title: Third molar-related morbidity in deployed Service personnel.
abstract: BACKGROUND
  The minimisation of disease and non-battle injury (DNBI) is essential for maintaining efficiency in a fighting force. Third molar-related morbidity is a common cause of DNBI. With extended lines of communication in current military deployments, travelling for dental care is often subject to significant danger.
  
  
  METHODS
  Military dental officers in Afghanistan and Iraq recorded data on patients presenting with third molar pathology. Related previous history was obtained from the individual and from the military dental records.
  
  
  RESULTS
  Three hundred and three individuals presented during the 23 month study period; 27.7% were unable to access care immediately, most commonly citing work pressure or lack of safe transport. Of those needing to travel, 70% were moved by helicopter. Pericoronitis was diagnosed in 84.4% of cases, 20.6% of these teeth being extracted; 53.5% of patients reported no prior symptoms, 22.7% with two or more episodes. There was documented evidence in military dental records of previous problems in 29.2% of cases. 11.3% had previously been listed for extraction of the presenting tooth.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Royal Army Medical Corps, Oral and Maxillofacial Unit, Royal Surrey County Hospital, Egerton Road, Guildford, GU2 7XX. jgcombes@aol.com
authors.forename: J
authors.initials: J
authors.lastname: Combes
authors.forename: E
authors.initials: E
authors.lastname: McColl
authors.forename: B
authors.initials: B
authors.lastname: Cross
authors.forename: R J
authors.initials: RJ
authors.lastname: McCormick
mesh_terms: D055826:Afghan Campaign 2001-; D000401:Aircraft / Q000706:statistics & numerical data; D003792:Dental Records / Q000706:statistics & numerical data; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006801:Humans; D054542:Iraq War, 2003-2011; D008885:Military Dentistry / Q000458:organization & administration; D008889:Military Personnel / Q000706:statistics & numerical data*; D008964:Molar, Third / Q000473:pathology*; D010497:Pericoronitis / Q000453:epidemiology; D011446:Prospective Studies; D012017:Referral and Consultation / Q000706:statistics & numerical data; D018582:Sick Leave / Q000706:statistics & numerical data; D013997:Time Factors; D014076:Tooth Diseases / Q000453:epidemiology*; D014081:Tooth Extraction / Q000706:statistics & numerical data; D014095:Tooth, Impacted / Q000453:epidemiology; D014187:Transportation of Patients / Q000706:statistics & numerical data; D006113:United Kingdom / Q000453:epidemiology; D017132:Workplace / Q000706:statistics & numerical data