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MY SAY - DENTISTRY IN TURKEY<br />

Dentistry in Turkey<br />

BY DR. ELIF ÇIFTÇIOĞLU<br />

The perspectives<br />

A basic dentistry degree in Turkey<br />

lasts 5 years. People who graduate<br />

with a specific degree from a dentistry<br />

faculty (numbering 48 in total) take<br />

their first steps into this field of work<br />

by taking the title “Dentist”. There are<br />

currently around 24 thousand dentists<br />

working actively in our country. Considering<br />

the total population of Turkey<br />

is around 74 million people, this<br />

works out at 1 dentist for every 3,000<br />

people.<br />

The potential of up to 3,000 patients<br />

often leads to many newly graduated<br />

dentists considering the idea of opening<br />

up their own clinic. Dentistry services<br />

in Turkey receive around 80-<br />

85% of work from clinics. The clinics<br />

play an important role in informing<br />

patients about relevant illness and<br />

health subject material and also help<br />

create a personal relationship between<br />

the patient and the dentist.<br />

However, this low dentist to patient<br />

ratio has started to change as a result<br />

of the policies applied under “The<br />

Change in Health” Act. The increase<br />

in dentists working in public health<br />

centres, and the increase in these<br />

health centers themselves, has resulted<br />

in changes to the clinics. Basic dentistry<br />

courses have now started to be<br />

taught in these public centres. There<br />

were around 1,500 dentists working in<br />

public centres in the year 2000 but<br />

this number has now climbed to<br />

around 7,000.<br />

The number of dentists per thousand<br />

people in Turkey stands at 0.3, while<br />

in OECD countries the average figure<br />

is 0.7. This highlights the low number<br />

of dental products and services in Turkey<br />

and also highlights the potential<br />

for growth. The Turkish Government<br />

wants to increase the number of dentist<br />

per person to the figures seen in<br />

other EU countries. They aim to have<br />

50,000 dentists working in this area<br />

by the year 2023. The rise in the numbers<br />

of Dental Health Centers<br />

(ADSM) and Dentistry Faculties highlights<br />

their determination in reaching<br />

this target.<br />

Dental hygiene<br />

However, toothpaste consumption in<br />

Turkey stands at just 110 gr and<br />

toothbrush consumption is still under<br />

1 unit per person per year. The frequency<br />

in which Turkish people see a<br />

dentist is also below one visit per<br />

year. I believe that doubling the number<br />

of “dental health centers” and dentists<br />

will still not be enough to solve<br />

dental health problems in this country.<br />

Unless Turkish society is made more<br />

aware of dental health care, I can only<br />

see the number of unemployed dentists<br />

increasing.<br />

In more positive news, the number of<br />

special dental branches in Turkey has<br />

increased to 8 in total in 2011. Orofacial<br />

and Maxillofacial Surgery, Maxillofacial<br />

Radiology, Pedodontics, Endodontics,<br />

Orthodontics, Periodonthology,<br />

Prosthetic Dentistry and<br />

Restorative Dentistry have all become<br />

new specialties. There is also the option<br />

to complete a post-graduate dentistry<br />

education of 3 or 4 years by<br />

passing the “Examination for Specialty<br />

in Dentistry.” This is in addition<br />

to the original 5 year basic dentistry<br />

education.<br />

Demand of services<br />

There has been a rise in patient demand<br />

for more policlinics and hospitals<br />

that have international quality<br />

standards and have more than one<br />

dentist/specialist working together.<br />

These clinics and hospitals have a<br />

wide range of dental services all under<br />

one roof and provide patients with all<br />

their dental health needs.<br />

These centres also provide the option<br />

for general anesthesia, which is often<br />

the preferred choice for children, patients<br />

who feel scared or anxious, patients<br />

with a mental health issue, or<br />

patients with low pain tolerance. General<br />

anesthesia operations are performed<br />

by a qualified anesthesiologist<br />

in secure operating room conditions.<br />

They are often used in order to<br />

shorten the period of treatment or to<br />

make a patient who needs a complicated<br />

operation more comfortable.<br />

The increase in population, life quality<br />

and high health service costs in<br />

many countries has resulted in people<br />

wanting to get a higher quality service<br />

for a cheaper price. This has led to the<br />

increase of health tourism. Extra factors,<br />

such as improved medical technology,<br />

low transportation costs and<br />

on-line marketing has also led to the<br />

development of health tourism.<br />

Many areas of dental health, as well<br />

as other branches of health care, have<br />

been affected positively from health<br />

tourism in Turkey. The main reasons<br />

for this positive impact seem to be<br />

down to the fact treatments are now<br />

being performed at a lower cost but<br />

with higher quality, along with the<br />

fact doctors and specialists have been<br />

educated to the high standards of<br />

Western Europe and America. Both<br />

the dental health service and health<br />

insurance in Turkey make the country<br />

an attractive option for patients.<br />

I believe that Turkish dentistry will<br />

enjoy great success over the coming<br />

years thanks to the improved quality<br />

of education, studies related to international<br />

accreditation, the use of high<br />

tech specialist equipment and the improvement<br />

in overall quality of service.<br />

Med. Dent.<br />

Dr. Elif Çiftçioğlu<br />

Born in 1978<br />

(Istanbul/Turkey),<br />

Dr Çiftçioğlu graduated<br />

from the<br />

Dentistry Faculty<br />

of Istanbul University<br />

in 2000. She completed her<br />

PhD degree in Endonontics in 2008<br />

at the same university. She has been<br />

working as part of the Dentistanbul<br />

Dental Group as the MD of Dentistanbul<br />

Beşiktaş Dental Hospital<br />

since 2008.<br />

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