When providing care in general it is important to have dedicated and motivated people, access to care, appropriate tools and controllable costs. In rural areas, this is a quite a job. Pioneering and improvise is mainly with a lot of good will but that is not enough. For effective treatment especially when it comes to providing specific care such as dental care, a stable position of the patient, appropriate tools and a comfortable sitting in front of the therapist are important for a good result.