On
February 20th 2016 I embarked on my Dentaid volunteering mission to Cambodia,
the team met for the first time at Heathrow airport, it was no time at all
before we were all laughing and joking like we had known each other for years,
we were a group of 73 dental nurses, 3 dental therapists and 1 dentist led by
our team leader Dr Simon Crewe.
For
our first week in Cambodia we were based in the capital Phnom Penh, we staying
in guest house which was owned and run by the wonderful charity One-2-One
Cambodia, the house was staffed by young university students who work for
One-2-One and in return receive accommodation, food and a wage during their
university study, without this opportunity the students would not be able to
afford to attend university, the students were incredibly welcoming and
couldn't do enough for us, our stay wouldn't have been the same without them.
For
our first working day we were based in a school on the outskirts of Phnom Penh,
we were working alongside some 4th year dental students from Sheffield
University so we had a large team, it was a public holiday so we were treating
children as well as their families and locals living close by. Our surgery was
set up in the schools church, we had 11 dental chairs and 7 tables, there were
3 sets of portable headpieces so good quality restorations were possible. The
nursing team was made up of Abbey, Catherine and myself from Dentaid and we
were working with 3 dental nurses from One-2-One, the 6 of us had to assist the
11 working clinicians, setting up for their patients, mixing materials,
sterilization of instruments and most importantly looking after the many
patients we were seeing, our instruments and materials were very basic but did
the job. Decay is a massive problem in Cambodia, there is a lot of refined
sugar available, children all over the country seemed to have either a sugary
soft drink, ice lolly or a syrupy slush drink in their hand most of the time
constantly bathing their teeth in sugar, this was reflected by the amount of
decay we encountered in every patient we saw, unfortunately most of the
patients we were seeing young and old were in pain with at least one tooth, the
decay was so extensive that for many people they had pulp exposure. With the
materials we had available with One-2-One we were able to provide a variety of
restorations including amalgam, glass ionomer and composite fillings. Abbey and
myself spent some of our day giving oral health education to the children,
teaching them how to clean their teeth and good and bad things to eat and drink
although with the limited communication and language barriers this was
difficult. All the patients were incredibly grateful for the treatment they
received, we had taken toys and books to give to the children, when giving
these out the children were very polite and thankful for our gifts, they wanted
to play with us and take photos, both patients and the Cambodian dental teams
loved to take photos and most days ended in a half hour photo session!
For
the next four days we were working in a women's prison, again we were working
with the charity One-2-One so had access to portable hand pieces, portable
dental chairs and multiple restoration materials. We were limited to working
only 4-5 hours a day due to the prisoners daily routines, we were seeing an
average of 50-60 patients per day. The prison had not allowed any dentists into
the prison for over 7 years so many of the patients we were
seeing had been living with dental pain and problems for a long time, they
were all incredibly grateful to us for our work. The majority of our patients
had multiple teeth with extensive decay and retained roots which in many cases
was causing bad tooth ache, we had to prioritise what treatment we would do for
patients as many were needing between 4 and 8 teeth treated in some way which
unfortunately time did not allow for so extractions of teeth causing pain and
filling anything we could save was priority. Whilst working in the prison
we had one room which we set up our surgery in, our patients would sit out in
the sun when waiting to be seen, treatment was diagnosed by our Cambodian
dentist and then patients were sent in to one of our clinicians to have the
treatment carried out, we had a sterilisation area set up outside where used
instruments were hand-washed and then sterilised in a pressure washer, we had a
Cambodia sterilisation team so instruments were always being processed and the
system worked very efficiently.
On the
Saturday we had a day off, we learnt that the charity One-2-One visit the local
slums on week days to feed the children, we decided that we would like to get
involved and donate another days food so with the help of the charity we went
to market to purchase the food (which was quite and experience in itself) came
home to cook the food and then went to deliver and feed the children of the
slum. On arriving the children were thrilled to see us, they had just found an
enormous snake in someone's home which they decided we had to see! The people
we met in the slum had almost nothing, houses were made from wood and rubbish,
the families made money from collecting and selling rubbish from the streets
and many of the children we met were orphans, if it wasn't for the charity
One-2-One many of the children would not have survived. The children ranged
from only a few months old to about 16, they were all very grateful for our
visit and every child was smiling, despite not having clean fitting clothes,
food or toys they were some of the happiest people I have ever met, true
inspiration. Once we had fed them they wanted to show us around, we had taken
lots of toys we had brought to give out, the children were thrilled to receive
books, bouncy balls, small games and party rings, the smallest simplest things
which to them meant everything, we said our goodbyes and all felt truly
grateful for the lives we live and the experiences we are able to have.
Next
we moved on to the city of Kampong Cham where we were working alongside a
retired Cambodian dentist Dr Nhep who is the sweetest woman you could
ever wish to meet, she now dedicates her life to travelling to villages around
Kampong Cham and providing much needed dental basic dental treatment, Dr
Nhep also teaches dental students in Kampong Cham, these students all have a
great attitude and all volunteer along side her on the outreach
clinics. Our working conditions now were much more basic working with Dr Nhep,
we had no dental chairs or tables or hand-pieces and our dental instruments
were much more older and many bent and broken which made the work much harder,
we no longer had any electricity available and the only dental materials we now
had available were glass ionomer for restoring teeth and fissure sealants and
fluoride varnish to help protect and strengthen children's teeth. Mostly we
were removing un-restorable teeth causing the patients pain, many of the
children we were treating and many grossly carious teeth, some had decay
present in every tooth in their mouth, we did the best preventative treatment
we could however oral health education did not seem to be given and with
the language barriers we were not able to communicate to our patients well, we
had however taken lots of toothbrushes which were given out, many of the
patients we were treating clearly didn't have a toothbrush or toothpaste so our
donations were much needed and gratefully received. We worked alongside Dr Nhep
for 3 days, we worked in a different village each day setting up and outdoor
clinic and making the most of our surroundings, the days were hot and the work
tough but incredibly rewarding.
I
had the most amazing time volunteering in Cambodia, such a beautiful, simple,
friendly country which I cannot wait to visit again, I hope to do more dental
volunteering trips in the future, this experience was incredible, I am truly
grateful to my fellow volunteers and all the people I met along the way, they
helped make the experience truly unforgettable, I learn so much and cannot
thank everybody enough who made it possible, thank you to everyone who donated
and helped me fundraise, to Dentaid and finally to Absolute
Dental for their amazing support and encouragement I couldn't have done it
without you.
Carys