Volunteer-led free dental outreach clinics in semi-urban Uganda: a feasibility study

Background The global burden of dental disease remains a key global public health issue, with the prevalence of common pathologies grossly unchanged over the last two decades. Poor oral health impacts individuals on a personal and economic level and incurs a significant cost globally. The role of dental aid organisations in strategies to deliver dental health services has long been debated.Methods We launched a dental clinic at the premises of an established non-governmental organisation. All patients were taught a locally developed oral hygiene educational module before receiving a thorough examination. Treatments offered included simple scaling, fluoride application, treatment of infection and extraction.Results Three dental clinics were conducted. A total of 93 patients registered. Thirty nine (42%) were male, with an average age of 20 years (range 5-70 years). Eighty-six percent of patients presented in pain. Five (5.4%) of the patients were found to have sound teeth. Forty-three (46%) patients had at least one tooth extraction. Twenty-six percent of patients were referred for restorations. The treatment provided equated to 178 units of dental activity (UDAs). The total cost per patient was £1.82, regardless of treatment, or £0.95 per UDA.Discussion and conclusion We demonstrated a distinct need for dental healthcare in this area, an acceptability of our service, potential for sustainability, and a dedication towards providing a basic package of oral care. We call for a reignition of debate regarding the role of dental aid organisations in the provision of global oral healthcare.