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, 2024

Military Health Expert Explains how Strength is Relative to Body Weight

People working out outside

Each military service selects its physical fitness tests to meet its unique mission needs. All services’ fitness tests include measures of aerobic fitness, such as a timed run, and muscular health, such as the push-up. Depending on the service, the fitness test can include sprinting, carrying weighted items, or deadlifts.

Article
Nov 26, 2024

TRICARE Open Season: Understanding Who’s Eligible

TRICARE Open Season: Understanding Who’s Eligible

It’s that time of year again—TRICARE Open Season is here. Open season, which began Nov. 11, runs until Dec. 10. During this period, most beneficiaries with TRICARE Prime or TRICARE Select can make changes to their health plan for coverage starting Jan. 1, 2025.

Article
Nov 20, 2024

TRICARE Now Covers Hearing Aids for Children of Military Retirees

TRICARE Now Covers Hearing Aids for Children of Military Retirees

TRICARE has recently expanded its hearing aid coverage to include eligible children of retired service members. This new coverage results from a new statute. It aims to improve access to life-changing medical technology and help eligible children of retired service members get the hearing aids they need.

Article
Nov 7, 2024

Check Out Your 2025 TRICARE Health Plan Costs

Soldier hugs his wife and young son

With 2025 just around the corner, you may be starting to consider your family’s health needs for next year. There may be changes to your TRICARE health plan costs starting Jan. 1, 2025. Depending on your plan, these costs may include enrollment fees, premiums, cost-shares, and copayments.

Article
Oct 24, 2024

Q&A: What To Know as TRICARE Open Season Begins Nov. 11

Woman wearing glasses sits in front of laptop screen. Text reads: "TRICARE Open Season 2024: Nov. 11-Dec. 10"

TRICARE Open Season begins Monday, Nov. 11—that’s just a few weeks away. If you’re a TRICARE beneficiary, this is the time when you can enroll in a health plan or change health plans for coverage that starts Jan. 1, 2025. You can make these changes through Tuesday, Dec. 10.

Refine your search