Dental Service Support Operations by Department of the Army - HTML preview

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06

Area Support Squad

Dental Specialist

E4

68E1O

SECTION IV — COMBAT SUPPORT HOSPITAL DENTAL SUPPORT

DENTAL SERVICES SECTION AND OPERATING ROOM/CENTRAL

MATERIEL SERVICES SECTION

2-20. Dental service support within the combat support hospital is provided by the dental services section.

The dental services section provides routine dental care, treatment for maxillofacial injuries, and oral surgery support for hospital staff, patients, military personnel in the immediate area, and patients referred by other MTFs in the area.

2-21. When performing surgical procedures, the oral and maxillofacial surgeon will generally require the assistance of other operating room personnel to assist him while conducting maxillofacial surgical procedures.

PERSONNEL

2-22. Personnel assigned to the operating room/central materiel services and dental services section of the combat support hospital are depicted in Table 2-2.

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FM 4-02.19

31 July 2009

Organization and Employment of Dental Units

Table 2-2. Dental personnel organic to the combat support hospital

Paragraph Paragraph

Description

Title

Grade

AOC/MOS

Oral and Maxillofacial Surgeon

O4

63N00

Operating Room/Central

07

Materiel Services Section

Dental Specialist

E4

68E1O

Comprehensive Dentist

O4

63B00

09

Dental Services Section

Preventive Dentistry Sergeant E5

68E2O

Dental Specialist

E4

68E1O

SECTION V — AREA DENTAL SUPPORT

MISSION

2-23. Area dental support for units that do not have organic dental assets is provided by the—

z

Medical company (dental services) (TOE 08478L000).

z

Dental company (area support) (TOE 08473A000).

2-24. Both dental companies provide operational dental care and both have dental assets which can deploy when and where necessary to provide augmentation and or reinforcement to the area support squads.

Note. All medical companies (dental services) (TOE 08478L000) are being converted to the Medical Reengineering Initiative dental company (area support) (TOE 08473A000).

MEDICAL COMPANY (DENTAL SERVICES)

2-25. The medical company (dental services) (TOE 08478L000) is a Medical Force 2000-designed unit (see Figure 2-1).

Medical Company

Dental Services

Headquarters and

Dental Prosthetics

General Dental

Forward Dental

Support Section

Section

Section

Treatment Section (X6)

Figure 2-1. Medical company (dental services)

MISSION

2-26. The mission of the medical company (dental services) is to provide operational dental care consisting of emergency and essential dental care.

31 July 2009

FM 4-02.19

2-5

Chapter 2

ASSIGNMENT

2-27. When deployed, the medical company (dental services) will be assigned to the medical battalion (multifunctional) (TOE 08485G000). Once in place they can deploy forward dental treatment sections to provide area dental support.

EMPLOYMENT

2-28. The medical company (dental services) is employed with the MEDCOM (DS) or the MEDBDE

within a theater. Dental teams may be employed in the BCT area to provide forward emergency and preventive dental care.

BASIS OF ALLOCATION

2-29. The medical company (dental services) is employed on the basis of allocation of one per 20,000

troops supported.

CAPABILITIES

2-30. The medical company (dental services) provides the following:

z

Operational dental care, which is composed of emergency and essential dental care, including limited prosthodontic specialty care.

z

Up to six dental treatment teams performing dental services for small or forward troop concentrations.

z

Augmentation to the advanced trauma management capabilities of other MTFs during mass casualty situations.

z

One cook (MOS 92G1O) to augment the field feeding capabilities of the supporting unit.

z

Maintenance of own property book.

2-31. Individuals assigned to this unit are provided weapons for personal defense and protection of patients under their care.

2-32. This unit performs unit maintenance on all equipment except communications-electronic and communications security equipment.

DEPENDENCIES

2-33. This unit is dependent on—

z

The supported unit or ASCC for finance, religious, legal, laundry and bath, clothing exchange, supplemental transportation support, and communications-electronic and communications security maintenance.

z

Medical command (DS) or MEDBDE for health service support/force health protection, field feeding, vehicle refueling, and vehicle recovery.

FUNCTIONS AND REQUIREMENTS

2-34. The headquarters and support section provides command and control for the company and vehicle and generator maintenance support.

2-35. The dentistry/prosthetics section provides prosthodontic support to deployed troops.

2-36. The general dental section provides operational dental care consisting of emergency dental care and essential dental care on an area basis.

2-37. The forward dental treatment section provides operational dental care consisting of emergency dental care and essential dental care on an area basis in forward troop concentrations. It reconstitutes brigade dental assets and is organized with six forward treatment teams.

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FM 4-02.19

31 July 2009

Organization and Employment of Dental Units

MOBILITY

2-38. This unit is capable of transporting 70,700 pounds (5,719 cubic feet) of TOE equipment with organic vehicles. This unit has 71,896 pounds (5,781 cubic feet) of TOE equipment requiring transportation.

2-39. This unit requires 50 percent of its TOE equipment to be transported in a single lift using organic vehicles.

PERSONNEL

2-40. Table 2-3 lists all personnel assigned to the medical company (dental services) (TOE 08478L000).

Table 2-3. Medical company (dental services)

ADDITIONAL

PARAGRAPH

STAFFING

SKILL

GRADE AOC/MOS

TITLE

NUMBER AND TITLE

LEVEL

IDENTIFIER

O5

63R00

COMMANDER

1

O3

70B67

EXECUTIVE

OFFICER

1

E8

68E5M

FIRST

SERGEANT

1

E6

63B3O

MOTOR

SERGEANT

1

E5

63B2O

WHEELED VEHICLE MECHANIC

1

EQUIPMENT RECORDS/PARTS

E5

92A2O

1

SERGEANT

E5

92Y2O

SUPPLY

SERGEANT

1

HUMAN RESOURCES

E4

42A1O

1

01

SPECIALIST

POWER-GENERATION

E4

52D1O

1

HEADQUARTERS

EQUIPMENT REPAIRER

AND SUPPORT

E4

63B1O

WHEELED VEHICLE MECHANIC

1

SECTION

BIOMEDICAL EQUIPMENT

E4

68A1O

1

SPECIALIST

PATIENT ADMINISTRATION

E4

68G1O

1

SPECIALIST

MEDICAL LOGISTICS

E4

68J1O

1

SPECIALIST

CHEMICAL, BIOLOGICAL,

E4

74D1O

RADIOLOGICAL, AND NUCLEAR

1

DECONTAMINATION SPECIALIST

CHEMICAL, BIOLOGICAL,

E4

74D1O

RADIOLOGICAL, AND NUCLEAR

1

SPECIALIST

E3

92G1O

COOK

1

O5

63R00

CHIEF DENTAL SERVICES

1

02

O4

63F00

PROSTHODONTIST

1

DENTAL

O3

63A00

GENERAL DENTAL OFFICER

3

PROSTHETICS

DENTAL NONCOMMISSIONED

SECTION

E7

68E4O

1

OFFICER

E6

68E3O

SENIOR DENTAL SERGEANT

2

31 July 2009

FM 4-02.19

2-7

Chapter 2

Table 2-3. Medical company (dental services) (continued)

PARAGRAPH ADDITIONAL

STAFFING

NUMBER

SKILL

GRADE AOC/MOS

TITLE

LEVEL

AND TITLE

IDENTIFIER

SENIOR DENTAL LABORATORY

N5 E6

68E3O

1

SERGEANT

X2

E5

68E2O

PREVENTIVE DENTISTRY SERGEANT

1

E5

68E2O

DENTAL

SERGEANT

1

02

N5

E5

68E2O

DENTAL LABORATORY SERGEANT

1

DENTAL

PROSTHETICS

N5

E4

68E1O

DENTAL LABORATORY SPECIALIST

2

SECTION

(continued)

E4

68E1O

DENTAL

SPECIALIST

1

X2

E4

68E1O

PREVENTIVE DENTISTRY SPECIALIST

1

E3

68E1O

DENTAL

SPECIALIST

2

O4

63B00

CHIEF DENTAL SERVICE

1

O3

63A00

GENERAL DENTAL OFFICER

3

E7

68E4O

DENTAL NONCOMMISSIONED OFFICER

1

03

E6

68E3O

SENIOR DENTAL SERGEANT

1

GENERAL

DENTAL

X2

E5

68E2O

PREVENTIVE DENTISTRY SERGEANT

1

SECTION

E5

68E2O

DENTAL

SERGEANT

1

E4

68E1O

DENTAL

SPECIALIST

1

X2

E4

68E1O

PREVENTIVE DENTISTRY SPECIALIST

1

O4

63B00

CHIEF DENTAL SERVICES

1

04

O3

63A00

GENERAL DENTAL OFFICER

5

FORWARD

DENTAL

TREATMENT

E6

68E3O

SENIOR DENTAL SERGEANT

1

SECTION

E4 68E1O

DENTAL

SPECIALIST

6

DENTAL COMPANY (AREA SUPPORT)

2-41. The dental company (area support) (TOE 08473A000) is a Medical Reengineering Initiative-designed unit (see Figure 2-2).

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FM 4-02.19

31 July 2009

Organization and Employment of Dental Units

Dental

Company

(Area

Support)

Company

Support

Field Dental

Forward

Headquarters

Section

Clinic (Area)

Support

Platoon

Forward

Forward

Support

Support

Platoon

Treatment

Headquarters

Section (X3)

Figure 2-2. Dental company (area support)

MISSION

2-42. The mission of the dental company (area support) is to provide operational dental care consisting of emergency and essential dental care designed to eliminate potential dental emergencies on an area basis.

ASSIGNMENT

2-43. The dental company (area support) is assigned to the MEDCOM (DS) or MEDBDE.

EMPLOYMENT

2-44. The dental company (area support) is employed with the MEDCOM (DS) or MEDBDE within a theater. Dental teams may be employed in the BCT area to provide forward emergency and preventive dental care.

BASIS OF ALLOCATION

2-45. The dental company (area support) is employed on the basis of allocation of one company per 43,000 Soldiers supported in the theater. This is based upon the ratio of one dentist in support of 1,175

troops.

CAPABILITIES

2-46. The dental company (area support) provides—

z

Command and control of subordinate dental elements.

z

Operational dental care, consisting of emergency dental care and essential dental care.

z

Reinforcement and reconstitution of BCT and armored cavalry regiment dental assets.

z

Far forward operational dental care to small and forward deployed troop concentrations. This section is composed of 3 forward support treatment sections. Each section is composed of 6

treatment teams for a total of 18 forward treatment teams to provide area support.

z

Augmentation of medical assets during mass casualty situations.

z

One cook to augment the supporting food service element.

2-47. Soldiers assigned to this company are issued weapons (pistols, rifles, and squad automatic weapons) for personal defense and protection of patients under their care. Due to the forward nature of their mission, 100 percent of the Soldiers assigned to the forward support treatment teams are issued weapons.

31 July 2009

FM 4-02.19

2-9

Chapter 2

2-48. This unit performs unit maintenance on all organic equipment, except communications-electronic and communications security equipment.

DEPENDENCIES

2-49. The dental company (area support) is dependent on—

z

Appropriate elements of the corps or ASCC for health service support/force health protection, religious, legal, finance, personnel and administrative services, food service, water, supplemental transportation support, and communications-electronic repair and communications security equipment repair and maintenance.

z

Appropriate elements of the corps or ASCC for security of enemy prisoners of war and detainee patients and U.S. prisoner patients.

FUNCTIONS AND REQUIREMENTS

2-50. The company headquarters provides supervision and command and control of the company.

2-51. The support section provides nonclinical support activities to include wheeled vehicle, power generation, and medical equipment maintenance.

2-52. The field dental clinic (area) provides operational dental care consisting of emergency dental care and essential dental care.

2-53. The forward support platoon headquarters provides command and control and administrative support to the treatment sections.

2-54. The three forward support treatment sections provide operational dental care consisting of emergency dental care and essential dental care throughout the combat zone and isolated troops concentrations.

MOBILITY

2-55. This unit is capable of transporting 133,700 pounds (11,073.0 cubic feet) of TOE equipment with organic vehicles. This unit has 79,758 pounds (6,473.3 cubic feet) of TOE equipment requiring transportation.

2-56. This unit requires 50 percent mobility of TOE equipment and supplies to be transported in a single lift using its authorized organic vehicles.

PERSONNEL

2-57. Table 2-4 lists all personnel assigned to the dental company (area support) TOE 08473A000.

Table 2-4. Dental company (area support)

PARAGRAPH

ADDITIONAL

STAFFING

NUMBER AND

SKILL

GRADE AOC/MOS

TITLE

LEVEL

TITLE

IDENTIFIER

O6

63R00

COMMANDER

1

O5

67A00

EXECUTIVE OFFICER

1

01

E8

68E5M

FIRST SERGEANT

1

COMPANY

HEADQUARTERS

E5

92Y2O

SUPPLY SERGEANT

1

EXECUTIVE

E3 E4

42A1O

ADMINISTRATIVE

1

ASSISTANT

2-10

FM 4-02.19

31 July 2009

Organization and Employment of Dental Units

Table 2-4. Dental company (area support) (continued)

PARAGRAPH

ADDITIONAL

STAFFING

NUMBER AND

SKILL

GRADE AOC/MOS

TITLE

LEVEL

TITLE

IDENTIFIER

HUMAN RESOURCES

E4

42A1O

1

SPECIALIST

CHEMICAL, BIOLOGICAL,

RADIOLOGICAL, AND

E4

74D1O

NUCLEAR

1

01

DECONTAMINATION

SPECIALIST

COMPANY

CHEMICAL, BIOLOGICAL,

HEADQUARTERS

E4

74D1O

RADIOLOGICAL, AND

1

(continued)

NUCLEAR SPECIALIST

E4

92Y1O

ARMORER

1

E3

92G1O

COOK

1

E7

68E4O

OPERATIONS SERGEANT

1

E6

63B3O

MOTOR SERGEANT

1

POWER GENERATION

E5

52D2O

1

EQUIPMENT REPAIRER

WHEELED VEHICLE

E5

63B2O

1

MECHANIC

MEDICAL LOGISTICS

E5

68J2O

1

02

SERGEANT

WHEELED VEHICLE

SUPPORT SECTION

E4

63B1O

1

MECHANIC

BIOMEDICAL EQUIPMENT

E4

68A1O

1

SPECIALIST

EQUIPMENT

E4

92A1O

RECORDS/PARTS

1

SPECIALIST

POWER GENERATION

E3

52D1O

1

EQUIPMENT REPAIRER

WHEELED VEHICLE

E3

63B1O

1

MECHANIC

COMPREHENSIVE DENTAL

O5

63B00

1

OFFICER

O5

63D00

PERIODONTIST

1

O5

63D00

ENDODONTIST

1

O5

63F00

PROSTHODONTIST

1

O3

63A00

GENERAL DENTAL OFFICER

5

03

DENTAL

E7

68E4O

NONCOMMISSIONED

1

FIELD DENTAL CLINIC

OFFICER

(AREA)

E6

68E3O

SENIOR DENTAL SERGEANT

2

SENIOR DENTAL

N5 E6

68E3O

1

LABORATORY SERGEANT

PREVENTIVE DENTISTRY

X2 E5

68E2O

2