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Deep Roots of the <strong>Army</strong>’s<br />

Before 1901, the <strong>Army</strong> didn’t pay much attention<br />

to soldiers’ teeth. In order to serve<br />

during the Civil War, <strong>Army</strong> recruits simply<br />

had to have six opposing upper and lower<br />

teeth to bite off the tough paper powder cartridges<br />

that were used in muzzle-loading rifles. By 1900,<br />

those wishing to serve in the <strong>Army</strong> had to have only<br />

four teeth—the minimum number required to chew<br />

food. Ironically, the nation’s first commanding general,<br />

George Washington, had only one real tooth<br />

when he was sworn in as president.<br />

Despite repeated pleas dating from the Civil War<br />

for <strong>Army</strong> dentists, the idea was largely ignored.<br />

Congress was finally forced to enact legislation creating<br />

an <strong>Army</strong> Dental Corps in 1901 as a result of<br />

the Spanish-American War. American soldiers campaigning<br />

in Spain’s tropical colonies such as Cuba,<br />

the Dominican Republic and the Philippines were<br />

confronted with extraordinary dental problems.<br />

According to Dr. John Sayre Marshall, the <strong>Army</strong>’s<br />

first dental surgeon, soldiers who served in these<br />

tropical environments experienced climate conditions<br />

and “changes in the habits of life” that were<br />

“enervating and debilitating to the general system.”<br />

Marshall noted that as a result, the soldiers’ resistance<br />

to disease was “greatly lessened,” consequently<br />

predisposing them to dental diseases.<br />

$150 per Month<br />

Initially, Congress authorized 30 dental positions<br />

that paid $150 per month as well as free housing.<br />

About 1,000 civilian dentists applied. The legislation<br />

provided that the dentists would not be actual soldiers<br />

but “contract dentists,” with a pay grade equivalent to<br />

a first lieutenant. The reason for this was that many in Congress<br />

were skeptical about the need for dentists at all. The compromise<br />

that was reached was an experiment to determine if a dental<br />

corps was a useful adjunct to the <strong>Army</strong>.<br />

Those chosen were obligated to work seven hours a day for<br />

the <strong>Army</strong>. After that, they could work up to two additional<br />

hours to treat soldiers’ families and civilian employees, charging<br />

the regular fee. Military dependents were not covered under<br />

the legislation.<br />

Marshall assigned the successful candidates to various posts<br />

around the nation and overseas from his headquarters at the<br />

Presidio of San Francisco. Newspapers reported that each<br />

dentist was provided with a “kit of operating machinery …<br />

costing in the neighborhood of $300.” The operating machinery<br />

and other dental paraphernalia were the same as what was<br />

found in offices of the “highest class of dentists in civil life,”<br />

with the exception of the dental chair. The dentist’s chair was<br />

“a folding article of furniture and therefore portable.” Marshall<br />

bragged they were so light that they could be carried on the<br />

Tooth extraction in 1898 during the Spanish-American War<br />

backs of two mules. (In 1901, the <strong>Army</strong> was not mechanized.)<br />

By 1903, in the Annual Reports of the War Department for the<br />

Fiscal Year Ended June 30, 1902, Marshall was able to report a<br />

remarkable success story: “The services of the Dental Corps<br />

have been highly appreciated by officers and enlisted men of<br />

the Regular and Volunteer Armies,” he wrote, adding that the<br />

dental corps relieved “a great amount of acute suffering” and<br />

was able to “conserve a large number of teeth and restore them<br />

to a healthy condition, thus almost immediately returning to<br />

duty many cases that were previously carried for several days<br />

upon the company sick report … greatly reducing the loss of<br />

valuable time to the service, incident to diseases of the mouth,<br />

teeth and jaws.”<br />

Officer Dentists Authorized<br />

From the moment he took office, Marshall fought for the<br />

inclusion of dentists within the officers’ ranks. He finally attained<br />

his dream in 1911, when Congress authorized a dental<br />

corps made up of officers. He was the first dentist commis-<br />

Library of Congress<br />

40 ARMY ■ February 2016

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