Third molar-related morbidity in deployed Service personnel

Combes, J.; McColl, Ewen; Cross, Bruce; McCormick, Robert

doi:10.1038/sj.bdj.2010.724

Cited by 17 publications

(3 citation statements)

References 11 publications

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“…However, for an ill‐prepared force, the incidence is considered to be up to five times higher. Data have shown that dental complaints requiring oral surgical support such as those related to third molar teeth represent a high proportion of the dental morbidity that presents in operationally deployed service personnel. Furthermore, the management of military personnel who require specialist oral surgical input in an operational environment may be challenging and require evacuation to distant locations to access specialist services.…”

Section: The Dds Demand For a Primary Care Oral Surgery Servicementioning

confidence: 99%

A service review of a novel primary care specialist oral surgery referral service operating in a managed clinical network

et al. 2013

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Aim: This paper describes a newly created primary care oral surgery specialist service operating in a managed clinical network caring for the United Kingdom military population. It aims to review its outcomes and to consider the structure of the service in relation to the recommendations of the 2010 NHS sponsored 'Review of Oral Surgery Services and Training' by Medical Education England which made recommendations for the delivery of UK oral surgery services. Materials and methods: A retrospective audit of patient records and referral data. Results: This paper describes a primary care focused, specialist delivered oral surgery referral service that has demonstrated how the recommendations of this review can be successfully implemented to the benefit of patients and those that commission and resource care whilst simultaneously delivering clinical training to General Dental Practitioners in oral surgery. Furthermore it illustrates the successful implementation and integration of a managed clinical network for the delivery of oral surgery referral services from primary care general practice through primary care specialist practice to secondary care hospital services. Conclusions: The benefits of the service include an efficient, effective and fiscally economical patient centred service with referral to treatment timings and complication rates that compare favourably to current alternatives and with the structures and processes that facilitate the achievement of quality outcomes. Clinical relevanceScientific rationale for study: To assess the delivery of core oral surgery services in a primary care setting.Principal findings: Of a sample of 795 cases, 92% were definitively managed in the primary care clinic. Of those referrals transferred for management in a hospital unit, 85% were due to a requirement for general anaesthesia with only seven cases (1% of total referrals) judged to be for care that fell out with the oral surgery core competencies.Practical implications: Specialists in oral surgery can deliver a substantial portion of their services in the primary care setting with benefits to patients and to commissioners of care while maintaining a postgraduate teaching commitment.Primary care oral surgery referral service Davies et al. 66Oral Surgery 6 (2013) 61-66.

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Section: The Dds Demand For a Primary Care Oral Surgery Servicementioning

confidence: 99%

A service review of a novel primary care specialist oral surgery referral service operating in a managed clinical network

et al. 2013

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“…Data analysis suggested that the most likely presentations would include periapical abscesses, sensitivity, fractured or lost restorations, fractured cusps, and pericoronitis. The data from Combes et al 8 highlighted the importance of pre-screening and prevention of pericoronitis in deployed personnel, given the challenges that impacted wisdom teeth can present even with dedicated dental teams in theatre, and this was emphasised to deploying personnel.…”

Section: Discussionmentioning

confidence: 99%

Dentistry where there is no Dentist: A retrospective analysis of urgent dental care reported through the British Antarctic Survey Medical Unit (BASMU), 2015 – 2020

et al. 2022

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Aim: To evaluate the nature of dental related morbidity in British Antarctic Survey (BAS) deployed personnel, and to compare the findings to those in other deployed population groups. Additional aims include outlining the evidence-based approach to further developing a training programme for non-dentists, to manage dental emergencies. Methods: A retrospective analysis of dental morbidity between 2015 – 2020 reported through the British Antarctic Survey Medical Unit (BASMU) database of dental reported morbidity recorded by deployed medical officers. Results: Analysis and comparison of dental morbidity in deployed personnel to austere environments revealed similarity, in that relatively minor conditions led to the most significant number of presentations for personnel seeking dental advice when deployed. Conclusions: Dental morbidity for deployed personnel in austere conditions can present with a range of symptoms from relatively minor to severe. Use of best evidence to configure training packages to likely presentations, may limit likelihood of necessitating evacuation from remote locations, or limit morbidity when evacuation is not feasible.

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“…of which were related to pericoronitis. 13 The national institute for health and clinical excellence (NICE) guidelines state that a first episode of pericoronitis unless particularly severe, should not be considered as an indication for extraction but subsequent episodes are appropriate indications for surgery.…”

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confidence: 99%

Effect of Oral and Dental Health on Combat Fitness- A Study Conducted in Military Dental Centre Cumilla

Sarker,

Naser,

Mannan

2024

J. Armed Forces Med. Coll.

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Background: The effect of oral and dental diseases of the deployed troops can seriously impair the operational activity. Combat fitness on oral and dental aspect means keeping soldier’s oral health in such a state so that they can be quickly deployed, as well as military dental personnel staying in such a way that they can be moved in the front with all of their equipment and materials to treat patients. Objective: To figure out the present oral health status of Bangladeshi troops and to correlate it’s possible influence on combat situation. Methods: This descriptive study was carried out in Military Dental Centre Cumilla from 01 March 2020 to 31 March 2022. All uniformed personnel reported to MDC with oral and dental issues were included in this study. Results: A total of 4597 uniformed personnel were evaluated and treated. Among them sainik and lance corporals were highest 2289(50%). Dental caries was mostly diagnosed condition 1410(31%). In case of acute dental condition irreversible pulpitis cases were most in number 420(35%). Dental restoration was mostly performed procedure 1293(48%) and glass ionomer restoration was done 830(64%) in most of the cases. The dental emergency rate was 230 per 1000 soldier per year. Conclusion: Disease non battle injury (DNBI) originating from dental pathologies obviously compromise the performance of high intensity missions. In this study, number of dental emergency rate (considering every dental visit) was found 230 per 1000 soldiers per year which is very similar to other countries. JAFMC Bangladesh, Vol 19, No 2 (December) 2023: 16-20

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Third molar-related morbidity in deployed Service personnel

Abstract: Dental treatment for troops in combat situations is fraught with difficulty. Special consideration must be given to the management of third molars in military personnel.

Cited by 17 publications

References 11 publications

A service review of a novel primary care specialist oral surgery referral service operating in a managed clinical network

A service review of a novel primary care specialist oral surgery referral service operating in a managed clinical network

Dentistry where there is no Dentist: A retrospective analysis of urgent dental care reported through the British Antarctic Survey Medical Unit (BASMU), 2015 – 2020

Effect of Oral and Dental Health on Combat Fitness- A Study Conducted in Military Dental Centre Cumilla

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