Tooth Decay (Dental Caries) F007

Current RMA Instruments:
Reasonable Hypothesis SOP
74 of 2024
Balance of Probabilities SOP
75 of 2024
Changes from previous Instruments:
 
ICD Coding:
  • ICD-10-AM Codes: K02.0-K02.3 and K02.8-K02.9
Brief description

Dental caries involves localised destruction of dental hard tissues (enamel, cementum, or dentin) caused by bacteria in dental plaque, leading to demineralisation or cavity formation. Any part of the tooth can develop dental caries, including the crown, neck or root.

Confirming the diagnosis

To establish this diagnosis, a dental report is required. 

Additional diagnoses covered by SOP
  • Nil
Conditions not covered by SOP
  • Dental pulp and periapical disease *
  • Periodontitis *
  • Loss of teeth/ tooth loss * Loss of teeth 
  • Tooth wear *

* another SOP applies  - the SOP has the same name unless otherwise specified

 

Clinical onset

Each occurrence of tooth decay/dental caries can be considered as a new clinical onset. 

Clinical worsening

The development of new cavities in other locations at later times is a new onset of tooth decay in the affected tooth rather than a case of clinical worsening. Progression of tooth decay to dental pulp disease or loss of a tooth (extraction) is covered under the SOPs for those conditions.  The only SoP clinical worsening factor is for inability to obtain appropriate clinical management. Lack of timely treatment of a cavity could lead to worsening of that cavity. 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/sops-grouped-icd-body-system/c-d/dental-caries-f007-k020k021k022k02

Last amended

Rulebase for dental caries

<div><h5><strong>Current RMA Instruments:</strong></h5><table border="1" cellspacing="1" cellpadding="1"><tbody><tr><td><address><h5><a href="http://www.rma.gov.au/assets/SOP/2024/37aa9da20d/074.pdf&quot; target="_blank">Reasonable Hypothesis SOP</a></h5></address></td><td><h5>74 of 2024</h5></td></tr><tr><td><address><h5><a href="http://www.rma.gov.au/assets/SOP/2024/6dd33f3605/075.pdf&quot; target="_blank">Balance of Probabilities SOP</a></h5></address></td><td><h5>75 of 2024</h5></td></tr></tbody></table><h5><strong>Changes from previous Instruments:</strong></h5><drupal-media data-entity-type="media" data-entity-uuid="30a06516-f084-49fa-bd2b-22022683bec1"> </drupal-media><h5> </h5><h5><strong>ICD Coding:</strong></h5><ul><li><span>ICD-10-AM Codes: K02.0-K02.3 and K02.8-K02.9</span></li></ul><h5><strong>Brief description</strong></h5><p>Dental caries involves localised destruction of dental hard tissues (enamel, cementum, or dentin) caused by bacteria in dental plaque, leading to demineralisation or cavity formation. A<span>ny part of the tooth can develop dental caries, including the crown, neck or root.</span></p><h5><span><strong>Confirming the diagnosis</strong></span></h5><p>To establish this diagnosis, a dental report is required. </p><h5><span><strong>Additional diagnoses covered by SOP</strong></span></h5><ul><li>Nil</li></ul><h5><span><strong>Conditions not covered by SOP</strong></span></h5><ul><li>Dental pulp and periapical disease *</li><li>Periodontitis *</li><li>Loss of teeth/ tooth loss * Loss of teeth </li><li>Tooth wear *</li></ul><p>* another SOP applies  - the SOP has the same name unless otherwise specified</p><p> </p><h5><strong>Clinical onset</strong></h5><p>Each occurrence of tooth decay/dental caries can be considered as a new clinical onset. </p><h5><strong>Clinical worsening</strong></h5><p>The development of new cavities in other locations at later times is a new onset of tooth decay in the affected tooth rather than a case of clinical worsening. Progression of tooth decay to dental pulp disease or loss of a tooth (extraction) is covered under the SOPs for those conditions.  The only SoP clinical worsening factor is for inability to obtain appropriate clinical management. Lack of timely treatment of a cavity could lead to worsening of that cavity. </p></div>

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/dental-caries-f007-k020k021k022k02/rulebase-dental-caries

An acquired enamel defect

Current RMA Instruments:
Reasonable Hypothesis SOP
74 of 2024
Balance of Probabilities SOP
75 of 2024
Changes from previous Instruments:
 
ICD Coding:
  • ICD-10-AM Codes: K02.0-K02.3 and K02.8-K02.9
Brief description

Dental caries involves localised destruction of dental hard tissues (enamel, cementum, or dentin) caused by bacteria in dental plaque, leading to demineralisation or cavity formation. Any part of the tooth can develop dental caries, including the crown, neck or root.

Confirming the diagnosis

To establish this diagnosis, a dental report is required. 

Additional diagnoses covered by SOP
  • Nil
Conditions not covered by SOP
  • Dental pulp and periapical disease *
  • Periodontitis *
  • Loss of teeth/ tooth loss * Loss of teeth 
  • Tooth wear *

* another SOP applies  - the SOP has the same name unless otherwise specified

 

Clinical onset

Each occurrence of tooth decay/dental caries can be considered as a new clinical onset. 

Clinical worsening

The development of new cavities in other locations at later times is a new onset of tooth decay in the affected tooth rather than a case of clinical worsening. Progression of tooth decay to dental pulp disease or loss of a tooth (extraction) is covered under the SOPs for those conditions.  The only SoP clinical worsening factor is for inability to obtain appropriate clinical management. Lack of timely treatment of a cavity could lead to worsening of that cavity. 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/dental-caries-f007-k020k021k022k02/rulebase-dental-caries/acquired-enamel-defect

Exposure to fermentable dietary carbohydrates

Current RMA Instruments:
Reasonable Hypothesis SOP
74 of 2024
Balance of Probabilities SOP
75 of 2024
Changes from previous Instruments:
 
ICD Coding:
  • ICD-10-AM Codes: K02.0-K02.3 and K02.8-K02.9
Brief description

Dental caries involves localised destruction of dental hard tissues (enamel, cementum, or dentin) caused by bacteria in dental plaque, leading to demineralisation or cavity formation. Any part of the tooth can develop dental caries, including the crown, neck or root.

Confirming the diagnosis

To establish this diagnosis, a dental report is required. 

Additional diagnoses covered by SOP
  • Nil
Conditions not covered by SOP
  • Dental pulp and periapical disease *
  • Periodontitis *
  • Loss of teeth/ tooth loss * Loss of teeth 
  • Tooth wear *

* another SOP applies  - the SOP has the same name unless otherwise specified

 

Clinical onset

Each occurrence of tooth decay/dental caries can be considered as a new clinical onset. 

Clinical worsening

The development of new cavities in other locations at later times is a new onset of tooth decay in the affected tooth rather than a case of clinical worsening. Progression of tooth decay to dental pulp disease or loss of a tooth (extraction) is covered under the SOPs for those conditions.  The only SoP clinical worsening factor is for inability to obtain appropriate clinical management. Lack of timely treatment of a cavity could lead to worsening of that cavity. 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/dental-caries-f007-k020k021k022k02/rulebase-dental-caries/exposure-fermentable-dietary-carbohydrates

Extreme or catastrophic hyposalivation

Current RMA Instruments:
Reasonable Hypothesis SOP
74 of 2024
Balance of Probabilities SOP
75 of 2024
Changes from previous Instruments:
 
ICD Coding:
  • ICD-10-AM Codes: K02.0-K02.3 and K02.8-K02.9
Brief description

Dental caries involves localised destruction of dental hard tissues (enamel, cementum, or dentin) caused by bacteria in dental plaque, leading to demineralisation or cavity formation. Any part of the tooth can develop dental caries, including the crown, neck or root.

Confirming the diagnosis

To establish this diagnosis, a dental report is required. 

Additional diagnoses covered by SOP
  • Nil
Conditions not covered by SOP
  • Dental pulp and periapical disease *
  • Periodontitis *
  • Loss of teeth/ tooth loss * Loss of teeth 
  • Tooth wear *

* another SOP applies  - the SOP has the same name unless otherwise specified

 

Clinical onset

Each occurrence of tooth decay/dental caries can be considered as a new clinical onset. 

Clinical worsening

The development of new cavities in other locations at later times is a new onset of tooth decay in the affected tooth rather than a case of clinical worsening. Progression of tooth decay to dental pulp disease or loss of a tooth (extraction) is covered under the SOPs for those conditions.  The only SoP clinical worsening factor is for inability to obtain appropriate clinical management. Lack of timely treatment of a cavity could lead to worsening of that cavity. 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/dental-caries-f007-k020k021k022k02/rulebase-dental-caries/extreme-or-catastrophic-hyposalivation

Gingival recession

Current RMA Instruments:
Reasonable Hypothesis SOP
74 of 2024
Balance of Probabilities SOP
75 of 2024
Changes from previous Instruments:
 
ICD Coding:
  • ICD-10-AM Codes: K02.0-K02.3 and K02.8-K02.9
Brief description

Dental caries involves localised destruction of dental hard tissues (enamel, cementum, or dentin) caused by bacteria in dental plaque, leading to demineralisation or cavity formation. Any part of the tooth can develop dental caries, including the crown, neck or root.

Confirming the diagnosis

To establish this diagnosis, a dental report is required. 

Additional diagnoses covered by SOP
  • Nil
Conditions not covered by SOP
  • Dental pulp and periapical disease *
  • Periodontitis *
  • Loss of teeth/ tooth loss * Loss of teeth 
  • Tooth wear *

* another SOP applies  - the SOP has the same name unless otherwise specified

 

Clinical onset

Each occurrence of tooth decay/dental caries can be considered as a new clinical onset. 

Clinical worsening

The development of new cavities in other locations at later times is a new onset of tooth decay in the affected tooth rather than a case of clinical worsening. Progression of tooth decay to dental pulp disease or loss of a tooth (extraction) is covered under the SOPs for those conditions.  The only SoP clinical worsening factor is for inability to obtain appropriate clinical management. Lack of timely treatment of a cavity could lead to worsening of that cavity. 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/dental-caries-f007-k020k021k022k02/rulebase-dental-caries/gingival-recession

Having been a prisoner of war

Current RMA Instruments:
Reasonable Hypothesis SOP
74 of 2024
Balance of Probabilities SOP
75 of 2024
Changes from previous Instruments:
 
ICD Coding:
  • ICD-10-AM Codes: K02.0-K02.3 and K02.8-K02.9
Brief description

Dental caries involves localised destruction of dental hard tissues (enamel, cementum, or dentin) caused by bacteria in dental plaque, leading to demineralisation or cavity formation. Any part of the tooth can develop dental caries, including the crown, neck or root.

Confirming the diagnosis

To establish this diagnosis, a dental report is required. 

Additional diagnoses covered by SOP
  • Nil
Conditions not covered by SOP
  • Dental pulp and periapical disease *
  • Periodontitis *
  • Loss of teeth/ tooth loss * Loss of teeth 
  • Tooth wear *

* another SOP applies  - the SOP has the same name unless otherwise specified

 

Clinical onset

Each occurrence of tooth decay/dental caries can be considered as a new clinical onset. 

Clinical worsening

The development of new cavities in other locations at later times is a new onset of tooth decay in the affected tooth rather than a case of clinical worsening. Progression of tooth decay to dental pulp disease or loss of a tooth (extraction) is covered under the SOPs for those conditions.  The only SoP clinical worsening factor is for inability to obtain appropriate clinical management. Lack of timely treatment of a cavity could lead to worsening of that cavity. 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/dental-caries-f007-k020k021k022k02/rulebase-dental-caries/having-been-prisoner-war

Inability to access preventive professional dental care

Current RMA Instruments:
Reasonable Hypothesis SOP
74 of 2024
Balance of Probabilities SOP
75 of 2024
Changes from previous Instruments:
 
ICD Coding:
  • ICD-10-AM Codes: K02.0-K02.3 and K02.8-K02.9
Brief description

Dental caries involves localised destruction of dental hard tissues (enamel, cementum, or dentin) caused by bacteria in dental plaque, leading to demineralisation or cavity formation. Any part of the tooth can develop dental caries, including the crown, neck or root.

Confirming the diagnosis

To establish this diagnosis, a dental report is required. 

Additional diagnoses covered by SOP
  • Nil
Conditions not covered by SOP
  • Dental pulp and periapical disease *
  • Periodontitis *
  • Loss of teeth/ tooth loss * Loss of teeth 
  • Tooth wear *

* another SOP applies  - the SOP has the same name unless otherwise specified

 

Clinical onset

Each occurrence of tooth decay/dental caries can be considered as a new clinical onset. 

Clinical worsening

The development of new cavities in other locations at later times is a new onset of tooth decay in the affected tooth rather than a case of clinical worsening. Progression of tooth decay to dental pulp disease or loss of a tooth (extraction) is covered under the SOPs for those conditions.  The only SoP clinical worsening factor is for inability to obtain appropriate clinical management. Lack of timely treatment of a cavity could lead to worsening of that cavity. 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/dental-caries-f007-k020k021k022k02/rulebase-dental-caries/inability-access-preventive-professional-dental-care

Inability to obtain appropriate clinical management for dental caries

Current RMA Instruments:
Reasonable Hypothesis SOP
74 of 2024
Balance of Probabilities SOP
75 of 2024
Changes from previous Instruments:
 
ICD Coding:
  • ICD-10-AM Codes: K02.0-K02.3 and K02.8-K02.9
Brief description

Dental caries involves localised destruction of dental hard tissues (enamel, cementum, or dentin) caused by bacteria in dental plaque, leading to demineralisation or cavity formation. Any part of the tooth can develop dental caries, including the crown, neck or root.

Confirming the diagnosis

To establish this diagnosis, a dental report is required. 

Additional diagnoses covered by SOP
  • Nil
Conditions not covered by SOP
  • Dental pulp and periapical disease *
  • Periodontitis *
  • Loss of teeth/ tooth loss * Loss of teeth 
  • Tooth wear *

* another SOP applies  - the SOP has the same name unless otherwise specified

 

Clinical onset

Each occurrence of tooth decay/dental caries can be considered as a new clinical onset. 

Clinical worsening

The development of new cavities in other locations at later times is a new onset of tooth decay in the affected tooth rather than a case of clinical worsening. Progression of tooth decay to dental pulp disease or loss of a tooth (extraction) is covered under the SOPs for those conditions.  The only SoP clinical worsening factor is for inability to obtain appropriate clinical management. Lack of timely treatment of a cavity could lead to worsening of that cavity. 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/dental-caries-f007-k020k021k022k02/rulebase-dental-caries/inability-obtain-appropriate-clinical-management-dental-caries

Inability to obtain exposure to fluoride

Current RMA Instruments:
Reasonable Hypothesis SOP
74 of 2024
Balance of Probabilities SOP
75 of 2024
Changes from previous Instruments:
 
ICD Coding:
  • ICD-10-AM Codes: K02.0-K02.3 and K02.8-K02.9
Brief description

Dental caries involves localised destruction of dental hard tissues (enamel, cementum, or dentin) caused by bacteria in dental plaque, leading to demineralisation or cavity formation. Any part of the tooth can develop dental caries, including the crown, neck or root.

Confirming the diagnosis

To establish this diagnosis, a dental report is required. 

Additional diagnoses covered by SOP
  • Nil
Conditions not covered by SOP
  • Dental pulp and periapical disease *
  • Periodontitis *
  • Loss of teeth/ tooth loss * Loss of teeth 
  • Tooth wear *

* another SOP applies  - the SOP has the same name unless otherwise specified

 

Clinical onset

Each occurrence of tooth decay/dental caries can be considered as a new clinical onset. 

Clinical worsening

The development of new cavities in other locations at later times is a new onset of tooth decay in the affected tooth rather than a case of clinical worsening. Progression of tooth decay to dental pulp disease or loss of a tooth (extraction) is covered under the SOPs for those conditions.  The only SoP clinical worsening factor is for inability to obtain appropriate clinical management. Lack of timely treatment of a cavity could lead to worsening of that cavity. 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/dental-caries-f007-k020k021k022k02/rulebase-dental-caries/inability-obtain-exposure-fluoride

Inability to perform effective oral hygiene

Current RMA Instruments:
Reasonable Hypothesis SOP
74 of 2024
Balance of Probabilities SOP
75 of 2024
Changes from previous Instruments:
 
ICD Coding:
  • ICD-10-AM Codes: K02.0-K02.3 and K02.8-K02.9
Brief description

Dental caries involves localised destruction of dental hard tissues (enamel, cementum, or dentin) caused by bacteria in dental plaque, leading to demineralisation or cavity formation. Any part of the tooth can develop dental caries, including the crown, neck or root.

Confirming the diagnosis

To establish this diagnosis, a dental report is required. 

Additional diagnoses covered by SOP
  • Nil
Conditions not covered by SOP
  • Dental pulp and periapical disease *
  • Periodontitis *
  • Loss of teeth/ tooth loss * Loss of teeth 
  • Tooth wear *

* another SOP applies  - the SOP has the same name unless otherwise specified

 

Clinical onset

Each occurrence of tooth decay/dental caries can be considered as a new clinical onset. 

Clinical worsening

The development of new cavities in other locations at later times is a new onset of tooth decay in the affected tooth rather than a case of clinical worsening. Progression of tooth decay to dental pulp disease or loss of a tooth (extraction) is covered under the SOPs for those conditions.  The only SoP clinical worsening factor is for inability to obtain appropriate clinical management. Lack of timely treatment of a cavity could lead to worsening of that cavity. 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/dental-caries-f007-k020k021k022k02/rulebase-dental-caries/inability-perform-effective-oral-hygiene

Xerostomia

Current RMA Instruments:
Reasonable Hypothesis SOP
74 of 2024
Balance of Probabilities SOP
75 of 2024
Changes from previous Instruments:
 
ICD Coding:
  • ICD-10-AM Codes: K02.0-K02.3 and K02.8-K02.9
Brief description

Dental caries involves localised destruction of dental hard tissues (enamel, cementum, or dentin) caused by bacteria in dental plaque, leading to demineralisation or cavity formation. Any part of the tooth can develop dental caries, including the crown, neck or root.

Confirming the diagnosis

To establish this diagnosis, a dental report is required. 

Additional diagnoses covered by SOP
  • Nil
Conditions not covered by SOP
  • Dental pulp and periapical disease *
  • Periodontitis *
  • Loss of teeth/ tooth loss * Loss of teeth 
  • Tooth wear *

* another SOP applies  - the SOP has the same name unless otherwise specified

 

Clinical onset

Each occurrence of tooth decay/dental caries can be considered as a new clinical onset. 

Clinical worsening

The development of new cavities in other locations at later times is a new onset of tooth decay in the affected tooth rather than a case of clinical worsening. Progression of tooth decay to dental pulp disease or loss of a tooth (extraction) is covered under the SOPs for those conditions.  The only SoP clinical worsening factor is for inability to obtain appropriate clinical management. Lack of timely treatment of a cavity could lead to worsening of that cavity. 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/dental-caries-f007-k020k021k022k02/rulebase-dental-caries/xerostomia