Guidelines For Patient Management

Code 0:
Appropriate preventive care should be given as well as a review of daily plaque control habits.

Code 1:
Individualized oral hygiene instructions should be reinforced with the patient. Appropriate therapy, including subgingival plaque removal should be performed.

Code 2:
Individualized oral hygiene instruction and appropriate therapy, including subgingival plaque removal, as well as the removal of calculus and the correction of plaque-retentive margins and restorations should be performed.

Code 3:
A comprehensive periodontal examination and charting of the affected sextant are necessary to determine an appropriate care plan. This examination and documentation should include the following: identification of probing depths, mobility, gingival recession, mucogingival problems, furcation involvement, and radiographs. If two or more sextants score a Code 3, a comprehensive full mouth examination and charting are indicated.

Code 4:
A comprehensive full mouth periodontal examination and charting are necessary to determine an appropriate care plan. This examination and documentation should include the following: identification of probing depths, mobility, gingival recession, mucogingival problems, furcation involvement, and radiographs. It can be assumed that complex treatment will be required.

Symbol (*):
If an abnormality exists in the presence of Codes 0, 1, or 2, the clinician should make a specific notation and/or treatment for that condition as needed. If an abnormality exists in the presence of Code 3 or 4, a comprehensive periodontal examination and charting are necessary to determine an appropriate care plan.