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Types of procedures

Oral Exams & Cleanings

Fluoride & Sealants

Space Maintainers

Dental X-Rays

Fillings

Simple Extraction VS Oral Surgery

Crowns VS Inlays & Onlays

Prosthodontics, Endodontics & Periodontics

Alternate Benefit Provision

Orthodontia

Oral Exams

cleanings

For new or existing patients.

Comprehensive oral exams can include but are not limited to:

  • Compilation of the patient's dental history
  • Charting of existing fillings/crowns
  • Oral cancer screening

Frequency1

  • One per consecutive 6-month period

Also known as Prophylaxis Cleaning

Purpose:

  • Cavity prevention
  • Stop tooth loss
  • Freshen breath
  • Boost overall health
  • Save money on costly dentalprocedures in the future

Frequency1

  • One prophylaxis or periodontal maintenance procedure per consecutive 6 month period

1 MD only allows 1 exam and cleaning per calendar year

Fluoride

sealants

Mineral that helps prevent tooth decay

Purpose:

  • Controls bacteria
  • Makes teeth stronger and more resistant to decay
  • Helps repair teeth slightly damaged by plaque

Frequency1

  • One treatment per 12 consecutivemonths (limited to under 14 years old)

A strong liquid plastic material put on the chewing surfaces of molars

Purpose:

  • Prevents tooth decay on teethwith deep pits and groovestoo small for a toothbrush
  • Bonds with tooth's enamel

Frequency1

  • One per tooth per lifetime

Space Maintainers

Custom made acrylic (removable) or metal (fixed) device

Purpose:

  • Space holders to make room for permanent teeth when baby teeth are lost prematurely
    • Not meant to move or shift teeth
    • Prevent adjacent baby teeth from moving into the open space

Frequency

  • Limited to one otrhodontic treatment forprematurely removed or missing teethfor a person less than 14 years old

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Dental x-rays

BITEWING

  • Most common, taken regularly
  • "Routine" x-rays
  • Shows the crown and contact areas of the back teeth
  • Once per calendar year

PERIAPICAL (PA)

  • Shows detail of 1 or 2 teeth - including root and bone around it

OCCLUSAL

  • Shows the roof or floor of mouth
  • Find extra teeth, those below the gums, and other serious structural issues

PANORAMIC

  • Monitor changes over time i.e., wisdom teeth or orthodontic concerns
  • Covered every 60 months

FULL MOUTH SERIES

  • Also known as "FMX" - provides details about every tooth
  • Combination of Bitewing and Periapical films
  • Covered every 60 months

AMALGAMFILLING

Compositefilling

  • Traditional type of filling
  • Contain an alloy of different metals
  • Upside: less expensive
  • Downside: visually more noticeable than composite

  • Bonds directly to your tooth - can adhere to areas that amalgam fillings can not
  • Upside: can be color matched
  • Downside: more expensive

alternate benefit provision

What does that mean to the customer?

A standard provision on all Cigna IFP Dental plans.

When there is more than one dental procedure that is professionally adequate to treat a condition, theless expensive procedure will beconsidered.

A common example is composite filling on posterior teeth.

  • When a white filling is done onthe back teeth, it is consideredcosmetic
  • Cigna will cover up to the costof an amalgam (silver) filling

The member is then responsible for the cost difference.

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Simple Extraction

Oral Surgery

SIMPLE EXTRACTION

ORAL SURGERY

A simple tooth extraction is performed on atooth that is visible in the mouth and nothidden underneath gums.

Reasons for Extraction:

  • Baby teeth removal
  • Crowding from extra teeth
  • Broken or loose teeth from injury
  • Decayed or infected teeth

Reasons for Extraction:

  • Removal of impacted teeth
  • Root removal
  • Gum grafting
  • Tooth transplantation

In addition to extraction of impacted teeth, oral surgery is any surgical procedure necessary to repair serious dental damage to:• Teeth, gums, jaw or other oral structures

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Crowns

Inlays & Onlays

CROWNS

INLAYS &ONLAYS

A procedure to fix a cavity too large for a filling or for cracks that compromise the integrity of the tooth’s function.Known as a “cap” it covers the whole tooth Always a Class III service

Often referred to as a “three-quarter crown” since it’s a procedures that fall between a filling and a full coverage crownIt is less invasive, helps preserve much of the healthy tooth structure

  • Onlays rebuild areas (i.e. cusps) of the tooth that broke way
  • Inlays fill a portion of the tooth

Prosthodontics

  • Partial
  • Complete

Dentures

Bridges

Endodontics

Periodontics

  • Treatments thatdeal with the soft tissue of thetooth root

Root Canal

  • Gum
  • Jawbone

Gum Conditions

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orthodontia

Orthodontia is the treatment of misaligned teeth & jaw.

  • Covered as Class IV

Orthodontia waiting periods cannot be waived and will also apply to treatment-in-progress.

invisalign & braces

Invisalign is a covered benefit but is based on the rate of metal braces

  • The customer is responsible for the difference in material cost (Invisalign trays) up to the dentist's fee