Periodontal Documentation Requirements

Under the following conditions, the examinee must document that the patient's periodontal status was amenable to orthodontic treatment prior to initiating care:

1. Pretreatment records were produced on or after March 1, 2007, and patient is 18 years or over at the date of the pretreatment records

OR

2. Pretreatment records were produced on or after March 1, 2007, and patient is under the age of 18 at the date of the pretreatment records and patient has signs/symptoms of periodontal disease (not gingivitis).

 

Periodontal pretreatment records should be taken within 6 months prior to treatment initiation and within 12 months following appliance removal for posttreatment records.  Posttreatment periodontal records are required on patients that start treatment as an adolescent but finish treatment at 18 years or older.

  

Under these conditions, pretreatment and post-treatment documentation of similar format must be submitted for comparison of the patient's initial and final periodontal status. The examinee will utilize one or more of the following methodologies:

  1. Full mouth periodontal probing recorded by the examinee prior to initiating orthodontic therapy
  2. Written documentation of periodontal status, including a full periodontal charting, received from a periodontist, general or pediatric dentist
  3. Panoramic radiograph, in conjunction with vertical or conventional bitewings, and maxillary and mandibular anterior periapical radiographs
  4. Full mouth series of periapical and bitewing radiographs
  5. High Resolution CBCT (Cone Beam Computed Tomography) images that represent requirement #3 above