Accidental Dental Injury definition

Accidental Dental Injury means an injury to Sound Natural Teeth (not previously compromised by decay) caused by a sudden, unintentional, and unexpected event or force. This term does not include injuries to the mouth, structures within the oral cavity, or injuries to Sound Natural Teeth caused by biting or chewing, surgery or treatment for a disease or illness.

Accidental Dental Injury means an unexpected and unforeseen injury (an event that occurs by chance) to the mouth which results in injury to the dental and contiguous structures.

Accidental Dental Injury means an injury to the structures of the teeth that is caused by an external force or element such as a blow or fall. An injury to a tooth while chewing is not considered an accidental dental injury, even if the injury is due to chewing on a foreign object.

Examples of Accidental Dental Injury in a sentence

• This exclusion does not apply to medically necessary dental care covered under Accidental Dental Injury Services, Cleft Lip, Cleft Palate or Both or Oral Surgery in the List of Benefits in this section.

• This exclusion does not apply to medically necessary dental care covered under Accidental Dental Injury Services, Cleft Lip, Cleft Palate or Ectodermal Dysplasia or Oral Surgery in the List of Benefits in this section.

• The proposed amendment will clarify that when a building was designed and constructed to house a nonconforming use, and last occupied by a conforming use, it may be occupied by a nonconforming use only with the approval of the board of appeals.

• An injury to a tooth while chewing is not considered an Accidental Dental Injury, even if the injury is due to chewing on a foreign object.

• See the definition of Accidental Dental Injury in the Glossary Section.

• A “Sound Tooth” is a tooth that is:• Whole or virgin; or• Restored with amalgam (silver filling) or composite resin (tooth-colored filling) or restored by cast metal, ceramic/resin-to-metal or laboratory processed resin/porcelain restorations (crowns); and• Without current periodontal (tissue supporting the tooth) disease or current endodontal (tooth pulp or root) disease; and• Not in need of the treatment provided for any reason other than as the result of an Accidental Dental Injury.

• The following Physician and other medical services may be Covered Services, subject to the Copayment amount set forth in the Summary of Benefits and Coverage, when provided to a Member by Contracting Providers: Accidental dental care: Dental services rendered within 62 days of an Accidental Dental Injury provided such services were for the treatment of damage to sound natural teeth, resulting from an Accidental Dental Injury.

• This exclusion does not apply to Accidental Dental Injury or to orthodontic services.

• This does not apply to Accidental Dental Injury or to orthodontic services.

• As used in this SPD, each of the following terms are capitalized throughout this document shall have the meaning indicated: Accidental Dental Injury - An injury to sound natural teeth caused by a sudden, unintentional, and unexpected event or force.