Odontología Militar en la Operación Balmis. Retos, actividades realizadas y lecciones aprendidas / Military Dentistry in Operation Balmis. Challenges, activities carried out and lessons learned

Revisión sistemática de las actividades relacionadas con la odontología militar española y su intervención directa o indirecta durante la pandemia por SARS-Cov-2. Se describen las actividades realizadas durante la fase de formación específica en la fase de formación técnica de los alféreces odontólogos a distancia. En este artículo se analizan los problemas afrontados en las consultas dentales, las necesidades de adiestramiento y los requerimientos logísticos que requieren los protocolos odontológicos de actuación en una emergencia sanitaria de estas características tanto durante la fase de pandemia como en la postpandemia

Systematic review of activities related to Spanish military dentistry, and its direct or indirect actuation during the SARS-Cov-2 pandemic. The activities carried out during the specific training phase in the technical remote training phase of cadet ensigns curriculum are described. This article analyzes the problems faced in dental consultations, training needs and the logistical requirements demanded by the dental protocols for action in a health emergency of these characteristics, both during the pandemic phase and in the post-pandemic phase

A Retrospective, Radiographic Outcomes Assessment of 1960 Initial Posterior Root Canal Treatments Performed by Endodontists and Dentists.

INTRODUCTION: The Air Force Dental Service has established evidence-based treatment standards for endodontics, including 3-dimensional filling of the canal system, cuspal coverage restoration of endodontically treated posterior teeth, and use of rubber dam. The purpose of this retrospective study was to determine the effect of these standards on outcomes of initial posterior root canal treatments (RCTs) completed by Air Force (AF) and civilian dentists with and without accredited postgraduate training. METHODS: Treatment and follow-up radiographs of AF members who had an initial posterior RCT completed in 2011 were evaluated. A survey of all radiographs was performed to determine the (1) RCT obturation quality, (2) healing of periapical pathosis, and (3) presence and quality of cuspal coverage restorations. RESULTS: A total of 2262 RCTs were examined, with 1960 RCTs meeting inclusion criteria for at least 1 evaluation category. For RCT obturation quality, 1810 RCTs were evaluated, and 96.0% were considered adequate. For cuspal coverage restorations, 1856 RCTs were evaluated, and of these 2.7% were inadequately restored. Healing of periapical pathosis was 91.5% and 85.7% for AF and referred civilian providers, respectively. Survivability was 94.4% for endodontists, 95.3% for AF general dentists with additional training, 87.9% for AF general dentists without additional training, and 78.4% for civilian general dentists. Overall, survivability was 94.1% for a follow-up period ranging up to 47 months, with a mean of 27 months. CONCLUSIONS: In this retrospective, radiographic analysis, evidence-based practices as followed in the Air Force Dental Service and accredited postgraduate training resulted in improved treatment outcomes.

[About improvement of outpatient dental health service for young serviceman].

The article gives a detailed account of results of epidemiological survey of dental morbidity in young serviceman and different types of outpatient dental health service needs. Medical norms for dispensary supply with all types of outpatient dental health service for young servicemen are estimated. Suggestions for improvement of organizational and staff structure of dental office of medical company are formulated.

[Distance E-learning model for IDF dentists].

Distance E-learning is a novel educational modality, becoming more and more available in higher education facilities worldwide, as well as in the Israel Defense Forces, and its School of Military Medicine utilising the "Bareket" E-Learning Interface. The use of distance E-learning is necessary due to the vast progress in medical research, and the need of every doctor for continuing education throughout his whole career. The School of Military Medicine is the main centre of medical knowledge in the IDF, and as such it has to address the need for continuing education, while allowing the doctors to continue their work at the field level without too many disturbances. Thus, we suggest the implementation of an E-learning system for field-level military dentists. The system is nowadays at its pilot run, and is successfully used by IDF dentists, allowing them to refreshen their knowledge on diagnosis and treatment of routine and emergency dental situations, to be examined and receive immediate feedback. Moreover, it allows the command level to control the whole learning process. The main goal of the proposed E-learning system is the standardization of the dental treatment given in field-level clinics throughout the IDF.

[Medical standards of dispensary guarantee of call-up aged persons by ambulatory stomatological aid].

The article presents results of epidemiological research of dental morbidity among persons of call-up age and indexes of their need in different types of dental aid. Were calculated medical standards for dispensary supply, elaborated propositions in standard of medical survey of persons of call-up age on specialization "stomatology" during registering on military registration and proximately during the call-up on military service in determination of fitness for military service. These data could be used in improvement of organizational structure of dental institutes of Health Ministry of social development of the Russian Federation.

Dental practitioners' knowledge and implementation of the 2007 International Association of Dental Traumatology guidelines for management of dental trauma.

AIM: To evaluate the knowledge, adoption, and diffusion rate of the 2007 International Association of Dental Traumatology guidelines among practicing military dental professionals, 1 year after publication. METHODS: Fifty-four military dental professionals in the Medical Corps of the Israel Defense Forces participated in the study and completed a questionnaire, consisting of demographic questions, and multiple choice questions that presented critical points that a military dentist should know when treating a tooth injury. RESULTS: Seven dentists (13%) graduated in the summer of 2007 after publication of the current guidelines. Military instructions (37%) and the official guidelines published in Dental Traumatology (25.9%) were the most common sources of updating the current guidelines. Twenty-six percentage of the participants were not updated with the new guidelines at all. Based on the current guidelines, the overall correct answer response rate for the 10 questions was 71.7%. Tetracycline, as an antimicrobial agent of choice in avulsion, yielded the lowest percentage of correct answers (20.4%), with duration of splinting after root fracture, the next most incorrectly answered question (50.0%). CONCLUSIONS: High level of knowledge regarding the 2007 guidelines was found among Israeli military dentists, 1 year after publication. However, knowledge regarding several issues (e.g., medication, splinting) should be reinforced.

[Standardization of work force and techniques provided in stomatology institutions and determination of quality criteria on providing stomatology service in Ukrainian army].

The article presents the definition of the standardization of work force and techniques provided in stomatology institutions and determination of quality criteria on providing stomatology service to military personnel, army staff and definite rank of personnel at different level of health care institutions to optimally organize stomatology service in Ukrainian army.

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Use of direct digital radiography at remote dental facilities.

Digital radiography is changing the practice of dentistry today. This technology offers many advantages compared with conventional radiographic techniques. These advantages include faster imaging times, elimination of conventional dental film/chemicals and processing equipment, reduced radiation exposure, the ability to enhance images, and digitization of images for storage and electronic transfer. The U.S. Air Force Dental Corps completed an evaluation of digital radiography to assess its potential use by deployed units in the field. The Schick Computed Dental Radiography Kit was selected for testing and sent to two remote sites in Saudi Arabia for analysis. After completion of a 6-month evaluation, this system was rated favorably by the evaluators and was determined to be an excellent alternative for field-use radiography. As a result of this study, digital radiography is now being integrated in all expeditionary medical support units for future field deployments.

Satisfaction of active duty U.S. service members with military dental care.

This study explores the satisfaction of active duty service members with military dental care. The data were collected from April 1994 to January 1995. A prestratified, random sample of 15,915 service members was drawn. Of 12,050 respondents (81% response rate), 11,200 had an annual dental visit and answered 22 questions on satisfaction with military dental care. We calculated simple descriptive statistics and derived a composite overall satisfaction score using factor analysis. We then converted composite scores into a satisfaction index, a continuous variable with a mean of 100 and a standard deviation of 10. The satisfaction index was regressed on respondent demographics to determine which factors influence service members' overall satisfaction with military dental care. Results show that satisfaction with military dental care is high and consistent across respondent demographics. However, because this study was conducted before the recent, sizable drawdown of military dental personnel, these findings may not describe the current state of satisfaction with military dental care.

Retrospective evaluation of osseointegrated implants for treatment of partial and full edentulism at Walter Reed Army Medical Center: Part I: Patient recall.

A retrospective study was done on patients treated with dental implants at Walter Reed Army Medical Center. An extensive recall of patients treated was accomplished. Each patient was clinically evaluated, radiographs were made, and the patients were asked to complete a survey. The results were not statistically analyzed but are reported simply as raw data.

Potential risk factors for overtreatment in military dentistry.

Recent studies in the National Health Service in Scotland have suggested that frequent changes of dentist, and frequent dental examinations, subject individuals to an increased risk of receiving dental treatment. The present study tested the influence of these two factors on dental health changes, the amount of dental treatment received, and restoration longevity in a population of 100 long-term members of the Royal Australian Air Force. Despite the predictions possible from the Scottish research, the present study failed to find any significant links between frequent attendance or frequent change of dentist and dental health or restoration longevity. However, the type of treatment provided appeared to be influenced by frequency of attendance and military rank.

Perceptions of dentists' chairside behavior in a military dental care system.

A dental questionnaire was developed to assess patients' perceptions of dentists' chairside behavior in the military dental care system at Fort Carson, CO. Patients' perceptions of military and civilian dentists were found to be generally positive. No significant difference was found on the perceptions of civilian and military dentists in six of eight categories of personal behaviors involved in the chairside dentist-patient relationship. However, patients felt more rushed with civilian dentists and questioned more the necessity of dental work by civilian dentists. Nevertheless, patients appear to make minimal distinctions between these two groups, simply perceiving them as "the dentist."