Ozone Information For Clinicians

The Clinical Severity Index (CSI)

© Dr Julian Holmes
2011


Ozone Information
The Clinical Severity Index (CSI)
Book Index.

The Clinical Severity Index (CSI)

Author; Dr Julian Holmes, 2007.
The Clinical Severity Index (CSI)

The modified and adopted index is known as The Clinical Severity Index (CSI). It has 5 groups;

The Clinical Severity Index (CSI), combined with treatment needs and protocols

CSI Index DIAGNodent Value What you see Extent of Caries Assessed Treatment Needs Tx with Ozone (sec)
5
> 30
visible on X-rays
3+ mm into dentine
  • Lesion requiring drilling and filling
  • defined as deemed to have infected dentine where clinical infected demineralisation of the underlying dentine 3+ mm is deemed to be present.
  • Lesion may be cavitated.
  • Open lesion, remove and soft debis to leathery layer.
  • Ozone treat, remineralising solution, FugiVII.
  • Review, re-assess mineralisation at 12 weeks
  • Restore if remineralised, repeat ozone if undecided
    		•
    60+ seconds ozone
    3
    25~29
    ? visible on X-rays
    1-2mm into dentine
  • Lesion requiring drilling and filling.
  • Define this as deemed to have infected dentine where clinical infected demineralisation of the underlying dentine=/<2mm is deemed to be present.
  • Lesion will appear frosted or white when dried.
  • Open lesion, remove any soft debis to leathery layer.
  • Ozone treat, remineralising solution, FugiVII.
  • Review, re-assess mineralisation at 12 weeks
  • Restore if remineralised, repeat ozone if undecided
    		•
    60 seconds ozone
    2
    20~24
    stain
    at the edj
  • Lesion possibly requiring drilling and filling
  • Defined as possibly deemed to have infected dentine where clinical infected demineralisation of the underlying dentine is possibly considered to be present).
  • Lesion may appear frosted or white when dried.
  • Open lesion, remove any soft debis to leathery layer.
  • Ozone treat, remineralising solution, FugiVII.
  • Review, re-assess mineralisation at 12 weeks
  • Restore if remineralised, repeat ozone if undecided
    		•
    40 seconds ozone
    1
    10~19
    white spot
    confined to enamel
  • Lesion requiring a pharmaceutical approach but not drilling and filling
  • Defined as deemed to have infected demineralised dentine which is reversing and getting smaller. This scenario is where clinical remineralisation of the underlying dentine is considered to be in the process of remineralising the demineralised dentine but is not yet complete.
  • Lesion may appear white or frosted when dried.
  • Remove superficial debis.
  • Ozone treat.
  • Remineralising solution, Restore.
    		•
    40 seconds ozone
    0
    < 10
    n/a
    n/a
  • Lesion arrested
  • Defined as deemed to have had infected dentine which reversed and where clinical remineralisation of the underlying dentine is considered to be complete, with no infection remaining in the dentine.
  • The lesion is hard, shiny when dried.
  • Ozone treat for prevention.
  • Remineralising solution, Restore.
    		•
    30 seconds ozone

    Table 2; The Clinical Severity Index (CSI), combined with treatment needs and protocols

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    January 2011
    The-O-Zone © Dr Julian Holmes