What do you think would be the most "useful" dental speciality in the third world?

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Which dental speciality would be the most "useful" in the third world?

  • Endodontics

    Votes: 10 2.8%
  • General Dentist

    Votes: 127 35.4%
  • Oral and Maxillofacial Pathology

    Votes: 6 1.7%
  • Oral and Maxillofacial Radiology

    Votes: 2 0.6%
  • Oral and Maxillofacial Surgery

    Votes: 109 30.4%
  • Orthodontics

    Votes: 13 3.6%
  • Pedodontics

    Votes: 10 2.8%
  • Periodontology

    Votes: 19 5.3%
  • Professor in a Foreign Dental School

    Votes: 8 2.2%
  • Prosthodontics

    Votes: 9 2.5%
  • Public Health

    Votes: 46 12.8%

  • Total voters
    359

burton117

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Which dental speciality do you think would be the most "useful" in the poorest countries in the world and why?

Obviously, the need is great for any kind of dental professional, but which ones do you think could make the greatest impact?

Feel free to let me know if I have missed any specialties here..

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burton117 said:
Which dental speciality do you think would be the most "useful" in the poorest countries in the world and why?

Obviously, the need is great for any kind of dental professional, but which ones do you think could make the greatest impact?

Feel free to let me know if I have missed any specialties here..

"The third world"? Where am I? First or second world? :confused: What's on First? and Who's on Second? :D
 
The third world is kind of a dated term now, I guess. The more politically correct way of describing these countries would be to refer to these countries (those with a disproportiately high number of poor people)as "developing countries".

I believe that the origins of the term are from during the Cold War. The first world was the United States and other capitalistic countries. The second world was the former soviet union and all the communist countries. The third world was everybody else.


lnn2 said:
"The third world"? Where am I? First or second world? :confused: What's on First? and Who's on Second? :D
 
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burton117 said:
Which dental speciality do you think would be the most "useful" in the poorest countries in the world and why?

Obviously, the need is great for any kind of dental professional, but which ones do you think could make the greatest impact?

Feel free to let me know if I have missed any specialties here..
I think public health to assist underdeveloped countries establish proper public healthcare (system)... a close second would be to teach and train doctors to supply the regions in need.
 
General dentistry isn't a specialty, it's...well, general. Having said that, it'd be the most useful simply for its wider scope of practice. Having said *that*, that actual specialty that's most useful is probably surgery in my opinion. The third world has a lot of teeth needing extraction.
 
judging from what i have seen in many of the tx-mexico border towns, they could REALLY benefit from 1)pedo 2)decent pros (not necessarily by a specialist) and 3)oms
 
Coming from a "developing" country I can asure you the most needed are GOOD general dentists. In second place I'll choose Pedo.

There's not much point in Dental Public Health specialty, because the lack of tools, resources and support to apply the specialty. I mean, I'm sure it's a vey useful specialty and everyone could benefit from it, assuming it's ever put into action.

Oral surgeons and oral pathologists are certanly needed in cancer hospitals. Right now oral surgeons are the ones doing most of the oral pathology in cancer hosptials.

But, what exactly did you mean by "Professor in a Foreign Dental School"?
 
Developing nations need general practitioners in order to restore proper function of their teeth and to simply retain their teeth for as long as possible. People need teeth in order the chew and to recieve adequate nutrition, but it IS possible to live without teeth. However, the most important specialy in these areas (in my opinion) is oral and maxillofacial surgery. The reason for this is that if a tooth is decayed and a subsequent cellulitis or abscess forms, the eventual result could be death due to loss of airway, or spread of that infection to other parts of the body. An I and D would need to be preformed along with extraction of that tooth. An OMFS would be most competent in treating these patients. Therefore I think a GP and OMFS would be most beneficial in these areas, GP to save teeth before they get bad and OMFS to treat the patients once the teeth are no longer salvagable.
 
Dental Hygiene (seriously) . You would see less caries (I'm sure you know the reason) and more peridontitis in those countries. Sux, I was from there of course.
 
I voted for 'Public Health.' I think that the oral health of a population is best served with proper home care, as opposed to the work done by a general dentist. It would also be cheaper and easier for a third world nation to provide its citizens with toothbrushes and toothpaste than general dentists.
 
Meggs said:
Coming from a "developing" country I can asure you the most needed are GOOD general dentists. In second place I'll choose Pedo.

There's not much point in Dental Public Health specialty, because the lack of tools, resources and support to apply the specialty. I mean, I'm sure it's a vey useful specialty and everyone could benefit from it, assuming it's ever put into action.

Oral surgeons and oral pathologists are certanly needed in cancer hospitals. Right now oral surgeons are the ones doing most of the oral pathology in cancer hosptials.

But, what exactly did you mean by "Professor in a Foreign Dental School"?
For the poll option of Professor in a Foreign Dental School, I was thinking along the lines of current dental school professors doing a couple weeks in a foreign dental school or practicing dentists providing special seminars for foreign dentists or maybe even CE of some kind..
 
edkNARF said:
I voted for 'Public Health.' I think that the oral health of a population is best served with proper home care, as opposed to the work done by a general dentist. It would also be cheaper and easier for a third world nation to provide its citizens with toothbrushes and toothpaste than general dentists.

being from a developing country... and seeing the problems faced there....
in cities dental problems are similar to what is found here... but in rural areas... where patients dont even know that they need a brush and paste... for effective cleaning, it would be beneficial to first teach them proper cleaning habits rather than just distributing free brushes and pastes..thus i guesss public health practices in rural areas would be most beneficial

i had a patient once , a young fellow with periondontitis... who came to the hospital because he had pain due to a periodontal abcess. after completing his treatment .... did cleaning etc.. i instructed him how to clean using the brush and paste... after hearing me out..... his first response was... "why bother cleaning... when the doctor is cleaning my teeth for me..!!" :eek:
 
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toothie said:
being from a developing country... and seeing the problems faced there....
in cities dental problems are similar to what is found here... but in rural areas... where patients dont even know that they need a brush and paste... for effective cleaning, it would be beneficial to first teach them proper cleaning habits rather than just distributing free brushes and pastes..thus i guesss public health practices in rural areas would be most beneficial

i had a patient once , a young fellow with periondontitis... who came to the hospital because he had pain due to a periodontal abcess. after completing his treatment .... did cleaning etc.. i instructed him how to clean using the brush and paste... after hearing me out..... his first response was... "why bother cleaning... when the doctor is cleaning my teeth for me..!!" :eek:

Toothie...

Which country are you from? If you don't mind me asking...
 
Meggs said:
Coming from a "developing" country I can asure you the most needed are GOOD general dentists. In second place I'll choose Pedo.

There's not much point in Dental Public Health specialty, because the lack of tools, resources and support to apply the specialty. I mean, I'm sure it's a vey useful specialty and everyone could benefit from it, assuming it's ever put into action.

Oral surgeons and oral pathologists are certanly needed in cancer hospitals. Right now oral surgeons are the ones doing most of the oral pathology in cancer hosptials.

But, what exactly did you mean by "Professor in a Foreign Dental School"?

Meggs,
Which country are you from? and are you referring to cancer hospitals in developing countries, if so, which ones? Most third world countries, in my humble opinion, would have have a hard time keeping a hospital going, much less a hospital entirely dedicated to cancer... Just curious... Of course if differs from country to country, which is why I asked...
 
This is a tough question....once I thought general dentists was the answer, but then began thinking if just going there to extract hundreds of teeth for a week is just a short term answer....

Than I thought public health was the answer, but then its hard to see how some communities would be able to implement/maintain programs initiated by public health dentists...

As a person who wants to do as much dentistry in the developing world as he can, I am hoping to better find this answer after completing my MPH which will hopefully give me a whole different perspective on our profession than the traditional dental school curriculm. However, I do agree that pedos are definitely needed, which is why I feel that if I can finish my DMD/MPH and then specialize in pediatrics, I could somehow have a big impact.....
 
OMFSdoc said:
However, the most important specialy in these areas (in my opinion) is oral and maxillofacial surgery.

Surgery is definitely a much needed specialty. An organization that you may be interested in is the Smile Train, who specializes in giving free cleft lip surgeries in the developing world. Check out their website:

www.smiletrain.org
 
burton117 said:
Meggs,
Which country are you from? and are you referring to cancer hospitals in developing countries, if so, which ones? Most third world countries, in my humble opinion, would have have a hard time keeping a hospital going, much less a hospital entirely dedicated to cancer... Just curious... Of course if differs from country to country, which is why I asked...

thats not true....
its not dificult to keep a hospital going.... state hospitals which are government runa t subsidized costs for the pateient are needed for the underprivileged.. low to middle income status patients....

if u have the money the hospitals and facilities are there....
in fact just recently there have been hospitals opened in association with cleaveland clinic and harvard.... if the standard is not met.. these world famous hospitals are not going to associate their name with just any hopital.. what im trying to tell u is.... there is adequate care available....and definately meeting standard requirements...

the problem is the poor need the help and they sometimes dont egt it owning to high hospital costs and the high costs of medicine..and govenment hospitals are over loaded by patients....

where as cancer hopitals are concernced .... everythign is available.... and being efficintly run....
technology has progressed more here... but in bigger hospitals that are private organisations .. they arnt really far behind...
but again as i mentioned .. th eproblem is not in the cities.... its in the rural places... that facilities are needed...
 
Realistically, how many of us will be going to a developing country to do regular work as a dentist? I don't think it's fair to assume that all of us would be at ease to go work Cote d'Ivoire, Iraq, or Afghanistan because of the great political instability... I wholeheartedly agree that there are enough Americans to do rotations at developing countries and that this certainly alleviates (some) burden, yet, countries themselves must be able to stand on their own feet. As such, I think implementing a public health policy serves all levels of a country or region and will be the most useful long term solution. The public must be educated about proper health precautions and care (ie proper toothcare/ personal hygiene), and practitioners must be educated and trained that are willing to stay and serve their country... this means that the public health policy (with Western guidance, + training) will impact education; many other areas would also be (ideally) addressed, unfortunately, I have not yet learned of public health to the extent where I can provide leadership for the benefit of this thread. I'm just stating my opinion that, while noble how many us believe what would be the area of dentistry to most benefit a underdeveloped country, this will not be a viable long term solution and one that neglects certain regions due to (political) risk. Therefore, the underdeveloped country requires someone who is willing to invest effort to train others to lead proper healthcare and its affiliates, thus, implementing care to citizens at a constant rate. I for one, will be assuming responsibility in the future within education and also plan to participate in international volunteer programs to service neglected/indigenous people... consequently, my goals have established a passion for different cultures and a fantasy to experience life in different countries, as the citizen's experience it-- much like Globe Trekker :thumbup:
 
Very interesting topic.

I would vote for a general dentist over a specialist cos' the former would be sufficient to handle majority of the dental problems (doing extractions, fillings and prostheses) seen in developing countries.
I strongly believe that dedication to reduce dental problems in his community is all that is needed more than technical proficiency. You can just do lots of sealants and help reduce disease burden(of tomorrow) big time.
 
AUG2UAG said:
...the underdeveloped country requires someone who is willing to invest effort to train others to lead proper healthcare and its affiliates, thus, implementing care to citizens at a constant rate. I for one, will be assuming responsibility in the future within education and also plan to participate in international volunteer programs to service neglected/indigenous people... consequently, my goals have established a passion for different cultures and a fantasy to experience life in different countries, as the citizen's experience it...

I totally agree with this statement. :clap: :clap: In order to even begin to create development in third world countries, we have to provide resources and training, but the indigenous people of each respective country have to take ownership and dedicate personnel who are commited to investing in their country. Not personnel who are simply trying to get an education so that they can leave their country. I have seen this brain drain affect medical treatment in the countries that I've lived in and visited...

There has to be a long term committment... For instance, the establishment of a dental hospital which has all specialties and is staffed on a rotating basis by volunteer doctors. A commitment to medical education of people from that country and a slow phase out where eventually no more volunteers are needed because it has slowly been handed back over to indigenous personnel who have been trained and are passionate about their country..

A little idealistic maybe, but anything is possible when we put our minds to it...
:D
 
burton117 said:
A little idealistic maybe, but anything is possible when we put our minds to it...
:D
Alas, the nail has been hit on the head:

A good trend is the non-acceptance of foreign dental graduates; they must now perform the last two years min. of dental school in order to be eligible for taking the boards. I would like to see this trend continued and improved; a ceiling on the number of foreign doctors will benefit underdeveloped countries- this would be analogous to further strengthening border restrictions.
Underdeveloped countries can only be helped from within by their own people. Programs must be established to train such people under the conditions that they return to better their countries. Maybe a scholarship so that they do not have to worry about living expenses and tuition, as long as they maintain a certain level of performance. It is highly unlikely that such programs do not already exist- thus falling under the heading of public health and academic dentistry. Further efforts must be placed to ensure that such programs thrive and are expanded, thus, securing the United State's position as the powerhouse for education and compassion.
A general dentist or specialist would be nice if s/he stayed in the 3rd world country and was able to develop a doctor-patient relationship; this would ensure the indigenous people that (oral) health is a legitimate concern and one that should be taken seriously. I would prefer this route than to treat countries like a dental school clinic, where there is a lack of long term doctor-patient interaction.
Being an American citizen should not be a birthright, however, I cannot help but notice that far too many people are wanting to leave their respective countries to practice in the United States in search of the American Dream. It is time for our generation to step up and improve living conditions without geographical restrictions; tougher laws, with respect to practitioner licensing for foreign dental/medical graduates must be enforced so that if this generation is too weak to abide by them, the latter will be prepared to deal with the remaining mess. Foreign trained doctors must assume the responsibility to treat their own area, much like Americans should treat rural areas. (Neglect is worse than idealism.)
 
AUG2UAG said:
Alas, the nail has been hit on the head:

A good trend is the non-acceptance of foreign dental graduates; they must now perform the last two years min. of dental school in order to be eligible for taking the boards. I would like to see this trend continued and improved; a ceiling on the number of foreign doctors will benefit underdeveloped countries- this would be analogous to further strengthening border restrictions.
Underdeveloped countries can only be helped from within by their own people. Programs must be established to train such people under the conditions that they return to better their countries. Maybe a scholarship so that they do not have to worry about living expenses and tuition, as long as they maintain a certain level of performance. It is highly unlikely that such programs do not already exist- thus falling under the heading of public health and academic dentistry. Further efforts must be placed to ensure that such programs thrive and are expanded, thus, securing the United State's position as the powerhouse for education and compassion.
A general dentist or specialist would be nice if s/he stayed in the 3rd world country and was able to develop a doctor-patient relationship; this would ensure the indigenous people that (oral) health is a legitimate concern and one that should be taken seriously. I would prefer this route than to treat countries like a dental school clinic, where there is a lack of long term doctor-patient interaction.
Being an American citizen should not be a birthright, however, I cannot help but notice that far too many people are wanting to leave their respective countries to practice in the United States in search of the American Dream. It is time for our generation to step up and improve living conditions without geographical restrictions; tougher laws, with respect to practitioner licensing for foreign dental/medical graduates must be enforced so that if this generation is too weak to abide by them, the latter will be prepared to deal with the remaining mess. Foreign trained doctors must assume the responsibility to treat their own area, much like Americans should treat rural areas. (Neglect is worse than idealism.)

Good Post!!! :thumbup: Neglecting other countries which don't have the resources would be worse than idealism indeed. There is need both abroad and at home. So many of us have never been to another country that it is hard to get people to have a global focus. I am really amazed by the amount of support that has been raised for the tsunami - it gives me hope.
 
over the years, i have noticed the need for cleft lip surgeries in underdeveloped countries. general problems, such as carrries, if left untreated may affect and lead to systemic problems (e.g. diagnosing oral cancer). i think it's hard to gauge which would be most valuable, yet it would be nice if there were a steady source of treatment inside individual countries, with respect to all regions of the countries.
 
AUG2UAG said:
over the years, i have noticed the need for cleft lip surgeries in underdeveloped countries. general problems, such as carrries, if left untreated may affect and lead to systemic problems (e.g. diagnosing oral cancer). i think it's hard to gauge which would be most valuable, yet it would be nice if there were a steady source of treatment inside individual countries, with respect to all regions of the countries.
A few cleft lip surgery stories...

Anybody ever heard of Mercy Ships? The Anastasis has a full dental clinic which I would love to be a part of someday. The ship happened to be docked in Freetown, Sierra Leone, when I was doing my internship with World Relief there. There are countless untold stories of the difference this misson has made and I was glad I got to see a few firsthand.

Something to think about...
:thumbup:
 
toothie said:
being from a developing country... and seeing the problems faced there....
in cities dental problems are similar to what is found here... but in rural areas... where patients dont even know that they need a brush and paste... for effective cleaning, it would be beneficial to first teach them proper cleaning habits rather than just distributing free brushes and pastes..thus i guesss public health practices in rural areas would be most beneficial

i had a patient once , a young fellow with periondontitis... who came to the hospital because he had pain due to a periodontal abcess. after completing his treatment .... did cleaning etc.. i instructed him how to clean using the brush and paste... after hearing me out..... his first response was... "why bother cleaning... when the doctor is cleaning my teeth for me..!!" :eek:
i wud agree as adentist in third world country poor cleaning habits are a major issue. even if they brush they dont know how to do it result is calculus supported teeth that if u dare remove the calculus the tooth will be so mobile that the pt wud blame u 4 tat mobility. can u imagine a pt came to me 4 scaling after his treatment i asked him to brush teeth twice daily he exclaimed and said 4 how many days i ll have to brush my teehth :eek:
 
I guess this thread begs the following question:

If I was interested in exclusively serving poor people in other countries with dentistry, what would be the best way to go about it? In other words, how can I make the biggest impact with training as a dentist, general or otherwise? :confused:

I would love to hearing about any other ideas that you may have regarding how dentists can make an impact in other countries. Any models of care that you have been exposed to are greatly welcome as I have a great deal of personal interest in this topic. Any personal stories or "dental development strategies" is the direction I guess I am trying to head with this... :idea:

Thanks everybody for voting so far, you guys are awesome! Let's see if we can get 100+ votes on this poll!

:thumbup: :thumbup:
 
The best thing i would sugest is coming here bring equipments becouse we do luck equipments train peaple and let them do the job and them will train athers
 
health said:
Very interesting topic...
Not really.
Somebody locks this stupid thread!
 
Dr.BadVibes said:
This is a tough question....once I thought general dentists was the answer, but then began thinking if just going there to extract hundreds of teeth for a week is just a short term answer....

Than I thought public health was the answer, but then its hard to see how some communities would be able to implement/maintain programs initiated by public health dentists...

As a person who wants to do as much dentistry in the developing world as he can, I am hoping to better find this answer after completing my MPH which will hopefully give me a whole different perspective on our profession than the traditional dental school curriculm. However, I do agree that pedos are definitely needed, which is why I feel that if I can finish my DMD/MPH and then specialize in pediatrics, I could somehow have a big impact.....


Best of luck to you and keep us posted!! :thumbup:
 
AUG2UAG said:
Alas, the nail has been hit on the head:

A good trend is the non-acceptance of foreign dental graduates; they must now perform the last two years min. of dental school in order to be eligible for taking the boards. I would like to see this trend continued and improved; a ceiling on the number of foreign doctors will benefit underdeveloped countries- this would be analogous to further strengthening border restrictions.
Underdeveloped countries can only be helped from within by their own people. Programs must be established to train such people under the conditions that they return to better their countries. Maybe a scholarship so that they do not have to worry about living expenses and tuition, as long as they maintain a certain level of performance. It is highly unlikely that such programs do not already exist- thus falling under the heading of public health and academic dentistry. Further efforts must be placed to ensure that such programs thrive and are expanded, thus, securing the United State's position as the powerhouse for education and compassion.
A general dentist or specialist would be nice if s/he stayed in the 3rd world country and was able to develop a doctor-patient relationship; this would ensure the indigenous people that (oral) health is a legitimate concern and one that should be taken seriously. I would prefer this route than to treat countries like a dental school clinic, where there is a lack of long term doctor-patient interaction.
Being an American citizen should not be a birthright, however, I cannot help but notice that far too many people are wanting to leave their respective countries to practice in the United States in search of the American Dream. It is time for our generation to step up and improve living conditions without geographical restrictions; tougher laws, with respect to practitioner licensing for foreign dental/medical graduates must be enforced so that if this generation is too weak to abide by them, the latter will be prepared to deal with the remaining mess. Foreign trained doctors must assume the responsibility to treat their own area, much like Americans should treat rural areas. (Neglect is worse than idealism.)


without getting too idealistic and i am not an international student but it is arrogant of you to say that we need and i quote -

"tougher laws, with respect to practitioner licensing for foreign dental/medical graduates must be enforced so that if this generation is too weak to abide by them, the latter will be prepared to deal with the remaining mess."

as our families once came for the american dream why do you seek to prevent others doing the same.?
 
WHO Oral Health Country/Area Profile Programme

I am not a dentist yet, but maybe some of you currenlty practicing dentists or students in dental school can take a look at this website and offer up your expertise.

Maybe we can get some evaluations based on these statistics as to which specialties would be best able to address the needs of global oral health.
 
burton117 said:
The third world is kind of a dated term now, I guess. The more politically correct way of describing these countries would be to refer to these countries (those with a disproportiately high number of poor people)as "developing countries".

I believe that the origins of the term are from during the Cold War. The first world was the United States and other capitalistic countries. The second world was the former soviet union and all the communist countries. The third world was everybody else.


no a devoping country is malaysia..
or "2nd world".

a third world country is a third world country.



btw,
most useful specialty is oral surgery..
..and it's not even close.
 
Mr. So-So said:
no a devoping country is malaysia..
or "2nd world".

a third world country is a third world country.
???? :confused:
 
Anybody else out there have experience with working in developing countries and is willing to share their stories?

Alternatively, if anyone has read any good books about dental work overseas - that would be great to hear about too! :thumbup:
 
burton117 said:
Anybody else out there have experience with working in developing countries and is willing to share their stories?
I've gone to El Salvador twice and Guatemala once for medical/dental missions while I was in dental school. In my experience, a general dentist well-trained in the art of exodontia (not necessarily OMFS capable) would probably be the most capable of helping the largest number of people. From what I've seen, there are a lot of cavities to be filled and sealants to do, but most of these mouths have non-restorable, abscessed teeth that need to be taken care of first. The problem is in the quantities. If you are going to treat these people, you have to, in some way, develop a criteria for who would be treated first. I think we would all agree that a person with an active infection is more urgently in need of treatment than a person needing an MOD amalgam. The dental problems in these countries is so bad that by the time you've finished making the first round of "triage," the patients that were seen first would be back to triage stage again.

When I was on these trips, I had the capability to do composite and amalgam restorations in the clinic. It didn't matter, because there were always people in more urgent need of extractions. It really is incredible how fast you can cruise through an appointment when you don't need consents or progress notes. I would typically numb up several people, then extract down the line. As a dental student, I'd probably get through 10 people an hour. The lines never ended. So many more people were in the dental lines than the medical. I never did do a single restoration...

If you ever get the chance to participate in some kind of a medical/dental mission trip, take advantage of the opportunity. I promise that you'll get more out of it than the people that you're helping.
 
Maybe I'm being too simple about this. Honestly I'd say OMFS. The reason I say this is because I've lived in a third world country for a short time and I have a lot of family that live in 3rd world areas. The reason I say this is, is when it comes down to it, what would you buy, food or toothpaste and toothbrushes? You need to maintain your basic needs that allow you to even live before you think about dental hygiene. Yes, I'm in dental school and I believe dental hygiene would be extremely beneficial. Reality is people don't have access to the resources we have with all of our national oral health initiatives and toothbrush giveaways. For the most part, when people are in pain this is when they are going to go to a dentist. Don't expect people to come back for a final crown, they'll walk off with the provisional. I'm not saying this is every single person. I look at my experience, especially with my own family from overseas and I see how some of their habits and attitudes have been maintained despite being in a new area with great access, money to spend, and dental insurance.
 
You have started a thread pertaining to your questions below....at which answers from that require without prejudice on international or foreign trained graduate.

What if things turned around and the "third world" becomes a better place to live in, and the first world became third? Think of it for those who are already in a "good" situation..aren't you supposed to be helping instead of putting up idealism? What good is idealism if people need to survive like you.

So stick to your questions.


burton117 said:
Which dental speciality do you think would be the most "useful" in the poorest countries in the world and why?

Obviously, the need is great for any kind of dental professional, but which ones do you think could make the greatest impact?

Feel free to let me know if I have missed any specialties here..
 
incisal edge said:
You have started a thread pertaining to your questions below....at which answers from that require without prejudice on international or foreign trained graduate.

What if things turned around and the "third world" becomes a better place to live in, and the first world became third? Think of it for those who are already in a "good" situation..aren't you supposed to be helping instead of putting up idealism? What good is idealism if people need to survive like you.

So stick to your questions.

??? :confused: ???

Sorry - I am a little bit confused here. One of the purposes of this thread is to assess the various dental specialties and help those who have a primary interest in helping underserved populations choose a specialty (general or otherwise). My hope is that with the huge dearth of dental professionals overseas (see link below), people will respond by choosing training that will best respond to the need. This may not be realistic, thus as you say - idealistic.

But I am confident that this will be true of at least a small minority - myself included.

If your concern is that "indigenous dental professionals" will be side skirted or ignored, I would encourage any contributions to this thread as well as the general body of knowledge. I would also acknowledge the need for "visiting dental professionals" to work within the infrastructure already established - as this is obviously the most effective way to address the circumstances before us.

If you don't mind, I would appreciate some clarification as to what the issue you would like to address is - as I would be more than happy to have a conversation with you as to the nature of the inquiry. Thanks.

LINK: Number of Dentists by Country per 100,000 population
 
I would definitely say, without a doubt , OMF! :thumbup: Don't get me wrong, I am all for preventive dentistry and public health, :thumbup: But unfortunately, based on the accounts of dentists I have talked to who have participated in these programs, most of the patients you will see in these imporverished countries need to get multiple exos. :( For instance, one young doc I talked to, told me of his experience in some little town in Mexico. He said that quite a number of the patients had walked for DAYS to get their teeth yanked! :eek:

I am VERY interested in joining one of these medical mission trips to different third world countries as a volunteer dentist. It's only a matter of time before that big lifetime dream gets realized...somewhere on the plains and savannahs of Africa or in the jungles of Peru.

As a kid, I had the taste of adventure in my blood and always dreamed of traveling to such exotic locals when I would grow up. Have I grown up? Hmmm that is debatable ! Just ask my mama! LOL! :laugh: ;) I just hope that I don't get mawled by some lion in Africa or fatally killed by an anaconda in the Amazon. :rolleyes: :scared:

I already have a large number of pamphlets/informative booklets for various organizations which I have accumulated over the past years in regards to volunteer dentistry...like I said, it's just a matter of time! :D
 
incisal edge said:
You have started a thread pertaining to your questions below....at which answers from that require without prejudice on international or foreign trained graduate.

What if things turned around and the "third world" becomes a better place to live in, and the first world became third? Think of it for those who are already in a "good" situation..aren't you supposed to be helping instead of putting up idealism? What good is idealism if people need to survive like you.

So stick to your questions.
The next time you attempt to criticize someone on a thread, first get out a third-grade English book and learn how to conjugate a correct sentence. I think that I can confidently say that NO ONE reading this post has any idea what you are trying to say. This is quite possibly the most incongruous post that I've read on SDN.

For all you know, the person asking the question may be interested in moving to another country to serve the underserved. If this is the case, he probably would be interested in knowing how to best help these populations. Who are you to lecture him about idealism?

If you're upset about the small number of people who view foreign trained dentists as inferior, then you're doing a hell of a job changing their minds with your intelligent, insightful, and educated comments. Stay off the thread until you have something worthwhile to contribute.
 
I'd say oral surgery for sure. I've been on two mission trips in dental school, and obviously we mainly did ext's. However, I like the idea of public health - most 3rd world countries don't know anything about OH. Although if you are a general dentist and are really into the whole oral surgery thing, you don't need to take a residency in that case....just go. I mean, honestly, how much orthognathic surgery are you going to do in Africa?

The point is: if you're going to go a 3rd world country, they're going to be thankful for anything you can give.
 
Money
Food
Water
Sex Ed about STDs, BC pills.
Oral surgery for full mouth exo
Prostho for complete dentures
GP for everything else in between.
 
lnn2 said:
Money
Food
Water
Sex Ed about STDs, BC pills.
Oral surgery for full mouth exo
Prostho for complete dentures
GP for everything else in between.

:thumbup:

In simple words, yes...those would be the priorities. It's unfortunate that those first three needs can't be met. That would eliminate A LOT of problems. STDs (HIV) are pretty serious, if not RAMPANT (and ignorance is rampant too) in many countries in Africa and Asia. BCPs would definitely help in population control and reducing the amount of huge numbers of infantile stavation and death. It just rips my heart open when I hear about those problems :( and frustrates me as well.
 
I'm from Venezuela and growing up dentists said to brush your teeth every morning....by then the damage was done, right? :(

Luckily, my parents kept us going to the dentist for check ups, braces, getting cleanings once a yr-- which it was the dentist that did it. My parents still brush their teeth in the morning--no matter what I tell them!

With some care and a healthy diet I got my first cavity when I was 19 and another 2 at 25...that was it. Most people in poor countries don't have any food, so they don't have good teeth either.

I'd like to have a clinic in South America, and give seminars to dentists there for free. So I think that a general dentist could help the most over there.

I don't know exactly what they tell you to do these days there, but no other country in the world has the white teeth like Americans do! :)
 
AUG2UAG said:
over the years, i have noticed the need for cleft lip surgeries in underdeveloped countries.

Does anybody know which MD specialities typically can perform cleft lip surgeries?

Is this a typical oral and maxillofacial surgeon task or is this done mostly by plastics, ent, craniofacial trauma, etc... Or as I am guessing is actually the case - all are qualified to perform cleft palate surgeries, and all do.

Just thinking out loud...
 
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