AMAR SINGH FOUNDER & CEO
UNIVERSAL ORAL CARE
RESEARCH ��75$,1,1*���&20081,7<�6(59,&(6
H E R I T A G E
DARK GREY MUD GREY
WOODEN BROWN NAVY BLUE
Confidential, © SDC 2016
CLOVE DENTAL (STAR DENTAL CENTER PVT. LTD.)
RESEARCH ��75$,1,1*���&20081,7<�6(59,&(6
H E R I T A G E
DARK GREY MUD GREY
WOODEN BROWN NAVY BLUE
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
Confidential, © SDC 2016
CLOVE HERITAGE – CSR
§ 2 Mobile Clinics § Community Clinic
§ Motivation v Philanthropy v Employee satisfaction & engagement v Innovation & Research v Training v Branding / Business
RESEARCH ��75$,1,1*���&20081,7<�6(59,&(6
H E R I T A G E
Confidential, © SDC 2016
AGENDA
§ Oral disease – a global challenge
§ Impact on overall health + cancer / HIV detection
§ Challenges providing oral care & Indian perspective
§ Towards universal oral care
Confidential, © SDC 2016
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
Confidential, © SDC 2016
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
Confidential, © SDC 2016
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
Confidential, © SDC 2016
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
GUINEA-BISSAU GUINEA
LIBERIA
CÔTE D’IVOIRE
BURKINAFASO
GHAN
A NINEB
CAMEROONEQUATORIALGUINEA
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
Confidential, © SDC 2016
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
From The Challenge of Oral Disease – A call for global action by FDI World Dental Federation.
Maps and graphics © Myriad Editions 2015
Confidential, © SDC 2016
AGENDA
§ Oral disease – a global challenge
§ Impact on overall health + cancer / HIV detection
§ Challenges providing oral care & Indian perspective
§ Towards universal oral care
Confidential, © SDC 2016
*(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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DENtal PRoBlEms CausE sERious hEalth ComPliCatioNs
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Confidential, © SDC 2016
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
Confidential, © SDC 2016
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.
From The Challenge of Oral Disease – A call for global action by FDI World Dental Federation.
Maps and graphics © Myriad Editions 2015
Most Low-income folks choose to extract tooth versus treatment
Confidential, © SDC 2016
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
From The Challenge of Oral Disease – A call for global action by FDI World Dental Federation. Maps and graphics © Myriad Editions 2015
Confidential, © SDC 2016
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
GUINEA-BISSAU GUINEA
LIBERIA
C‘TE DíIVOIRE
BURKINAFASO
GHAN
A NINEB
CAMEROONEQUATORIALGUINEA
GABON
CONGO
MALAWIZAMBIA
TANZANIA
BURUNDIRWANDA
KENYA
DJIBOUTI
TOGO
SIERRA LEONE
SWAZILAND
LESOTHO
ERITREAGUATEMALAEL SALVADOR
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
From The Challenge of Oral Disease – A call for global action by FDI World Dental Federation.
Maps and graphics © Myriad Editions 2015
Confidential, © SDC 2016
HIV / AIDS: FIRST SIGNS OFTEN IN MOUTH EASY AND NON INVASIVE TESTING VIA ORAL EXAMS AND ORAL CAVITY FLUIDS
SOUTHKOREA
BARBADOSTRINIDAD & TOBAGO
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
SÃO TOME & PRINCIPE
GUINEA-BISSAU GUINEA
LIBERIA
CÔTE D’IVOIRE
BURKINAFASO
GHAN
A NINEB
CAMEROON
EQUATORIALGUINEAGABON
CONGO
MALAWIZAMBIA
TANZANIABURUNDIRWANDA
KENYA
DJIBOUTI
TOGO
SIERRA LEONE
SWAZILAND
LESOTHO
ERITREAGUATEMALAEL SALVADOR
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
From The Challenge of Oral Disease – A call for global action by FDI World Dental Federation.
Maps and graphics © Myriad Editions 2015
Confidential, © SDC 2016
AGENDA
§ Oral disease – a global challenge
§ Impact on overall health + cancer / HIV detection
§ Challenges providing oral care & Indian perspective
§ Towards universal oral care
Confidential, © SDC 2016
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
Confidential, © SDC 2016
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
Confidential, © SDC 2016
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
ERITREAGUATEMALAEL SALVADOR
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
From The Challenge of Oral Disease – A call for global action by FDI World Dental Federation. Maps and graphics © Myriad Editions 2015
§ 95% adults – Gingivitis
§ 60% adults – Dental caries
§ 80% children – Tooth decay
§ 35% children – Misaligned
§ 78% Seniors – Missing teeth
§ 17% Seniors – Edentulous
Confidential, © SDC 2016
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
BARBADOSTRINIDAD & TOBAGO
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
SÃO TOME & PRINCIPE
GUINEA-BISSAU GUINEA
LIBERIA
CÔTE D’IVOIRE
BURKINAFASO
GHAN
A NINEB
CAMEROONEQUATORIALGUINEA
GABON
CONGO
ZAMBIA
TANZANIABURUNDIRWANDA
KENYA
DJIBOUTI
TOGO
SIERRA LEONE
SWAZILAND
LESOTHO
ERITREAGUATEMALAEL SALVADOR
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
From The Challenge of Oral Disease – A call for global action by FDI World Dental Federation. Maps and graphics © Myriad Editions 2015
Confidential, © SDC 2016
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
From The Challenge of Oral Disease – A call for global action by FDI World Dental Federation.
Maps and graphics © Myriad Editions 2015
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
Confidential, © SDC 2016
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
Confidential, © SDC 2016
AGENDA
§ Oral disease – a global challenge
§ Impact on overall health + cancer / HIV detection
§ Challenges providing oral care & Indian perspective
§ Towards universal oral care
Confidential, © SDC 2016
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
Confidential, © SDC 2016
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
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