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1. The Basic Examination and Anesthetic Instruments


a. Classification. Direct examination of the teeth and oral tissues is the procedure used most in determining the status of oral health. Four classifications are used to describe the dental health of active duty service members. Dental classifications are described in more detail in AR 40-66, Medical Record and Quality Assurance Administration.

(1) Class 1. Personnel who require no dental treatment.

(2) Class 2. Personnel whose existing condition is unlikely to result in a dental emergency within 12 months.

(3) Class 3. Personnel that require dental treatment to correct a dental condition that is likely to cause a dental emergency within 12 months. Class 3 includes patients who have deep caries, a fractured tooth, or pericoronitis (infection around a wisdom tooth).

(4) Class 4. Personnel who have missed two annual exams or whose status is unknown.

b. Records. As in all patient treatment areas, the dental specialist in the oral medicine and treatment planning service should assure, when treating the patient, that the correct records for the patient have been provided. As the dentist conducts the examination, he will state his initial findings and the dental specialist will record these findings on applicable charts and sections of the various forms used. The dental specialist in the oral medicine and treatment planning service must be proficient in recording examinations and know the provisions of publications which cover prescribed forms, authorized terms and abbreviations, methods of recording, and dental classifications.

David L. Heiserman, Editor

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Revised: June 06, 2015