{"id":77708,"date":"2025-11-07T19:01:45","date_gmt":"2025-11-07T19:01:45","guid":{"rendered":"https:\/\/one.sightlinemg.com\/airforcetimes\/uncategorized\/2025\/11\/07\/troops-dental-readiness-showing-some-improvement-some-decay\/"},"modified":"2026-08-08T16:19:00","modified_gmt":"2026-08-08T16:19:00","slug":"troops-dental-readiness-showing-some-improvement-some-decay","status":"publish","type":"post","link":"https:\/\/one.sightlinemg.com\/airforcetimes\/news\/your-air-force\/2025\/11\/07\/troops-dental-readiness-showing-some-improvement-some-decay\/","title":{"rendered":"Troops\u2019 dental readiness showing some improvement, some decay"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Although U.S. troops\u2019 dental readiness has improved some over the last decade, there\u2019s also been a decline in the percentage of troops with the best dental health, according to new Defense Department statistics.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">From 2014 to 2024, the percentage of troops with the worst levels of dental health decreased from 8.3% to 6.3%, while the percentage of troops with the best dental health dropped from 48.9% to 44.8%, DOD officials stated in a late September memo to Sen. Elizabeth Warren, D-Mass.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The memo, reviewed by Military Times, comes in response to <a href=\"https:\/\/www.militarytimes.com\/news\/pentagon-congress\/2025\/05\/23\/warren-presses-hegseth-about-fluoridations-impact-on-readiness\/\" target=\"_blank\" rel=\"\" title=\"https:\/\/www.militarytimes.com\/news\/pentagon-congress\/2025\/05\/23\/warren-presses-hegseth-about-fluoridations-impact-on-readiness\/\">Warren\u2019s letter to Defense Secretary Pete Hegseth earlier this year<\/a> seeking answers on how potentially ending fluoride use in drinking water, as championed by Health and Human Services Secretary Robert F. Kennedy Jr., could undermine military readiness.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Specifically, Warren asked for details on whether troops\u2019 dental readiness had improved since the implementation of a 2013 DOD requirement to fluoridate water on military installations that serve more than 3,300 people. According to DOD, 14 of those installations haven\u2019t implemented the policy, mostly due to varying concentrations of naturally occurring fluoride in their water supply.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Currently, there aren\u2019t any service members who are reported as being nondeployable due to dental problems, according to responses provided by Anthony J. Tata, under secretary of defense for personnel and readiness, to Warren. In 2018, however, officials modified how that status is reported: Troops assessed as having the higher level of dental problems are categorized as \u201cnot medically ready to deploy,\u201d but they aren\u2019t reported in the \u201cnondeployable population.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Still, dental emergencies account for 20-30% of all \u201cdisease non-battle injuries,\u201d or injuries not directly related to combat, during deployments, DOD officials said in their memo to Warren. The officials cited a 2024 study outlining 264 dental emergencies per 1,000 deployed personnel per year, based on an analysis of multiple long-term studies.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Role of fluoride in dental readiness <\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">There is no clear evidence that fluoridation of drinking water alone is responsible for improved military dental readiness, defense officials told Warren. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cIt is likely that a combination of factors, including fluoridation and other preventive interventions, have contributed positively to improved dental readiness across the force,\u201d they said.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">But there are complicating factors. Some installations purchase water from non-DOD drinking water providers, while many military members live off base. Access to care, disease patterns, diet, oral hygiene practices and regular dental preventive care also impact an individual\u2019s dental health and readiness, officials noted.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That said, removing fluoride from drinking water would likely be associated with increased rates of dental decay, according to a DOD position paper and a joint report by the DOD and the Journal of the American Medical Association Health Forum, cited in DOD\u2019s response. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The impact of removing fluoride might be negligible in the short term, officials said, but studies suggest it could have a long-term impact on dental disease, leading to a projected increase in demand for dental treatment and more temporarily nondeployable service members.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cOur military is already falling short on delivering high-quality dental care for our service members, and Secretary Kennedy\u2019s fluoride crusade is threatening to worsen this crisis and hurt our military\u2019s ability to deploy where they\u2019re needed,\u201d Warren said in a statement to Military Times.<\/p>\n\n\n\t<aside class=\"smg-interstitial-link wp-block-smg-interstitial-link\">\n\t\t<a href=\"https:\/\/one.sightlinemg.com\/militarytimes\/news\/pentagon-congress\/2025\/05\/23\/warren-presses-hegseth-about-fluoridations-impact-on-readiness\/\" class=\"smg-interstitial-link__inner\">\n\t\t\t\t\t\t\t<div class=\"smg-interstitial-link__media\">\n\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"206\" src=\"https:\/\/one.sightlinemg.com\/wp-content\/uploads\/2026\/08\/water-glass.JPG.jpg?w=300\" class=\"smg-interstitial-link__image wp-post-image\" alt=\"\" \/>\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"smg-interstitial-link__content\">\n\t\t\t\t<span class=\"smg-interstitial-link__kicker\">Related<\/span>\n\t\t\t\t<h3 class=\"smg-interstitial-link__title\">Warren presses Hegseth about fluoridation\u2019s impact on readiness<\/h3>\n\t\t\t\t\t\t\t\t\t<p class=\"smg-interstitial-link__excerpt\">Sen. Elizabeth Warren wants to know if the DOD has considered the effects on troops&#039; dental health if communities don&#039;t add fluoride to drinking water.<\/p>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/a>\n\t<\/aside>\n\t\n\n\n<h2 class=\"wp-block-heading\">Biting into the numbers<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Military dental readiness is classified into four categories. Class 1 represents the highest level of dental health and readiness, where the service member has a current dental exam, and doesn\u2019t require any additional treatment or reevaluation. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Those in Class 2 require nonurgent dental treatment or reevaluation for oral conditions, but they\u2019re not likely to result in a dental emergency with a year. They\u2019re still medically ready to deploy. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A Class 3 designation means the service member has a condition that could cause a dental emergency within 12 months. They\u2019re not medically ready to deploy.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A Class 4 designation represents the lowest level of dental health and readiness, where a service member is delinquent in getting dental care and requires a dental exam, or the dental classification status is unknown. They\u2019re not medically ready to deploy.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dentists determine a service member\u2019s readiness classification, but their commander makes the ultimate decision about their ability to deploy.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">DOD\u2019s target is for 65% of troops to fall under Class 1. Nearly half of the active duty force is in Class 2, officials said. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">While those assessed as Class 2 may be technically medically ready, they have untreated dental disease, and their preventive dentistry requirements aren\u2019t being met, officials told Warren. Waiting to treat those conditions until they become emergencies causes higher rates of dental problems during deployments, they said. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Between May and August of this year, 6% of all military personnel, or 107,214 troops, were reported as having Class 4 assessments, according to DOD data provided to Warren.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">About 3.5% of personnel, or 61,788 service members, during that same timeframe were reported as having Class 3 assessments.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Overall, 5.1% of active duty members were categorized as Class 4 assessments, while 9.9% of reserve members fell under that category.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Among the active duty population, Marines had the highest percentage of Class 4 problems, accounting for 10.1% of all Marines, followed by sailors at 6%. Air Force had the lowest percentage of Class 4 problems at 2.3%, followed by the Army at 4.2%.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Within the reserve components, the highest percentage of those assessed as Class 4 were members of the Army Reserve at 12.6%, followed by Air Force Reserve individual mobilization augmentees at 10.3% and Navy reservists at 8.2%.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Although troops\u2019 dental readiness has improved some over the last decade, there\u2019s also been a decline in the number of troops with the best dental health.<\/p>\n","protected":false},"author":7,"featured_media":62010,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_yoast_wpseo_meta-robots-noindex":"","_yoast_wpseo_meta-robots-nofollow":"","_yoast_wpseo_canonical":"","_acf":"","_yoast_wpseo_primary_category":67,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","_smg_distribution_targets":[]},"categories":[101,155,81,16,26,8,65,67],"tags":[],"coauthors":[3232],"class_list":["post-77708","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-daily-news-roundup","category-health-care-benefits","category-military-benefits","category-news","category-newsletters","category-pay-benefits","category-pentagon-congress","category-your-air-force"],"acf":{"subheadline":"","legacy_arc_id":"TCSN6ZS6ABCJDBK32FK67WPWB4","arc_canonical_url":"\/pay-benefits\/military-benefits\/health-care\/2025\/11\/07\/troops-dental-readiness-showing-some-improvement-some-decay\/","remove_feature_photo":false,"is_sponsored":false,"subtype":"","redirect_url":"","disable_inline_ads":false,"native_logo_pretext":"Presented By:"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.0 (Yoast SEO v28.1) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Troops\u2019 dental readiness showing some improvement, some decay - Air Force TImes<\/title>\n<meta name=\"description\" content=\"Although troops\u2019 dental readiness has improved some over the last decade, there\u2019s also been a decline in the number of troops with the best dental health.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Troops\u2019 dental readiness showing some improvement, some decay\" \/>\n<meta property=\"og:description\" content=\"Although troops\u2019 dental readiness has improved some over the last decade, there\u2019s also been a decline in the number of troops 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