|
100 %
|
Type 1 - Diagnostic and
Preventive Treatment
Diagnostic: Routine periodic examinations once in a
6 month period.
Preventive: Dental prophylaxis (teeth cleaning and
scaling) once in a 6 month period (including
application of topical fluoride for dependent
children only).
Radiography: Bitewing x-rays once in a 12 month
period. Full mouth x-rays one in a 36 month
period. |
|
80%
|
Type 2 - Basic Procedures
(3 month waiting period)
Restorative: Amalgam, synthetic porcelain or
plastic fillings.
Other: Space maintainers, recementation of
crowns. |
|
50%
|
Type 3 - Major Procedures
(12 month waiting period)
Endodontics: Pulpal therapy and root canals.
Periodontics: Treatment of diseases of the
gums.
Oral Surgery: Extractions and other oral surgery,
including pre and post-operative care.
Prosthetics: Gold restorations, crowns, bridges,
partials and complete dentures.
Other: Pontics, repair of crowns and bridges,
repair of full and partial dentures. |