MOBILE DENTISTRY

2. 1) INTRODUCTION
2) HISTORY
3) SPECIFICATIONS
4) ADVANTAGES
5) LIMITATIONS
6) WORLD SCENARIO
7) INDIAN SCENARIO
8) CONCLUSION
9) REFERENCE

3.  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.

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

6. 1) Low Income Individuals.
2) Rural populations.
3) Very young children.
4) Persons in residential care facilities.
5) Bedridden Individuals.
6) Persons with variety of health care needs.
7) Migrants and seasonal workers.
8) Homeless or temporarily displaced.

7. • 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.

8.  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.

9. • 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.

10.  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

11.  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.

12. • 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.

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

14. 1. 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

15. 2) Operating light with two intensity.
3) Dental X-Ray unit.
4) Autoclave.
5) Glass Bead Sterilizer.
6) Metal cabinets with wash basins.
7) Portable dental unit.
 Mobile suitcase unit
 Compact compressor

16. 8) Stabilizer
9) Generator
10) Water Tank
11) Oxygen cylinder
12) Public address system
13) TV and DVD player
14) Health education models

19. 1) Moderate start up costs.
2) Problem of transportation to clinics is solved.
3) Decreases missed appointments when run in
conjunction with schools.
4) Services can be made available at multiple
sites.
5) Services are made available to the needy
population.

20. 1) Difficult to access and store patient’s
record.
2) Provides limited services like which can
be done in one sitting.
3) Follow up is difficult.
4) Requires permission for site use.
5) Difficult to use during monsoon.

21. 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.

22. 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.

23. 1) 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

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

25. 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.

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

27. 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.

28. 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.

29. 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.

32. The principal unit of administration in India is
the district under a collector. A proposed model
for Bhopal district is suggested here:
1) Bhopal District has approximately 1850
villages. Most of these villages have schools
and they lack an access for basic oral health
services.

33. 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.

34. 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.

35. 4) 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.
5) The NGOs may finance and publicize the
program, local civil societies to schedule and
make local arrangements for the successful
implementation of program.

36. 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.

39. 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.

40. 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.

41. 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.

42. 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

44. 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.

45. INDIVIDUALS:
1) Aishwarya Rai Bachchan
2) Late Dr. APJ Abdul Kalam
ORGANISATIONS:
1) Bajaj Group
2) Indiabulls Foundation
3) The Himalaya Drug Company

46. 1) Fully equipped mobile dental clinics to
provide effective dental care to the doorstep
of underprivileged, rural population is need of
the hour.
2) 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.

47. 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.

48. 1) Soben Peter.
2) Reach the Unreached- by V. Vashishtha
(Article).
3) Mobile Portable Dental Services- by R.
Ganavadiya.
4) World Dental Relief- Chapter 16.