Dental Health Programme

DENTAL (ORAL) HEALTH PROGRAMME

Dental (Oral) Health Programme is run by the Dept. of Health and FW, Govt. of Sikkim.

For more than three decades, the State Dental (Oral) Health Programmes is being carried out under the supervision of the Health & FW Department. The Programme is supervised by the Director (Dental) & State Nodal Officer, (NOHP) stationed at Gangtok.

Dental clinics in the STNM Hospital, Gangtok, the four District Hospitals and 3CHCs and 23 PHCs run daily. School Dental Health Programmes and Dental Health Camps are organized in Schools, districts and remote villages. In the Urban areas 75% of children suffer from Dental Diseases (Dental caries) because of exposure to refined foods and excessive sweets and chocolate. In Rural areas, 70%of the children suffer from Periodontal Diseases (Gingivitis/Periodontitis) because of poor Oral Hygiene. Despite IEC programmes and motivation by Dental Surgeons and Staffs. Precancerous lesions like Oral Sub mucous Fibrosis and Lichen Planus are quite common, although the percentage has decreased after the Govt. of Sikkim banned Gutka, Betelnut/Betal leaf,(supari/ Pan Parag/Tulsi etc) in Sikkim. Oral cancer is quite high due to poor oral hygiene in the rural areas and intake of betel leaf and Khaini/Surti (tobacco with lime). Malocclusion (irregular teeth), cysts, tumors and fracture of jaws due to Road traffic accident (RTA) are quite common.

The STNM Hospital, Sochakgang which is a Referral Hospital, Gangtok, has a full fledged Dental Department with several Specialists and Dental Surgeons. The Dental Clinic is well equipped with Dental Chairs + Units and equipments. The District Hospitals, CHCs and PHCs are manned by sufficient Dental Surgeons and are well equipped and all have been provided with Dental Chairs and Units, equipments and instruments.

Apart from the Curative aspects, preventive aspects are also carried out at the STNM Hospital, Sochakgang. District Hospitals, CHCs and PHCs and also during School Dental Health normal Programmes.

Eight regular Dental Surgeons are undergoing Post graduation in various subjects of Dentistry are as given below:

  1. Orthodontic – 4 (four) nos.
  2. Periodontic – 1 (one) nos.
  3. Conservative – 2 (two) nos.
  4. Prosthodontic – 1(one) nos.

The total number of Dental patients treated at the Dental Clinic, STNM Hospital Gangtok in the year 2020-2021 was 5790 (Male=3262, Female=2528).Total number of Dental Patients treated=1184, Total number Patient Diagnosed and Medications prescribed=4606, (OPD=5790, Extraction=680, TA(Surgical Extraction)=95, Root canal treatment=28, Scaling=33, Oral CA cases=23, Fracture=35, Filling=104, Post & core(crowns)=24, RPD=13, CD=04, crown= 8, Ortho Appliance (Hawleys appliance, Expansion appliance, Z-Spring appliance & appliance for tongue thrust)=25, Minor surgery=201, Major oral surgery cases (Tumor or jaw, Dentigerous Cyst, cleft lip and palate etc)= 23.  Patient input was very less since March 2020 due to nationwide lockdown because of Covid-19 pandemic. All the Dental Surgeons were engaged in Covid Duty on rotation basis during pandemic situation.

Dental (Oral) Health programme / IEC could not be conduct due to Covid 19 pandemic situation;   the Virtual programme on different Oral health topic, like Geriatric Oral Health, awareness on Oral Cancer etc. has been initiated through Social networking system.

Apart from the STNM Hospital, there are four Dental Units in the four District Hospitals      (viz-Namchi, Gyalsing, Singtam & Mangan) and Dental Units in all CHCs and PHCs. In the year 2007, five new Dental Chairs & Units were provided in District Hospital Singtam and Jorethang, Rangpo, Soreng and Chungthang PHCs. One Dental X-Ray Machine was provided at Singtam Hospital in 2007. In 2012, Rhenock & Rinchenpong PHCs received new Dental Chair & Unit; along with other instruments.

STNM Hospital, Old Building received four Chamundi-Confident Dental Chair & Unit and one Confident-Intra Dental X-Ray Machine in 2008; along with two Portable Micromotor sets and one Hanging Motor set. The Chamundi-Confident Dental Chair and Unit are semi-functioning and the supplier has been informed for repair of the same through the CHSC. One is being kept at STNM Hospital and three are being shifted to the District Hospital/PHCs through CHSO.

One Kodak Dental X-ray Machine and one Kodac RVG-5100 system was installed at STNM Hospital in June 2015. One each set of old chair and unit, instruments and equipments repaired and installed at Samdong PHC, Senek PHC and Dikchu PHC in 2017.  Two Dental chairs and units were received from NEC 2017-18 at Singtam District Hospital and Namchi District Hospital. Twenty two (22) new Dental Chair & Units (Chamundi & Mokambika) was received from the NE fund for the STNM Hospital, four District Hospitals & CHC & PHCs.(Annexure-I)

The tour programme to visit whole Sikkim Dental Clinic of District Hospitals, CHCs & PHCs has been approved by DG-cum—Secretary, Health & Family Welfare, Govt. of Sikkim. Likewise, in the month of December 2020 the inspection/ visit of the whole Sikkim Dental Clinic conducted by HOD, Dental & team. The latest report of Dental Chair & unit, equipment’s of District Hospitals, CHCs & PHCs are listed (Annexure-II). The further requirement of Dental Chair & unit, Equipment’s & Instruments are prepared (Annexure_III).

Beside the Govt. funding, we have received 02 (two Chair), “PRUDENT COMPANY” under CSR activity, donated by “ZYDUS WELLNESS” which are installed in Temi PHC & Tokal-Bormiok PHC and 02 (two) Chair “CONFIDENT COMPANY” from District Collector (Aspirational District) fund, which are installed in Tashiding/Senek PHC & Yoksum PHC, in the month of June 2021 two dental chairs “CONFIDENT COMPANY” has been donated and installed by local gentries at Namchi, District Hospital. We have received 02 (two dental chairs) “CONFIDENT COMPANY” under CSR activity by “SUN PHARMA” for Melli PHC and Dikchu PHC, this year.

One Dental Chair (Confident Company) Mookambika, shifted from Old STNM Hospital lost from Temi PHC, we have lodged FIR at Temi Police Station & file processed for Departmental enquiry for the same.

New STNM Hospital, Sochakgang received 07 (seven) Dental Chair (Confident Company) & 01 (one) Dental Chair (Skanray) ,  05 (five) no. of Autoclave (Skanray), One Chair attached Dental X-ray (Confident) , One RVG sensor ( C-Dent image company), Minor OT table with Light, Central Sterilization Unit, Instrument set for each Chair from CEEPL.

The Eight Dental Chair from Old STNM Hospital has been shifted to the following PHCs:

  1. Machong PHC
  2. Heegyathang PHC
  3. Yoksum PHC
  4. Sang PHC
  5. Mangalbaria PHC
  6. Bormiok-Tokal (which is shifted to Rongli PHC)
  7. Temi PHC (Which is missing from PHC)
  8. Passingdang PHC

Now all the 4 District Hospitals, 3CHCs & 23 PHCs, have Dental Chair & Unit and Instruments (old + new).  In the 3 CHCs and 23 PHCs, Dental Surgeons have been posted are maximum on Adhoc basis. Most of the PHCs & CHCs do not have Dental Hygienist/Assistants. Additional posts for the same are required to be created for posting of the same.

On 12.03.2016 under NOHP, NHM training of Dental Surgeons, Medical Officers, Dental Hygienists, Dental Assistant and Nurses was held at the Conference Hall, Police HQ, Gangtok. They were trained on Book Keeping, Auditing, Budget Prep and Condemnation.

Oral and Maxillofacial Surgeons are carrying out major surgeries in the GA OT.

Dental Beds, four each for male and females have been provided.

Free Removable Partial Dentures for edentulous are being provided in the STNM Hospital and District Hospitals.

Eight new Dental Chairs and Dental Instruments have been provided in the New STNM Hospital; including one minor OT and Prosthetic Laboratory.

Appointment of Dental Surgeons has been done in the three CHCs and twenty three PHCs, in order to take the Dental treatment to the rural areas for the benefit of the poor villagers.

OPG (Ortho-pantogram) Machine and IOPA Dental X-Ray Machines have been installed in the Radiology Department of the New STNM Hospital.

The Four Dental surgeons from STNM Hospital have undergone training at the Indian Dental Academy, Hyderabad for Dental Implant, Surgery and fabrication of the same. Orientation and motivation programmes are being carried out for maintaining good oral hygiene.

Apart from the curative, treatment component includes School Dental Health and Community Dental Health Education through IEC activities.

With the financial assistance of the NHM (NOHP) and the North East Council (NEC), we would be able to take the National Oral Health Programme and Dental treatment to the doorstep of the poor villagers, like the medical treatment carried out by the Medical Officers under NHM.

East District West District North District South District
Rhenock CHC Soreng CHC Passingdong PHC Temi PHC
Sang PHC Sombaria PHC Hee-Gyathang PHC Melli PHC
Machong PHC Rinchenpong PHC Dikchu PHC
Senek/Tashiding PHC
Yoksum PHC
Mangalbaria PHC

The Dental Clinic room in the above CHCs & PHCs is very congested for the routine Dental examination & treatment procedure. Therefore if we can dismantle the partition wall/ minor civil work and include the adjacent room of every CHCs & PHCs, there will be ample space for routine Dental examination & treatment procedure.

To facilitate proper implementation of the National Programme (NOHP) and to carry out the &State level Dental Programmes, additional funds, additional Dental Equipments/ Instruments and additional Manpower are required as follows

Strategies and Priorities for the year 2020-2021

  1. Additional rooms/space in the Dental Clinic of the STNM Hospital
  2. Additional rooms/space in the District hospital, CHCs and PHCs& minor renovation work of Dental Clinic needed.
  3. Appointment of Dental Assistant / Hygienist for CHCs & PHCs.
  4. Autoclave & UV Chamber for CHCs & PHCs.