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CHATER 10
EMERGENCY DENTAL CARE AND PREVENTIVE MEDICINE
TERMINALOBJECTIVE: Be familiar with
the subject matter and technical publications
relating to emergency dental care and
preventive medicine.
Because of the nature of our rating and the many
responsibilities placed upon us, Hospital Corpsmen
must have a general understanding of many
areas of medicine. Emergency dental
care and preventive medicine practices
are two of those areas. Both of these
subjects are extremely important, but because
they are both already discussed in great detail in other
Navy publications, this chapter will present
only a brief overview of them.
Emergency Dental Care is covered in
Section I, and Preventive Medicine is
addressed in Section II. For in-depth information,
refer to the publications outlined
respectively in table 10-1.
SECTION I
EMERGENCY DENTAL CARE
In the absence of a dental officer you, as the
medical department representative (MDR), will be
required to perform basic emergency dental
first aid associated with the most
common oral conditions and injuries.
While this section will introduce you to the
basics of dental anatomy and histology, dental
terminology, oral diseases and injuries, and the dental
record, you will find in-depth discussion of
these areas in the DT and HMAdvancement
Handbooks; chapter 6 of Dental
Technician Training Manual, Volume 1, NAVEDTRA12572;
and in chapter 6 of the Manual of
the Medical Department, NAVMED P-117.
The primary function of this emergency dental
care is to alleviate pain, arrest hemorrhage, or prevent
further or complicating injury to dental
structures. Ensuring that the entire
crew is in good dental health before
deployment will prevent most dental-related
problems. Therefore, predeployment examinations
are very important.
You must administer only emergency dental care.
Refer routine cases to a dental treatment
facility, and refer any cases treated
by nondental personnel for follow-up at
the earliest opportunity.
DENTAL ANATOMY AND HISTOLOGY
To provide emergency dental care, you will need to
be familiar with dental anatomy and
histology. The following sections will
provide you with basic information; however,
if you require more detailed information on dental anatomy and histology,
consult the Dental Technician
Training Manual, Volume 1, NAVEDTRA
12572, or contact your local dental
treatment facility for References.
Dental
DT Advancement Handbook HM
Advancement Handbook Dental Technician
Training Manual, Vol. 1, NAVEDTRA
12572
Dental Technician Training Manual, Vol. 2,
NAVEDTRA 12573
Manual of the Medical Department,
NAVMED P-117, chapter 6
Various BUMED notes and instructions
Various SECNAV and OPNAV notes and
instructions
Preventive Medicine
HM Advancement Handbook Manual of
Naval Preventive Medicine, NAVMED
P-5010
Control of Communicable Diseases Manual,
NAVMED P-5038
Naval Supply Publication 486 Various
BUMED notes and instructions Various
SECNAV and OPNAV notes and instructions
Table 10-1.-Publication List
Dental Anatomy
The adult mouth normally has 32 permanent teeth.
On board ship, you will usually be able to refer a
patient to a dentist for a dental problem.
When you do have to make such a
referral, you must be able to correctly
describe the problem and its location (e.g.,
which tooth, which surface of the tooth, etc.) in
appropriate dental terminology. Because
referrals are infrequent, this required
information will not be covered here.
However, the information is available in
detail in the Dental Technician Training Manual,
Volume 2, NAVEDTRA 12573.
Dental Histology
Dental anatomy deals with the external form and
appearance of the teeth. Dental histology studies the
tissues and internal structure of the teeth,
along with the tissues that surround
and support them. It will be helpful to
have a knowledge of dental histology in case
you need to provide emergency dental treatment.
Dental Terminology
Knowledge of dental terminology is important to
interpret emergency treatment plans prepared by
dentists and to prepare consultation sheets
for referral to dental treatment
facilities. Make sure you use standard
dental abbreviations when recording entries
in a patient's dental record. You will find some
important basic dental-related words and
definitions in the next section, "Oral
Diseases and Injuries." Both the Dental
Technician Training Manual Volume 2, NAVEDTRA
12573, and the Manual of the Medical
Department, NAVMEDP-117, will provide you with a
more in-depth listing of dental terminology.
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