Professional Documents
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Dental Classifications Outline of Topics
Dental Classifications Outline of Topics
Outline of Topics:
Military Dental
Classifications
Case presentations
& Discussion
Dental Classes
• Class 1 –
– Patients not requiring dental treatment or re-evaluation for 12
months.
• Class 2 –
– Patients who have oral conditions that, if not treated or
followed up, have the potential but are not expected to result in
dental emergencies within 12 months.
• Class 3 –
– Patient has oral conditions that if not treated are expected to
result in dental emergencies within 12 months. Patients should
be placed in Class 3 when there are questions in determining
classification between Class 2 and Class 3.
• Class 4 –
– Patient has not had a dental exam in the last 13 months
Class 1
• No active dental caries or defective restorations
• Arrested caries for which treatment is not indicated
• Healthy periodontium, no bleeding on probing; oral
prophylaxis not indicated.
• Replacement of missing teeth not indicated.
• Unerupted, partially erupted, or malposed teeth that
are without historical, clinical, or radiographic signs
or symptoms of pathosis and are not recommended
for prophylactic extractions.
Class 2
• Treatment or follow up indicated for dental caries
with minimal extension into dentin or minor
defective restorations easily maintained by the
patient where the condition does not cause
definitive symptoms
• Interim restorations or prostheses that can be
maintained by the patient for a 12-month period.
This includes teeth that have been restored with
permanent restorative material but for which
protective coverage is indicated.
• Edentulous teeth requiring prosthesis but not on an
immediate basis.
Class 2
• Periodontal disease or periodontium exhibiting:
– Requirement for oral prophylaxis.
– Requirement for maintenance therapy; this includes stable or non-
progressive mucogingival conditions requiring periodic evaluation.
– Non-specific gingivitis.
– Early or mild adult periodontitis.
• Unerupted, partially erupted, or malposed teeth that
are without historical, clinical, or radiographic signs
or symptoms of pathosis, but which are
recommended for prophylactic removal.
• Active orthodontic treatment.
• Temporomandibular disorder patients in
maintenance therapy.
Class 3
• Dental caries, tooth fractures, or defective
restorations where the condition extends beyond the
dentinoenamel junction and causes definitive
symptoms; dental caries with moderate or advanced
extension into dentin; and defective restorations not
maintained by the patient.
• Interim restorations or prostheses that cannot be
maintained for a 12-month period. This includes
teeth that have been restored with permanent
restorative materials but for which protective
coverage is indicated.
Class 3
• Dental caries, tooth fractures, or defective
restorations where the condition extends beyond the
dentinoenamel junction and causes definitive
symptoms; dental caries with moderate or advanced
extension into dentin; and defective restorations not
maintained by the patient.
• Interim restorations or prostheses that cannot be
maintained for a 12-month period. This includes
teeth that have been restored with permanent
restorative materials but for which protective
coverage is indicated.
Class 3
• Chronic oral infections or other pathologic lesions
including:
• Pulpal or periapical pathology requiring treatment.
• Lesions requiring biopsy or awaiting biopsy report.
• Emergency situations requiring therpy to relieve pain, treat
trauma, treat acute oral infections, or provide timely follow-
up care (e.g., drain or suture removal) until resolved.
• Temporomandibular disorders requiring active treatment.
??Class 2 vs Class 3??
Both the Air Force and the Army agree that posterior teeth with
root canal therapy require full cuspal coverage. However, the
Army places the patient in class 2 after a permanent filling
and the Air Force does not place the patient in class 2 until
the tooth has full cuspal coverage.
What is the dental classification with normal probing until surgery? Class 1
Case #9
This 18-year-old male
presents for chronic pain
in the lower right wisdom
tooth area. He is examined
and scheduled for IV
sedation and extraction of
all wisdom teeth.
Used to document
exams by private and
non-governmental
contract dentists.
If Class 3 must
complete this section! If
you will be treating this
patient estimated time
to get patient out of
class 3 is useful.
Item 6 (4) - Dental
radiographs should be
consulted unless:
patient is new to the
practice and has a
contraindication to new
radiographs, and you
are unable to obtain
recent radiographs from
previous dentist.
Item 7-11 fill in
completely by office
starff.
Save Time Down Load the Form
• http://www.dtic.mil/whs/directives/infomgt/forms/eforms/dd2813.pdf
• Pre-Enter Practice Information
• Save As –
• To Avoid HIPPA violations – recommend pre-printing lines7-9 only
National Guard Flyers
• Military Members who fly are special
• Due to pressurization issues may require DNIF
– Duties Not Including Flying
• They should tell you they fly
• They should give you a DD Form 1418
AFI 47-101 Recommendations
• Local Anesthesia (Numbing) 8 hours Verbal DNIF
• Root Canal Procedures 24 hours DNIF – Must Notify
Flight Surgeon via AF Form 1418
– If symptomatic may be longer at Flight Surgeon Direction
– If placed on medications may be longer at Flight Surgeon Direction
• Simple extractions 48-72 hours DNIF – Must Notify
Flight Surgeon via AF Form 1418 *
– If symptomatic may be longer at Flight Surgeon Direction
– If placed on medications may be longer at Flight Surgeon Direction
• Dentists may at their discretion recommend DNIF for
other issues via AF Form 1418
* No recommendations in AFI for Ext – Extrapolated
AFI 47-101 Recommendations
• Surgical Extractions 7-14 days DNIF – Must Notify
Flight Surgeon via AF Form 1418 *
– If symptomatic may be longer at Flight Surgeon Direction
– If placed on medications may be longer at Flight Surgeon Direction
• Dental Implants stage 1 and 2 10 days DNIF – Must
Notify Flight Surgeon via AF Form 1418
– Dentist may recommend longer based on bone quality/potential to
heal
• Guided Tissue Membranes 7-14 days DNIF – Must
Notify Flight Surgeon via AF Form 1418