Gingivitis F009

Current RMA Instruments
Reasonable Hypothesis SOP
17 of 2022 as amended
Balance of Probabilities SOP
18 of 2022 as amended
Changes from previous Instruments

ICD Coding

ICD-10-AM Codes: A69.1, K05.0, K05.1

Brief description

This is inflammation of the gums (also known as the gingiva). This SOP does not extend to inflammation of the deeper supporting structures of the tooth, which is covered by the SOP for periodontitis.

Confirming the diagnosis

The diagnosis is made on clinical grounds. 

The relevant medical specialist is a dentist or oral surgeon.

Additional diagnoses covered by SOP
  • Acute gingivitis
  • Acute necrotising ulcerative gingivitis, also known as trench mouth or Vincent’s gingivitis
  • Chronic gingivitis
  • Desquamative gingivitis
  • Gingival abscess
  • Linear gingival erythema
  • Peri-implant mucositis
  • Plasma cell gingivitis
  • Vincent’s angina
Conditions excluded from SOP
  • Gingival hyperplasia and overgrowth#
  • Gingival recession#
  • Oral aphthae#
  • Pericoronal abscess#
  • Pericoronitis#
  • Periodontitis*
  • Periodontal abscess*
  • Primary herpetic gingivostomatitis* - Herpes simplex SOP

* Another SOP applies

# Non-SOP condition

Clinical onset

Clinical onset may be based on relevant symptoms (swelling of gums, tendency for gums to bleed) but is more likley to be when first diagnosed by a dentist.

Clinical worsening

The condition is responsive to treatment and to good dental hygeine.  Worsening may be evidenced by an increase in symptoms or assessed based on dental reports.  The development of periodontitis or loss of teeth associated with gingivitis represents onset of a new condition and not worsening of gingivitis.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/sops-grouped-icd-body-system/e-g/gingivitis-f009-a691k050k051

Last amended

Rulebase for gingivitis

<h5>Current RMA Instruments</h5><table border="1" cellpadding="1" cellspacing="1"><tbody><tr><td><address><a href="http://www.rma.gov.au/sops/condition/gingivitis&quot; target="_blank">Reasonable Hypothesis SOP</a></address></td><td>17 of 2022 as amended</td></tr><tr><td><address><a href="http://www.rma.gov.au/sops/condition/gingivitis&quot; target="_blank">Balance of Probabilities SOP </a></address></td><td>18 of 2022 as amended</td></tr></tbody></table><h5>Changes from previous Instruments</h5><p><drupal-media data-entity-type="media" data-entity-uuid="85c17911-3c4a-4b9a-87fe-c1d050c62e39" data-view-mode="wysiwyg"></drupal-media></p><p><drupal-media data-entity-type="media" data-entity-uuid="ddf2ba15-af0f-4c1b-8774-df37316c981f" data-view-mode="wysiwyg"></drupal-media></p><h5>ICD Coding</h5><p>ICD-10-AM Codes: A69.1, K05.0, K05.1</p><h5>Brief description</h5><p>This is inflammation of the gums (also known as the gingiva). This SOP does not extend to inflammation of the deeper supporting structures of the tooth, which is covered by the SOP for periodontitis.</p><h5>Confirming the diagnosis</h5><p>The diagnosis is made on clinical grounds. </p><p>The relevant medical specialist is a dentist or oral surgeon.</p><h5>Additional diagnoses covered by SOP</h5><ul><li>Acute gingivitis</li><li>Acute necrotising ulcerative gingivitis, also known as trench mouth or Vincent’s gingivitis</li><li>Chronic gingivitis</li><li>Desquamative gingivitis</li><li>Gingival abscess</li><li>Linear gingival erythema</li><li>Peri-implant mucositis</li><li>Plasma cell gingivitis</li><li>Vincent’s angina</li></ul><h5>Conditions excluded from SOP</h5><ul><li>Gingival hyperplasia and overgrowth<sup><span lang="EN" xml:lang="EN">#</span></sup></li><li>Gingival recession<sup><span lang="EN" xml:lang="EN">#</span></sup></li><li>Oral aphthae<sup><span lang="EN" xml:lang="EN">#</span></sup></li><li>Pericoronal abscess<sup><span lang="EN" xml:lang="EN">#</span></sup></li><li>Pericoronitis<sup><span lang="EN" xml:lang="EN">#</span></sup></li><li>Periodontitis*</li><li>Periodontal abscess*</li><li>Primary herpetic gingivostomatitis* - Herpes simplex SOP</li></ul><p>* Another SOP applies</p><p><sup><span lang="EN" xml:lang="EN">#</span></sup> Non-SOP condition</p><h5>Clinical onset</h5><p>Clinical onset may be based on relevant symptoms (swelling of gums, tendency for gums to bleed) but is more likley to be when first diagnosed by a dentist.</p><h5>Clinical worsening</h5><p>The condition is responsive to treatment and to good dental hygeine.  Worsening may be evidenced by an increase in symptoms or assessed based on dental reports.  The development of periodontitis or loss of teeth associated with gingivitis represents onset of a new condition and not worsening of gingivitis.</p><p> </p>

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/e-g/gingivitis-f009-a691k050k051/rulebase-gingivitis

A course of oral contraceptives

Current RMA Instruments
Reasonable Hypothesis SOP
17 of 2022 as amended
Balance of Probabilities SOP
18 of 2022 as amended
Changes from previous Instruments

ICD Coding

ICD-10-AM Codes: A69.1, K05.0, K05.1

Brief description

This is inflammation of the gums (also known as the gingiva). This SOP does not extend to inflammation of the deeper supporting structures of the tooth, which is covered by the SOP for periodontitis.

Confirming the diagnosis

The diagnosis is made on clinical grounds. 

The relevant medical specialist is a dentist or oral surgeon.

Additional diagnoses covered by SOP
  • Acute gingivitis
  • Acute necrotising ulcerative gingivitis, also known as trench mouth or Vincent’s gingivitis
  • Chronic gingivitis
  • Desquamative gingivitis
  • Gingival abscess
  • Linear gingival erythema
  • Peri-implant mucositis
  • Plasma cell gingivitis
  • Vincent’s angina
Conditions excluded from SOP
  • Gingival hyperplasia and overgrowth#
  • Gingival recession#
  • Oral aphthae#
  • Pericoronal abscess#
  • Pericoronitis#
  • Periodontitis*
  • Periodontal abscess*
  • Primary herpetic gingivostomatitis* - Herpes simplex SOP

* Another SOP applies

# Non-SOP condition

Clinical onset

Clinical onset may be based on relevant symptoms (swelling of gums, tendency for gums to bleed) but is more likley to be when first diagnosed by a dentist.

Clinical worsening

The condition is responsive to treatment and to good dental hygeine.  Worsening may be evidenced by an increase in symptoms or assessed based on dental reports.  The development of periodontitis or loss of teeth associated with gingivitis represents onset of a new condition and not worsening of gingivitis.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/e-g/gingivitis-f009-a691k050k051/rulebase-gingivitis/course-oral-contraceptives

Being pregnant

Current RMA Instruments
Reasonable Hypothesis SOP
17 of 2022 as amended
Balance of Probabilities SOP
18 of 2022 as amended
Changes from previous Instruments

ICD Coding

ICD-10-AM Codes: A69.1, K05.0, K05.1

Brief description

This is inflammation of the gums (also known as the gingiva). This SOP does not extend to inflammation of the deeper supporting structures of the tooth, which is covered by the SOP for periodontitis.

Confirming the diagnosis

The diagnosis is made on clinical grounds. 

The relevant medical specialist is a dentist or oral surgeon.

Additional diagnoses covered by SOP
  • Acute gingivitis
  • Acute necrotising ulcerative gingivitis, also known as trench mouth or Vincent’s gingivitis
  • Chronic gingivitis
  • Desquamative gingivitis
  • Gingival abscess
  • Linear gingival erythema
  • Peri-implant mucositis
  • Plasma cell gingivitis
  • Vincent’s angina
Conditions excluded from SOP
  • Gingival hyperplasia and overgrowth#
  • Gingival recession#
  • Oral aphthae#
  • Pericoronal abscess#
  • Pericoronitis#
  • Periodontitis*
  • Periodontal abscess*
  • Primary herpetic gingivostomatitis* - Herpes simplex SOP

* Another SOP applies

# Non-SOP condition

Clinical onset

Clinical onset may be based on relevant symptoms (swelling of gums, tendency for gums to bleed) but is more likley to be when first diagnosed by a dentist.

Clinical worsening

The condition is responsive to treatment and to good dental hygeine.  Worsening may be evidenced by an increase in symptoms or assessed based on dental reports.  The development of periodontitis or loss of teeth associated with gingivitis represents onset of a new condition and not worsening of gingivitis.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/e-g/gingivitis-f009-a691k050k051/rulebase-gingivitis/being-pregnant

Diabetes mellitus

Current RMA Instruments
Reasonable Hypothesis SOP
17 of 2022 as amended
Balance of Probabilities SOP
18 of 2022 as amended
Changes from previous Instruments

ICD Coding

ICD-10-AM Codes: A69.1, K05.0, K05.1

Brief description

This is inflammation of the gums (also known as the gingiva). This SOP does not extend to inflammation of the deeper supporting structures of the tooth, which is covered by the SOP for periodontitis.

Confirming the diagnosis

The diagnosis is made on clinical grounds. 

The relevant medical specialist is a dentist or oral surgeon.

Additional diagnoses covered by SOP
  • Acute gingivitis
  • Acute necrotising ulcerative gingivitis, also known as trench mouth or Vincent’s gingivitis
  • Chronic gingivitis
  • Desquamative gingivitis
  • Gingival abscess
  • Linear gingival erythema
  • Peri-implant mucositis
  • Plasma cell gingivitis
  • Vincent’s angina
Conditions excluded from SOP
  • Gingival hyperplasia and overgrowth#
  • Gingival recession#
  • Oral aphthae#
  • Pericoronal abscess#
  • Pericoronitis#
  • Periodontitis*
  • Periodontal abscess*
  • Primary herpetic gingivostomatitis* - Herpes simplex SOP

* Another SOP applies

# Non-SOP condition

Clinical onset

Clinical onset may be based on relevant symptoms (swelling of gums, tendency for gums to bleed) but is more likley to be when first diagnosed by a dentist.

Clinical worsening

The condition is responsive to treatment and to good dental hygeine.  Worsening may be evidenced by an increase in symptoms or assessed based on dental reports.  The development of periodontitis or loss of teeth associated with gingivitis represents onset of a new condition and not worsening of gingivitis.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/e-g/gingivitis-f009-a691k050k051/rulebase-gingivitis/diabetes-mellitus

Foreign body in the gums

Current RMA Instruments
Reasonable Hypothesis SOP
17 of 2022 as amended
Balance of Probabilities SOP
18 of 2022 as amended
Changes from previous Instruments

ICD Coding

ICD-10-AM Codes: A69.1, K05.0, K05.1

Brief description

This is inflammation of the gums (also known as the gingiva). This SOP does not extend to inflammation of the deeper supporting structures of the tooth, which is covered by the SOP for periodontitis.

Confirming the diagnosis

The diagnosis is made on clinical grounds. 

The relevant medical specialist is a dentist or oral surgeon.

Additional diagnoses covered by SOP
  • Acute gingivitis
  • Acute necrotising ulcerative gingivitis, also known as trench mouth or Vincent’s gingivitis
  • Chronic gingivitis
  • Desquamative gingivitis
  • Gingival abscess
  • Linear gingival erythema
  • Peri-implant mucositis
  • Plasma cell gingivitis
  • Vincent’s angina
Conditions excluded from SOP
  • Gingival hyperplasia and overgrowth#
  • Gingival recession#
  • Oral aphthae#
  • Pericoronal abscess#
  • Pericoronitis#
  • Periodontitis*
  • Periodontal abscess*
  • Primary herpetic gingivostomatitis* - Herpes simplex SOP

* Another SOP applies

# Non-SOP condition

Clinical onset

Clinical onset may be based on relevant symptoms (swelling of gums, tendency for gums to bleed) but is more likley to be when first diagnosed by a dentist.

Clinical worsening

The condition is responsive to treatment and to good dental hygeine.  Worsening may be evidenced by an increase in symptoms or assessed based on dental reports.  The development of periodontitis or loss of teeth associated with gingivitis represents onset of a new condition and not worsening of gingivitis.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/e-g/gingivitis-f009-a691k050k051/rulebase-gingivitis/foreign-body-gums

Inability to obtain appropriate clinical management for gingivitis

Current RMA Instruments
Reasonable Hypothesis SOP
17 of 2022 as amended
Balance of Probabilities SOP
18 of 2022 as amended
Changes from previous Instruments

ICD Coding

ICD-10-AM Codes: A69.1, K05.0, K05.1

Brief description

This is inflammation of the gums (also known as the gingiva). This SOP does not extend to inflammation of the deeper supporting structures of the tooth, which is covered by the SOP for periodontitis.

Confirming the diagnosis

The diagnosis is made on clinical grounds. 

The relevant medical specialist is a dentist or oral surgeon.

Additional diagnoses covered by SOP
  • Acute gingivitis
  • Acute necrotising ulcerative gingivitis, also known as trench mouth or Vincent’s gingivitis
  • Chronic gingivitis
  • Desquamative gingivitis
  • Gingival abscess
  • Linear gingival erythema
  • Peri-implant mucositis
  • Plasma cell gingivitis
  • Vincent’s angina
Conditions excluded from SOP
  • Gingival hyperplasia and overgrowth#
  • Gingival recession#
  • Oral aphthae#
  • Pericoronal abscess#
  • Pericoronitis#
  • Periodontitis*
  • Periodontal abscess*
  • Primary herpetic gingivostomatitis* - Herpes simplex SOP

* Another SOP applies

# Non-SOP condition

Clinical onset

Clinical onset may be based on relevant symptoms (swelling of gums, tendency for gums to bleed) but is more likley to be when first diagnosed by a dentist.

Clinical worsening

The condition is responsive to treatment and to good dental hygeine.  Worsening may be evidenced by an increase in symptoms or assessed based on dental reports.  The development of periodontitis or loss of teeth associated with gingivitis represents onset of a new condition and not worsening of gingivitis.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/e-g/gingivitis-f009-a691k050k051/rulebase-gingivitis/inability-obtain-appropriate-clinical-management-gingivitis

Infection with the human immunodeficiency virus (HIV)

Current RMA Instruments
Reasonable Hypothesis SOP
17 of 2022 as amended
Balance of Probabilities SOP
18 of 2022 as amended
Changes from previous Instruments

ICD Coding

ICD-10-AM Codes: A69.1, K05.0, K05.1

Brief description

This is inflammation of the gums (also known as the gingiva). This SOP does not extend to inflammation of the deeper supporting structures of the tooth, which is covered by the SOP for periodontitis.

Confirming the diagnosis

The diagnosis is made on clinical grounds. 

The relevant medical specialist is a dentist or oral surgeon.

Additional diagnoses covered by SOP
  • Acute gingivitis
  • Acute necrotising ulcerative gingivitis, also known as trench mouth or Vincent’s gingivitis
  • Chronic gingivitis
  • Desquamative gingivitis
  • Gingival abscess
  • Linear gingival erythema
  • Peri-implant mucositis
  • Plasma cell gingivitis
  • Vincent’s angina
Conditions excluded from SOP
  • Gingival hyperplasia and overgrowth#
  • Gingival recession#
  • Oral aphthae#
  • Pericoronal abscess#
  • Pericoronitis#
  • Periodontitis*
  • Periodontal abscess*
  • Primary herpetic gingivostomatitis* - Herpes simplex SOP

* Another SOP applies

# Non-SOP condition

Clinical onset

Clinical onset may be based on relevant symptoms (swelling of gums, tendency for gums to bleed) but is more likley to be when first diagnosed by a dentist.

Clinical worsening

The condition is responsive to treatment and to good dental hygeine.  Worsening may be evidenced by an increase in symptoms or assessed based on dental reports.  The development of periodontitis or loss of teeth associated with gingivitis represents onset of a new condition and not worsening of gingivitis.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/e-g/gingivitis-f009-a691k050k051/rulebase-gingivitis/infection-human-immunodeficiency-virus-hiv

Leukaemia

Current RMA Instruments
Reasonable Hypothesis SOP
17 of 2022 as amended
Balance of Probabilities SOP
18 of 2022 as amended
Changes from previous Instruments

ICD Coding

ICD-10-AM Codes: A69.1, K05.0, K05.1

Brief description

This is inflammation of the gums (also known as the gingiva). This SOP does not extend to inflammation of the deeper supporting structures of the tooth, which is covered by the SOP for periodontitis.

Confirming the diagnosis

The diagnosis is made on clinical grounds. 

The relevant medical specialist is a dentist or oral surgeon.

Additional diagnoses covered by SOP
  • Acute gingivitis
  • Acute necrotising ulcerative gingivitis, also known as trench mouth or Vincent’s gingivitis
  • Chronic gingivitis
  • Desquamative gingivitis
  • Gingival abscess
  • Linear gingival erythema
  • Peri-implant mucositis
  • Plasma cell gingivitis
  • Vincent’s angina
Conditions excluded from SOP
  • Gingival hyperplasia and overgrowth#
  • Gingival recession#
  • Oral aphthae#
  • Pericoronal abscess#
  • Pericoronitis#
  • Periodontitis*
  • Periodontal abscess*
  • Primary herpetic gingivostomatitis* - Herpes simplex SOP

* Another SOP applies

# Non-SOP condition

Clinical onset

Clinical onset may be based on relevant symptoms (swelling of gums, tendency for gums to bleed) but is more likley to be when first diagnosed by a dentist.

Clinical worsening

The condition is responsive to treatment and to good dental hygeine.  Worsening may be evidenced by an increase in symptoms or assessed based on dental reports.  The development of periodontitis or loss of teeth associated with gingivitis represents onset of a new condition and not worsening of gingivitis.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/e-g/gingivitis-f009-a691k050k051/rulebase-gingivitis/leukaemia

Physical or chemical or thermal injury

Current RMA Instruments
Reasonable Hypothesis SOP
17 of 2022 as amended
Balance of Probabilities SOP
18 of 2022 as amended
Changes from previous Instruments

ICD Coding

ICD-10-AM Codes: A69.1, K05.0, K05.1

Brief description

This is inflammation of the gums (also known as the gingiva). This SOP does not extend to inflammation of the deeper supporting structures of the tooth, which is covered by the SOP for periodontitis.

Confirming the diagnosis

The diagnosis is made on clinical grounds. 

The relevant medical specialist is a dentist or oral surgeon.

Additional diagnoses covered by SOP
  • Acute gingivitis
  • Acute necrotising ulcerative gingivitis, also known as trench mouth or Vincent’s gingivitis
  • Chronic gingivitis
  • Desquamative gingivitis
  • Gingival abscess
  • Linear gingival erythema
  • Peri-implant mucositis
  • Plasma cell gingivitis
  • Vincent’s angina
Conditions excluded from SOP
  • Gingival hyperplasia and overgrowth#
  • Gingival recession#
  • Oral aphthae#
  • Pericoronal abscess#
  • Pericoronitis#
  • Periodontitis*
  • Periodontal abscess*
  • Primary herpetic gingivostomatitis* - Herpes simplex SOP

* Another SOP applies

# Non-SOP condition

Clinical onset

Clinical onset may be based on relevant symptoms (swelling of gums, tendency for gums to bleed) but is more likley to be when first diagnosed by a dentist.

Clinical worsening

The condition is responsive to treatment and to good dental hygeine.  Worsening may be evidenced by an increase in symptoms or assessed based on dental reports.  The development of periodontitis or loss of teeth associated with gingivitis represents onset of a new condition and not worsening of gingivitis.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/e-g/gingivitis-f009-a691k050k051/rulebase-gingivitis/physical-or-chemical-or-thermal-injury

Severe nutritional deficiency

Current RMA Instruments
Reasonable Hypothesis SOP
17 of 2022 as amended
Balance of Probabilities SOP
18 of 2022 as amended
Changes from previous Instruments

ICD Coding

ICD-10-AM Codes: A69.1, K05.0, K05.1

Brief description

This is inflammation of the gums (also known as the gingiva). This SOP does not extend to inflammation of the deeper supporting structures of the tooth, which is covered by the SOP for periodontitis.

Confirming the diagnosis

The diagnosis is made on clinical grounds. 

The relevant medical specialist is a dentist or oral surgeon.

Additional diagnoses covered by SOP
  • Acute gingivitis
  • Acute necrotising ulcerative gingivitis, also known as trench mouth or Vincent’s gingivitis
  • Chronic gingivitis
  • Desquamative gingivitis
  • Gingival abscess
  • Linear gingival erythema
  • Peri-implant mucositis
  • Plasma cell gingivitis
  • Vincent’s angina
Conditions excluded from SOP
  • Gingival hyperplasia and overgrowth#
  • Gingival recession#
  • Oral aphthae#
  • Pericoronal abscess#
  • Pericoronitis#
  • Periodontitis*
  • Periodontal abscess*
  • Primary herpetic gingivostomatitis* - Herpes simplex SOP

* Another SOP applies

# Non-SOP condition

Clinical onset

Clinical onset may be based on relevant symptoms (swelling of gums, tendency for gums to bleed) but is more likley to be when first diagnosed by a dentist.

Clinical worsening

The condition is responsive to treatment and to good dental hygeine.  Worsening may be evidenced by an increase in symptoms or assessed based on dental reports.  The development of periodontitis or loss of teeth associated with gingivitis represents onset of a new condition and not worsening of gingivitis.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/e-g/gingivitis-f009-a691k050k051/rulebase-gingivitis/severe-nutritional-deficiency

Severe psychosocial stressor

Current RMA Instruments
Reasonable Hypothesis SOP
17 of 2022 as amended
Balance of Probabilities SOP
18 of 2022 as amended
Changes from previous Instruments

ICD Coding

ICD-10-AM Codes: A69.1, K05.0, K05.1

Brief description

This is inflammation of the gums (also known as the gingiva). This SOP does not extend to inflammation of the deeper supporting structures of the tooth, which is covered by the SOP for periodontitis.

Confirming the diagnosis

The diagnosis is made on clinical grounds. 

The relevant medical specialist is a dentist or oral surgeon.

Additional diagnoses covered by SOP
  • Acute gingivitis
  • Acute necrotising ulcerative gingivitis, also known as trench mouth or Vincent’s gingivitis
  • Chronic gingivitis
  • Desquamative gingivitis
  • Gingival abscess
  • Linear gingival erythema
  • Peri-implant mucositis
  • Plasma cell gingivitis
  • Vincent’s angina
Conditions excluded from SOP
  • Gingival hyperplasia and overgrowth#
  • Gingival recession#
  • Oral aphthae#
  • Pericoronal abscess#
  • Pericoronitis#
  • Periodontitis*
  • Periodontal abscess*
  • Primary herpetic gingivostomatitis* - Herpes simplex SOP

* Another SOP applies

# Non-SOP condition

Clinical onset

Clinical onset may be based on relevant symptoms (swelling of gums, tendency for gums to bleed) but is more likley to be when first diagnosed by a dentist.

Clinical worsening

The condition is responsive to treatment and to good dental hygeine.  Worsening may be evidenced by an increase in symptoms or assessed based on dental reports.  The development of periodontitis or loss of teeth associated with gingivitis represents onset of a new condition and not worsening of gingivitis.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/e-g/gingivitis-f009-a691k050k051/rulebase-gingivitis/severe-psychosocial-stressor

Smoking cigarettes or other tobacco products

Current RMA Instruments
Reasonable Hypothesis SOP
17 of 2022 as amended
Balance of Probabilities SOP
18 of 2022 as amended
Changes from previous Instruments

ICD Coding

ICD-10-AM Codes: A69.1, K05.0, K05.1

Brief description

This is inflammation of the gums (also known as the gingiva). This SOP does not extend to inflammation of the deeper supporting structures of the tooth, which is covered by the SOP for periodontitis.

Confirming the diagnosis

The diagnosis is made on clinical grounds. 

The relevant medical specialist is a dentist or oral surgeon.

Additional diagnoses covered by SOP
  • Acute gingivitis
  • Acute necrotising ulcerative gingivitis, also known as trench mouth or Vincent’s gingivitis
  • Chronic gingivitis
  • Desquamative gingivitis
  • Gingival abscess
  • Linear gingival erythema
  • Peri-implant mucositis
  • Plasma cell gingivitis
  • Vincent’s angina
Conditions excluded from SOP
  • Gingival hyperplasia and overgrowth#
  • Gingival recession#
  • Oral aphthae#
  • Pericoronal abscess#
  • Pericoronitis#
  • Periodontitis*
  • Periodontal abscess*
  • Primary herpetic gingivostomatitis* - Herpes simplex SOP

* Another SOP applies

# Non-SOP condition

Clinical onset

Clinical onset may be based on relevant symptoms (swelling of gums, tendency for gums to bleed) but is more likley to be when first diagnosed by a dentist.

Clinical worsening

The condition is responsive to treatment and to good dental hygeine.  Worsening may be evidenced by an increase in symptoms or assessed based on dental reports.  The development of periodontitis or loss of teeth associated with gingivitis represents onset of a new condition and not worsening of gingivitis.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/e-g/gingivitis-f009-a691k050k051/rulebase-gingivitis/smoking-cigarettes-or-other-tobacco-products

Undertaking no cleaning of the teeth

Current RMA Instruments
Reasonable Hypothesis SOP
17 of 2022 as amended
Balance of Probabilities SOP
18 of 2022 as amended
Changes from previous Instruments

ICD Coding

ICD-10-AM Codes: A69.1, K05.0, K05.1

Brief description

This is inflammation of the gums (also known as the gingiva). This SOP does not extend to inflammation of the deeper supporting structures of the tooth, which is covered by the SOP for periodontitis.

Confirming the diagnosis

The diagnosis is made on clinical grounds. 

The relevant medical specialist is a dentist or oral surgeon.

Additional diagnoses covered by SOP
  • Acute gingivitis
  • Acute necrotising ulcerative gingivitis, also known as trench mouth or Vincent’s gingivitis
  • Chronic gingivitis
  • Desquamative gingivitis
  • Gingival abscess
  • Linear gingival erythema
  • Peri-implant mucositis
  • Plasma cell gingivitis
  • Vincent’s angina
Conditions excluded from SOP
  • Gingival hyperplasia and overgrowth#
  • Gingival recession#
  • Oral aphthae#
  • Pericoronal abscess#
  • Pericoronitis#
  • Periodontitis*
  • Periodontal abscess*
  • Primary herpetic gingivostomatitis* - Herpes simplex SOP

* Another SOP applies

# Non-SOP condition

Clinical onset

Clinical onset may be based on relevant symptoms (swelling of gums, tendency for gums to bleed) but is more likley to be when first diagnosed by a dentist.

Clinical worsening

The condition is responsive to treatment and to good dental hygeine.  Worsening may be evidenced by an increase in symptoms or assessed based on dental reports.  The development of periodontitis or loss of teeth associated with gingivitis represents onset of a new condition and not worsening of gingivitis.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/e-g/gingivitis-f009-a691k050k051/rulebase-gingivitis/undertaking-no-cleaning-teeth