180322-N-WX604-0005 ATLANTIC OCEAN (March 22, 2018) Capt. Stephen Paulette, left, the oral and maxillofacial surgeon aboard the aircraft carrier USS George H.W. Bush (CVN 77), and Hospital Corpsman 3rd Class Gabriel Macias perform a tooth extraction aboard the ship. George H.W. Bush is underway conducting sustainment exercises to maintain carrier readiness. (U.S. Navy photo by Mass Communication Specialist 2nd Class Joseph E. Montemarano/Released)