The “d0190” designation within the dental field represents a specific clinical procedure: the comprehensive periodontal evaluation. This assessment is a detailed examination of the periodontium, which includes the gums, periodontal ligaments, cementum, and alveolar bone. During this evaluation, the dentist or hygienist assesses probing depths, attachment loss, bleeding on probing, furcation involvements, mobility, and other factors related to periodontal health. The findings are then meticulously recorded to establish a baseline for future comparisons and to develop an appropriate treatment plan when necessary. For example, a patient exhibiting signs of gingival inflammation, increased probing depths, and attachment loss would necessitate a thorough evaluation under this classification to determine the extent and severity of periodontal disease.
The importance of a comprehensive periodontal evaluation lies in its ability to detect early signs of periodontal disease, allowing for timely intervention and preventing further damage to the supporting structures of the teeth. Early detection and treatment can often prevent tooth loss and reduce the need for more extensive and costly procedures in the future. Furthermore, this evaluation plays a critical role in managing systemic conditions, as periodontal disease has been linked to various systemic illnesses, including cardiovascular disease, diabetes, and respiratory infections. Historically, the formal codification of such evaluations has standardized dental record-keeping and facilitated communication among dental professionals, contributing to improved patient care and insurance processing.
