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Operation Wild Dog.

'Operation Wild Dog' was the title given to an incredible escapade by two Army Dental Corps soldiers who decided to mount their own two-man raid on occupied France in 1942. In an attempt to forestall claims of desertion, they involved Prime Minister Winston Churchill and, when they ultimately faced a court martial, were lauded in the press for their daredevil exploits. Inspired by raids carried out by Special Services units on Norway, Italy and France, Sergeant Peter King, a regular soldier and dental clerk orderly, and Private Thomas Leslie Cuthbertson, a trainee dental mechanic, set about their unofficial raid, outlined below.

England↗

Herbert Moran Memorial Lecture. World War I: the genesis of craniomaxillofacial surgery?

Herbert Moran enlisted in the Royal Army Medical Corps early in World War I. His autobiography captures the impact of contemporary experience of wartime gunshot wounds, seen in vast numbers and with little understanding of the requirements of wartime surgery. Wounds of the face and brain were numerous, especially in trench fighting. In France, Germany, Britain and elsewhere, surgeons and dentists collaborated to repair mutilated faces and special centres were set up to facilitate this. The innovative New Zealand surgeon Harold Gillies developed his famous reconstructive techniques in the Queen's Hospital at Sidcup, with the help of dental surgeons, anaesthetists and medical artists. The treatment of brain wounds was controversial. Many surgeons, especially on the German side, advocated minimal primary operative surgery and delayed closure. Others advocated early exploration and immediate closure; among the first to do so was the Austro-Hungarian otologist Robert Bárány. In 1918, the pioneer American neurosurgeon Harvey Cushing published well-documented proof of the desirability of definitive operative management done as soon as possible. Few World War I surgeons developed their knowledge of plastic surgery, neurosurgery and oral surgery in post-war practice. An exception was Henry Newland, who went on to pioneer the development of these specialties in Australasia. After World War II, the French plastic surgeon Paul Tessier created the multidisciplinary subspecialty of craniomaxillofacial surgery, with the help of his neurosurgical colleague Gérard Guiot, and applied this approach to the correction of facial deformities. It has become evident that the new subspecialty requires appropriate training programs.

Brain Injuries↗

Sickness absence in male Royal Naval medical and dental branch ratings: 1981-1989.

Sickness episodes for the male members of the medical and dental branch of the Royal Navy were compared with those for a control group consisting of other male naval ratings over the period 1981-1989. Age-corrected statistical analysis showed the study group to have had a significantly higher (P < 0.001) number of sickness episodes. An estimate of under-reporting was carried out by taking a sample of weekly sick lists and establishing which cases should have been reported and which actually had been reported. In the sample from a naval hospital, 67.8% (120/177) of cases that should have been reported were actually reported. This figure dropped to 46.8% (171/365) for a naval shore establishment. From this information, correction factors were derived and applied to the sickness episode data. The resulting difference in episodes was not statistically significant between groups. When the study group was compared with male NHS workers, both the observed rates and the estimated rates for the study group were much lower than those for the NHS groups. Bias due to under-reporting was probably a major factor in the overall difference originally observed.

Absenteeism↗

Effect of dental health care instruction and prophylaxis on knowledge, attitude and behavior in Dutch military personnel.

A study was conducted to evaluate the effect of a single dental health care instruction and prophylaxis on knowledge, attitude and behavior. Ninety-six army recruits from two military camps were randomly allocated to four groups: a control group, a group that received an oral prophylaxis, a group that received a single dental health care instruction, and a group that had both prophylaxis and dental health care instruction. Treatment effects were measured by a questionnaire 1 month and 3 months after the instruction. A single dental health care instruction improved knowledge, and some areas of behavior. The improvement in attitude was not clear. The improvements were small and showed a tendency to diminish after 1 month.

Attitude↗

Sealant prevalence and indication in a young military population.

The prevalence of sealants and indications for their use was surveyed in U.S. Air Force personnel younger than 26. Sealants were found on 13.1 percent and indicated for 47.5 percent. About a third of all personnel had occlusal caries, which might have been prevented by sealants.

Adult↗

Gingivitis, bacterial plaque, and Streptococcus mutans in naval recruits from Saudi Arabia.

Gingivitis, dental caries, bacterial plaque, and the prevalence of Streptococcus mutans in plaque were studied in a group of 52 naval recruits from Saudi Arabia at the Naval Training Center, Great Lakes, Illinois. Gingivitis and bacterial plaque were found at higher levels in Arabian navy men, compared to American navy men, but with similar relationships. The dental caries experience of the Arabians was low, and the prevalence of S. mutans in the bacterial plaque had no clear relationship to gingival inflammation.

Adolescent↗

Changes in dental classification during the first 4 years of military service.

OBJECTIVE: The objective of this study was to examine the way in which the oral health of recruits changed during the 4 years immediately after entry on active duty. METHODS: In 1998, 1,331 dental records of recruits in the 1994 Tri-Service Comprehensive Oral Health Survey were located, and treatment data were analyzed. RESULTS: Class 1, treatment complete or no treatment indicated, was achieved by 61.2% (95% confidence interval, 58.4-64.0) of service members during the 4-year study period. Army, Navy, and Marine Corps percentages did not significantly differ in the range of 50% to 60%. The Air Force was significantly higher at 89.5% achieving class 1. CONCLUSIONS: All services were successful in achieving and maintaining operational readiness among 1994 recruits who spent 93% of their first 4 years of military service in a deployable oral health status (class 1 or 2). A significant number of recruits (38.8%) never achieved complete oral health (class 1).

Adult↗

Evaluation of the dental health of the young adult male population in Turkey.

This study aimed to determine the prevalence of dental caries in military recruits and to assess the relation of dental caries with socioeconomic and demographic factors, and sugar consumption behavior, and to generalize the findings for the young adult male population to draw a picture of dental health status of this population segment in Turkey. In this cross-sectional study conducted between August and October 2000 in a military basic training center in Turkey, 2,766 male recruits of the age of 20 were examined by dental specialists to determine their mean number of decayed, missing, or filled teeth (DMFT) scores and were administered a questionnaire for capturing their demographic characteristics and sugar consumption behavior. The mean DMFT score for the 20-year-old male population in Turkey was found to be 5.97. DMFT scores were weakly correlated with income level and urbanization. Sugar consumption was strongly correlated with DMFT scores. The mean number of teeth with fillings component was strongly correlated with income level, moderately with the subject's education, and weakly with the mother's education, father's education, and urbanization. DMFT scores for the young adult male population in Turkey were strongly associated with sugar consumption behavior, whereas they were weakly or not at all associated with demographic factors such as education level, income level, and urbanization.

Adult↗