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The practice of Dentistry varys greatly dependant on the financial status of the country that it is practiced within.

In low income countries, "western" dentistry is only for the few rich and powerful. The rest of the population are seen to by "barber-dentists"; laymen who have developed a skill for removing teeth which cause pain to patients. In low income countries, the ratio of dentist to patient can be as high as 1:25000. This naturally means that the likelihood of average people being seen by a dentist is very low. Thus, the general oral health status of these low income countries is low due to the lack of dental education and practicing dentists available. In these countries the cost of dental health care is too much of a financial burden. Even in middle-income countries, the access to dental professionals can be low meaning that once again the standard of oral hygiene is very poor again due to lack of dental education. A point that the authors make is that even in high-income societies where the level of dental education is high leading to an average good level of oral hygiene because there are more dentists, that even in these high income countries there still will exist a selection of poorer groups of people. These people will suffer because they cannot afford dental treatment or they cannot get to a dentist. These people's oral health will just be as poor as those in the same situation in low or middle income countries. The authors of the paper are trying to outline that no matter what socio-economical background people are from there will still exist levels of inequality. The authors suggest that in western dentistry, a new view needs to be taken to combat this, to make sure that all those who require treatment are treated. Personally I agree with this, social inequalities should not hinder those who are entitled to receive treatment by dentists. To be a member of a profession is to serve the public; how can a dentist serve the public if he/she does not strive to find them. In conclusion, dentistry has transformed the oral health status of low, middle and highincome countries to an extent that those with more dentists and more money will have better oral health than others. However, there is a trend in society that no matter what society is studied there will always be a hierarchy of class that will display oral health levels that coincide with those in low, middle and high income countries. I agree with the authors that all patients have a right to be treated by a trained dentist and a new approach to treating the most needy patients should be considered.