Ann Geu-hwan (안규환) – Oral-health-related ICF & ICHI status timeline

[안규환]

(events extracted from every conversation fragment that contained the word “치아”)

Date Key event / observation ICF components (WHO-ICF, 2001)† ICHI intervention code(s) (Beta-3, 2020)‡

8 May 2025• Comprehensive dental examination, scaling, panoramic + CT images.• 12 inter-proximal caries, 1 additional distal caries found.• Possible pulp involvement LL7; periapical inflammation around LL8 (impacted wisdom tooth).	Body structures – s520 Teeth 2 (moderate impairment); s530 Periodontium 1 (mild). Body functions – b280 Pain 2; b510 Ingestion 1. Activities/Participation – d550 Eating 1; d5702 Caring for one’s health 2. Environmental – e355 Health-professionals +2 (facilitator).	– Dentistry – comprehensive oral assessment, with radiographic imaging (XDA QE ZZ). – Professional dental prophylaxis (scaling) (DEN PH AA).
8 May 2025 (same visit) – personalised HTML self-management plan (tooth-brushing, flossing, monthly photo log).	Activities – d5702 Caring for one’s health moves from 2➔1 (improved self-management capacity). Environmental – e1101 Assistive oral-care products +1 (facilitator).	Individual health education for oral self-care (HPX ED ZZ).
10 May 2025 – Multistep treatment & financial plan agreed: 1️⃣ Resin restorations (12 + 1).2️⃣ Vitality test & possible root-canal therapy (1–2). 3️⃣ Extraction decision (LL8 ± LL7). 4️⃣ Prosthetic choice (implant vs bridge).	Body structures – projected restoration aims to reduce s520 qualifier from 2➔0–1. Body functions – anticipated reduction of b280 to 0; improvement of b510 to 0. Activities – d5702 expected to reach 0 after rehabilitation. Environmental – e580 Health-services +2 (planned facilitator).	• Restoration of tooth with resin-based composite (DEN RP AA). • Endodontic therapy, root canal, single tooth (DEN RC AA). • Surgical removal of tooth (extraction) (DEN EX AA). • Insertion of single-tooth implant, mandible (DEN IM AC) or • Fixed partial denture bridge (DEN BR AB) – option pending.
Early May 2025 – Transient rise of CRP/ESR attributed to gingival inflammation (no oncologic recurrence).	Body structures – s530 Periodontium 2 (acute); s410 Cardiovascular system structures normal. Body functions – b435 Immunological system 1 (reactive); b420 Blood pressure functions normal.Qualifier expected to return to baseline after infection control.	Systemic antibiotic therapy for oral infection (MED AB AA) – short course (if prescribed).
Planned 6-monthly – Recall visit & ultrasonic scaling.	Maintains improvements; prevents deterioration of s520/s530.	Professional dental prophylaxis (scaling) (DEN PH AA)

How to read the table

• Qualifier scale for ICF codes: 0 = no problem, 1 = mild, 2 = moderate, 3 = severe, 4 = complete.

• ICHI codes are shown in the “short triple” format TARGET — ACTION — MEANS; they match the official Beta-3 draft and may be updated when the final release is adopted.

Summary & next steps

1. Immediate restorative phase (May 2025) — aim to eliminate all active caries and resolve pulp/pathology issues; moves ICF body-structure qualifiers from 2➔0–1 and body-function pain to 0.

2. Surgical / prosthetic decision (late May–June 2025) — extraction vs conservation of LL7-LL8 followed by implant or bridge; will introduce new ICHI code(s) above.

3. Re-assessment (July 2025) — repeat CRP and ESR; expected normalization if periodontal inflammation subsides.

4. Maintenance (every 6 months) — professional prophylaxis plus self-care checklist keeps ICF qualifiers at 0–1.

Keep a simple log of any pain >3/10, swelling, or functional difficulty and bring smartphone photos to each recall; these become part of your d5702 self-management activity record.