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
Apr 28, 2014

Instruction: #DODI 1010.10, Health Promotion and Disease Prevention

This instruction reissues DOD Directive 1010.10 (Reference (a)) as a DOD instruction (DoDI) in accordance with the authority in DODD 5124.02 (Reference (b)) to establish policy and assign responsibilities for health promotion and disease prevention in accordance with References (c) through (f).

  • Identification #: DODI 1010.10
  • Type: Instruction
Report
Feb 25, 2014

Evaluation of the TRICARE Program Fiscal Year 2014 Report to Congress

.PDF | 3.48 MB

The Evaluation of the TRICARE Program: Access, Cost, and Quality, Fiscal Year 2014 Report to Congress is provided by the TRICARE Management Activity (TMA)/Office of the Chief Financial Officer (OCFO)—Defense Health Cost Assessment and Program Evaluation (DHCAPE), in the Office of the Assistant Secretary of Defense (Health Affairs) (OASD/HA).This ...

Report
Jan 1, 2014

MSMR Vol. 21 No. 11 - November 2014

.PDF | 549.40 KB

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Transfusion-transmissible infections among U.S. military recipients of emergently transfused blood products, June 2006-December 2012; Evaluation of extragenital screening for gonorrhea and chlamydia in HIV ...

Report
Jan 1, 2014

MSMR Vol. 21 No. 1 - January 2014

.PDF | 615.15 KB

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Images in health surveillance: dengue and chikungunya virus vectors and prevention; Surveillance snapshot: self-reported malaria prophylaxis compliance among service members with diagnosed malaria, 2008-2013; ...

Report
Jan 1, 2014

MSMR Vol. 21 No. 2 - February 2014

.PDF | 372.58 KB

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Surveillance snapshot: male infertility, active component, U.S. Armed Forces, 2000-2012; Urinary tract infections, active component, U.S. Armed Forces, 2000-2013; Human T-lymphotropic virus infections in ...

Report
Jan 1, 2014

MSMR Vol. 21 No. 12 - December 2014

.PDF | 756.31 KB

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Development and implementation of a cohort review for latent tuberculosis infection; Brief report: number of tuberculosis tests and diagnoses of latent tuberculosis infection in active component service ...

Report
Jan 1, 2014

MSMR Vol. 21 No. 10 - October 2014

.PDF | 617.63 KB

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Suicides and suicide attempts among active component members of the U.S. Armed Forces, 2010-2012: methods of self-harm vary by major geographic region of assignment; Risk of type II diabetes and hypertension ...

Report
Jan 1, 2014

MSMR Vol. 21 No. 4 - April 2014

.PDF | 489.25 KB

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Absolute and relative morbidity burdens attributable to various illnesses and injuries, U.S. Armed Forces, 2013; Hospitalizations among members of the active component, U.S. Armed Forces, 2013; Ambulatory ...

Report
Jan 1, 2014

MSMR Vol. 21 No. 9 - September 2014

.PDF | 409.66 KB

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Fractures among active component, recruit trainees, and deployed service members, U.S. Armed Forces, 2003-2012; Diagnoses of eating disorders among active component service members, U.S. Armed Forces, 2004 ...

Report
Jan 1, 2014

MSMR Vol. 21 No. 3 - March 2014

.PDF | 477.89 KB

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Legionellosis in Military Health System beneficiaries, 1998-2013; Urinary tract infections during deployment, active component, U.S. Armed Forces, 2008-2013; Update: heat injuries, active component, U.S. ...

Report
Jan 1, 2014

MSMR Vol. 21 No. 7 - July 2014

.PDF | 634.01 KB

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Sunburn among active component service members, U.S. Armed Forces, 2002-2013; Brief report: sunburn diagnoses while deployed in Southwest/Central Asia, active component, U.S. Armed Forces, 2008-2013; ...

Report
Jan 1, 2014

MSMR Vol. 21 No. 6 - June 2014

.PDF | 526.73 KB

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Brief report: the geographic distribution of incident coccidioidomycosis among active component service members, 2000-2013; Brief report: mid-season influenza vaccine effectiveness estimates for the 2013-2014 ...

Report
Jan 1, 2014

MSMR Vol. 21 No. 8 - August 2014

.PDF | 551.02 KB

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Spread of vaccinia virus through shaving during military training, Joint Base San Antonio-Lackland, TX, June 2014; Gynecologic disorders diagnosed during deployment to Southwest/Central Asia, active component ...

Report
Jan 1, 2014

MSMR Vol. 21 No. 5 - May 2014

.PDF | 531.20 KB

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Numbers and proportions of U.S. military members in treatment for mental disorders over time, active component, January 2000-September 2013; U.S. Armed Forces air crew: incident illness and injury diagnoses ...

Refine your search