Dr James Hunter (right) provides dental treatment at Trinity Dental Clinic in Monrovia in Liberia, using magnification and illumination to support clinical procedures in a resource-limited setting. (All images: Admetec)
MONROVIA, Liberia: Liberia has one of the lowest densities of dentists in Africa. According to the World Health Organization, the country had just 0.01 dentists per 10,000 people in 2024. For many of its more than five million inhabitants, access to dental care is extremely limited, and oral disease may consequently go untreated for a long period. Treating patients with significant dental needs has become part of daily practice for Dr James Hunter, a UK dentist who relocated to Liberia in August 2025.
Dr Hunter currently serves as project lead for Trinity Dental Clinic and the Liberia Dental Therapy School. The clinic provides essential treatment for patients with severe dental disease and trauma, and the school trains local students as dental therapists who can provide essential dental care in their communities.
Dr James Hunter (right) has worked with Trinity Dental Clinic since relocating to Liberia in 2025. The clinic provides dental care for patients with significant treatment needs.
Before moving to Liberia, Dr Hunter practised dentistry in Cornwall in the UK, where he was accustomed to working under an operating microscope. Transitioning to a resource-limited environment where power cuts are common represented a significant change. In Liberia, Dr Hunter uses Admetec’s Ergo V loupes, which provide three adjustable magnification levels in a single device. This allows him to use the same pair of loupes for surgical procedures, endodontic treatment and routine care. A compatible Admetec headlight provides consistent illumination when the power supply is unreliable.
Turning procedures into teaching opportunities
A major part of Dr Hunter’s work in Liberia involves training students at the Liberia Dental Therapy School. Previously, students learning a new technique would gather around the dental chair and try to observe the procedure from behind the operator. Dr Hunter now also uses Admetec’s Flamingo wireless camera during procedures to share the clinician’s view with students in real time.
“I was incredibly excited to put the Flamingo camera to good use in Liberia, and I’ve been able to use it in far more ways than I expected,” Dr Hunter said. “My students can see the fine details of a technique in a way that just wouldn’t be possible if they were trying to look over my shoulder. In many ways, it allows them to see what I’m doing through my own eyes.”
In a country with one of the lowest densities of dentists in Africa, expanding access to dental care requires investment in local dental professionals.
Because procedures can be recorded, footage can also be replayed later in the classroom. This allows treatments performed during outreach trips or busy clinic days to provide practical teaching material for the students.
Connecting with specialists remotely
The camera has also facilitated remote collaboration. In some cases, Dr Hunter has recorded footage and shared it with an oral and maxillofacial surgeon, allowing them to discuss complex cases and treatment approaches despite being thousands of miles apart.
Recently, this collaboration supported the management of a patient who had sustained a maxillary fracture in a motorcycle accident and subsequently developed a palatal fistula. By sharing video captured using the Flamingo camera, Dr Hunter was able to communicate the details of the case and receive guidance from the surgeon before repairing the defect.
Building Liberia’s dental workforce
While the clinical work at Trinity Dental Clinic helps meet immediate treatment needs, the longer-term focus is on expanding the dental workforce in Liberia. The Liberia Dental Therapy School trains dental therapists to provide essential care. By incorporating cases treated at the clinic into the students’ training, Dr Hunter can use his day-to-day work to support the education of dental therapists who will go on to provide care in Liberian communities where access to dental services is limited.
The Liberia Dental Therapy School is working to expand the country’s dental workforce and improve access to essential dental care.
More information about Dr Hunter’s work and ways to support it can be found at sim.co.uk and www.thehuntersinliberia.co.uk. Further information about the Liberia Dental Therapy School is available at www.ldts.org.
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