- Item Number Usage:
Typically, an item number signifies a specific treatment result, allowing for slight variations in clinical methods. - Therapy Acceptance:
Only recognized therapeutic methods will be considered for inclusion in the terms. - Appropriate Item Number Selection:
Not all dental service outcomes can be detailed; hence, the most fitting item number should be applied. If no appropriate item number exists, use item number 000 to describe the service. - Specialist Item Number Access:
Item numbers are not exclusively designated for specialist use. - Primary vs. Secondary Teeth Services:
Services for primary or secondary teeth are not distinguished unless the procedure is distinct to that category. - Material and Technique Changes:
New item numbers are not typically assigned for alterations in materials within a group or for laboratory technique modifications. - Terminology in Terms:
The Terms generally employ generic language when referencing materials or procedures.
011 Comprehensive oral examination #
This involves a thorough check-up and documentation of a patient’s teeth, mouth, and related structures. It’s meant for new patients, current patients with new significant health issues, or those who haven’t received treatment in over two years. It may also include analyzing results from other tests, which are detailed and billed separately. The check-up will record the patient’s dental and medical history, along with any other necessary information.
012 Periodic oral examination
This is a follow-up assessment of a patient’s teeth, mouth, and related areas to identify any updates in their dental and overall health since their last detailed or routine exam. It might involve reviewing results from further tests, which are recorded and charged for individually.
013 Oral examination – limited
This is a focused examination of a patient’s teeth, mouth, and related areas. It’s usually done for a particular dental issue or concern. The process might include the analysis of extra diagnostic tests, which are noted and billed on their own. The exam also involves taking down the patient’s dental and medical history, as well as any other pertinent details.
014 Consultation #
A consultation to seek advice or consider different treatments for a particular tooth or mouth problem. The session also involves documenting the patient’s medical background and any other information that’s relevant.
015 Consultation – extended (30 minutes or more) #
An extended consultation to seek advice or discuss treatment options regarding a specific dental or oral complaint. This consultation includes recording an appropriate medical history and any other relevant information.
016 Consultation by referral #
A consultation with a patient referred by a dental or medical practitioner for an opinion or management of a specific dental disorder. The consultation may not necessarily be with a specialist. The referring practitioner should be provided with a report from the consultant, included within the item number.
017 Consultation by referral – extended (30 minutes or more) #
An extended consultation with a patient referred by a dental or medical practitioner for an opinion or management of a specific dental disorder. The consultation may not necessarily be with a specialist. The referring practitioner should be provided with a report from the consultant, included within the item number.
018 Written report (not elsewhere included) T
A written report not addressed to a referring practitioner involved in the patient’s care.
019 Referral #
The preparation of correspondence referring a patient to another practitioner and providing appropriate information.
022 Intraoral radiograph – per exposure #
Taking and interpreting an intraoral radiograph.
026 Cone Beam Computed Tomography – scan acquisition – per appointment #
Acquisition of a Cone Beam Computed Tomography (CBCT) scan and the associated images. Reconstructed images from this scan are included in this item number. For interpretation and/or analysis, see items 087, 088, 089, 090, 091. CBCT is also referred to as ‘CBVT’.
031 Extraoral radiograph – maxillary, mandibular – per exposure #
Taking and interpreting a radiograph of the upper and/or lower jaw using a film placed outside the mouth – for example, oblique lateral radiograph.
033 Lateral, antero-posterior, postero-anterior or submento-vertex radiograph of the skull – per exposure #
Taking and interpreting an extraoral radiograph of the head taken from the lateral, antero-posterior, posteroanterior or submento-vertex of the skull. No cephalostat is used.
035 Radiograph of temporomandibular joint – per exposure #
Taking and interpreting a radiograph of the temporomandibular joint.
036 Cephalometric radiograph – lateral, antero-posterior, postero-anterior or submento-vertex – per exposure #
Taking and interpreting a radiograph of the head taken from the side, the front or the back or through the vertex of the skull for the purpose of measurement and analysis. A cephalostat is used to standardise the conditions of imaging.
037 Panoramic radiograph – per exposure #
Taking and interpreting an extraoral radiograph presenting a panoramic view of part or all of the mandible and/or maxilla and/or adjacent structures.
038 Hand-wrist radiograph for skeletal age assessment #
Taking and interpreting a radiograph of the wrist bones, used to assess the degree of skeletal development and maturity.
039 Computed tomography of the skull or parts thereof #
A radiograph is made of a region using tomographic X-ray equipment that may produce a series of diagnostic images. A cephalostat may be used to standardise the conditions of imaging (for interpretation and/or analysis, see 083). This procedure describes multiple images and should be itemised once only per CT scan.
041 Bacteriological examination
An examination for bacteria or other microorganisms in samples obtained from the patient.
042 Culture examination and identification
A sample is taken from oral material and is cultured for examination and identification of the microorganisms present.
043 Antibiotic sensitivity test
A laboratory procedure where a live culture of a suspected pathogen is challenged with antibiotic samples to determine the sensitivity or resistance of the microorganisms to the antibiotics tested.
044 Collection of specimen for pathology examination
The non-surgical collection and preparation for transport of a specimen for examination at a pathology laboratory.
047 Saliva screening test
Testing a saliva sample to assess its physiological properties.
048 Microbiological screening test
Microbiological assessment of a sample.
051 Biopsy of tissue
A surgical procedure to obtain a sample of tissue for pathological examination.
052 Histopathological examination of tissue
A histopathological examination to determine the disease status of a section of tissue.
053 Cytological investigation
A microscopic examination of cells obtained from a smear or in situ staining of a suspected lesion to determine any aberrant characteristics that may suggest that the lesion is malignant or related to some other condition.
055 Blood collection
The collection of blood for diagnostic and/or treatment purposes.
056 Haematological examination
The haematological examination of a blood sample.
057 Procedures to derive biologically active components from a collection of blood
Deriving biologically active components for patient treatment by processing blood collected from the patient.
059 Comprehensive head and neck cancer examination and risk assessment
A specific comprehensive examination that consists of visual inspection and manual palpation of extraoral head and neck structures and intraoral soft tissues, and may involve indirect laryngoscopy or fibre-optic pharyngolaryngoscopy. This includes a detailed patient risk assessment.
061 Pulp testing – per appointment
A non-invasive test used to determine the clinical status of the pulp. It involves the application of external stimulation to the pulp to determine its response. Other teeth are generally tested for comparison. This procedure should be itemised only once for each appointment when pulp testing is performed.
071 Diagnostic model – per model #
The production of a physical model from an impression or digital data. The model is used for examination and treatment planning procedures. This item is not to be used to describe a working model.
072 Photographic records – intraoral – per appointment #
Photographic images inside the mouth.
073 Photographic records – extraoral – per appointment #
Photographic images showing the face or a region of the head and neck outside the mouth.
074 Diagnostic modelling – physical – per tooth #
Physical modelling (e.g. using wax or other material) to facilitate the development of treatment plan.
075 Diagnostic modelling – digital – per tooth #
Digital modelling to facilitate the development of treatment plan.
076 Intraoral evaluation of diagnostic modelling – per tooth or tooth replacement #
A procedure utilising data from 074 or 075 to create an intraoral simulation of proposed treatment to evaluate function, aesthetics and other characteristics.
081 Cephalometric analysis – excluding radiographs #
The analysis of a cephalometric radiograph (item 036) by measurement of specific biological landmarks in order to determine and predict patterns of development of the cranio-maxillofacial growth complex. The procedure is often employed in orthodontic diagnosis.
082 Tooth-jaw size prediction analysis #
The analysis of records, including radiographs and casts, to predict the relationship between the anticipated size of the mandible, the maxilla and the teeth that these bones have to accommodate.
083 Tomographic analysis #
The analysis of a tomograph (item 039) by measurement of specific biological landmarks. The procedure is often employed in treatment planning for implant and other surgical procedures.
087 Cone Beam Computed Tomography analysis and/or interpretation – small field of view (less than one complete dental arch) #
The analysis and/or interpretation of a cone beam computed scan (refer to item 026) with a limited field of view. The procedure is often employed in diagnosis, treatment planning and analysis for dental procedures. CBCT is also referred to as ‘CBVT’.
088 Cone Beam Computed Tomography analysis and/or interpretation – maxillary or mandibular dentition (single arch) #
The analysis and/or interpretation of a cone beam computed scan (refer to item 026) of the maxillary or mandibular dentition and supporting alveolar structures. The procedure is often employed in diagnosis, treatment planning and analysis for dental procedures. CBCT is also referred to as ‘CBVT’.
089 Cone Beam Computed Tomography analysis and/or interpretation – maxillary and mandibular dentition (both arches) #
The analysis and/or interpretation of a cone beam computed scan (refer to item 026) of the maxillary and mandibular dentition and supporting alveolar structures. The procedure is often employed in diagnosis, treatment planning and analysis for dental procedures. CBCT is also referred to as ‘CBVT’.
090 Cone Beam Computed Tomography analysis and/or interpretation – temporomandibular joints only #
The analysis and/or interpretation of a cone beam computed scan (refer to item 026) of the temporomandibular joints only, including an open mouth scan if required. The procedure is often employed in diagnosis, treatment planning and analysis for dental procedures. CBCT is also referred to as ‘CBVT’.
091 Cone Beam Computed Tomography analysis and/or interpretation – orofacial structures #
The analysis and/or interpretation of a cone beam computed scan (refer to item 026) of the entire dentition and supporting alveolar structures, also including any or all of the following: temporomandibular joints, paranasal sinuses and airway, cranial base, cervical spine. The procedure is often employed in diagnosis, treatment planning and analysis for dental procedures. CBCT is also referred to as ‘CBVT’.
111 Removal of plaque and/or stain #
Removal of dental plaque and/or stain from the surfaces of all teeth and/or implants. This item is included in procedures described by items 114, 115, 250 and 251.
113 Recontouring and polishing of pre-existing restoration(s) – per tooth
The reshaping and polishing of pre-existing restorations.
114 Removal of calculus – first appointment
Removal of calculus from the surfaces of teeth and/or implants.
115 Removal of calculus – subsequent appointment
This item describes procedures in item 114 when, because of the extent or degree of calculus, an additional appointment(s) is required to remove deposits from the teeth and/or implants.
116 Enamel micro-abrasion – per tooth
The chemo-physical removal of discoloured and/or other surface enamel defects resulting from developmental defects, altered mineralisation or decalcification of the superficial enamel layer.
117 Bleaching, internal – per application
The modification of the colour of the discoloured crown of an endodontically treated tooth using chemical and/or physical methods applied internally. This is a treatment carried out exclusively in the surgery.
118 Bleaching, external – per tooth #
The modification of the colour of a tooth using chemical and/or physical methods applied externally. This is a clinical course of treatment carried out exclusively in the surgery.
119 Bleaching, home application #
Provision of clinical advice, risk advice, use instructions and necessary professional supervision, for application by a patient at home, of bleaching medicaments to the patient’s dentition. For provision of required tray(s) and medicaments, see items 926 (where custom trays constructed) and 927.
121 Topical application of remineralisation agents, one treatment
Application of remineralisation agents to the surfaces of the teeth. This may include activation of the agent. Not to be used as an intrinsic part of the restoration.
122 Topical remineralisation agents, home application – per arch
The prescribed use, by a patient at home, of a custom-made tray for the application of remineralisation agents to the patient’s dentition. This procedure describes the complete course of treatment per arch. For provision of the tray and medicaments or other remineralisation agents, see items 926 and 927.
123 Application of a cariostatic agent – per tooth
Application of a concentrated fluoride or remineralisation and/or cariostatic agent, such as preparations containing silver fluoride. This includes necessary activation of the agent. Not to be used as an intrinsic part of the restoration.
131 Dietary analysis and advice
Analysis of and advice on a patient’s diet, including alcohol consumption, to correct any dietary imbalances or deficiencies that may contribute to oral diseases.
141 Oral hygiene instruction
Instruction in techniques for the removal of bacterial plaque. Advice on appropriate toothpaste and medicaments may be included.
142 Tobacco counselling
The analysis and assessment of a patient’s tobacco use and advice on the prevention and cessation of the use of tobacco aimed at reducing the patient’s risks of developing tobacco-related oral diseases and conditions.
151 Provision of a mouthguard – indirect T
Construction, provision and delivery of a mouthguard, using a model(s). The mouthguard is intended to prevent or mitigate sports injuries or soft tissue injuries that could occur from parafunction.
153 Bi-maxillary mouthguard – indirect T
Construction, provision and delivery of a bi-maxillary mouthguard using models. The mouthguard is intended to prevent or mitigate sports injuries.
161 Fissure and/or tooth surface sealing – per tooth
Sealing of non-carious pits, fissures, smooth surfaces or cracks in a tooth with an adhesive material. Any preparation prior to application of the sealant is included in this item number.
163 Resin infiltration – per tooth #
Treatment of enamel lesions on smooth enamel surfaces by infiltration with a resin material. Any preparation prior to application of the resin infiltration is included in this item number.
165 Desensitising procedure – per appointment
This item describes all desensitising undertaken at a single appointment and may include a procedure to diminish or abolish the painful sensitivity and discomfort that can occur in exposed dentine.
171 Odontoplasty – per tooth
A procedure to modify the contour of the crown of a tooth or the anatomy of the fissure of a tooth.
213 Treatment of acute periodontal infection – per appointment
This item describes the treatment of acute periodontal infection(s). It may include establishing drainage and the removal of calculus from the affected tooth (teeth) or implant.
221 Clinical periodontal analysis and recording
This is a special examination performed as part of the diagnosis and management of periodontal disease. The procedure consists of assessing and recording a patient’s periodontal condition.
222 Periodontal debridement – per tooth
The mechanical removal of biofilm and calculus from a periodontally diseased tooth to a level consistent with periodontal health. Where calculus removal is undertaken for other teeth at the same or a subsequent appointment that do not require debridement, it is appropriate to itemise 114/115 for these teeth in conjunction with but separate from the teeth that have undergone periodontal debridement.
223 Non-surgical treatment of peri-implant disease – per implant
The process of debridement using specialised instrumentation to remove the microbial biofilm from the implant and/or abutment surface, which may include localised application of medicaments.
231 Gingivectomy – per tooth
The surgical removal of the soft tissue wall of the periodontal pocket or the removal of swollen, excess gingival tissue. The procedure includes periodontal debridement of the tooth.
232 Periodontal flap surgery – per tooth
Incision and raising of a flap of gingival tissue to enable removal of inflammatory or granulation tissue. The procedure includes periodontal debridement of the tooth.
233 Surgical treatment of peri-implant disease – per implant
Surgical access and flap elevation of the peri-implant soft tissues to access the implant surface for decontamination. The procedure includes the removal of inflammatory tissue. Grafting or regenerative materials where placed should be itemised separately.
234 Application of biologically active material
The application of a biologically active material in conjunction with periodontal surgery to enhance reattachment or regeneration. This includes materials such as porcine collagen and enamel matrix derivative materials.
235 Gingival graft – per tooth, implant or extraction socket
Transference or transplanting gingival or other soft tissue from a donor area in the patient’s mouth to an area around a tooth, implant or extraction socket to remedy a gingival deficiency.
236 Guided tissue regeneration – per tooth or implant
A surgical technique in which a membrane is adapted over a bony defect, the tooth root or an implant.
237 Guided tissue regeneration – membrane removal
Surgical procedure to remove a previously positioned membrane.
238 Periodontal surgery for crown lengthening – per tooth
A procedure to establish a more apical gingival margin for greater exposure of tooth structure, including reshaping of alveolar bone where required.
239 Gingival xenograft – per tooth
The insertion of a xenograft to remedy a gingival deficiency.
241 Root resection – per root
Removal or amputation of one or more roots of a multi-rooted tooth with or without a portion of the crown.
242 Osseous surgery – per tooth or implant
Reshaping and modifying defects and deformities in the bone supporting and surrounding the tooth or implant. This includes procedures described in items 232 and 233. The procedure includes periodontal debridement of the tooth or implant.
243 Osseous graft – per tooth or implant
A surgical procedure in which particulate bone, a synthetic substitute or other matrix is used to replace, repair or augment alveolar bone. It may be used to repair a bony defect around a tooth or dental implant. This is in addition to item numbers such as 232, 233, 245 and 684.
244 Osseous graft – block
A surgical procedure in which a block of bone is used for augmentation of a bony ridge, secured by screws or similar devices.
245 Periodontal surgery involving one tooth
Surgical intervention to aid the resolution of a localised periodontal inflammatory condition involving one tooth. The item is also used to describe pericision.
246 Maxillary sinus augmentation – trans-alveolar technique – per sinus
Surgical access to the maxillary sinus via the implant osteotomy site. May involve simultaneous placement of dental implants. Grafting or regenerative materials where used should be itemised separately.
247 Maxillary sinus augmentation – lateral wall approach – per sinus
Surgical access in the maxillary sinus via a lateral wall approach with bone grafting. May involve simultaneous placement of dental implants. Grafting or regenerative materials where used should be itemised separately.
250 Active non-surgical periodontal therapy – per quadrant
Non-surgical management of uncontrolled periodontal disease in a quadrant with at least three teeth with clinical attachment loss of at least 3 mm or pocketing of at least 4 mm. This includes procedures described in items 111, 114, 115 and 222 for the quadrant. Items such as 113, 131 and 142 may be itemised separately.
251 Supportive periodontal therapy – per appointment
Maintenance of periodontal health subsequent to active, non-surgical or surgical periodontal therapy. This includes procedures described in items 111, 114, 115 and 222. Items such as 113, 131 and 142 may be itemised separately.
311 Extraction Surgical Removal of a tooth or part(s) thereof
314 Extraction Surgical Sectional removal of a tooth or part(s) thereof
311 Extraction Surgical A procedure consisting of the removal of a tooth or part(s) thereof
314 Extraction Surgical The removal of a tooth or part(s) thereof in sections. Bone removal may be necessary
331 Alveoloplasty – per segment: The surgical modification of the shape of a segment of the alveolar bone.
332 Ostectomy – per jaw: The surgical modification of the bony architecture of the maxilla or mandible.
337 Reduction of fibrous tuberosity: A surgical procedure involving removal of fibrous tissue from the posterior maxillary alveolar ridge in order to modify the ridge contour.
338 Reduction of flabby ridge – per segment: A surgical procedure involving removal of unsupported soft tissue from a segment or quadrant of the maxillary or mandibular alveolar ridge.
341 Removal of hyperplastic tissue: The surgical removal of an area of hyperplastic tissue from the maxillary or mandibular alveolar ridge or adjacent mucosa.
343 Repositioning of muscle attachment: The surgical repositioning of a muscle attachment to place it in a more favourable position.
344 Vestibuloplasty: The surgical deepening of the buccal or labial vestibule in the mucosa.
345 Skin or mucosal graft: A surgical procedure involving a skin or mucosal graft.
351 Repair of skin and subcutaneous tissue or mucous membrane: The surgical cleaning and repair of a facial skin wound in the region of the mouth or jaws, or the repair of oral mucous membrane, where the wounds involve subcutaneous tissues.
352 Fracture of maxilla or mandible – not requiring fixation: Conservative treatment of a fracture of the maxilla or mandible where there is no marked displacement or mobility of the fragments. No physical reduction or fixation is required.
353 Fracture of maxilla or mandible – with wiring of teeth or intraoral fixation: Treatment of a fracture of the maxilla or mandible where interdental wiring or the application of a dental splint is indicated to provide reduction and fixation of the fragments. Where a splint is required, it should be itemised.
354 Fracture of maxilla or mandible – with external fixation: Treatment of a fracture of the maxilla or mandible using sets of pins inserted through the skin and into the maxillary or mandibular bone to reduce and fix the fracture. The pins are locked into a firm relationship using clamps and a supporting apparatus.
355 Fracture of zygoma: Treatment of a fracture of the zygoma.
359 Fracture of the maxilla or mandible requiring open reduction: Surgical treatment of a fracture of the maxilla or mandible where the fracture is exposed and reduction and fixation of the fragments are performed directly. The fragments, when reduced, may be fixed in position with wires or plates and screws.
361 Mandible – relocation following dislocation
Relocation of the condylar head of the mandible within the temporomandibular joint fossa following its dislocation. The procedure is usually performed by manipulation.
363 Mandible – relocation requiring open operation
Surgical exposure of a dislocated temporomandibular joint and its correct repositioning.
365 Osteotomy – maxilla
Surgical exposure and fracturing of the maxilla in predetermined planes in order to modify its form or position.
366 Osteotomy – mandible
Surgical exposure and fracturing of the mandible in predetermined planes in order to modify its form or position.
371 Removal of tumour, cyst or scar – cutaneous, subcutaneous or in mucous membrane
The surgical removal of a tumour, cyst or scar from cutaneous or subcutaneous tissues or from mucous membrane. Pathological review may be necessary.
373 Removal of tumour, cyst or scar involving muscle, bone or other deep tissue
The surgical removal of a tumour, cyst or scar involving muscle, bone or other deep tissue. Pathological review may be necessary.
375 Surgery to salivary duct
A general item to describe any surgery to salivary ducts. It includes removal of stones and plastic surgery. Details of the procedure should be specified.
376 Surgery to salivary gland
A general item to describe any surgery to the salivary gland that cannot be described by another item. Details of the procedure should be specified.
377 Repair of soft tissue
An item to describe surgical procedures (including suturing) for the repair of soft tissues.
378 Surgical removal of foreign body
The surgical removal of a foreign body impacted in tissues.
379 Marsupialisation of cyst
The treatment of a cyst by surgically opening it to convert it from an enclosed sac to a partially open pouch.
381 Surgical exposure of an unerupted tooth – per tooth
The surgical exposure of an unerupted tooth to facilitate its eruption.
382 Surgical exposure and attachment of device for orthodontic traction
Surgical exposure of an unerupted tooth and attachment of a device so that orthodontic traction may be applied.
384 Repositioning of displaced tooth/teeth – per tooth
A procedure following trauma where the position of the displaced tooth/teeth is corrected by manipulation. Stabilising procedures are itemised separately.
385 Surgical repositioning of unerupted tooth – per tooth
Surgical exposure and manipulation of an unerupted tooth to correct its position but not to detach the tooth from its supporting tissues.
386 Splinting of displaced tooth/teeth – per displaced tooth
A procedure following trauma where the position of the displaced tooth/teeth may be stabilised by splinting. For removal of splint, see item 656.
387 Replantation and splinting of a tooth – per avulsed or intentionally removed tooth
Replantation of a tooth that has been avulsed or intentionally removed. It may be held in the correct position by splinting. For removal of splint, see item 656.
388 Transplantation of tooth or tooth bud
Surgical access to and transplantation of an unerupted tooth or tooth bud to a new position prepared in the maxilla or mandible to receive it.
389 Surgery to isolate and preserve neurovascular tissue
Additional surgery performed at the time of dento-alveolar surgery where damage to the neurovascular bundle may occur. The object of the additional surgery is to isolate and protect the neurovascular bundle from injury.
391 Surgical intervention of a frenum
This item includes frenotomy, frenuloplasty or frenectomy.
392 Drainage of abscess
Drainage and/or irrigation of an abscess other than through a root canal or at the time of extraction. The drainage may be through an incision or inserted tube.
393 Surgery involving the maxillary antrum
A general item to describe any surgery of the maxillary antrum, including lavage, antrostomy, recovery of a foreign body or closure of an oro-antral communication. Details of the procedure should be specified.
394 Surgery for osteomyelitis
A general item to describe any surgery for the treatment of osteomyelitis. Details of the procedure should be specified.
395 Repair of nerve trunk
A surgical procedure to repair a nerve trunk.
399 Control of reactionary or secondary post-operative haemorrhage
This procedure describes the control of reactionary or secondary post-operative haemorrhage.
411 Direct pulp capping
A procedure where an exposed pulp is directly covered with a protective dressing or cement.
412 Incomplete endodontic therapy (tooth not suitable for further treatment)
A procedure where in assessing the suitability of a tooth for endodontic treatment a decision is made that the tooth is not suitable for restoration. Temporisation is itemised separately.
414 Pulpotomy
Amputation of part of the pulp. The pulp remaining is then covered with a protective dressing or cement.
415 Complete chemo-mechanical preparation of root canal – one canal
Complete chemo-mechanical preparation, including removal of pulp or necrotic debris from a canal.
416 Complete chemo-mechanical preparation of root canal – each additional canal
Complete chemo-mechanical preparation, including removal of pulp or necrotic debris from each additional canal of a tooth with multiple canals.
417 Root canal obturation – one canal
The filling of a root canal, following chemo-mechanical preparation.
418 Root canal obturation – each additional canal
The filling, following chemo-mechanical preparation, of each additional canal in a tooth with multiple canals.
419 Extirpation of pulp or debridement of root canal(s)
The partial removal of a tooth pulp for one or more of the following reasons:
- to relieve pain;
- to perform an assessment of root integrity; or
- to carry out an assessment of the tooth’s suitability for restoration.
Item numbers 415 and/or 416 should not be used at the same appointment as 419.
421 Resorbable root canal filling – primary tooth
The placement of resorbable root canal filling material in a primary tooth.
431 Periapical curettage – per root
Surgical exposure of the apical section of the root of a pulpless or endodontically treated tooth to remove associated pathological tissue.
432 Apicectomy – per root
Surgical exposure of the apical section of the root of a pulpless or endodontically treated tooth to remove the apical portion of the root, including curettage of the region.
433 Exploratory periradicular surgery
Surgery to investigate the integrity of the root and surrounding structures.
434 Apical seal – per canal
A surgical method of debriding and filling the apical end of the root canal of a tooth. Periapical curettage and apicectomy should be itemised separately.
436 Sealing of perforation
A surgical method of sealing a communication between the pulp canal/chamber and the periradicular tissues.
437 Surgical treatment and repair of external root resorption – per tooth Surgical treatment of external root resorption.
438 Hemisection
Separation of a multi-rooted tooth into two parts.
445 Exploration and/or negotiation of a calcified canal – per canal, per appointment
Chemical and physical procedures to locate and/or negotiate an abnormally calcified root canal where specific time is devoted to this procedure.
451 Removal of root filling – per canal
Removal of the root filling from a previously obturated canal to enable endodontic retreatment.
452 Removal of a cemented root canal post or post crown
453 Removal or bypassing fractured endodontic instrument
The removal or bypassing of an instrument lodged in the root canal.
455 Additional appointment for irrigation and/or dressing of the root canal system – per tooth
Separate appointment for additional irrigation of the root canal system and replacement of the intracanal dressing/medicament with therapeutic properties that facilitates healing/development of the root and periradicular tissues over time. This item is not to be used in conjunction with items 411–421 or 451–453 or 457.
457 Obturation of resorption defect or perforation (non-surgical)
Conservative treatment of a root perforation or resorption defect to repair the defect from within the root canal.
459 Guided endodontic repair – per tooth
The stimulation of an ingrowth of tissue to occupy the root canal space by means of a guided repair process, in one or multiple appointments. This item is not to be used in conjunction with item 417. Item 415 should be itemised separately.
Itemisation of a restorative service includes the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care. Pins, cusp capping and restoration of an incisor corner replacement are to be itemised separately.
511 Metallic restoration – one surface – direct
Direct metallic restoration involving one surface of a tooth.
512 Metallic restoration – two surfaces – direct
Direct metallic restoration involving two surfaces of a tooth.
513 Metallic restoration – three surfaces – direct
Direct metallic restoration involving three surfaces of a tooth.
514 Metallic restoration – four surfaces – direct
Direct metallic restoration involving four surfaces of a tooth.
515 Metallic restoration – five surfaces – direct
Direct metallic restoration involving five surfaces of a tooth.
521 Adhesive restoration – one surface – anterior tooth – direct
Direct restoration, using an adhesive technique and a tooth-coloured material, involving one surface of an anterior tooth.
522 Adhesive restoration – two surfaces – anterior tooth – direct
Direct restoration, using an adhesive technique and a tooth-coloured material, involving two surfaces of an anterior tooth.
523 Adhesive restoration – three surfaces – anterior tooth – direct
Direct restoration, using an adhesive technique and a tooth-coloured material, involving three surfaces of an anterior tooth.
524 Adhesive restoration – four surfaces – anterior tooth – direct
Direct restoration, using an adhesive technique and a tooth-coloured material, involving four surfaces of an anterior tooth.
525 Adhesive restoration – five surfaces – anterior tooth – direct
Direct restoration, using an adhesive technique and a tooth-coloured material, involving five surfaces of an anterior tooth.
526 Adhesive restoration – veneer – anterior tooth – direct #
Direct bonding of a veneer of adhesive tooth-coloured material to the surface of an anterior tooth.
531 Adhesive restoration – one surface – posterior tooth – direct
Direct restoration, using an adhesive technique and a tooth-coloured material, involving one surface of a posterior tooth.
532 Adhesive restoration – two surfaces – posterior tooth – direct
Direct restoration, using an adhesive technique and a tooth-coloured material, involving two surfaces of a posterior tooth.
533 Adhesive restoration – three surfaces – posterior tooth – direct
Direct restoration, using an adhesive technique and a tooth-coloured material, involving three surfaces of a posterior tooth.
534 Adhesive restoration – four surfaces – posterior tooth – direct
Direct restoration, using an adhesive technique and a tooth-coloured material, involving four surfaces of a posterior tooth.
535 Adhesive restoration – five surfaces – posterior tooth – direct
Direct restoration, using an adhesive technique and a tooth-coloured material, involving five surfaces of a posterior tooth.
536 Adhesive restoration – veneer – posterior tooth – direct #
Direct bonding of a veneer of adhesive tooth-coloured material to the surface of a posterior tooth.
541 Metallic restoration – one surface – indirect
Indirect metallic restoration, involving one surface of a tooth.
542 Metallic restoration – two surfaces – indirect
Indirect metallic restoration, involving two surfaces of a tooth.
543 Metallic restoration – three surfaces – indirect
Indirect metallic restoration, involving three surfaces of a tooth.
544 Metallic restoration – four surfaces – indirect
Indirect metallic restoration, involving four surfaces of a tooth.
545 Metallic restoration – five surfaces – indirect
Indirect metallic restoration, involving five surfaces of a tooth.
551 Tooth-coloured restoration – one surface – indirect
Indirect tooth-coloured restoration, involving one surface of a tooth.
552 Tooth-coloured restoration – two surfaces – indirect
Indirect tooth-coloured restoration, involving two surfaces of a tooth.
553 Tooth-coloured restoration – three surfaces – indirect
Indirect tooth-coloured restoration, involving three surfaces of a tooth.
554 Tooth-coloured restoration – four surfaces – indirect
Indirect tooth-coloured restoration, involving four surfaces of a tooth.
Restorative Services
555 Tooth-coloured restoration – five surfaces – indirect
Indirect tooth-coloured restoration, involving five surfaces of a tooth.
556 Tooth-coloured restoration – veneer – indirect #
The attachment of a tooth-coloured veneer to the surface of a tooth. The veneer is constructed indirectly.
571 Adaptation of new restoration to existing removable prosthesis – per tooth
Used in conjunction with restorative services where adaptation of the new restoration is required to accommodate the seating and/or retention of an existing removable prosthesis.
572 Provisional/interim restoration – per tooth
The provisional (interim) restoration of a tooth designed to last until the definitive restoration can be constructed or the tooth is removed. This item should be used only where the provisional (interim) restoration is not an intrinsic part of treatment. This item is not to be used for provisional (interim) sealing of the access cavity during endodontic treatment or for provisional (interim) restoration during construction of indirect restorations.
574 Metal band
The cementation of a metal band for diagnostic or protective purposes or for the placement of a provisional (intermediate) restoration. Where a provisional (intermediate) restoration is placed, item 572 may also be used.
575 Pin retention – per pin
Use of a pin to aid the retention and support of direct or indirect restorations in a tooth.
577 Cusp capping – per cusp
This item is to be used in conjunction with items describing direct or indirect restorations of posterior teeth that are formed in such a manner as to restore the anatomical or functional height of a cusp.
578 Restoration of an incisal corner – per corner
This item is to be used in conjunction with items describing direct or indirect restorations of anterior teeth that are formed in such a way as to restore the anatomical or functional shape of an incisal corner.
579 Bonding of tooth fragment
The direct bonding of a tooth fragment as an alternative to placing a restoration.
586 Preformed Full Crown – metallic – significant tooth preparation
Placing a preformed metallic crown as a coronal restoration for a tooth where significant tooth preparation is required. Where the restoration of the tooth at the same appointment is required prior to placement of the crown, the use of item 627 is applicable.
587 Preformed Full Crown – metallic – minimal tooth preparation
Placing a preformed metallic crown as a coronal restoration for a tooth where minimal or no preparation of the tooth is required, referred to as the ‘Hall’ technique.
588 Preformed Full Crown – tooth-coloured
Placing a preformed tooth-coloured crown as a coronal restoration for a tooth. Where the restoration of the tooth at the same appointment is required prior to placement of the crown, the use of item 627 is applicable.
595 Removal of indirect restoration
The removal of a currently cemented definitive indirect restoration, which may be subsequently reinserted.
596 Recementing of indirect restoration
Recementing a previously cemented indirect restoration.
597 Post – direct
Insertion of a post into a prepared root canal to provide an anchor for an artificial crown or other restoration.
598 Restoration root capping – direct
A direct restoration of the root of a decoronated tooth. Not to be used with 577.
611 Full crown – polymeric material – indirect
An artificial crown constructed with a polymeric material, restoring a natural tooth.
613 Full crown – ceramic – indirect
An artificial crown constructed with a ceramic material, manufactured to precisely adapt to a pre-prepared natural tooth.
615 Full crown – veneered – indirect
An artificial crown constructed with a metallic base veneered with a tooth-coloured material, manufactured to precisely adapt to a pre-prepared natural tooth.
618 Full crown – metallic – indirect
An artificial crown constructed with custom fabricated metal, manufactured to precisely adapt to a preprepared natural tooth.
625 Post and core for crown – indirect
A post and core fabricated accurately to the dimension of the prepared root canal(s) and the desired coronal anatomy to provide an anchor foundation for an artificial crown.
627 Preliminary restoration for crown – direct
A direct restoration of the remains of a tooth to provide a base for an intended indirect crown, placed at the same appointment as the crown preparation. Pins and/or posts used should be itemised separately.
629 Post and root cap – indirect
A post and capping fitted to the root of a tooth. The post provides an anchor in the root canal of the tooth and the capping may provide support for an overdenture. It may incorporate a precision or magnetic attachment that should be separately itemised.
631 Provisional crown – per tooth
Provisional restoration of a tooth with a crown that is designed to last until the definitive crown can be constructed or the tooth is removed. This item should be used only where a provisional crown is not an intrinsic part of another service. It should not be used for a provisional restoration between appointments during crown construction.
632 Provisional bridge pontic – per pontic
Placement of a fixed provisional bridge pontic supported by teeth or implants designed to last until the definitive bridge can be constructed and inserted. The provisional restorations of the abutments are itemised separately as 631. The provisional implant abutments are itemised separately as 633. This item should be used only where a provisional bridge is not an intrinsic part of the treatment being provided. It should not be used for a provisional bridge between appointments during bridge construction.
633 Provisional implant abutment – per abutment
Placement of a specific provisional abutment to an implant designed to last until the definitive abutment(s) are fitted. These are generally fitted to accommodate a provisional prosthesis.
634 Provisional implant restoration – per implant abutment
The provisional (intermediate) restoration of an implant designed to last until the definitive restoration can be placed. This item should be used only where the provisional (intermediate) restoration is not an intrinsic part of treatment.
642 Bridge pontic – direct – per pontic
The direct attachment of a replacement tooth to the adjoining abutment tooth/teeth. The pontic and attachment may utilise reinforcing materials. The number of pontics should be indicated and the attaching restorations should be appropriately itemised.
643 Bridge pontic – indirect – per pontic
The indirect provision of an artificial replacement tooth joined to a retainer(s) on an abutment tooth or osseointegrated implant. The number of pontics should be indicated and the retainer should be appropriately itemised.
644 Semi-fixed attachment
The preparation within a restoration of a mechanical lock or keyway matched by a complementary portion on a bridge or prosthetic appliance. The other components of the bridge or prosthetic appliance should be appropriately itemised.
645 Precision or magnetic attachment
Incorporated as part of a restoration, or a magnetic or precision retention device matched by a complementary attachment on a bridge or other prosthetic appliance. The other components of the bridge or prosthetic appliance should be appropriately itemised. For the prosthesis component, see item 735.
648 Bonded retainer – direct – per tooth
A retainer directly bonded to the abutment tooth/teeth for support of the bridge pontic(s). The pontic(s) should be itemised separately.
649 Bonded retainer – indirect – per tooth
A retainer and framework to be bonded to the abutment tooth/teeth for support of the bridge pontic(s) or a precision attachment. In the case of a bonded bridge, the number of pontics should be itemised separately.
651 Recementing crown or veneer
Recementing a previously cemented crown/veneer.
652 Recementing bridge or splint – per abutment .
Recementing a previously cemented bridge or splint.
653 Rebonding of bridge or splint where retreatment of bridge surface is required
The rebonding of an enamel bonded bridge or splint that requires retreatment of the fitting surface.
655 Removal of crown
The removal of a currently cemented definitive crown that may subsequently be reinserted.
656 Removal of bridge or splint
The removal of all, or part, of a bridge or splint.
658 Repair of crown or bridge – indirect – per crown or pontic .
The extraoral repair of a crown or bridge.
659 Repair of crown, bridge or veneer – direct – per crown, pontic or veneer .
The intraoral repair of a cemented crown, bridge or veneer.
Procedures for Implant Prostheses
Items in this section refer to the provision of implant prostheses. Implants are in most cases used to support and retain superimposed prosthetic replacements ranging from single crowns to complete dentures. The prosthesis should be appropriately itemised.
661 Fitting of implant abutment – per abutment
Fitting of the final implant abutment or the replacement of an existing abutment. This includes abutments with attachments designed to retain an overdenture.
663 Removal of implant and/or retention device
The surgical removal of an implant and/or retention device.
664 Fitting of bar for denture – per tooth or implant
A rigid bar affixed to a natural tooth or osseointegrated implant abutment to provide support and retention for a dental prosthesis. The bar may incorporate retention devices and each of these should be itemised as 645. The retention components within the prosthesis are itemised as 735.
665 Prosthesis with resin base attached to implants – removable – per arch
A removable prosthesis carrying artificial teeth on a resin base supported by the implants to which it is attached. This prosthesis is designed for self-removal. Abutments attached to implants should be itemised as 661; retention components within prosthesis should be itemised as 735.
666 Prosthesis with metal frame attached to implants – fixed – per arch
A fixed prosthesis carrying prosthetic teeth on a custom fabricated metal frame, supported by the implants to which it is attached and not designed for self-removal. This is inclusive of the sealing of the access to the abutment screws. Abutments attached to implants itemised as 661.
667 Prosthesis with metal frame attached to implants – removable – per arch
A removable prosthesis carrying prosthetic teeth on a custom fabricated metal frame. This prosthesis is attached to the implants and is designed for self-removal. Abutments attached to implants itemised as 661; retention components within prosthesis should be itemised as 735.
668 Implant prosthetic screw replacement
Replacement of an existing implant prosthetic screw.
669 Removal and reattachment of prosthesis fixed to implant(s) – per implant
Removal for maintenance of a prosthesis that is fixed to an osseointegrated implant(s) and not designed for self-removal. Access to attaching screws and subsequent replacement is required. Repairs effected should be appropriately itemised.
671 Full crown attached to osseointegrated implant – non-metallic – indirect
An artificial crown constructed of tooth-coloured material attached to an osseointegrated implant.
672 Full crown attached to osseointegrated implant – veneered – indirect
An artificial crown constructed with a metallic base veneered with a tooth-coloured material attached to an osseointegrated implant.
673 Full crown attached to osseointegrated implant – metallic – indirect
An artificial crown constructed with custom fabricated metal attached to an osseointegrated implant.
678 Diagnostic template
A diagnostic radiographic template that facilitates oral and/or maxillofacial surgical planning.
679 Surgical implant guide
Provision of an appliance that indicates the ideal location and angulation for insertion of implants.
684 Insertion of the first stage of two-stage endosseous implant – per implant
Surgical insertion of an implant, made of a biocompatible material. The soft tissues are closed over the implant until osseointegration is achieved. The number of implants should be indicated.
685 Insertion of the first stage of two-stage maxillofacial endosseous implant – per implant
Surgical insertion of an implant made of a biocompatible material. The soft tissues are closed over the implant until osseointegration is achieved. The implant is used to retain a maxillofacial prosthesis. Item number 691 should be used for the second-stage procedure.
686 Insertion of a one-stage maxillofacial endosseous implant – per implant
Surgical insertion of an implant made of a biocompatible material. The implant is used to retain a maxillofacial prosthesis.
687 Insertion of a mini-implant – per implant
Surgical insertion of a small diameter implant (< 3.0 mm), made of biocompatible material, where the abutment is an integral component of the implant.
688 Insertion of a one-stage endosseous implant – per implant
Surgical insertion of an implant, made of biocompatible material.
689 Provisional implant
Special purpose implant designed with the intention of being removed at a later stage.
690 Provisional retention or anchorage device
Special purpose retention or anchorage device attached to the jaws by screws or provisional implants, to reinforce anchorage and assist with orthodontic movements, and intended for removal when no longer required for orthodontic treatment. Other orthodontic treatment is to be itemised separately.
691 Second-stage surgery of two-stage endosseous implant – per implant
Surgical access to the previously osseointegrated implant to attach a transmucosal component, usually a healing abutment. The number of implants should be indicated. Other items listed in the prosthodontics section may be directly applied in the description of implant prostheses, if appropriate.
692 Closure of the screw access chamber
Subsequent sealing of the access chamber or screw channel of a screw-retained implant prosthesis, per implant. The sealing of the access chamber when delivering a new prosthesis is intrinsic to the provision of the prosthesis.
693 Remodelling of a fixed implant prosthesis
Remodelling of a screw-retained, metal-resin, implant supported fixed prosthesis attached to implants including replacement of veneering materials. The prosthetic teeth should be itemised separately as 765 per tooth replaced.
694 Repair or replacement of the ceramic component of an implant metal-ceramic or all ceramic crown or bridge – per prosthetic tooth
The extraoral repair or replacement of the ceramic component of an implant crown or bridge – per prosthetic tooth.
695 Cleaning and polishing of an implant prosthesis
The extraoral cleaning of an implant prosthesis. This can include removal of calculus and plaque, polishing and disinfection. Screw replacement and closure of the screw access chamber should be itemised separately.
696 Removal of fractured abutment screw
Removal of the apical threaded part of a fractured abutment screw.
711 Complete maxillary denture
Provision of a patient-removable dental prosthesis replacing the natural teeth and adjacent tissues in the maxilla.
712 Complete mandibular denture
Provision of a patient-removable dental prosthesis replacing the natural teeth and adjacent tissues in the mandible.
713 Provisional complete maxillary denture
Provision of a patient-removable dental prosthesis replacing the natural teeth and adjacent tissues in the maxilla that is designed to last until the definitive denture can be constructed. This item should be used only where a provisional denture is not an intrinsic part of items 711 or 719. Tissue conditioning may be required and should be itemised separately (see item 771).
714 Provisional complete mandibular denture
Provision of a patient-removable dental prosthesis replacing the natural teeth and adjacent tissues in the mandible that is designed to last until the definitive prosthesis can be constructed. This item should be used only where a provisional denture is not an intrinsic part of items 712 or 719. Tissue conditioning may be required and should be itemised separately (see item 771).
715 Provisional complete maxillary and mandibular dentures
Provision of a patient-removable dental prosthesis replacing the natural teeth and adjacent tissues in both the maxilla and the mandible that is designed to last until the definitive prosthesis can be constructed. This item should be used only where a provisional denture is not an intrinsic part of items 711, 712 or 719. Tissue conditioning may be required and should be itemised separately (see item 771).
716 Metal palate or plate
A reinforcing custom fabricated metal section added to a resin denture base. The other denture components should be appropriately itemised.
719 Complete maxillary and mandibular dentures
Provision of patient-removable dental prostheses for the natural teeth and adjacent tissues in both the maxilla and the mandible.
721 Partial maxillary denture – resin base
Provision of a resin base for a patient-removable dental prosthesis for the maxilla where some natural teeth remain. Other components of the denture such as teeth, rests, retainers and immediate tooth replacements should be appropriately itemised.
722 Partial mandibular denture – resin base
Provision of a resin base for a patient-removable dental prosthesis for the mandible where some natural teeth remain. Other components of the denture such as teeth, rests, retainers and immediate tooth replacements should be appropriately itemised.
723 Provisional partial maxillary denture
Provision of a patient-removable partial dental prosthesis replacing the natural teeth and adjacent tissues in the
maxilla that is designed to last until the definitive prosthesis can be constructed. This item should be used only where a provisional denture is not an intrinsic part of item 721. Other components of the denture such as teeth, rests, retainers and immediate tooth replacements should be appropriately itemised. This includes a provisional, clear, pressure or vacuum formed appliance with incorporated denture teeth.
724 Provisional partial mandibular denture
Provision of a patient-removable partial dental prosthesis replacing the natural teeth and adjacent tissues in the mandible that is designed to last until the definitive prosthesis can be constructed. This item should be used only where a provisional denture is not an intrinsic part of item 722. Other components of the denture such as teeth, rests, retainers and immediate tooth replacements should be appropriately itemised. This includes a provisional, clear, pressure or vacuum formed appliance with incorporated denture teeth.
727 Partial maxillary denture – custom fabricated metal framework
Provision of the framework for a patient-removable dental prosthesis made with a custom fabricated metal on which to replace teeth from the maxilla where some natural teeth remain. Other components of the denture such as teeth, rests, retainers and immediate tooth replacements should be appropriately itemised.
728 Partial mandibular denture – custom fabricated metal framework
Provision of the framework for a patient removable dental prosthesis made with a custom fabricated metal on which to replace teeth from the mandible where some natural teeth remain. Other components of the denture such as teeth, rests, retainers and immediate tooth replacements should be appropriately itemised.
731 Retainer (clasp) – per tooth
A retainer or clasp that is attached to a partial denture that is adapted to an undercut in a tooth to aid retention. The number of retainers should be indicated.
732 Occlusal rest – per rest
A unit of a partial denture that rests upon a tooth surface to provide support for the denture. The number of rests used should be indicated.
733 Tooth/teeth (partial denture)
An item to describe each denture tooth added to the base of a new partial denture. The number of denture teeth should be indicated.
734 Overlays – per tooth
An extension of a denture covering the occlusal surface of remaining teeth or deliberately retained roots. The number of overlays should be indicated.
735 Precision or magnetic denture attachment
A preformed device within a prosthesis that connects to a precision or magnetic component on a tooth or implant. For the tooth component, see item 645. For the implant component, see item 661.
736 Immediate tooth replacement – per tooth
Provision within a denture to allow immediate replacement of an extracted tooth. The number of teeth replaced should be indicated.
737 Resilient lining
Provision of a resilient tissue-bearing surface for a removable prosthesis. This item may be used with the provision of a new, or the maintenance of pre-existing, prostheses. Associated services should be itemised separately.
738 Wrought bar
A wrought bar joining sections of a partial prosthesis.
739 Metal backing of denture teeth – per backing
A metallic extension of the metal partial denture framework to provide a backing. The number of backings should be indicated.
741 Adjustment of a denture
Adjustment of a denture to improve comfort, function or aesthetics. This item does not apply to routine adjustments following the insertion of a new denture or the maintenance or repair of an existing denture.
743 Relining – complete denture – processed
Replacement of the tissue fitting surface of a complete denture to improve its accuracy and fit. The procedure requires multiple appointments.
744 Relining – partial denture – processed
Replacement of the tissue fitting surface of a partial denture to improve its accuracy and fit. The procedure requires multiple appointments.
745 Remodelling – complete denture
Replacement of the resin base of a complete denture, with or without rearrangement of the teeth, to improve its accuracy and fit. The procedure requires multiple appointments.
746 Remodelling – partial denture
Replacement of the resin base of a partial denture, with or without rearrangement of the teeth, to improve its accuracy and fit. The procedure requires multiple appointments.
751 Relining – complete denture – direct
Addition to the tissue fitting surface of a complete denture to improve its accuracy and fit, using a self- or light-cured material.
752 Relining – partial denture – direct
Addition to the tissue fitting surface of a partial denture to improve its accuracy and fit, using a self- or light-cured material.
753 Cleaning and polishing of pre-existing denture @
The cleaning and polishing of a pre-existing denture not associated with any other item of maintenance or repair of the denture.
754 Denture base modification
Modification to a denture base to enhance aesthetics, function or to facilitate the retention of denture teeth. 755 Maintenance of overdenture attachment – per attachment Replacement of a polymer insert in an overdenture attachment.
761 Reattaching pre-existing retainer (clasp) to denture @
Repair, insertion and adjustment of a denture involving reattachment of a pre-existing retainer (clasp).
762 Replacing/adding retainer (clasp) to denture – per retainer (clasp)
Repair, insertion and adjustment of a denture involving replacement or addition of a new retainer (clasp).
763 Repairing broken base of a complete denture @
Repair, insertion and adjustment of a broken resin complete denture base.
764 Repairing broken base of a partial denture @
Repair, insertion and adjustment of a broken resin partial denture base.
765 Replacing and/or adding a new tooth to a denture or implant prosthesis – per tooth
Repair, insertion and adjustment of a denture or implant prosthesis involving replacement with or addition of a new tooth or teeth to a previously existing denture or implant prosthesis.
766 Reattaching an existing tooth to a denture – per denture tooth $
Repair, insertion and adjustment of a denture involving reattachment of a pre-existing denture tooth or teeth.
768 Adding a denture tooth to a partial denture to replace an extracted or decoronated tooth – per denture tooth
Provision of a denture tooth on an existing partial denture to replace a natural tooth that has been removed or decoronated prior to or at the time of issue of the modified denture. If the denture tooth is an immediate replacement, item 736 can be used as well.
769 Repair or addition to metal frame $
Repair of or addition to the metal frame of a denture. This is a complex procedure requiring the dismantling of the denture. Associated services should be itemised separately.
771 Tissue conditioning – per application
The provisional (temporary) lining of the tissue fitting surface of a denture with a conditioning material, to improve the health of the denture-supporting mucosa.
772 Splint – resin
A resin appliance attached to the teeth for stabilising mobile or displaced teeth.
773 Splint – metal – indirect
A custom fabricated metal appliance bonded to the teeth to stabilise mobile or displaced teeth.
775 Characterisation of denture base
Stippling, staining, festooning or shaping rugae on the appropriate surface(s) of a denture.
776 Impression – dental appliance repair/modification
An item to describe taking an impression where required for the repair or modification of a dental appliance.
777 Identification
Marking a dental appliance with a patient’s name or other form of enduring patient identification.
778 Inlay for denture tooth
Provision of an inlay in a denture tooth.
779 Surgical guide for an immediate denture
Provision of an appliance that indicates the final ridge contours following extraction of teeth prior to immediate denture insertion.
781 Obturator
That component of a maxillofacial prosthesis used to close or maintain the integrity of the oral and nasal compartments resulting from a congenital or acquired defect. For a surgical/interim obturator see item 782.
782 Surgical/interim obturator
A temporary maxillofacial prosthesis inserted during or immediately following surgical or traumatic loss of a portion or all of the maxilla and contiguous alveolar structures.
783 Revision of surgical/interim obturator
Revision of a surgical/interim obturator during the ensuing post-surgical healing phase.
785 Interim or diagnostic maxillofacial prosthesis
A provisional maxillofacial prosthesis delivered either at the time of surgery or soon after or during the rehabilitation phase of care to facilitate the design of the definitive prosthesis.
786 Mandibular resection prosthesis
A maxillofacial prosthesis used to maintain a functional position for the jaws, improve speech and deglutition following trauma and/or surgery to the mandible and/or adjacent structures.
787 Extraoral prosthesis – ear
An extraoral prosthesis that replaces an ear, retained by spectacles, adhesive or implants. The implants and attachments should be itemised separately.
788 Extraoral prosthesis – nose
An extraoral prosthesis that replaces the nose and/or parts of the midface, retained by spectacles, adhesive or implants. The implants and attachments should be itemised separately.
789 Extraoral prosthesis – eye
An extraoral prosthesis that replaces an eye, retained by spectacles, adhesive or implants. The implants and attachments should be itemised separately.
790 Adjustment of a maxillofacial prosthesis
Adjustment of a maxillofacial prosthesis to improve comfort, function or aesthetics. This item does not apply to routine adjustments following the insertion of the prosthesis.
811 orthodontic Passive removable appliance – per arch
A removable, one-arch appliance that may be attached to the dentition by clasps or similar device designed to maintain the position of the teeth in the dentition. The appliance does not provide pressure directed at tooth movement. Passive removable appliances are sometimes used following active orthodontic treatment to maintain a correction.
821 orthodontic Active removable appliance – per arch
orthodontic A removable, one-arch appliance attached to the dentition by clasps or similar device that contains some elements capable of exerting pressure on either individual teeth or parts of the arch to achieve tooth or dental arch movement.
823 orthodontic Functional orthopaedic appliance – custom fabrication
The custom fabrication on models of an appliance whose primary action involves orthopaedic change of jaw shape or relationship utilising and modifying the effect of the environmental tissues. Many are bi-maxillary appliances involving upper and lower arches. Bi-maxillary appliances are regarded as a single appliance.
824 orthodontic Functional orthopaedic appliance – prefabricated
A prefabricated elastomeric appliance whose primary action is to maintain or guide the positioning of teeth during eruption, and/or to influence muscle activity of the mouth and lower face. It can also be used to maintain tooth position following orthodontic alignment. Many are bi-maxillary appliances involving upper and lower arches. Bi-maxillary appliances are regarded as a single appliance.
825 orthodontic Sequential plastic aligners – per arch
The provision and periodic direct clinical review by a dentist or orthodontist of a series of custom-made plastic aligners to move teeth gradually. This item number includes additional procedures that may be required to facilitate the movement of teeth, such as composite buttons. For retention appliances see 811 and 845.
829 Partial banding – per arch
Application of bands and/or brackets to six teeth or fewer in the maxillary or mandibular arch, which can be attached to a resilient arch wire. The appliance is designed to correct either tooth position or arch form.
831 Full arch banding – per arch
Application of bands and brackets for attachment of resilient arch wires to most of the teeth of the maxillary or mandibular arch to correct the position of teeth or to correct the arch form. This procedure includes ongoing adjustments and replacement of arch wires. For removal of banding, see item 833. For retention appliances, see items 811 and 845. Additional orthodontic services may be necessary prior to or following full arch banding and should be itemised separately.
833 Removal of banding – per arch
The removal of bands and/or brackets from the teeth.
841 Fixed palatal or lingual arch appliance
Insertion of an appliance, fixed to the palatal or lingual aspect of the dentition by bands, frequently applied in the molar region. It is aimed at either changing or maintaining the arch form and can also be designed to straighten individual teeth.
842 Partial banding for inter-maxillary elastics (vertical and/or cross elastics)
Application of bands and brackets to two or more teeth in maxillary and mandibular arches. Resilient arch wires may be attached to the brackets and inter-maxillary elastics between the two arches. The resulting appliances are designed to correct the position of teeth or arch form.
843 Expansion appliance – fixed – per arch
Insertion of an appliance fixed to the maxillary or mandibular dentition by partial banding that exerts a force to expand or widen the maxillary or mandibular arch and/or teeth.
844 Sagittal movement appliance
Insertion of an appliance fixed to the maxilla or mandible by temporary anchorage device/s. The appliance exerts force to move teeth sagittally. It may also have some orthopaedic effect.
845 Passive appliance – fixed
A passive appliance fixed to one or more teeth, designed to prevent movement of the teeth relative to each other or to the segment of the arch. The appliance can be used to maintain a space from the loss of a tooth. Fixed passive appliances may be used following active orthodontic treatment.
846 Minor tooth guidance – fixed
A procedure using an appliance attached directly to teeth that provides movement or guidance to correct the position of a tooth.
851 Extraoral appliance
This item describes a number of appliances worn extraorally. Some appliances are worn to correct mandibular protrusion and are not attached directly to the dentition. Other appliances in this category are attached to the dentition by either full or partial banding. Most of these appliances have a harness that is passed behind the head or to the front of the face to provide stabilisation for the forces applied. They are usually worn for a limited time each day.
862 Bonding of attachment for application of orthodontic force
The bonding of a prefabricated attachment on a malpositioned tooth to facilitate orthodontic force application. The force application may utilise either fixed or removable appliances. This item should not be used to describe bracket attachment required by partial or full arch banding (items 829 or 831). Nor does it apply in conjunction with surgical exposure. The appropriate item in this case is item 382.
871 Orthodontic adjustment
Adjustment of an orthodontic appliance, either fixed or removable, that is not associated with ongoing treatment anticipated at the time of insertion of the appliance. This item should not be used with item numbers 811, 821, 823, 824, 825, 829, 831, 841, 842, 843, 844, 845, 846, 851, 862, 881 or 882.
872 Reattachment of passive appliance – fixed
The reattachment of a passive fixed appliance that may include any necessary cleaning or polishing of the appliance and/or teeth to which it is attached or bonded.
873 Repair of passive appliance – fixed $
The repair of a fixed passive appliance. This includes the removal and subsequent re-fitting of the appliance. Where an impression is required, it should be itemised appropriately.
874 Removal of passive appliance – fixed
The removal of a passive fixed appliance and the necessary cleaning of the teeth to which it was attached.
875 Repair of removable appliance – resin base T
Repair of the resin base of a removable appliance. Where an impression is required, it should be itemised appropriately.
876 Repair of removable appliance – clasp, spring or tooth $
Repair or replacement of a clasp, spring or tooth on a removable appliance. Where an impression is required, it should be itemised appropriately.
877 Addition to removable appliance – clasp, spring or tooth
Addition of a clasp, spring or tooth to a removable appliance. Where an impression is required, it should be itemised appropriately.
878 Relining – removable appliance – processed
Replacement of the tissue fitting surface of a removable appliance to improve its accuracy and fit.
881 Course of orthodontic treatment
This is an alternative system of coding encompassing all appointments subsequent to orthodontic diagnosis and treatment planning. The item refers to a complex course of treatment of active fixed appliance therapy in both arches and retention as required. If removable and/or fixed retention, functional appliances, sequential clear plastic aligner therapy, headgear, or any other complementary auxiliary appliances are utilised, they are an intrinsic part of this item number.
882 Course of orthodontic treatment with orthognathic surgery
This is an alternative system of coding encompassing all appointments subsequent to orthodontic diagnosis and treatment planning of an orthodontic case requiring adjunctive orthognathic surgery. The item refers to a treatment program of pre-surgical and post-surgical orthodontics utilising active fixed appliance therapy or sequential clear plastic aligner therapy, a combination of both, in both arches plus collaborative surgical planning and retention as required. If removable and/or fixed retention, functional appliances, headgear, surgical splints or any other complementary auxiliary appliances are utilised, they are an intrinsic part of this item number.
911 Palliative care – per appointment
An item to describe interim care to relieve pain, infection, bleeding or other problems not associated with other treatment, per appointment.
915 After-hours callout
An additional item to describe provision of treatment required after hours. Treatment provided should be itemised.
916 Travel to provide services
An additional item to describe travel from the usual place of practice to provide treatment. Not applicable to mobile dental services, branch practices or outreach services. Treatment provided should be itemised separately.
919 Teleconsultation
The remote provision of consultation and support to a patient by a dental practitioner. Items 131, 141 and 142 should be itemised separately.
920 Extended teleconsultation – 30 minutes or more
The remote provision of an extended consultation and support to a patient by a dental practitioner. Items 131, 141 and 142 should be itemised separately.
921 Teleconsultation by referral
The remote provision by referral of a consultation and support to a patient by a dental practitioner. Items 131, 141 and 142 should be itemised separately.
926 Individually made tray – medicament(s) #
A tray made for the application of medicaments to the teeth or supporting tissues.
927 Provision of medication/medicament #
The supply, or administration under professional supervision, of appropriate medications and medicaments required for dental treatments.
928 Intravenous cannulation and establishment of infusion
The procedure of performing venepuncture, insertion of a cannula within the lumen of a vein and the establishment of infusion.
929 Provision of neuromodulator therapy #
Injection of neuromodulators for the treatment of oral and maxillofacial diseases and disorders.
941 Local anaesthesia
A procedure where local anaesthetic is used as a specific treatment for diagnosis or relief of pain and is not associated with other treatments.
942 Sedation – intravenous – per 30 minutes or part thereof
Sedative drug(s) administered intravenously, usually in increments. The incremental administration may continue while dental treatment is being provided.
943 Relative analgesia – inhalation of nitrous oxide and oxygen mixture – per 30 minutes or part thereof
The use of nitrous oxide and oxygen mixture inhalation to provide anxiolysis and analgesia while dental treatment is being provided.
944 Relaxation therapy
Therapy that does not involve the use of drugs but that induces a lowered state of mental or autonomic arousal.
945 Low level laser therapy – per appointment
Low level laser therapy (LLLT), also known as biostimulation or photobiomodulation, may be used for various dental applications.
948 Dental acupuncture – per appointment
Treatment by acupuncture needle insertion and/or laser, pressure or heat at specific and non-specific points where the same effect is achieved without a puncture.
949 Treatment under general anaesthesia/sedation
The treatment of a patient under a general anaesthetic/sedation administered by another registered practitioner. This may require the provision of additional equipment, instruments, materials and staff by the practitioner(s) providing the dental service(s). The dental treatment provided should be itemised separately.
961 Minor occlusal adjustment – per appointment
The detection and correction of minor irregularities and traumatic tooth contacts.
963 Clinical occlusal analysis, including muscle and joint palpation
This item consists of the recording of three separate assessments:
(a) Occlusal assessment
An assessment of tooth contacts in various jaw positions, parafunctional activity, vertical dimensions, tongue posture and speech.
(b) Muscle assessment
Assessment by intraoral and extraoral palpation of jaw muscles; cervical muscle palpation; and measurement of jaw and cervical mobility.
(c) Joint assessment
Includes palpation and auscultation of the temporomandibular joints, together with assessment of joint play. This item may be used in conjunction with other services.
964 Registration and mounting of dental models for occlusal analysis
This item describes the clinical procedures for accurate mounting of dental models or prostheses on an adjustable articulator or digital equivalent.
965 Occlusal appliance
An indirectly made custom occlusal appliance that fits over the functional surfaces of either the upper or the lower teeth used for diagnosis or therapy. It can be utilised in the following ways:
- for treatment of temporomandibular disorders; or
- as a diagnostic overlay prior to extensive rehabilitation; or
- to assist in preventing parafunctional wear or damage of teeth or restorations; or
- as an appliance made to locate the dentition and the jaws in predetermined positions when orthognathic jaw surgery is performed.
966 Adjustment of pre-existing occlusal appliance – per appointment
Alteration of a pre-existing occlusal appliance.
967 Pantographic tracing
The clinical procedure of attaching and using a specifically designed recording apparatus to record graphically the movements of the jaw.
968 Occlusal adjustment following occlusal analysis – per appointment
The adjustment of the occlusion involving either natural or artificial teeth following occlusal analysis. The use of this item implies that procedures described as items 963 and/or 964 have been performed as preparation for the occlusal adjustment.
971 Physical therapy for temporomandibular joint and associated structures – per appointment
Application of adjunctive therapy such as heat, other radiation or ultrasonic therapy, as part of overall therapy of the temporomandibular joint and associated structures.
972 Repair/addition – occlusal appliance
The repair/addition, reinsertion and adjustment of an occlusal appliance. An impression(s), if required, should be itemised.
981 Splinting and stabilisation – direct – per tooth
The joining of adjacent teeth to provide mutual support (where not covered by item 386 or 387).
982 Enamel stripping – per appointment
The removal of enamel from the interdental surfaces of a tooth/teeth to reduce width.
984 Mandibular advancement appliance for diagnosed snoring and obstructive sleep apnoea
On request from an appropriately qualified medical practitioner, the provision and appropriate dental supervision of a custom, titratable, removable oral appliance for the treatment of diagnosed snoring and obstructive sleep apnoea disorders. Reference should be made to the report published by the American Academy of Sleep Medicine entitled Clinical Practice Guideline for the Treatment of Obstructive Sleep Apnoea and Snoring with Oral Appliance Therapy: An Update for 2015 as endorsed by the ADA.
985 Repair/addition – snoring or sleep apnoea device
The repair/addition, reinsertion and adjustment of a snoring or sleep apnoea device. Any impression(s), if required, should be itemised. See item 776.
986 Post-operative care not otherwise included
The provision of post-operative care by a dental practitioner who did not provide the initial treatment.
987 Recontour tissue – per appointment
Recontour of oral and associated tissue not described elsewhere in the Thirteenth Edition of the Australian Schedule of Dental Services and Glossary, such as injection of dermal fillers.
990 Treatment not otherwise included (specify)
An item number used to identify dental treatment not elsewhere described. Adequate written description of the service is required.
999 GST
This item number is for use where practice accounting systems cannot accommodate GST applicable to nonclinical component.
Fiji Dental Association 