Dental Core FHIR Profiles (R4)
Version 0.9.2 - ci-build

CodeSystem: Dental Chart Value (Experimental)

Official URL: https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-value Version: 0.9.2
Draft as of 2026-10-03 Computable Name: DentalChartValueCS
Other Identifiers: OID:2.16.840.1.113883.3.7985.2.16.8

Copyright/Legal: Copyright 2026+ cognovis GmbH. Cognovis-authored Dental Core material is licensed under Apache-2.0; third-party material retains its own terms as documented in the Third-Party Notices.

Owner-authored Dental Core values for tooth state, chart findings, and chart properties. Dental Core owns these primary codes; SNOMED CT equivalents, where they exist, are stated only in the ConceptMap dental-chart-value-to-snomed-ct (ADR-002). Codes do not claim equivalence to issuer terminology by themselves.

This Code system is referenced in the content logical definition of the following value sets:

This case-sensitive code system https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-value defines the following codes:

CodeDisplayDefinition
none
inflammation
periodontal-involvement
mobility
granuloma
radicular-cyst
periapical-abscess
attrition
erosion
abrasion
abfraction
tetracycline-staining
fluorosis
nonvital-darkening
extrinsic-staining
other-discoloration
detectable
not-detectable
mild
deep
thin
medium
thick
bracket
band
mesial
distal
extrusion
intrusion
incisal
pulpa-sana
hyperaemia-pulpae
pulpitis-acuta-serosa
pulpitis-acuta-purulenta
pulpitis-chronica-clausa
pulpitis-chronica-ulcerosa
pulpitis-chronica-hyperplastica
necrosis-pulpae
gangraena-pulpae
internal
external-cervical
clasp
attachment
bar-abutment
both
derived
clinician-selected
health
gingivitis
periodontitis
vital
no-response
questionable
negative
sensitive
emerging
half-crown
full-crown
vertical
horizontal
glass-fiber-post
metal-post
tooth-present Tooth present A permanent tooth is present at the tooth position.
primary-tooth-present Primary tooth present A primary (deciduous) tooth is present at the tooth position.
implant-in-tooth-position Implant in tooth position A dental implant occupies the tooth position in place of a natural tooth.
tooth-retained-under-gingiva Tooth retained under gingiva A tooth is present at the tooth position but remains covered by gingiva, such as an impacted or submerged tooth; a tooth that has not yet reached its expected eruption is recorded as tooth not erupted.
tooth-absent-extracted Tooth absent after extraction The tooth is absent from the tooth position because it was extracted.
tooth-not-erupted Tooth not erupted No tooth is visible at the tooth position because the tooth has not yet erupted at the patient's developmental stage; the position is not recorded as missing.
tooth-absent Tooth absent No tooth is present at the tooth position, without an asserted cause.
natural-tooth-structure Natural tooth structure The clinical crown consists of natural tooth structure without a recorded loss or preparation.
retained-root Retained root Only the root or a root remnant of the tooth remains; the clinical crown is lost.
crown-destroyed Crown destroyed The clinical crown is extensively destroyed by fracture or disease while the root remains.
prepared-for-crown Prepared for crown The tooth has been prepared to receive a crown and is not yet restored with the definitive crown.
intracanal-medicament Intracanal medicament The root canal system contains a temporary medicament placed between endodontic treatment sessions.
root-canal-filling Root canal filling The root canal system is obturated with a definitive root canal filling.
root-post Root post, material not specified A root post is present; its material is not recorded. Use glass-fiber-post or metal-post when the material is known.
incomplete-root-canal-filling Incomplete root canal filling The root canal system contains a definitive root canal filling that does not reach the intended working length or does not seal the canal completely.
crown Crown An indirect restoration covering the entire clinical crown of the tooth.
inlay Inlay An indirect intracoronal restoration that does not cover a cusp.
onlay Onlay An indirect restoration that covers one or more cusps without covering the entire clinical crown.
veneer Veneer An indirect restoration covering the facial surface of the tooth.
bridge-unit Bridge unit The tooth position is a unit, abutment or pontic, of a fixed dental prosthesis.
direct-filling Direct filling A restoration placed and shaped directly in the tooth, qualified by the restored surfaces.
telescopic-crown Telescopic crown A double crown: a primary coping cemented on the tooth and a secondary crown in a removable prosthesis fitting over it.
lithium-disilicate-ceramic Lithium disilicate ceramic A glass-ceramic reinforced with lithium disilicate crystals.
gold-alloy Gold alloy A dental casting alloy with gold as its principal component.
indirect-composite Indirect composite A resin composite restoration fabricated outside the mouth and bonded to the tooth.
zirconia Zirconia A zirconium dioxide ceramic.
cast-metal-alloy Cast metal alloy A full-cast dental metal alloy without a ceramic veneer, where no gold alloy is asserted.
metal-ceramic Metal-ceramic A metal framework veneered with fused dental ceramic.
temporary-material Temporary material A material intended for provisional restoration until the definitive restoration is placed.
amalgam Amalgam A dental amalgam alloy of mercury with silver, tin, copper, and other metals.
composite-resin Composite resin A resin-based composite restorative material placed directly.
glass-ionomer-cement Glass ionomer cement A glass ionomer restorative cement, including resin-modified forms.
marginal-defect Marginal defect The restoration margin is deficient, open, or overhanging.
restoration-fracture Restoration fracture The restoration material is fractured or chipped.
restoration-wear Restoration wear The restoration material is worn or deficient in contour.
crown-leakage Crown leakage The crown margin no longer seals the tooth, so that leakage beneath the crown is present.
healing-abutment Healing abutment A healing abutment is attached to the implant at the tooth position.
locator-attachment Locator attachment A resilient stud attachment is fitted to the implant or tooth at the position to retain a removable prosthesis.
locator-retained-overdenture Locator-retained overdenture A removable overdenture retained by resilient stud attachments covers the tooth position.
bar-attachment Bar attachment A bar splinting implants or teeth is present at the tooth position to retain a removable prosthesis.
bar-retained-overdenture Bar-retained overdenture A removable overdenture retained by a bar covers the tooth position.
removable-partial-denture Removable partial denture A removable partial denture replaces or covers the tooth position.
complete-removable-denture Complete removable denture A complete removable denture replaces the tooth position in an edentulous jaw.
caries Caries A carious lesion of the tooth surface identified by the finding location.
secondary-caries Secondary caries A carious lesion at the margin of or beneath an existing restoration.
root-caries Root caries A carious lesion of the root surface; activity is recorded separately.
cavitated-root-caries Cavitated root caries A carious lesion of the root surface with a cavity.
normal-pulp Normal pulp The pulp is clinically normal and responds normally to sensibility testing.
reversible-pulpitis Reversible pulpitis Pulpal inflammation expected to resolve after removal of the cause.
irreversible-pulpitis Irreversible pulpitis Pulpal inflammation that is not expected to resolve.
pulp-necrosis Pulp necrosis Death of the dental pulp.
normal-apical-tissues Normal apical tissues The periapical tissues are clinically and radiographically normal.
symptomatic-apical-periodontitis Symptomatic apical periodontitis Inflammation of the apical periodontium with clinical symptoms such as pain on biting or percussion.
asymptomatic-apical-periodontitis Asymptomatic apical periodontitis Inflammation and destruction of the apical periodontium of pulpal origin, seen as an apical radiolucency, without clinical symptoms.
acute-apical-abscess Acute apical abscess An inflammatory reaction to pulpal infection and necrosis with rapid onset, spontaneous pain, and pus formation.
chronic-apical-abscess Chronic apical abscess An inflammatory reaction to pulpal infection and necrosis with gradual onset, little or no discomfort, and intermittent discharge of pus through a sinus tract.
condensing-osteitis Condensing osteitis A diffuse radiopaque periapical lesion representing a localized bony reaction to a low-grade inflammatory stimulus.
enamel-outer-half Enamel, outer half The radiographic lesion is confined to the outer half of the enamel.
enamel-inner-half Enamel, inner half The radiographic lesion reaches the inner half of the enamel, not the enamel-dentin junction.
dentin-outer-third Dentin, outer third The radiographic lesion reaches the outer third of the dentin.
dentin-middle-third Dentin, middle third The radiographic lesion reaches the middle third of the dentin.
dentin-inner-third Dentin, inner third The radiographic lesion reaches the inner third of the dentin.
tooth-mobility-grade-1 Tooth mobility grade 1 Tooth mobility slightly greater than physiological, up to about 1 mm horizontally.
tooth-mobility-grade-2 Tooth mobility grade 2 Tooth mobility of more than about 1 mm horizontally without vertical mobility.
tooth-mobility-grade-3 Tooth mobility grade 3 Tooth mobility of more than about 1 mm horizontally together with vertical mobility or depressibility.
furcation-grade-1 Furcation grade 1 Initial furcation involvement: horizontal loss of periodontal support not exceeding about one third of the tooth width.
furcation-grade-2 Furcation grade 2 Partial furcation involvement: horizontal loss of periodontal support exceeding about one third of the tooth width without passing through the furcation.
furcation-grade-3 Furcation grade 3 Through-and-through furcation involvement: horizontal loss of periodontal support passing through the entire furcation.
furcation-grade-4 Furcation grade 4 Through-and-through furcation involvement with the furcation entrance exposed by gingival recession, so that the furcation is clinically visible.
peri-implant-health Peri-implant health Peri-implant tissues without clinical signs of inflammation and without bone loss beyond initial remodeling.
peri-implant-mucositis Peri-implant mucositis Inflammation of the peri-implant mucosa without progressive loss of supporting bone.
peri-implantitis-mild-bone-loss Peri-implantitis, mild bone loss Peri-implantitis with inflammation of the peri-implant mucosa and mild progressive loss of supporting bone.
peri-implantitis-moderate-bone-loss Peri-implantitis, moderate bone loss Peri-implantitis with inflammation of the peri-implant mucosa and moderate progressive loss of supporting bone.
peri-implantitis-severe-bone-loss Peri-implantitis, severe bone loss Peri-implantitis with inflammation of the peri-implant mucosa and severe progressive loss of supporting bone.