@misc{10481/109306,
year = {2025},
month = {12},
url = {https://hdl.handle.net/10481/109306},
abstract = {The Spanish Armed Forces require optimal oral health to ensure operability during international missions. In a cross-sectional study with a sample of 691 military personnel, 17.66% were classified as temporarily unfit (NAT), predominantly among enlisted ranks (21.7%). Employment status and smoking showed significant associations with NAT (P < .000), while gender, age, and alcohol consumption were not significant factors. The decayed, missing filled teeth index, particularly its decayed component, was strongly related to NAT (P = .000). Periodontal disease presence and the need for multiple dental treatments significantly increased NAT prevalence (P < .000). Use of dental floss correlated with higher fitness, whereas mouthwash use was associated with increased NAT (P < .05). These findings highlight the importance of prevention and risk factor control to maintain oral fitness and ensure military personnel effectiveness during deployments.},
publisher = {Wolters Kluwer Health, Inc},
keywords = {Dental fitness},
keywords = {Military personnel},
keywords = {Oral health},
title = {Dental health as a determinant of operational readiness in military populations: Evidence from Ceuta (Spain)},
doi = {10.1097/MD.0000000000046380},
author = {Bel Blesa, Alejandro and Hernández Donadeu, Marta and Flores Fraile, Javier and Gómez Salgado, Juan and El Khoury Moreno, Luis and Torrejón Martínez, Julio and Rosel Gallardo, Eva and Ribas Perez, David and Castaño Séiquer, Antoni},
}