Common use of Gingivoplasty Clause in Contracts

Gingivoplasty. Gingi- preparation of root canal vectomy (reshaping tissue to help periodontal condition) Chemotherapeutic (chemical) treatment of root canal Gingivectomy with Osteoplasty (reshaping Obliteration of root canal tissue & bone) Gingivectomy with Endodontic services involving Currettage(reshaping tissue Periradicular root surgery & deep scaling) Root end fillings and silver Flap surgery (laying tissue points open and deep scaling) Amputation of roots Intentional extraction root Bleaching of treated tooth Post surgical treatments canal obliteration and Removal of root or foreign repositioning of tooth body from Sinus Endodontic management Examinations of primary teeth Initial examination of a new Surgical services patient Alveoloplasty - reshaping Reexamination of a previous bone arch to prepare for patient dentures Specific examination Frenoplasty-reshaping of tissue that connects the Emergency examination lip with the gingiva and/or consultation Exposure of tooth for Consultations repositioning With patient Enucleation of tooth follicle (removal of With another dentist unerupted tooth) Specific diagnostic procedures Repair of soft tissue lacerations (placing stitches Biopsy to repair gum tissue) Oral Pathology Incision & Drainage Cytology Report (drainage of infection by surgical incision) Cytological Examination Fractures – consultation Dental Caries Susceptibility & repair jaw fractures Test Removal of growths- General Vitality Test including biopsy Specific Vitality Test Treatment of Temporo- mandibular joint Bacterial examination (repositioning of dislocated jaw) Radiographic Examination and Interpretation (X-Ray) Sialolothotomy (opening of salivary duct) Soft tissue coverage Intramuscular injection Bone tissue coverage (antiobiotics, etc.) Preventive Services Anaesthesia Services General anaesthesia- Scaling and Polishing separate anaesthetist Topical Fluoride Treatment First unit of time Oral Hygiene Instruction Each additional unit of time Occlusal Equilibration General anaesthesis- using auxiliary personnel Treatment of Dental Caries (fillings) First unit of time Removal of carious lesion Each additional unit of time and dressing Amalgam Restorations Amalgam Restorations Bicuspids, permanent Permanent Molars anteriors all primary teeth Silacate cement and Plastic Composite direct resin restorations Restorations Surgical Services – Removal of Erupted tooth Removal of teeth (uncomplicated) Single tooth Each additional tooth in same quadrant Removal of single erupted tooth (complicated) Removal of single unerupted tooth Pit and Fissure treatment Removal of residual roots SCHEDULE B PROCEDURE PROCEDURE Prosthetic Services Provisional denture (temporary) Complete maxillary (upper) or mandibular (lower) Unilateral -- (a type of denture denture) Complete maxillary and Stressbreaker -- (relieves mandibular dentures stress on clasped tooth holding partial denture) Remount & equilibration - (dentures repaired to Denture adjustments (after 3 establish new bite) months from insertion) Immediate Dentures - Denture repairs (inserted immediately following the extraction Denture relines - temporary of teeth) and permanent Maxillary and mandibular Tissues conditioning - partial dentures (treatment) for inflamed, sore gum tissues One complete denture and one partial denture Maxillary or mandibular denture with precision Maxillary or mandibular attachments partial denture SCHEDULE C INSURED ORTHODONTIC SERVICES To the extent that such Dental Care is necessary according to the standards of good dental practice. Payment will be made on the basis of 50% of the Dentist's usual charge or 50% of the suggested fee guide for general practitioners issued by the Ontario Dental Association as shown on your certificate, whichever is less. Orthodontic services are subject to the limitations of your Dental Care Plan 7. The maximum payment under this rider is $1,500 in total per person effective December 1, 1998.

Gingivoplasty. Gingi- preparation of root canal vectomy (reshaping tissue to help periodontal condition) Chemotherapeutic (chemical) treatment of root canal Gingivectomy with Osteoplasty (reshaping Obliteration of root canal tissue & bone) Gingivectomy with Endodontic services involving Currettage(reshaping tissue Periradicular root surgery & deep scaling) Root end fillings and silver Flap surgery (laying tissue points open and deep scaling) Amputation of roots Intentional extraction root Bleaching of treated tooth Post surgical treatments canal obliteration and Removal of root or foreign repositioning of tooth body from Sinus Endodontic management Examinations of primary teeth Initial examination of a new Surgical services patient Alveoloplasty - reshaping Reexamination of a previous bone arch to prepare for patient dentures Specific examination Frenoplasty-reshaping of tissue that connects the Emergency examination lip with the gingiva and/or consultation Exposure of tooth for Consultations repositioning With patient Enucleation of tooth follicle (removal of With another dentist unerupted tooth) Specific diagnostic procedures Repair of soft tissue lacerations (placing stitches Biopsy to repair gum tissue) Oral Pathology Incision & Drainage Cytology Report (drainage of infection by surgical incision) Cytological Examination Fractures – consultation Dental Caries Susceptibility & repair jaw fractures Test Removal of growths- General Vitality Test including biopsy Specific Vitality Test Treatment of Temporo- mandibular joint Bacterial examination (repositioning of dislocated jaw) Radiographic Examination and Interpretation (X-Ray) Sialolothotomy (opening of salivary duct) Soft tissue coverage Intramuscular injection Bone tissue coverage (antiobiotics, etc.) Preventive Services Anaesthesia Services General anaesthesia- Scaling and Polishing separate anaesthetist Topical Fluoride Treatment First unit of time Oral Hygiene Instruction Each additional unit of time Occlusal Equilibration General anaesthesis- using auxiliary personnel Treatment of Dental Caries (fillings) First unit of time Removal of carious lesion Each additional unit of time and dressing Amalgam Restorations Amalgam Restorations Bicuspids, permanent Permanent Molars anteriors all primary teeth Silacate cement and Plastic Composite direct resin restorations Restorations Surgical Services – Removal of Erupted tooth Removal of teeth (uncomplicated) Single tooth Each additional tooth in same quadrant Removal of single erupted tooth (complicated) Removal of single unerupted tooth Pit and Fissure treatment Removal of residual roots SCHEDULE B PROCEDURE PROCEDURE Prosthetic Services Provisional denture (temporary) Complete maxillary (upper) or mandibular (lower) Unilateral -- (a type of denture denture) Complete maxillary and Stressbreaker -- (relieves mandibular dentures stress on clasped tooth holding partial denture) Remount & equilibration - (dentures repaired to Denture adjustments (after 3 establish new bite) months from insertion) Immediate Dentures - Denture repairs (inserted immediately following the extraction Denture relines - temporary of teeth) and permanent Maxillary and mandibular Tissues conditioning - partial dentures (treatment) for inflamed, sore gum tissues One complete denture and one partial denture Maxillary or mandibular denture with precision Maxillary or mandibular attachments partial denture SCHEDULE C INSURED ORTHODONTIC SERVICES To the extent that such Dental Care is necessary according to the standards of good dental practice. Payment will be made on the basis of 50% of the Dentist's usual charge or 50% of the suggested fee guide for general practitioners issued by the Ontario Dental Association as shown on your certificate, whichever is less. Orthodontic services are subject to the limitations of your Dental Care Plan 7. The maximum payment under this rider is $1,500 1,500.00 in total per person effective December January 1, 19981999. ORTHODONTIC SERVICES Consultation Pretreatment diagnostic Services Diagnostic Models, X-rays Cephalometric work-up Preventive and Interceptive Orthodontics Habit Inhibiting Space Regaining Space Maintenance Cross Bite Correction, etc. Corrective Orthodontics Removable and Fixed Appliance Therapy Retention PLEASE NOTE: Orthodontic treatment plans should be submitted for consideration and review to establish the extent of payable benefit. Prior to commencement of orthodontic treatment the dentist should prepare a report to the insurance carrier outlining the Details with respect to malocclusion, diagnosis, treatment plan and applicable fees. MEMORANDUM OF AGREEMENT ABITIBI-CONSOLIDATED COMPANY OF CANADA FORT XXXXXXX DIVISION -AND- INTERNATIONAL BROTHERHOOD OF ELECTRICAL WORKERS LOCAL UNION 1744 The bargaining committee representing the above parties, all of whom have been duly authorized to negotiate and settle, and do hereby confirm settlement of all outstanding matters between them and agree to extend the terms and conditions of the current Collective Agreement which expires on April 30, 2004 for an additional five (5) years, through to April 30, 2009 subject to the following amendments contained in this Memorandum of Agreement. Subject to ratification by the Union under their internal rules and procedures, this Memorandum of Agreement will, upon such ratification change the current Collective Agreement, which will become the new Collective Agreement between the Union and Company in accordance with the terms herein. All terms will become effective on the date of ratification except as herein specified to the contrary.

Gingivoplasty. Gingi- preparation Excision of root canal vectomy vestibular hyperplasia Shaving of papillary Surgical excision, benign tumors Surgical excision, tumors Surgical excision, cysts or granulomas Marsupialization of cyst Reduction of fractures, closed reduction Reduction of fractures, open reduction of displaced teeth (reshaping tissue to help periodontal condition) Chemotherapeutic under (chemical) over with myotomy or Temporomandibularjoint dislocation treatment Treatment of root canal Gingivectomy with Osteoplasty (reshaping Obliteration of root canal tissue & bone) Gingivectomy with Endodontic services involving Currettage(reshaping tissue Periradicular root salivary glands surgery & deep scaling) Root end fillings and silver Flap surgery (laying tissue points open and deep scaling) Amputation of roots Intentional extraction root Bleaching of treated tooth Post surgical treatments canal obliteration and Removal of root or foreign repositioning of tooth body from Sinus Endodontic management Examinations of primary teeth Initial examination of a new ORTHODONTIC SERVICES Surgical services patient Alveoloplasty - reshaping Reexamination of a previous bone arch to prepare for patient dentures Specific examination Frenoplasty-reshaping of tissue that connects the Emergency examination lip with the gingiva and/or consultation Exposure exposure of tooth for Consultations repositioning With patient Enucleation treatment GENERAL SERVICES Anaesthesia of any is not payable unless in oral surgery (excision) Periodontal surgery, or Fractures and dislocations General anaesthesia Provision of facilities, equipment supplies Neuroleptanalgesia Inhalation sedation Intravenous sedation Intramuscular sedative drugs Combined sedation Consultation member of profession Written or telephone reports TYPE C SERVICES Payable RESTORATIVE SERVICES Prefabricated restorations, teeth metal restorations, permanent teeth Prefabricated plastic restorations, teeth Prefabricated plastic restorations, permanent teeth Tooth coloured restorations Inlay restorations restorations Retentive pins for inlays, crowns Posts and cores Plastic crowns Plastic crowns, transitional Porcelain or ceramic crowns Metal crowns Metal or plastic copings Laboratory processed veneers Restorative procedures to overdentures Recementation or rebonding in inlays, crowns or veneers of inlays, crowns or Porcelain staining REMOVABLE PROSTHODONTICS Complete permanent dentures, Complete permanent dentures equilibrated or Complete transitional dentures Partial transitional dentures immediate dentures Partial resilient retainer Partial dentures, resilient retainer Partial dentures, clasps and rests Partial immediate dentures, Partial dentures with lingual bar immediate dentures with bar dentures with acrylic base Partial dentures, altered cast impression technique Denture adjustments Denture adjustments, cast metal FIXED PROTHODONTICS Bridge cast Bridge acrylic bridge acrylic Natural tooth pontic, temporary Replacement, removal, recementation Fixed bridge repairs Fixed bridge retainers fixed bridge retainers Porcelain or ceramic retainers Precision Metal cast retainers Abutment preparation Telescoping crown unit Fixed porcelain prosthesis Retentive pins for retainers TYPE D SERVICES PAYABLE ORTHODONTICS Covers and customary changes for Orthodontic Services below, providing such Dental procedures have as their objective the correction of of the teeth irregularities of tooth follicle (removal of With another dentist unerupted tooth) Specific diagnostic procedures Repair of soft tissue lacerations (placing stitches Biopsy to repair gum tissue) Oral Pathology Incision & Drainage Cytology Report (drainage of infection by surgical incision) Cytological Examination Fractures – consultation Dental Caries Susceptibility & repair jaw fractures Test Removal of growths- General Vitality Test including biopsy Specific Vitality Test Treatment of Temporo- mandibular joint Bacterial examination (repositioning of dislocated jaw) Radiographic Examination position and Interpretation (X-Ray) Sialolothotomy (opening of salivary duct) Soft tissue coverage Intramuscular injection Bone tissue coverage (antiobiotics, etc.) Preventive Services Anaesthesia Services General anaesthesia- Scaling and Polishing separate anaesthetist Topical Fluoride Treatment First unit of time Oral Hygiene Instruction Each additional unit of time Occlusal Equilibration General anaesthesis- using auxiliary personnel Treatment of Dental Caries (fillings) First unit of time Removal of carious lesion Each additional unit of time and dressing Amalgam Restorations Amalgam Restorations Bicuspids, permanent Permanent Molars anteriors all primary teeth Silacate cement and Plastic Composite direct resin restorations Restorations Surgical Services – Removal of Erupted tooth Removal of teeth (uncomplicated) Single tooth Each additional tooth in same quadrant Removal of single erupted tooth (complicated) Removal of single unerupted tooth Pit and Fissure treatment Removal of residual roots SCHEDULE B PROCEDURE PROCEDURE Prosthetic Services Provisional denture (temporary) Complete maxillary (upper) or mandibular (lower) Unilateral -- (a type of denture denture) Complete maxillary and Stressbreaker -- (relieves mandibular dentures stress on clasped tooth holding partial denture) Remount & equilibration - (dentures repaired to Denture adjustments (after 3 establish new bite) months from insertion) Immediate Dentures - Denture repairs (inserted immediately following the extraction Denture relines - temporary of teeth) and permanent Maxillary and mandibular Tissues conditioning - partial dentures (treatment) for inflamed, sore gum tissues One complete denture and one partial denture Maxillary or mandibular denture with precision Maxillary or mandibular attachments partial denture SCHEDULE C INSURED ORTHODONTIC SERVICES To the extent that dental arches providing such Dental Care is necessary according to the standards of good dental practice. Benefits are based on the lesser of the Dentist’s or the suggested Fee Guide specified in the Schedule of Benefits Covered Orthodontic Services Orthodontic observations, adjustments or appliances series (retention appliance pays at 50%) Payment of Orthodontic Claims Payment for orthodontic expenses be made on one of the following basis: If a receipt or completed claim form is submitted for each treatment as the charge is incurred, payment for the covered cost of the will made as the charge is incurred. Quarterly payments will be made on only upon receipt of a claim form or receipt from the basis of 50% Dentist or Orthodontist that the treatment plan has continued through the months for which is due. Exclusions Expenses incurred in connection with any of the Dentist's usual charge following are not Covered Dental Expenses: Services, treatments, appliances, and supplies which are not set forth under Covered Dental Procedures outlined in this Dental Plan. Dental surgery or 50% dental treatment for cosmetic purposes, unless such surgery or treatment is required for correction of caused by an accidental blow to the mouth but only to the extent surgery or treatment is a Covered Dental Expense. Extension of benefits no dental benefits are after termination of coverage, except as provided in Article However, such benefits are payable under the following: Where the impression for a denture (including crowns, inlays or was taken prior to the date of the suggested fee guide for general practitioners issued by coverage ter- and the Ontario Dental Association as shown on your certificatedenture is installed within of the coverage ter- mination, whichever or Where the termination of coverage is less. Orthodontic services are subject due to the limitations death of your Dental Care Plan 7employee, the expense benefit will be payable for a depend- ent provided, service is rendered within days following the death provided it is series of planned services that commenced prior to death or at definite dental appointments made prior to the death. The maximum payment expense benefits referred in Section and will not tinder Agreement as Services covered by workers act or other statue; Self injuries, or illness while or insane; services or appliances other than those provided in this charges for prescription required as a result of the employee or dependent par- ticipating in a criminal offense; a result of war or hostilities of any kind; Services by a person who is ordinarily a resident in patient's home or who is a of the patient's imme- diate for which reimbursement is payable due to the legal liability of any other party, to the extent of reimbursement; Services levied by a physician or dentist for time spent xxxx, broken appointments, transportation costs, room rental advice phone or means of telecom- munications; or unless such surgery or ment is for accidental injuries which commenced within of an accident; 'die replacement of existing dental appliance which has lost, or stolen; supplies rendered for full mouth re-construction, for vertical dimension correction, or for a correction to joint dysfunction. Co-ordination of benefits This provision operates in the event that an employee or dependent is covered under this rider is $1,500 in more than plan pro- viding expense benefits such as those provided under Sections or and ensures that while claim may be made all plans that the total per person effective December 1, 1998reimbursement does not exceed the expenses incurred.

Gingivoplasty. Gingi- preparation Excision of root canal vectomy vestibular hyperplasia Shaving of papillary Surgical excision, benign tumors Surgical excision, tumors Surgical excision, cysts or granulomas Marsupialization of cyst Reduction of fractures, closed reduction Reduction of fractures, open reduction of displaced teeth (reshaping tissue to help periodontal condition) Chemotherapeutic under (chemical) over with myotomy or Temporomandibularjoint dislocation treatment Treatment of root canal Gingivectomy with Osteoplasty (reshaping Obliteration of root canal tissue & bone) Gingivectomy with Endodontic services involving Currettage(reshaping tissue Periradicular root salivary glands surgery & deep scaling) Root end fillings and silver Flap surgery (laying tissue points open and deep scaling) Amputation of roots Intentional extraction root Bleaching of treated tooth Post surgical treatments canal obliteration and Removal of root or foreign repositioning of tooth body from Sinus Endodontic management Examinations of primary teeth Initial examination of a new ORTHODONTIC SERVICES Surgical services patient Alveoloplasty - reshaping Reexamination of a previous bone arch to prepare for patient dentures Specific examination Frenoplasty-reshaping of tissue that connects the Emergency examination lip with the gingiva and/or consultation Exposure exposure of tooth for Consultations repositioning With patient Enucleation treatment GENERAL SERVICES Anaesthesia of any is not payable unless in oral surgery (excision) Periodontal surgery, or Fractures and dislocations General anaesthesia Provision of facilities, equipment supplies Neuroleptanalgesia Inhalation sedation Intravenous sedation Intramuscular sedative drugs Combined sedation Consultation member of profession Written or telephone reports TYPE C SERVICES Payable RESTORATIVE SERVICES Prefabricated restorations, teeth metal restorations, permanent teeth Prefabricated plastic restorations, teeth Prefabricated plastic restorations, permanent teeth Tooth coloured restorations Inlay restorations restorations Retentive pins for inlays, crowns Posts and cores Plastic crowns Plastic crowns, transitional Porcelain or ceramic crowns Metal crowns Metal or plastic copings Laboratory processed veneers Restorative procedures to overdentures Recementation or rebonding in inlays, crowns or veneers of inlays, crowns or Porcelain staining REMOVABLE PROSTHODONTICS Complete permanent dentures, Complete permanent dentures equilibrated or Complete transitional dentures Partial transitional dentures immediate dentures Partial resilient retainer Partial dentures, resilient retainer Partial dentures, clasps and rests Partial immediate dentures, Partial dentures with lingual bar immediate dentures with bar dentures with acrylic base Partial dentures, altered cast impression technique Denture adjustments Denture adjustments, cast metal FIXED PROTHODONTICS Bridge cast Bridge acrylic bridge acrylic Natural tooth pontic, temporary Replacement, removal, recementation Fixed bridge repairs Fixed bridge retainers fixed bridge retainers Porcelain or ceramic retainers Precision Metal cast retainers Abutment preparation Telescoping crown unit Fixed porcelain prosthesis Retentive pins for retainers TYPE D SERVICES PAYABLE ORTHODONTICS Covers and customary changes for Orthodontic Services below, providing such Dental procedures have as their objective the correction of of the teeth irregularities of tooth follicle (removal of With another dentist unerupted tooth) Specific diagnostic procedures Repair of soft tissue lacerations (placing stitches Biopsy to repair gum tissue) Oral Pathology Incision & Drainage Cytology Report (drainage of infection by surgical incision) Cytological Examination Fractures – consultation Dental Caries Susceptibility & repair jaw fractures Test Removal of growths- General Vitality Test including biopsy Specific Vitality Test Treatment of Temporo- mandibular joint Bacterial examination (repositioning of dislocated jaw) Radiographic Examination position and Interpretation (X-Ray) Sialolothotomy (opening of salivary duct) Soft tissue coverage Intramuscular injection Bone tissue coverage (antiobiotics, etc.) Preventive Services Anaesthesia Services General anaesthesia- Scaling and Polishing separate anaesthetist Topical Fluoride Treatment First unit of time Oral Hygiene Instruction Each additional unit of time Occlusal Equilibration General anaesthesis- using auxiliary personnel Treatment of Dental Caries (fillings) First unit of time Removal of carious lesion Each additional unit of time and dressing Amalgam Restorations Amalgam Restorations Bicuspids, permanent Permanent Molars anteriors all primary teeth Silacate cement and Plastic Composite direct resin restorations Restorations Surgical Services – Removal of Erupted tooth Removal of teeth (uncomplicated) Single tooth Each additional tooth in same quadrant Removal of single erupted tooth (complicated) Removal of single unerupted tooth Pit and Fissure treatment Removal of residual roots SCHEDULE B PROCEDURE PROCEDURE Prosthetic Services Provisional denture (temporary) Complete maxillary (upper) or mandibular (lower) Unilateral -- (a type of denture denture) Complete maxillary and Stressbreaker -- (relieves mandibular dentures stress on clasped tooth holding partial denture) Remount & equilibration - (dentures repaired to Denture adjustments (after 3 establish new bite) months from insertion) Immediate Dentures - Denture repairs (inserted immediately following the extraction Denture relines - temporary of teeth) and permanent Maxillary and mandibular Tissues conditioning - partial dentures (treatment) for inflamed, sore gum tissues One complete denture and one partial denture Maxillary or mandibular denture with precision Maxillary or mandibular attachments partial denture SCHEDULE C INSURED ORTHODONTIC SERVICES To the extent that dental arches providing such Dental Care is necessary according to the standards of good dental practice. Benefits are based on the lesser of the Dentist’s or the suggested Fee Guide specified in the Schedule of Benefits Covered Orthodontic Services Orthodontic observations, adjustments or appliances series (retention appliance pays at 50%) Payment of Orthodontic Claims Payment for orthodontic expenses be made on one of the following basis: If a receipt or completed claim form is submitted for each treatment as the charge is incurred, payment for the covered cost of the will made as the charge is incurred. Quarterly payments will be made on only upon receipt of a claim form or receipt from the basis of 50% Dentist or Orthodontist that the treatment plan has continued through the months for which is due. Exclusions Expenses incurred in connection with any of the Dentist's usual charge following are not Covered Dental Expenses: Services, treatments, appliances, and supplies which are not set forth under Covered Dental Procedures outlined in this Dental Plan. Dental surgery or 50% dental treatment for cosmetic purposes, unless such surgery or treatment is required for correction of caused by an accidental blow to the mouth but only to the extent surgery or treatment is a Covered Dental Expense. Extension of benefits no dental benefits are after termination of coverage, except as provided in Article However, such benefits are payable under the following: Where the impression for a denture (including crowns, inlays or was taken prior to the date of the suggested fee guide for general practitioners issued by coverage ter- and the Ontario Dental Association as shown on your certificatedenture is installed within of the coverage ter- mination, whichever or Where the termination of coverage is less. Orthodontic services are subject due to the limitations death of your Dental Care Plan 7employee, the expense benefit will be payable for a depend- ent provided, service is rendered within days following the death provided it is series of planned services that commenced prior to death or at definite dental appointments made prior to the death. The maximum payment expense benefits referred in Section and will not tinder Agreement as Services covered by workers act or other statue; Self injuries, or illness while or insane; services or appliances other than those provided in this charges for prescription required as a result of the employee or dependent par- ticipating in a criminal offense; a result of war or hostilities of any kind; Services by a person who is ordinarily a resident in patient's home or who is a of the patient's imme- diate for which reimbursement is payable due to the legal liability of any other party, to the extent of reimbursement; Services levied by a physician or dentist for time spent ling, broken appointments, transportation costs, room rental advice phone or means of telecom- munications; or unless such surgery or ment is for accidental injuries which commenced within of an accident; 'die replacement of existing dental appliance which has lost, or stolen; supplies rendered for full mouth re-construction, for vertical dimension correction, or for a correction to joint dysfunction. Co-ordination of benefits This provision operates in the event that an employee or dependent is covered under this rider is $1,500 in more than plan pro- viding expense benefits such as those provided under Sections or and ensures that while claim may be made all plans that the total per person effective December 1, 1998reimbursement does not exceed the expenses incurred.

Gingivoplasty. Gingi- preparation of root canal vectomy (reshaping tissue to help periodontal condition) Chemotherapeutic (chemical) treatment of root canal Gingivectomy with Osteoplasty (reshaping Obliteration of root canal tissue & bone) Gingivectomy with Endodontic services involving Currettage(reshaping tissue Periradicular root surgery & deep scaling) Root end fillings and silver Flap surgery (laying tissue points open and deep scaling) Amputation of roots Intentional extraction root Bleaching of treated tooth Post surgical treatments canal obliteration and Removal of root or foreign repositioning of tooth body from Sinus Endodontic management Examinations of primary teeth Initial examination of a new Surgical services patient Alveoloplasty - reshaping Reexamination of a previous bone arch to prepare for patient dentures Specific examination Frenoplasty-reshaping of tissue that connects the Emergency examination lip with the gingiva and/or consultation Exposure of tooth for Consultations repositioning With patient Enucleation of tooth follicle (removal of With another dentist unerupted tooth) Specific diagnostic procedures Repair of soft tissue lacerations (placing stitches Biopsy to repair gum tissue) Oral Pathology Incision & Drainage Cytology Report (drainage of infection by surgical incision) Cytological Examination Fractures – consultation Dental Caries Susceptibility & repair jaw fractures Test Removal of growths- General Vitality Test including biopsy Specific Vitality Test Treatment of Temporo- mandibular joint Bacterial examination (repositioning of dislocated jaw) Radiographic Examination and Interpretation (X-Ray) Sialolothotomy (opening of salivary duct) Soft tissue coverage Intramuscular injection Bone tissue coverage (antiobiotics, etc.) Preventive Services Anaesthesia Services General anaesthesia- Scaling and Polishing separate anaesthetist Topical Fluoride Treatment First unit of time Oral Hygiene Instruction Each additional unit of time Occlusal Equilibration General anaesthesis- using auxiliary personnel Treatment of Dental Caries (fillings) First unit of time Removal of carious lesion Each additional unit of time and dressing Amalgam Restorations Amalgam Restorations Bicuspids, permanent Permanent Molars anteriors all primary teeth Silacate cement and Plastic Composite direct resin restorations Restorations Surgical Services – Removal of Erupted tooth Removal of teeth (uncomplicated) Single tooth Each additional tooth in same quadrant Removal of single erupted tooth (complicated) Removal of single unerupted tooth Pit and Fissure treatment Removal of residual roots SCHEDULE B PROCEDURE PROCEDURE Prosthetic Services Provisional denture (temporary) Complete maxillary (upper) or mandibular (lower) Unilateral -- (a type of denture denture) Complete maxillary and Stressbreaker -- (relieves mandibular dentures stress on clasped tooth holding partial denture) Remount & equilibration - (dentures repaired to Denture adjustments (after 3 establish new bite) months from insertion) Immediate Dentures - Denture repairs (inserted immediately following the extraction Denture relines - temporary of teeth) and permanent Maxillary and mandibular Tissues conditioning - partial dentures (treatment) for inflamed, sore gum tissues One complete denture and one partial denture Maxillary or mandibular denture with precision Maxillary or mandibular attachments partial denture SCHEDULE C INSURED ORTHODONTIC SERVICES To the extent that such Dental Care is necessary according to the standards of good dental practice. Payment will be made on the basis of 50% of the Dentist's usual charge or 50% of the suggested fee guide for general practitioners issued by the Ontario Dental Association as shown on your certificate, whichever is less. Orthodontic services are subject to the limitations of your Dental Care Plan 7. The maximum payment under this rider is $1,500 in total per person effective December January 1, 19981999.