SoP LibraryPeriodontal abscess

Statement of Principles

Periodontal abscess — DVA SoP factors

Every factor in the Repatriation Medical Authority Statements of Principles for Periodontal abscess. DVA can only accept a claim for Periodontal abscess if at least one of these factors is met and connected to your service. Reasonable Hypothesis (RH) applies to operational service; Balance of Probabilities (BoP) applies to peacetime service.

Source: Repatriation Medical Authority Statements of Principles as held by the Veterans Health Centre. SoPs are amended and replaced regularly; always confirm the current instrument at rma.gov.au before relying on it.

Periodontal abscess

RH No. 25 of 2022 · BoP No. 26 of 202218 factors

Meaning of periodontal abscess: For the purposes of this Statement of Principles, periodontal abscess: (a) means a localised collection of pus within the periodontal tissue, adjacent to a periodontal pocket, that is associated with destruction of the bony and ligamentous tissues supporting the teeth; and (b) excludes: (i) combined periodontic-endodontic lesions; (ii) gingival abscess; (iii) periapical abscess; (iv) periapical periodontitis; and (v) pericoronal abscess.

Reasonable Hypothesis (RH) — Statement of Principles No. 25 of 2022

At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting periodontal abscess or death from periodontal abscess with the circumstances of a person's relevant service:

  1. (1)
    having periodontitis at the affected site within the 6 months before the clinical onset of periodontal abscess;
  2. (2)
    having a foreign body embedded in the affected region of the periodontium at the time of the clinical onset of periodontal abscess;

    Note: Examples of foreign bodies that can be embedded in the periodontium include finger nails, corn husks, dental floss, shrapnel and materials derived from dental procedures such as calculus fragments, cement remnants and orthodontic separators.

  3. (3)
    having trauma to the affected region of the periodontium within the 4 weeks before the clinical onset of periodontal abscess;

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

  4. (4)
    having surgery to the affected region of the periodontium within the 4 weeks before the clinical onset of periodontal abscess;
  5. (5)
    having periodontitis at the affected site within the 6 months before the clinical worsening of periodontal abscess;
  6. (6)
    having a foreign body embedded in the affected region of the periodontium at the time of the clinical worsening of periodontal abscess;

    Note: Examples of foreign bodies that can be embedded in the periodontium include finger nails, corn husks, dental floss, shrapnel and materials derived from dental procedures such as calculus fragments, cement remnants and orthodontic separators.

  7. (7)
    having trauma to the affected region of the periodontium within the 4 weeks before the clinical worsening of periodontal abscess;

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

  8. (8)
    having surgery to the affected region of the periodontium within the 4 weeks before the clinical worsening of periodontal abscess;
  9. (9)
    inability to obtain appropriate clinical management for periodontal abscess;

Aggravation-only factors: the factors in subsections 9(5) to 9(9) 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.

Balance of Probabilities (BoP) — Statement of Principles No. 26 of 2022

9 factors

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

  1. (1)
    having periodontitis at the affected site within the 6 months before the clinical onset of periodontal abscess;
  2. (2)
    having a foreign body embedded in the affected region of the periodontium at the time of the clinical onset of periodontal abscess;

    Note: Examples of foreign bodies that can be embedded in the periodontium include finger nails, corn husks, dental floss, shrapnel and materials derived from dental procedures such as calculus fragments, cement remnants and orthodontic separators.

  3. (3)
    having trauma to the affected region of the periodontium within the 4 weeks before the clinical onset of periodontal abscess;

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

  4. (4)
    having surgery to the affected region of the periodontium within the 4 weeks before the clinical onset of periodontal abscess;
  5. (5)
    having periodontitis at the affected site within the 6 months before the clinical worsening of periodontal abscess;
  6. (6)
    having a foreign body embedded in the affected region of the periodontium at the time of the clinical worsening of periodontal abscess;

    Note: Examples of foreign bodies that can be embedded in the periodontium include finger nails, corn husks, dental floss, shrapnel and materials derived from dental procedures such as calculus fragments, cement remnants and orthodontic separators.

  7. (7)
    having trauma to the affected region of the periodontium within the 4 weeks before the clinical worsening of periodontal abscess;

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

  8. (8)
    having surgery to the affected region of the periodontium within the 4 weeks before the clinical worsening of periodontal abscess;
  9. (9)
    inability to obtain appropriate clinical management for periodontal abscess;

Aggravation-only factors: the factors in subsections 9(5) to 9(9) 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.

A VHC Diagnostic Assessment addresses each of these factors one by one against your service record and clinical history. See how a VHC DVA claim works, see all fees ($600 + GST per stage) or book an appointment.

About Dr Thomas Perkins

One doctor. Every report.

Founding doctor of the Veterans Health Centre in Ipswich, Queensland, and one of Australia's most experienced practitioners in veterans' medicolegal medicine.

Dr Perkins has spent more than thirteen years working exclusively with current and former ADF members — treating their conditions, writing their reports and navigating the DVA system alongside them. With over 100,000 claims submitted and 2,000 Permanent Impairment Assessments completed, he has seen precisely what separates an accepted claim from a rejected one at every level, from initial liability to the Veterans' Review Board.

Every chart review, diagnostic assessment, impairment rating and appeal that leaves this clinic is personally overseen by Dr Perkins. No template, no locum, no hand-off.

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