Surgical Periodontics. a. Surgical periodontal procedures limited to one (1) every thirty six (36) months for each area of the mouth. b. Guided tissue regeneration limited to one (1) for each tooth per lifetime. c. Gingivectomy or gingivoplasty, limited to one every thirty six (36) months; d. Gingival flap procedure limited to one every thirty six (36) months; e. Clinical crown lengthening, limited to one (1) for each tooth per lifetime; f. Osseous surgery, limited to one (1) every thirty six (36) months; g. Pedicle soft tissue graft, limited to one every 36 months; h. Free soft tissue graft, limited to one every 36 months; i. Subepithelial connective tissue graft, limited to one every 36 months; j. Full mouth debridement to enable comprehensive evaluation and diagnosis, limited to one (1) per lifetime.
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Samples: Individual Dental Contract, Limited Benefit Contract, Individual Dental Contract
Surgical Periodontics. a. Surgical periodontal procedures limited to one (1) every thirty thirty-six (36) months for each area of the mouth.
b. Guided tissue regeneration limited to one (1) for each tooth per lifetime.
c. Full mouth debridement limited to one (1) per lifetime.
d. Gingivectomy or gingivoplasty, limited to one every thirty six (36) 36 months;
d. e. Gingival flap procedure limited to one every thirty six (36) 36 months;
e. f. Clinical crown lengthening, limited to one (1) for each tooth per lifetime;
f. g. Osseous surgery, limited to one (1) every thirty six (36) 36 months;
g. h. Pedicle soft tissue graft, limited to one every 36 months;
h. i. Free soft tissue graft, limited to one every 36 months;
i. j. Subepithelial connective tissue graft, limited to one every 36 months;
j. Full mouth debridement to enable comprehensive evaluation and diagnosis, limited to one (1) per lifetime.
Appears in 2 contracts