Common use of Prosthodontic Services Clause in Contracts

Prosthodontic Services. A. DENTURES - Construction and insertion of dentures. Limited until after the person has been insured continuously under this benefit for a period of 12 consecutive months, unless a tooth is extracted. (a) Full Dentures - Replacements must be separated by an interval of at least 5 years. (i) Standard denture - Includes treatment plan, initial and final impressions, jaw relations records, try-in insertion, occlusal equilibration, and follow-up care and adjustments for 6 months following insertion. (ii) Standard immediate denture - Includes treatment plan, impressions, jaw relations records, tissue conditioner, insertion, occlusal equilibration, and follow-up care and adjustments for 6 months following insertion. (b) Partial Dentures - Includes treatment plan, mouth preparation, initial and final impressions, jaw relations records, connectors, rests, clasps, and bases, framework try-in, try-in evaluation, insertion, occlusal equilibration, and follow-up care and adjustments for 6 months following insertion. Replacements must be separated by an interval of at least 5 years. ▇. ▇▇▇▇▇▇▇ - Construction and insertion of bridges. For initial bridges, limited to teeth extracted while insured under this benefit. For replacement bridges: (1) if teeth are extracted in the period until the person has been insured under this benefit for 12 consecutive months, limited to teeth extracted while insured under this benefit; (2) if teeth are not extracted, only after the person has been insured under this benefit for a period of 12 months, and replacements must be separated by an interval of at least 10 years. (a) Fixed bridges - Includes treatment planning, occlusal records, local anaesthesia, subgingival preparation of the tooth and supporting structures, removal of decay and/or old restoration, tooth preparation, pulp protection, impressions, temporary services, splinting and intraoral indexing for soldering purposes, insertion, occlusal adjustments and cementation. Does not include porcelain or porcelain fused to metal abutments or pontics for molar teeth. (b) Recement fixed bridge. (c) Repair fixed bridge. 8. DENTURE ADJUSTMENTS - Includes 6 month follow-up care.