By KEITH UPCHURCH

kupchurch@heraldsun.com; 419-6612

DURHAM -- Despite some tears and an occasional scream, there was plenty for kids to smile about Friday morning as they got free dental care at the Durham County Health Department.

The annual Give Kids a Smile Day clinic is sponsored by the health department and the UNC Chapel Hill dental school's Department of Pediatric Dentistry. Future dentists donate their time to help children who might not be able to afford the care.

"We're giving children a smile," the health department's dental director, Miriam McIntosh, said. "There are children who come with fear, but when they leave they are free of the pain. They're able to eat better and have a nice smile, so they appreciate it afterward."

Cleanings, fillings, stainless steel crowns and extractions were all being done, with varying degrees of discomfort. But at the end, the kids got toys and a higher quality of life.

"We're giving back to the community, and as pediatric dentists, we're really passionate about kids," said Jossein Shahangian, 28, a third-year pediatric dental resident at UNC. "The reason we go into our field is because we love interacting with kids. They energize us."

This is the third year Shahangian has donated his time at the clinic.

"The families who come here are very appreciative," he said. "Health care is not necessarily cheap, especially nowadays. People are struggling to put food on their table. So, really, to be able to come out to a clinic for free is of great help."

Gayle Harris, director of the health department, said many people underestimate the importance or oral health. "Oral health is paramount to a healthy individual," she said, pointing out that the health department operates its dental clinic on a daily basis for people up to age 21 and for pregnant women.

Among those taking advantage of Friday's clinic was Shane Hill of Durham, who brought his two girls and one boy -- ages 2, 4 and 6.

Hill said it's the fifth time he's taken advantage of the health department's dental services for his children. "It's affordable and very convenient for my family and myself," he said. "They take really good care of my kids' teeth."

One child getting his tooth pulled was 6-year-old Jaime Campos. After the procedure, he had tears in his eyes but, like a trouper, also had a smile.

"They took my tooth," he said as he walked back into the waiting room. He said the pain wasn't too bad, but also said he was glad it was over with.