The next patient was for an unbalanced
bridge made out of Congo, we tried to level it but he came back the following
day unsatisfied because the problem continued but we had no instruments to
knock out the bridge and cement again. Such cases are referred to Kampala in
Uganda for those who can afford but most people had some great work done long
ago but now cannot afford to go back where it was done, they end up having the
whole work dismantled without replacement but only to get reed of the problem by
removing the tooth because nothing can be done at local level. In some cases it
is not complicated but either a limitation of the staff training or a lack of
instruments that makes it difficult or impossible to help.
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