5
min read

012 - Periodic oral examination

ADA schedule description:

An evaluation of the dentition, mouth and associated structures performed on a patient of record to determine any changes in the patient’s oral and medical health status since a previous comprehensive or periodic examination. This may require interpretation of information acquired through additional diagnostic procedures reported and itemised separately.

Sub-category:

Examinations
Last updated on
February 18, 2025

When is item code 012 (Periodic oral examination) typically used?

A periodic oral examination is necessary for established patients to monitor changes in their oral and medical health status since their last comprehensive or periodic examination. This type of examination is typically conducted every six months or as recommended by the dentist, depending on the patient’s risk factors and oral health history. It is particularly important for patients with chronic conditions such as periodontal disease, who require ongoing monitoring to prevent disease progression. Additionally, patients undergoing orthodontic treatment or those with restorative work, such as crowns or implants, benefit from regular evaluations to ensure the longevity and functionality of these treatments.

How does item code 012 (Periodic oral examination) typically benefit the patient?

The primary benefit of a periodic oral examination is its role in preventive care. By detecting new issues early, such as cavities, gum disease, or changes in soft tissue, the examination helps prevent the progression of these conditions into more severe and costly problems. For example, early identification of gingivitis can prevent the development of periodontitis, which can lead to tooth loss if left untreated. Moreover, these examinations reinforce good oral hygiene practices and educate patients about the importance of maintaining a healthy diet and lifestyle. Regular check-ups also allow the dentist to monitor the effectiveness of ongoing treatments and make adjustments as needed. This proactive approach not only saves the patient time and money but also contributes to better systemic health, as poor oral health has been linked to conditions such as heart disease, diabetes, and respiratory infections.

What is an oral and maxillofacial surgeon's perspective on item code 012 (Periodic oral examination)?

For oral and maxillofacial surgeons, periodic oral examinations are an opportunity to assess the stability of previous surgical interventions, such as bone grafts or implant placements. Surgeons should look for signs of complications, such as infection, bone loss, or implant failure, and address them promptly to prevent further damage. Additionally, these examinations allow surgeons to monitor the patient’s occlusion and jaw alignment, which can change over time due to factors such as tooth wear or trauma. Any deviations from the norm may indicate the need for further surgical evaluation or intervention. Surgeons should also interpret diagnostic tools, such as radiographs, to identify any structural abnormalities that may require attention. By staying vigilant during periodic examinations, surgeons can ensure the long-term success of their treatments and maintain the patient’s oral and maxillofacial health.

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The miscellaneous category covers unique or specialized treatments that don’t fall under other specific categories. Examples include custom mouthguards, occlusal guards for bruxism (teeth grinding), sleep apnea appliances, and other patient-specific devices designed to improve comfort, function, or aesthetics.
General dental services encompass routine care and minor procedures essential for maintaining overall oral health. This includes fillings, extractions, emergency treatments, and basic restorations. These services address common issues like cavities, broken teeth, and gum irritation, ensuring patients maintain functional and healthy smiles.
Orthodontic treatments are focused on correcting misaligned teeth and jaws to improve both function and appearance. Procedures typically involve braces, clear aligners (e.g., Invisalign), retainers, and other appliances that gradually shift teeth into proper alignment. Orthodontics not only enhances aesthetics but also improves bite functionality and reduces the risk of future dental problems.
Prosthodontic treatments involve replacing missing teeth and restoring damaged oral structures using artificial substitutes. Procedures include crowns, bridges, dentures, and dental implants. The goal is to restore functionality, improve speech and chewing ability, and enhance the aesthetic appeal of the smile.
Restorative services focus on repairing damaged or decayed teeth to restore their form, function, and strength. Common treatments include fillings, inlays/onlays, veneers, and bonding. These procedures aim to prolong the life of natural teeth and ensure they remain functional and visually appealing.
Endodontic treatments focus on the inner part of the tooth, particularly the pulp and root canals. Common procedures include root canal therapy, which removes infected or damaged tissue from inside the tooth, and apicoectomy (surgical removal of the root tip). The goal is to preserve natural teeth while alleviating pain caused by infection or inflammation.
Oral surgery involves surgical procedures performed in or around the mouth and jaw. Treatments range from simple tooth extractions to more complex surgeries such as wisdom tooth removal, dental implant placement, bone grafting, and corrective jaw surgery. These procedures aim to restore function, alleviate pain, and enhance facial structure.
Periodontics deals with the prevention, diagnosis, and treatment of gum diseases and conditions affecting the supporting structures of the teeth. Services include scaling and root planing (deep cleaning), gum grafts, pocket reduction surgery, and regenerative therapies. The primary objective is to prevent tooth loss and maintain healthy gums.
This category emphasizes preventive care to maintain optimal oral health and prevent future problems. It includes professional cleanings (prophylaxis), fluoride treatments, sealants, and patient education on proper hygiene practices. Additionally, bleaching services (teeth whitening) are offered to enhance the cosmetic appearance of teeth safely and effectively.
Diagnostic services involve procedures aimed at identifying and assessing oral health conditions. These include clinical examinations, X-rays, digital imaging, biopsies, and other diagnostic tools that help in detecting diseases or abnormalities early on, allowing for timely intervention.
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Dr Mehrnoosh (Nu) Dastaran
Dr Nu was absolutely amazing. Last time I used CPAP in 20 years was the night before my surgery. She is an amazing surgeon, cured me of sleep apnea, and I feel amazing. Best thing I ever did.
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AU
3000
Melbourne
Level 15/501 Swanston Street
+61393473788
Dr Nu was absolutely amazing. Last time I used CPAP in 20 years was the night before my surgery. She is an amazing surgeon, cured me of sleep apnea, and I feel amazing. Best thing I ever did.
5
Dr Mehrnoosh (Nu) Dastaran
Dr Nu was amazing! Wisdom tooth out like it was nothing and recovery took a day.
OMFS logo
AU
3000
Melbourne
Level 15/501 Swanston Street
+61393473788
Dr Nu was amazing! Wisdom tooth out like it was nothing and recovery took a day.
5
Dr Mehrnoosh (Nu) Dastaran
I needed a few teeth out for my orthodontic treatment. Dr Nu Dastaran and her nurses Emma and Poppy did an amazing job. Completely painless. I opted to do it over 2 sessions. The offices are state-of-the-art and everyone at OMFS is friendly and welcoming. This is my 3rd time at OMFS and I have no idea what the 1 Star reviewers are talking about.
OMFS logo
AU
3000
Melbourne
Level 15/501 Swanston Street
+61393473788
I needed a few teeth out for my orthodontic treatment. Dr Nu Dastaran and her nurses Emma and Poppy did an amazing job. Completely painless. I opted to do it over 2 sessions. The offices are state-of-the-art and everyone at OMFS is friendly and welcoming. This is my 3rd time at OMFS and I have no idea what the 1 Star reviewers are talking about.
5
Dr Mehrnoosh (Nu) Dastaran
My experience, from start to finish, was as pleasant as a wisdom tooth extraction could be! I had all four wisdom teeth removed under general anesthetic, and Dr. Mehrnoosh Dastaran was absolutely delightful. She made me feel completely at ease throughout the process, despite my nerves leading up to the procedure. Her professionalism and reassuring demeanor truly made a world of difference. Additionally, Waverley Private Hospital was an excellent facility, making the entire experience even more seamless and comfortable.
OMFS logo
AU
3000
Melbourne
Level 15/501 Swanston Street
+61393473788
My experience, from start to finish, was as pleasant as a wisdom tooth extraction could be! I had all four wisdom teeth removed under general anesthetic, and Dr. Mehrnoosh Dastaran was absolutely delightful. She made me feel completely at ease throughout the process, despite my nerves leading up to the procedure. Her professionalism and reassuring demeanor truly made a world of difference. Additionally, Waverley Private Hospital was an excellent facility, making the entire experience even more seamless and comfortable.
5
Dr Mehrnoosh (Nu) Dastaran
I had an incredible experience with Nu and the team for lower jaw surgery and wisdom teeth removal. The whole process was smooth and Nu has such a kind and calming presence - she is so relaxed and it's hard to believe she's come straight from surgery most days.
OMFS logo
AU
3000
Melbourne
Level 15/501 Swanston Street
+61393473788
I had an incredible experience with Nu and the team for lower jaw surgery and wisdom teeth removal. The whole process was smooth and Nu has such a kind and calming presence - she is so relaxed and it's hard to believe she's come straight from surgery most days.
5
Dr Mehrnoosh (Nu) Dastaran
I had all four wisdom teeth out in the chair in January with Dr Nu... The procedure itself was unbelievably quick and both Dr Nu and her assistant were so lovely to me, it was far less scary than I anticipated!
OMFS logo
AU
3000
Melbourne
Level 15/501 Swanston Street
+61393473788
I had all four wisdom teeth out in the chair in January with Dr Nu... The procedure itself was unbelievably quick and both Dr Nu and her assistant were so lovely to me, it was far less scary than I anticipated!
5
Dr Mehrnoosh (Nu) Dastaran
I had an amazing experience with Dr.Nu who did my wisdom teeth surgery... I was pretty scared for this procedure but Dr.Nu is so nurturing that I felt comfortable and it was all over before I knew it, she is a great surgeon who takes extra care during the procedure, thanks Dr. Nu!
OMFS logo
AU
3000
Melbourne
Level 15/501 Swanston Street
+61393473788
I had an amazing experience with Dr.Nu who did my wisdom teeth surgery... I was pretty scared for this procedure but Dr.Nu is so nurturing that I felt comfortable and it was all over before I knew it, she is a great surgeon who takes extra care during the procedure, thanks Dr. Nu!
5
Dr Mehrnoosh (Nu) Dastaran
I had an incredible experience with Nu and the team for lower jaw surgery and wisdom teeth removal. The whole process was smooth and Nu has such a kind and calming presence - she is so relaxed and it's hard to believe she's come straight from surgery most days.
+61393473788
Requires a consultation
OMFS logo
3000
Melbourne
Level 15/501 Swanston Street
I had an incredible experience with Nu and the team for lower jaw surgery and wisdom teeth removal. The whole process was smooth and Nu has such a kind and calming presence - she is so relaxed and it's hard to believe she's come straight from surgery most days.
5
Dr Mehrnoosh (Nu) Dastaran
Dr Nu was amazing! Wisdom tooth out like it was nothing and recovery took a day.
+61393473788
Requires a consultation
OMFS logo
3000
Melbourne
Level 15/501 Swanston Street
Dr Nu was amazing! Wisdom tooth out like it was nothing and recovery took a day.
5
Dr Mehrnoosh (Nu) Dastaran
I had an amazing experience with Dr.Nu who did my wisdom teeth surgery... I was pretty scared for this procedure but Dr.Nu is so nurturing that I felt comfortable and it was all over before I knew it, she is a great surgeon who takes extra care during the procedure, thanks Dr. Nu!
+61393473788
Requires a consultation
OMFS logo
3000
Melbourne
Level 15/501 Swanston Street
I had an amazing experience with Dr.Nu who did my wisdom teeth surgery... I was pretty scared for this procedure but Dr.Nu is so nurturing that I felt comfortable and it was all over before I knew it, she is a great surgeon who takes extra care during the procedure, thanks Dr. Nu!
5
Dr Mehrnoosh (Nu) Dastaran
Dr Nu was absolutely amazing. Last time I used CPAP in 20 years was the night before my surgery. She is an amazing surgeon, cured me of sleep apnea, and I feel amazing. Best thing I ever did.
+61393473788
Requires a consultation
OMFS logo
3000
Melbourne
Level 15/501 Swanston Street
Dr Nu was absolutely amazing. Last time I used CPAP in 20 years was the night before my surgery. She is an amazing surgeon, cured me of sleep apnea, and I feel amazing. Best thing I ever did.
5
Dr Mehrnoosh (Nu) Dastaran
My experience, from start to finish, was as pleasant as a wisdom tooth extraction could be! I had all four wisdom teeth removed under general anesthetic, and Dr. Mehrnoosh Dastaran was absolutely delightful. She made me feel completely at ease throughout the process, despite my nerves leading up to the procedure. Her professionalism and reassuring demeanor truly made a world of difference. Additionally, Waverley Private Hospital was an excellent facility, making the entire experience even more seamless and comfortable.
+61393473788
Requires a consultation
OMFS logo
3000
Melbourne
Level 15/501 Swanston Street
My experience, from start to finish, was as pleasant as a wisdom tooth extraction could be! I had all four wisdom teeth removed under general anesthetic, and Dr. Mehrnoosh Dastaran was absolutely delightful. She made me feel completely at ease throughout the process, despite my nerves leading up to the procedure. Her professionalism and reassuring demeanor truly made a world of difference. Additionally, Waverley Private Hospital was an excellent facility, making the entire experience even more seamless and comfortable.
5
Dr Mehrnoosh (Nu) Dastaran
I needed a few teeth out for my orthodontic treatment. Dr Nu Dastaran and her nurses Emma and Poppy did an amazing job. Completely painless. I opted to do it over 2 sessions. The offices are state-of-the-art and everyone at OMFS is friendly and welcoming. This is my 3rd time at OMFS and I have no idea what the 1 Star reviewers are talking about.
+61393473788
Requires a consultation
OMFS logo
3000
Melbourne
Level 15/501 Swanston Street
I needed a few teeth out for my orthodontic treatment. Dr Nu Dastaran and her nurses Emma and Poppy did an amazing job. Completely painless. I opted to do it over 2 sessions. The offices are state-of-the-art and everyone at OMFS is friendly and welcoming. This is my 3rd time at OMFS and I have no idea what the 1 Star reviewers are talking about.
5
Dr Mehrnoosh (Nu) Dastaran
I had all four wisdom teeth out in the chair in January with Dr Nu... The procedure itself was unbelievably quick and both Dr Nu and her assistant were so lovely to me, it was far less scary than I anticipated!
+61393473788
Requires a consultation
OMFS logo
3000
Melbourne
Level 15/501 Swanston Street
I had all four wisdom teeth out in the chair in January with Dr Nu... The procedure itself was unbelievably quick and both Dr Nu and her assistant were so lovely to me, it was far less scary than I anticipated!