PakMediNet Discussion Forum : Dentistry : Dentistry in Pakistan
Dentistry in Pakistan
Dear Dentists:
First of I would like to thank Dr Osama Ishtiaq for accepting my request to add "dentistry" topic in his forum.
Please note that my aim is NOT to comment on anybody's procedures but I wish that the standards of dentistry in Pakistan should NOT be less than any North American standards.
I have several concerns regarding the clinical dentistry. I am adding few topics now and want to discuss, with my fellow dentists in Pakistan, about the day to day procedures performed in any private or hospital's dental clinics.
1. FILLINGS: OVERHANG IN AMALGAM AND COMPOSITE RESTORATIONS:
How to avoid?
2. CROWN & BRIDGES: OPEN MARGINS AND BULKY CROWN & BRIDGES
How to avoid?
3. ENDO: INCOMPLETELY FILLED ROOT CANALS
Thanks
Dr.Munir
Posted by: drmunirPosts: 18 :: 24-01-2005 :: | Reply to this Message
Re: Dentistry in Pakistan
quote:
drmunir wrote:
Dear Dentists:
First of I would like to thank Dr Osama Ishtiaq for accepting my request to add "dentistry" topic in his forum.
Please note that my aim is NOT to comment on anybody's procedures but I wish that the standards of dentistry in Pakistan should NOT be less than any North American standards.
I have several concerns regarding the clinical dentistry. I am adding few topics now and want to discuss, with my fellow dentists in Pakistan, about the day to day procedures performed in any private or hospital's dental clinics.
1. FILLINGS: OVERHANG IN AMALGAM AND COMPOSITE RESTORATIONS:
How to avoid?
2. CROWN & BRIDGES: OPEN MARGINS AND BULKY CROWN & BRIDGES
How to avoid?
3. ENDO: INCOMPLETELY FILLED ROOT CANALS
Thanks
Dr.Munir
thanx God finally adiscussion forum 4 pakistani dentista is finally there. there r loads of topics to b discussed specially the quackrey done by qualified dentists. the dentists r nt accoustmed 2 do quality work the result is the problems that u mentioned . I think the ethical values of paki dentists need 2 b imprved a lot.
Posted by: fafoodenPosts: 10 :: 05-03-2005 :: | Reply to this Message
Re: Dentistry in Pakistan
Do American dentists ever visit Pakistan to do work? even on short term? I am a student-doctor in NJ and was wondering about coming to practice for a while there in Pakistan. Why is there so much quackery (from what I'm reading online)?
How do the students graduate if their quality of work is poor? What are the boards like? Is there such a thing as patients suing over bad work? I would like to find out more on what the system is like.
Thanks
Posted by: anuDMDPosts: 2 :: 04-06-2005 :: | Reply to this Message
Re: Dentistry in Pakistan
American Dentists used to visit Pakistan to work in Seventh Day Hospitals in the past. I don't know what their arrangements with the hospitals were but it is my understanding that they used to offer their services voluntarily.
I think you will be very welcomed to practice there for some time. BDS students are fine there; they of course pass the university exams and then licensed to practice. However, the handson are poor and not well supervised.
But the real problem in Pakistan is of “Quacks” who just learn dentistry by assisting dentists for some time and open their own practices! Unfortunately, there are no checks on anyone’s work.
Posted by: drmunirPosts: 18 :: 27-06-2005 :: | Reply to this Message
Re: Dentistry in Pakistanwat i wud like to point is that the dentists working in pakistan (ofcourse nt all of them) are quite careless of cross infection control... alas! in pak increasing no of hep c cases is attributed to the dentists. there is no check on steralization in most of the dental clinics. infact there should have been rather a self check. as a doc u r aware of the problem but the lust for money is so much that the dentists dont pay attention to steralization and keep on working with unsterile equipment. i think this is a crime. no problem of mouth is so serious to risk whole life of your pt!!!!
Posted by: fafoodenPosts: 10 :: 04-08-2005 :: | Reply to this Message
Re: Re: Dentistry in Pakistan
An interesting article on the prevelance of Hepatitis B surface antigen (HBsAg) among healthy male volunteer blood donors in Karachi was published recently in BMC Medicine. Of interest is the fact that the highest odds ratio of having a positive test for HBsAg (9.8; 95% confidence interval: 2.1, 46.1) was associated with dental treatment from un-qualified dental care provider. Barbers appeared to do better with injury resulting in bleeding during shaving was associated with almost five times less risk of a positive test for HBsAg (adjusted OR = 2.3; 95% CI: 1.1, 4.8.).
Here is the link for this article
http://www.biomedcentral.com/1471-230X/5/26/abstract
[Edited by rqayyum on 10-08-2005 at 06:22 PM GMT]
Posted by: rqayyumPosts: 199 :: 09-08-2005 :: | Reply to this Message
Re: Re: Dentistry in Pakistan
Dear Doctor!
You are very right to point out about the sterilization in Pakistani Dental clinics. I was recently visiting few clinics in Pakistan when I was scheduled for hands-on courses. I had a chance to speak about the standards of sterilizations with some of the dentists. I was requesting them to take care of their OWN health and then their staff and of course that automatically taking care of their patients by considering every patient a “potential career of HEP-C & HIV and preventing them by use of proper gloves,masks,eye protection and certainly approved methods of sterilization. Thank God! All agreed to what I suggested.
Thanks
Dr.Munir
Posted by: drmunirPosts: 18 :: 26-08-2005 :: | Reply to this Message
Re: Re: Re: Dentistry in Pakistan
I think the GPs should be blammed for major spread of Hepatitis B / C in Pakistan. And unfortunately they are still doing the same. Even in large hospitals, I have seen horrifying scenes.
For example, once my friend requested me that he needs to check his blood groups. I took him to the blood transfusion unit and asked them to do the test. I was really astonished to see when he used the same lancet for prick that he used on other patient. I immediately stopped him and arranged a disposable new syringe for prick to get the blood group test done.
This situation even in the teaching hospitals, is really surprising.
And as far as Dentists are concerned, most of the physicians of my setup, are afraid of them esp. about the sterilization procedures. I myself have a tooth ache these days and looking for a good dentist here 
Posted by: docosamaPosts: 333 :: 26-08-2005 :: | Reply to this Message
Re: Re: Re: Dentistry in Pakistan
Dear Doctor!
I am practicing dentistry in Canada and I had no chance to visit GPs in Pakistan. However, as pointed out by you, the situation is very alarming as far as th GPs are concerned.. All those related to medical profession should think seriously that we are in a noble profession and Allah has given us the responsibility to treat the humans. There must be check and balances in all the hospitals including the teaching hospitals.
Please don’t be afraid of visiting a dentist, you may find good, ethical dentists in big cities, like in Karachi, Dr Arif Alvi, Dr Altamish and some other follow the strict sterilization protocol.
Good luck with your tooth (that should not be pulled out unless it has completely lost the bone support!)
Sincerely
Dr.Munir
Posted by: drmunirPosts: 18 :: 28-08-2005 :: | Reply to this Message
Re: Re: Re: Dentistry in PakistanDr Munir: where did you conduct the hands-on courses in Pakistan? Thanks
Posted by: PeriprobePosts: 6 :: 08-09-2005 :: | Reply to this Message
Re: Dentistry in Pakistan
i agree the dentist know nothing in the name of sterilization (not to underestimate the ignorances of rest of the health care providers in any way they are up there as well). but i agree that Dentists are very dangerous and one should not trust anyone of them until they really see the sterilization procedures they are using. unfortunately in our country there is no standardization in anything so u can screw up anything u like the way u like as long as u are a Badmash enough to handle the consequences. and i am proud to say that most of the doctors in Pakistan enjoy this prestigious honour, trained by Thugs, promoted by Robbers in an environment of dishonesty and apathy , they become the ugliest picture of humanity.
ijaz ali
[Edited by ijazali on 09-09-2005 at 05:32 AM GMT]
[Edited by ijazali on 09-09-2005 at 05:33 AM GMT]
Posted by: ijazaliPosts: 151 :: 09-09-2005 :: | Reply to this Message
Re: Re: Re: Re: Dentistry in Pakistan
Dear Doctor
It was arranged by PDA,Federal Zone at Islamic International Dental College, Islamabad as well as by PDA Gujranwala at Gujranwala
Thanks
Dr.Munir
Posted by: drmunirPosts: 18 :: 12-09-2005 :: | Reply to this Message
Re: Re: Dentistry in Pakistan
Dear Dr.Ijaz Ali
Please don’t be so angry. We individually should request our dentists in Pakistan to look after their own health and certainly their patients by following the sterilization protocols.
Dr.Munir
Posted by: drmunirPosts: 18 :: 12-09-2005 :: | Reply to this Message
Re: Re: Re: Dentistry in Pakistan
No Dr munir i am not angry. I just want to highlight this thing 'cos this is more dangerous than the "AIDS" thing for which the Govt is doing more than hepatitis though aids in Pakistan probably would be less than the hepatitis, but any ways my sole purpose is to Emphasise it to the KNOWLEDGEABLE DENTISTS and to make sure that others are aware of their Heroics.
ijaz
[Edited by ijazali on 13-09-2005 at 05:50 AM GMT]
Posted by: ijazaliPosts: 151 :: 13-09-2005 :: | Reply to this Message
Re: Re: Re: Re: Dentistry in Pakistan
Dear Dr Ijaz
You are very right.There must be regulations set by the Govt and PMDC should play their important role by regularly checking the private as well as government hospitals and clinics.
Dr.Munir
Posted by: drmunirPosts: 18 :: 18-09-2005 :: | Reply to this Message
Re: Dentistry in Pakistan
Hi Everyone,
I am a dentist,new to this forum and have some questions which may be one of you can answer. I want to appear for FCPS part 1 exam. Can anyone guide me about which books to read? any course outline?? and whats the scope after FCPS in Pakistan
Any help would be greatly appretiated .
Posted by: madiPosts: 5 :: 30-01-2007 :: | Reply to this Message
Re: Re: Re: Re: Re: Dentistry in Pakistani cant believe that we r still living in a health havoc......i mean admitt it we r not as trained and skilled as we shud b...also bcoz 4 yr study curriculum isnt enuf for BDS its a 5 yr course all over the world except USA ,even in our nieghbour so how come we stand alone...no wonder y we r incompetent.fresh graduates dont have any vocational expertise ...funny but i hve seen that ur illetrate dental assistant is more accomplished than u, wid ur honourable degree.we dont learn do we?.......
Posted by: ToothFairyPosts: 2 :: 17-01-2008 :: | Reply to this Message
Re: Dentistry in Pakistan
Asalam O Alaikum,
First of all I would like to say that I am very pleased to see that so many people other then myself are worried about the dental situation in Pakistan. Lets just hope that with more awareness of current sterlization procedures our dentists will start to improve their practises. I think that the problem lies in ignorance and greed. Many dentists in pakistan do not know about sterlization or if they do know, they don't give it any importance. Money is also a factor in this. Sterlization equipment costs money (and time), as do the daily procedures of disinfecting all equipment before and after use. Usually it is not financially an option for a low class dentist to spend so much on sterlization.
Even if the doctor is fully aware of the dangers of cross-infection he doesn't change his method because he is not getting paid enough to incorporate these methods into daily practise. The pakistan socioeconomic level is to blame for all this and untill it gets better there will not be many changes in the way dentistry is practised in pakistan.
All of this relates to low/medium income dentists. Of course if you go to a high class dental clinic in Lahore or Karachi then sterlization is not a problem. However, this luxury can only be afforded by a few in our country...
Dr. Usamah Mahmood
Posted by: Dr_samiPosts: 3 :: 11-03-2008 :: | Reply to this Message
Re: Dentistry in Pakistan
I have seen that there are even dentist who already have sterlization equipment don't bother to use it. The do know the importance of sterlization and if you ask them they can give your a very good lecture on sterlization, but they don't bother to follow the protocol themselves.
I think such a behaviour is a part of our nations attitude that we show not only in dentisty, but in every field of life, like throwing wrapers on road side not caring about trash cans, spitting every where, not caring about traffic signals esp when driving late night when roads a mostly clear, corruption. We are not just a poor and uneducated nation, we are also selfish ppl who don't care about the right of other individuals. This is becuase we are getting away from our religion, but we cann't even properly follow the west.
I really don't know how to change this mentality. We cann't educate a higly educated person unless he has the courage to change his behaviour in every day life.
Posted by: chachuPosts: 6 :: 23-03-2008 :: | Reply to this Message
Re: Dentistry in Pakistan
.
[Edited by chachu on 23-03-2008 at 10:52 PM GMT]
Posted by: chachuPosts: 6 :: 23-03-2008 :: | Reply to this Message
Re: Dentistry in Pakistan
I have seen that there are even dentist who already have sterlization equipment don't bother to use it. They do know the importance of sterlization and if you ask them they can give your a very good lecture on sterlization, but they don't bother to follow the protocol themselves.
I think such a behaviour is a part of our nations attitude that we show not only in dentisty, but in every field of life, like throwing wrapers on road side not caring about trash cans, spitting every where, not caring about traffic signals esp when driving late night when roads a mostly clear, corruption. We are not just a poor and uneducated nation, we are also selfish ppl who don't care about the right of other individuals. This is becuase we are getting away from our religion, but we cann't even properly follow the west.
I really don't know how to change this mentality. We cann't educate a higly educated person unless he has the courage to change his behaviour in every day life. Sterlization is not a very difficult. I don't think those already in the profession need any education about sterlization. We only have to be honest and this is some thing we cann't do unless we have fear of God.
[Edited by chachu on 23-03-2008 at 10:51 PM GMT]
Posted by: chachuPosts: 6 :: 23-03-2008 :: | Reply to this Message
Re: Dentistry in Pakistan
Asalam Wa Alaikum,
We started off with discussion about Amalgam, over and under filled root canal and we ended up talking about Cross infection control in pakistan.
This is very true that even after being taught so much and emphazied upon cross control in our universities we tend not to practice. We do know where our weaknesses lie but our words speak louder than our actions.
I myself, inshAallah about to graduate from Malaysia and I plan to work in pakistan for a while. But there seems ot be no proper structure to follow - even if there is it's so confusing.
Can someone guide me through this turmoil?
Your help will be highly regarded,
Thanks
Posted by: Sasuke0011Posts: 2 :: 03-04-2013 :: | Reply to this Message
Re:
First of all thank you to have this discussion on pakmednet.com. I'm happy to be a part of it. Somehow i was looking for dentist in lahore on google and found dentalaesthetics.pk who are getting clients form online marketing you must check those and they have quite good setup at there dental clinic. is anyone else know how to start an other topic for this.
here they are https://www.dentalaesthetics.pk/
Posted by: sdz7038Posts: 2 :: 24-12-2019 :: | Reply to this Message