ENVISION THE FATE OF DENTISTRY – FACTS/PREDICTIONS

THE FUTURE OF DENTISTRY IN 2020 AND BEYOND WRITTEN BY DR.RAJAT SACHDEVA

I thought I’d share a few interesting facts/predictions that I came across whilst researching.
The exposure towards treating diseased individual over a growing population – Over the next 20 years the population in India is predicted to grow by 1.252 billion to just over 1.454 billion. The number of Indians over the age of 60 years has hit an all-time high, accounting for 8.6 per cent of the country’s population. Based on statistics we would be treating an ageing population – Today almost 1 in 15 people over 60 years old and by 2020 it would be 1 in 5 people above 60 years with an overall grow in population. We will be treating an increasingly diverse population – By 2030, ethnic populations will make 30% of the population of India.There will be an increase in the number of dentists – India currently has 309 dental colleges, which churn out around 26,000 dentists every year as compared to only 8,000 dental students graduated annually in year 1970. It is now, however, estimated that there will be a surplus of more than 1 lakh dentists in India by 2020. The dentists: population ratio of India, on date is 1: 10,000. However, the reality is that; in rural India 1 dentist is serving over a population of 2,50,000. Thus, the real picture is not that simple as it seems. As, we are about step into the next decade, there lies an urgent need to analyze the dental work force for many underserved groups of the country that do not have any access to oral health care.We will be treating less caries or moderate periodontitis but more tooth wear and more peri-implant disease.We will be treating a population with increasing socio-economic inequalities – Men and women in the highest socio-economic class can, on average, expected to live just over 5-6 years longer than those in the low socio-economic state. There will be an obvious increase in focus on value and impact on quality of life with more expectation over results. Dental professionals will be working in multidisciplinary teams and promoting the importance of oral health for general health. With every passing year there has been surge in proportion of female dentists with about 5% in last 5 years, a trend which is expected to continue. In the recent years, female students outnumber male students in getting admitted in dental colleges( like 60- 70% of the seats are occupied by girls).Although only 30% are practically converted into private practitioners.A growing propoprtion of female dentists will work part-time according to the research.The use of virtual reality will be constitutive to dental practice. Google glass integrated with dental loupes can become next best tool for dentists. Technology such as CAD/CAM, lasers and perhaps even robotics may be routinely used in practice.The evolution of materials would continue with bioactive,bone regenerative materials reproducing some compelling results.The impact of smart phones and social media will continue to grow for both dental professionals and patients.

The “All-on-4” Concept for Implant Rehabilitation of an Edentulous Jaw

When a patient loses all of their teeth, they are essentially relegated to living the life of a “dental cripple” and are compelled to see  Dr.Sachdeva’s Dental Institute, India to find resolution. The teeth are very essential to any human being and when a tooth or all teeth are lost, chewing efficiency is lost, their level of comfort declines and often they appear to age prematurely. The teeth provide more than a bright smile on someone’s face. A complete set of dentition maintains the bite and keeps all the structures in harmony. When changes occur after teeth are lost, patients begin to seek the dentist.

Edentulism can be a result of poor oral hygiene and dental disease. Sometimes patients who have received previous restorations meet a failure in their cases and their teeth are deemed restorable and hopeless. A growing number of the population possess a terminal dentition and the ability to retreat is restricted due to the poor remaining tooth structure and support, combined with limitations from the financial burden of full mouth reconstruction. How and why a person is edentulous varies. When patients come into the clinic, their oral condition is assessed and the appropriate solution is planned and presented—all encompassing the health and financial capacity of the patient.

It is well recognized that an edentulous condition has a negative impact on your life:

    • You need your teeth to eat because otherwise you will be limited to a soft, unappealing diet.
    • You need your teeth to smile, to flash a confident set of pearly whites to people.
    • You need your teeth to maintain the integrity of your facial structure, otherwise your bite will collapse and along with it, the face will sag and make you look much older.
    • You need your teeth to maintain the health of the jaw. The temporomandibular joints (TMJ) rely on the teeth. When the bite collapses, the changes that occur can be very damaging to the joints.

All-on-4” implants have become a leading choice in many teeth replacement cases.

A REVIEW ON BOTOX IN DENTISTRY

None can deny with the fact that everyone wants to look younger than one’s age. Hence one option available as BOTOX comes to the rescue to fulfill the needs in cosmetic & esthetic dentistry.

Chemically BOTOX is a toxin produced by bacterium clostridium botulinum also produced commercially for medical & cosmetic approach. There are two main commercial types: botulinum toxin type A (Botox, Dysport & Xeomin) & botulinum toxin type B (Myobloc).

Injecting Botulinum toxin type-A causes localized reduction in overactive muscle activity for some timespan by inhibiting the exocytosis of acetylcholine on cholinergic nerve endings of motor nerves preventing the vesicle where the acetylcholine is stored from binding to the membrane where the neurotransmitter can be released.

The use of Botox in Dentistry can be applied in bruxism, dental implant surgery, temporomandibular joint disorders, gummy smile, and mandibular spasm.

Botox is a safe, conservative, non surgical reversible, minimally invasive treatment modality for cosmetic needs. Training is absolutely required for dentists to administer this technique as a learning curve.

As we all know bruxism ultimately leads to periodontal trauma characterized by clenching by bracing of the mandible. Botox has shown promising results by alleviating the symptomatology of bruxism with botulinum toxin type A injections into temporalis & masseter muscles.

Post implant surgery overloading of muscles of mastication can impede osseointegration of implants. Hence the muscular relaxation is achieved with injecting botulinum toxin type A to the masticatory muscles therapeutically.

The appearance of excessive gingival tissue in the maxilla upon smiling is both an aesthetic issue as well as oral hygiene problem which require complex procedures as a cure. In such cases it is applied in small, carefully titrated doses proportionately weakening the contraction of upper lips particularly levator labii superiosis.

Botox is an emerging, latest, attractive treatment option as compared to other surgical alternatives. However there are still many dental conditions which require FDA approval to be treated by botulinum toxin. The use of BOTOX will surely progress the dentistry profession to one step ahead.