Mendoza Andres M, Simecek John W, Colthirst Paul M, Mitchener Timothy A
U.S. Army Institute of Surgical Research, JBSA Fort Sam Houston, TX 78234, USA.
Craniofacial Health & Restorative Medicine, Naval Medical Research Unit San Antonio, JBSA Fort Sam Houston, TX 78234, USA.
Mil Med. 2024 Oct 12. doi: 10.1093/milmed/usae480.
Since the start of the Russo-Ukrainian war, most reports have focused on trauma and combat conditions. Trauma care is essential; however, disease and nonbattle injuries (DNBIs) also burden armies and reduce combat effectiveness. Dental emergencies (DEs) account for a substantial portion of DNBI, but there is limited information on Ukrainian military dental readiness. In September 2023, investigators were informed that Ukrainian military personnel were treated for DEs at 2 dental clinics in Germany.
The investigators requested deidentified data from the Corporate Dental System (CDS), which is a repository for dental treatment records utilized by the U.S. Army. The data request captured DE treatment performed for Ukrainian military personnel in Germany from January 1, 2023, to September 20, 2023. The CDS report on DE encounters included the following: Gender, age, procedure codes, and provider narratives. This study was approved by the U.S. Army Institute of Surgical Research Institutional Review Board as research not involving human subjects and provided Log Number H-24-030nh.
The CDS report captured 408 Ukrainian military DE encounters. A total of 360 Ukrainian military personnel were treated for DE during the 9-month reporting period in 2023. Oral surgery was the most common DE treatment category and accounted for 55.8% (N = 201) of DE procedures. Restorative dentistry procedures accounted for 18.1% of DE procedures. Of the 27 multiple category treatments, 25 had oral surgery procedures as one of the treatments. Restorative dentistry procedures were performed in 19 of the multiple category cases.
The DEs in the Ukrainian military cohort suggest that chronic, untreated dental disease has progressed without routine care for years. The assertion that caries has progressed to a nonrestorable condition is supported by the distribution that 63% of all DE visits included oral surgery treatment. Based on the distribution of dental treatment, US dental officers must be proficient in oral surgery and prosthodontic care.
自俄乌战争爆发以来，大多数报道都集中在创伤和战斗情况上。创伤护理至关重要；然而，疾病和非战斗损伤（DNBIs）也给军队带来负担并降低战斗力。牙科急诊（DEs）占DNBI的很大一部分，但关于乌克兰军队牙科战备情况的信息有限。2023年9月，调查人员获悉，乌克兰军事人员在德国的两家牙科诊所接受了牙科急诊治疗。
调查人员从企业牙科系统（CDS）请求了去识别化数据，该系统是美国陆军使用的牙科治疗记录存储库。数据请求获取了2023年1月1日至2023年9月20日期间在德国为乌克兰军事人员进行的牙科急诊治疗数据。CDS关于牙科急诊遭遇的报告包括以下内容：性别、年龄、程序代码和提供者叙述。本研究经美国陆军外科研究所机构审查委员会批准为不涉及人类受试者的研究，并提供了日志编号H-24-030nh。
CDS报告记录了408例乌克兰军事人员的牙科急诊遭遇。在2023年9个月的报告期内，共有360名乌克兰军事人员接受了牙科急诊治疗。口腔外科是最常见的牙科急诊治疗类别，占牙科急诊程序的55.8%（N = 201）。修复牙科程序占牙科急诊程序的18.1%。在27例多类别治疗中，25例将口腔外科手术作为治疗之一。在19例多类别病例中进行了修复牙科程序。
乌克兰军事队列中的牙科急诊表明，多年来慢性未治疗的牙科疾病在没有常规护理的情况下不断发展。所有牙科急诊就诊中有63%包括口腔外科治疗，这一分布情况支持了龋齿已发展到无法修复状态的说法。根据牙科治疗的分布情况，美国牙科军官必须精通口腔外科和修复牙科护理。
