HL7 Terminology (THO)
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HL7 Terminology (THO), published by HL7 International - Vocabulary Work Group. This guide is not an authorized publication; it is the continuous build for version 6.5.3 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

ADA Universal Tooth Designation System Metadata Record

Metadata Record Information Version 20251031
Maintained By HL7 Terminology Services Management Group (TSMG)
Last Updated Date 31 October 2025
Responsible Organizations American Dental Association (ADA) Roles
  • Code System Owner
  • Code System Maintainer (Steward)
  • Code System Publisher
Website https://www.ada.org/
Email address
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Address
Code System Names Formal name ADA Universal Tooth Designation System
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Code System Technical Identifiers Identification Record
TSMG-endorsed URI http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem
TSMG-endorsed OID Not Assigned
Code System Information Links
Description
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
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Code System Copyright, Intellectual Property and Licensing Copyright Statement
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
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