Brain less topic, everything depends upon value of the money (other bla bla things , cost of sources,workers salary etc). , example: 2 liter coca cola -78rs , in us 2.40$ (more then 220rs)
Except there are many examples in this thread of other developed countries with high material and labor costs but that can still offer affordable private dental care.
2-3x the cost of India? Sure. 10x? Now it's starting to get out of wack.