Just For Canadian Dentists Mar/Apr 2021

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Building smiles around the world

T

he Ugandan, standing barely five-foot tall, had been treated the previous year by Dr. Izchak Barzilay at the same outreach clinic in the country’s Kabale district. Looking up at Barzilay towering over him, the man pointed an accusing finger. “Last year,” he said, “you took out my tooth. You took away my smile, and I want it back.” Barzilay happily obliged, sending the man away with a new denture that same day from the temporary clinic that was set up by Toronto-based Build Your Smile Dental Foundation in

revolutionary process creates dentures in four to five hours, with the team churning out upwards of 20 in one day. First, moulds are made of the patient’s mouth, creating a template for casts. Composite resin is adapted to the cast, then light cured, followed by a fitting in the patient’s mouth. The patients are “absolutely thrilled,” says Barzilay, who is the former president of the American Prosthodontic Society and owner of a private prosthodontic and implant practice in Toronto. Last year, Barzilay’s Uganda mission occurred in February, with the team returning to Canada just before COVID-19 shut down international travel. (During the visit, they saw more than 3,000 patients, young and old, and created about 100 dentures.) This summer’s planned mission to Uganda is almost certainly grounded, delayed to January 2022. Build Your Smile, however, is still carrying out its education initiatives in Uganda. Normally, a two-day “I’m surrounded by symposium for Ugandan good people willing to dental students is held help,” says Dr. Izchak at the end of each Barzilay of his continued eight-day clinical visit. work to rebuild people’s During 2020, online smiles and provide partnership with the symposia were held dental care Ugandan NGO KIHEFO. in Kampala, Uganda’s For Ugandans, “their smiles capital city, providing are important,” says Barzilay, basic to advanced continuwho is the foundation’s CEO. “If ing education in such areas as they don’t have their front teeth, they denture removal and construction and can’t get work, they can’t get married.” implants, with an eye on building a susBuild Your Smile was founded in 2018 tainable dental system that is accessible to as a way for Barzilay to provide added sup- all Ugandans. This year’s symposium will port to the international dental missions be held virtually in the late spring with an he first began in 2014. During five ensuing additional symposium planned for 2022. visits to the East African nation, Barzilay Build Your Smile also works in Toronto, undertook extractions, restorations, denproviding dental care to residents at tures and, later, limited implant treatment. Street Haven at the Crossroads, a shelIn its first outreach initiative in Uganda, ter and support for homeless women the Build Your Smile team served not only and survivors of abuse. Barzilay and a the people of Kabale but patients at the team of hygienists, dental assistants and United Nations Nakivale Refugee Camp, volunteer dentists and specialists from located in the south. Prosthodontic Associates in Toronto “creA major component of Barzilay’s is create smiles for this population, so they can ating same-day denture fabrication. This feel comfortable returning to work and the

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Just For Canadian dentists March/April 2021

community,” says Barzilay, who heads Mt. Sinai Hospital’s Division of Prosthodontics and Restorative Dentistry in Toronto. Due to COVID-19, care at Street Haven has been “scaled back,” although patients are seen on an emergency basis. Another group of Torontonians who have come under the care of Build Your Smile are Holocaust survivors. Barzilay teams up, once again, with Prosthodontic Associates to provide care, including dentures and implants, at no cost to these octogenarians and nonagenarians. “These people are at the end of their lives, with some amazingly vibrant and healthy. They need to be able to smile,” Barzilay says. Despite COVID-19, Build Your Smile is extending its reach even further this year to other needy groups in Ontario as well as other countries. “I’m surrounded by good people willing to help,” Barzilay says. Barzilay is feeling optimistic about this coming year, despite another COVID-19 wave threatening on the horizon. The dental community on the whole has adopted enhanced safety protocols and improved Personal Protective Equipment (PPE), which has allowed for work to be on the rise once again both privately and with volunteer initiatives, Barzilay says. “We have developed safe methods and a very secure environment. I don’t believe there has been a case of COVID-19 in Ontario that was contracted because of a dental procedure.” Quality PPE and rigorous safety procedures only came into effect after COVID-19’s virulence became apparent, and Barzilay knows several colleagues who contracted the disease early last year. This emphasizes the need for individuals to continue to stay within their social bubbles, and ensure they are cognizant of measures to preserve the safety and good health of others, whether that’s family or strangers, says Barzilay an adventurer who loves, when not under COVID-19 restrictions, to travel to places like the North and South Poles. “When someone close to you gets COVID, it makes the whole situation very real. Be patient and this will all be over soon.”

courtesy of Dr. barzilay

And continuing to boost oral health and confidence online and on city streets in Canada


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