A Deployed Dentist Recalls His 'One-Chair' Clinic in Afghanistan

Image of Army Lt. Col. (Dr.) Andrew Gutierrez did a tour of duty as a dentist downrange in Afghanistan. Army Lt. Col. (Dr.) Andrew Gutierrez did a tour of duty as a dentist downrange in Afghanistan. (Courtesy of Army Lt. Col. Andrew Gutierrez)

When a dentist is available downrange, word spreads fast.

That's because when you're on deployment for six to 12 months at a time, and something goes wrong with your teeth or mouth, getting to the dentist is a top priority.

"The soldiers knew whether there was a dentist on base. Those who needed something found me," said Army Lt. Col. (Dr.) Andrew Gutierrez.

Gutierrez is one of the military dentists who was in Afghanistan at the height of combat operations and provided care to service members on deployment. In 2011, Gutierrez and one dental technician were stationed at a clinic at Camp Stone in Herat, a city near Afghanistan's western border.

Gutierrez's clinic was a one-chair operation. The chair was similar to what you might see stateside. But the power to run his dental equipment came from a portable field generator. He also had X-ray capabilities and a small dental lab.

"I had pretty much everything I needed to take care of most issues that arose, from repairing fillings or chipped teeth to draining abscesses or extracting teeth," he recalled.

"Most issues were not that serious. But often soldiers found they had a little bit more time to invest in taking care of dental issues," Gutierrez said, "whether that was needing a few fillings or getting a cleaning."

"Good oral health in-theater means not having any diseases or problems that affect a soldier's ability to function, whether that be daily activities such as eating, drinking, speaking, or the ability to accomplish the mission," he said.

"I felt like I was able to educate our soldiers on the importance of oral health while downrange just because I was there with them," he explained.

"I do think maintaining oral health downrange can be difficult. Dental treatment isn't the biggest hurdle, but rather personal habits are," Gutierrez said.

"The stress encountered by soldiers during a deployment can put one's oral health low on the list of priorities."

On deployment, "soldiers are away from family, potentially not getting enough sleep, not having a good routine, and that is why remembering to brush or floss your teeth or eating well can go by the wayside," he said.

Gutierrez joined the military through the Army's Health Professions Scholarship Program. Each service has a similar program for medical and dental students.

He is now the Oral and Maxillofacial Surgery assistant program director at Tripler Army Medical Center in Honolulu, Hawaii.

You also may be interested in...

Article
Dec 2, 2025

Public health team drives readiness at Tyndall

U.S. Airmen assigned to the 325th Operational Medical Readiness and Force Support Squadrons review food temperatures during a routine food safety inspection at the dining facility on Tyndall Air Force Base

The Public Health flight within the 325th Operational Medical Readiness Squadron plays a quiet but essential role in keeping Tyndall’s mission running. The team works to prevent illness, monitor health risks and support every unit on base so Airmen can train, deploy and return safely.

Topic
Sep 4, 2025

TRICARE Health Plan

MHS Seal

The TRICARE Health Plan manages and oversees an integrated health care delivery system in the East and West U.S. TRICARE regions. The THP Director reports to and operates under the authority, direction, and control of the Director, Defense Health Agency. The THP Director has visibility of both the contract and direct care assets, and coordinates with ...

Topic
Feb 25, 2025

Public Health

MHS Seal

Public Health supports the move from a health care system to a system of health by focusing on the prevention of disease, disability, and death in garrison and while deployed.

Article
Jan 15, 2025

U.S. Army Research Institute of Environmental Medicine is Updating Guidance on Cold-Weather Injuries

A service member is exposed to cold air in environmental test chamber after undergoing a treatment called ischemic preconditioning

As efforts in the Arctic region continues to accelerate, senior leaders need to be confident that warfighters under their command will be able to operate at peak effectiveness for long periods in extreme cold. That’s why experts in nutrition, physical performance, and extreme environments from the U.S. Army Research Institute of Environmental Medicine ...

Refine your search