Scoring System for Oral Mucositis | Bone Marrow Transplantation

voice

normal

0

deep or raspy voice

1

discomfort or pain on talking

2

swallow

normal

0

slight difficult or pain

1

unable to swallow

2

lips

normal (smooth and pink)

0

dry or cracked

1

blistered, cracked

2

tongue

pink, moist, with papillae present

0

coated, with loss of papillae

1

blistered, cracked

2

buccal mucosa

pink and moist

0

reddened or coated; no ulcers

1

ulcerations with/without bleeding

2

hard and soft palate

pink and moist

0

reddened or coated; no ulcers

1

ulcerations with/without bleeding

2

gingivitis

pink and stippled

0

edematous and painful

1

reddened, swollen, bleeding

2

teeth

clean, no debris

0

plaque or debris localized

1

generalized debris along gingiva

2

saliva production

moist mouth

0

dry mouth but saliva present

1

very dry mouth, parched, coated

2

patient self-assessment

no discomfort

0

mild discomfort

1

moderate pain

2

severe pain

3

0

none

1 – 7

mild

8 – 14

moderate

15 – 21

severe