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ROUTINE TREATMENTS (100%)

Preventive Care

a) Oral examinations and diagnosis

  • Complete oral examination (two per calendar year, must be separated by five consecutive months)
  • Recall oral examination (two per calendar year, must be separated by five consecutive months)
  • Emergency oral examination and specific oral examination (two per calendar year, must be separated by five consecutive months)

b) X-rays

  • Complete series films/panoramic film (once every 24 months) Intra-oral films – periapical
  • Intra-oral films – occlusal (one per calendar year)
  • Intra-oral films – bitewings (two per calendar year, must be separated by five consecutive months)
  • Extra-oral films (one per calendar year) Sialography
  • Radiopaque dyes

c) Laboratory tests and examinations Bacterial culture

  • Biopsy of soft oral tissue Biopsy of hard oral tissue
  • Cytological examination
  • Payment for laboratory fees is limited to the reasonable and customary charges for such services in the area where the services are provided.

d) Preventive treatment

  • Polishing of coronal portion of teeth (two per calendar year, must be separated by five consecutive months)
  • Topical application of fluoride (two per calendar year, must be separated by five consecutive months)
  • Pit and fissure sealants Scaling
  • Provision of habit breaking appliances
  • Space maintainers for primary teeth only (dependents aged 3 to 14)

Basic Care

a) Restorations

  • Amalgam, acrylic, silicate or composite on posterior and anterior teeth
  • White fillings on molars Retentive pins
  • Full coverage prefabricated restorations Endodontic services
  • Pulp capping
  • Pulpotomy
  • Emergency pulpectomy Root-canal therapy Endodontic surgery
  • Bleaching (endodontically treated teeth) Apexification

b) Periodontics

  • Periodontal surgery
  • Provisional splinting
  • Management of acute infections
  • Desensitizations
  • Other adjunctive periodontal services
  • Root planing
  • Periodontal curettage
  • Occlusal adjustments (three units* per calendar year)
  • Periodontal appliances (one per two calendar years)
  • Adjustments to appliances (three units* per calendar year)

c) Oral surgery

  • Removal of erupted teeth
  • Surgical exposure and movement of teeth
  • Surgical excision of cysts and neoplasms
  • Extractions and alveolectomy at the time of tooth extraction

d) General adjunctive services

  • Anaesthesia (related to surgery)

* A unit of time is equal to 15 minutes of service.