Reasonable Hypothesis SOP [1] | 17 of 2022 as amended |
Balance of Probabilities SOP [1] | 18 of 2022 as amended |
SOP Bulletin 228 [2]
SOP Bulletin 233 [3]
ICD-10-AM Codes: A69.1, K05.0, K05.1
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.
The diagnosis is made on clinical grounds.
The relevant medical specialist is a dentist or oral surgeon.
* Another SOP applies
# Non-SOP condition
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.
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.
Place holder node for Rulebase for gingivitis
Gingivitis - A course of oral contraceptives Factor
Last reviewed for CCPS 21 June 2002.
Preliminary questions [31788]
31851 [5] there is some evidence that undergoing a course of the combined oral contraceptive pill or a progesterone oral contraceptive pill may be a factor in the development of the condition under consideration.
1169 — the veteran is a woman. [6] the veteran has undergone a course of the combined oral contraceptive pill or a progesterone oral contraceptive pill.
35803 [7] the veteran underwent a course of the combined oral contraceptive pill or a progesterone oral contraceptive pill for a period of at least the four weeks before the clinical onset of the condition under consideration. 31855 — the veteran has established the causal connection between undergoing a course of the combined oral contraceptive pill or a progesterone oral contraceptive pill and VEA service for the clinical onset of gingivitis. 31869 — the veteran has established the causal connection between undergoing a course of the combined oral contraceptive pill or a progesterone contraceptive pill and operational service for the clinical onset of gingivitis. or 31871 — the veteran has established the causal connection between undergoing a course of the combined oral contraceptive pill or a progesterone contraceptive pill and eligible service for the clinical onset of gingivitis. Clinical onset and operational service [31869] or 31878 — the identified illness or injury for which the veteran has undergone a course of the combined oral contraceptive pill or a progesterone oral contraceptive pill is causally related to operational service. [11] [12] Clinical onset and eligible service [31871] or
31906 — the identified illness or injury for which the veteran has undergone a course of the combined oral contraceptive pill or a progesterone oral contraceptive pill is causally related to eligible service. [15] [12]
Gingivitis - Being pregnant Factor
Last reviewed for CCPS 21 June 2002.
Investigative Documents
Claimant Report - Pregnancy [CR9027] Preliminary questions [31785]
1169 — the veteran is a woman. [6] the veteran has been pregnant at some time. 31841 — the veteran has established the causal connection between the pregnancy and VEA service for the clinical onset of gingivitis. 31842 — the veteran has established the causal connection between the pregnancy and operational service for the clinical onset of gingivitis. or 31843 — the veteran has established the causal connection between the pregnancy and eligible service for the clinical onset of gingivitis. Clinical onset and operational service [31842] Clinical onset and eligible service [31843]
Gingivitis - Diabetes mellitus Factor
Last reviewed for CCPS 21 June 2002.
Preliminary questions [31781]
31954 [25] there is some evidence that diabetes mellitus may be a factor in the development of the condition under consideration.
489 — the veteran has diabetes mellitus.
10547 [26] the veteran has insulin dependent diabetes mellitus (type 1). or
12680 — the veteran has established the causal connection between the diabetes mellitus and VEA service for the clinical onset of condition under consideration.
12681 — the veteran has established the causal connection between the diabetes mellitus and operational service for the clinical onset of condition under consideration.
or
12682 — the veteran has established the causal connection between the diabetes mellitus and eligible service for the clinical onset of condition under consideration.
Clinical onset and operational service [12681]
17527 — the identified illness or injury, a type of diabetes mellitus, is causally related to operational service. [30] [31]
Clinical onset and eligible service [12682]
17528 — the identified illness or injury, a type of diabetes mellitus, is causally related to eligible service. [32] [31]
Gingivitis - Foreign body in the gums Factor
Last reviewed for CCPS 21 June 2002.
Investigative Documents
Dental Report - Foreign Body - Gingivitis [MR9276] Preliminary questions [31782]
31820 [34] the veteran had a microscopic or macroscopic foreign body embedded in the affected region of the gums at the time of the clinical onset of the condition under consideration. 31811 — the veteran has established the causal connection between having a microscopic or macroscopic foreign body embedded in the affected region of the gums and VEA service for the clinical onset of gingivitis. 31812 — the veteran has established the causal connection between having a microscopic or macroscopic foreign body embedded in the affected region of the gums and operational service for the clinical onset of gingivitis. or 31813 — the veteran has established the causal connection between having a microscopic or macroscopic foreign body embedded in the affected region of the gums and eligible service for the clinical onset of gingivitis. Clinical onset and operational service [31812] or
31819 — the identified illness or injury, which caused the embedding of a microscopic or macroscopic foreign body in the affected region of the gums, is causally related to operational service. [38] Clinical onset and eligible service [31813] or
31821 — the identified illness or injury, which caused the embedding of a microscopic or macroscopic foreign body in the affected region of the gums, is causally related to eligible service. [42] [43]
Gingivitis - Inability to obtain appropriate clinical management for gingivitis Factor
Last reviewed for CCPS 21 June 2002.
Investigative Documents
Medical Report - Inability to Obtain Appropriate Clinical Management - [GQACM] Preliminary questions [32588] 11109 — the condition under consideration has been accepted on the basis of inability to obtain appropriate clinical management for the condition under consideration.
7334 [45] the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service. the condition under consideration permanently worsened. the veteran was unable to obtain appropriate clinical management for the condition under consideration at some time.
7379 [48] the inability to obtain appropriate clinical management for the condition under consideration contributed to the clinical worsening of the condition under consideration. 11234 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and VEA service for the clinical worsening of the condition under consideration. 11235 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and operational service for the clinical worsening of the condition under consideration. or 11236 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and eligible service for the clinical worsening of the condition under consideration. Clinical worsening and operational service [11235] or 7390 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to operational service. [52] [53] Clinical worsening and eligible service [11236] or 7391 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to eligible service. [52] [53]
Gingivitis - Infection with the human immunodeficiency virus (HIV) Factor
Last reviewed for CCPS 21 June 2002.
Preliminary questions [2447]
17599 [60] there is some evidence that HIV may be a factor in the development of the condition under consideration.
2464 [60] the veteran has been infected with the human immunodeficiency virus (HIV).
17557 [61] the veteran was infected with HIV before the clinical onset of the condition under consideration. [62]
2463 — the veteran has established the causal connection between the infection with human immunodeficiency virus (HIV) and VEA service for the clinical onset of the condition under consideration.
2465 — the veteran has established the causal connection between the HIV infection and operational service for the clinical onset of the condition under consideration.
or
8082 — the veteran has established the causal connection between the HIV infection and eligible service for the clinical onset of the condition under consideration.
Clinical onset and operational service [2465]
2466 — the human immunodeficiency virus (HIV) infection is causally related to operational service. [63] [64]
Clinical onset and eligible service [8082]
7788 — the human immunodeficiency virus (HIV) infection is causally related to eligible service. [65] [64]
Gingivitis - Leukaemia Factor
Last reviewed for CCPS 21 June 2002.
Preliminary questions [31787]
7664 [66] there is some evidence that leukaemia may be a factor in the development of the condition under consideration.
526 [66] the veteran has leukaemia.
4645 — the leukaemia is an illness or injury which is identifiable. [Default true]
31844 [67] the veteran was suffering from the identified illness or injury, a type of leukaemia, at the time of the clinical onset of the condition under consideration. [68]
31845 — the veteran has established the causal connection between the identified illness or injury, a type of leukaemia, and VEA service for the clinical onset of gingivitis.
31846 — the veteran has established the causal connection between the identified illness or injury, a type of leukaemia, and operational service for the clinical onset of gingivitis.
or
31847 — the veteran has established the causal connection between the identified illness or injury, a type of leukaemia, and eligible service for the clinical onset of gingivitis.
Clinical onset and operational service [31846]
529 — the identified illness or injury, a type of leukaemia, is causally related to operational service. [69] [70]
Clinical onset and eligible service [31847]
7512 — the identified illness or injury, a type of leukaemia, is causally related to eligible service. [71] [70]
Gingivitis - Physical or chemical or thermal injury Factor
Last reviewed for CCPS 21 June 2002.
Investigative Documents
Claimant Report - Physical, Chemical or Thermal Injury - Gingivitis [CR9205] Preliminary questions [31783]
31826 — the veteran satisfies the occurrence provisions for suffering physical, chemical or thermal injury to the affected region of the gums and VEA service for the clinical onset of gingivitis.
31825 [73] the veteran suffered physical, chemical or thermal injury to the affected region of the gums within the 48 hours before the clinical onset of gingivitis. or 31827 — the veteran has established the causal connection between suffering physical, chemical or thermal injury to the affected region of the gums and VEA service for the clinical onset of gingivitis. 31828 — the veteran has established the causal connection between suffering physical, chemical or thermal injury to the affected region of the gums and operational service for the clinical onset of gingivitis. or 31829 — the veteran has established the causal connection between suffering physical, chemical or thermal injury to the affected region of the gums and eligible service for the clinical onset of gingivitis. Clinical onset and operational service [31828] or 31833 — the identified illness or injury, which caused the physical, chemical or thermal injury to the affected region of the gums, is causally related to operational service. [78] [79] Clinical onset and eligible service [31829] or
31839 — the identified illness or injury, which caused the physical, chemical or thermal injury to the affected region of the gums, is causally related to eligible service. [84] [79]
Gingivitis - Severe nutritional deficiency Factor
Last reviewed for CCPS 21 June 2002.
Investigative Documents
Medical Report - Development of Acute Necrotising Ulcerative Gingivitis [MR9277] Preliminary questions [31791]
31915 [86] the condition under consideration is acute necrotising ulcerative gingivitis. the veteran has experienced a severe nutritional deficiency at some time. the veteran was suffering from a severe nutritional deficiency at the time of the clinical onset of the condition under consideration. 31931 — the veteran has established the causal connection between the severe nutritional deficiency and VEA service for gingivitis. 31932 — the veteran has established the causal connection between suffering from a severe nutritional deficiency and operational service for the clinical onset of gingivitis. or 31933 — the veteran has established the causal connection between suffering from a severe nutritional deficiency and eligible service for the clinical onset of gingivitis. Clinical onset and operational service [31932] or 31937 — the identified illness or injury, which caused the severe nutritional deficiency, is causally related to operational service. [91] [92] Clinical onset and eligible service [31933] or
31940 — the identified illness or injury, which caused the severe nutritional deficiency, is causally related to eligible service. [95] [92]
Gingivitis - Severe psychosocial stressor Factor
Last reviewed for CCPS 21 June 2002.
Investigative Documents
Medical Report - Development of Acute Necrotising Ulcerative Gingivitis [MR9277] Preliminary questions [31790]
31915 [86] the condition under consideration is acute necrotising ulcerative gingivitis. the veteran has experienced a severe psychosocial stressor at some time.
31918 [96] the veteran experienced a severe psychosocial stressor within the seven days before the clinical onset of the condition under consideration. 31919 — the veteran has established the causal connection between the severe psychosocial stressor and VEA service for gingivitis. 31920 — the veteran has established the causal connection between experiencing a severe psychosocial stressor and operational service for the clinical onset of gingivitis. or 31921 — the veteran has established the causal connection between experiencing a severe psychosocial stressor and eligible service for the clinical onset of gingivitis. Clinical onset and operational service [31920] or
23723 — the identified illness or injury, which caused the severe psychosocial stressor, is causally related to operational service. [99] Clinical onset and eligible service [31921] or
23724 — the identified illness or injury, which caused the severe psychosocial stressor, is causally related to eligible service. [103] [104]
Gingivitis - Smoking cigarettes or other tobacco products Factor
Last reviewed for CCPS 21 June 2002.
Investigative Documents
Claimant Report - Smoking [CRD905] [105] Claimant Report - Smoking [CRV905] Preliminary questions [31789] 31943 — the veteran has established the causal connection between the smoking of cigarettes or other tobacco products and VEA service for the clinical onset of gingivitis. 31944 — the veteran has established the causal connection between the smoking of cigarettes or other tobacco products and operational service for the clinical onset of gingivitis. or 31945 — the veteran has established the causal connection between the smoking of cigarettes or other tobacco products and eligible service for the clinical onset of gingivitis. Clinical onset and operational service [31944] Clinical onset and eligible service [31945]
Gingivitis - Undertaking no cleaning of the teeth Factor
Last reviewed for CCPS 21 June 2002.
Investigative Documents
Claiment Report - Oral hygiene - Gingivitis [CR9204] Preliminary questions [31780] 31793 — the veteran satisfies the occurrence provisions for undertaking no cleaning of the teeth and VEA service for the clinical onset of gingivitis. or 31794 — the veteran has established the causal connection between undertaking no cleaning of the teeth and VEA service for the clinical onset of gingivitis. 31795 — the veteran has established the causal connection between undertaking no cleaning of the teeth and operational service for the clinical onset of gingivitis. or 31796 — the veteran has established the causal connection between undertaking no cleaning of the teeth and eligible service for the clinical onset of gingivitis. Clinical onset and operational service [31795] or
31801 [115] the identified illness or injury made a material contribution to the veteran undertaking no cleaning of the teeth for a period of at least the seven days before the clinical onset of the condition under consideration. 31802 — the identified illness or injury, which materially contributed to the veteran undertaking no cleaning of the teeth, is causally related to operational service. [116] [117] Clinical onset and eligible service [31796] or
31814 [120] the identified illness or injury made a material contribution to the veteran undertaking no cleaning of the teeth for a period of at least the 14 days before the clinical onset of the condition under consideration. [121]
31806 — the identified illness or injury, which materially contributed to the veteran undertaking no cleaning of the teeth, is causally related to eligible service. [122] [117]
Links
[1] http://www.rma.gov.au/sops/condition/gingivitis
[2] https://clik.dva.gov.au/system/files/media/SOP%20Bulletin%20228.pdf
[3] https://clik.dva.gov.au/system/files/media/SOP%20Bulletin%20233.pdf
[4] https://clik.dva.gov.au/user/login?destination=comment/reply/63561%23comment-form
[5] https://clik.dva.gov.au/ccpsb019rc-9
[6] clikpopup://CCPS/reject1169No
[7] clikpopup://CCPS/Due to op service took combined contraceptive pill
[8] clikpopup://CCPS/reject35803No
[9] clikpopup://CCPS/reject35805No
[10] clikpopup://CCPS/reject31853No
[11] clikpopup://CCPS/reject31854No
[12] clikpopup://CCPS/reject31878,31906No
[13] clikpopup://CCPS/Due to el service took combined contraceptive pill for 4 weeks before onset of gingivitis
[14] clikpopup://CCPS/reject35806No
[15] clikpopup://CCPS/reject31906No
[16] https://clik.dva.gov.au/ccpsclaimant-127
[17] https://clik.dva.gov.au/ccpsg002rc-4
[18] clikpopup://CCPS/reject8240No
[19] https://clik.dva.gov.au/reasons-decision-12
[20] clikpopup://CCPS/reject8246No
[21] clikpopup://CCPS/reject25092No
[22] clikpopup://CCPS/reject8247No
[23] clikpopup://CCPS/reject8248No
[24] clikpopup://CCPS/reject25093No
[25] https://clik.dva.gov.au/rma-definition-diabetes-mellitus
[26] https://clik.dva.gov.au/ccpsc002rc-20
[27] https://clik.dva.gov.au/reasons-decision-197
[28] clikpopup://CCPS/reject10548No
[29] clikpopup://CCPS/reject28495No
[30] clikpopup://CCPS/reject17527No
[31] clikpopup://CCPS/reject17527,17528No
[32] clikpopup://CCPS/reject17528No
[33] https://clik.dva.gov.au/ccpsmedical-124
[34] clikpopup://CCPS/Foreign body embedded in gums at onset of condition under consideration
[35] clikpopup://CCPS/reject31820No
[36] clikpopup://CCPS/reject31816No
[37] clikpopup://CCPS/rejectwilful
[38] clikpopup://CCPS/reject31819No
[39] clikpopup://CCPS/Foreign body embedded in gums on el service at onset of condition under consideration
[40] clikpopup://CCPS/reject31822No
[41] clikpopup://CCPS/reject31823No
[42] clikpopup://CCPS/reject31821No
[43] clikpopup://CCPS/reject31819,31821No
[44] https://clik.dva.gov.au/ccpsother-31
[45] https://clik.dva.gov.au/node/69834
[46] clikpopup://CCPS/Reject/OnsetAfterService
[47] clikpopup://CCPS/Reject/NoPermanentWorsening
[48] clikpopup://CCPS/Gingivitis/ACM %C2%96 contributed to worsening
[49] clikpopup://CCPS/ACM/NoContribution
[50] clikpopup://CCPS/ACM/NotOpService
[51] clikpopup://CCPS/ACM/NotOperDuties
[52] clikpopup://CCPS/ACM/NoIllness
[53] clikpopup://CCPS/reject7390,7391No
[54] clikpopup://CCPS/Gingivitis/ACM %C2%96 onset prior to operational service
[55] clikpopup://CCPS/ACM/OnsetFailOper
[56] clikpopup://CCPS/ACM/NotEligService
[57] clikpopup://CCPS/ACM/NotEligDuties
[58] clikpopup://CCPS/Gingivitis/ACM %C2%96 onset prior to eligible service
[59] clikpopup://CCPS/ACM/OnsetFailElig
[60] https://clik.dva.gov.au/ccpsj006rc-5
[61] clikpopup://CCPS/HIV before gingivitis
[62] clikpopup://CCPS/reject17557No
[63] clikpopup://CCPS/reject2466No
[64] clikpopup://CCPS/reject2466,7788No
[65] clikpopup://CCPS/reject7788No
[66] https://clik.dva.gov.au/ccpsf009rc-10
[67] clikpopup://CCPS/Leukaemia at onset of gingivitis
[68] clikpopup://CCPS/reject31844No
[69] clikpopup://CCPS/reject529No
[70] clikpopup://CCPS/reject529,7512No
[71] clikpopup://CCPS/reject7512No
[72] https://clik.dva.gov.au/if-injury-was-surgical-procedure-please-record-reason-surgery
[73] clikpopup://CCPS/Physical, chemical or thermal injury to gums within 48 hours before onset of gingivitis
[74] clikpopup://CCPS/reject31825No
[75] clikpopup://CCPS/reject31991No
[76] clikpopup://CCPS/reject31830No
[77] clikpopup://CCPS/reject31831No
[78] clikpopup://CCPS/reject31832No
[79] clikpopup://CCPS/reject31833,31839No
[80] clikpopup://CCPS/Physical, chemical or thermal injury to gums on el service within 24 hours before onset of gingivitis
[81] clikpopup://CCPS/reject31835No
[82] clikpopup://CCPS/reject31836No
[83] clikpopup://CCPS/reject31838No
[84] clikpopup://CCPS/reject31839No
[85] https://clik.dva.gov.au/ccpsmedical-117
[86] https://clik.dva.gov.au/ccpsf009rc-5
[87] clikpopup://CCPS/reject31915No
[88] clikpopup://CCPS/reject31928No
[89] clikpopup://CCPS/reject31930No
[90] clikpopup://CCPS/reject31934No
[91] clikpopup://CCPS/reject31935No
[92] clikpopup://CCPS/reject31937,31940No
[93] clikpopup://CCPS/Severe nutritional deficiency on el duties at onset of acute necrotising ulcerative gingivitis
[94] clikpopup://CCPS/reject31939No
[95] clikpopup://CCPS/reject31940No
[96] clikpopup://CCPS/Severe psychosocial stressor within seven days before onset of gingivitis
[97] clikpopup://CCPS/reject31918No
[98] clikpopup://CCPS/reject31922No
[99] clikpopup://CCPS/reject23723No
[100] clikpopup://CCPS/Severe psychosocial stressor within seven days before onset of gingivitis on el service
[101] clikpopup://CCPS/reject31925No
[102] clikpopup://CCPS/reject31926No
[103] clikpopup://CCPS/reject23724No
[104] clikpopup://CCPS/reject23723,23724No
[105] https://clik.dva.gov.au/ccpsclaimant-115
[106] clikpopup://CCPS/reject30303No
[107] clikpopup://CCPS/reject31947No
[108] clikpopup://CCPS/reject31946No
[109] clikpopup://CCPS/reject31948No
[110] clikpopup://CCPS/reject31949No
[111] https://clik.dva.gov.au/ccpsclaimant-136
[112] clikpopup://CCPS/reject31807No
[113] clikpopup://CCPS/reject31987No
[114] clikpopup://CCPS/reject31797No
[115] clikpopup://CCPS/Illness or injury contributed to no cleaning of the teeth for 7 days before onset
[116] clikpopup://CCPS/reject31801No
[117] clikpopup://CCPS/reject31802,31806No
[118] clikpopup://CCPS/El service contributed to no cleaning of the teeth for 14 days before onset of gingivitis
[119] clikpopup://CCPS/reject31815No
[120] clikpopup://CCPS/Illness or injury contributed to no cleaning of the teeth for 14 days before onset
[121] clikpopup://CCPS/reject31814No
[122] clikpopup://CCPS/reject31806No