rich emollient used in the management of eczema, psoriasis and other dry skin conditions.


Written by Mark Topley

Dying from simple dental decay might seem impossible, but on the eve of World Oral Health Day Mark Topley points out that – in some parts of the world – it is all too common.

I run a British dental health NGO out in Tanzania. At a dinner recently on the shores of Lake Victoria, I sat next to an America surgeon visiting the area. As well as working within our local city, Mwanza, she was carrying out surgery in one of the district hospitals where our emergency dental training teams are based. As we chatted, the subject turned to the training we’d been providing in the Lake Zone.

Dental examination in Tanzania

Although I knew that complications from untreated dental disease could cause real problems for people living in this part of the world, the comments my dinner companion made shocked me. Many of her patients, she said, needed major surgery to remove diseased tissue caused by untreated dental infection. As she explained, when a dental infection fails to ‘drain’ properly, the infection can track into the neck and then spread from there into the chest. This leads to tissue necrosis (tissue death) and septicemia (severe infection in the blood), often fatal. Treatment is to cut away the necrotic tissue and give high doses of antibiotics.

Sadly, she reflected, this very rarely works. Once a person has infection tracking into their neck, the prognosis is not good. It was one of the enduring memories, and frustrations, from her visit. She summed it up with a comment at the end of dinner:

“If I had my way, I would train an army of people to take teeth out safely. What people need in the villages round here is someone who can simply remove a diseased tooth, and stop the infection spreading.”

Dying from decay

It is 2013 and people are still dying from untreated dental decay. Two of our teams have just returned from the regions of Musoma and Bukoba in Tanzania, where for 10 days they have been training local health workers in emergency dentistry. They will train them in areas without running water or power, or the standard sterilisation kit we are used to here back in the UK (special charcoal-burning sterilisers are used instead). Yet for thousands of people living in distant, rural settlements there are now a dozen locally-qualified people who are able to treat their communities day-in, day-out, helping to prevent the sort of hideous conditions that my dinner companion had mentioned.

Sadly, however, the shocking reality is that three-quarters of the world’s population have no access to even the most basic of dental services. Dental Caries as the dental profession calls them – or tooth decay – is the world’s most common disease. It causes debilitating pain and drastically affects a person’s ability to function.

Tanzanians waiting for a dental check-up

READ THE STORY: Surely people don’t die from a toothache?

Mark Topley is CEO of Bridge2Aid, a British dental health NGO operating in East Africa | @mark_topley


British Dental Health Foundation

The British Dental Health Foundation is an independent charity that along with our global arm, the International Dental Health Foundation, is dedicated to improving the oral health of the public by providing free and impartial dental advice, by running educational campaigns and by informing and influencing the public, profession and government on issues such as mouth cancer awareness and fluoridation.

One Response to Surely people don’t die from a toothache?

  1. Judy Mapalo

    Since most toothaches are the result of tooth decay, following good oral hygiene practices can prevent toothaches. Good oral hygiene practices consist of brushing regularly with a fluoride-containing toothpaste, flossing once daily, and seeing your dentist twice a year for professional cleaning. In addition to these practices, eat foods low in sugar and ask your dentist about sealants and fluoride applications.

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