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...

Policy
Aug 17, 2015

Directive: #DODD 6010.04, Healthcare for Uniformed Services Members and Beneficiaries

This directive reissues DoD Directive 6010.04 (Reference (a)) to update established policy and assigned responsibilities for administering Title 10, United States Code (Reference (b)). It serves as the joint document for administration of healthcare benefits required pursuant to Reference (b), and is issued by the Departments of Defense, Homeland ...

  • Identification #: DODD 6010.04
  • Type: Directive
Report
Feb 11, 2015

Deployment Pulmonary Health

.PDF | 14.02 MB

Defense Health Board (DHB) report summarizing the findings and recommendations from its independent review on Deployment Pulmonary Health

Report
Jan 1, 2015

MSMR Vol. 22 No. 11 - November 2015

.PDF | 1.37 MB

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Rates of acute respiratory illnesses of infectious and allergic etiologies after permanent changes of duty assignments, active component, U.S. Army, Air Force, and Marine Corps, January 2005–September 2015; ...

Report
Jan 1, 2015

MSMR Vol. 22 No. 10 - October 2015

.PDF | 1.01 MB

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Chikungunya infection in DoD healthcare beneficiaries following the 2013 introduction of the virus into the Western Hemisphere, 1 January 2014 to 28 February 2015; Update: Cold weather injuries, active and ...

Report
Jan 1, 2015

MSMR Vol. 22 No. 12 - December 2015

.PDF | 862.38 KB

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Follow-up analysis of the incidence of acute respiratory infections among enlisted service members during their first year of military service before and after the 2011 resumption of adenovirus vaccination of ...

Report
Jan 1, 2015

MSMR Vol. 22 No. 1 - January 2015

.PDF | 985.25 KB

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Update: malaria, U.S. Armed Forces, 2014; Influenza A(H3N2) outbreak at Transit Center at Manas, Kyrgyzstan, 2014; Incidence of Salmonella infections among service members of the active and reserve components ...

Report
Jan 1, 2015

MSMR Vol. 22 No. 8 - August 2015

.PDF | 542.02 KB

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Update: Routine screening for antibodies to human immunodeficiency virus, civilian applicants for U.S. military service and U.S. Armed Forces, active and reserve components, January 2010-June 2015; Durations of ...

Refine your search