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Winter 2012-13 - College of Dental Medicine - Columbia University

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To solve this serious deficit in Burundian health care, Deo<br />

returned to <strong>Columbia</strong>, where he sought help from <strong>University</strong><br />

President Lee Bollinger, who sent him to Dean Ira Lamster<br />

at the <strong>College</strong> <strong>of</strong> <strong>Dental</strong> <strong>Medicine</strong>. The <strong>College</strong> was already<br />

experienced in working with impoverished third-world<br />

dental health needs through the United Nations Millennium<br />

Villages Project. Dean Lamster agreed to send a team to<br />

treat as many Kigitu patients as possible during a one-week<br />

stay, while also helping to lay the foundation for future dental<br />

care in Burundi.<br />

The team extracted 201 teeth from 141 surgical patients,<br />

mostly adults. Since there is limited access to candy, sugary<br />

drinks and snack food in Burundi, the dentists saw fewer<br />

children in need <strong>of</strong> dental work. But one eight-year-old had<br />

been suffering for months with a growing abscess following<br />

a traumatic injury to a lower incisor. Dr. Chussid was able to<br />

give him almost immediate relief by removing the tooth.<br />

Although the VHW will face difficulty in developing and<br />

sustaining an ongoing dental presence, the staff was eager<br />

to assist and learn about how they could carry on once the<br />

<strong>Columbia</strong> doctors had completed their tour. The CDM team<br />

examined 282 patients and collected a great deal <strong>of</strong> data<br />

using a modified World Health Organization dental assessment<br />

form that will be a basic tool for moving forward in<br />

both prevention and treatment.<br />

Outside the Kigitu community school, an attentive audience listens to<br />

Dr. Chussid's daily lecture on the basics <strong>of</strong> dental health and preventive<br />

measures against oral disease.<br />

In preparing for the community's improved oral health, the<br />

four doctors also took on several other tasks: teaching the<br />

Kigitu villagers about preventive measures against dental<br />

disease; teaching and training community health workers<br />

in basic dental care and procedures, such as giving dental<br />

injections and performing extractions; and lecturing on correct<br />

procedures for advanced treatments. In addition, they<br />

provided thousands <strong>of</strong> dollars in donated dental equipment<br />

and supplies.<br />

Each member <strong>of</strong> CDM's team has expressed the hope that<br />

circumstances will allow their group to return to Kigitu to<br />

<strong>of</strong>fer further guidance in bringing the best oral health care<br />

possible to the region.<br />

Dr. Ringler operating on a Burundian dental patient with the<br />

aid <strong>of</strong> a community worker being trained in dental procedures at<br />

the Village Health Works in Kigitu.<br />

primus | winter <strong>2012</strong>-<strong>13</strong> <strong>13</strong>

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