As the first dentist in Dharavi, Dr. Chang recalls those days when it was 25 paise for a cup of chai, Rs. 5 for a tooth extraction and Rs. 5 for a silver filling. This was back in 1976, when the Calcutta born and Manipal educated doctor came to the ‘money making city’ of Mumbai. Dharavi was then a marshy area with narrow roads and hutments. “Many people in Dharavi were daily wage earners and have financial problems. They prefer a cheap cost of living,” says the 60 year old dentist.
While the cost of living has gone up in the last 35 years since he started work here, Dr. Chang still charges the minimum from his patients. He says that the educated can take care of themselves but the poor in Dharavi need to be more informed about dental hygiene. Looking at the cases of tooth decay and gum problems, Dr. Chang says he continuously dispenses advice stating lesser usage of paan and tambaku. “You can give them as much advice as you want but they are just not prepared to listen,” he adds.
However, Dr. Chang is quick to note that things are better than what they used to be three decades ago. There is more awareness through the television and internet and people are more careful about what their dental health. As we sip on colas offered by Dr. Chang, we ask him slyly if this is going to harm our teeth. “That’s good for business, isn’t it?” he grins.
While the line for Dharavi dental problems might be thinner than before, many Dharavi clients want a pretty set of pearlies. There is more readiness to spend on bleaching and procuring a new set of dentures, something that was thought as too expensive three decades ago. “Many Dharavi people have better incomes than they used to and looking good is part of the deal, isn’t it?” says Dr. Chang.
Dr. Chang hails from a Chinese family of dentists and his three sons are also dentists. He is mysterious about his origins and despite persistent attempts to seek out his full name, he says, “Just Chang. People know me as Dr. Chang.” And if you thought that his Chinese origin may lend itself to some mystic source of knowledge about dental health, Dr. Chang is quick to bust the myth. “It is just that we have better access to instruments and lab technicians than my forefathers did. However, the next generation of dentists lacks the access to basics that we had. There was a time when I manufactured dentures ourselves. There is some knowledge about ground realities that we had access to which the younger generation of dentists doesn’t have,” he says.
In his well-equipped clinic, buzzing with junior dentists (mostly women) and patients, Dr. Chang has a thriving business. He has two more clinics in Byculla and Kurla and caters to mostly lower income groups. He says that if it wasn’t for dentistry, then he would have chosen to become a physician since “you can serve longer. Even till you are 80 years old. As a dentist, you can practice only as long as your eyesight is good. I would like to continue as long as I can. Whether it is looking good or relieve pain, I would like my patients to be happy.”