{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T17:37:33Z","timestamp":1792172253168,"version":"4.4.0"},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"11-12","license":[{"start":{"date-parts":[[2023,5,22]],"date-time":"2023-05-22T00:00:00Z","timestamp":1684713600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,11,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Wisdom teeth are a frequent cause for dental disease and nonbattle injuries (D-DNBIs) during expeditionary deployments. Improved diagnosis and timely treatment before deployment can reduce the need to evacuate a D-DNBI while in a theater. This study proposed key identifiers to diagnose wisdom teeth as Dental Readiness Classification (DRC) 3.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>This study was a retrospective chart review conducted to measure concurrence among Army dentists when assigning DRC for wisdom teeth. This study also recorded demographic data and physical findings among the observed patients. Concurrence, or inter-rater reliability, was measured using Cohen\u2019s kappa (\u03ba).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A Cohen\u2019s \u03ba of 0.04 suggested that there was no concurrence among Army dental providers in the diagnosis of wisdom teeth. The study concluded that caries and pericoronitis accounted for 37% and 13% of class 3 nondeployable troops, respectively. Forty-one percent of tobacco users had caries. Fifty-eight percent of the population was diagnosed as DRC 3.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>This study proposed DRC 3 criteria for wisdom teeth and measured concurrence among dental providers\u2019 diagnoses. Dental Readiness Classification 3 criteria include caries, pericoronitis, infection, and pathology. A Cohen\u2019s \u03ba of 0.04 indicated there was a lack of concurrence in examining dentists compared to the DRC 3 criteria. Caries and pericoronitis were the most frequent diagnoses for third molars. Early diagnosis and treatment of these key identifiers can help reduce a significant source of D-DNBIs in the deployed environment.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/milmed\/usad145","type":"journal-article","created":{"date-parts":[[2023,5,22]],"date-time":"2023-05-22T23:48:18Z","timestamp":1684799298000},"page":"e3416-e3422","source":"Crossref","is-referenced-by-count":3,"title":["Improved Wisdom Tooth Diagnosis Can Reduce Dental Disease and Nonbattle Injuries"],"prefix":"10.1093","volume":"188","author":[{"given":"Andres M","family":"Mendoza","sequence":"first","affiliation":[{"name":"AMEDD Captains Career Course, Medical Center of Excellence , San Antonio, TX 78234, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yann J","family":"Rodenas","sequence":"additional","affiliation":[{"name":"Jordan Dental Clinic, Dental Health Activity , Fort Knox, KY 40121, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brittany K","family":"Eidson","sequence":"additional","affiliation":[{"name":"Advanced Education in General Dentistry Residency Program, Dental Health Activity , Fort Hood, TX 76544, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,5,22]]},"reference":[{"issue":"6","key":"2023110723505656700_R1","doi-asserted-by":"publisher","first-page":"516","DOI":"10.7205\/MILMED.170.6.516","article-title":"Spectrum of care provided at an Echelon II medical unit during Operation Iraqi Freedom","volume":"170","author":"Murray","year":"2005","journal-title":"Mil Med"},{"issue":"5","key":"2023110723505656700_R2","doi-asserted-by":"publisher","first-page":"578","DOI":"10.7205\/MILMED-D-14-00528","article-title":"Medical evacuation of French Forces for dental emergencies: Operation Serval","volume":"180","author":"Gunepin","year":"2015","journal-title":"Mil Med"},{"issue":"7","key":"2023110723505656700_R3","doi-asserted-by":"publisher","first-page":"828","DOI":"10.7205\/MILMED-D-11-00020","article-title":"The rate of dental emergencies in French Armed Forces deployed to Afghanistan","volume":"176","author":"Gunepin","year":"2011","journal-title":"Mil Med"},{"issue":"5","key":"2023110723505656700_R4","doi-asserted-by":"publisher","first-page":"349","DOI":"10.7205\/MILMED.169.5.349","article-title":"Dental emergency rates at an expeditionary medical support facility supporting Operation Enduring Freedom","volume":"169","author":"Dunn","year":"2004","journal-title":"Mil Med"},{"issue":"3\/4","key":"2023110723505656700_R5","doi-asserted-by":"publisher","first-page":"148","DOI":"10.1093\/milmed\/usy364","article-title":"The incidence of dental needs during isolated missions compared to non-isolated missions: a systematic review and implications for future prevention strategies","volume":"184","author":"Lloro","year":"2019","journal-title":"Mil Med"},{"key":"2023110723505656700_R6","doi-asserted-by":"publisher","first-page":"1118","DOI":"10.1016\/j.joms.2003.11.014","article-title":"The impact of third molar symptoms, pain, and swelling on oral health related quality of life","volume":"62","author":"Slade","year":"2004","journal-title":"J Oral Maxillofac Surg"},{"key":"2023110723505656700_R7","doi-asserted-by":"publisher","first-page":"973","DOI":"10.1016\/j.joms.2003.08.040","article-title":"Occlusal caries experience in patients with asymptomatic third molars","volume":"62","author":"Shugars","year":"2004","journal-title":"J Oral Maxillofac Surg"},{"key":"2023110723505656700_R8","article-title":"White Paper on Third Molar Data","author":"American Association of Oral and Maxillofacial Surgeons","year":"2014"},{"key":"2023110723505656700_R9","doi-asserted-by":"publisher","first-page":"751","DOI":"10.1093\/milmed\/165.10.751","article-title":"A literature review of dental casualty rates","volume":"165","author":"Mahoney","year":"2000","journal-title":"Mil Med"},{"key":"2023110723505656700_R10","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2010.724","article-title":"Third molar-related morbidity in deployed service personnel","volume":"209","author":"Combes","year":"2010","journal-title":"Br Dent J"},{"issue":"2","key":"2023110723505656700_R11","doi-asserted-by":"publisher","first-page":"102","DOI":"10.1136\/jramc-153-02-06","article-title":"Are soldiers at increased risk of third molar symptoms when on operational tour in Iraq? A prospective cohort study","volume":"153","author":"Breeze","year":"2007","journal-title":"JR Army Med Corps"},{"key":"2023110723505656700_R12","doi-asserted-by":"publisher","first-page":"1771","DOI":"10.1016\/j.joms.2011.12.035","article-title":"Risk factors for third molar occlusal caries: a longitudinal clinical investigation","volume":"70","author":"Divaris","year":"2012","journal-title":"J Oral Maxillofac Surg"},{"issue":"1","key":"2023110723505656700_R13","doi-asserted-by":"publisher","first-page":"23","DOI":"10.7205\/MILMED.173.Supplement_1.23","article-title":"Review of current U.S. Army dental emergency rates","volume":"173","author":"Chaffin","year":"2008","journal-title":"Mil Med"},{"issue":"12","key":"2023110723505656700_R14","doi-asserted-by":"publisher","first-page":"1074","DOI":"10.1093\/milmed\/166.12.1074","article-title":"U.S. Army dental emergency rates in Bosnia","volume":"166","author":"Chaffin","year":"2001","journal-title":"Mil Med"},{"issue":"7","key":"2023110723505656700_R15","doi-asserted-by":"publisher","first-page":"510","DOI":"10.7205\/MILMED.169.7.510","article-title":"Dental emergency rates at two expeditionary medical support facilities supporting Operations Enduring and Iraqi Freedom","volume":"169","author":"Dunn","year":"2004","journal-title":"Mil Med"},{"issue":"3","key":"2023110723505656700_R16","doi-asserted-by":"publisher","first-page":"142","DOI":"10.1093\/milmed\/157.3.142","article-title":"The mandibular third molar position as a predictive criteria for risk for pericoronitis: a retrospective study","volume":"157","author":"Halverson","year":"1992","journal-title":"Mil Med"},{"key":"2023110723505656700_R17","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1007\/s00784-007-0131-2","article-title":"The predictivity of mandibular third molar position as a risk indicator for pericoronitis","volume":"12","author":"Yamahk","year":"2008","journal-title":"Clin Oral Invest"},{"issue":"2","key":"2023110723505656700_R18","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1016\/j.bjoms.2016.10.009","article-title":"Retrospective analysis of the prevalence and incidence of caries in the distal surface of mandibular second molars in British military personnel","volume":"55","author":"Pepper","year":"2017","journal-title":"Br J Oral Maxillofac Surg"},{"key":"2023110723505656700_R19","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2009.517","article-title":"The mesioangular third molar \u2013 to extract or not extract? Analysis of 776 consecutive third molars","volume":"206","author":"Allen","year":"2009","journal-title":"Br Dent J"},{"key":"2023110723505656700_R20","article-title":"Defense Health Agency CY 2020 Guidelines for Dental Procedure Codes, Surgical Procedure Codes and Dental Weighted Values","year":"2020"},{"issue":"4","key":"2023110723505656700_R21","doi-asserted-by":"publisher","first-page":"427","DOI":"10.7205\/MILMED-D-12-00431","article-title":"Operational cost analysis of dental emergencies for deployed U.S. Army personnel during Operation Iraqi Freedom","volume":"178","author":"Colthirst","year":"2013","journal-title":"Mil Med"},{"key":"2023110723505656700_R22","article-title":"Fiscal Year (FY) 2018: Department of Defense (DoD) Fixed Wing and Helicopter Reimbursement Rates","year":"2017"},{"issue":"6","key":"2023110723505656700_R23","doi-asserted-by":"publisher","first-page":"666","DOI":"10.7205\/MILMED-D-13-00511","article-title":"The incidence of dental disease nonbattle injuries in deployed U.S","volume":"179","author":"Simecek","year":"2014","journal-title":"Army Personnel Mil Med"},{"issue":"5","key":"2023110723505656700_R24","doi-asserted-by":"publisher","first-page":"570","DOI":"10.7205\/MILMED-D-14-00364","article-title":"Risk of dental disease non-battle injuries and severity of dental disease in deployed U.S","volume":"180","author":"Wojcik","year":"2015","journal-title":"Army Personnel Mil Med"},{"key":"2023110723505656700_R25","article-title":"AMEDD Personnel Proponent Directorate: Captains Career Course Dental Track","author":"Tucker","year":"2023"}],"container-title":["Military Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/milmed\/article-pdf\/188\/11-12\/e3416\/52810181\/usad145.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/milmed\/article-pdf\/188\/11-12\/e3416\/52810181\/usad145.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,7]],"date-time":"2023-11-07T23:51:07Z","timestamp":1699401067000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/milmed\/article\/188\/11-12\/e3416\/7175523"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,22]]},"references-count":25,"journal-issue":{"issue":"11-12","published-online":{"date-parts":[[2023,5,22]]},"published-print":{"date-parts":[[2023,11,3]]}},"URL":"https:\/\/doi.org\/10.1093\/milmed\/usad145","relation":{},"ISSN":["0026-4075","1930-613X"],"issn-type":[{"value":"0026-4075","type":"print"},{"value":"1930-613X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,11,1]]},"published":{"date-parts":[[2023,5,22]]}}}