPAN

R U S S I A

CROATIA

ANDORRA

ITALY

MOLDOVA

UKRAINE

FYROM

LITHUANIALATVIA

ESTONIA

MONT.

AUSTRIA HUNGARY

BULGARIA

ROMANIA

GREECE

POLAND

SLOV.

BELARUSUKIRELAND

ICELAND

DENMARK

FRANCE

SPAIN

PORTUGAL

GERMANY

SWITZ.

BELGIUM

LUX.

NETH.

NORWAYFINLANDSWEDEN

SLOVAKIACZECHREP.

SERBIA

KOSOVO

highest ratio 500 or more

100 – 499

20 – 99

lowest ratio 2 or less

2 – 19

no data

THE BURDEN OF DISEASE/PROVIDER RATIO

The ratio between burden of oral disease in DALYs

and number of oral health personnel per country



INDIA HAS OVER 250 DENTAL COLLEGES

GOING PRIVATE

Number of dental

colleges in India

1950–2014

public colleges

private colleges

1950

3

1960

10

1970

131

1980

17

5

1990

24

31

2000

30

104

2005

31

175

2010

39

251

2014

42

259



ü  30,000 Dentists graduate yearly

ü  Over 150,000 dental clinics, ��mostly in Urban areas

ü  Quality of dental care is inconsistent given low levels of ethical & quality standards

ü  Dental health insurance / plans ��are non existent

ü  Government funding in oral care is low

ü  Rural areas severely under penetrated – 78% of the population is rural


INDIAN GOVT. 11TH FIVE YEAR (2006-2011) PLAN MENTIONED ORAL HEALTH FOR THE FIRST TIME

First @me in history oral care shows up in Indian government’s plan


INDIAN GOVERNMENT 12TH FIVE YEAR PLAN 2012-17


AGENDA






SUSTAINABLE PUBLIC PRIVATE PARTNERSHIPS

§  Providing universal oral care requires: v  Space for dental surgery v  Sterilized equipment (Autoclaves, UV storage, operatory, etc.) v  Specialized equipment (chair, suction, drilling hand pieces, etc.) v  Ongoing consumables (filling materials, surgical kits, compounds, etc.) v  Professional healthcare provider – Dentist, Dental Professional

Public Sector Role §  Space for dental surgeries §  Equipment Funding §  Ongoing funding for consumables §  Funding for Dentist

Private Sector Role §  Patient management & care §  Recruiting, training of Dentists §  Management of Dentists §  Overall Management of Care


SUMMARY

§  Oral care is a window to one’s overall health §  Provides early detection of cancer & HIV §  Indian context – problem is disproportionately bigger

§  In India – dental healthcare talent is available §  Challenge is lack of awareness and §  Cost and consistent quality of treatment

§  Sustainable public private partnerships §  Clove Dental is already engaged & leading universal oral care

AMAR SINGH [email protected]

+91-‐84472-‐05213

THANK YOU

RESEARCH ��75$,1,1*��&20081,7<�6(59,&(6

H E R I T A G E

DARK GREY MUD GREY


universal oral care

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