Dental Hospital Treatments
Oral Diagnosis Department:
- Initial oral examination
- Periodic oral examination
- Intraoral-periapical film
- Panoramic film
- Cephalometric film
Periodontic Department:
- Teeth cleaning-mild calculus deposit
- Teeth cleaning-moderate calculus deposit
- Root planing-per period
- Root planing-one and a half period
- Topical application of fluoride
- Air-Flow stain removal
- Application of desensitizing medicaments
- Gingivectomy or gingivoplasty-per tooth
- Gingivectomy or gingivoplasty-per quadrant
- Crown lengthening-per tooth
- Occlusal splint, hard type with adjustment
- Occlusal guard or night guard, soft type
- Occlusal therapy consultation
- Occlusal adjustment-limited, per tooth
- Occlusal adjustment-limited, per area
- Temporomandibular joint dysfunctions therapy, per visit
- Periodontal consultation
Operative Department:
- Composite filling - one surface, anterior
- Composite filling - two surfaces, anterior
- Composite filling - three surfaces, anterior
- Composite filling - four surfaces or involving incisal angle
- Composite filling - two surfaces, space closing
- Composite filling - one surface, posterior
- Composite filling - two surfaces, posterior
- Composite filling - three surfaces, posterior
- Composite filling - four surfaces, posterior
- Glass Ionomer-one surface, permanent
- Glass Ionomer-two surfaces, permanent
- Glass Ionomer-three surfaces, permanent
- Glass Ionomer-four surfaces, permanent
- Temporary filling - caries control
- Sedative filling
- Operative consultation
Cosmetic Department:
- Zoom whitening
- LaserSmile whitening
- BriteSmile whitening
- Home bleaching with trays and a bleaching gel set
- Ceramic veneer empress esthetic-per tooth
- Ceramic veneer IPS e.max-per tooth
- Composite resin veneer-chairside
- Orthodontic Department
- Diagnostic casts
- Diagnostic photographs
- Metal bracket*
- Ceramic bracket*
- Damon bracket*
- Metal brackets, per arch
- Ceramic brackets, per arch
- Damon brackets, per arch
- Fixed orthodontic appliance adjustment
- Metal lingual indirect brackets, per arch
- Fixed lingual indirect appliance, adjustment
- Gold lingual indirect brackets, full arch
- Gold lingual indirect brackets, adjustment
- Invisalign orthodontic appliances, full arch
- Invisalign orthodontic appliances, adjustment
- Orthodontic retainer, per arch
- Removable orthodontic appliance adjustment
- Orthodontic consultation
Endodontic Department:
- Pulp vitality test
- Sedative filling
- Pulpectomy, partial - emergency endodontic treatment
- Root canal therapy, anterior - excluding final restoration
- Root canal therapy, premolar - excluding final restoration
-Root canal therapy, molar - excluding final restoration
- Irregular root canal shape treatment
- Removal of previous root canal filling, anterior
- Removal of previous root canal filling, premolar
- Removal of previous root canal filling, molar
- Apexification, per visit
- Apicoectomy, anterior
- Apicoectomy, premolar
- Apicoectomy, molar
- Retrograde filling, per root
- Microscopic endodontic therapy, anterior
- Microscopic endodontic therapy, premolar
- Microscopic endodontic therapy, molar
- Microscopic removal of previous root canal filling, anterior
- Microscopic removal of previous root canal filling, premolar
- Microscopic removal of previous root canal filling, molar
- Microscopic removal of broken instrument, anterior
- Microscopic removal of broken instrument, premolar
- Microscopic removal of broken instrument, molar
- Microscopic removal of post, anterior
- Microscopic removal of post, premolar
- Microscopic removal of post, molar
- Microscopic perforation repair, anterior
- Microscopic perforation repair, premolar
- Microscopic perforation repair, molar
- Microscopic endodontic investigation
- Microscopic apicoectomy with retrograde filling, anterior
- Microscopic apicoectomy with retrograde filling, premolar
- Microscopic apicoectomy with retrograde filling, molar
- Microscopic endodontic sergical investigation
- Orthodontic band for root canal therapy, per tooth
- Bleaching of discoloured tooth
- Pin or post removal
- Crown or bridge removal per unit - abutment
- Endodontic consultation
Prosthodontic Department:
- Diagnostic casts
- Temporary crown resin
- Prefabricated post and core
- Cast post and core
- Removable partial denture, upper or lower
- Complete denture, upper or lower
- Partial-acrylic base 1-3 teeth, including any conventional clasps and rest
- Partial-acrylic base 4-6 teeth, including any conventional clasps and rest
- Partial-acrylic base more than 6 teeth, including any conventional clasps and rests
- Crown-full ceramic, Zirconia
- Crown-full cast high nobel metal
- Crown/Bridge-porcelain fused to high noble metal
- Crown/Bridge-porcelain fused to noble metal
- Branemark implant
- Astra Tech Implant System
- Prosthodontic consultation
Pediatric Dentistry Department:
- Pediatric oral examination
- Prophylaxis
- Prophylaxis including topical fluoride application
- Sealant, per tooth
- Tooth extraction
- Composite filling- one surface, anterior
- Composite filling- two surfaces, anterior
- Composite filling- three surfaces, anterior
- Composite filling- one surface, posterior
- Composite filling- two surfaces, posterior
- Composite filling- three surfaces, posterior
- Prefabricated resin crown
- Topical application of fluoride
- Pulpectomy, partial - emergency endodontic retreatment
- Pulpectomy, total
- Pediatric consultation
Oral Surgery Department:
- Single tooth extraction
- Surgical removal of residual tooth roots
- Surgical removal of erupted tooth requiring elevation of mucoperiosteal flap and removal of bone and/or section of tooth
- Removal of impacted tooth - soft tissue
- Removal of impacted tooth - partially bony
- Removal of impacted tooth - completely bony
- Oral surgery consultation