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
Jun 28, 2023

88th Operational Medical Readiness Squadron Focused on ‘Fit to Fight’ Force

Brenda Couch watches over U.S. Air Force Tech. Sgt. Ron Sparkman, a student at the 155th medical group with the Nebraska National Guard, as he checks vitals on an airman during training at Wright-Patterson Medical Center on June 13. Operational Medical Readiness Squadron was this month’s pick for “Dominate the Dirty Work,” a series of stories offering an in depth look at the hard working and dedicated individuals that often go unseen. (Photo: Kenneth J. Stiles, U.S. Air Force)

The 88th Operational Medical Readiness Squadron provides direct support to U.S. Air Force operations by promoting and sustaining force health, preventing injury and illness, restoring health, and elevating human performance. Its top priority is ensuring airmen and military members are medically ready to execute their missions at home-base and deployed ...

Article
Jun 16, 2023

Navy and Marine Corps Public Health Center Changes Name

The Navy and Marine Corps Public Health Center changed its name in accordance with section 711 of John S. McCain National Defense Authorization Act for FY19 to the Navy and Marine Corps Force Health Protection Command, effective January 1, emphasizing its operational mission focus. (Courtesy Graphic)

The Navy and Marine Corps Force Health Protection Command develops and shapes public health for the U.S. Navy and Marines Corps through health surveillance, disease and injury prevention, and public health consultation. There will be no changes to the availability of public health services, tools and resources.

Article
Jun 14, 2023

TRICARE Moves With You: 5 Tips To Help Ease Your PCS Move

TRICARE Moves With You: 5 Tips To Help Ease Your PCS Move

For military families, summer can be a time of big changes due to permanent change of station (PCS) season. When moving, it helps to make a list of items you want to pack up and move with you. Fortunately, you don’t have to worry about losing your TRICARE coverage during your move.

Refine your search