Dentistry is still an upcoming branch of medical science in India, it needs more time to settle and Upgrade.
most of dental Equipments are imported from all around world and mangement or working cost are higher due to dental lab expenses and Consultant doctors fees.
there is no insurance / mediclaim / reimbursement policy available in India till date. ( some companies cover 5 to 15 K depending on group insurance taken by company - which accepts any medical / hospital bills.
People are not yet educated regarding many dental procedures, treatment options, so half knowledge is always dangerous.
Most of dental procedures are elective ( means one can postpone them in early phases - at Will. ) so dental patients try to find home remedies to postpone pain till last moment.
practically most dentist settle in urban areas due to less awareness, less demand in rural areas and lack of govt job availability, so setting up private dental clinic is only choice left with dental doctors.