Stony Brook School of Dental Medicine Leads 17th Outreach Mission to Remote Villages of Madagascar

The 2019 Stony Brook School of Dental Medicine Madagascar team in Keliliana.Over 700 members of remote communities in Madagascar received oral health treatment and education by instructors and students of Stony Brook School of Dental Medicine. 
August 2019 - This summer, Stony Brook School of Dental Medicine’s team of nine students and instructors set off on a journey that consisted of three days of travel to reach two small villages in the Republic of Madagascar’s rainforests. The communities are remote, located approximately 300 miles south of Antananarivo, Madagascar’s capital, leaving residents with little to no access to oral healthcare and education. 
The outreach mission marked Stony Brook School of Dental Medicine’s 17th year providing oral health care to this African island country. Dental outreach missions to Madagascar by members of the Stony Brook University community began in the early 2000’s by joining the exploration missions of world-renown paleoanthropologist, Dr. David Krause. Through Stony Brook University Foundation, Dr. Krause established The Madagascar Ankizy Fund to provide education and health care to children that live in remote areas in the island. 

The School of Dental Medicine’s work in the area has long been led by instructors, Drs. Laurence Wynn and Joseph Hamil Willoughby. Leaving behind a legacy of mentorship and dedicated care, the 2019 mission marked their last return to Madagascar. “I feel so fortunate to have been able to learn from two of the most caring, intelligent, and selfless individuals,” expressed student Stevie Lustofin. “They have helped relieve thousands of patients from pain over the years, and made lasting impressions with the Malagasy people.” 

Guided by Drs. Wynn and Willoughby, the 2019 Stony Brook School of Dental Medicine team worked ten hours per day over the course of weeks to provide care to over 700 patients, many of whom had walked extraordinary distances with bare feet to receive care or had arrived on ox carts, willing to wait hours in the hot sun. The facilities are devoid of running water, plumbing, and electricity, requiring water to be drawn from a well, boiled and used for sterilization processes, and requiring a generator to support two portable dental units equipped with high-speed electric drills, air/water adapters, and central suction. With each member of the team equipped with a headlight and magnifying loops, they were able to provide treatment, while kneeling, to patients seated in canvas beach chairs. Necessary supplies and provisions were generously donated by a multitude of friends of Stony Brook School of Dental Medicine. 
Stony Brook School of Medicine’s team observed an abundant lack of prior dental care with the amount of tooth decay far outpacing the availability of dental care. Treatment was provided for conditions including non-restorable primary and secondary teeth, generalized advanced periodontal disease, and localized areas of significant infection. Lack of dental hygiene was observed at each location with patients describing their homecare as a process of rubbing charcoal or sand and salt with their finger against their teeth. Throughout the outreach mission, groups of children were provided with toothbrushes and toothpaste along with instruction for home care with the intention of extending preventive services. 

The mission to Madagascar not only provides essential oral health care and preventive education to the communities visited but also offers students a life-changing opportunity to develop their treatment and management skills while adapting to and adjusting for language barriers, cultural differences, and challenges in the clinical environment. “As someone who wishes to pursue oral surgery, this was a great opportunity to learn about the global need and improve my skills,” explained student Stevie Lustofin. “I was confronted with difficult situations and able to deal with them. This has not only made me feel more confident with providing treatment, but I learned the importance of body language and how a smile can go a long way.”
Stony Brook School of Dental Medicine sincerely thanks Drs. Wynn and Willoughby for their longstanding dedication to the education and mentorship of our students, and to the care and health of the people of Madagascar. 


Stony Brook School of Dental Medicine's Dr. Laurence Wynn and Dr. Joseph Hamil Willoughby