CT Foundation for Dental Outreach

CT Mission of Mercy (CTMOM) - Volunteer Information

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2019 CTMOM Free Dental Clinic 
April 13-14, 2019

Windham Middle School
123 Quarry St
Willimantic, CT 06226

Volunteer Registration is Now Open!

New this year! 

There are two registration forms: 

  • Dental/Medical Volunteers (includes ALL dental and medical practitioners; dental administrators; dental distributors; dental equipment technicians; dental lab technicians; dental, hygiene and assistant students; EMTs; massage therapists; medical residents and students; nursing students; pharmacy interns)
  • Community Volunteers (including pre-dental and pre-medical students) click here for all Community Volunteer job descriptions. 


Information for Community Volunteers:

Job Descriptions for Community Volunteers (PDF)

What to Wear

All Volunteers will be given a CTMOM t-shirt and are encouraged to wear it during the clinic. Dress is casual – everything from scrubs to shorts – whatever is most comfortable for you. Supportive closed toe shoes are required!

Attention all volunteers under the age of 18

*You must have this form signed by a parent or guardian in order to volunteer at the CTMOM Free Dental Clinic.
Please click here to print the form and bring it with you to the clinic.

Information for Dental Volunteers

Dental Instruments and Supplies

The clinic will have portable dental units that include a patient chair, light and an operative unit connected to water and vacuum lines. Hand pieces (4 hole), Instruments and disposable dental supplies will be provided. If you choose to bring your own handpieces (4 hole), instruments or supplies, consider purchasing a plastic container with a lid to store and transport your instruments. Please write your name on your container.

Recommended Supplies to Bring: 

  • Dentists bring any special equipment you may need headlights, magnifying eyewear 
  • Be sure they are marked properly with your identification. 
  • We will have hand pieces available for your use, but they may be different from what you are accustomed to.
  • If you would like to bring your own hand pieces, please mark them with your identification
  • Bring your DEA number for prescription writing purposes.
  • We will have generic CTMOM prescription forms available for use.  Only CTMOM prescription forms will be allowed.  Do NOT bring your own forms.  
  • Burs - Only if you have a favorite
  • Bring a copy of your current license 

Recommended Supplies to Bring: Hygienists

  • Set ups will be provided but if you so desire, bring your favorites: scalers, cavitron inserts. 
  • Bring any special equipment you may need headlights, magnifying eyewear. Please mark them with your identification.
  • Bring a copy of your current license. 

Items That Will Be Supplied For Your Use (Dentists & Hygienists):

Instruments Hand pieces - High and low speed
Gloves Masks
Disposable prophy angles Prophy paste
Sealants Fluoride varnish
2x2, 4x4 gauze Dental Floss
Liquid hand sanitizer Patient bibs; bib holders
Disinfecting wipes/surface disinfectant Sterilizer pouches
Syringes and needles Q-tips and topical anesthetic
Anesthetics Cotton rolls
Dry angles Disposable instrument trays
Articulating paper Safety glasses
Toothbrushes Toothpaste
Saliva ejectors and HVE tips Chair covers
Burs Amalgam and bases
Composite Etch/bond
Matrix bands and wedges Amalgamator
Curing lights Hand piece lubrication
Stainless steel crowns Cement
Endo supplies Pens/markers
Hand mirrors  


There is a volunteer lounge available for breaks. Breakfast, lunch, snacks and beverages will be provided. Massage Therapists will be available in the lounge area to provide free massages to any volunteer. Please note: There are no secure areas for your personal belongings. 





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Connecticut Foundation for Dental Outreach
835 West Queen Street, Southington, CT 06489 | Phone 860.863.5940 | Fax 860.863.5672
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