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...

Report
Jan 1, 2010

MSMR Vol. 17 No. 3 - March 2010

.PDF | 939.05 KB

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Motor vehicle-related deaths, U.S. Armed Forces, 2009; Update: Heat injuries, active component, U.S. Armed Forces, 2009; Update: Exertional rhabdomyolysis among U.S. military members, 2009; Update: Exertional ...

Report
Jan 1, 2010

MSMR Vol. 17 No. 5 - May 2010

.PDF | 951.39 KB

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Temporal characteristics of motor vehicle-related fatalities, U.S. Armed Forces, 1998-2009; Obstructive sleep apnea, active component, U.S. Armed Forces, January 2000-December 2009; Insomnia, active component, ...

Report
Jan 1, 2010

MSMR Vol. 17 No. 2 - February 2010

.PDF | 1.85 MB

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Medical evacuations from Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF), active and Reserve components, U.S. Armed Forces, October 2001-September 2009; Accidental injuries from hand-to-hand ...

Report
Jan 1, 2010

MSMR Vol. 17 No. 1 - January 2010

.PDF | 1.85 MB

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Outbreak report: Malaria in a U.S. Marine reserve unit deployed to Benin; Surveillance Snapshot: Influenza reportable events, service members and other beneficiaries, 2009-2010; Update: Deployment health ...

Report
Jan 1, 2010

MSMR Vol.17 No. 4 - April 2010

.PDF | 1.21 MB

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: To readers of the Medical Surveillance Monthly Report (MSMR); Hospitalizations among members of the active component, U.S. Armed Forces, 2009; Ambulatory visits among members of the active component, U.S. ...

Report
Jan 1, 2010

MSMR Vol. 17 No. 7 - July 2010

.PDF | 1001.96 KB

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Low back pain, active component, U.S. Armed Forces, 2000-2009; Thoracolumbar spine fractures, active and reserve components, 2000-2009; Tendon ruptures, active component, U.S. Armed Forces, 2000-2009; ...

Report
Jan 1, 2010

MSMR Vol. 17 No. 12 - December 2010

.PDF | 736.51 KB

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Numbers, proportions, and natures of conditions that are diagnosed for the first time within six months before retirement, active component, U.S. Armed Forces, 2003-2009; Osteoarthritis and spondylosis, active ...

Report
Jan 1, 2010

MSMR Vol. 17 No. 9 - September 2010

.PDF | 936.83 KB

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Contact transfer of vaccinia virus from U.S. military smallpox vaccinees, U.S. Armed Forces, December 2002-May 2010; Updates: Routine screening for antibodies to HIV-1, civilian applicants for U.S. military ...

Report
Jan 1, 2010

MSMR Vol. 17 No. 8 - August 2010

.PDF | 910.19 KB

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Sexually transmitted infections, U.S. Armed Forces, 2004-2009 (corrected version: posted 30 March 2011); Surveillance snapshot: Malaria among deployers to Haiti, U.S. Armed Forces, 13 January - 30 June 2010; ...

Report
Jan 1, 2010

MSMR Vol. 17 No. 10 - October 2010

.PDF | 1.07 MB

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Illness and injury diagnoses within six months before retirement after 20 or more years of active service, active component, U.S. Armed Forces, 2000-2009; Cold weather injuries, U.S. Armed Forces, July 2005 - ...

Report
Jan 1, 2010

MSMR Vol. 17 No. 11 - November 2010

.PDF | 2.85 MB

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Supplemental report: Selected mental health disorders among active component members, U.S. Armed Forces, 2007-2010; Mental disorders and mental health problems, active component, U.S. Armed Forces, January ...

Report
Jan 1, 2010

MSMR Vol. 17 No. 6 - June 2010

.PDF | 990.95 KB

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Incident diagnoses of cancers and cancer-related deaths, active component, U.S. Armed Forces, January 2000-December 2009; Surveillance Snapshot: Lightning-related medical encounters, 2009-2010; Brief Report: ...

Refine your search