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...

Video
Dec 9, 2024

Warrior Care: A Marine Finds Community with Art

Warrior Care: A Marine Finds Community with Art

Lance Cpl Sara Vanegas is a Marine with the Wounded Warriors Batallion East at Walter Reed National Military Medical Center in Bethesda, MD. She is a talented artist who is finding community through her art and the Warrior Care Program. Learn more about the many resources and programs available at health.mil/warriorcare.

Video
May 23, 2024

TRICARE Options in Retirement

TRICARE Retirement Video

Are you or your sponsor approaching retirement from active duty or the National Guard or Reserve? "TRICARE Options in Retirement" explains the TRICARE plans available to you in retirement. This webinar guides you through how to keep your TRICARE coverage when you retire. Presented by Zelly Zim, senior analyst, TRICARE Policy & Programs, TRICARE ...

Video
Aug 17, 2023

TRICARE Back to School

TRICARE Back to School

TRICARE covers many services that can help get your child ready to go back to school. To see all of TRICARE's back to school covered services visit www.tricare.mil/BackToSchool.

Video
Aug 7, 2023

TRICARE Pharmacy Options

TRICARE Pharmacy Options

TRICARE covers three different pharmacy options for beneficiaries to chose from. This video explains what beneficiary's options are and potential out of pocket cost for each.

Video
Jul 11, 2023

TRICARE Telemental

TRICARE Telemental

TRICARE offers telemental health services as a part of the telemedicine benefit. This video explains what telemental health services works and who needs a referral.

Video
May 22, 2023

TRICARE Vaccine Cost

TRICARE vaccine cost

TRICARE covers age-appropriate vaccines, as recommended by the CDC. You can get TRICARE covered vaccines from military hospitals or clinics and network pharmacies at no cost. If you choose to get vaccinated by a TRICARE-authorized provider, like your doctor's office, you may have a copayment or a cost-share for the office visit. To learn more about ...

Refine your search