Dr. Anoop Sayal of Georgetown joined the volunteer efforts of the non-profit organization, The Smile Foundation, in the Dominican Republic this month. The following is an account of his journey, Jan.1-15.

For years I have always admired those who did a little bit more, going beyond their comfort level. I have admired the selflessness and personal sacrifice required to help others in need. We are indeed blessed in Canada. This urge led me to volunteer my skills and expertise as a dentist in the Dominican Republic.

The Dominican Republic is known worldwide for its white sand and lavish resorts, a popular sunspot for tourists. However, the Dominican Republic is also a third world nation, where the average monthly salary is 10,000 - 15,000 pesos ($300-500). In fact, 29 per cent of the population lives in extreme poverty, with 17-20 per cent of children suffering from chronic malnutrition.

I was assigned to Fundacion para la Prevencion y la Salud Bucal de los Ninos (Foundation for the Prevention and Oral Health of Children) commonly referred to as Sonrisas (Spanish for Smile). Sonrisas is a non-profit charitable organization. For 14 years, Sonrisas has been dedicated to improving the oral health of the Dominican population with special emphasis placed on the education and treatment of children.

Upon my arrival, Noman Siddiqui, a volunteer with the CSIH (Canadian society of International Health) and Regino Almonte, the driver/technician for the dental clinics greeted me at the airport. Noman would be my translator and guide for the next two weeks. He too was a volunteer from Canada, here on a six-month internship through his school.

My accommodations were modest. Electricity and clean water were a luxury. There was danger on the roads, caution with everything I put into my mouth, and precautions to prevent diseases like malaria and tuberculosis. Apparently these are normal conditions for the locals.

On my first day, I was taken to a dental clinic, a converted house, in Herrera, Santo Domingo where I was oriented to the Sonrisas program. One mandate of Sonrisas is to treat all the children, regardless of socio-economic background for free. My role was simple. I would be working in the various clinics and mobile clinics treating children. Most children seen are impoverished. My other role was as an educator; I would be teaching the dentist about materials, procedures and techniques. I was honoured to be able to represent Canada in such a capacity. There were dozens of children waiting for us at the mobile clinic at Pantoja, just outside of Santo Domingo. The mobile clinic is a modified van, donated by Colgate. Inside the cramped walls were a chair, light, sterilizer and everything else needed.

I'll never forget my first atient, a little boy named Oscar Rodriguez. Through my rudimentary Spanish I was able to determine that he had been in pain for months and as a result, unable to eat properly. After a quick assessment, he was relieved of his pain. He expressed his appreciation and gratitude by hugging me saying "muchas gracias, Doctor." I was touched.

Treatment is provided to the children at no cost to the parents.

Every child was unique. They each had different stories to tell, and all were very appreciative. I was impressed with the strength and resolve of all of the children. After a few hours and after seeing perhaps 30 children, I stepped out of the cramped, stuffy van for some fresh air. I was surprised to see little Oscar waiting outside with an old ball. My heart swelled when he motioned to me to play baseball with him. I spent the next while playing baseball with Oscar and his friends. Too poor to have a bat, they used a piece of 2x4 wood as a bat. I was humbled by how good those children actually were!

When the rains hit, they hit hard. Our mobile clinic had just set up at Savana Perdida, a small town 45 minutes from Santo Domingo. There were about 25 patients waiting for us. At about 11 a.m., a powerful rainstorm hit. Our van rocked and our generator puttered. Our lights flickered and water dripped in through the roof and windows. The Caribbean climate had created intense humidity within our van. We continued through the rainstorm, sometimes with no electricity or light, and sweating profusely. The children needed treatment and had been waiting for our arrival for hours. It seemed unusual that none of the patients seemed to mind that they were being treated without light. It was the children who insisted we continue. To them, it was an everyday occurrence.

My 13 years of experience, skills and training was put to the test as I continued. To my delight, every extraction and filling went smoothly. I felt a sense of accomplishment and pride as we returned home. On my final day, I was asked by the director of the Herrera Dental Clinic to prepare a presentation for all the dentists from all the Sonrisas clinics. I spoke to them about their dedication. I taught them about methods, procedures and materials that could improve the care to their patients.

My last but most important words to the dentists were, "Above all, always remember that the patient's well being is the most important factor!"

Dentistry in Canada is advanced in comparison to the Dominican Republic. I enjoyed teaching the dentists about their newly acquired panoramic radiograph machine, which they were all very excited to use, but did not know how. I felt a great sense of pride in being able to teach about current diagnostic techniques, restorative procedures and sterilization.

This experience, the children I met and treated, the grateful parents, the country and its culture, I will always remember fondly. I learned a lot about myself and about the world. My goals for volunteering were to help the impoverished children of the Dominican Republic. I learned that I could transcend the constant threat of disease, crime and language barriers through my endurance, compassion, skills and spirit. I learned about the unselfishness and kindness within all of us. We each have the capability of reaching out and giving more that we get back.

Most of all, it was the children who taught me the biggest lesson. Children across the world, no matter how rich or poor share the same basic needs: to be wanted, to be loved and to be cared for. The expressions of joy I was able to bring the children will live with me forever. I cannot wait to do it again.