The study of medical evacuation records from offshore installation wor
kers indicates that dental pathology is a significant problem. Dental
evacuations (dentivacs) account for the highest single category of med
ical evacuation (medivacs). Dentivacs result in human suffering and ar
e the cause of many lost man hours for the major oil operators in the
United Kingdom. This paper reviews the reporting of dentivacs at Shell
Expro over a seven year period and makes some suggestions for the way
forward in the handling of offshore dental problems.