Wow, amazing blog!! You should've shared this earlier man, almost makes me want to join the Army just for the deployments, though I don't know if I could deal with tents again, only had to put up with those for a month of my saudi/kuwait deployment in the AF.
Actually the tents were only for about 3 days while we were in transient housing - we stay in CHUs (containerized housing units) out here with A/C and heat- I will post pictures of those as well I haven't done it yet cause I need some things in the future to still blog about.
What is "Medical Proficiency 9B"? Also, do you carry a gun (9mm)?
9B in the Army means that you are board certified in your specialty. 9A means that you have been recognized by the Surgeon General.
While deployed we do carry a 9mm everywhere.
Are you required to take pictures of people's mouths for every procedure, or is that just a educational hobby you do? Man, those stained teeth are fscking gnarly! Did she explain why she chewed betel nut? Why were you living in Thailand (nevermind this one, just read your first blog post) and why are that guy's teeth so insanely stained?
You can do wisdom teeth extractions too, I thought that was OMFS only? How did you anesthetize him, just locally? And, why did you remove the nerve, will it just rot in there or something if you don't? Wow, how did he develop that abcess?!
The pictures I take so that I can adequately represent what I see to anyone who wants to read the blog ... It adds more credibility.
As a comprehensive dentist we do extensive training in OMFS. Once you are done with your residency you do those procedures you feel you are competant and trained to do. As a Comp dentist I don't have to ask peoples permission. On the same note, I am expected to be able to provide the same level of care that an OMFS would (just like in private practice). If you don't you can have that privelege/credential taken away from you.
At the base I work at in Iraq we have the ability to do either IV sedation with the anesthesiaologits/CRNA or local anesthetics with novacaine. We do both - the majority are with novacaine.
The tooth was being pulled out anyway - taking the nerve out was just for fun - both the tooth and nerve were discarded after the procedure.
Are those autoclaves in your clinic? If so, is that the typical method used for sterilization?
These are the typical autoclaves both while deployed as well as back in the regular dental clinics. The regular dental clinics more frequently use the Pelton and Crane (or "Big Bertha") autoclaves that are able to handle a much larger capacity of instruments. They also use vacuum assisted sterilizers that are built into walls so you have a clean side and dirty side for sterilization.
That woman (female soldier) with the massive swelling behind the front teeth, you mentioned not taking care of her teeth, what exactly did she have to do (or not do) specifically to get them like that? And man, stitching inside the mouth, that's gotta be some of the most crazy hard stitching anywhere on/in the body! Do you learn that in dental school, or is that a comprehensive dentist thing?
You don't floss you get periodontal disease (bone loss). Learn it in the comprehensive dentist training.
Man, I never thought of people having such fscked up teeth... this is just reinforcing my thoughts on having such an easy time my whole life with my own teeth, and trying to help others have it better too.
Thanks again for sharing, you're really an awesome source of info on this site.
Edit: Didn't realize your blog was so long and so thorough, they should make all the branches do this with their medical officers (not every single one, but at least have a few). Anyway, incredible source of info, god, not only is it telling me so so so much about Army dentistry, but it's piquing my interest on the dental side unhealthily! I think I could come up with a new thread just asking you questions about all these radiographs and patient cases you post! I'll definitely do a blog like this once I'm in, regardless of branch, very inspiring.