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Intra-coronal attachments – precision or magnetic
Incorporated as part of a restoration, 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 itemized. For the denture component

Cephalometric analysis – excluding radiographs
The analysis of a cephalometric radiograph (036) by measurement of specific biological landmarks in order to determine and predict patterns of development of the cranio-facio-maxillary growth complex. The procedure is often employed in orthodontic diagnosis.

Extirpation of pulp or debridement of root canal(s) – emergency of palliative
The partial or thorough removal of pulp and/ or debris from the root canal system of a tooth. This is an emergency or palliative procedure distinct from visit for scheduled endodontic treatment. Temporization, other then the closure of an access cavity, should be itemized separately.

Surgical removal of a tooth or tooth fragment not requiring removal of bone or tooth division
Removals of a tooth or tooth fragment where an incision of the mucosa and the raising of a mucoperiosteal flap is required, but where removal of bone or sectioning of the tooth is not necessary to remove the tooth.
Surgical removal of a tooth or tooth fragment requiring removal of bone and tooth division
Removals of a tooth or tooth fragment where both removal of bone or sectioning of the tooth are required after an incision has been made and a mucoperiosteal flap raised. The tooth will be removed in portions.

Extra oral appliance
This item describes a number of appliances worn extra orally. 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 which is passed behind the head to provide a reaction for the forces required. They are usually worn for a limited time each day.

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Temporary (provisional) Bridge
Placement of a provisional bridge designed to last until the planned bridge can be constructed and inserted. The provisional restorations of the abutments are itemized separately as 631.This item should only be used 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 crown construction.

Provisional crown
Provisional restoration of a tooth or implant with a crown which is designed to last until the planned crown can be constructed or the tooth is removed. This item should only be used 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.

Provisional (Intermediate/temporary) restoration
The provisional (intermediate) restoration of a tooth designed to last until the definitive restoration can be constructed or the tooth removed. This item should only be used where the provisional (intermediate) restoration is not an intrinsic part of treatment. It does not include provisional (temporary) sealing of the access cavity during endodontic treatment or during construction of indirect restorations.

Extra oral appliance
This item describes a number of appliances worn extra orally. 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 which is passed behind the head to provide a reaction for the forces required. They are usually worn for a limited time each day.

Functional orthopaedic appliance
An appliance whose primary actions involve orthopaedic change of jaw shape or relationship utilizing and modifying the effect of the environmental tissue. Many are bi-maxillary appliances involving upper and lower arches. Bi-maxillary appliances are regarded as single appliances.

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Bi-maxillary oral appliance for diagnosed snoring and obstructive snoring and sleep apnoea.
On request from a specialist, the provision and appropriate dental supervision of a removable single arch oral appliance to assist in the treatment of assessed snoring and obstructive sleep apnoea disorders. Reference should be made to the report published by the American Academy of sleep Medicine entitled “Practice Parameters for the treatment of snoring and obstructive Sleep Apnoea with oral appliances: An Update for 2005” as endorsed by the Australian Dental Association Inc.

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 fistula. Details of the procedure should be specified.

Complete course of orthodontic treatment
This is an alternative system of coding encompassing all visit 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. Headgear, or any other complementary auxiliary appliances are utilized, they are an intrinsic part of this item number. If arrangements are made with a third party for sequential billing.

Provisional crown
Provisional restoration of a tooth or implant with a crown which is designed to last until the planned crown can be constructed or the tooth is removed. This item should only be used 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.

Emergency treatment
Extirpation of pulp or debridement of root canal(s) – emergency of palliative
The partial or thorough removal of pulp and/ or debris from the root canal system of a tooth. This is an emergency or palliative procedure distinct from visit for scheduled endodontic treatment. Temporization, other then the closure of an access cavity, should be itemized separately.

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Anti-snoring device
Single arch oral appliance for diagnosed snoring and obstructive snoring and sleep apnoea.
On request from a specialist, the provision and appropriate dental supervision of a removable single arch oral appliance to assist in the treatment of assessed snoring and obstructive sleep apnoea disorders. Reference should be made to the report published by the American Academy of sleep Medicine entitled “Practice Parameters for the treatment of snoring and obstructive Sleep Apnoea with oral appliances: An Update for 2005” as endorsed by the Australian Dental Association Inc.

Concentrated fluoride application
Concentrated remineralizing and/or cariostastic agents, application – single tooth
A procedure to promote caries resistance in a specific situation, involving isolation and control of the target area and prolonged application of a concentrated fluoride or remineralizing and/or cariostastic agent. The includes necessary activation of the agent. Not to be used with restorative item numbers.

Consultations
A consultation to seek advice or discuss treatment options regarding a specific dental or oral condition. This consultation includes recording an appropriate medical history and any other relevant information. 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 specialist. The referring practitioner should be provided with a report from the consultant, included within the item number.

Periodontal, non-surgical
An alternative system of coding encompassing all visit subsequent to periodontal diagnosis and treatment planning for the non-surgical phase of periodontal treatment. This item includes all forms of non-surgical treatment and precludes reference to other periodontal techniques or services in the schedule. Non-periodontal related procedures should be separately itemized. An assessment and treatment form to be used with this item may be requested in advance of treatment. Continuation of periodontal treatment or maintenance subsequent to item 281
Maintenance subsequent to item 281 for non-surgical periodontal treatment. Radiographs, periodontal charting and other diagnostic procedures, and non-periodontal related procedures should be separately itemized.

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