Dental problems

dentabox

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Sep 1, 2017
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Just wondering how dental problems are managed in the field, away from clinics. Speaking with several SOF and medics about 18 months ago they said it was still a problem.
 
You get at least one dental exam a year; at that time, at least in the Navy and Marines, your general state of dentition is classified and given a number, 1, 2, or 3. That number determines your deployability based on your dental health. Some conditions, you simply cannot be deployed until the choppers get fixed. Class 2, you can be deployed but certain pathology is noted (carries, still have wisdom teeth, etc).

Corpsmen can do dental care, including pulling teeth, up to a point; then, it gets kicked to a dentist if available. Those class 2 pathologies can worsen in the field, and you can get oral trauma of course, but generally if you get to the field with decent teeth, you will leave with decent teeth unless something happens.

Edited to add, if a dentist isn't available, then as @Teufel suggested the solution may be...innovative.
 
The only problem I've ever run into is a filling falling out. I was in Iraq and the detainee dentist in Abu Ghraib had to put a new one in. That was an awkward waiting room experience.

Be glad he wasn't one of the detainees who were "mishandled" by the National Guard...or you could've ended up like Dustin Hoffman in Marathon Man:D
 
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The only problem I've ever run into is a filling falling out. I was in Iraq and the detainee dentist in Abu Ghraib had to put a new one in. That was an awkward waiting room experience.

Seeing a copy of Harlan Ellison's "I have no mouth and I must scream" in there would certainly add texture.
 
The only problem I've ever run into is a filling falling out. I was in Iraq and the detainee dentist in Abu Ghraib had to put a new one in. That was an awkward waiting room experience.

Had a similar thing happen to one of my Marines in Iraq. Took him to the local PP and he did the replacement.
 
I am familiar with the Medical Readiness system. According to peer review articles in "Military Medicine" written by dentists regular dental checks (if performed) can only reduce dental emergencies by 40% as trauma and defective fillings cannot always be identified. It has also been said that 75% of dental emergencies during deployment are not preventable. Of course we should not forget the increased consumption of energy drinks which are acidic and cause massive damage to teeth.
 
Be glad he wasn't one of the detainees who were "mishandled" by the National Guard...or you could've ended up like Dustin Hoffman in Marathon Man:D
The dentist was in the US Army. He was stationed at Abu G and took care of the Iraqi "orange is the new black" crew. I was, however, the only other American in a waiting room full of detainees.
 
Had a similar thing happen to one of my Marines in Iraq. Took him to the local PP and he did the replacement.

Same -- our medical group had a dentist that would refer to a local facility for issues he could not address.
 
Serving in a support role, it effected my personnel's ability to focus until it was resolved.
 
That was what I had suspected and is also the view expressed in journal articles which I have read. This is not a new problem so why no effective solution?
 
I see several factors: prioritization/managing resources, and if we have an enduring presence. Sadly, dental care is one if those things put off until it cannot be ignored.
 
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