A man accompanied by a group of three women shuffles to the reception desk of a dentist’s office on Churchill Road holding a damp soft-tissue paper in his fist.

“He just knocked out one of his teeth,” says one of the women in his entourage, her voice pleading, anxious and expectant of a good outcome. “Can it be put back in?”

“It depends. The doctor has to look at it,” comes the lukewarm response from behind the desk.

“It had only been a day. He knocked it out just yesterday, and we came all the way from Meqele,” the woman continues to implore, as she points to the man with a forward tug of her chin.

At this signal, the man slouches nearer to the receptionist, produces and unwraps the soft-tissue paper, and presents a blood-stained canine tooth to the clerk. She takes a quick look and recoils but recovers quickly to direct the group to take seats in the waiting area.

They join others who are sitting around in a small central court area where the glass-partitioned examining rooms of the doctors are arrayed in a circle around them. Cleaning ladies, in slippers, with single plastic gloves covering one of their hands and wearing ill-fitting surgical masks, constantly zoom in and out of the examination rooms carrying red buckets brimming with medical waste.

The sterile, sanitised and clean examining rooms one expects in dental clinics of the West are nowhere in sight here. The treatment rooms have no wash station, suction devices, drainage system, rinse equipment or waste disposal units. In general, the clinic fails to meet the standard clinical asepsis and sterile conditions of modern dentistry.

But even modern medicine has limits and the replanting of a knocked-out tooth lays in that boundary between possibilities and miracles. We are not expecting miracles in our medical offices, but the very minimum standards of modern practices of hygiene are to be practised. What is possible is for the private sector and the professional class to take the lead in modernising Ethiopia.

We may expect backwardness in a government-run dental office, but why has modernism eluded the professional class in Ethiopia?

The modern Ethiopian professional, whether a dentist, an engineer, architect or a physician is swallowed in the same vortex of underdevelopment that has taken over the country. Surely, they are exposed to the standards and practices of contemporary modern dentistry, engineering, architecture, and medicine; but why do they pay lip service when it comes to applying it in Ethiopia?

Efficiency and modernity in our country are considered cumbersome and unnecessary to develop Ethiopia by many in the professional class. As if the path to progress can be short-circuited by adapting the veil of modern life now, and by postponing and pushing away the hard work to an uncertain future.

Innovations and progress are the natural harbours of the private sector, but that sector in Ethiopia is scrambling to find safe harbours in government largess of tax cuts, incentives, favourable land grants, and other state favours.