Traditionally, survival medical
advice has sounded something like this: “Have a medical first aid kit and make
sure your dental work is up to date.” This is very good advice. However, I
believe the advice should instead be, “Make sure your medical and dental needs
are up to date and you have a comprehensive first aid kit.” No comprehensive
first aid kit is complete without critical, dental medicaments and instruments.
What happens when there is a dental need without a dentist or a functioning
dental office anywhere around? Is your first aid kit complete with the
necessary materials for such a problem? This article focuses on answering three
main questions: (1) Why should I focus on dental health? (2) What dental
supplies should I include in my kit? and (3) Where can I find a high-quality,
dentist-grade supply kit?
It may surprise some, but until the
last two generations most people have needed all of their teeth extracted
during their lifetime. In England few dentitions remained intact much after age
40.1 Even George Washington was toothless; it hit all social classes. The main
reasons for this were lack of proper hygiene, unbalanced diet, and few ways to
fix and keep teeth. Modern dentistry has provided many ways to preserve, fix,
and even replace teeth, as well as maintain systems for preserving dentition.
All of this is available, even in the face of modern diets that have a
dramatically more negative effect on tooth lifespan than generations ago. So,
what would a combination of generally poorer diets and lack of modern dentistry
mean? The answer is that there will be dramatically more tooth decay than even
in the 19th century!
Dental medicaments and instruments
are unique in their function and critical to maintaining not only one’s teeth
but also, in some circumstances, one’s life! Deaths from dental abscesses today
are so rare that it is difficult to fathom that only 200 years ago this was a
leading cause of death. 2 What would life be like in a SHTF scenarios? Would daily
living be similar to 200 years ago? It’s very likely indeed. We be involved in
bartering, growing our own food, being self-sufficient, and, yes, suffering
from toothaches, some of which can lead to death!
Search “dental abscess death” in
your search engine, and you’ll find a myriad of recent, tragic, deadly stories.
The most alarming part is that these deaths are avoidable through modern
dentistry. The problem is, how modern will dentistry be if you don’t have
access to its modernity?
If things couldn’t get worse, two of
the main causes of tooth loss– periodontal (gum) disease and trauma– are likely
to be a greater risk in a SHTF scenario. With regular cleanings unavailable
under such circumstances, periodontal disease will dramatically worsen. With
changing environments, more exposure to the elements, and more manual labor
necessary, trauma will also spike in prevalence. With the case clear that there
will be dental needs when SHTF, what do we do about it?
In the U.S., there is only one
dentist per 1,597 people.3 In large cities, they are a dime a dozen, while in
rural areas they are few and far between. When you take away the efficiencies
of modern practice and the just-in-time supply chain of materials (limiting
inventory of medicaments and tools in a dental office) in a prolonged calamity,
dentists will be in high demand. In addition, many will have their practices
ravaged, ruined, or destroyed by those stripping dental offices of all supplies
and equipment. During a sustained event, if you, anyone in your group, or
anyone around you is going to have dental care available, it will be because
you have the necessary equipment, tools, and medicaments as part of your
emergency kit to allow a trained professional to care for you.
Lest you think physicians, nurses,
or other medical professionals will be able to fill in the gap, these
professionals get no training in human tooth extraction and nearly no training
regarding the oral cavity. Emergency room doctors routinely consult dentists
regarding where to place the needle to deliver local anesthetic inside the
mouth, because they do not get it in their training even though tooth pain is
one of the fastest growing reasons for ER visits. It’s not that tooth
extraction couldn’t be learned by non-dentists, but it would take training and
practice, and currently these things are serious crimes under the law, where
irreversible processes and potentially life-threatening complications are
possible.
Dentists will still be around when
SHTF as much as anybody, but the supplies to perform their tasks will not. They
will disappear just as fast as any medicine, bottle of liquor, or box of ammo.
You will need to have the supplies to provide for you and yours, if you have a
hope of having that toothache dealt with.
The first group of essential
supplies are basic dental hygiene supplies– toothbrushes, floss, toothpaste. These products
are readily available or can be homemade many different
ways. Proper oral hygiene will do more than anything to prevent tooth problems.
After the basic hygiene supplies, it
gets far more challenging, because we move into professional supplies with
specific indications based on diagnosis as well as supplies used exclusively by
dentists. However, having the correct, temporary restorative materials, dental cements, materials,
and matrixes to make
intermediate restorations are all essential to preserving dentition.
Next, it is essential to have the
proper instrumentation. First, you need professional hygiene supplies– you
know, the instruments the hygienists
use when you get your teeth cleaned. These valuable tools not only help keep
teeth clean but prevent periodontal disease (tooth abscess) and dental
cavities. They are critical. Second, it’s crucial to have the proper assortment
of instruments and forceps for
tooth extraction. The correct instruments are essential. You do not want to
have an infected, broken root that doesn’t come out, because that doesn’t solve
the problem but rather likely makes it worse. Having the proper instruments,
used by someone who knows what they are doing, could ultimately mean the
difference between life and death. Up to this point, all the materials and
instruments are available and can be performed under most circumstances.
Worthwhile materials and instruments can be expensive but are within most
people’s budget and can be legally purchased. If you have to use these
instruments, you may lose a few teeth, but the tragedy of death due to tooth
abscess will most likely be avoided. More involved and complex dentistry, such
as making crowns, doing implants, bonding, and root canals all will require
significantly more materials, dramatic increases in cost, and a controlled
environment.
There are thousands of makes and
models of dental instruments and even more manufacturers of dental materials.
Even dentists can get confused over the differences between economy and
professional lines, with numerous varieties of grades and styles, all with
their own claims. The costs of these materials vary greatly, based on many
factors. One suggestion is to talk to your dentist to see what they suggest,
but because this is an often overlooked area of one’s medical kit there are few
resources as to what might be included in the dental segment of the
comprehensive kit. The book Where There Is No Dentist
by Murray Dickson is adequate for basic field triage dentistry for the
untrained, but it does not address what materials ought to be had for real,
predictable dentistry performed by trained professionals in calamitous
situations.
There are a few dental kits available on
the web, and a variety of selected instruments can be found on eBay. Until very
recently, no kit has had the critical elements of required dental hygiene
tools, assorted extraction instruments, and necessary materials, medicaments,
and matrixes to place restorations. Those that are available are either
completely lacking in proper supplies, or the manufacturers are either unknown
or untrustworthy. Either way, every kit currently available is
not complete.
However, there is a new,
comprehensive dental kit available that fulfills this need in everyone’s
medical first aid kit. Dental Essentials, LLC has recently developed a kit that
fulfills each of the requirements necessary to professionally clean teeth,
temporarily and intermediately restore teeth, extract broken and infected
teeth, and treat oral trauma. This kit can be found at prepperdental.com. All
instruments arrive in pre-sterilized pouches ready for use by a professional.
The kit comes in a custom cordura nylon case, to house each material and
instrument accordingly.
The last thing you want is to have
the tools for a project and then find that they are of such poor quality that
they do not work as they should. The kit bag and its primary line of essential
instruments are all made in the USA of the highest quality and come with a
lifetime warranty. The only thing this kit lacks is the anesthetic supplies, as
they are regulated by the FDA. (In full disclosure, I am a consultant for the
kit, and I chose the components because they are brands I use every day in my
private dental practice.)
In summary, when prolonged calamity
comes, daily proper oral hygiene will be the most crucial element in preventing
dental problems. However, tooth problems will occur that cause significant pain
and, in some cases, death. Having a complete dental kit gives you the peace of
mind that you will have the materials necessary to avoid these tragedies and
maintain your teeth through the difficulties. Having the proper dental
materials and instruments is an essential component to any complete medical
kit.
From the Survival Blog
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