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Comprehensive Oral Diagnostic Assessment (CODA): a six-dimension integrated framework for general dental practice
1Faculty of Dentistry, University Paris Cité, Paris, France; INSERM UMR 1333 Oral Health, Montrouge, France; Department of Dentistry, Charles Foix Hospital (AP-HP), Ivry-sur-Seine, France.
Objective:
To propose and describe Comprehensive Oral Diagnostic Assessment (CODA), a structured framework integrating six dimensions of oral health into a single diagnostic synthesis, and to demonstrate its articulation with treatment planning.
Data And Sources:
Narrative review of international reference classifications and landmark literature (PubMed, 2000-2026), supplemented by original clinical data from the ReCoL French practice-based research network.
Study Selection:
International consensus classifications, systematic reviews, and practice-based original studies for each of the six dimensions.
Conclusions:
The Comprehensive Oral Diagnostic Assessment (CODA) organizes six oral health dimensions (patient context, dental tissues, periodontium, osteomucosal status, occlusal function, and smile esthetics) within a three-register framework encompassing risk factors, active conditions, and the established situation. Its systematic use may constitute a lever for quality improvement in general dental practice.
Clinical Significance:
CODA aims to provide the general dental practitioner with a structured, reproducible, and communicable diagnostic approach whose systematic implementation may support both individual patient care and practice-level quality improvement.
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