A69 Other spirochaetal infections

A69.0 Necrotizing ulcerative stomatitis

Clinical Information:
A severe gangrenous process occurring predominantly in debilitated
and malnourished children, especially in underdeveloped countries. It
typically begins as a small vesicle or ulcer on the gingiva that rapidly
becomes necrotic and spreads to produce extensive destruction of the
buccal and labial mucosa and tissues of the face, which may result in
severe disfigurement and even death. Various bacteria have been
implicated in the etiology. (Dorland, 27th ed)

Gangrene of the mucous membranes of the mouth leading to ulcers

and destruction of the soft tissues of the face and bones. It usually
occurs in malnourished children in areas of poor sanitation and
immunocompromised patients.
Appicable to:
Cancrum oris
Fusospirochaetal gangrene
Noma
Stomatitis gangrenosa

A69.1 Other Vincent infections

Clinical Information:
A bacterial infectious process affecting the gums. It is characterized by
the development of necrotic, ulcerated, and painful lesions with
creation of pseudomembranes extending along the gingival margins.

An acute or chronic gingivitis characterized by redness and swelling,

necrosis extending from the interdental papillae along the gingival
margins, pain; hemorrhage, necrotic odor, and often a
pseudomembrane. The condition may extend to the oral mucosa;
tongue; palate; or pharynx. The etiology is somewhat unclear, but may
involve a complex of fusobacterium nucleatum along with spirochetes
borrelia or treponema.

Vincent infection where the lesions spread to the soft palate and
oropharynx.
Appicable to:
Fusospirochaetal pharyngitis
Necrotizing ulcerative (acute):
gingivitis
 gingivostomatitis
Spirochaetal stomatitis
Trench mouth
Vincent:
angina

gingivitis
Approximate Synonyms:
Acute necrotizing ulcerative gingivitis

B00 Herpesviral [herpes simplex] infections

Excl.: Anogenital herpesviral infection (A60.-)

Congenital herpesviral infection (P35.2)
Gammaherpesviral mononucleosis (B27.0)
Herpangina (B08.5)

B00.1 Herpesviral vesicular dermatitis

Applicable To:
Herpes simplex facialis

Herpes simplex labialis

Herpes simplex otitis externa

Vesicular dermatitis of ear

Vesicular dermatitis of lip

B00.2 Herpesviral gingivostomatitis and pharyngotonsillitis

Applicable To:
Herpesviral pharyngitis
Approximate Synonyms:
Herpes simplex gingivostomatitiss
Herpetic gingivostomatitis
Recurrent herpes simplex gingivostomatitis
Recurrent oral gingivostomatitis due to herpes simplex
B08 Other viral infections characterized by skin and mucous membrane lesions, not
elsewhere classified

Excl.: vesicular stomatitis virus disease (A93.8)

 B08.4 Enteroviral vesicular stomatitis with exanthem

Clinical Information:
A mild, highly infectious viral disease of children, characterized by
vesicular lesions in the mouth and on the hands and feet. It is caused
by coxsackieviruses.
Applicable To:
Hand, foot and mouth disease

B29 Mumps

B26.9 Mumps without complication

Clinical Information:
A contagious viral infection caused by the mumps virus. Symptoms
include swollen and tender parotid glands, fever, muscle aches and
fatigue. Due to vaccination programs, mumps has become a rare
disease.

Acute, inflammatory, contagious disease caused by rubulavirus and

characterized by swelling of the salivary glands, especially the
parotids, and sometimes of the pancreas, ovaries, or testes; spread by
direct contact, airborne droplet nuclei, fomites contaminated by
infectious saliva, and perhaps urine.

An acute infectious disease caused by rubulavirus, spread by direct

contact, airborne droplet nuclei, fomites contaminated by infectious
saliva, and perhaps urine, and usually seen in children under the age
of 15, although adults may also be affected. (from Dorland, 28th ed)

Mumps is an illness caused by the mumps virus. It starts with

o fever

o headache

o muscle aches

o tiredness

o loss of appetite

after that, the salivary glands under the ears or jaw become swollen
and tender. The swelling can be on one or both sides of the face.
 Symptoms last 7 to 10 days. Serious complications are rare.you can
catch mumps by being with another person who has it. There is no
treatment for mumps, but the measles-mumps-rubella (mmr)
vaccine can prevent it.before the routine vaccination program in the
United States, mumps was a common illness in infants, children and
young adults. Now it is a rare disease in the United States Centers
for Disease Control and Prevention.

Applicable To:
Mumps NOSs

Mumps parotitis NOS

B37 Candidiasis

B37.0 Candidal stomatitis

Clinical Information:
A condition in which candida albicans, a type of yeast, grows out of
control in moist skin areas of the body. It is usually a result of a
weakened immune system, but can be a side effect of chemotherapy
or treatment with antibiotics. Thrush usually affects the mouth (oral
thrush); however, rarely, it spreads throughout the entire body. Also
called candidiasis or candidosis.

Infection of the mucous membranes of the mouth by a fungus of the

genus candida. (Dorland, 27th ed)

Applicable To
Oral thrush

Diseases of oral cavity, salivary glands and jaws

(K00-K14)

K00 Disorders of tooth development and eruption

Excl.: embedded and impacted teeth (K01.-)
K00.0 Anodontia
Clinical Information:
Congenital absence of the teeth; it may involve all (total anodontia) or
only some of the teeth (partial anodontia, hypodontia), and both the
deciduous and the permanent dentition, or only teeth of the
permanent dentition. (Dorland, 27th ed)
Applicable To:
 Hypodontia
Oligodontia

K00.1 Supernumerary teeth

Clinical Information:
An extra tooth, erupted or unerupted, resembling or unlike the other
teeth in the group to which it belongs. Its presence may cause
malposition of adjacent teeth or prevent their eruption.

Supernumerary tooth, any tooth in addition to the normal permanent

and primary dentition.
Applicable To:
Distomolar
Fourth molar
Mesiodens
Paramolar
Supplementary teeth

K00.2 Abnormalities of size and form of teeth

Clinical Information:
Anomaly of the tooth, found chiefly in upper lateral incisors. It is
characterized by invagination of the enamel at the incisal edge.

Two teeth united during development by the union of their tooth

germs; the teeth may be joined by the enamel of their crowns, by their
root dentin, or by both.
Applicable To:
Concrescence of teeth

Fusion of teeth

Gemination of teeth

Dens evaginatus

Dens in dente

Dens invaginatus

Enamel pearls

Macrodontia

Microdontia
 Peg-shaped [conical] teeth

Supernumerary roots

Taurodontism

Tuberculum paramolare
Excl.: Tuberculum Carabelli, which is regarded as a normal variation
and should not be coded

K00.3 Mottled teeth

Clinical Information:
A chronic endemic form of hypoplasia of the dental enamel caused by
drinking water with a high fluorine content during the time of tooth
formation, and characterized by defective calcification that gives a
white chalky appearance to the enamel, which gradually undergoes
brown discoloration. (jablonski's dictionary of dentistry, 1992, p286)

A condition that results from excessive fluorine intake during tooth

development. Presentation of this disorder can range from white
streaks to brown stains and cracks or pits in the tooth enamel.
Applicated To:
Dental fluorosis
Mottling of enamel
Nonfluoride enamel opacities
Excl.: Deposits (accretions) on teeth (K03.6)

K00.4 Disturbances in tooth formation

Clinical Information:
A localized arrested tooth development which appears to involve most
commonly the anterior teeth, usually on one side of the midline, most
often the maxillary central and lateral incisors. Roentgenographically,
the teeth have a ghostlike appearance. Calcification and bits of
prismatic enamel may be found in the pulp and the enamel is thin and
absent in part. (jablonski, illustrated dictionary of dentistry, 1982)
Applicated To:
Aplasia and hypoplasia of cementum
Dilaceration of tooth
Enamel hypoplasia (neonatal)(postnatal)(prenatal)
Regional odontodysplasia
Turner tooth
Excl.: Hutchinson teeth and mulberry molars in congenital
syphilis(A50.5) and
 Mottled teeth (K00.3)
K00.5 Hereditary disturbances in tooth structure, not elsewhere
classified
Clinical Information:
A clinically and genetically heterogeneous group of hereditary
conditions characterized by malformed dental enamel, usually
involving dental enamel hypoplasia and/or tooth hypomineralization.

A congenital tooth development disorder caused by mutations in the

dspp gene. The teeth are weak, discolored, and translucent.

An apparently hereditary disorder of dentin formation, marked by a

normal appearance of coronal dentin associated with pulpal
obliteration, faulty root formation, and a tendency for peripheral
lesions without obvious cause. (from Dorland, 27th ed)

An autosomal dominant disorder of tooth development characterized

by opalescent dentin resulting in discoloration of the teeth. The dentin
develops poorly with low mineral content while the pulp canal is
obliterated.
Applicated To:
Amelogenesis imperfecta

Dentinogenesis imperfecta

Odontogenesis imperfecta

Dentinal dysplasia

Shell teeth

K00.6 Disturbances in tooth eruption

Clinical Information:
Predeciduous teeth present at birth. They may be well formed and
normal or may represent hornified epithelial structures without roots.
They are found on the gingivae over the crest of the ridge and arise
from accessory buds of the dental lamina ahead of the deciduous buds
or from buds of the accessory dental lamina. (from jablonski, dictionary
of dentistry, 1992)
Applicated To:
Dentia praecox

Natal tooth
 Neonatal tooth

Premature eruption of tooth

Premature shedding of primary [deciduous] tooth

Prenatal teeth

Retained [persistent] primary tooths

K00.7 Teething syndrome

Dentition (syndrome)

K00.8 Other disorders of tooth development

Applicable To:
Colour changes during tooth formation
Intrinsic staining of teeth NOS

K00.9 Disorder of tooth development, unspecified

Clinical Information:
A disorder characterized by a pathological process of the teeth
occurring during tooth development.

A disorder of the teeth arising during odontogenesis.

Applicated To:
Disorder of odontogenesis NOS
K01 Embedded and impacted teeth
Excl.: Embedded and impacted teeth with abnormal position of such teeth
or adjacent teeth (K07.3)

K01.0 Embedded teeth

An embedded tooth is a tooth that has failed to erupt without obstruction
by another tooth.

K01.1 Impacted teeth

Clinical Information:
A condition in which a tooth is so crowded in its socket that it cannot
erupt normally.

A tooth that is prevented from erupting by a physical barrier, usually

other teeth. Impaction may also result from orientation of the tooth in
an other than vertical position in the periodontal structures.
K02 Dental caries
K02.0 Caries limited to enamel

K02.1 Caries of dentine

K02.2 Caries of cementum

K02.3 Arrested dental caries

Applicable To:
Arrested coronal and root caries

K02.4 Odontoclasia
Infantile melanodontia
Melanodontoclasia

K02.5 Dental caries on pit and fissure surface

K02.51 Dental caries on pit and fissure surface limited to
enamel
Applicable To:
White spot lesions [initial caries] on pit and fissure surface of
tooth

K02.52 Dental caries on pit and fissure surface penetrating

into dentin
Applicable To:
Primary dental caries, cervical origin
 K02.53 Dental caries on pit and fissure surface penetrating
into pulp

K02.6 Dental caries on smooth surface

K02.61 Dental caries on smooth surface limited to enamel
Applicable To
White spot lesions [initial caries] on smooth surface of tooth

K02.62 Dental caries on smooth surface penetrating into

dentin
K02.63 Dental caries on smooth surface penetrating into
pulp

K02.7 Dental root caries

K02.8 Other dental caries

K02.9 Dental caries, unspecified

K03 Other diseases of hard tissues of teeth

Excl.: Bruxism (F45.8)
Dental caries (K02.-)
Teeth-grinding NOS (F45.8)

K03.0 Excessive attrition of teeth

Applicable To:
Approximal wear of teeth

Occlusal wear of teeth

K03.1 Abrasion of teeth

Clinical Information:
The pathologic wearing away of the tooth substance by brushing,
bruxism, clenching, and other mechanical causes. It is differentiated
from tooth attrition in that this type of wearing away is the result of
tooth-to-tooth contact, as in mastication, occurring only on the
occlusal, incisal, and proximal surfaces. It differs also from tooth
erosion, the progressive loss of the hard substance of a tooth by
chemical processes not involving bacterial action. (from jablonski,
dictionary of dentistry, 1992, p2)
Applicable To:
 Dentifrice abrasion of teeth

Habitual abrasion of teeth

Occupational abrasion of teeth

Ritual abrasion of teeth

Traditional abrasion of teeth

Wedge defect NOS

K03.2 Erosion of teeth

Clinical Information:
Progressive loss of the hard substance of a tooth by chemical
processes that do not involve bacterial action. (jablonski, dictionary of
dentistry, 1992, p296)
Applicable To:
Erosion of teeth due to diet

Erosion of teeth due to drugs and medicaments

Erosion of teeth due to persistent vomiting

Erosion of teeth NOS

Idiopathic erosion of teeth

Occupational erosion of teeth

K03.3 Pathological resorption of teeth

Clinical Information:
Resorption of calcified dental tissue, involving demineralization due to
reversal of the cation exchange and lacunar resorption by osteoclasts.

Resorption of calcified dental tissue, involving demineralization due to

reversal of the cation exchange and lacunar resorption by osteoclasts.
There are two types: external (as a result of tooth pathology) and
internal (apparently initiated by a peculiar inflammatory hyperplasia of
the pulp). (from jablonski, dictionary of dentistry, 1992, p676)
Applicable To:
Internal granuloma of pulp

Resorption of teeth (external)

K03.4 Hypercementosis
Clinical Information:
A regressive change of teeth characterized by excessive development
of secondary cementum on the tooth surface. It may occur on any part
of the root, but the apical two-thirds are most commonly affected.
(Dorland, 27th ed)
Applicable To:
Cementation hyperplasia

K03.5 Ankylosis of teeth

Clinical Information:
Solid fixation of a tooth resulting from fusion of the cementum and
alveolar bone, with obliteration of the periodontal ligament. It is
uncommon in the deciduous dentition and very rare in permanent
teeth. (jablonski's dictionary of dentistry, 1992)

K03.6 Deposits (accretions) on teeth

Clinical Information:
A change in tooth color. Causes may be local or systemic and include
tobacco use, foods, dental plaques, caries, restorative filling materials,
trauma, medications, infections, hereditary diseases, and nutritional
deficiencies.

A disorder characterized by a change in tooth hue or tint.

Accumulations of microflora that lead to pathological plaque and

calculus which cause periodontal diseases. It can be considered a type
of biofilms. It is subtly distinguished from the protective dental pellicle.

Any change in the hue, color, or translucency of a tooth due to any

cause. Restorative filling materials, drugs (both topical and systemic),
pulpal necrosis, or hemorrhage may be responsible. (jablonski,
dictionary of dentistry, 1992, p253)

Hard or soft material deposited on a tooth surface, such as dental

calculus or plaque and materia alba.
Applicable To:
Betel deposits [accretions] on teeth

Black deposits [accretions] on teeth

Extrinsic staining of teeth NOS

 Green deposits [accretions] on teeth

Materia alba deposits [accretions] on teeth

Orange deposits [accretions] on teeth

Staining of teeth NOS

Subgingival dental calculus

Supragingival dental calculus

Tobacco deposits [accretions] on teeth

K03.7 Posteruptive colour changes of dental hard tissues

Excl.: deposits [accretions] on teeth (K03.6)

K03.8 Other specified diseases of hard tissues of teeth

K03.81 Cracked tooth
Clinical Information:
Incomplete fracture of any part of a tooth, characterized by pain
during mastication and sensitivity to heat, cold, sweet or sour
tastes, and alcohol; it is often undiagnosed because the tooth is
usually x-ray negative and normal to pulp vitality tests.

K03.89 Other specified diseases of hard tissues of teeth

Approximate Synonyms:
Odontoclasia

K03.9 Disease of hard tissues of teeth, unspecified

K04 Diseases of pulp and periapical tissues
K04.0 Pulpitis
K04.01 Reversible pulpitis
K04.02 Irreversible pulpitis

Clinical Information:
Inflammation of the dental pulp, usually due to bacterial infection in
dental caries, tooth fracture, or other conditions causing exposure of
the pulp to bacterial invasion. Chemical irritants, thermal factors,
hyperemic changes, and other factors may also cause pulpitis.

Inflammation of the dental pulp.

Applicable To
Acute pulpitis

Chronic (hyperplastic) (ulcerative) pulpitis

K04.1 Necrosis of pulp

Clinical Information:
Death of pulp tissue with or without bacterial invasion. When the
necrosis is due to ischemia with superimposed bacterial infection, it is
referred to as pulp gangrene. When the necrosis is non-bacterial in
origin, it is called pulp mummification.
Applicable To:
Pulpal gangrene

K04.2 Pulp degeneration

Applicable To:
Denticles
Pulpal calcifications

Pulpal stones

K04.3 Abnormal hard tissue formation in pulp

Applicable To:
Secondary or irregular dentine

K04.4 Acute apical periodontitis of pulpal origin

 Applicable To:
Acute apical periodontitis NOS

K04.5 Chronic apical periodontitis

Clinical Information:
Inflammation of the periapical tissue. It includes general, unspecified,
or acute nonsuppurative inflammation. Chronic nonsuppurative
inflammation is periapical granuloma. Suppurative inflammation is
periapical abscess.

Applicable To
Apical or periapical granuloma
Apical periodontitis NOS

K04.6 Periapical abscess with sinus

Applicable To:
Dental abscess with sinus
Dentoalveolar abscess with sinus

K04.7 Periapical abscess without sinus

Applicable To:
Dental abscess without sinus
Dentoalveolar abscess without sinus
Periapical abscess without sinus

K04.8 Radicular cyst

Clinical Information:
Slow-growing fluid-filled epithelial sac at the apex of a tooth with a
nonvital pulp or defective root canal filling.
Applicable To:
Apical (periodontal) cyst
Periapical cyst
Residual radicular cyst
Excl.: lateral periodontal cyst (K09.0)

K04.9 Other and unspecified diseases of pulp and periapical

tissues
K04.90 Unspecified diseases of pulp and periapical tissues
K04.99 Other diseases of pulp and periapical tissues
K05 Gingivitis and periodontal diseases
K05.0 Acute gingivitis
Excl.: Acute necrotizing ulcerative gingivitis (A69.1)
Herpesviral [herpes simplex] gingivostomatitis (B00.2)

K05.00 Acute gingivitis, plaque induced

Applicable To:
Acute gingivitis NOS

Plaque induced gingival disease

K05.01 Acute gingivitis, non-plaque induced

K05.1 Chronic gingivitis

Applicable To:
Desquamative gingivitis (chronic)

Gingivitis (chronic) NOS

Hyperplastic gingivitis (chronic)

Pregnancy associated gingivitis

Simple marginal gingivitis (chronic)

Ulcerative gingivitis (chronic)

K05.10 Chronic gingivitis, plaque induced

Clinical Information:
A disorder involving inflammation of the gums; may affect
surrounding and supporting structures of the teeth.

Inflammation of gum tissue (gingiva) without loss of connective

tissue.

Inflammation of the gingiva, the tissues that surround the teeth.

Applicable To:
Chronic gingivitis NOS
 Gingivitis NOS
K05.11 Chronic gingivits, non-plaque induced

K05.2 Aggressive periodontitis

Clinical Information:
Inflammation and loss of periodontium that is characterized by rapid
attachment loss and bone destruction in the presence of little local
factors such as dental plaque and dental calculus. This highly
destructive form of periodontitis often occurs in young people and was
called early-onset periodontitis, but this disease also appears in old
people.
Applicable To:
Acute pericoronitis
Excl.: acute apical periodontitis (K04.4)
periapical abscess (K04.7)
periapical abscess with sinus (K04.6)

K05.20 Aggressive periodontitis unspecified

Approximate Synonyms:
Acute periodontitis

Aggressive periodontitis

Rapidly progressive periodontitis

K05.21 Aggressive periodontitis, localized
Clinical Information:
Localized circumscribed purulent area of inflammation in the
periodontal tissue. It is a derivative of marginal periodontitis and
commonly associated with suprabony and infrabony pockets and
interradicular involvements, in contrast to periapical abscess
which is attributable to pulp necrosis.
Applicable To:
Periodontal abscess
K05.211 Aggressive periodontitis, localized, slight
K05.212 Aggressive periodontitis, localized, moderate
K05.213 Aggressive periodontitis, localized, severe
K05.219 Aggressive periodontitis, localized,
unspecified severity
K05.22 Aggressive periodontitis, generalized
K05.221 Aggressive periodontitis, generalized, slight
K05.222 Aggressive periodontitis, generalized,
moderate
K05.223 Aggressive periodontitis, generalized, severe
 K05.229 Aggressive periodontitis, generalized,
unspecified severity

K05.3 Chronic periodontitis

Clinical Information:
A disease that attacks the gum and bone around the teeth

Chronic inflammation and loss of periodontium that is associated with

the amount of dental plaque or dental calculus present. Chronic
periodontitis occurs mostly in adults and was called adult periodontitis,
but this disease can appear in young people.

Inflammation and loss of connective tissues supporting or surrounding

the teeth. This may involve any part of the periodontium. Periodontitis
is currently classified by disease progression (chronic periodontitis;
aggressive periodontitis) instead of age of onset. (from 1999
international workshop for a classification of periodontal diseases and
conditions, american academy of periodontology)

Inflammatory reaction of the tissues surrounding a tooth

(periodontium), usually resulting from the extension of gingival
inflammation into the periodontium.

Long-term inflammation of the gingiva surrounding the crown of a

tooth, usually of an incompletely erupted tooth.
Applicable To:
Chronic pericoronitis

Complex periodontitis

Periodontitis NOS

Simplex periodontitis
Excl : Chronic apical periodontitis (K04.5)

K05.30 Chronic periodontitis, unspecified

Clinical Information:
Chronic inflammation and loss of periodontium that is associated
with the amount of dental plaque or dental calculus present.
Chronic periodontitis occurs mostly in adults and was called
adult periodontitis, but this disease can appear in young people.
K05.31 Chronic periodontitis, localized
K05.311 Chronic periodontitis, localized, slight
 K05.312 Chronic periodontitis, localized, moderate
K05.313 Chronic periodontitis, localized, severe
K05.319 Chronic periodontitis, localized, unspecified
severity
K05.32 Chronic periodontitis, generalized
K05.321 Chronic periodontitis, generalized, slight
K05.322 Chronic periodontitis, generalized, moderate
K05.323 Chronic periodontitis, generalized, severe
K05.329 Chronic periodontitis, generalized, unspecified
severity

K05.4 Periodontosis
Clinical Information:
A localized aggressive periodontitis, formerly called localized juvenile
periodontitis. It is a destructive form of periodontitis characterized by
alveolar bone loss of the molars and incisors.
Applicable To:
Juvenile periodontosis
Approximate Synonyms
Periodontitis

K05.5 Other periodontal diseases

Applicable To:
Combined periodontic-endodontic lesion
Narrow gingival width (of periodontal soft tissue)
Excl :Leukoplakia of gingiva (K13.21)

K05.6 Periodontal disease, unspecified

Clinical Information:
A disorder in the gingival tissue around the teeth.

An inflammatory process of the gingival tissues and/or periodontal

membrane of the teeth, resulting in an abnormally deep gingival
sulcus, possibly producing periodontal pockets and loss of alveolar
bone support.

Condition in which there is a deviation from or interruption of the

normal structure or function of the tissues that support, attach, and
surround the teeth.
 Pathological processes involving the periodontium including the gum
(gingiva), the alveolar bone (alveolar process), the dental cementum,
and the periodontal ligament.
Approximate Synonyms:
Chronic periodontal disease

Chronic periodontitis

Periodontal disease

Periodontal disease, chronic

K06 Other disorders of gingiva and edentulous alveolar ridge

Excl.: Acute gingivitis (K05.0)
Atrophy of edentulous alveolar ridge (K08.2)
Chronic gingivitis (K05.1)
Gingivitis NOS (K05.1)
 K06.0 Gingival recession
Clinical Information:
A loss of gum tissue resulting in an exposure of the roots of the teeth.

Exposure of the root surface when the edge of the gum (gingiva)
moves apically away from the crown of the tooth. This is common with
advancing age, vigorous tooth brushing, diseases, or tissue loss of the
gingiva, the periodontal ligament and the supporting bone (alveolar
process).
Applicable To:
Gingival recession (generalized) (localized) (postinfective)
(postprocedural)

K06.1 Gingival enlargement

Clinical Information:
Excessive growth of the gingiva either by an increase in the size of the
constituent cells (gingival hypertrophy) or by an increase in their
number (gingival hyperplasia). (from jablonski's dictionary of dentistry,
1992, p574)

Generalized or localized diffuse fibrous overgrowth of the gingival

tissue, usually transmitted as an autosomal dominant trait, but some
cases are idiopathic and others produced by drugs. The enlarged
gingiva is pink, firm, and has a leather-like consistency with a minutely
pebbled surface and in severe cases the teeth are almost completely
covered and the enlargement projects into the oral vestibule. (Dorland,
28th ed)
Applicable To:
Gingival fibromatosis
Approximate Synonyms
Gingival hyperplasia

Gingival hypertrophy

Gingival hypertrophy due to diphenylhydantoin

Hypertrophy of gingiva

K06.2 Gingival and edentulous alveolar ridge lesions associated

with trauma
Applicable To:
Irritative hyperplasia of edentulous ridge [denture hyperplasia]
 K06.3 Horizontal alveolar bone loss

K06.8 Other specified disorders of gingiva and edentulous

alveolar ridge
Applicable To:
Fibrous epulis

Flabby alveolar ridge

Giant cell epulis

Peripheral giant cell granuloma of gingiva

Pyogenic granuloma of gingiva

Vertical ridge deficiency

Approximate Synonyms:
Bleeding gums

Gingival polyp
Excl.: Gingival cyst (K09.0)

K06.9 Disorder of gingiva and edentulous alveolar ridge,

unspecified
Approximate Synonyms:
Gingiva and edentulous alveolar ridge disorder

Gingival disease

Gingival disorder
K07 Dentofacial anomalies [including malocclusion]
Excl.: Hemifacial atrophy or hypertrophy (Q67.4)
Nilateral condylar hyperplasia or hypoplasia (K10.8)

K07.0 Major anomalies of jaw size

Applicated To:
Hyperplasia, hypoplasia (mandibular)(maxillary)
Macrognathism (mandibular)(maxillary)
Micrognathism (mandibular)(maxillary)
Excl.: Acromegaly (E22.0)
Robin syndrome (Q87.0)

K07.1 Anomalies of jaw-cranial base relationship

Applicated to:
Asymmetry of jaw
Prognathism (mandibular)(maxillary)
Retrognathism (mandibular)(maxillary)

K07.2 Anomalies of dental arch relationship

Applicated To:
Crossbite (anterior)(posterior)
Disto-occlusion
Mesio-occlusion
Midline deviation of dental arch
Openbite (anterior)(posterior)
Deep Overbite (excessive)
Horizontal overbite
Vertical overbite
Overjet
Posterior lingual occlusion of mandibular teeth

K07.3 Anomalies of tooth position

Applicated To:
 Crowding
Diastema
Displacement
Rotation
Spacing, abnormal
Transposition
Impacted or embedded teeth with abnormal position of such teeth or
adjacent teeth
Excl.: Embedded and impacted teeth without abnormal position
(K01.-)
K07.4 Malocclusion, unspecified

K07.5 Dentofacial functional abnormalities

Applicated To:
Abnormal jaw closure
Malocclusion due to:
abnormal swallowing
mouth breathing
tongue, lip or finger habits
Excl.: Bruxism (F45.8)
Teeth-grinding NOS (F45.8)

K07.6 Temporomandibular joint disorders

Applicated To:
Costen complex or syndrome
Derangement of temporomandibular joint
Snapping jaw
Temporomandibular joint-pain-dysfunction syndrome
Excl.: Current temporomandibular joint:
Dislocation (S03.0)
Strain (S03.4)

K07.8 Other dentofacial anomalies

K07.9 Dentofacial anomaly, unspecified

K08 Other disorders of teeth and supporting structures
K08.0 Exfoliation of teeth due to systemic causes

K08.1 Loss of teeth due to accident, extraction or local

periodontal disease
K08.10 Complete loss of teeth, unspecified cause
K08.101 Complete loss of teeth, unspecified cause,
class I
K08.102 Complete loss of teeth, unspecified cause,
class II
K08.103 Complete loss of teeth, unspecified cause,
class III
K08.104 Complete loss of teeth, unspecified cause,
class IV
K08.109 Complete loss of teeth, unspecified cause,
unspecified class

K08.11 Complete loss of teeth due to trauma

K08.111 Complete loss of teeth due to trauma, class I
K08.112 Complete loss of teeth due to trauma, class II
K08.113 Complete loss of teeth due to trauma, class III
K08.114 Complete loss of teeth due to trauma, class IV
K08.119 Complete loss of teeth due to trauma,
unspecified class

K08.12 Complete loss of teeth due to periodontal diseases

K08.121 Complete loss of teeth due to periodontal
diseases, class I
K08.122 Complete loss of teeth due to periodontal
diseases, class II
K08.123 Complete loss of teeth due to periodontal
diseases, class III
K08.124 Complete loss of teeth due to periodontal
diseases, class IV
 K08.129 Complete loss of teeth due to periodontal
diseases, unspecified

K08.13 Complete loss of teeth due to caries

K08.131 Complete loss of teeth due to caries, class I
K08.132 Complete loss of teeth due to caries, class II
K08.133 Complete loss of teeth due to caries, class III
K08.134 Complete loss of teeth due to caries, class IV
K08.139 Complete loss of teeth due to caries,
unspecified class

K08.19 Complete loss of teeth due to other specified cause

K08.191 Complete loss of teeth due to other specified
cause, class I
K08.192 Complete loss of teeth due to other specified
cause, class II
K08.193 Complete loss of teeth due to other specified
cause, class III
K08.194 Complete loss of teeth due to other specified
cause, class IV
K08.199 Complete loss of teeth due to other specified
cause, unspecified

K08.2 Atrophy of edentulous alveolar ridge

K08.20 Unspecified atrophy of edentulous alveolar ridge
K08.21 Minimal atrophy of the mandible
K08.22 Moderate atrophy of the mandible
K08.23 Severe atrophy of the mandible
K08.24 Minimal atrophy of maxilla
K08.25 Moderate atrophy of the maxilla
K08.26 Severe atrophy of the maxilla
K08.3 Retained dental root

K08.4 Retained dental root

K08.40 Partial loss of teeth, unspecified cause
K08.401 Partial loss of teeth, unspecified cause, class I
K08.402 Partial loss of teeth, unspecified cause, class II
K08.403 Partial loss of teeth, unspecified cause, class
III
K08.404 Partial loss of teeth, unspecified cause, class
IV
K08.409 Partial loss of teeth, unspecified cause,
unspecified class
 K08.41 Partial loss of teeth due to trauma
K08.411 Partial loss of teeth due to trauma, class I
K08.412 Partial loss of teeth due to trauma, class II
K08.413 Partial loss of teeth due to trauma, class III
K08.414 Partial loss of teeth due to trauma, class IV
K08.419 Partial loss of teeth due to trauma,
unspecified class

K08.42 Partial loss of teeth due to periodontal diseases

K08.421 Partial loss of teeth due to periodontal
diseases, class I
K08.422 Partial loss of teeth due to periodontal
diseases, class II
K08.423 Partial loss of teeth due to periodontal
diseases, class III
K08.424 Partial loss of teeth due to periodontal
diseases, class IV
K08.429 Partial loss of teeth due to periodontal
diseases, unspecified class

K08.43 Partial loss of teeth due to caries

K08.431 Partial loss of teeth due to caries, class I
K08.432 Partial loss of teeth due to caries, class II
K08.433 Partial loss of teeth due to caries, class III
K08.434 Partial loss of teeth due to caries, class IV
K08,439 Partial loss of teeth due to caries, unspecified
class

K08.49 Partial loss of teeth due to other specified cause

K08.491 Partial loss of teeth due to other specified
cause, class I
K08.492 Partial loss of teeth due to other specified
cause, class II
K08.493 Partial loss of teeth due to other specified
cause, class III
K08.494 Partial loss of teeth due to other specified
cause, class IV
K08.499 Partial loss of teeth due to other specified
cause, unspecified class

K08.5 Unsatisfactory restoration of tooth

Applicable To:
 Defective bridge, crown, filling

Defective dental restoration

Excl.: Dental restoration status (Z98.811)
Endosseous dental implant failure (M27.6-)
Unsatisfactory endodontic treatment (M27.5-)

K08.50 Unsatisfactory restoration of tooth unspecified

Applicable To:
Defective dental restoration NOS

K08.51 Open restoration margins of tooth

Applicable To:
Dental restoration failure of marginal integrity

Open margin on tooth restoration

Poor gingival margin to tooth restoration

K08.52 Unrepairable overhanging of dental restorative

materials
Applicable To:
Overhanging of tooth restoration

K08.53 Fractured dental restorative material

K08.530 Fractured dental restorative material without
loss of material
K08.531 Fractured dental restorative material with loss
of material
K08.539 Fractured dental restorative material,
unspecified

K08.54 Contour of existing restoration of tooth biologically

incompatible with oral health
Applicable To:
Dental restoration failure of periodontal anatomical integrity
Unacceptable contours of existing restoration of tooth
Unacceptable morphology of existing restoration of tooth

K08.55 Allergy to existing dental restorative material

K08.56 Poor aesthetic of existing restoration of tooth
K08.59 Other unsatisfactory restoration of tooth
 K08.8 Other specified disorders of teeth and supporting
structures
Clinical Information:
A disorder characterized by a sensation of marked discomfort in the
tooth.

A painful sensation originating from a tooth.

Pain in the adjacent areas of the teeth.

Applicable To:
Enlargement of alveolar ridge NOS
Insufficient anatomic crown height
Insufficient clinical crown length
Irregular alveolar process
Toothache NO

K08.9 Disorder of teeth and supporting structures, unspecified

Clinical Information:
Condition in which there is a deviation from or interruption of the
normal structure or function of the dental tissues or teeth.
K09 Cysts of oral region, not elsewhere classified
Incl.: Lesions showing histological features both of aneurysmal cyst and of
another fibro-osseous lesion
Excl.: Radicular cyst (K04.8)
Cyst of jaw

K09.0 Developmental odontogenic cysts

Clinical Information:
Cyst due to the occlusion of the duct of a follicle or small gland.

Most common follicular odontogenic cyst. Occurs in relation to a

partially erupted or unerupted tooth with at least the crown of the
tooth to which the cyst is attached protruding into the cystic cavity.
May give rise to an ameloblastoma and, in rare instances, undergo
malignant transformation.
Applicable To:
Dentigerous cyst

Eruption cyst

Follicular cyst

Gingival cyst

Lateral periodontal cyst

Primordial cyst

K09.1 Developmental (nonodontogenic) cysts of oral region

Clinical Information:
Cysts formed from epithelial inclusions in the lines of fusion of the
embryonic processes which form the jaws. They include nasopalatine
or incisive canal cyst, incisive papilla cyst, globulomaxillary cyst,
median palatal cyst, median alveolar cyst, median mandibular cyst,
and nasoalveolar cyst.
Applicable To:
Cyst (of) incisive canal

Cyst (of) palatine of papilla

Globulomaxillary cyst
 Median palatal cyst

Nasoalveolar cyst

Nasolabial cyst

Nasopalatine duct cyst

Approximate Synonyms:
Naso-labial cyst

K09.2 Other cysts of jaw

Cyst of jaw:
NOS
aneurysmal
haemorrhagic
traumatic
Excl.: Latent bone cyst of jaw (K10.0)
Stafne cyst (K10.0)

K09.8 Other cysts of oral region, not elsewhere classified

Clinical Information:
A benign neoplasm comprised of a cyst, lined by mature epidermis-like
tissue with dermal appendages.

A benign tumor resulting from abnormal embryonic development

A mature teratoma characterized by the presence of a cyst which is

lined by mature tissue resembling the epidermis and the epidermal
appendages. It occurs in the ovary, testis, and extragonadal sites
including central nervous system and skin.

A tumor consisting of displaced ectodermal structures along the lines

of embryonic fusion, the wall being formed of epithelium-lined
connective tissue, including skin appendages, and containing keratin,
sebum, and hair. (stedman, 25th ed)

A type of benign (not cancer) germ cell tumor (type of tumor that
begins in the cells that give rise to sperm or eggs) that often contains
several different types of tissue such as hair, muscle, and bone.

Intradermal or subcutaneous saclike structure, the wall of which is

stratified epithelium containing keratohyalin granules.
Applicable To:
 Dermoid cyst

Epidermoid cyst

Lymphoepithelial cyst

Epstein's pearl
Approximate Synonyms
Cystic dermoid choristoma of mouth

Dermoid cyst of mouth

Epsteins pearl

Epstein's pearl of palate

Oral dermoid cyst

K09.9 Cyst of oral region, unspecified

Approximate Synonyms
Cyst of oral soft tissue

Oral cyst

Oral cyst, soft tissues

Oral soft tissue cyst

K10 Other diseases of jaws

K10.0 Developmental disorders of jaws
Applicable To:
Latent bone cyst of jaw

Stafne cyst

Torus mandibularis

Torus palatinus

K10.1 Giant cell granuloma, central

Applicable To:
Giant cell granuloma NOS
Excl.: Peripheral giant cell granuloma (K06.8)
 K10.2 Inflammatory conditions of jaws
Applicable To:
Osteitis of jaw (acute)(chronic)(suppurative)
Osteomyelitis (neonatal)
Osteonecrosis (drug-induced) (radiation-induced)
Osteo(radio)necrosis
Periostitis
Sequestrum of jaw bone

K10.3 Alveolitis of jaws

Applicable To:
Alveolar osteitis
Dry socket

K10.8 Other specified diseases of jaws

Applicable To:
Cherubism
Exostosis
Fibrous dysplasia
Unilateral condylar (hyperplasia) (hypoplasia)

K10.9 Disease of jaws, unspecified

K11 Diseases of salivary glands

Clinical Information:
A non-neoplastic or neoplastic (benign or malignant) disorder involving
the salivary gland.

Condition in which there is a deviation from or interruption of the normal

structure or function of any of the three pairs of salivary glands, which are
the parotid, sublingual, and submandibular glands.

Your salivary glands make saliva - sometimes called spit - and empty it
into your mouth through openings called ducts. Saliva makes your food
moist, which helps you chew and swallow. It helps you digest your food. It
also cleans your mouth and contains antibodies that can kill germs.
Problems with salivary glands can cause the glands to become irritated
and swollen. This causes symptoms such as

o bad taste in the mouth

o difficulty opening your mouth

o dry mouth

o pain in the face or mouth

o swelling of the face or neck

causes of salivary gland problems include infections, obstruction or

cancer. Problems can also be due to other disorders, such as mumps or
sjogren's syndrome.

K11.0 Atrophy of salivary gland

K11.1 Hypertrophy of salivary gland

K11.2 Sialoadenitis
Clinical Information:
An acute or chronic inflammatory process affecting a salivary gland.
Signs and symptoms include pain and tenderness in the affected area.

Inflammation of salivary tissue (salivary glands), usually due to

infection or injuries.

Inflammation of the parotid gland.

Applicable To:
Parotitis
Excl.: Epidemic parotitis (B26.-)
Uveoparotid fever [Heerfordt] (D86.8)

K11.20 Sialoadenitis unspecified

Clinical Information:
An acute or chronic inflammatory process affecting a salivary
gland. Signs and symptoms include pain and tenderness in the
affected area.

Inflammation of salivary tissue (salivary glands), usually due to

infection or injuries.
 K11.21 Acute sialoadenitis
K11.22 Acute recurrent sialoadenitis
K11.23 Chronic sialoadenitis

K11.3 Abscess of salivary gland

K11.4 Fistula of salivary gland

Excl.: Congenital fistula of salivary gland (Q38.4)
Clinical Information:
A disorder characterized by an abnormal communication between a
salivary gland and another organ or anatomic site.

A fistula between a salivary duct or gland and the cutaneous surface of

the oral cavity.

An abnormal communication between a salivary gland and another

organ or anatomic site.

K11.5 Sialolithiasis
Clinical Information
Calculi occurring in a salivary gland. Most salivary gland calculi occur
in the submandibular gland, but can also occur in the parotid gland
and in the sublingual and minor salivary glands.
Applicable To:
Calculus of salivary gland or duct

Stone of salivary gland or duct

Approximate Synonyms:
Submandibular sialolithiasis

K11.6 Mucocele of salivary gland\

Clinical Information:
A form of retention cyst of the floor of the mouth, usually due to
obstruction of the ducts of the submaxillary or sublingual glands,
presenting a slowly enlarging painless deep burrowing mucocele of
one side of the mouth. It is also called sublingual cyst and sublingual
ptyalocele.
Applicable To:
Mucous extravasation cyst of salivary gland
Mucous retention cyst of salivary gland
Ranula

K11.7 Disturbances of salivary secretion

Clinical Information:
A disorder characterized by reduced salivary flow in the oral cavity.

An oral condition in which salivary flow is reduced.

Decreased salivary flow.

Dry mouth is the feeling that there is not enough saliva in your mouth.
Everyone has a dry mouth once in a while - if they are nervous, upset
or under stress. But if you have a dry mouth all or most of the time, it
can be uncomfortable and can lead to serious health
problems.symptoms of dry mouth include

o a sticky, dry feeling in the mouth

o trouble chewing, swallowing, tasting, or speaking

o a burning feeling in the mouth

o a dry feeling in the throat

o cracked lips

o a dry, rough tongue

o mouth sores

o an infection in the mouth

dry mouth is not a normal part of aging. Causes include some

medicines, radiation therapy, chemotherapy, and nerve damage.
salivary gland diseases, sjogren's syndrome, hiv/aids, and diabetes can
also cause dry mouth.treatment depends on the cause. Things you can
do include sipping water, avoiding drinks with caffeine, tobacco, and
alcohol, and chewing sugarless gum or sucking on sugarless hard
candy. nih: national institute of dental and craniofacial disorders.

Dry mouth. It occurs when the body is not able to make enough saliva.

Dryness of the mouth due to salivary gland secretion dysfunction.

Increased salivary flow.

Applicable To:
Hypoptyalism
 Ptyalism

Xerostomia
Approximate Synonyms:
Disturbance of salivary secretion

Excessive salivation

Salivary secretion disturbance

Sialorrhea
Excl.: Dry mouth NOS (R68.2)

K11.8 Other diseases of salivary glands

Clinical Information:
A benign, inflammatory, variably ulcerated, occasionally bilateral, self-
healing lesion of the minor salivary glands that is often confused
clinically and histologically with carcinoma.

A chronic, benign, and usually painless inflammatory swelling of the

lacrimal and salivary glands. It is considered by some to include the
glandular enlargement associated with other diseases, such as
sjogren's syndrome, sarcoidosis, lupus erythematosus, etc.
Applicable To:
Benign lymphoepithelial lesion of salivary gland

Mikulicz' disease

Necrotizing sialometaplasia

Sialectasia

Stenosis of salivary duct

Stricture of salivary duct

Excl.: Sicca syndrome [Sjgren] (M35.0)

K11.9 Disease of salivary gland, unspecified

Clinical Information:
A non-neoplastic or neoplastic (benign or malignant) disorder involving
the salivary gland.
 Condition in which there is a deviation from or interruption of the
normal structure or function of any of the three pairs of salivary
glands, which are the parotid, sublingual, and submandibular glands.

Your salivary glands make saliva - sometimes called spit - and empty it
into your mouth through openings called ducts. Saliva makes your food
moist, which helps you chew and swallow. It helps you digest your
food. It also cleans your mouth and contains antibodies that can kill
germs. Problems with salivary glands can cause the glands to become
irritated and swollen. This causes symptoms such as

o bad taste in the mouth

o difficulty opening your mouth

o dry mouth

o pain in the face or mouth

o swelling of the face or neck

causes of salivary gland problems include infections, obstruction or

cancer. Problems can also be due to other disorders, such as mumps or
sjogren's syndrome.

Applicable To:
Sialoadenopathy NOS
Approximate Synonyms:
Disorder of salivary gland

Salivary gland disease

K12 Stomatitis and related lesions

Excl.: Cancrum oris (A69.0)
Cheilitis (K13.0)
Gangrenous stomatitis (A69.0)
Herpesviral [herpes simplex] gingivostomatitis (B00.2)
Noma (A69.0)

K12.0 Recurrent oral aphthae

Clinical Information:
Symmetric excoriation of the hard palate often due to sucking in
infants
Applicable To:
Aphthous stomatitis (major)(minor)
Bednar aphthae
Periadenitis mucosa necrotica recurrens
Recurrent aphthous ulcer
Stomatitis herpetiformis

K12.1 Other forms of stomatitis

Clinical Information:
A disorder characterized by inflammation of the oral mucosal.

A viral disease caused by at least two distinct species (serotypes) in

the vesiculovirus genus: vesicular stomatitis indiana virus and
vesicular stomatitis new jersey virus. It is characterized by vesicular
eruptions on the oral mucosa in cattle, horses, pigs, and other animals.
In humans, vesicular stomatitis causes an acute influenza-like illness.

Inflammation of the mouth due to denture irritation.

Inflammation of the mucous tissue of the mouth

Inflammation of the oral mucosa due to local or systemic factors.

Inflammation of the soft tissues of the mouth, such as mucosa; palate;

gingiva; and lip.

Inflammation or irritation of the mucous membranes in the mouth.

Applicable To:
Stomatitis NOS

Denture stomatitis

Ulcerative stomatitis

Vesicular stomatitis

K12.2 Cellulitis and abscess of mouth

Applicable To:
Cellulitis of mouth (floor)
 Submandibular abscess
Excl.: abscess (of):
periapical (K04.6-K04.7)
periodontal (K05.2)
peritonsillar (J36)
salivary gland (K11.3)
tongue (K14.0)

K12.3 Oral mucositis (ulcerative)

Applicable To:
Mucositis(oral) (oropharyngeal):
K12.30 Oral mucositis unspecified

K12.31 Oral mucositis due to antineoplastic therapy

K12.32 Oral mucositis due to other drugs

K12.33 Oral mucositis due to radiation

K12.39 Other oral mucositis (ulcerative)

Applicable To:
Viral oral mucositis (ulcerative)
Excl.: Mucositis (ulcerative) of gastrointestinal tract (except oral
cavity and oropharynx) (K92.8)
K13 Other diseases of lip and oral mucosa
Incl.: Epithelial disturbances of tongue
Excl.: Certain disorders of gingiva and edentulous alveolar ridge
(K05-K06)
Cysts of oral region (K09.-)
Diseases of tongue (K14.-)
Stomatitis and related lesions (K12.-)

K13.0 Diseases of lips

Clinical Information:
A disorder characterized by a sensation of marked discomfort of the
lip.

A disorder characterized by inflammation of the lip.

An inflammatory process affecting the lip.

Inflammation of the lips. It is of various etiologies and degrees of

pathology.

Painful sensation in the lip.

Applicable To:
Abscess of lips
Angular cheilitis
Cellulitis of lips
Cheilitis NOS
Cheilodynia
Cheilosis
Exfoliative cheilitis
Fistula of lips
Glandular cheilitis
Hypertrophy of lips
Perlche NEC
Excl.: Ariboflavinosis (E53.0)
Cheilitis due to radiation-related disorders (L55-L59)
Perlche due to:
candidiasis (B37.8)
riboflavin deficiency (E53.0)

K13.1 Cheek and lip biting

 K13.2 Leukoplakia and other disturbances of oral epithelium,
including tongue
K13.21 Leukoplakia of oral mucosa, including tongue
Clinical Information:
A white patch or plaque on oral cavity mucosa that cannot be
characterized clinically or pathologically as any other disease.
The diagnosis of leukoplakia is one of exclusion; other conditions
such as candidiasis, lichen planus, leukoedema, etc. Must be
ruled out before a diagnosis of leukoplakia can be made.
Leukoplakia may be a premalignant condition.

A white patch or plaque on oral mucosa that cannot be

characterized clinically or pathologically as any other disease.
The diagnosis of leukoplakia is one of exclusion; other conditions
such as candidiasis, lichen planus, leukoedema, etc. Must be
ruled out before a diagnosis of leukoplakia can be made.
Leukoplakia may be a premalignant condition.

A white patch seen on the oral mucosa. It is considered a

premalignant condition and is often tobacco-induced. When
evidence of epstein-barr virus is present, the condition is called
hairy leukoplakia (leukoplakia, hairy).

White patch seen on the oral mucosa; considered a premalignant

condition and is often tobacco-induced.
Applicable To:
Leukokeratosis of oral mucosa

Leukoplakia of gingiva, lips, tongue

K13.22 Minimal keratinized residual ridge mucosa

Applicable To:
Minimal keratinization of alveolar ridge mucosa
K13.23 Excessive keratinized residual ridge mucosa
Applicable To:
Excessive keratinization of alveolar ridge mucosa
K13.24 Leukokeratosis nicotina palati
Applicable To:
Smoker's palate
K13.29 Other disturbances of oral epithelium, including tongue
Applicable To:
Erythroplakia of mouth or tongue
Focal epithelial hyperplasia of mouth or tongue
 Leukoedema of mouth or tongue
Other oral epithelium disturbances

K13.3 Hairy leukoplakia

Clinical Information:
An epithelial hyperplasia of the oral mucosa associated with epstein-
barr virus and found almost exclusively in persons with hiv infection.
The lesion consists of a white patch that is often corrugated or hairy.

Epithelial hyperplasia of the oral mucosa associated with epstein-barr

virus (herpesvirus 4, human) and found almost exclusively in persons
with hiv infection. The lesion consists of a white patch that is often
corrugated or hairy.

Approximate Synonyms:
Oral hairy leukoplakia

K13.4 Granuloma and granuloma-like lesions of oral mucosa

Clinical Information:
A clinical variant of langerhans cell histiocytosis characterised by
unifocal involvement of a bone (most often), skin, or lung. Patients are
usually older children or adults usually presenting with a lytic bone
lesion. The etiology is unknown. Morphologically, eosinophilic
granuloma is characterised by the presence of langerhans cells in a
characteristic milieu which includes histiocytes, eosinophiles
neutrophiles, and small, mature lymphocytes.

Most benign clinical form of langerhans-cell histiocytosis, which

involves localized nodular lesions of the gastric mucosa, small
intestine, bones, lungs, or skin, with infiltration by eosinophils; the
proliferating cell that appears to be responsible for the clinical
manifestations is the langerhans cell.

The most benign and common form of langerhans-cell histiocytosis

which involves localized nodular lesions predominantly of the bones
but also of the gastric mucosa, small intestine, lungs, or skin, with
infiltration by eosinophils.
Applicable To:
Eosinophilic granuloma

Granuloma pyogenicum

Verrucous xanthoma
 K13.5 Oral submucous fibrosis
Applicable To:
Submucous fibrosis of tongue

K13.6 Irritative hyperplasia of oral mucosa

Excl.: Irritative hyperplasia of edentulous ridge [denture hyperplasia]
(K06.2)

K13.7 Other and unspecified lesions of oral mucosa

K13.70 Unspecified lesions of oral mucosa
Approximate Synonyms:
Oral (mouth) lesion

Oral lesion

Oral mucosal lesion

K13.79 Other lesions of oral mucosa
Applicable To:
Focal oral mucinosis

K14 Diseases of tongue

Clinical Information:
Your tongue helps you taste, swallow, and chew. You also use it to speak.
Your tongue is made up of many muscles. The upper surface contains your
taste buds. Problems with the tongue include

o pain

o swelling

o changes in color or texture

o abnormal movement or difficulty moving the tongue

o taste problems

these problems can have many different causes. Treatment depends on

the underlying problem.

Excl.:

erythroplakia ->of tongue (K13.2)

 focal epithelial hyperplasia
leukoedema
leukoplakia
Hairy leukoplakia (K13.3)
Macroglossia (congenital) (Q38.2)
Submucous fibrosis of tongue (K13.5)

K14.0 Glossitis
Clinical Information:
Inflammation of the tongue.
Applicable To:
Abscess of tongue

Ulceration (traumatic) of tongue

Excl.: Atrophic glossitis (K14.4)

K14.1 Geographic tongue

Clinical Information:
A benign condition characterized by the development of irregular
patches in the surface of the tongue resulting in a map-like
appearance. The patches migrate from day to day and usually resolve
without treatment.

An idiopathic disorder characterized by the loss of filiform papillae

leaving reddened areas of circinate macules bound by a white band.
The lesions heal, then others erupt.

Applicable To:
Benign migratory glossitis

Glossitis areata exfoliativa

K14.2 Median rhomboid glossitis

Approximate Synonyms:
Persistent tuberculum impar

K14.3 Hypertrophy of tongue papillae

Applicable To:
Black hairy tongue

Coated tongue
 Hypertrophy of foliate papillae

Lingua villosa nigra

K14.4 Atrophy of tongue papillae

Applicable To:
Atrophic glossitis

K14.5 Plicated tongue

Applicable To:
Fissured tongue

Furrowed tongue

Scrotal tongue
Excl.: Fissured tongue, congenital (Q38.3)

K14.6 Glossodynia
Clinical Information:
Painful sensations in the tongue, including a sensation of burning.
Applicable To:
Glossopyrosis

Painful tongue
Approximate Synonyms:
Burning Mouth Syndrome

K14.8 Other diseases of tongue

Clinical Information:
A finding indicating enlargement of the tongue.

The presence of an excessively large tongue, which may be congenital

or may develop as a result of a tumor or edema due to obstruction of
lymphatic vessels, or it may occur in association with hyperpituitarism
or acromegaly. It also may be associated with malocclusion because of
pressure of the tongue on the teeth. (from jablonski, dictionary of
dentistry, 1992)
Applicable To:
Atrophy of tongue
Crenated tongue
Enlargement of tongue
Glossocele
Glossoptosis
 Hypertrophy of tongue

K14.9 Disease of tongue, unspecified

Clinical Information:
Your tongue helps you taste, swallow, and chew. You also use it to
speak. Your tongue is made up of many muscles. The upper surface
contains your taste buds. Problems with the tongue include

o pain

o swelling

o changes in color or texture

o abnormal movement or difficulty moving the tongue

o taste problems

these problems can have many different causes. Treatment depends

on the underlying problem.

Applicable To:
Glossopathy NOS

L51 Erythema multiforme

L51.0 Nonbullous erythema multiforme
Clinical Information:
A disorder characterized by target lesions (a pink-red ring around a
pale center).
 A hypersensitivity reaction characterized by the sudden appearance of
symmetrical cutaneous and mucocutaneous macular or popular lesions
which evolve into lesions with bright red borders (target lesions). The
lesions usually appear in the hands, feet, extremities, and face.
Symptoms include fever, malaise, sore throat, cough, vomiting,
diarrhea, arthalgia, and myalgia. Causes include infections (most
commonly herpes simplex virus), drugs (e.g., sulfonamides,
anticonvulsants, and antibiotics), malignancies, and collagen vascular
disorders.

A skin and mucous membrane disease characterized by an eruption of

macules, papules, nodules, vesicles, and/or bullae with characteristic
"bull's-eye" lesions usually occurring on the dorsal aspect of the hands
and forearms.

Skin and mucous membrane disease characterized by an eruption of

macules, papules, nodules, vesicles, and/or bullae with characteristic
bull's-eye lesions usually occurring on the dorsal aspect of the hands
and forearms.

R51 Headache
Applicable To:
Facial pain NOS
Excl.: Atypical face pain (G50.1)
Migraine and other headache syndromes (G43-G44)
Trigeminal neuralgia (G50.0)
Clinical Information:
A disorder characterized by a sensation of marked discomfort in the
face.

A disorder characterized by a sensation of marked discomfort in

various parts of the head, not confined to the area of distribution of
any nerve.

Almost everyone has had a headache. Headache is the most common

form of pain. It's a major reason people miss days at work or school or
visit the doctor.the most common type of headache is a tension
headache. Tension headaches are due to tight muscles in your
shoulders, neck, scalp and jaw. They are often related to stress,
depression or anxiety. You are more likely to get tension headaches if
you work too much, don't get enough sleep, miss meals, or use
alcohol. Other common types of headaches include migraines, cluster
 headaches, and sinus headaches. Most people can feel much better by
making lifestyle changes, learning ways to relax and taking pain
relievers. Not all headaches require a doctor's attention. But
sometimes headaches warn of a more serious disorder. Let your health
care provider know if you have sudden, severe headaches. Get
medical help right away if you have a headache after a blow to your
head, or if you have a headache along with a stiff neck, fever,
confusion, loss of consciousness, or pain in the eye or ear.

Pain in the cranial region that may occur as an isolated and benign
symptom or as a manifestation of a wide variety of conditions.

Pain in the facial region including orofacial pain and craniofacial pain.
Associated conditions include local inflammatory and neoplastic
disorders and neuralgic syndromes involving the trigeminal, facial, and
glossopharyngeal nerves. Conditions which feature recurrent or
persistent facial pain as the primary manifestation of disease are
referred to as facial pain syndromes.

Pain in various parts of the head, not confined to the area of

distribution of any nerve.

Painful sensation in the face.

The symptom of pain in the cranial region. It may be an isolated

benign occurrence or manifestation of a wide variety of headache
disorders.

S02 Fracture of skull and facial bones

S02.4 Fracture of malar, maxillary and zygoma bones
Applicable To:
Fracture of superior maxilla

Fracture of upper jaw (bone)

Fracture of zygomatic process of temporal bone

S02.5 Fracture of tooth

Clinical Information:
Break or rupture of a tooth or tooth root.

Broken tooth affecting any portion of tooth: root fracture, crown-root,

broken tooth (crown fracture), chipped tooth. A crown fracture can
 involve the pulp. Tooth fracture sequelae range in severity from
cosmetic defects to tooth death. Involvement of the pulp is a more
important indicator of severity of tooth fracture than is the amount of
the tooth affected.
Applicable To:
Broken tooth
Excl.: Cracked tooth (nontraumatic) (K03.81)

S02.6 Fracture of mandible

Clinical Information:
Fractures of the lower jaw.

KLASIFIKASI KARIES

1 Klasifikasi karies menurut sistem Black :

- Klas I : karies ini terjadi pada ceruk dan fisura dari semua gigi, meskipun lebih ditujukan
pada gigi posterior.
- Klas II : kavitas yang terrdapat pada permukaan aproksimal gigi posterior, karies Klas II
dapat mengenai permukaan mesial dan distal atau hanya salah satunya sehingga dapat
digolongkan menjadi kavitas MO (mesio-oklusal) atau MOD (mesioo-oklusal-distal).
Karena akses untuk perbaikan biasanya dibuat dari permukaan oklusal, permukaan
oklusal dan aproksimal dari gigi direstorasi sekaligus. Tetapi dilihat dari definisinya
kavitas ini adalah lesi proksimal dan tiidak selalu mencakup permukaan oklusal.
- Klas III : lesi Klas III hanya mengenai gigi anterior. Lesi ini dapat terjadi pada permukaan
mesial atau distal dari insisivus atau kaninus, lesii ini terjadi di bawah titik kontak dan
bentuk kavitasnya bulat dan kecil.
- Klas IV : kavitas ini adalah kelanjutan dari kavitas Klas III. Lesi ini pada permukaan
proksimal gigi anterior yang telah meluas sampai ke sudut insisal. Jika karies ini luas atau
abrasi hebat dapat melemahkan sudut insisal dan menyebabkan terjadinya fraktur.
- Klas V : kavitas gingival adalah kavitas pada permukaan yang halus. Terlepas dari
etiologinya karies, abrasi, atau erosi tipe lesi ini disebut juga karies Klas V. Menurut
definisi Dr.Black, karies Klas V juga dapat terjadi baik pada permukaan facial maupun
lingual, namun lesi ini lebih dominan timbul pada permukaan yang menghadap bibir dan
pipi daripada lidah. Kavitas ini bisa mengenai sementum selain email.
- Klas VI : tipe kavitas ini terjadi pada ujung tonjol Gigi posterior dan edge insisal gigi
insisivus. Pembentukan yang tidak sempurna pada ujung tonjol atau edge insisal
seringkali membuat daerah rentan terhadap karies. Karies Klas VI sebenarnya bukan
 diidentifikasi oleh Dr.Black, tetapi pada daerah geografis tertentu ditambahkan sehingga
menjadi bagian dari system klasifikasinya (Lloyd Baum dkk,1997: 49-51).

2 Menurut G.J.Mount karies diklasifikasikan berdasarkan lesi yang terjadi pada permukaan gigi
beserta ukuran kavitasnya, yang terdiri atas 3 site yaitu:
a Site 1 : Karies pada pit dan fisure di permukaan oklusal gigi anterior maupun
posterior
b Site 2 : Karies pada permukaan aproksimal gigi anterior maupun posterior
c Site 3 : Karies pada 1/3 mahkota dari akar (servikal) sejajar dengan gingiva.

3 Klasifikasi karies berdasarkan kedalamannya

menurut ICDAS, Karies terbagi atas 6:
a D1: White spot yang terlihat pada saat gigi dikeringkan.
b D2: White spot yang terlihat tanpa gigi dikeringkan.
c D3: terdapat lesi minimal pada permukaan karies gigi
d D4: Lesi email lebih dalam. Tampak bayangan gelap dentin atau lesi sudah mencapai
bagian dentino enamel junction
e D5: Lesi telah mencapai dentin
f D6: Lesi telah mencapai pulpa

4 Berdasarkan Lokasi :

a. Karies pada permukaan licin/rata.

Merupakan jenis karies yang terjadi pada permukaan yang licin dan paling bisa
dicegah dengan menggosok gigi, proses terjadinya paling lambat. Karies dimulai sebagai
bintik putih buram (white spot) yang terjadi karena telah terjadi pelarutan email oleh asam
sebagai hasil metabolisme bakteri.

b. Karies pada pit dan fissure.

 Terbentuk pada gigi belakang, yaitu pada permukaan gigi untuk mengunyah dan pada
bagian gigi yang berhadapan dengan pipi. Daerah ini sulit dibersihkan karena lekukannya
lebih sempit dan tidak terjangkau oleh sikat gigi.

b. Karies pada akar gigi.

Berawal sebagai jaringan yang menyerupai tulang, yang membungkus permukaan

akar (sementum). Pembusukan ini sering terjadi karena penderita mengalami kesulitan dalam
membersihkan daerah akar gigi. Pembusukan akar merupakan jenis pembusukan yang paling
sulit dicegah.

Setelah menembus ke dalam lapisan kedua (dentin, lebih lunak), pembusukan akan
menyebar lebih cepat dan masuk ke dalam pulpa (lapisan gigi paling dalam yang
mengandung saraf dan pembuluh darah).

5 Berdasarkan Waktu Terjadinya :

a Karies Primer, yaitu karies yang terjadi pada lokasi yang belum pernah terkena riwayat
karies sebelumnya.
b Karies Sekunder, yaitu karies yang rekuren artinya karies yang timbul pada lokasi yang
telah memiliki riwayat karies sebelumnya, biasanya karies ini ditemukan pada tepi
tambalan.

6 Berdasarkan Tingkat Progresifitasnya

a Karies Akut, yaitu karies yang berkembang dan memburuk dengan cepat. Misalnya:
rampant karies, pasien xerostomia.
b Karies Kronis, yaitu proses karies yang berjalan dengan lambat. Karies ini menunjukan
warna kecoklatan sampai hitam.
c Karies terhenti, yaitu karies yang lesinya tidak berkembang lagi, karies ini bisa
disebabkan oleh perubahan lingkungan.

7 Berdasarkan Tingkat Keparahannya

a Karies Ringan, yaitu jika serangan karies hanya pada gigi yang paling rentan, seperti pit
dan fisure, sedangkan kedalamannya hanya mengenai lapisan email (iritasi pulpa).
b Karies Sedang, yaitu jika serangan karies meliputi permukaan oklusal dan aproksimal gigi
posterior. Kedalaman karies sudah mengenai lapisan dentin (hiperemi pulpa).
c Karies Berat/Parah, yaitu jika serangan karies juga meliputi gigi anterior yang biasanya
bebas karies. Kedalamannya sudah mengenai pulpa, baik pulpa yang tertutup maupun
pulpa yang terbuka (pulpitis dan gangren pulpa). Karies pada gigi anterior dan posterior
sudah meluas ke bagian pulpa.

8 Berdasarkan Etiologi
 Berdasarkan etiologi maka ada 2 yang paling umum digunakan oleh para dokter gigi,
yaitu :

a Karies botol bayi adalah karies yang ditemukan pada gigi susu anak kecil. Karies botol
bayi disebabkan glukosa/gula yang terdapat pada botol susu yang terus menempel ketika
bayi tertidur. Kebiasaan ini banyak dilakukan oleh orangtua karena tidak ingin repot
dengan tangisan si anak. Padahal kebiasaan ini akan mengakibatkan gula yang terdapat
dalam susu akan berinteraksi dengan cepat untuk membentuk lubang gigi karena terpapar
dalam waktu yang lama dengan mulut anak.
b Karies rampan adalah karies yang berkembang secara drastis dan terjadi pada banyak gigi
secara cepat pada orang dewasa. Karies rampan banyak terjadi pada pasien dengan
xerostomia(air ludah kurang), kebersihan mulut yang buruk, penggunaan
methampetamin, radiasi berlebihan, dan konsumsi gula berlebihan.

9 Berdasarkan Stadium Karies (dalamnya karies)

a. Karies Superfisialis, di mana karies baru mengenai enamel saja, sedang dentin belum
terkena.

b. Karies Media, di mana karies sudah mengenai dentin, tetapi belum melebihi setengah
dentin.
 c. Karies Profunda, di mana karies sudah mengenai lebih dari setengah dentin dan kadang-
kadang sudah mengenai pulpa. Terbagi :menjadi 3 stadium, yaitu :
1. Stadium I belum terjadi radang
2. Stadium II sudah ada radang
3. Stadium III sudah perforasi dan radang

Berdasarkan Keparahan atau Kecepatan Berkembangnya :

a. Karies Ringan
Kasusnya disebut ringan jika serangan karies hanya pada gigi yang paling rentan seperti pit
(depresi yang kecil, besarnya seujung jarung yang terdapat pada permukaan oklusal dari gigi
molar) dan fisure (suatu celah yang dalam dan memanjang pada permukaan gigi) sedangkan
kedalaman kariesnya hanya mengenai lapisan email (iritasi pulpa).
b. Karies Sedang
Kasusnya dikatakan sedang jika serangan karies meliputi permukaan oklusal dan aproksimal
gigi posterior. Kedalaman karies sudah mengenai lapisan dentin (hiperemi pulpa).
c. Karies Berat/Parah
Kasusnya dikatakan berat jika serangan juga meliputi gigi anterior yang biasanya bebas
karies. Kedalaman karies sudah mengenai pulpa, baik pulpa tertutup maupun pulpa terbuka
(pulpitis dan gangren pulpa). Karies pada gigi anterior dan posterior sudah meluas ke bagian
pulpa.

Berdasarkan jumlah Permukaan yang Terkena :

Simple : 1 permukaan gigi

Compound : 2 permukaan gigi

Complex : > 2 permukaan gigi

KLASIFIKASI IMPAKSI GIGI MOLAR 3 RAHANG BAWAH

1.Klasifikasi Menurut Winter (1926)
Klasifikasi yang dicetuskan oleh George Winter ini cukup sederhana. Gigi
impaksi digolongkan berdasarkan posisi gigi molar ketiga terhadap gigi molar
kedua. Posisi-posisi meliputi:
1)Vertical
2)Horizontal
3)Inverted
4)Mesioangular (miring ke mesial)
5)Distoangular (miring ke distal)
6)Bukoangular (miring ke buko)
7)Linguoangular (miring ke lingual)
8)Posisi tidak biasa lainnya yang disebut unusual position

2.Menurut Pell & Gregory (1933)

Gambar I. Klasifikasi Impaksi Pell & Gregory (1933)

A. Berdasarkan ruang antara ramus dan sisi distal M2

Kelas I Ukuran mesio-distal M3 lebih kecil dibandingkan jarak
antara distal gigi M2 dengan ramus mandibula (cukup ruang).
Kelas II Ukuran mesio-distal M3 lebih besar dibandingkan jarak
antara distal gigi M2 dengan ramus mandibula (kurang ruang).
Kelas III Seluruh atau sebagian besar M3 berada dalam ramus
mandibula.
B. Berdasarkan relasi antara ramus mandibula dan M2
Posisi A: bagian tertinggi dari gigi M3 terletak lebih tinggi atau sejajar
dengan garis oklusal gigi M2.
Posisi B: bagian tertinggi dari gigi M3 terletak diantara garis oklusal dan
garis servikal gigi M2.
Posisi C: bagian tertinggi dari gigi M3 terletak dibawah servikal line gigi
M2.
3. Menurut Archer (1975)

Gambar II. Klasifikasi Impaksi Archer (1975)

4. Menurut Wright (1985) bentuk akar gigi

Akar lurus terpisah atau fusi
Akar bengkok ke distal/mesial
Kombinasi
 KLASIFIKASI IMPAKSI GIGI MOLAR 3 RAHANG ATAS

Archer memberikan klasifikasi untuk impaksi yang terjadi dirahang atas.

1. Klasifikasi ini sebetulnya mirip dengan klasifikasi Pell & Gregory.
Bedanya, klasifikasi ini berlaku untuk gigi atas.
Kelas A : bagian terendah M3 setinggi bidang oklusal M2.
Kelas B : bagian terendah M3 di atas bidang oklusal gigi M2 tapi masih di
bawah garis servikal molar kedua.
Kelas C : bagian terendah M3 lebih tinggi dari garis servikal M2.

2. Klasifikasi kedua untuk rahang atas ini sama dengan apa yang
dibuat George Winter.

3. Berdasarkan hubungan gigi M3 dengan sinus maksilaris.

Sinus approximation (SA) : bila tidak dibatasi tulang, atau ada lapisan
tulang yang tipis di antara gigi impaksi dengan sinus maksilaris.
Non Sinus approximation (NSA) : bila terdapat ketebalan tulang yang lebih
dari 2 mm antara gigi molar ketiga dengan sinus maksilaris.

KLASIFIKASI UNTUK GIGI KANINUS RAHANG ATAS

Kelas I : C terletak di palatum, baik dalam posisi vertikal, horisontal, atau

semivertikal.
Kelas II : C terletak di bagian bukal atau labial
Kelas III : C terletak di daerah palatum dan bukal atau labial.
Kelas IV : C terletak pada prosesus alveolaris biasanya dalam posis
vertikal di antara insisif dengan premolar I.
Kelas V : C terletak pada daerah tidak bergigi (edentulous).