HL7 Terminology (THO), published by HL7 International - Vocabulary Work Group. This guide is not an authorized publication; it is the continuous build for version 5.5.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/UTG/ and changes regularly. See the Directory of published versions

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CodeSystem: ADA Universal Tooth Designation System

Official URL: http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem				Version: 1.0.0
Active as of 2022-04-07			Responsible: American Dental Association	Computable Name: ADAUniversalToothDesignationSystem
Copyright/Legal: No official copyright statement is available. For general information see paper form located here : https://www.ada.org/-/media/project/ada-organization/ada/ada-org/files/publications/cdt/v2019adadentalclaimcompletioninstructions_v3_2022feb.pdf

The American Dental Association (ADA) accepted the Universal/National Tooth Designation System and the ISO/ANSI/ADA Specification No. 3950 for Designation System for Teeth and Areas of the Oral Cavity as the human tooth and oral cavity enumeration schemas in 1994.

The universal tooth designation or numbering system is accepted and approved by the ADA and is the most commonly used system used by dental professionals in America.

Teeth are numbered 1-32, starting with the third molar (1) on the right side of the upper arch, following around the arch to the third molar (16) on the left side, and descending to the lower third molar (17) on the left side, and following that arch to the terminus of the lower jaw, the lower right third molar (32).

Supernumerary teeth are identified by the numbers 51 through 82, beginning with the area of the upper right third molar, following around the upper arch and continuing on the lower arch to the area of the lower right third molar (e.g., supernumerary #51 is adjacent to the upper right molar #1; supernumerary #82 is adjacent to the lower right third molar #32).

The Universal Numbering System can be found in the ADA Dental Claim Form. For more information see here: https://www.ada.org/publications/cdt/ada-dental-claim-form.

A Statement of Understanding (SOU) between ADA and HL7 exists here: http://www.hl7.org/documentcenter/public/mou/ADA%20HL7%20SOU%202021_signed.pdf

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

• This CodeSystem is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)