Interview with Dr. Sohail

Why is dental care a separate expense from health care?

Honestly, this is something that frustrates a lot of us in the dental field. Historically, dentistry evolved separately from general medicine—dental schools and medical schools developed independently, and that separation still lingers today. Insurance companies also treat oral health and general health differently, which doesn't make a ton of sense because poor oral health can impact overall health in major ways. 

How have advancements improved outcomes in care for patients?

The game has changed significantly due to technology. For instance, digital imaging aids in earlier and more precise diagnosis. Dentists can design and manufacture crowns in the office, frequently in a single visit, thanks to CAD/CAM technologies. Another significant one is teledentistry, which facilitates access to care for patients in remote locations.

Can you discuss some programs or initiatives that can or already be implemented in low-income communities to improve access to dental care?

Of course. School-based fluoride and sealant application programs are among the most effective because they provide preventive treatment to children who might not otherwise visit a dentist. In order to reach underprivileged communities, mobile dentistry clinics are also becoming more popular.

How do you think costs will be impacted by these advancements in technology to affect accessibility and affordability, especially to those in low-income communities?

It’s kind of double-sided. In the short term, some tech is expensive to implement, so clinics might charge more to cover the cost. But over time, as the tech becomes more mainstream and efficient, costs tend to go down. Plus, things like AI-assisted diagnostics and 3D printing could really lower the cost of care by improving speed and accuracy.

What are some of the barriers you witnessed in your patient population when it comes to accessing dental care?

During our community shifts, we have observed patients who face challenges related to lack of insurance, fear of dental procedures, transportation, and cost. Due to their many jobs, some people also have restricted time. Additionally, some immigrant families may be discouraged from accessing treatment due to language challenges or worries about documentation

How do small little steps such as applying fluoride and sealants prevent the need for expensive dental procedures in the future?

The foundation of preventive dentistry is this. Fluoride reverses early degradation and remineralizes enamel. Sealants shield the molar grooves, which are prone to cavities. By avoiding fillings, crowns, or even root canals, these inexpensive procedures can save patients hundreds or even thousands of dollars.

Dental anesthetics are a complex part of the field especially when it comes to surgeries. Do advancements in anesthesia change patient care and comfort and how so?

Of course. These days, anesthetics have fewer side effects and act more quickly. Injection pain is lessened by buffered anesthetics, which significantly improves the patient experience. Even for those with health issues, sedation choices have improved in safety and accessibility.  Patients experience better results and are more inclined to return for regular care when they are more at ease and less nervous.

Every 3 years, the Michigan dentist has to renew their dental license. What role do these continued education courses you must attend help dentists catch up with new technologies and knowledge, and how does this impact patient treatment?

It's important to continue your education. What we learn in school is only the beginning of dentistry's rapid growth. Dentists can stay up to date on materials, methods, infection control, and other topics by taking continuing education classes. Patients gain immediate advantages since they receive treatment that takes into account the most recent research and industry best practices. 

Give me your take on how the technology and innovation that is in dental care can improve coverage and access.

A major one is teledentistry, which enables dentists to conduct follow-ups, consultations, and screenings remotely, which is advantageous for patients in underserved or rural locations. Even non-specialist dentists can benefit from AI diagnostics by identifying issues early. Additionally, technologies like 3D printing and mobile scanning lower lab expenses and wait times.

Does the feedback you receive from patients impact the care you give and how so?

100%. Even as a student, receiving feedback from patients helps me get better at chairside manners, technique, and communication. I change my approach for the next appointment if someone tells me they were anxious or could not understand anything.