ADDITIONAL PERIODONTAL SURGERY. A. Distal wedge procedure - Includes local anaesthesia, management of infection, surgical procedure, surgical dressing (packing), sutures, and post surgical care. A surgical site is considered a sextant. Limited to 1 per site in any 12 month period.
B. Treatment of periodontal abscess or pericoronitis - Includes lancing, scaling, curettage, medication, and/or surgery. Limited to 1 time unit per treatment and 2 treatments in any 12 month period.
