Does the patient
have CAL?

>0
<10

≥10
<30

≥30

Choose % BOP

Pristine periodontal health
Tooth- and prosthesis-related factors
Primary occlusal trauma

Yes

Tooth- and prosthesis-related factors? 4*

Yes

No data

Does the patient have RBL?

Yes

Is RBL associated with an inflammatory (periodontal) breakdown?

No data

Insufficient information to make a diagnosis. Please obtain CAL and/or radiographs

Diagnosis for natural teeth or dental implants?

Natural teeth

>0
<10

≥10
<30

≥30

Yes

Choose % BOP

Yes

Due to non-inflammatory (non-periodontal) reasons 1*

Implants

When was the implant restored?

Amount of peri-implant bone loss one year after implant restoration

<1 year ago

≥1 year ago

<2mm

Unknown

Are there all of the following?
RBL ≥3mm
PD ≥6mm

Yes

Peri-implantitis

Is there any of the following?
Presence of BOP within 30 sec after probing and/or suppuration?
An increase in PD as compared to baseline

Yes

Peri-implant mucositis

Peri-implant health

≥2mm

Treatment:
D1110 (Adult prophylaxis) every 6 months

Treatment:
Phase I – D1110 (Adult prophylaxis) every 6 months
Phase II – Surgical therapy (regenerative, resective)
Phase III – D4910 (periodontal maintenance) every 3 months

Treatment:
D1110 (Adult prophylaxis) every 6 months
Occlusal adjustment

Yes

Associated with systemic diseases or conditions affecting periodontal supporting tissues 2*

Necrotizing periodontal disease

Tooth- and prosthesis-related factors? 4*

Yes

Tooth- and prosthesis-related factors? 4*

Yes

Tooth- and prosthesis-related factors? 4*

Pristine periodontal health

Traumatic occlusal forces? 9*

Yes

Pristine periodontal health
Primary occlusal trauma

Pristine periodontal health
Tooth- and prosthesis-related factors

Traumatic occlusal forces? 9*

Yes

Traumatic occlusal forces? 9*

Treatment:
D1110 (Adult prophylaxis) every 6 months

Treatment:
D1110 (Adult prophylaxis) every 6 months
Occlusal adjustment

Yes

Treatment:
D1110 (Adult prophylaxis) every 6 months

Treatment:
D1110 (Adult prophylaxis) every 6 months
Occlusal adjustment

Treatment:
D1110 (Adult prophylaxis) every 6 months
Occlusal adjustment
Referral to a physician

Treatment:
D1110 (Adult prophylaxis) every 6 months
Referral to a physician

Generalized biofilm-induced gingivitis on an intact periodontium
Tooth- and prosthesis-related factors
Primary occlusal trauma
Non-dental-biofilm-induced gingival disease

Yes

Systemic contributory factors? 5*

Generalized biofilm-induced gingivitis on an intact periodontium
Tooth- and prosthesis-related factors
Primary occlusal trauma

Generalized biofilm-induced gingivitis on an intact periodontium
Tooth- and prosthesis-related factors
Non-dental-biofilm-induced gingival disease

Generalized biofilm-induced gingivitis on an intact periodontium
Tooth- and prosthesis-related factors

Traumatic occlusal forces? 9*

Yes

Localized biofilm-induced gingivitis on an intact periodontium
Primary occlusal trauma
Non-dental-biofilm-induced gingival disease

Yes

Systemic contributory factors? 5*

Localized biofilm-induced gingivitis on an intact periodontium
Primary occlusal trauma

Localized biofilm-induced gingivitis on an intact periodontium
Non-dental-biofilm-induced gingival disease

Localized biofilm-induced gingivitis on an intact periodontium

Generalized biofilm-induced gingivitis on an intact periodontium
Primary occlusal trauma
Non-dental-biofilm-induced gingival disease

Yes

Systemic contributory factors? 5*

Generalized biofilm-induced gingivitis on an intact periodontium
Primary occlusal trauma

Generalized biofilm-induced gingivitis on an intact periodontium
Non-dental-biofilm-induced gingival disease

Generalized biofilm-induced gingivitis on an intact periodontium

Clinical periodontal health on an intact periodontium
Tooth- and prosthesis-related factors
Primary occlusal trauma
Non-dental-biofilm-induced gingival disease

Yes

Systemic contributory factors? 5*

Clinical periodontal health on an intact periodontium
Tooth- and prosthesis-related factors
Primary occlusal trauma

Clinical periodontal health on an intact periodontium
Tooth- and prosthesis-related factors
Non-dental-biofilm-induced gingival disease

Clinical periodontal health on an intact periodontium
Tooth- and prosthesis-related factors

Clinical periodontal health on an intact periodontium
Primary occlusal trauma
Non-dental-biofilm-induced gingival disease

Yes

Systemic contributory factors? 5*

Clinical periodontal health on an intact periodontium
Primary occlusal trauma

Clinical periodontal health on an intact periodontium
Non-dental-biofilm-induced gingival disease

Clinical periodontal health on an intact periodontium

Treatment:
D1110 (Adult prophylaxis) every 6 months

Treatment:
D1110 (Adult prophylaxis) every 6 months
Occlusal adjustment

Treatment:
D1110 (Adult prophylaxis) every 6 months
Occlusal adjustment
Referral to a physician

Treatment:
D1110 (Adult prophylaxis) every 6 months
Referral to a physician

Traumatic occlusal forces? 9*

Yes

Traumatic occlusal forces? 9*

Yes

Localized biofilm-induced gingivitis on an intact periodontium
Tooth- and prosthesis-related factors
Primary occlusal trauma
Non-dental-biofilm-induced gingival disease

Yes

Systemic contributory factors? 5*

Localized biofilm-induced gingivitis on an intact periodontium
Tooth- and prosthesis-related factors
Primary occlusal trauma

Localized biofilm-induced gingivitis on an intact periodontium
Tooth- and prosthesis-related factors
Non-dental-biofilm-induced gingival disease

Localized biofilm-induced gingivitis on an intact periodontium
Tooth- and prosthesis-related factors

Treatment:
D1110 (Adult prophylaxis) every 6 months

Treatment:
D1110 (Adult prophylaxis) every 6 months
Occlusal adjustment

Treatment:
D1110 (Adult prophylaxis) every 6 months
Occlusal adjustment
Referral to a physician

Treatment:
D1110 (Adult prophylaxis) every 6 months
Referral to a physician

Treatment:
D1110 (Adult prophylaxis) every 6 months

Treatment:
D1110 (Adult prophylaxis) every 6 months
Occlusal adjustment

Treatment:
D1110 (Adult prophylaxis) every 6 months
Occlusal adjustment
Referral to a physician

Treatment:
D1110 (Adult prophylaxis) every 6 months
Referral to a physician

Treatment:
D1110 (Adult prophylaxis) every 6 months

Treatment:
D1110 (Adult prophylaxis) every 6 months
Occlusal adjustment

Treatment:
D1110 (Adult prophylaxis) every 6 months
Occlusal adjustment
Referral to a physician

Treatment:
D1110 (Adult prophylaxis) every 6 months
Referral to a physician

Treatment:
D1110 (Adult prophylaxis) every 6 months

Treatment:
D1110 (Adult prophylaxis) every 6 months
Occlusal adjustment

Treatment:
D1110 (Adult prophylaxis) every 6 months
Occlusal adjustment
Referral to a physician

Treatment:
D1110 (Adult prophylaxis) every 6 months
Referral to a physician

Localized biofilm-induced gingivitis on a reduced periodontium
Tooth- and prosthesis-related factors
Primary occlusal trauma
Non-dental-biofilm-induced gingival disease
Please consider diagnosing other mucogingival deformities and conditions 7*

Yes

Systemic contributory factors? 5*

Localized biofilm-induced gingivitis on a reduced periodontium
Tooth- and prosthesis-related factors
Primary occlusal trauma
Please consider diagnosing other mucogingival deformities and conditions 7*

Localized biofilm-induced gingivitis on a reduced periodontium
Tooth- and prosthesis-related factors
Non-dental-biofilm-induced gingival disease
Please consider diagnosing other mucogingival deformities and conditions 7*

Localized biofilm-induced gingivitis on a reduced periodontium
Tooth- and prosthesis-related factors
Please consider diagnosing other mucogingival deformities and conditions 7*

Treatment:
D1110 (Adult prophylaxis) every 6 months

Treatment:
D1110 (Adult prophylaxis) every 6 months
Occlusal adjustment

Treatment:
D1110 (Adult prophylaxis) every 6 months
Occlusal adjustment
Referral to a physician

Treatment:
D1110 (Adult prophylaxis) every 6 months
Referral to a physician

Generalized biofilm-induced gingivitis on a reduced periodontium
Tooth- and prosthesis-related factors
Primary occlusal trauma
Non-dental-biofilm-induced gingival disease
Please consider diagnosing other mucogingival deformities and conditions 7*

Yes

Systemic contributory factors? 5*

Generalized biofilm-induced gingivitis on a reduced periodontium
Tooth- and prosthesis-related factors
Primary occlusal trauma
Please consider diagnosing other mucogingival deformities and conditions 7*

Generalized biofilm-induced gingivitis on a reduced periodontium
Tooth- and prosthesis-related factors
Non-dental-biofilm-induced gingival disease
Please consider diagnosing other mucogingival deformities and conditions 7*

Generalized biofilm-induced gingivitis on a reduced periodontium
Tooth- and prosthesis-related factors
Please consider diagnosing other mucogingival deformities and conditions 7*

Treatment:
D1110 (Adult prophylaxis) every 6 months

Treatment:
D1110 (Adult prophylaxis) every 6 months
Occlusal adjustment

Treatment:
D1110 (Adult prophylaxis) every 6 months
Occlusal adjustment
Referral to a physician

Treatment:
D1110 (Adult prophylaxis) every 6 months
Referral to a physician

Yes

Periodontal abscesses 10*

Treatment:
D1110 (Adult Prophylaxis) OR D4346 (Scaling in the generalized presence of moderate or severe gingival inflammation — full mouth, after oral evaluation) every 2-4 months
Anti-microbial, antibiotic, and anti-inflammatory therapy
Occlusal adjustment

Traumatic occlusal forces? 9*

Yes

Periodontal abscesses 10*

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Yes

Periodontal abscesses 10*

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Yes

Traumatic occlusal forces? 9*

Yes

Necrotizing periodontal disease
Tooth- and prosthesis-related factors
Secondary occlusal trauma
Periodontal abscess
Endodontic-periodontal lesions

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Yes

Necrotizing periodontal disease
Tooth- and prosthesis-related factors
Secondary occlusal trauma
Periodontal abscess

Yes

Necrotizing periodontal disease
Tooth- and prosthesis-related factors
Secondary occlusal trauma
Endodontic-periodontal lesions

Necrotizing periodontal disease
Tooth- and prosthesis-related factors
Secondary occlusal trauma

Necrotizing periodontal disease
Tooth- and prosthesis-related factors
Periodontal abscess
Endodontic-periodontal lesions

Periodontal abscesses 10*

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Yes

Necrotizing periodontal disease
Tooth- and prosthesis-related factors
Periodontal abscess

Yes

Necrotizing periodontal disease
Tooth- and prosthesis-related factors
Endodontic-periodontal lesions

Necrotizing periodontal disease
Tooth- and prosthesis-related factors

Tooth- and prosthesis-related factors? 4*

Treatment:
D1110 (Adult Prophylaxis) OR D4346 (Scaling in the generalized presence of moderate or severe gingival inflammation — full mouth, after oral evaluation) every 2-4 months
D4342 Scaling and root planing
Anti-microbial, antibiotic, and anti-inflammatory therapy
Occlusal adjustment
Referral to an endodontist

Treatment:
D1110 (Adult Prophylaxis) OR D4346 (Scaling in the generalized presence of moderate or severe gingival inflammation — full mouth, after oral evaluation) every 2-4 months
D4342 Scaling and root planing
Anti-microbial, antibiotic, and anti-inflammatory therapy
Occlusal adjustment

Treatment:
D1110 (Adult Prophylaxis) OR D4346 (Scaling in the generalized presence of moderate or severe gingival inflammation — full mouth, after oral evaluation) every 2-4 months
D4342 Scaling and root planing
Anti-microbial, antibiotic, and anti-inflammatory therapy
Referral to an endodontist

Treatment:
D1110 (Adult Prophylaxis) OR D4346 (Scaling in the generalized presence of moderate or severe gingival inflammation — full mouth, after oral evaluation) every 2-4 months
D4342 Scaling and root planing
Anti-microbial, antibiotic, and anti-inflammatory therapy

Necrotizing periodontal disease
Secondary occlusal trauma
Periodontal abscess
Endodontic-periodontal lesions

Treatment:
D1110 (Adult Prophylaxis) OR D4346 (Scaling in the generalized presence of moderate or severe gingival inflammation — full mouth, after oral evaluation) every 2-4 months
D4342 Scaling and root planing
Anti-microbial, antibiotic, and anti-inflammatory therapy
Occlusal adjustment
Referral to an endodontist

Necrotizing periodontal disease
Secondary occlusal trauma
Periodontal abscess

Treatment:
D1110 (Adult Prophylaxis) OR D4346 (Scaling in the generalized presence of moderate or severe gingival inflammation — full mouth, after oral evaluation) every 2-4 months
D4342 Scaling and root planing
Anti-microbial, antibiotic, and anti-inflammatory therapy
Occlusal adjustment

Necrotizing periodontal disease
Secondary occlusal trauma
Endodontic-periodontal lesions

Necrotizing periodontal disease
Secondary occlusal trauma

Necrotizing periodontal disease
Periodontal abscess
Endodontic-periodontal lesions

Treatment:
D1110 (Adult Prophylaxis) OR D4346 (Scaling in the generalized presence of moderate or severe gingival inflammation — full mouth, after oral evaluation) every 2-4 months
D4342 Scaling and root planing
Anti-microbial, antibiotic, and anti-inflammatory therapy
Referral to an endodontist

Necrotizing periodontal disease
Secondary occlusal trauma
Periodontal abscess

Treatment:
D1110 (Adult Prophylaxis) OR D4346 (Scaling in the generalized presence of moderate or severe gingival inflammation — full mouth, after oral evaluation) every 2-4 months
D4342 Scaling and root planing
Anti-microbial, antibiotic, and anti-inflammatory therapy

Necrotizing periodontal disease
Endodontic-periodontal lesions

Necrotizing periodontal disease

Yes

Traumatic occlusal forces? 9*

Yes

Periodontal abscesses 10*

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Yes

Periodontal abscesses 10*

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Yes

Traumatic occlusal forces? 9*

Yes

Systemic diseases or conditions affecting periodontal supporting tissues
Tooth- and prosthesis-related factors
Secondary occlusal trauma
Periodontal abscess
Endodontic-periodontal lesions

Periodontal abscesses 10*

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Yes

Systemic diseases or conditions affecting periodontal supporting tissues
Tooth- and prosthesis-related factors
Secondary occlusal trauma
Periodontal abscess

Yes

Systemic diseases or conditions affecting periodontal supporting tissues
Tooth- and prosthesis-related factors
Secondary occlusal trauma
Endodontic-periodontal lesions

Systemic diseases or conditions affecting periodontal supporting tissues
Tooth- and prosthesis-related factors
Secondary occlusal trauma

Systemic diseases or conditions affecting periodontal supporting tissues
Tooth- and prosthesis-related factors
Periodontal abscess
Endodontic-periodontal lesions

Periodontal abscesses 10*

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Yes

Systemic diseases or conditions affecting periodontal supporting tissues
Tooth- and prosthesis-related factors
Periodontal abscess

Yes

Systemic diseases or conditions affecting periodontal supporting tissues
Tooth- and prosthesis-related factors
Endodontic-periodontal lesions

Systemic diseases or conditions affecting periodontal supporting tissues
Tooth- and prosthesis-related factors

Tooth- and prosthesis-related factors? 4*

Treatment:
Referral to a physician
D1110 (Adult Prophylaxis) OR D4346 (Scaling in the generalized presence of moderate or severe gingival inflammation — full mouth, after oral evaluation) every 6 months
D4342 Scaling and root planing
Anti-microbial, antibiotic, and anti-inflammatory therapy
Occlusal adjustment
Referral to an endodontist

Treatment:
Referral to a physician
Anti-microbial, antibiotic, and anti-inflammatory therapy
Occlusal adjustment

Systemic diseases or conditions affecting periodontal supporting tissues
Secondary occlusal trauma
Periodontal abscess
Endodontic-periodontal lesions

Systemic diseases or conditions affecting periodontal supporting tissues
Secondary occlusal trauma
Periodontal abscess

Systemic diseases or conditions affecting periodontal supporting tissues
Secondary occlusal trauma
Endodontic-periodontal lesions

Systemic diseases or conditions affecting periodontal supporting tissues
Secondary occlusal trauma

Systemic diseases or conditions affecting periodontal supporting tissues
Periodontal abscess
Endodontic-periodontal lesions

Systemic diseases or conditions affecting periodontal supporting tissues
Secondary occlusal trauma
Periodontal abscess

Systemic diseases or conditions affecting periodontal supporting tissues
Endodontic-periodontal lesions

Systemic diseases or conditions affecting periodontal supporting tissues

Yes

Periodontal abscesses 10*

Treatment:
D1110 (Adult Prophylaxis) OR D4346 (Scaling in the generalized presence of moderate D4910 (Periodontal maintenance) every 3 months
Occlusal adjustment

Traumatic occlusal forces? 9*

Yes

Periodontal abscesses 10*

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Yes

Periodontal abscesses 10*

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Yes

Traumatic occlusal forces? 9*

Yes

Healthy periodontium in a stable periodontal patient
Tooth- and prosthesis-related factors
Secondary occlusal trauma
Periodontal abscess
Endodontic-periodontal lesions

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Yes

Healthy periodontium in a stable periodontal patient
Tooth- and prosthesis-related factors
Tooth- and prosthesis-related factors
Secondary occlusal trauma
Periodontal abscess

Yes

Healthy periodontium in a stable periodontal patient
Tooth- and prosthesis-related factors
Tooth- and prosthesis-related factors
Secondary occlusal trauma
Endodontic-periodontal lesions

Healthy periodontium in a stable periodontal patient
Tooth- and prosthesis-related factors
Tooth- and prosthesis-related factors
Secondary occlusal trauma

Healthy periodontium in a stable periodontal patient
Tooth- and prosthesis-related factors
Periodontal abscess
Endodontic-periodontal lesions

Periodontal abscesses 10*

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Yes

Healthy periodontium in a stable periodontal patient
Tooth- and prosthesis-related factors
Periodontal abscess

Yes

Healthy periodontium in a stable periodontal patient
Tooth- and prosthesis-related factors
Endodontic-periodontal lesions

Healthy periodontium in a stable periodontal patient
Tooth- and prosthesis-related factors

Tooth- and prosthesis-related factors? 4*

Treatment:
D4342 (Scaling and root planing)
D4910 (Periodontal maintenance) every 3 months
Occlusal adjustment
Referral to an endodontist

Treatment:
D4342 (Scaling and root planing)
D4910 (Periodontal maintenance) every 3 months
Occlusal adjustment

Treatment:
D4910 (Periodontal maintenance) every 3 months
Occlusal adjustment
Referral to an endodontist

Treatment:
D4910 (Periodontal maintenance) every 3 months
Occlusal adjustment

Treatment:
D4342 (Scaling and root planing)
D4910 (Periodontal maintenance) every 3 months
Referral to an endodontist

Treatment:
D4342 (Scaling and root planing)
D4910 (Periodontal maintenance) every 3 months

Treatment:
D4910 (Periodontal maintenance) every 3 months
Referral to an endodontist

Treatment:
D4910 (Periodontal maintenance) every 3 months

Healthy periodontium in a stable periodontal patient
Secondary occlusal trauma
Periodontal abscess
Endodontic-periodontal lesions

Treatment:
D1110 (Adult Prophylaxis) OR D4346 (Scaling in the generalized D4342 (Scaling and root planing)
D4910 (Periodontal maintenance) every 3 months
Occlusal adjustment
Referral to an endodontist

Healthy periodontium in a stable periodontal patient
Secondary occlusal trauma
Periodontal abscess

Treatment:
D4342 (Scaling and root planing)
D4910 (Periodontal maintenance) every 3 months
Anti-microbial, antibiotic, and anti-inflammatory therapy
Occlusal adjustment

Healthy periodontium in a stable periodontal patient
Secondary occlusal trauma
Endodontic-periodontal lesions

Treatment:
D4910 (Periodontal maintenance) every 3 months
Occlusal adjustment
Referral to an endodontist

Healthy periodontium in a stable periodontal patient
Secondary occlusal trauma

Healthy periodontium in a stable periodontal patient
Periodontal abscess
Endodontic-periodontal lesions

Treatment:
D4342 (Scaling and root planing)
D4910 (Periodontal maintenance) every 3 months
Referral to an endodontist

Healthy periodontium in a stable periodontal patient
Secondary occlusal trauma
Periodontal abscess

Treatment:
D4342 (Scaling and root planing)
D4910 (Periodontal maintenance) every 3 months

Healthy periodontium in a stable periodontal patient
Endodontic-periodontal lesions

Treatment:
D4910 (Periodontal maintenance) every 3 months
Referral to an endodontist

Healthy periodontium in a stable periodontal patient

Treatment:
D4910 (Periodontal maintenance) every 3 months

Yes

Periodontal abscesses 10*

Treatment:
D1110 (Adult Prophylaxis) OR D4346 (Scaling in the generalized presence of moderate D4910 (Periodontal maintenance) every 3 months
Occlusal adjustment

Traumatic occlusal forces? 9*

Yes

Periodontal abscesses 10*

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Yes

Periodontal abscesses 10*

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Yes

Traumatic occlusal forces? 9*

Yes

Localized gingivitis in a stable periodontal patient
Tooth- and prosthesis-related factors
Secondary occlusal trauma
Periodontal abscess
Endodontic-periodontal lesions

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Localized gingivitis in a stable periodontal patient
Tooth- and prosthesis-related factors
Tooth- and prosthesis-related factors
Secondary occlusal trauma
Periodontal abscess

Yes

Localized gingivitis in a stable periodontal patient
Tooth- and prosthesis-related factors
Tooth- and prosthesis-related factors
Secondary occlusal trauma
Endodontic-periodontal lesions

Localized gingivitis in a stable periodontal patient
Tooth- and prosthesis-related factors
Tooth- and prosthesis-related factors
Secondary occlusal trauma

Localized gingivitis in a stable periodontal patient
Tooth- and prosthesis-related factors
Periodontal abscess
Endodontic-periodontal lesions

Periodontal abscesses 10*

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Yes

Localized gingivitis in a stable periodontal patient
Tooth- and prosthesis-related factors
Periodontal abscess

Yes

Localized gingivitis in a stable periodontal patient
Tooth- and prosthesis-related factors
Endodontic-periodontal lesions

Localized gingivitis in a stable periodontal patient
Tooth- and prosthesis-related factors

Tooth- and prosthesis-related factors? 4*

Treatment:
D4342 (Scaling and root planing)
D4910 (Periodontal maintenance) every 3 months
Occlusal adjustment
Referral to an endodontist

Treatment:
D4342 (Scaling and root planing)
D4910 (Periodontal maintenance) every 3 months
Occlusal adjustment

Treatment:
D4910 (Periodontal maintenance) every 3 months
Occlusal adjustment
Referral to an endodontist

Treatment:
D4910 (Periodontal maintenance) every 3 months
Occlusal adjustment

Treatment:
D4342 (Scaling and root planing)
D4910 (Periodontal maintenance) every 3 months
Referral to an endodontist

Treatment:
D4342 (Scaling and root planing)
D4910 (Periodontal maintenance) every 3 months

Treatment:
D4910 (Periodontal maintenance) every 3 months
Referral to an endodontist

Treatment:
D4910 (Periodontal maintenance) every 3 months

Localized gingivitis in a stable periodontal patient
Secondary occlusal trauma
Periodontal abscess
Endodontic-periodontal lesions

Localized gingivitis in a stable periodontal patient
Secondary occlusal trauma
Periodontal abscess

Treatment:
D4342 (Scaling and root planing)
D4910 (Periodontal maintenance) every 3 months
Anti-microbial, antibiotic, and anti-inflammatory therapy
Occlusal adjustment

Localized gingivitis in a stable periodontal patient
Secondary occlusal trauma
Endodontic-periodontal lesions

Treatment:
D4910 (Periodontal maintenance) every 3 months
Occlusal adjustment
Referral to an endodontist

Localized gingivitis in a stable periodontal patient
Secondary occlusal trauma

Localized gingivitis in a stable periodontal patient
Periodontal abscess
Endodontic-periodontal lesions

Treatment:
D4342 (Scaling and root planing)
D4910 (Periodontal maintenance) every 3 months
Referral to an endodontist

Localized gingivitis in a stable periodontal patient
Secondary occlusal trauma
Periodontal abscess

Treatment:
D4342 (Scaling and root planing)
D4910 (Periodontal maintenance) every 3 months

Localized gingivitis in a stable periodontal patient
Endodontic-periodontal lesions

Treatment:
D4910 (Periodontal maintenance) every 3 months
Referral to an endodontist

Localized gingivitis in a stable periodontal patient

Treatment:
D4910 (Periodontal maintenance) every 3 months

Yes

Periodontal abscesses 10*

Treatment:
D1110 (Adult Prophylaxis) OR D4346 (Scaling in the generalized presence of moderate D4910 (Periodontal maintenance) every 3 months
Occlusal adjustment

Traumatic occlusal forces? 9*

Yes

Periodontal abscesses 10*

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Yes

Periodontal abscesses 10*

Endodontic-periodontal lesions 11*

Yes

Traumatic occlusal forces? 9*

Yes

Generalized gingivitis in a stable periodontal patient
Tooth- and prosthesis-related factors
Secondary occlusal trauma
Periodontal abscess
Endodontic-periodontal lesions

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Yes

Generalized gingivitis in a stable periodontal patient
Tooth- and prosthesis-related factors
Tooth- and prosthesis-related factors
Secondary occlusal trauma
Periodontal abscess

Yes

Generalized gingivitis in a stable periodontal patient
Tooth- and prosthesis-related factors
Tooth- and prosthesis-related factors
Secondary occlusal trauma
Endodontic-periodontal lesions

Generalized gingivitis in a stable periodontal patient
Tooth- and prosthesis-related factors
Tooth- and prosthesis-related factors
Secondary occlusal trauma

Generalized gingivitis in a stable periodontal patient
Tooth- and prosthesis-related factors
Periodontal abscess
Endodontic-periodontal lesions

Periodontal abscesses 10*

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Yes

Generalized gingivitis in a stable periodontal patient
Tooth- and prosthesis-related factors
Periodontal abscess

Yes

Generalized gingivitis in a stable periodontal patient
Tooth- and prosthesis-related factors
Endodontic-periodontal lesions

Generalized gingivitis in a stable periodontal patient
Tooth- and prosthesis-related factors

Tooth- and prosthesis-related factors? 4*

Treatment:
D4342 (Scaling and root planing)
D4910 (Periodontal maintenance) every 3 months
Occlusal adjustment
Referral to an endodontist

Treatment:
D4342 (Scaling and root planing)
D4910 (Periodontal maintenance) every 3 months
Occlusal adjustment

Treatment:
D4910 (Periodontal maintenance) every 3 months
Occlusal adjustment
Referral to an endodontist

Treatment:
D4910 (Periodontal maintenance) every 3 months
Occlusal adjustment

Treatment:
D4342 (Scaling and root planing)
D4910 (Periodontal maintenance) every 3 months
Referral to an endodontist

Treatment:
D4342 (Scaling and root planing)
D4910 (Periodontal maintenance) every 3 months

Treatment:
D4910 (Periodontal maintenance) every 3 months
Referral to an endodontist

Treatment:
D4910 (Periodontal maintenance) every 3 months

Generalized gingivitis in a stable periodontal patient
Secondary occlusal trauma
Periodontal abscess
Endodontic-periodontal lesions

Generalized gingivitis in a stable periodontal patient
Secondary occlusal trauma
Periodontal abscess

Treatment:
D4342 (Scaling and root planing)
D4910 (Periodontal maintenance) every 3 months
Anti-microbial, antibiotic, and anti-inflammatory therapy
Occlusal adjustment

Generalized gingivitis in a stable periodontal patient
Secondary occlusal trauma
Endodontic-periodontal lesions

Treatment:
D4910 (Periodontal maintenance) every 3 months
Occlusal adjustment
Referral to an endodontist

Generalized gingivitis in a stable periodontal patient
Secondary occlusal trauma

Generalized gingivitis in a stable periodontal patient
Periodontal abscess
Endodontic-periodontal lesions

Treatment:
D4342 (Scaling and root planing)
D4910 (Periodontal maintenance) every 3 months
Referral to an endodontist

Generalized gingivitis in a stable periodontal patient
Secondary occlusal trauma
Periodontal abscess

Treatment:
D4342 (Scaling and root planing)
D4910 (Periodontal maintenance) every 3 months

Generalized gingivitis in a stable periodontal patient
Endodontic-periodontal lesions

Treatment:
D4910 (Periodontal maintenance) every 3 months
Referral to an endodontist

Generalized gingivitis in a stable periodontal patient

Treatment:
D4910 (Periodontal maintenance) every 3 months

Endodontic-periodontal lesions 11*

Yes

Periodontal abscesses 10*

Treatment:
D1110 (Adult Prophylaxis) OR D4346 (Scaling in the generalized presence of moderate D4910 (Periodontal maintenance) every 3 months
Occlusal adjustment

Traumatic occlusal forces? 9*

Yes

Periodontal abscesses 10*

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Yes

Periodontal abscesses 10*

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Yes

Traumatic occlusal forces? 9*

Yes

Periodontal disease remission
Tooth- and prosthesis-related factors
Secondary occlusal trauma
Periodontal abscess
Endodontic-periodontal lesions

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Yes

Periodontal disease remission
Tooth- and prosthesis-related factors
Tooth- and prosthesis-related factors
Secondary occlusal trauma
Periodontal abscess

Yes

Periodontal disease remission
Tooth- and prosthesis-related factors
Tooth- and prosthesis-related factors
Secondary occlusal trauma
Endodontic-periodontal lesions

Periodontal disease remission
Tooth- and prosthesis-related factors
Tooth- and prosthesis-related factors
Secondary occlusal trauma

Periodontal disease remission
Tooth- and prosthesis-related factors
Periodontal abscess
Endodontic-periodontal lesions

Periodontal abscesses 10*

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Yes

Periodontal disease remission
Tooth- and prosthesis-related factors
Periodontal abscess

Yes

Periodontal disease remission
Tooth- and prosthesis-related factors
Endodontic-periodontal lesions

Periodontal disease remission
Tooth- and prosthesis-related factors

Tooth- and prosthesis-related factors? 4*

Treatment:
D4342 (Scaling and root planing)
D4910 (Periodontal maintenance) every 3 months
Occlusal adjustment
Referral to an endodontist

Treatment:
D4342 (Scaling and root planing)
D4910 (Periodontal maintenance) every 3 months
Occlusal adjustment

Treatment:
D4910 (Periodontal maintenance) every 3 months
Occlusal adjustment
Referral to an endodontist

Treatment:
D4910 (Periodontal maintenance) every 3 months
Occlusal adjustment

Treatment:
D4342 (Scaling and root planing)
D4910 (Periodontal maintenance) every 3 months
Referral to an endodontist

Treatment:
D4342 (Scaling and root planing)
D4910 (Periodontal maintenance) every 3 months

Treatment:
D4910 (Periodontal maintenance) every 3 months
Referral to an endodontist

Treatment:
D4910 (Periodontal maintenance) every 3 months

Periodontal disease remission
Secondary occlusal trauma
Periodontal abscess
Endodontic-periodontal lesions

Periodontal disease remission
Secondary occlusal trauma
Periodontal abscess

Treatment:
D4342 (Scaling and root planing)
D4910 (Periodontal maintenance) every 3 months
Anti-microbial, antibiotic, and anti-inflammatory therapy
Occlusal adjustment

Periodontal disease remission
Secondary occlusal trauma
Endodontic-periodontal lesions

Treatment:
D4910 (Periodontal maintenance) every 3 months
Occlusal adjustment
Referral to an endodontist

Periodontal disease remission
Secondary occlusal trauma

Periodontal disease remission
Periodontal abscess
Endodontic-periodontal lesions

Treatment:
D4342 (Scaling and root planing)
D4910 (Periodontal maintenance) every 3 months
Referral to an endodontist

Periodontal disease remission
Secondary occlusal trauma
Periodontal abscess

Treatment:
D4342 (Scaling and root planing)
D4910 (Periodontal maintenance) every 3 months

Periodontal disease remission
Endodontic-periodontal lesions

Treatment:
D4910 (Periodontal maintenance) every 3 months
Referral to an endodontist

Periodontal disease remission

Treatment:
D4910 (Periodontal maintenance) every 3 months

Treatment:
Phase I – D4342 (Scaling and root planing 1-3 teeth) or D4341 (Scaling and root planing 4+ teeth).
Antimicrobial therapy (optional)
Occlusal adjustment
Referral to an endodontist
Referral to a physician
Phase II (optional) – Surgical therapy (regenerative, resective)
Phase III – D4910 (periodontal maintenance) every 3 months
Phase IV (optional): Restorative/implant/orthodontic treatment

Yes

Periodontal abscesses 10*

Traumatic occlusal forces? 9*

Yes

Periodontal abscesses 10*

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Yes

Periodontal abscesses 10*

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Yes

Traumatic occlusal forces? 9*

Yes

Extent/Stage/Grade C
Periodontitis as a manifestation of systemic diseases
Tooth- and prosthesis-related factors
Secondary occlusal trauma
Periodontal abscess
Endodontic-periodontal lesions

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Yes

Extent/Stage/Grade C
Periodontitis as a manifestation of systemic diseases
Tooth- and prosthesis-related factors
Secondary occlusal trauma
Periodontal abscess

Yes

Extent/Stage/Grade C
Periodontitis as a manifestation of systemic diseases
Tooth- and prosthesis-related factors
Secondary occlusal trauma
Endodontic-periodontal lesions

Extent/Stage/Grade C
Periodontitis as a manifestation of systemic diseases
Tooth- and prosthesis-related factors
Secondary occlusal trauma

Extent/Stage/Grade C
Periodontitis as a manifestation of systemic diseases
Tooth- and prosthesis-related factors
Periodontal abscess
Endodontic-periodontal lesions

Periodontal abscesses 10*

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Yes

Extent/Stage/Grade C
Periodontitis as a manifestation of systemic diseases
Tooth- and prosthesis-related factors
Periodontal abscess

Yes

Extent/Stage/Grade C
Periodontitis as a manifestation of systemic diseases
Tooth- and prosthesis-related factors
Endodontic-periodontal lesions

Extent/Stage/Grade C
Periodontitis as a manifestation of systemic diseases
Tooth- and prosthesis-related factors

Tooth- and prosthesis-related factors? 4*

Extent/Stage/Grade C
Periodontitis as a manifestation of systemic diseases
Secondary occlusal trauma
Periodontal abscess
Endodontic-periodontal lesions

Extent/Stage/Grade C
Periodontitis as a manifestation of systemic diseases
Secondary occlusal trauma
Periodontal abscess

Extent/Stage/Grade C
Periodontitis as a manifestation of systemic diseases
Secondary occlusal trauma
Endodontic-periodontal lesions

Extent/Stage/Grade C
Periodontitis as a manifestation of systemic diseases
Secondary occlusal trauma

Extent/Stage/Grade C
Periodontitis as a manifestation of systemic diseases
Periodontal abscess
Endodontic-periodontal lesions

Extent/Stage/Grade C
Periodontitis as a manifestation of systemic diseases
Secondary occlusal trauma
Periodontal abscess

Extent/Stage/Grade C
Periodontitis as a manifestation of systemic diseases
Endodontic-periodontal lesions

Extent/Stage/Grade C
Periodontitis as a manifestation of systemic diseases

Treatment:
Phase I – D4342 (Scaling and root planing 1-3 teeth) or D4341 (Scaling and root planing 4+ teeth).
Antimicrobial therapy (optional)
Occlusal adjustment
Referral to a physician
Phase II (optional) – Surgical therapy (regenerative, resective)
Phase III – D4910 (periodontal maintenance) every 3 months
Phase IV (optional): Restorative/implant/orthodontic treatment

Treatment:
Phase I – D4342 (Scaling and root planing 1-3 teeth) or D4341 (Scaling and root planing 4+ teeth).
Antimicrobial therapy (optional)
Referral to a physician
Phase II (optional) – Surgical therapy (regenerative, resective)
Phase III – D4910 (periodontal maintenance) every 3 months
Phase IV (optional): Restorative/implant/orthodontic treatment

Treatment:
Phase I – D4342 (Scaling and root planing 1-3 teeth) or D4341 (Scaling and root planing 4+ teeth).
Antimicrobial therapy (optional)
Referral to an endodontist
Referral to a physician
Phase II (optional) – Surgical therapy (regenerative, resective)
Phase III – D4910 (periodontal maintenance) every 3 months
Phase IV (optional): Restorative/implant/orthodontic treatment

Treatment:
Phase I – D4342 (Scaling and root planing 1-3 teeth) or D4341 (Scaling and root planing 4+ teeth).
Referral to a physician
Antimicrobial therapy (optional)
Phase II (optional) – Surgical therapy (regenerative, resective)
Phase III – D4910 (periodontal maintenance) every 3 months
Phase IV (optional): Restorative/implant/orthodontic treatment

Treatment:
Phase I – D4342 (Scaling and root planing 1-3 teeth) or D4341 (Scaling and root planing 4+ teeth).
Antimicrobial therapy (optional)
Occlusal adjustment
Referral to a physician
Phase II (optional) – Surgical therapy (regenerative, resective)
Phase III – D4910 (periodontal maintenance) every 3 months
Phase IV (optional): Restorative/implant/orthodontic treatment

Treatment:
Phase I – D4342 (Scaling and root planing 1-3 teeth) or D4341 (Scaling and root planing 4+ teeth).
Occlusal adjustment
Antimicrobial therapy (optional)
Referral to a physician
Phase II (optional) – Surgical therapy (regenerative, resective)
Phase III – D4910 (periodontal maintenance) every 3 months
Phase IV (optional): Restorative/implant/orthodontic treatment

Treatment:
Phase I – D4342 (Scaling and root planing 1-3 teeth) or D4341 (Scaling and root planing 4+ teeth).
Antimicrobial therapy (optional)
Occlusal adjustment
Referral to an endodontist
Phase II (optional) – Surgical therapy (regenerative, resective)
Phase III – D4910 (periodontal maintenance) every 3 months
Phase IV (optional): Restorative/implant/orthodontic treatment

Yes

Periodontal abscesses 10*

Traumatic occlusal forces? 9*

Yes

Periodontal abscesses 10*

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Yes

Periodontal abscesses 10*

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Yes

Traumatic occlusal forces? 9*

Yes

Extent/Stage/Grade C
Tooth- and prosthesis-related factors
Secondary occlusal trauma
Periodontal abscess
Endodontic-periodontal lesions

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Yes

Extent/Stage/Grade C
Tooth- and prosthesis-related factors
Secondary occlusal trauma
Periodontal abscess

Yes

Extent/Stage/Grade C
Tooth- and prosthesis-related factors
Secondary occlusal trauma
Endodontic-periodontal lesions

Extent/Stage/Grade C
Tooth- and prosthesis-related factors
Secondary occlusal trauma

Extent/Stage/Grade C
Tooth- and prosthesis-related factors
Periodontal abscess
Endodontic-periodontal lesions

Periodontal abscesses 10*

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Yes

Extent/Stage/Grade C
Tooth- and prosthesis-related factors
Periodontal abscess

Yes

Extent/Stage/Grade C
Tooth- and prosthesis-related factors
Endodontic-periodontal lesions

Extent/Stage/Grade C
Tooth- and prosthesis-related factors

Tooth- and prosthesis-related factors? 4*

Extent/Stage/Grade C
Secondary occlusal trauma
Periodontal abscess
Endodontic-periodontal lesions

Extent/Stage/Grade C
Secondary occlusal trauma
Periodontal abscess

Extent/Stage/Grade C
Secondary occlusal trauma
Endodontic-periodontal lesions

Extent/Stage/Grade C
Secondary occlusal trauma

Extent/Stage/Grade C
Periodontal abscess
Endodontic-periodontal lesions

Extent/Stage/Grade C
Secondary occlusal trauma
Periodontal abscess

Extent/Stage/Grade C
Endodontic-periodontal lesions

Extent/Stage/Grade C

Treatment:
Phase I – D4342 (Scaling and root planing 1-3 teeth) or D4341 (Scaling and root planing 4+ teeth).
Antimicrobial therapy (optional)
Occlusal adjustment
Phase II (optional) – Surgical therapy (regenerative, resective)
Phase III – D4910 (periodontal maintenance) every 3 months
Phase IV (optional): Restorative/implant/orthodontic treatment

Treatment:
Phase I – D4342 (Scaling and root planing 1-3 teeth) or D4341 (Scaling and root planing 4+ teeth).
Antimicrobial therapy (optional)
Occlusal adjustment
Referral to an endodontist
Phase II (optional) – Surgical therapy (regenerative, resective)
Phase III – D4910 (periodontal maintenance) every 3 months
Phase IV (optional): Restorative/implant/orthodontic treatment

Treatment:
Phase I – D4342 (Scaling and root planing 1-3 teeth) or D4341 (Scaling and root planing 4+ teeth).
Antimicrobial therapy (optional)
Phase II (optional) – Surgical therapy (regenerative, resective)
Phase III – D4910 (periodontal maintenance) every 3 months
Phase IV (optional): Restorative/implant/orthodontic treatment

Treatment:
Phase I – D4342 (Scaling and root planing 1-3 teeth) or D4341 (Scaling and root planing 4+ teeth).
Antimicrobial therapy (optional)
Referral to an endodontist
Phase II (optional) – Surgical therapy (regenerative, resective)
Phase III – D4910 (periodontal maintenance) every 3 months
Phase IV (optional): Restorative/implant/orthodontic treatment

Treatment:
Phase I – D4342 (Scaling and root planing 1-3 teeth) or D4341 (Scaling and root planing 4+ teeth).
Antimicrobial therapy (optional)
Occlusal adjustment
Referral to an endodontist
Phase II (optional) – Surgical therapy (regenerative, resective)
Phase III – D4910 (periodontal maintenance) every 3 months
Phase IV (optional): Restorative/implant/orthodontic treatment

Yes

Periodontal abscesses 10*

Traumatic occlusal forces? 9*

Yes

Periodontal abscesses 10*

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Yes

Periodontal abscesses 10*

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Yes

Traumatic occlusal forces? 9*

Yes

Extent/Stage/Grade A
Tooth- and prosthesis-related factors
Secondary occlusal trauma
Periodontal abscess
Endodontic-periodontal lesions

Endodontic-periodontal lesions 11*

Yes

Endodontic-periodontal lesions 11*

Yes

Extent/Stage/Grade A
Tooth- and prosthesis-related factors
Secondary occlusal trauma
Periodontal abscess

Yes

Extent/Stage/Grade A
Tooth- and prosthesis-related factors
Secondary occlusal trauma
Endodontic-periodontal lesions

Extent/Stage/Grade A
Tooth- and prosthesis-related factors
Secondary occlusal trauma

Extent/Stage/Grade A
Tooth- and prosthesis-related factors
Periodontal abscess
Endodontic-periodontal lesions

Periodontal abscesses 10*

Endodontic-periodontal lesions 11*

Non dental biofilminduced gingival disease

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