Wojcik Barbara E, Szeszel-Fedorowicz Wioletta, Humphrey Rebecca J, Colthirst Paul, Guerrero Alicia C, Simecek John W, Fedorowicz Adam, Eikenberg Steven, Rogers Georgia G, DeNicolo Philip
Center for AMEDD Strategic Studies, 2478 Stanley Road, Suite 47, ATTN: MCCS-FH, Fort Sam Houston, TX 78234.
Naval Medical Research Unit San Antonio, 3650 Chambers Pass, Fort Sam Houston, TX 78234.
Mil Med. 2015 May;180(5):570-7. doi: 10.7205/MILMED-D-14-00364.
Dental Disease and Non-Battle Injuries (D-DNBI) continue to be a problem among U.S. Army active duty (AD), U.S. Army National Guard (ARNG), and U.S. Army Reserve (USAR) deployed soldiers to Operation Iraqi Freedom/Operation New Dawn in Iraq and Operation Enduring Freedom in Afghanistan. A previous study reported the annual rates to be 136 D-DNBI per 1,000 personnel for AD, 152 for ARNG, and 184 for USAR. The objectives of this study were to describe D-DNBI incidence and to determine risk factors for dental encounters and high severity diagnoses for deployed soldiers. The 78 diagnoses were classified into three categories based on severity. Poisson regression was used to compare D-DNBI rates and logistic regression was used to analyze the risk of high severity D-DNBI. In both campaigns, Reserve had a higher risk of D-DNBI than active duty. For Afghanistan, ARNG and USAR demonstrated over 50% increased risk of D-DNBI compared to AD. In Iraq, USAR had a 17% increased risk over AD. Females had a higher risk of D-DNBI (>50%) compared to males in both campaigns. High severity D-DNBI made up 2.77% of all diagnoses. Within Afghanistan, there was a 4.6% increased risk of high severity D-DNBI for each additional deployment month.
牙病和非战斗损伤（D-DNBI）在美国陆军现役军人（AD）、美国陆军国民警卫队（ARNG）以及被部署到伊拉克自由行动/新黎明行动和阿富汗持久自由行动的美国陆军后备役（USAR）士兵中仍然是一个问题。此前一项研究报告称，AD的年发病率为每1000人中有136例D-DNBI，ARNG为152例，USAR为184例。本研究的目的是描述D-DNBI的发病率，并确定被部署士兵看牙病及严重诊断的风险因素。这78种诊断根据严重程度分为三类。使用泊松回归比较D-DNBI发病率，使用逻辑回归分析严重D-DNBI的风险。在这两次行动中，后备役军人患D-DNBI的风险高于现役军人。在阿富汗，与AD相比，ARNG和USAR患D-DNBI的风险增加了50%以上。在伊拉克，USAR患D-DNBI的风险比AD高17%。在这两次行动中，女性患D-DNBI的风险（>50%）高于男性。严重D-DNBI占所有诊断的2.77%。在阿富汗，每增加一个部署月，严重D-DNBI的风险就增加4.6%。
