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Volume 2 - Issue 3 (May-Jul)

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Review Article<br />

How Mobile Services Started with<br />

Dentistry?<br />

In the early 1970s when dentistry was in its infancy,<br />

introduction of public health dentistry initiated the<br />

need for making dental students aware that there<br />

are people who are beyond the reach of available<br />

services. The objective was to expose students to work<br />

in rural setup of country, so that they will be able to<br />

work in rural areas after graduation. This was the act<br />

of reaching out. With this exposure, students enjoyed<br />

working for the needy people, saw more patients, felt<br />

like real dentists and came in contact with other health<br />

professionals.<br />

Mobile Dental Units are Used in many<br />

Ways and Many Places<br />

• School programs (children)<br />

• Retirement homes (elderly)<br />

• Small communities (rural)<br />

• Corporate (employees)<br />

• Community agencies<br />

• Organizations<br />

• Families in need of oral health services.<br />

The general concept is to drive the ‘clinic on wheels’<br />

to residents of outlying communities where limited<br />

resources and travel are obstacles for receiving timely<br />

dental care. 3<br />

Mobile Dental Clinic is Involved in the<br />

Following Activities 4<br />

Community Programs<br />

• Training of dental students in community dental<br />

services<br />

• Community awareness and oral health promotion<br />

Dental Services<br />

• Dental check-up and treatment<br />

Research<br />

• Oral health surveys<br />

• Screening of oral diseases<br />

Mobile Dental Clinic 5,6<br />

Advantages<br />

• Moderate start up costs<br />

• It addresses the problem of transportation to the<br />

clinics<br />

• It decreases missed appointments when run in<br />

conjunction with schools<br />

• Services can be made available at multiple sites<br />

• Services are made available to the needy<br />

population<br />

• Excellent patient attendance<br />

• Treat child without parent<br />

• Transportation issues eliminated<br />

Disadvantages<br />

• High maintenance costs<br />

• Difficult to access and store patient records<br />

• Provides limited services and follow-up may be<br />

difficult<br />

• Requires permission for site use<br />

• High administrative needs<br />

• High productivity difficult<br />

• Location of appropriate parking<br />

• Patient record access/storage<br />

• Computer and phone access difficult<br />

• Multiple weather related problems<br />

Factors to be Considered to Pursue a<br />

Mobile Unit<br />

Purchasing a mobile unit to deliver healthcare services<br />

can be an expensive undertaking for anyone interested<br />

in pursuing this option. Yet, little information is found<br />

in the literature on planning or designing such vehicles.<br />

A set of guidelines could help administrators to make<br />

better decisions regarding this approach for delivering<br />

healthcare. 7<br />

The process of deciding to pursue a van purchase is<br />

complicated, and administrators may best be served by<br />

obtaining experienced consultants to help them fully<br />

comprehend the issues involved. After the decision to<br />

purchase a mobile unit is made, it is necessary to focus<br />

on van requirements and design. 8<br />

The mobile dental clinic should be equipped with two<br />

dental chairs with all attachments and seating space for<br />

15-20 people. 9<br />

• Equipments to be fitted inside the clinic. 10,11<br />

• Dental chair-Hydraulically operated dental chair<br />

with water connection, spittoon and tumbler.<br />

• Air ventury suction with flow control valve, auto<br />

drain and auto flush system.<br />

498<br />

Indian Journal of Multidisciplinary Dentistry, Vol. 2, <strong>Issue</strong> 3, <strong>May</strong>-<strong>Jul</strong>y 2012

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