Gingivitis — DVA SoP factors

At least one of the following factors must exist before it can be said that, on the balance of probabilities, gingivitis or death from gingivitis is connected with the circumstances of a person's relevant service:

1. (1)
   being prevented from cleaning the teeth, including toothbrushing and interdental cleansing, for a continuous period of at least 14 days, within the 30 days before the clinical onset of gingivitis;
2. (2)
   having a foreign body embedded in the affected region of the gums at the time of the clinical onset of gingivitis;

   Note: Examples of a foreign body embedded in the gums include a fixed orthodontic appliance, an osseointegrated implant or dental prosthesis, particulate materials derived from dental procedures and shrapnel.

3. (3)
   having trauma to the affected region of the gums within the 2 weeks before the clinical onset of gingivitis; Compilation No. 1 Compilation date: 21/11/2022 Authorised Version F2022C01121 registered 21/11/2022;

   Note: trauma to the affected region of the gums is defined in the Schedule 1 - Dictionary.

4. (4)
   having direct exposure of the affected area to an irritant substance within the 3 days before the clinical onset of gingivitis;

   Note: irritant substance is defined in the Schedule 1 - Dictionary.

5. (5)
   having direct exposure of the affected area to an allergen within the 3 days before the clinical onset of gingivitis;

   Note: allergen is defined in the Schedule 1 - Dictionary.

6. (6)
   having infection with human immunodeficiency virus at the time of the clinical onset of gingivitis;
7. (7)
   having chronic renal failure at the time of the clinical onset of gingivitis;

   Note: chronic renal failure is defined in the Schedule 1 - Dictionary.

8. (8)
   having leukaemia or lymphoma at the time of the clinical onset of gingivitis;
9. (9)
   taking a drug that causes neutropenia or agranulocytosis, at the time of the clinical onset of gingivitis;

   Note: Examples of drugs that cause neutropenia or agranulocytosis include clozapine, sulfasalazine, ticlopidine and thioamides such as methimazole, carbimazole and propylthiouracil.

10. (10)
    having severe vitamin C deficiency at the time the of clinical onset of gingivitis;

    Note: severe vitamin C deficiency is defined in the Schedule 1 - Dictionary.

11. (11)
    having stem cell transplant or bone marrow transplant before the clinical onset of gingivitis;
12. (12)
    being pregnant at the time of the clinical onset of gingivitis;
13. (13)
    using the combined oral contraceptive pill as specified for a continuous period of at least the 4 weeks before the clinical onset of gingivitis;

    Note: combined oral contraceptive pill as specified is defined in the Schedule 1 - Dictionary.

14. (14)
    having an autoimmune or mucocutaneous disease from the specified list of autoimmune or mucocutaneous diseases at the time of the clinical onset of gingivitis;

    Note: specified list of autoimmune or mucocutaneous diseases is defined in the Schedule 1 - Dictionary.

15. (15)
    having diabetes mellitus at the time of the clinical onset of gingivitis; Compilation No. 1 Compilation date: 21/11/2022 Authorised Version F2022C01121 registered 21/11/2022;
16. (16)
    having infection involving the affected region of the gums at the time of the clinical onset of gingivitis;

    Note: Examples of infections that may involve the gums include tuberculosis, gonorrhoea, syphilis, chickenpox, candidiasis, histoplasmosis, herpes simplex and hand, foot and mouth disease.

17. (17)
    for acute necrotising ulcerative gingivitis only: (a) having severe malnutrition at the time of the clinical onset of acute necrotising ulcerative gingivitis; or (b) having smoked tobacco products: (i) in an amount of at least 5 pack-years before the clinical onset of acute necrotising ulcerative gingivitis; and (ii) if smoking has ceased before the clinical onset of acute necrotising ulcerative gingivitis, then that onset occurred within 1 month of cessation;

    Note: acute necrotising ulcerative gingivitis and one pack-year are defined in the Schedule 1 - Dictionary.

18. (18)
    being prevented from cleaning the teeth, including toothbrushing and interdental cleansing, for a continuous period of at least 14 days, within the 30 days before the clinical worsening of gingivitis;
19. (19)
    having a foreign body embedded in the affected region of the gums at the time of the clinical worsening of gingivitis;

    Note: Examples of a foreign body embedded in the gums include a fixed orthodontic appliance, an osseointegrated implant or dental prosthesis, particulate materials derived from dental procedures and shrapnel.

20. (20)
    having trauma to the affected region of the gums within the 2 weeks before the clinical worsening of gingivitis;

    Note: trauma to the affected region of the gums is defined in the Schedule 1 - Dictionary.

21. (21)
    having direct exposure of the affected area to an irritant substance within the 3 days before the clinical worsening of gingivitis;

    Note: irritant substance is defined in the Schedule 1 - Dictionary.

22. (22)
    having direct exposure of the affected area to an allergen within the 3 days before the clinical worsening of gingivitis;

    Note: allergen is defined in the Schedule 1 - Dictionary.

23. (23)
    having infection with human immunodeficiency virus at the time of the clinical worsening of gingivitis;
24. (24)
    having chronic renal failure at the time of the clinical worsening of gingivitis; Compilation No. 1 Compilation date: 21/11/2022 Authorised Version F2022C01121 registered 21/11/2022;

    Note: chronic renal failure is defined in the Schedule 1 - Dictionary.

25. (25)
    having leukaemia or lymphoma at the time of the clinical worsening of gingivitis;
26. (26)
    taking a drug that causes neutropenia or agranulocytosis, at the time of the clinical worsening of gingivitis;

    Note: Examples of drugs that cause neutropenia or agranulocytosis include clozapine, sulfasalazine, ticlopidine and thioamides such as methimazole, carbimazole and propylthiouracil.

27. (27)
    having severe vitamin C deficiency at the time of the clinical worsening of gingivitis;

    Note: severe vitamin C deficiency is defined in the Schedule 1 - Dictionary.

28. (28)
    having stem cell transplant or bone marrow transplant before the clinical worsening of gingivitis;
29. (29)
    being pregnant at the time of the clinical worsening of gingivitis;
30. (30)
    using the combined oral contraceptive pill as specified for a continuous period of at least the 4 weeks before the clinical worsening of gingivitis;

    Note: combined oral contraceptive pill as specified is defined in the Schedule 1 - Dictionary.

31. (31)
    having an autoimmune or mucocutaneous disease from the specified list of autoimmune or mucocutaneous diseases at the time of the clinical worsening of gingivitis;

    Note: specified list of autoimmune or mucocutaneous diseases is defined in the Schedule 1 - Dictionary.

32. (32)
    having diabetes mellitus at the time of the clinical worsening of gingivitis;
33. (33)
    having infection involving the affected region of the gums at the time of the clinical worsening of gingivitis;

    Note: Examples of infections that may involve the gums include tuberculosis, gonorrhoea, syphilis, chickenpox, candidiasis, histoplasmosis, herpes simplex and hand, foot and mouth disease.

34. (34)
    for acute necrotising ulcerative gingivitis only: (a) having severe malnutrition at the time of the clinical worsening of acute necrotising ulcerative gingivitis; or (b) having smoked tobacco products: (i) in an amount of at least 5 pack-years before the clinical worsening of acute necrotising ulcerative gingivitis; and Compilation No. 1 Compilation date: 21/11/2022 Authorised Version F2022C01121 registered 21/11/2022 (ii) if smoking has ceased before the clinical worsening of acute necrotising ulcerative gingivitis, then that worsening occurred within 1 month of cessation;

    Note: acute necrotising ulcerative gingivitis and one pack-year are defined in the Schedule 1 - Dictionary.

35. (35)
    inability to obtain appropriate clinical management for gingivitis;

Aggravation-only factors: the factors in subsections 9(18) to 9(35) apply only to material contribution to, or aggravation of, the condition where it was suffered or contracted before or during (but did not arise out of) the person’s relevant service.