Dental Trauma Research Articles

Orthodontic Extrusion of Fractured Tooth with Clear Retainer

Tooth fracture at the cervical margin is frequently seen, and orthodontic extrusion of the same can be carried out to achieve a “ferrule effect” for successful restoration. Various techniques incorporating conventional removable and fixed orthodontics have been employed to facilitate orthodontic extrusion of the fractured tooth. The clear aligner can be used to facilitate the extrusion of a fractured tooth using the “bootstrap” arrangement. Bootstrap mechanics involve placing bonded buttons at the gingival margins on the facial, lingual, or both surfaces of a tooth that is lagging. In this pearl, an innovative and economical prerestorative orthodontic method, based on the biomechanical principles of the “bootstrap” arrangement used in aligners, is developed for the successful extrusion of a fractured tooth using a clear retainer and orthodontic elastics. The amount of extrusion of the fractured tooth was 2.5 mm and was achieved in a time frame of 3 weeks. The appliance is patient-friendly and cost-effective. Moreover, the appliance omitted the use of fixed orthodontic treatment mechanics.

Comparative Evaluation of Microleakage in Endodontically Treated Teeth Using an Alkasite Restorative Material Versus Resin-Modified Glass Ionomer Cement (RMGIC) as an Intraorifice Barrier: A Study Protocol.

Background The most popular approach to treating pulpal and periapical disease is endodontic therapy, but the most common failure after root canal therapy, if not followed by planned rehabilitation of the tooth, is tooth fracture, which may be so severe in some cases needing extraction. Inadequate endodontic restorations increase the risk of fracture and coronal leakage, which can disseminate bacteria and their byproducts and perhaps lead to the failure of root canal therapy. In order to offer protection against masticatory forces along with compressive obturation forces that can lead to vertical root fracture, research has also supported the use of post-endodontic treatment restorative materials with an elastic modulus that is either greater or comparable to the tooth itself for post-endodontic restorations. Restorative materials that can bond to root dentin can be used to create intraorifice barriers, which prevent coronal microleakage and reinforce the radicular dentin. The current in vitro studyaims to assess the effects of various intraorifice barriers (an alkasite restorative material versus resin-modified glass ionomer cement) on the sealing ability of the intraorifice barriers following root canal therapy. Methodology In vitro, confocal laser microscopy is used to determine the microleakage of various intraorifice barriers. Conclusion The sealing ability of a post-endodontic restoration is crucial for the overall success of endodontic treatment, and this in vitro study protocol would ultimately help in selecting the appropriate intraorifice barrier.

Treatment of Traumatic Dental Injuries in the Public Dental Services-A Qualitative Exploration of Perceived Challenges and Needs.

This study explored perceived challenges in the management of traumatic dental injuries (TDI) among general dentists in the public dental service (PDS) of Vestland County in Western Norway and their needs for improving treatment care for TDI patients. This qualitative study conducted three focus group discussions. We recruited a purposive sample of seven general dentists employed in the PDS in Vestland County in Western Norway. The three focus groups consisted of two, two, and three participants, respectively. The focus group discussion took place via the Microsoft electronic platform Teams, and it was visual, and audio recorded. Transcripts of the interviews were analyzed using systematic text condensation. The general dentists in this study experienced the management of TDI as a set of complex procedures that require good theoretical knowledge, clinical experience, skills, and teamwork. We were able to group these challenges into three results categories: (1) proficiency challenges, (2) the challenge of stress and discomfort during dental procedures, and (3) the challenge of the organization of the PDS. The participants also expressed the need for practical courses, calibration, and refresher courses in dental traumatology. Their needs fell into two categories: (1) regular, clinically relevant continuing professional development and (2) collective efforts in TDI management. Increasing awareness of the challenges in TDI management and addressing the need for improved dental treatment for TDI patients may lead to targeted programs to enhance dentists' knowledge and skills. There is considerable potential for training dentists in dental traumatology.

Metal artifact reduction tool and mA levels impact on the diagnosis of fracture extension in endodontically treated teeth using cone-beam CT.

To evaluate the influence of different levels of metal artifact reduction (MAR) tool and milliamperage (mA) on the diagnosis of fracture extension in endodontically treated teeth using cone beam CT (CBCT). Ten maxillary premolars were endodontically treated and positioned in the empty sockets of a human maxilla covered with wax. CBCT acquisitions were performed using the Eagle Edge device (Dabi Atlante, Brazil) adjusted to 120 kVp, FOV of 4 × 6cm, exposure time of 24s and voxel size of 0.2mm in 8 different conditions with different MAR (1, 2 and 3) and mA (3.2 and 6.3) levels. Crown-root fractures were simulated in the universal testing machine, and CBCT images were acquired again. Five radiologists evaluated the presence and extension of fractures with a 5-point scale. Statistical analysis was performed by analysis of variance, Tukey and Kappa test (α = 0.05). Although different mA levels did not significantly (p > 0.05) affect the diagnosis values for fracture presence and extension, when evaluated the different levels of MAR, AUC and sensitivity showed significantly higher values (p < 0.05) for MAR 0 using 6.3mA and kappa agreement showed significantly higher values (p < 0.05) for MAR 0 and 2 using 6.3mA. Although mA levels do not have a diagnostic effect when isolating the MAR level; in 6.3mA, MAR 0 and 2 can positively influence the diagnosis of fracture extension in endodontically treated teeth using CBCT. The isolate evaluation of dental fracture presence can overlook diagnostics error of its extension.

Immediate and Successful Management of Avulsed Teeth: A Case Reports

Avulsion and midroot fractures of teeth present significant challenges in dental trauma management. These case reports outlines the successful management of avulsed after a lapse of 2hrs in 1st case report and 24hrs in 2nd case report and midroot fractured tooth, focusing on immediate steps, long-term strategies, and clinical considerations. Midroot fractures often present with compromised structural integrity, necessitating stabilization and protection of the tooth to prevent further damage. Splinting techniques stabilize the tooth and promote healing of periodontal tissues. However, careful monitoring is crucial to assess for potential complications such as inflammatory root resorption and external root resorption. In both the cases extraoral root canal treatment was done for avulsed tooth and then reimplanted into the socket and stabilisation was done using splinting. Followup up was done at regular intervals of one and 3 months which showed no resorption or perapical changes, lack of clinical symptoms In conclusion, the management of avulsed and midroot fractured teeth requires long-term treatment strategies. Favorable outcomes can be achieved, preserving tooth function, and esthetics in patients with traumatic dental injuries.

Diagnosis and management of bruxism. A literature review

Bruxism, characterized by involuntary grinding or clenching of teeth, is a widespread condition with multifaceted implications for oral health, physical well-being, and quality of life. This comprehensive review aims to provide an in-depth study of bruxism, encompassing its definition, classification, etiology, pathophysiology, clinical manifestations, and consequences. Bruxism is classified based on its timing (sleep bruxism or awake bruxism). The etiology of bruxism is multifactorial, involving physiological factors such as central nervous system (CNS) pathways, sleep disorders, and occlusal factors, as well as psychological factors like stress, anxiety, personality traits and environmental factors including medications, substances, and stressors. Clinically, bruxism can result in various dental consequences, including tooth wear, fractures and damage to restorations, as well as temporomandibular disorders (TMDs) such as myofascial pain. These manifestations can negatively impact individual's oral health, physical well-being, and overall quality of life. Management strategies include behavioral and lifestyle changes, oral appliances, dental treatments for tooth damage, and, in certain instances, pharmacological interventions. While the current understanding of bruxism has advanced, further research is needed to fully elucidate its etiology, pathophysiology, and effective management strategies.

A lightweight detection algorithm for tooth cracks in optical images

Cracked tooth syndrome (CTS) is one of the major causes of tooth loss, presents the problem of early microcrack symptoms that are difficult to distinguish. This paper aims to investigate the practicality and feasibility of an improved object detection algorithm for automatically detecting cracks in dental optical images. A total of 286 teeth were obtained from Sun Yat-sen University and Guangdong University of Technology, and simulated cracks were generated using thermal expansion and contraction. Over 3000 images of cracked teeth were collected, including 360 real clinical images. To make the model more lightweight and better suited for deployment on embedded devices, this paper improves the YOLOv8 model for detecting tooth cracks through model pruning and backbone replacement. Additionally, the impact of image enhancement modules and coordinate attention modules on optimizing our model was analyzed. Through experimental validation, we conclude that that model pruning reduction maintains performance better than replacing a lightweight backbone network on a tooth crack detection task. This approach achieved a reduction in parameters and GFLOPs by 16.8% and 24.3%, respectively, with minimal impact on performance. These results affirm the effectiveness of the proposed method in identifying and labeling tooth fractures. In addition, this paper demonstrated that the impact of image enhancement modules and coordinate attention mechanisms on YOLOv8's performance in the task of tooth crack detection was minimal. An improved object detection algorithm has been proposed to reduce model parameters. This lightweight model is easier to deploy and holds potential for assisting dentists in identifying cracks on tooth surfaces.

The orthodontic-endodontic interface: trauma and pulpal considerations

The interpretation of the clinical signs and symptoms arising from the interdisciplinary relationship between orthodontics and endodontics becomes more complicated when superimposed by dental trauma. A history of dental trauma before or during orthodontic tooth movement may have implications for pulpal health and clinical outcomes. An understanding of the biology is essential for appropriate treatment planning. This review and treatment recommendations will assist dental practitioners in managing orthodontic-endodontic interactions.

Achieving excellence with interdisciplinary approaches in complex orthodontic adult patients

Over the last decades the percentage of adult orthodontic patients has substantially increased. Undeniably, an important motif for seeking orthodontic care at an older age is smile improvement, but this is not all. Frequently, impaired dentofacial aesthetics are combined with several other issues: severe dentoskeletal malocclusions; multiple tooth loss due to caries or endodontic failure; dental agenesis or trauma; periodontal breakdown; or functional problems, such as temporomandibular disorders or obstructive sleep apnoea. Therefore, comprehensive adult treatment mostly requires close collaboration of a team of equally well-trained dental specialists to select and execute the most suitable treatment option for the individual patient from day one. With joint planning, intensive communication with the patient and the involved specialists, and continuous monitoring of the treatment process, true patient-centred care can be delivered. In order to serve the individual patient best, the treating orthodontist does not only need thorough speciality training and continuing education, but furthermore, should be well-equipped with sufficient knowledge of the other dental fields of expertise. In combination with digital technology as an important tool for enhancing communication and efficient exchange of information between all involved team members, excellent joint clinical skills will take comprehensive interdisciplinary treatment to the next level.

Oral Cavity Cancer Secondary to Dental Trauma: A Scoping Review.

(1) Background: Oral cavity cancer represents the most common site of origin of head and neck mucosal malignancies. A few limited studies have suggested that chronic irritation, particularly in non-healing ulcers, and fibrotic tissue from poor dentition or ill-fitting dentures had a role in developing mouth cancer. This scoping review aims to evaluate the existing evidence concerning Oral Cavicty Cancer (OCC) in non-smokers/non-drinkers and the relationship with dental trauma. (2) Methods: A scoping review of the PubMed, Embase, and Web of Science databases was completed in adherence with the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews checklist. (3) Results: Of the 33 articles that met inclusion, in 6 of them authors discussed the role of topography in dental trauma, in 11 articles authors discussed the carcinogenesis mechanism involved in chronic mucosal trauma, in 17 articles data on ill-fitting dentures was included, 4 studies dealt with the effect of broken/sharp teeth on mucosal damage, and in 7 studies the role of oral hygiene was covered. Less frequently discussed topics included gender, risk of neck nodes, and the role of potentially malignant oral disorders. (4) Conclusions: The available literature suggests a potential connection between chronic dental trauma and the development of OCC. Studies have highlighted factors such as denture use and ill-fitting dental appliances as contributors to an increased risk of oral cancer. Interestingly, we still miss data to support the hypothesis that women, particularly those without toxic habits like smoking or alcohol consumption, appear to be disproportionately affected by oral cancer related to chronic dental trauma.

Replantation After Dental Avulsion: A Scoping Review and Proposal of a Flow Chart.

Dental avulsion, the complete displacement of a tooth from its socket, is a severe dental trauma with a prevalence of 0.5% to 16% of all dental injuries. Replantation of avulsed teeth is common, yet recent studies show high failure rates and unpredictable long-term outcomes. This review examines clinical variables influencing intentional dental replantation decisions and proposes a treatment flow chart. A comprehensive literature search was conducted in PubMed-Medline, Scopus, WoS, and Cochrane databases using the keywords "tooth avulsion," "tooth replantation," and "tooth ankylosis." Inclusion criteria encompassed studies from January 2018 to February 2024. From 752 identified articles, 9 systematic reviews including 3 meta-analyses were selected for this scoping review. Immediate replantation is the gold standard for avulsed teeth, yet delayed replantation is more common in practice, impacting survival rates. Adherence to guidelines from the International Association on Dental Traumatology improves outcomes, especially in paediatric patients. Factors such as multiple caries, severe periodontal disease, advanced age, psychological conditions, immunodeficiency, and lack of cooperation are contraindications for replantation. Despite the high failure rate, replantation remains recommended in literature due to its potential advantages over prosthetic implants. This review highlights the complexities in decision-making for dental replantation, emphasising the need for a comprehensive approach considering individual clinical cases. A proposed treatment flow chart aims to support clinicians in predicting prognosis and making informed decisions. The review also underscores the link between dental trauma, poor oral health, and potential neglect in children, highlighting the importance of preventive measures and parental awareness.

Traumatic Dental Injuries among Adolescents and Young Adults in Iași, Romania: Legal and Medical Perspectives.

This study aims to assess the etiology, frequency, and localization of dental and periodontal trauma in adolescents and young adults, along with these individuals' predisposition based on age, gender, and residence. Materials and Methods This retrospective study included 109 adolescents and young adults from a database of the Emergency and Oral and Maxillofacial Surgery department at "Sf. Spiridon" Hospital, Iasi, Romania. The collected data included demographic details, mechanisms of dental and periodontal trauma, treatment approaches, and clinical outcomes. Statistical analysis was performed using SPSS 26.0, with comparisons based on age, gender, and residence. Enamel fractures (23.9%) and enamel-dentin fractures without pulp exposure (20.2%) were the most frequent dental injuries. Concussion (58.7%), subluxation (21.1%), luxation, avulsion (7.3%), and extrusion (5.5%) were common periodontal injuries. The anterior region of the dental arch accounted for the majority (60.6%) of injuries. Adolescents under 17 years were more prone to enamel-dentin fractures without pulp exposure (23.8%), enamel-dentin fractures with pulp exposure (20.6%), and root fractures (20.6%), while young adults over 18 years had a higher incidence of enamel fractures (32.6%) and crown-root fractures (30.4%). Falls (66.7%) were the predominant cause of trauma for female patients, whereas male patients were more often injured during sports activities (49.3%). The younger age group was 0.29 times more likely to sustain enamel-dentin fractures without pulp exposure (p = 0.049, OR = 0.291) and root fractures (p = 0.047, OR = 0.241). Traumatic dental injuries are more prevalent in young adults compared to adolescents, with falls and sports activities being the most common causes, particularly among males. These findings emphasize the need for targeted preventive programs aimed at reducing the incidence of dento-periodontal trauma in these age groups.

Dental trauma related to orotracheal intubation: Prospective study of 43 cases

Orotracheal intubation is one of the most frequently used techniques in emergency procedures and especially in anesthesia and resuscitation. Teeth may be "victims" of the orotracheal intubation. Several factors may predispose to these accidents. The aim of this study is to determine the incidence of oral trauma that occurs during scheduled and urgent oral tracheal intubation, and identify the risk factors, the types and locations of these dental injuries. It is a cross-sectional study that lasted 6 months from June to November 2022. This study was carried out in several departments. An examination of the dental and periodontal status of patients who will undergo surgery under general anesthesia was performed before the operation according to the surgical program. Yet, in emergency settings, this examination was not possible. Patients with anterior edentation and patients refusing participation in the study were excluded. After the surgery, included patients were examined to detect eventual dental trauma such as fracture, luxation, and contusion. Collected data were entered and analyzed using SPSS version 18 software. The Wilcoxon Mann-Whitney U test was used to compare quantitative variables. The Chi-square test was used to compare qualitative variables with a statistical significance level of 5% (p<0.05). There were 43 patients included in the study, and dental trauma was noted in 11 patients (25.6%). Their mean age was (59.8±15.4) years. The statistical analysis shows that there is a significant relationship between age (over 40 years old) and trauma (p=0.004). Among the traumatized group, orotracheal intubation was undergone for 8 cases according to the surgical program whereas it was performed, for 3 cases, in emergency settings. The difference between the 2 types of intervention is statistically significant (p=0.045). The odds ratio was 0.086 (95% CI: 0.008 - 0.942). A Mallampati score of 1 was rated for 6 injured (54.5%). The difference between the difficulty of the intubation evaluated by the Mallampati score and the occurrence of trauma was statistically insignificant (p=0.278). The dental partial dislocation was the most frequent trauma (6 cases, 54.5%). The maxillary teeth were the most affected (n=13, 72.2%). According to the present study, the incidence of orotracheal intubation dental traumas is relatively high. The age of the patient is one of the factors predisposing to these traumas. In scheduled surgery, orotracheal intubation is quietly performed during general anesthesia, and the risk of incidence of dental trauma is reduced than in emergency settings.

Initial screening for dental abnormalities identified by labial and buccal photographs in dogs and cats.

To evaluate the dental abnormalities by visually assessing the labial and buccal photographs in dogs and cats and analyze their prevalence based on age and breed. 1,096 client-owned dogs and 775 client-owned cats. Data were collected from patients who visited 26 private veterinary clinics from January to December 2022. Each animal was evaluated through dental photographs taken from the labial and buccal sides. Correlations between the prevalence of the identified dental abnormalities and age, craniofacial type, and breed, were analyzed. Calculus, discoloration, epulis, fractured teeth, gingival recession, gingivitis, malocclusion, missing teeth, and persistent deciduous teeth could be identified by analyzing the dental photographs in both dogs and cats. Enamel defects in dogs and tooth resorption in cats could be identified. Brachycephalic dogs had a significantly higher prevalence of malocclusion (OR, 1.93; 95% CI, 1.36 to 2.75) and missing teeth (OR, 3.63; 95% CI, 2.71 to 4.91) compared to nonbrachycephalic dogs. Brachycephalic cats had a significantly higher prevalence of fractured teeth (OR, 1.95; 95% CI, 1.24 to 3.04) and a lower prevalence of gingival recession (OR, 0.30; 95% CI, 0.15 to 0.55) compared to nonbrachycephalic cats. Calculus, persistent deciduous teeth, and possibly gingivitis could be identified in dogs and cats by analyzing labial and buccal photographs. The assessment of some dental abnormalities such as fractured teeth, missing teeth, and tooth resorption can be limited without a complete dental examination under anesthesia. Although the assessment of dental conditions may be underestimated, the data on the prevalence of the dental abnormalities evaluated through the photographs could be utilized for screening dental diseases.

Fragment Reattachment of Maxillary Anterior Tooth- A Case Report

Dental trauma often results in fracture of the tooth. Reattaching the fractured fragment is one among the treatment modalities in the management of fractured tooth. The procedure is simple and relatively inexpensive. However, understanding the limitations of the procedure is essential. Also, patient cooperation is essential for long term success of the treatment. The case report highlights the management of fractured maxillary anterior tooth in a elderly patient.

Management of Complicated Crown Root Fracture Using Chamfer Reattachment Technique

Abstract The reattachment of the tooth fragment is one of the viable treatment options if the original intact tooth fragment is available following dental trauma. The reattachment of the remaining fractured tooth can provide better aesthetics, improved function and generate a positive psychological response amongst patients. This case report consists of three cases of crown root fracture that was successfully treated using tooth fragment reattachment technique.

A Case Report of Management of Intruded Mandibular Incisors in a Young Child with Epilepsy

The most common dental trauma during early childhood is intrusive luxation, which results in the displacement of the tooth into its alveolus. It is a severe form of dental trauma that can cause damage to the periodontal ligament, pulp, and alveolar bone. The International Association of Dental Traumatology recommends either extraction or spontaneous re-eruption of the intruded primary tooth, depending on the severity of the intrusion. This case report provides a brief insight into the management of intruded mandibular primary incisors caused by an epileptic attack in a 4-year-old boy diagnosed with refractory spastic cerebral palsy. After 6 weeks of the traumatic incident, spontaneous eruption of the intruded teeth was observed. However, the teeth were found to be mobile after 9 months of clinical and radiographic monitoring, necessitating extraction. Conservative management including waiting for spontaneous eruption with close monitoring is a treatment option for intrusive primary teeth in young children.

Effect of an educational program on teachers’ knowledge and attitude regarding emergency care of dental trauma

Background Traumatic dental injuries are a serious concern and they were most common in schools. Many school-aged suffer some type of trauma to their primary or permanent teeth. The timely and effective response of skilled teachers is crucial for the prognosis of avulsed teeth. Aim To evaluate the effect of an educational program on teachers’ knowledge and attitude regarding emergency care of dental trauma. Study design Quasi-experimental pre/post-test. Setting Nine schools were selected by stratified random sampling technique. Sample A total of 300 teachers were selected randomly. Patients and method Two tools; tool one interview questionnaire divided into: Part (I): Personal and demographic data, Part (II): Teachers’ knowledge regarding emergency care of dental trauma. Tool two: Teachers’ attitude toward their role in emergency care of dental trauma. Results It was found that 54.7% of teachers aged greater than or equal to 40 years, 64.3% of the selected teachers were male. Also, 91% of them had poor knowledge in preprogram which became 3% after program application and 38.3% of teachers had a positive attitude toward dental trauma in preprogram increased to be 84.7% postprogram intervention. Conclusion Teachers’ knowledge and attitude about emergency care of dental trauma was significantly improved after the educational program. Recommendations Continuous health education programs for schools’ teachers to increase their knowledge concerning the emergency management of traumatic dental injuries.

Demographic and Clinical Characters of the Patient of Condylar Fracture Treated under the Department of Oral and Maxillofacial Surgery in a Tertiary Level Hospital

Introduction: Mandible is the only mobile bone of the facial skeleton which plays an important role in mastication, speech and deglutition. Being a prominent bone of the facial skeleton, it is one of the most common facial bone to be fractured. Fracture in the mandible causes severe loss of function and disfigurement. Objective: The aim of this paper was to investigate the demographic and clinical characteristics of the patients of condyle fracture treated under the oral and maxillofacial department of a tertiary level hospital of Bangladesh. Methods: This retrospective cross-sectional descriptive type of study was conducted at the Department of Oral and Maxillofacial Surgery in Dhaka Dental College and Hospital, Dhaka, Bangladesh during June, 20 23 to December, 2023. A consecutive sampling technique was used and a series of 120 cases of condyle fracture aged 17-65 years of both sex were retrospectively enrolled in this study. The data were analyzed using Statistical Package for Social Sciences (SPSS), version-23.0. Results: A series of 120 cases of condyle fracture patients were enrolled in this study. Among the patients, the most frequent age group was 30-39 years which includes 62(51.25%) patients. The mean age of the patients was 41.10±10.21 years. A significant gender disparity was observed, with 87(72.5%) of the patients being male. Most of the patients were service holder 63(52.5%). The major cause of injury of the patients was road traffic accident 75(62.5%).Among the study patients, 111(92.5%) had third molar teeth present. Of them, the most frequent 75(67.56%) patients had erupted third molar condition and 36(32.43%) patients had impacted third molar condition. According to distribution of type of impacted teeth, 21(50%) cases, had oriented vertically and followed by mesioangular 11(25%), disto-angular 4(10.7%), and horizontal 6(14.3%). According to distribution of condylar fracture, the most frequent 73 (6.25%) patients had non-displaced injuries. followed by displaced 36(30%) and dislocated 11(8.75%). Conclusion: This study investigated that road accident is the principal factor of condylar fracture and third molar teeth and its position has a significant impact on condylar fracture and at the same time the male are the more prone to condylar fracture than the female in Bangladesh

Oral health status and treatment needs of military populations in Garoua, Cameroon

Abstract Introduction: Apart from training and combat injuries, dental emergencies can affect the efficiency of military personnel in the field. This is one of the reasons why the oral status of soldiers must be evaluated before deploying them. Aims: The objective of our study was to assess the oral health status of Cameroonian soldiers assigned to the third joint military region at Garoua. Methodology: We conducted a descriptive cross-sectional study between January 2022 and July 2022. Data on the sociodemographic profile, oral hygiene practices, dietary habits, and perceived oral care needs were collected using a questionnaire. Clinical examination was carried out to elucidate oral pathologies, and a logistical regression was performed to determine factors associated with oral disease with a P value set at &lt; 0.05. Results: We recruited 288 military personnel aged 23 years, predominantly males; the mean duration of service with the military was 13.5 ± 12.5 s.d years and 182 (63.2%) had been to the war front. The majority 251 (87.2%) had visible plaque, 252 (87.5%) had calculus, and 6 (2.1%) had gum recession. The mean DMFT index was 0.80 and 4 (1.4%) had dental coronary fracture. The prevalence of dental caries was 44.4%, 87.2% had periodontal diseases with 85.77% gingivitis and 2.08% periodontitis. Two-thirds 193 (64.7%) of dental diseases were found among servicemen with secondary education. There was a statistically significant relationship between level of education and oral health status (*P = 0.05), between the oral condition and the consumption of sugary food (*P = 0.008), between oral condition and grade (*P = 0.03), between oral health practice and sugary food consumption (*P = 0.022), and between oral health and chewing gum consumption (*P = 0.029. Half (52.8%) needed dental restorations, 87.8% periodontal treatment, 246 (85.4%) scaling, and 6 (2.1%) deep scaling. Conclusion: The prevalence of dental caries and periodontal diseases was high, and three-quarters of servicemen were classified under grade 2 dental readiness.