While the digitisation of dentistry continues to progress in high-income countries, low- and middle-income countries (LMICs) face significant challenges in making these groundbreaking technologies accessible on a broad scale. A recent book chapter by Armenian maxillofacial surgeon Dr Hrach Mikayelyan explores the barriers faced by LMICs in adopting digital dentistry.
Limited Access to Advanced Dental Technologies
One of the most significant challenges is the limited access to advanced dental technologies such as digital imaging, CAD/CAM, and 3D printing. These technologies, which are becoming standard in high-income countries, remain largely inaccessible in LMICs due to high costs and lack of infrastructure.
Financial Constraints
The expense of acquiring and maintaining digital technologies makes it difficult for dental practices in LMICs to adopt them. Economic instability and limited healthcare funding in many LMICs further compound the issue, as dentistry is not always prioritised.
Inadequate Infrastructure
Unreliable electricity, poor internet connectivity, and a lack of digital health records are major barriers to the effective use of digital technologies in dental practices in LMICs. Without a solid infrastructure, even when digital tools are available, their use is severely limited.
Lack of Education and Training
Many dental schools in LMICs do not have the resources or expertise to teach the latest digital techniques, leaving graduates unprepared to use these technologies in practice. Comprehensive training programmes are needed to equip dental professionals with the necessary skills.
Regulatory And Policy Issues
The lack of clear guidelines and standards for digital health technologies can hinder their implementation in LMICs.
Additionally, the regulatory environment in many LMICs is often under-developed, making it difficult to integrate new technologies into existing healthcare systems.
Disparities in Healthcare Access
The limited availability of digital technologies exacerbates the disparities in healthcare access within LMICs, particularly in rural and remote populations. Providing high-quality dental care to all segments of the population remains a challenge.
In conclusion, while the digitisation of dentistry has the potential to improve oral healthcare in LMICs, significant barriers must be overcome to make these technologies accessible and effective.
Addressing the challenges of limited access, financial constraints, inadequate infrastructure, lack of education and training, regulatory issues, and disparities in healthcare access will be crucial for the successful adoption of digital dentistry in LMICs.