We are witnessing the largest outbreak of Ebola in history, with the West African countries of Liberia, Sierra Leone and Guinea being particularly affected. With a population of six million, Sierra Leone has few resources to manage oral disease, having only two dentists working in the public sector. Routine healthcare needs do not disappear just because of the Ebola crisis. Oral surgery continues to be required and provided. How is Ebola having an impact on colleagues in Sierra Leone working in the midst of the outbreak? And how might it have an impact on us?