Are Dentists Really Doctors?
By Dr. Aakash Arora
Are Dentists Called Doctors? A Historical and Modern Perspective
The question of whether dentists should be called doctors has a complex historical background rooted in the origins of the title “Doctor” and its evolution over time. While dentists are commonly referred to as doctors today, there are historical reasons why some persons question “Are Dentists really doctors?” in the traditional sense.
Origins of the Title "Doctor"
The title “Doctor” originates from the Latin word “docere,” meaning “to teach”. Initially, it was associated with recognized saints in the Catholic Church who made significant contributions to Christian theology through their writings. These individuals, like Augustine, Ambrose, Jerome, and Gregory the Great, were considered “teachers” of the faith and formally declared “Doctors of the Church” by the Pope in later centuries.
Universities and the Doctoral Degree
Later, the Church entrusted universities with the authority to award doctoral degrees in theology, law, and medicine. The doctor’s degree was first awarded at Bologna in civil law toward the end of the 12th century, then in canon law, medicine, grammar, and other fields. In Paris, the title “master” was most common but was interchangeable with the title “doctor”.
The Hippocratic Oath and Medical Doctors
In medicine, the degree was awarded to those who followed the Hippocratic Oath. However, two key aspects of the original Hippocratic Oath are relevant to this discussion:
- “I will not use the knife, not even, verily, on sufferers from stone, but I will give place to such as are craftsmen therein.”
- “Similarly, I will not give to a woman a pessary to cause abortion.”
These oaths have historically been a point of contention when considering whether dentists, surgeons, and gynecologists should be called doctors.
Historical Distinction Between Physicians and Surgeons
Historically, physicians and surgeons were distinct professions with different levels of education and social status. Physicians were gentlemen with a university education who dealt with internal diseases, arrived at a diagnosis based on the history and external appearance of the patient, and prescribed in Latin.
Surgeons, on the other hand, were often considered craftsmen rather than learned professionals. In the 18th century, surgeons in England were addressed as “Mr.” and seldom had any formal qualification except in the case of the few who were Members of the Company of Surgeons. After the founding of the Royal College of Surgeons of London in 1800, it became customary for surgeons to take the examination for Membership of the Royal College of Surgeons and put MRCS after their name.
The Rise of Surgeons' Status
Interestingly, as the status of surgeons rose in the 19th century, particularly in London teaching hospitals, they became so proud to be distinguished from physicians that the title of “Mr.” became a badge of honor. This tradition continues today in the UK and Ireland, where male surgeons are still addressed as “Mr.”
Dentistry and the Doctor Title
The case of dentists is somewhat different. In many countries, including the United States, dentists are commonly referred to as “doctors.” This practice is based on their diagnostic and therapeutic capabilities. Dentists diagnose and treat dental issues independently, implying that they possess knowledge and skills similar to those of a physician.
In the United Kingdom, the use of the title “Doctor” by dentists was historically prohibited and could lead to charges of serious professional misconduct. However, on November 14, 1995, following a long campaign, the General Dental Council voted to remove this prohibition, effectively allowing UK dentists to use the courtesy title “Doctor”.
Modern Perspective on the Doctor Title
Today, the use of the title “Doctor” has evolved. In many English-speaking countries, it is common to refer to physicians by the title of doctor, even when they do not hold a doctoral-level qualification. This usage became common by the mid-18th century, and in 1838, the Royal College of Physicians in the UK officially recognized the application of “Doctor” as a title to medical practitioners regardless of whether they held a doctoral degree.
Dentists in many countries now use the title “Doctor” as a courtesy title, similar to how medical doctors use it. In the United States, dentists are listed as DDS (Doctor of Dental Surgery) or DMD (Doctor of Dental Medicine). The medical education and clinical training required to earn a dental degree is considered on par with medical school.
Arguments For and Against Calling Dentists Doctors
Those in favor of calling dentists doctors argue that:
- Dentists undergo rigorous medical training comparable to that of medical doctors.
- They diagnose and treat medical conditions of the mouth and jaw independently.
- In many countries, this is already an established practice.
- It helps to convey their level of expertise to patients.
Arguments against include:
- Historically, the title “Doctor” was reserved for those who taught or held specific academic degrees.
- It may confuse patients who expect a medical doctor.
- Some argue that it’s an unnecessary honorific that doesn’t reflect the practical nature of dentistry.
Legal and Social Status of Dentists as Doctors in India
In India, the legal and social status of dentists as doctors has evolved significantly over the years. Here’s an overview of the current situation:
Legal Status
The Dentists Act of 1948, which governs the dental profession in India, recognizes dentists as medical professionals. Under this act, dentists who are registered with the Dental Council of India (DCI) are legally entitled to use the prefix “Dr.” before their names.
The National Dental Commission Act of 2023 further reinforces the status of dentists as doctors. This act aims to regulate the profession of dentistry in India, provide quality and affordable dental education, and make high-quality oral healthcare accessible. It treats other medical specialties on par with dentistry in terms of regulation and standards.
Social Status
Socially, dentists in India are generally regarded as doctors by general public, though there may still be some lingering perceptions amongst certain Physicians that differentiate them from medical doctors. However, the extensive education and training required to become a dentist has helped elevate their social status.
Education and Qualifications
Dentists in India undergo rigorous training similar to medical doctors:
- They complete a 5-year Bachelor of Dental Surgery (BDS) program, which includes extensive clinical training.
- Many dentists also pursue postgraduate degrees like Master of Dental Surgery (MDS), further specializing their expertise.
Professional Recognition
In professional settings, dentists are recognized as doctors:
- They are listed as DDS (Doctor of Dental Surgery) or DMD (Doctor of Dental Medicine).
- The medical education and clinical training required to earn a dental degree is considered on par with medical school.
Ethical and Legal Responsibilities
Dentists in India are bound by similar ethical and legal responsibilities as medical doctors:
- They must adhere to the Code of Ethics set by the Dental Council of India, which is aligned with global standards.
- Dentists are subject to legal scrutiny under various acts, including the Consumer Protection Act, for any professional misconduct or negligence.
While there may still be some perception differences between dentists and medical doctors, legally and professionally, dentists in India are recognized as doctors with all the associated rights and responsibilities.
The Evolution of the Doctor Title in Medical, Surgical, and Dental Professions
The history of the title “Doctor” and its application to various medical professionals is a fascinating journey that spans centuries, involving complex relationships between religious institutions, universities, and professional guilds.
Ancient Beginnings and Medieval Distinctions
The English word “doctor” is derived from the Latin “docere,” meaning “to teach.” In ancient Greece (5th-3rd centuries BC), the Hippocratic Oath laid the foundations of medical ethics, including a curious prohibition on surgery: “I will not use the knife, not even on sufferers from stone, but I will give place to such as are craftsmen therein” This early distinction between physicians and surgeons would have long-lasting implications.
During the Middle Ages, the title “Doctor” was primarily associated with teachers and scholars in theology, law, and medicine. Surgeons, however, were considered craftsmen rather than learned professionals, creating a clear divide between medical practitioners.
The Rise of Universities and the Doctoral Degree
The use of “Doctor” as an academic degree title began in the late 12th century when the University of Bologna awarded its first doctoral degree in civil law. Soon after, doctoral degrees were awarded in canon law, medicine, grammar, and other fields. This practice spread to other European universities, establishing the doctorate as the highest academic distinction.
Crucially, physicians seeking the prestigious title of “Doctor” were required to pay substantial fees to universities, which in turn paid a portion to the Church. This financial arrangement reflected the strong influence of the Catholic Church on education and served to maintain the exclusivity and prestige of the doctoral title2.
In contrast, surgeons, who were considered craftsmen, did not pay these fees and thus were not awarded the title of “Doctor.” This financial distinction further reinforced the separation between physicians and surgeons in the medical hierarchy.
18th and 19th Century Developments
In 18th century England, the professional divide was stark. Surgeons were addressed as “Mr.” and rarely held formal qualifications. Physicians, having paid for their university education and doctoral title, were called “Doctor.”
The founding of the Royal College of Surgeons of London in 1800 marked a turning point for surgeons. They began taking examinations for Membership of the Royal College of Surgeons (MRCS), elevating their professional status. Paradoxically, as surgeons’ status rose in the 19th century, particularly in London teaching hospitals, male surgeons in the UK and Ireland adopted “Mr.” as a badge of honor to distinguish themselves from physicians.
The Emergence of Modern Medical Titles
From the mid-18th century to 1838, the use of “Doctor” as a courtesy title for medical practitioners became increasingly common. In 1838, the Royal College of Physicians officially recognized “Doctor” as a title for medical practitioners, regardless of whether they held doctoral degrees.
As dentistry evolved as a separate profession in the 20th century, dentists in many countries began using the title “Doctor” as a courtesy title. In 1995, the General Dental Council in the UK voted to allow dentists to use the courtesy title “Doctor,” marking a significant shift in professional recognition.
Modern Usage and Continuing Debates
Today, medical doctors, surgeons, and dentists are generally referred to as “Doctor” in most countries. However, some traditions persist. In the UK and Ireland, surgeons may still use “Mr.,” “Mrs.,” “Ms.,” or “Miss” as a nod to their profession’s history.
The debate over who should be called “Doctor” extends beyond medical professionals. In academia, those with a Ph.D. (Doctor of Philosophy) are entitled to use the title, reflecting the original meaning of “doctor” as a teacher or scholar.
This evolution reflects the changing landscape of medical education, professional recognition, and societal perceptions. It demonstrates how the title “Doctor,” once reserved for teachers and scholars who could afford the fees, has become a widely recognized designation for various healthcare professionals, including dentists, despite historical distinctions and financial barriers.
Frequently asked Questions
Historically, these professions were not considered doctors because they did not follow the original Hippocratic Oath, which included prohibitions on surgery and certain medical procedures.
The title “Doctor” originates from the Latin word “docere,” meaning “to teach.” It was initially associated with recognized saints in the Catholic Church who made significant contributions to Christian theology.
The Church entrusted universities with the authority to award doctoral degrees in theology, law, and medicine. This practice began in the late 12th century at the University of Bologna.
In 18th century England, surgeons were often considered craftsmen rather than learned professionals. Later, as their status rose, they kept the title “Mr.” as a badge of honor to distinguish themselves from physicians.
Physicians had to pay substantial fees to universities, which in turn paid a portion to the Church, to obtain the title of “Doctor.” Surgeons, considered craftsmen, did not pay these fees and thus were not awarded the title.
While historically excluded, dentists are now commonly referred to as doctors in many countries. In the UK, for example, the General Dental Council voted in 1995 to allow dentists to use the courtesy title “Doctor.”
The Broader Context: Other Healthcare Professionals
The debate over who should be called “Doctor” extends beyond dentists. Pharmacists, for example, have also sought recognition through the use of this title. In some countries, like Egypt and parts of India, pharmacists are referred to as “doctors” out of respect for their expertise and role in healthcare.
This raises questions about the broader use of the title “Doctor” in healthcare settings. Should it be reserved only for those with specific doctoral degrees, or should it be used more broadly as a courtesy title for healthcare professionals with advanced training and independent practice rights?
Conclusion
The question of whether dentists should be called doctors is complex, rooted in historical traditions, educational standards, and evolving professional roles. While the use of the title “Doctor” for dentists is now common in many countries, it’s important to recognize that this is often a courtesy title rather than an indication of a specific doctoral degree.
Ultimately, the use of the title “Doctor” for dentists reflects the high level of education, skill, and responsibility associated with the profession. As healthcare continues to evolve, it’s likely that discussions about professional titles and their meanings will continue, not just for dentists but for a range of healthcare professionals.
What’s most important is not the title itself, but the quality of care provided to patients. Whether called “Doctor,” “Mr.,” or simply by their name, dentists play a crucial role in healthcare, providing essential services that contribute significantly to overall health and well-being.
Uncover the surprising truth behind the age-old debate: Are dentists really doctors? Delve into the controversial history that once excluded dentists, surgeons, and gynecologists from the prestigious "doctor" title. From ancient oaths to modern medical practices, this article reveals the shocking reasons why your dentist's credentials might be more complex than you think. Discover how financial barriers and religious influence shaped the medical profession, and why the answer to this seemingly simple question isn't as straightforward as you might expect.
URL: https://dentalpark.in/news/are-dentists-really-doctors/
Author Name: Historical Medical Tradition
Published Date: November 6, 2024
Appearance Headline: Dentists Should Not Be Called Doctors
Appearance Author: Historical Medical Tradition
Appearance Published Date: November 6, 2024
Alternate Name: Mostly True
4.5
Uncover the surprising truth behind the age-old debate: Are dentists really doctors? Delve into the controversial history that once excluded dentists, surgeons, and gynecologists from the prestigious "doctor" title. From ancient oaths to modern medical practices, this article reveals the shocking reasons why your dentist's credentials might be more complex than you think. Discover how financial barriers and religious influence shaped the medical profession, and why the answer to this seemingly simple question isn't as straightforward as you might expect.
URL: https://dentalpark.in/news/are-dentists-really-doctors/
Author Name: Historical Medical Tradition
Published Date: November 6, 2024
Appearance Headline: Dentists Should Not Be Called Doctors
Appearance Author: Historical Medical Tradition
Appearance Published Date: November 6, 2024
Alternate Name: Mostly True
4.5