Document ID: chunk:federal_register_of_legislation:F2025L00152:front:0:p2
Version: federal_register_of_legislation:F2025L00152
Segment Type: other
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Character Range: 2809–5732

of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM), Tenth Edition, effective date of 1 July 2017, copyrighted by the Independent Hospital Pricing Authority, ISBN 978-1-76007-296-4.
Death from tooth loss
 1.           For the purposes of this Statement of Principles, tooth loss, in relation to a person, includes death from a terminal event or condition that was contributed to by the person's tooth loss.
Note: terminal event is defined in the Schedule 1 – Dictionary.
 1.                Basis for determining the factors
On the sound medical‑scientific evidence available, the Repatriation Medical Authority is of the view that it is more probable than not that tooth loss and death from tooth loss can be related to relevant service rendered by veterans or members of the Forces under the VEA, or members under the MRCA.
Note: MRCA, relevant service and VEA are defined in the Schedule 1 – Dictionary.
 1.                Factors that must exist
At least one of the following factors must exist before it can be said that, on the balance of probabilities, tooth loss or death from tooth loss is connected with the circumstances of a person's relevant service:
 1.           having dental caries in the affected tooth at the time of clinical onset;
 2.           having periodontitis in the periodontium supporting the affected tooth at the time of clinical onset;
 3.           having periodontal abscess of the affected tooth at the time of clinical onset;
 4.           having dental pulp and apical disease of the affected tooth at the time of clinical onset;
 5.           having a fracture of the affected tooth where the fractures involves the dentine before clinical onset;
 6.           having luxation of the affected tooth (partial or complete displacement of the tooth from its alveolar socket) at the time of clinical onset;
 7.           having traumatic avulsion of the affected tooth (total displacement of the tooth out of its alveolar socket) at the time of clinical onset;
 8.           having a fracture of the alveolar bone supporting the affected tooth before clinical onset;
 9.           undergoing a course of radiotherapy for head or neck cancer, where the affected tooth was in the field of radiation, within the 4 years before clinical onset;
Note: The radiotherapy for head or neck cancer can result in osteonecrosis of the bone which leads to tooth displacement and loss.
 1.       having pericoronitis of the affected tooth at the time of the dental decision to extract the partially erupted tooth;
Note: Pericoronitis causes inflammation of the gingiva surrounding a partially erupted tooth, especially the third molar or wisdom tooth, and is related to the accumulation of food particles and micro-organisms under the gum flap.
 1.       taking ribavirin at the time of clinical onset;
 2.       inability to obtain appropriate clinical management