Analysis of dental care in Antarctic crews: Dental problems, case studies and treatments
Vol.13,No.2(2023)
Dental issues are relatively common in Antarctic stations both during short-term and long-term expeditions. In overwintering crews, dental problems may reach 10-15% of overall medical cases. In the expeditions working only during the austral summer season, the proportion of dental problems is lower, typically not exceeding 5%. In our study, facilities available recently for dental care in Antarctica, considering seasonal – and year-round operated stations, are overviewed. Several case studies are reported in order to show the treatment of the most frequent dental problems that happen in Antarctica in short-term (seasonal) and long-term (overwintering) expeditions. Our study brings an analysis of dental cases reported by Czech Antarctic Program within 15 years (2008-2015) and the Brazilian Antarctic Program (2018-2023). New trends in dental care in Antarctica are discussed including telemedicine and integrated systems.
Antarctic expeditions; dentistry; dental treatment; Mendel station
Bartáková, J. (2020): Peculiarities of medical care in Antarctic crews with a special respect to dentistry. SPARC conference, Brno 2020. Book of Abstract, pp. 9–10.
Bhatia, A., Pal, R. (2012): Morbidity pattern of the 27th Indian Scientific Expedition to Antarctica. Wilderness and Environmental Medicine, 23(3): 231-238.
Cadden, J. (2017): Medicine on ice. UQmedicine. Winter Edition 2017, pp. 8–9.
Carron, M., Emeyriat, N., Levraut, J. and Blondeau, N. (2018): Cruise ship pathologies in remote regions. International Maritime Health, 69(2): 75-83. doi: 10.5603/IMH.2018.0012
Ellis, A. R. (1969): Under Scott's command: Lashly's Antarctic diaries. London: Victor Gollanez. 160 p.
Guly, H. R. (2011): Dental problems during the heroic age of Antarctic exploration. Dental History Magazine, 5(1): 8-13.
Guly, H. R. (2015): Medical aspects of the expeditions of the Heroic Age of Antarctic exploration (1895-1922). PhD Thesis, University of Exeter, Disease and injury, 145 p.
Hoyme, H., Meyer-Rochow, V. (2011): Reasons and frequency of visits to the ship's doctor by passengers and crew members of cruise ships in polar waters. Polar Record, 47(1): 80-85. doi: 10.1017/S0032247410000136
Ikeda, A., Ohno, G., Otani, S., Watanabe, K. and Imura, S. (2019): Disease and injury statistics of Japanese Antarctic research expeditions during the wintering period: Evaluation of 6837 cases in the 1st-56th parties – Antarctic health report in 1956-2016. International Journal of Circumpolar Health, 78: 1611327. doi: 10.1080/22423982.2019.1611327
Iserson, K. V. (2019): Remote Health Care at U.S. Antarctic Stations: A Comparison with Standard Emergency Medical Practice. The Journal of Emergency Medicine, 56(5): 544-550.
Knoedler, D., Stanmeyer, W. R. (1958): Dental observations made while wintering in Antarctica, 1956-1957. Journal of Dental Research, 37(4): 614-622.
Küpper, T., Hettlich, M., Horz, H. P., Lechner, K., Scharfenberg, C., Conrads, G., Yekta, S. S., Lampert, F. and Gore, C. (2014): Dental problems and emergencies of trekkers--epidemiology and prevention. Results of the ADEMED Expedition 2008. High Altitude Medicine & Biology, 15(1): 39-45. doi: 10.1089/ham.2013.1108
Kuwabara, T., Naruiwa, N., Ohno, G. (2021): Human change and adaptation in Antarctica: Psychological research on Antarctic wintering-over at Syowa station. International Journal of Circumpolar Health, 80(1): 1886704. doi: 10.1080/22423982.2021.1886704
Langdana, B. (2014): Dental Problems on Expeditions. Source: https://worldextrememedicine.com
Langdana, B. (2020): Working in the wild: Wilderness expedition dentistry. DDU Journal, https://ddujournal.theddu.com/
Lecordier, M., Tissot, C., Bonnardot, L. and Hitier, M. (2023): Surgical training strategies for physicians practicing in an isolated environment: an example from Antarctica. International survey of 13 countries with active winter stations. International Journal of Circumpolar Health, 82(1): 2236761. doi: 10.1080/22423982.2023.2236761
Lisney, S.W (1976): Dental Problems in Antarctica. British Dental Journal, 141: 91-92.
Lloro, V., Lloro I., Manzanares, M. C. (2019): The incidence of dental needs during isolated missions compared to non-isolated missions. A Systematic Review and Implications for Future Prevention Strategies. Military Medicine, 184(3-4): e148–e155. doi: 10.1093/milmed/usy364
Lowe, J., Warner, M. (2023): Optimising remote health care delivery in Antarctica: a review of the current capabilities utilised in the British Antarctic Territory. International Journal of Circumpolar Health, 82(1): 2230633. doi: 10.1080/22423982.2023.2230633
Lugg, D., Ayton, J. (2012): A century of Australian Antarctic medicine. Australian Science, 2012: 26-29.
Mawson, D. (1915): The Home of the Blizzard. Vols 1 and 2. London, 338 p.
McColl, E., Witton, R., Lommerse, T. and Warner, M. (2022): Dentistry where there is no Dentist: A retrospective analysis of urgent dental care reported through the British Antarctic Survey Medical Unit (BASMU), 2015–2020. Primary Dental Journal, 11(2): 62-66. doi: 10.1177/20501684221100937
Mellor, A., Dodds, N., Joshi, R., Hall, J., Dhillon, S., Hollis, S., Davis, P., Hillebrandt, D., Howard, E., Wilkes, M., Langdana, B., Lee, D., Hinson, N., Williams, T. H., Rowles, J. and Pynn, H. (2015): Faculty of Prehospital Care, Royal College of Surgeons Edinburgh guidance for medical provision for wilderness medicine. Extreme Physiology and Medicine, 4: 22 (pp. 1-10). doi: 10.1186/s13728-015-0041-x
Mi, W., Guo, H., Yu, W., Wang, S., Pan, T. and Wang, S. (2023): Need for dental care among medical staff working in the China Antarctic stations. International Journal of Circumpolar Health, 82(1): 2179453. doi: 10.1080/22423982.2023.2179453
Mill, G. H., Mills, C. N. (2008): Challenges of air medical evacuation from Antarctica. Air Medical Journal, 27(6): 281-285.
Moiseyenko, Y. V., Sukhorukov, V. I., Pyshnov, G. Y., Mankovska, I. M., Rozova, K. V., Miroshnychenko, O. A., Kovalevska, O. E., Madjar, S. A., Bubnov, R. V., Gorbach, A. O., Danylenko, K. M. and Moiseyenko, O. I. (2016): Antarctica challenges the new horizons in predictive, preventive, personalized medicine: preliminary results and attractive hypotheses for multi-disciplinary prospective studies in the Ukrainian "Akademik Vernadsky" station. EPMA Journal, 7(1): 11. doi: 10.1186/s13167-016-0060-8
Ohno, G., Otani, J. and Ikeda, A. (2018): Human beings in Antarctica. Open Acces INTECH chapter. doi: 10.5772/intechopen.81974
Ohno, G., Watanabe, K., Okada, Y. and Higuchi, K. (2012): Practical experience of telehealth between an Antarctic station and Japan. Journal of Telemedicine and Telecare, 18(8): 473-475. doi: 10.1258/jtt.2012.gth111
Olson, J. J. (2002): Antarctica: A review of recent medical research. TRENDS in Pharmacological Sciences, 23: 487-490.
Stanmeyer, W. R. J., Adams, R. J. (1961): Antarctic stress and the teeth. The Journal of the American Dental Association, 63(5): 665-670.
Ting, L., Wilkes, M. (2021): Telemedicine for patient management on expeditions in remote and austere environments: A systematic review. Wilderness and Environmental Medicine, 32(1): 102-111. doi: 10.1016/j.wem.2020.09.009
Zaitsu, T., Kawaguchi, Y. (2017): Perspectives for Tele-dental System in Space and Antarctic Environments. The International Journal of Oral Health, 13: 13-16.
Web sources / Other sources
[1] US Antarctic Inspection team (2006): Report of Ispections under Article VII of the Antarctic Treaty and Article 14 of the Protocol on Environmental protection, 68 p.; https://2009-2017.state.gov/documents/organization/82146.pdf
[2] Inspection Report: Australian Antarctic Division, Polar Medicine Unit (AAD-PMU), Report No. R18/00231, 2017.; https://www.arpansa.gov.au/sites/default/files/r18-00231.pdf
[3] Inspection report: Australian Antarctic Division – Polar Medicine Unit (AAD-PMU) Report No. R21/09765, 2021.; https://www.arpansa.gov.au/inspection-report-australian-antarctic-division-polar-medicine-unit-aad-pmu-r2109765
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