3. The OHDR-PBM Clinical Decision Framework
Fourteen steps from assessment to reassessment
The framework is an educational decision-support structure. It does not decide for you, and it never replaces the treating professional's judgment.
Clinical objectives
- • Apply the 14-step framework to any dental scenario.
- • Justify 'PBM not indicated' as a correct clinical outcome.
- • Identify when medical coordination precedes any PBM decision.
Indicated · potentially useful as an adjunct · not indicated · insufficient evidence · caution or medical coordination required.
PBM does not eliminate the need for diagnosis, clinical judgment, safety procedures or appropriate medical coordination.
Document the verdict and its reason in the clinical record — including when the verdict is 'not indicated'.
Knowledge checkpoint
A patient reports diffuse oral burning with no established diagnosis. What is the correct next step?
Chapter summary
- • Clinical decisions remain the responsibility of the treating professional.
- • 'Not indicated' is often the correct answer.
- • Systematic reviews and meta-analyses on PBM in dentistry — to be curated by the academic team.
- • International PBM/laser safety guidance applicable in the institution's jurisdiction.
- • Institutional clinical protocol documentation (where authorised).
Educational content only. These algorithms are educational decision-support tools and never autonomous medical decision-makers. Clinical decisions remain the responsibility of the treating professional. Certification within OHDR Study™ is not a university award unless an authorised institution has been formally configured.