The Australian Schedule of Dental Services and Glossary¹

Thirteenth Edition

This document provides the official coding system and definitions for dental anatomy and services as established by the Australian Dental Association (ADA).

Front Matter

Publication Information²

Publisher: Australian Dental Association
Address: 14–16 Chandos St, St Leonards, NSW 2065 Australia
Copyright: © Australian Dental Association, 2022
ISBN: 978-0-646-85794-7

Edition History

First Edition (1986): An Australian Glossary of Dental Terms
Second Edition (1990): An Australian Glossary of Dental Terms
Third Edition (1992): An Australian Glossary of Dental Terms
Fourth Edition (1994): An Australian Glossary of Dental Terms
Fifth Edition (1996): An Australian Schedule of Dental Services and Glossary
Sixth Edition (2000): An Australian Schedule of Dental Services and Glossary
Seventh Edition (2002): The Australian Schedule of Dental Services and Glossary
Eighth Edition (2004): The Australian Schedule of Dental Services and Glossary
Ninth Edition (2009): The Australian Schedule of Dental Services and Glossary
Tenth Edition (2013): The Australian Schedule of Dental Services and Glossary
Eleventh Edition (2016): The Australian Schedule of Dental Services and Glossary
Twelfth Edition (2017): The Australian Schedule of Dental Services and Glossary
Thirteenth Edition (2022): The Australian Schedule of Dental Services and Glossary

Rights and Permissions

All rights reserved. No part of this work covered by copyright may be reproduced or copied in any form or by any means (graphic, electronic or mechanical, including photocopying, recording, taping, or information and retrieval systems) without the written permission of the publisher.

Acknowledgements

Tooth Identification Illustration: © Informa UK Ltd (trading as Primal Pictures), 2022.
Provider: Primal Pictures, an informa business (www.primalpictures.com, www.anatomy.tv)

Foreword

Overview and Purpose³

An Australian Glossary of Dental Terms was first published by the Australian Dental Association (ADA) in 1986. The Fifth Edition was expanded to The Australian Schedule of Dental Services and Glossary (the Schedule) in 1996. Since its inception, it has been universally accepted as the definitive coding system of dental treatment across the sector.

The Australian Classification of Health Interventions (ACHI) Dental Services chapter is based on the most recent edition (at the time of development) of ADA’s The Australian Schedule of Dental Services and Glossary.

GST Determinations

As part of the review, the Australian Taxation Office (ATO) provided an updated determination of those items that attract GST. The ATO ruling and current information on the application of GST is included on page 22 of the Schedule and online at ada.org.au.

Development and Acknowledgements

The ADA, in developing the Thirteenth Edition, has considered submissions from within the membership, specialist affiliated dental groups, health funds, other dental practitioners and groups.

The ADA is indebted to the Members of the Schedule and Third Party Committee and acknowledges their tireless work. In addition, the input from the Secretariat is gratefully acknowledged.

Dr R. Mark Hutton
Federal President
Australian Dental Association

Table of Contents⁴

Thirteenth Edition Updates 5
General Information 6
- Purpose and Principles 6
- Clarification 6
- Guidelines for Submissions to the ADA’s Schedule and Third Party Committee 6
- Correspondence 6
Notes for Guidance 7
- Dental Materials 7
- Linings 7
- Standardisation of Surface Descriptions of Dental Restorations 7
- Restorative Procedures 7
- Endodontics 8
  - Examples 8
- Guidelines for Periodontics 9
- Provisional Restoration or Prosthesis 9
- Definitive Restoration or Prosthesis 9
- Direct, Indirect 9
  - Examples 10
- Direct and Indirect Restorations, Crowns and Bridges 10
  - Examples 10
- Cementation 11
- Immediate Dentures 11
  - Examples 11
- Partial Dentures 12
  - Examples 12
- Itemisation of Accounts 13
- Multiple Appointment Procedures 13
- Dental Health Insurance and Other Third Parties 13
- Tooth Identification 14
- Itemisation of Dental Implants 14
- Itemisation of Supernumerary Teeth 14
  - Examples 15
Illustrated Definitions 16
- Tooth Terminology 16
- Dental Arch 17
- Mandible Showing Anatomical Features 18
- Third Molar Impactions of Upper and Lower Jaw 18
- Crowns and Bridges 19
- Implants 20
- Partial Maxillary Denture 21
- Veneer 21

Goods and Services Tax (GST)⁵

Goods and Services Tax: Goods and Services Supplied by Dentists 22
Explanatory Notes 23

Diagnostic Services⁶⁷⁸⁹

Examinations 33
Radiological Examination, Analysis and Interpretation 34
Other Diagnostic Services 36

Preventive, Prophylactic and Bleaching Services

Dental Prophylaxis and Bleaching 40
Remineralisation Agents 41
Other Preventive Services 41

Periodontics¹⁰¹¹

Periodontics 43

Oral Surgery

Extractions 46
Surgical Extractions 46
Surgery for Prostheses 47
Treatment of Maxillofacial Injuries 48
Dislocations 48
Osteotomies 49
General Surgical 49
Other Surgical Procedures 50

Endodontics

Pulp and Root Canal Treatments 52
Periradicular Surgery 53
Other Endodontic Services 54

Restorative Services

Direct Restorations 55
Metallic Restorations – Direct 55
Adhesive Restorations – Anterior Teeth – Direct 55
Adhesive Restorations – Posterior Teeth – Direct 56
Indirect Restorations 57
Metallic Restorations – Indirect 57
Tooth-Coloured Restorations – Indirect 57
Other Restorative Services 58

Prosthodontics

Crowns 60
Provisional Crowns and Bridges 61
Bridges 62
Crown and Bridge Repairs and Other Services 63
Procedures for Implant Prostheses 64
Implant Prostheses Repairs and Maintenance 66
Dentures and Maxillofacial Prosthetics and Services 67
Denture Maintenance 70
Denture Repairs 71
Other Prosthodontic Services 72
Maxillofacial Prosthetics 73

Orthodontics

Removable Appliances 74
Fixed Appliances 75
Extraoral Appliances 76
Attachments 76
Other Orthodontic Services 76
Complete Courses of Orthodontic Treatment 77

General Services

Emergencies 78
Teledentistry 78
Drug Therapy 79
Anaesthesia, Sedation and Relaxation Therapy 79
Occlusal Therapy 80

Miscellaneous

Miscellaneous 82
Index 83

Thirteenth Edition Updates

Changes to the Schedule, since the Twelfth Edition, are listed below.

Amended Item Numbers¹²

019, 022, 026, 033, 039, 047, 048, 051, 055, 056, 061, 071, 072, 073, 074, 075, 087, 088, 089, 090, 091, 113, 117, 119, 121, 122, 123, 131, 151, 153, 171, 222, 324, 331, 351, 377, 381, 386, 387, 391, 414, 419, 434, 455, 572, 586, 587, 588, 611, 613, 615, 618, 627, 649, 656, 658, 659, 661, 664, 666, 667, 668, 669, 673, 678, 684, 688, 690, 713, 714, 715, 716, 723, 724, 727, 728, 731, 733, 739, 754, 761, 762, 765, 766, 768, 769, 771, 772, 773, 825, 831, 871, 881, 911, 916, 927, 943, 949, 964, 965, 966, 971, 972, 981, 984, 986, 987

New Item Numbers

057, 076, 163, 239, 459, 598, 648, 685, 686, 687, 692, 693, 694, 695, 696, 755, 781 (formerly 774), 782, 783, 785, 786, 787, 788, 789, 790, 844, 882, 919, 920, 921, 929

Deleted Item Numbers

025, 054, 085, 086, 323, 458, 730, 774 (replaced by 781), 983

New Sections

Implant Prostheses Repairs and Maintenance (692–697)
Maxillofacial Prosthetics (781–790)
Teledentistry (919–921)

Amended Section Name

Dentures and Maxillofacial Prosthetics and Services (replacing Denture and Denture Components 711–739)

General Information

Purpose and Principles¹³

The ADA assigns a three-digit number (item number) to describe clinical procedures it considers to be part of current dental practice. In reviewing the Schedule, the following principles are applied:

An item number describes, as a general rule, a treatment outcome. It accommodates minor variations in clinical techniques.
Consideration for a listing in the Schedule will be given only to accepted forms of therapy.
It is not possible to describe every single dental service outcome and, as such, the principle of the most appropriate item number should be used. Where no suitable item number can be identified, item number 990 is to be allocated for describing such services.
No item numbers are reserved exclusively for use by specialists.
There is no differentiation between services on primary or secondary teeth unless the procedure is unique within that group.
Changes to materials within a generic group or changes in laboratory techniques are unlikely to be allocated new item numbers.
The Schedule generally uses generic terminology when referring to materials or procedures.

Clarification

Any dentist or third party requiring clarification or interpretation of the Schedule & Glossary should contact the ADA. In the event of a dispute regarding interpretation or clarification between a dentist and a third party, the Chief Executive Officer (CEO) should be informed of the names and addresses of both parties together with details of the dispute. The CEO will then refer that information on to the Chair of the ADA’s Schedule and Third Party Committee for evaluation and decision. The CEO or their delegate will then inform both parties of the decision. Confidentiality will be maintained.

Federal and/or State specialist groups and ADA affiliated bodies must not offer interpretation or guidelines for the use of item numbers within the Schedule & Glossary without the explicit written endorsement of the ADA’s Federal Executive.

Guidelines for Submissions to the ADA’s Schedule and Third Party Committee

The ADA’s Schedule and Third Party Committee welcomes submissions and comments on the Schedule. Suggestions for new and amended item numbers should be accompanied by a suggested draft for the Schedule – that is, item number, heading and brief description.

An organisation submitting on behalf of a particular discipline of dentistry should first consult with branches of equivalent organisations in other States and Territories in order to arrive at a consensus. Third parties should submit through their umbrella organisations.

Correspondence

Correspondence should be directed to:

The Chief Executive Officer
Australian Dental Association
PO Box 520
ST LEONARDS NSW 1590
Phone: 02 8815 3333
email: ceo@ada.org.au

Notes for Guidance

The Thirteenth Edition of the Schedule has continued to classify dental materials into basic generic groups. Examples are given in the following table.

Generic Grouping	Example
adhesive restoration – direct	compomer, composite resin, glass ionomer cement
custom fabricated metal framework	cobalt-chromium
metallic restoration – direct	amalgam
metallic restoration – indirect	gold, non-precious metal
polymeric material	acrylic
tooth-coloured restorations – indirect	hybrid ceramic/polymers, lithium disilicate, porcelain ceramic (fused, cast, preformed, milled or printed), resin-based polymers, zirconia
resin-based material	acetal resins, acrylic, flexible acrylic resins, flexible nylon, polycarbonates

Linings¹⁴

Linings used beneath restorations, as interposing material, form an integral part of a restoration and are not to be itemised separately.

Standardisation of Surface Descriptions of Dental Restorations

A uniform system is recommended in order to quantify the complexity of a restorative procedure. A surface is defined by the line angles, with the incisal edge regarded as a separate surface.

Dental Materials

Where separate one-surface restorations in the same material are placed on the same surface of the same tooth at the same appointment, the number of such restorations should be recorded and itemised as a single one-surface restoration.
Where separate one-surface restorations are placed on different surfaces of the same tooth at the same appointment, they shall be itemised as separate one-surface restorations irrespective of the material used.
Where separate two-surface restorations are placed on different surfaces of the same tooth at the same appointment, they shall be itemised as separate restorations irrespective of the material used.
Similar principles apply to other multiple-surface restorations on the same tooth.

Restorative Procedures

When two materials are used in the same restoration, the predominant material type should be used to itemise that restoration.

Where a restoration includes a fissure sealant or resin infiltration on the same tooth and on the same surface, then only one item number shall be used to describe that restoration. A fissure sealant or resin infiltration not on the same surface/s as the restoration is itemised separately.

Clinical Case Examples¹⁵

Example	Description	Itemised as	Notes
Example 1	A diagnosis of irreversible pulpitis is made after examination, pulp sensibility testing and radiographic imaging of a tooth with one canal. Endodontic therapy is commenced. The canal is debrided and chemo-mechanical preparation is completed. A radiograph used to determine working length is taken. An intracanal medicament is placed into the root canal system. The access cavity is sealed with a temporary restoration.	061, 2 x 022, 415	Oral examination (limited) and/or a consultation would be itemised separately.
Example 2	A diagnosis of irreversible pulpitis/periapical periodontitis is made after examination, pulp sensibility testing and radiographic imaging of a tooth with multiple canals. Endodontic therapy is commenced. The canal is debrided and chemo-mechanical preparation is completed. A radiograph used to determine working length is taken. An intracanal medicament is placed into the root canal system. The access cavity is sealed with a temporary restoration and the tooth stabilised with a metal band.	061, 2 x 022, 415, 2 x 416 (or 3, or 4 x 416), 574	Note: if multiple radiographs at different angulations are taken, these are itemised separately. Oral examination (limited) and/or a consultation would be itemised separately.
Example 3	A diagnosis of irreversible pulpitis/periapical periodontitis is made after examination, pulp sensibility testing and radiographic imaging of a posterior tooth with multiple canals. All previous restorations are removed and, in order to obtain a stable restorative base to enable adequate isolation of the root canal system, an interim restoration using a three-surface glass ionomer cement is placed and the tooth stabilised with a metal band. Endodontic therapy is commenced. The canal is debrided and chemo-mechanical preparation is completed. A radiograph used to determine working length is taken. An intracanal medicament is placed into the root canal system. The access cavity is sealed with a temporary restoration.	061, 2 x 022, 415, 2 x 416 (or 3, or 4 x 416), 574, 533 depending on the tooth	Note: if multiple radiographs at different angulations are taken, these are itemised separately. Oral examination (limited) and/or a consultation would be itemised separately.
Example 4	A tooth is assessed for endodontic treatment and a decision is made that the tooth is not suitable for restoration. The tooth is provisionally restored with a temporary restoration.	412, 572	Other items of diagnostic nature are itemised separately.
Example 5	A tooth is assessed for endodontic treatment and a decision is made that the tooth is not suitable for restoration. The tooth is restored with a three-surface restoration of glass ionomer cement.	412, 523	Other items of diagnostic nature are itemised separately.

Example 6¹⁶

A diagnosis of irreversible pulpitis/periapical periodontitis is made for a molar tooth after a range of investigations consistent with the presenting clinical problem. All previous restorations are removed and, in order to obtain a stable restorative base to enable adequate isolation of the root canal system, an interim restoration of five surfaces using an adhesive restoration is placed, stabilised by a metal band restoration. A partial, or thorough, removal of pulp and/or debris from four root canals of the tooth is accomplished as an emergency or palliative procedure.

At further appointments, canals are debrided and chemo-mechanical preparation is completed. Radiographs are used to determine working length and an intracanal medicament is placed into the root canal system. The access cavity is sealed with a temporary restoration. At a third appointment, the root canal is filled with confirmatory radiographs being taken.

Appointment 1: 419, 574, 535 (plus other items of diagnostic nature if the consult/examination has not been done at a previous appointment)
Appointment 2: 2 x 022, 415, 3 x 416
Appointment 3: 3 x 022, 417, 3 x 418

Note: if multiple radiographs at different angulations are taken, these are itemised separately. Oral examination (limited) and/or a consultation would be itemised separately.

Guidelines for Periodontics

Integral to all periodontal treatment is the necessity for a periodontal assessment and recording of such prior to treatment and the establishment of an interval for ongoing periodontal treatment based on the patient’s risk assessment. This may lead either to surgical therapy or to ongoing Supportive Periodontal Therapy (Item 251) or a return to Active Periodontal Therapy (Item 250) as needed.

Item 250 Active Non-Surgical Periodontal Therapy – per quadrant: This treatment is aimed at decreasing gingival inflammation, reducing pocket depth and gaining clinical attachment. If using this item in conjunction with periodontal treatment such as 114 and 222 in other quadrants, then the 250 quadrant and, where applicable, individual teeth should be identified.
Item 251 Supportive Periodontal Therapy – per appointment: This treatment is aimed at maintaining a low level of gingival inflammation, with reduced pocket depths and gains in clinical attachment in comparison to the pre-treatment assessment. It is to be undertaken in a single appointment.

Provisional Restoration or Prosthesis

‘Provisional’ refers to a restoration or prosthesis that is intended to be of diagnostic or short-term functional or aesthetic value or awaiting adequate healing before a definitive restoration or prosthesis is placed. For example, this may occur with immediate dentures and subsequent implant prostheses.

Definitive Restoration or Prosthesis

‘Definitive’ refers to a restoration or prosthesis placed after adequate diagnostic procedures have been completed with the intention that the restoration or prosthesis will have long-term functional or aesthetic value.

Direct and Indirect Fabrication

The terms ‘direct’ and ‘indirect’ are used to distinguish between restorations/services fabricated directly in the mouth (direct) and those fabricated outside the mouth using models, copings or digitised images (indirect). A dental technician may assist in the fabrication of indirect restorations. Certain restorations use both intraoral and extraoral procedures but are to be itemised by the predominant element of fabrication.

Fabrication Examples¹⁷

Some resin-based restoration materials are formed in the mouth but are removed for extraoral curing and finishing before cementation/insertion. These are to be itemised as direct restorations.
Some restorations are fabricated extraorally before cementation/insertion. These are to be itemised as indirect restorations.
Some cast restorations will have the casting pattern prepared in the mouth before being completed extraorally. These are to be itemised as indirect.

Direct and Indirect Restorations, Crowns and Bridges

Non-specific terminology has been adopted to describe the components of direct and indirect restorations, crowns and bridges. The only distinctions are between metallic and tooth-coloured materials and direct or indirect fabrication. Bridges consist of retainers, such as crowns, direct and indirect restorations, bonded wings or facings, which attach pontics (replacements for missing teeth) to the abutment teeth or implants to which the retainers are fixed.

Correct itemisation requires a description of abutment retainers together with the type and number of pontics. This itemisation is also applicable to provisional crowns and bridges. Similar principles apply to implant supported crowns and bridges.

Example	Description	Itemised as	Notes
Example 1	A tooth supported bridge carrying two indirect pontics supported by a veneered crown at each end (four-unit bridge).	2 x 615, 2 x 643
Example 2	An implant supported bridge carrying one indirect pontic supported by a veneered crown at each end incorporating an abutment attached to the underlying osseointegrated implant (three-unit implant supported bridge).	2 x 661, 2 x 672, 1 x 643
Example 3	An implant supported bridge carrying eight pontics supported by a veneered crown incorporating an implant abutment attached to four osseointegrated implants (fixed full arch implant supported bridge).	4 x 661, 4 x 672, 8 x 643
Example 4	A rigid bar fitted to four underlying osseointegrated implants to provide support and retention for a dental prosthesis with three retention devices and designed for self-removal.	4 x 661, 1 x 664, 3 x 645, 3 x 735	The removable prosthesis would be itemised as either 665 or 667.
Example 5	A removable prosthesis carrying artificial teeth on a resin base supported by two osseointegrated implants to which it is attached and that is designed for self-removal.	2 x 661, 2 x 735, 1 x 665
Example 6	A removable prosthesis carrying artificial teeth on a custom fabricated or wrought metal frame supported by two osseointegrated implants to which it is attached and that is designed for self-removal.	2 x 661, 2 x 735, 1 x 667
Example 7	A removable prosthesis carrying artificial teeth on a custom fabricated metal frame supported by four osseointegrated implants to which it is attached and that is not designed for self-removal.	4 x 661, 1 x 666

Example 8¹⁸

Bonded bridges are similarly itemised as per other fixed bridges. For instance, a three-unit indirect bonded bridge that has two retainers and a single indirect pontic is itemised as: 2 x 649, 1 x 643.

Example 9

A tooth supported provisional bridge carrying two indirect pontics supported by provisional crowns at each end (provisional four-unit bridge) would be itemised as: 2 x 631, 2 x 632.

Example 10

An implant supported provisional bridge carrying one provisional pontic supported by a provisional crown at each end incorporating a provisional abutment attachment to the underlying implant (provisional three-unit implant supported bridge) would be itemised as: 2 x 633, 2 x 634, 1 x 632.

Infrastructure (such as a core for crown including post), stress-breakers and precision or magnetic attachments should be appropriately itemised.

Cementation

Where the term ‘cementation’ is used in the Schedule, it implies the various processes (cementation, bonding, adhesion, curing, attaching) employed to achieve enduring retention of a restoration or prosthesis in the mouth.

Immediate Dentures

Immediate dentures require multiple itemisation.

Example	Description	Itemised as	Notes
Example 1	A full upper immediate denture in which six teeth are replaced immediately following their extraction.	6 x 311, 711, 6 x 736	The same principle applies to partial denture immediate tooth replacement(s).
Example 2	Two maxillary teeth required to be extracted, and replaced immediately with provision of a resin-based partial denture.	2 x 311, 721, 2 x 733, 2 x 731, 2 x 736

Partial Dentures

Partial denture items 721, 722, 727 and 728 are used to describe the base only (resin or custom fabricated metal) of the partial denture. Item 733 (tooth/teeth) should be used to describe the number of teeth borne by the denture base.

When retainers (clasps) (731), overlays (734), occlusal rests (732), precision or magnetic attachments (735) or metal backings (739) are used, they should be appropriately itemised.

Partial Denture Examples¹⁹

Example	Description	Itemised as
Example 1	Provision of a five-tooth mandibular acrylic partial denture where the saddles are connected by a wrought bar and where there are two clasps and two occlusal rests.	722, 738, 5 x 733, 2 x 731, 2 x 732
Example 2	Provision of a five-tooth custom fabricated metal framework maxillary denture with two occlusal rests and two retainers.	727, 5 x 733, 2 x 731, 2 x 732

Itemisation of Accounts

Item Numbers and Fees²⁰

Item numbers describe treatment outcomes. Fees associated with item numbers may vary to reflect the time, complexity or materials used to achieve the treatment outcome.

Guidelines for Original Itemisation

The original itemisation of dental services should be provided in a form consistent with the following guidelines:

Provider number of the service provider.
Entity to whom payment is to be made.
Specialist description if appropriate.
Address and telephone number of the place of practice.
Name and address of the party responsible for the debt.
Name of patient.
Date on which the account was rendered and date on which service was provided.
Identification of service by the Schedule number and/or description of service sufficient to identify the procedure.
Fee charged for each item of service and details of balance owing.
When a subsequent account is issued, it should be endorsed ‘duplicate copy’.
GST, where appropriate, should be itemised.
Where tooth ID is required, FDI notation should be utilised.

Appropriate clinical records should be maintained in accordance with professional guidelines and regulatory requirements.

Multiple Appointment Procedures

Where multiple appointments are required to complete a procedure or course of treatment (such as dentures, crowns, orthodontics, periodontics, etc.), it is appropriate to render an account in part or in full at any appointment during the procedure or course of treatment, including the first appointment. The item number for the procedure can be used only once.

Dental Health Insurance and Other Third Parties

The Thirteenth Edition of the Schedule contains the definitive and authoritative descriptions of dental services rendered within Australia. Third parties are not entitled to place their own definitions or interpretations on item numbers listed within this Schedule.

Commercial decisions by health funds to place limits or utilisation rules do not imply that the continued provision of those services is inappropriate. Where health funds or other third parties make such claims, evidence should be provided to the CEO of the ADA.

Compliance with requirements for the claiming process remains the responsibility of the individual contracted provider. It is a Medicare requirement that claims can be made only after the completion of the dental treatment provided (except for orthodontic services under the Cleft Lip and Palate Scheme). Where dental services attract a medicare rebate, it is not appropriate to use both ADA and Medicare item numbers for the same procedure.

Tooth Identification

If it is necessary or useful to identify a tooth, the FDI World Dental Federation (FDI) Two-digit Tooth Identification number should be employed. Tooth ID is not applicable to implants.

Adult and Deciduous Dentition²¹

Standard FDI notation diagrams are used to identify teeth in both adult and deciduous dentitions.

Itemisation of Dental Implants

Dental implants aren’t necessarily placed as direct replacements for individual teeth. If it is considered necessary or useful to identify an implant or its position, it can be characterised using the FDI notation indicating the nearest absent natural tooth.

Itemisation of Supernumerary Teeth

Supernumerary teeth are additional teeth that are developmental aberrations. They can present in any area of the maxillofacial complex. The itemisation of their removal should follow the standard itemisation for the procedure, with the account descriptor annotated ‘supernumerary’ and the most adjacent FDI Tooth ID used.

Supernumerary Tooth Examples²²

Example	Description	Item No.	Tooth ID
Example 1	Simple extraction of a supernumerary tooth in the anterior area adjacent to the upper right central incisor.	1 x 311	11 [supernumerary]
Example 2	Surgical removal requiring a mucoperiosteal flap, but no bone removal or sectioning, in the upper right premolar area.	1 x 322	15 [supernumerary]
Example 3	Removal of a supernumerary and an adjacent impacted upper right wisdom tooth, both requiring bone removal and sectioning.	2 x 324	18 and 18 [supernumerary]

Illustrated Definitions

Fissure: A naturally occurring crevice in the enamel.
Enamel: The hard, calcified substance that is the surface of a crown of a tooth.
Gingiva: The marginal part of the gum that surrounds the tooth where it emerges from the deeper, supporting tissues.
Mucosa: The lining of epithelium inside the mouth, and its immediate substructures.
Cementum: The calcified tissue on the surface of the root providing attachment for the periodontal ligament.
Root: The part of the tooth below the gum margin connected to the supporting bone.
Crown: The visible part of the tooth above the gum margin.
Periodontal ligament: The ligament connecting the tooth root to the supporting bone.
Dentine: The calcified tissue forming the major part of a tooth, enclosing the pulp chamber.
Pulp: The central organ containing blood vessels, connective and neural tissue, and dentine-producing cells.

Tooth Terminology²³

Dental Arch Components²⁴

Maxillary teeth: Teeth of the upper jaw.
Mandibular teeth: Teeth of the lower jaw.
Anterior teeth: Upper or lower arch teeth comprising central and lateral incisors and canines.
Posterior teeth: Teeth at the back of the mouth including premolars and molars.

Specific Tooth Types

Incisor teeth: The four front teeth in the centre of the dental arch.
Canine (cuspid) tooth: Usually the third tooth from the centre; deemed an anterior tooth.
Premolar (bicuspid) teeth: Teeth immediately behind the canine teeth.
Molar teeth: The back teeth behind the bicuspids; includes the wisdom tooth.

Surface Terminology

Labial: Surface in proximity to the lips.
Palatal: Surface adjacent to the palate.
Buccal: Surface in proximity to the cheek.
Lingual: Surface in proximity to the tongue.

Anatomical Features

Mandible Features²⁵

Right and left coronoid processes
Right and left condyles
Ramus, angle, and body of the mandible

Third Molar Impactions

Unerupted maxillary and mandibular third molars
Third molars ‘impacted’ against erupted second molars

Crowns and Bridges

Crown and Bridge Components²⁶

Artificial Crown: Natural tooth reduced to accept the crown.
Bridge: Comprises pontics (artificial replacement teeth), retainers (full crowns), and abutment teeth.
Post Crown: Includes the crown, post, core (attached to post), tooth root, alveolar bone, periodontal ligament, and apical root-filling.

Implants

Implant Structure²⁷

Endosseous implant: The screw component placed in cancellous bone.
Implant abutment: The head section designed to receive a crown.
Implant crown: The final restoration seated over the abutment section, passing through the oral mucosa.

Partial Maxillary Denture²⁸

Upper partial denture replacing teeth with a custom fabricated metal framework, featuring retainers, rests, and reciprocators.

Veneer

Incisor tooth prepared for veneers and the veneer shells before attachment.

Goods and Services Tax

The Australian Taxation Office (ATO) provided an update to Class Ruling 2013/14 regarding the application of GST to dental services. The tax status of an item is presumed to be GST-free unless a specific symbol is present.

GST Status Symbols²⁹

T: Taxable services (not for ‘appropriate treatment’).
#: May not be GST-free (e.g., medico-legal or cosmetic purposes).
$: Item covers both taxable and GST-free supplies (e.g., spare parts with labour).
@: GST-free under section 38-7 where a medicare benefit is payable for chronic medical conditions.

GST Explanatory Notes³⁰

Date of Effect³¹

The Ruling applies from 1 July 2022.

Supplies under Section 38-7 (Medical Services)

Services: GST-free if a medicare benefit is payable under the Health Insurance Act 1973.
Goods: GST-free if supplied in the course of a GST-free service at the same premises.

Supplies under Section 38-10 (Other Health Services)

Services: GST-free if they are a specified kind (Dental), supplied by a recognised professional, and generally accepted as necessary for appropriate treatment.
Goods: GST-free if supplied in the course of a GST-free dental service at the same premises.

Medical Aids and Appliances (Section 38-45)

Supplies of the following are GST-free at all points in the supply chain:

Customised toothbrushes for people with disabilities
Dentures and artificial teeth
Mandibular advancement splints

Spare Parts for Medical Aids³²

Specifically designed spare parts for GST-free medical aids (dentures, etc.) are GST-free under subsection 38-45(2).
Generic spare parts are not GST-free.

Spare Parts with Labour

GST-free: If the dominant part is the spare part and labour is incidental.
Taxable: If the dominant part is labour and the spare part is incidental.
Mixed Supply: If neither is incidental, the supply is partly GST-free (part) and partly taxable (labour).

Taxable Supplies (Section 9-5)

A supply is taxable if made for consideration, in the course of an enterprise, connected with Australia, and the entity is registered for GST, provided it is not GST-free or input taxed.

Medical Service Definition³³

A ‘medical service’ is GST-free if a medicare benefit is payable. If no benefit is payable (e.g., service to a non-resident), the service must be assessed under section 38-10.

Requirements for GST-free Dental Services (Section 38-10)

Kind of Service: Must be ‘Dental’ (Item 6 in the table).
Recognised Professional: The dentist must be registered under State or Territory law.
Necessary for Appropriate Treatment: Must be generally accepted in the profession as necessary for the patient.

Appropriate Treatment Criteria³⁴

Definition: Assessing health and determining a process for preserving, restoring, or improving physical or psychological wellbeing.
Preventative: Includes periodic oral examinations.
Exclusions: Customised mouthguards, medico-legal services (insurance/litigation), and purely cosmetic services are not considered ‘appropriate treatment’.
Mixed Purpose: Services intended to improve health that have a cosmetic component (e.g., reconstruction of a damaged tooth) are GST-free.
Appliance Modifications: Adjustments due to a patient’s changing condition (e.g., tooth extraction or jaw shape change) are GST-free.

Recipient of the Supply

The recipient must be an individual for the supply to be GST-free under section 38-10. Arrangements with third parties may change the characterisation of the recipient.

Third Party Arrangements (Section 38-60)³⁵

Where a third party (insurer, statutory scheme operator, or government agency) is the recipient, the supply is GST-free to the extent the underlying service to the patient is GST-free. Parties can agree under subsection 38-60(4) to treat the supply as taxable for administrative ease.

Examples of Third Party Supplies

Example 1 (Insurer): Supply to a health fund for member treatment is GST-free under section 38-60.
Example 2 (Non-Insurer): Supply to a private company for employee treatment is a taxable supply.
Example 3 (Payment on behalf): If an employer merely pays a patient’s bill without a pre-existing agreement with the dentist, the supply is to the patient and remains GST-free.

Dental Goods (Subsections 38-7(3) and 38-10(3))³⁶

Goods are GST-free if supplied ‘in the course of’ a GST-free service at the same premises. This means they are customized for the patient or essential for treatment during that consultation.

Criteria: Must be covered by Schedule 3, specifically designed for illness/disability, and not widely used by people without illness/disability.
Relevant Items: Customised toothbrushes (item 29), dentures and artificial teeth (item 30), and mandibular advancement splints (item 75).
Mandibular Advancement Splints: Designed to stop snoring or treat TMJ by pushing the lower jaw forward.

Consumables in Manufacturing³⁷

Things consumed (glue, generic screws, plaster models) during the construction of a GST-free medical aid form part of the single GST-free supply, even if itemised separately.

Spare Parts (Subsection 38-45(2))

Definition: A part specifically designed to replace a faulty, worn, or broken part of a GST-free medical aid.
Example: A tooth for a denture is a spare part. A generic screw is not a ‘specifically designed’ spare part unless it is supplied as part of the initial denture construction.
Casting Frames: A chrome/cobalt frame is not a spare part because it is not typically replaced individually; if it breaks, a new denture is usually made.

Repair Services³⁸

Repairs are only GST-free if a medicare benefit is payable (section 38-7). Otherwise, the GST status depends on the spare part/labour mix.

Characterisation of Supply

Type A (GST-free): Spare part is dominant; labour is incidental (e.g., fitting a tooth to a denture).
Type B (Taxable): Labour is dominant; spare part is incidental (e.g., major restoration of a denture where a clasp is replaced).
Type C (Mixed): Neither is incidental; requires apportionment (e.g., adding a tooth while also repairing a separate crack in the base).

Indicators of Incidental Components

Marginal proportion of total value.
Necessary for the whole supply but not the dominant part.
A means of better enjoying the dominant thing rather than an aim in itself.

Apportionment of Mixed Supplies³⁹

Where a supply is partly taxable and partly GST-free, the consideration must be apportioned on a reasonable basis. Records must explain the method used.

Compliance Cost Minimisation

A part of a supply may be treated as incidental (making the whole supply composite) if its consideration does not exceed the lesser of:

$3.00; or
20% of the total consideration.

Agreement on Tax Status

Under subsection 38-45(3), a supplier and recipient can agree not to treat a supply as GST-free (e.g., business-to-business transactions).

[This page left blank intentionally]

Diagnostic Services

Code	Description
011	Comprehensive oral examination
012	Periodic oral examination
013	Oral examination – limited
014	Consultation
015	Consultation – extended (30 minutes or more)
016	Consultation by referral
017	Consultation by referral – extended (30 minutes or more)
018	Written report (not elsewhere included)
019	Referral

Consultations and Reports⁴⁰

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) 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.

Radiological Examination, Analysis and Interpretation

Radiographic itemisation also applies to digitised images – per exposure. Some procedures in this section may attract a medicare rebate for approved dental practitioners. It is not appropriate practice to use both ADA and medicare item numbers to describe the same procedure.

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
035 Radiograph of temporomandibular joint – per exposure
036 Cephalometric radiograph – lateral, antero-posterior, postero-anterior or submento-vertex – per exposure
037 Panoramic radiograph – per exposure
038 Hand-wrist radiograph for skeletal age assessment
039 Computed Tomography of the skull or parts thereof
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, postero-anterior 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.

Code	Description
041	Bacteriological examination
042	Culture examination and identification
043	Antibiotic sensitivity test
044	Collection of specimen for pathology examination
047	Saliva screening test
048	Microbiological screening test
051	Biopsy of tissue
052	Histopathological examination of tissue
053	Cytological investigation
055	Blood collection
056	Haematological examination
057	Procedures to derive biologically active components from a collection of blood
059	Comprehensive head and neck cancer examination and risk assessment
061	Pulp testing – per appointment
071	Diagnostic model – per model
072	Photographic records – intraoral – per appointment
073	Photographic records – extraoral – per appointment
074	Diagnostic modelling – physical – per tooth
075	Diagnostic modelling – digital – per tooth
076	Intraoral evaluation of diagnostic modelling – per tooth or tooth replacement
081	Cephalometric analysis – excluding radiographs
082	Tooth-jaw size prediction analysis
083	Tomographic analysis
087	Cone Beam Computed Tomography analysis and/or interpretation – small field of view (less than one complete dental arch)
088	Cone Beam Computed Tomography analysis and/or interpretation – maxillary or mandibular dentition (single arch)
089	Cone Beam Computed Tomography analysis and/or interpretation – maxillary and mandibular dentition (both arches)
090	Cone Beam Computed Tomography analysis and/or interpretation – temporomandibular joints only
091	Cone Beam Computed Tomography analysis and/or interpretation – orofacial structures

Clinical and Laboratory Examinations⁴¹

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.

Diagnostic Models and Records⁴²

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.

Specialized Diagnostic Analysis

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.
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. Often employed in treatment planning for implant and other surgical procedures.
087 Cone Beam Computed Tomography analysis and/or interpretation – small field of view The analysis and/or interpretation of a cone beam computed scan (item 026) with a limited field of view (less than one complete dental arch).
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 (item 026) of the maxillary or mandibular dentition and supporting alveolar structures.
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’.

Preventive Prophylactic and Bleaching Services

Dental Prophylaxis and Bleaching⁴³

Code	Description
111	Removal of plaque and/or stain
113	Recontouring and polishing of pre-existing restoration(s) – per tooth
114	Removal of calculus – first appointment
115	Removal of calculus – subsequent appointment
116	Enamel micro-abrasion – per tooth
117	Bleaching, internal – per application
118	Bleaching, external – per tooth
119	Bleaching, home application

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 Describes procedures in item 114 when, because of the extent or degree of calculus, an additional appointment(s) is required.
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.
117 Bleaching, internal – per application Modification of the colour of the discoloured crown of an endodontically treated tooth using chemical/physical methods applied internally. Carried out exclusively in the surgery.
118 Bleaching, external – per tooth Modification of the colour of a tooth using chemical/physical methods applied externally. Carried out exclusively in the surgery.
119 Bleaching, home application Provision of clinical advice, risk advice, and instructions for application by a patient at home. For provision of required tray(s) and medicaments, see items 926 and 927.

Remineralisation Agents⁴⁴

121 Topical application of remineralisation agents, one treatment Application of remineralisation agents to the surfaces of the teeth. 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. For provision of the tray and medicaments, 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 silver fluoride. Not to be used as an intrinsic part of the restoration.

Other Preventive Services

131 Dietary analysis and advice Analysis of and advice on a patient’s diet, including alcohol consumption, to correct imbalances contributing 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 Analysis and assessment of tobacco use and advice on prevention and cessation.
151 Provision of a mouthguard – indirect
153 Bi-maxillary mouthguard – indirect
161 Fissure and/or tooth surface sealing – per tooth
163 Resin infiltration – per tooth
165 Desensitising procedure – per appointment
171 Odontoplasty – per tooth
151 Provision of a mouthguard – indirect Construction, provision and delivery of a mouthguard using a model(s). Intended to prevent or mitigate sports injuries or soft tissue injuries from parafunction.
153 Bi-maxillary mouthguard – indirect Construction, provision and delivery of a bi-maxillary mouthguard using models.
161 Fissure and/or tooth surface sealing – per tooth Sealing of non-carious pits, fissures, smooth surfaces or cracks with an adhesive material. Includes any preparation prior to application.
163 Resin infiltration – per tooth Treatment of enamel lesions on smooth surfaces by infiltration with a resin material. Includes any preparation prior to application.
165 Desensitising procedure – per appointment Describes all desensitising undertaken at a single appointment to diminish painful sensitivity 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.

Periodontics

Procedures described in this section include the insertion of sutures, normal post-operative care and suture removal.

Code	Description
213	Treatment of acute periodontal infection – per appointment
221	Clinical periodontal analysis and recording
222	Periodontal debridement – per tooth
223	Non-surgical treatment of peri-implant disease – per implant
231	Gingivectomy – per tooth
232	Periodontal flap surgery – per tooth
233	Surgical treatment of peri-implant disease – per implant
234	Application of biologically active material
235	Gingival graft – per tooth, implant or extraction socket
236	Guided tissue regeneration – per tooth or implant
237	Guided tissue regeneration – membrane removal
238	Periodontal surgery for crown lengthening – per tooth
239	Gingival xenograft – per tooth
241	Root resection – per root
242	Osseous surgery – per tooth or implant
243	Osseous graft – per tooth or implant
244	Osseous graft – block
245	Periodontal surgery involving one tooth
246	Maxillary sinus augmentation – trans-alveolar technique
247	Maxillary sinus augmentation – lateral wall approach
250	Active non-surgical periodontal therapy – per quadrant
251	Supportive periodontal therapy – per appointment

Periodontal Procedures⁴⁵

213 Treatment of acute periodontal infection – per appointment Treatment of acute periodontal infection(s), which may include establishing drainage and removal of calculus.
221 Clinical periodontal analysis and recording Special examination consisting of assessing and recording a patient’s periodontal condition.
222 Periodontal debridement – per tooth Mechanical removal of biofilm and calculus from a periodontally diseased tooth. Item 114/115 may be used for other teeth not requiring debridement.
223 Non-surgical treatment of peri-implant disease – per implant Debridement using specialised instrumentation to remove microbial biofilm from the implant and/or abutment surface.
231 Gingivectomy – per tooth Surgical removal of the soft tissue wall of the periodontal pocket or excess gingival tissue. Includes periodontal debridement.
232 Periodontal flap surgery – per tooth Incision and raising of a flap to enable removal of inflammatory tissue. Includes periodontal debridement.
233 Surgical treatment of peri-implant disease – per implant Surgical access and flap elevation for decontamination of the implant surface. Grafting materials itemised separately.
234 Application of biologically active material Application of material (e.g., porcine collagen, enamel matrix derivatives) in conjunction with surgery to enhance regeneration.
235 Gingival graft – per tooth, implant or extraction socket Transplanting soft tissue from a donor area to remedy a gingival deficiency.
236 Guided tissue regeneration – per tooth or implant Surgical technique where a membrane is adapted over a bony defect, root, or implant.
237 Guided tissue regeneration – membrane removal Surgical procedure to remove a previously positioned membrane.
238 Periodontal surgery for crown lengthening – per tooth Procedure to establish a more apical gingival margin for greater exposure of tooth structure.
239 Gingival xenograft – per tooth Insertion of a xenograft to remedy a gingival deficiency.
241 Root resection – per root Removal of one or more roots of a multi-rooted tooth.
242 Osseous surgery – per tooth or implant Reshaping and modifying bone supporting the tooth or implant. Includes procedures in 232 and 233.
243 Osseous graft – per tooth or implant Surgical procedure using particulate bone or synthetic substitute to repair or augment alveolar bone.
244 Osseous graft – block Surgical procedure using a block of bone for ridge augmentation, secured by screws.
245 Periodontal surgery involving one tooth Surgical intervention for a localised inflammatory condition. 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.
247 Maxillary sinus augmentation – lateral wall approach – per sinus Surgical access via a lateral wall approach with bone grafting.
250 Active non-surgical periodontal therapy – per quadrant Management of uncontrolled periodontal disease in a quadrant with at least three teeth showing clinical attachment loss (≥3 mm) or pocketing (≥4 mm). Includes 111, 114, 115, and 222.
251 Supportive periodontal therapy – per appointment Maintenance of periodontal health following active therapy. Includes 111, 114, 115, and 222.

Oral Surgery

Procedures in this section include associated soft-tissue lesion removal, socket curettage, sutures, normal post-operative care, and treatment of alveolar osteitis (dry socket). Only one item number should be used to describe each oral surgery procedure on the same day by the same operator.

Extractions⁴⁶

311 Removal of a tooth or part(s) thereof A procedure consisting of the removal of a tooth or part(s) thereof.
314 Sectional removal of a tooth or part(s) thereof The removal of a tooth or part(s) thereof in sections. Bone removal may be necessary.

Surgical Extractions

322 Surgical removal of a tooth or tooth fragment not requiring removal of bone or tooth division Removal where an incision and mucoperiosteal flap are required, but bone removal or sectioning is not necessary.
324 Surgical removal of a tooth or tooth fragment requiring bone removal and/or tooth division Removal with bone removal and/or sectioning after raising a mucoperiosteal flap.

Surgery for Prostheses

Code	Procedure
331	Alveoloplasty – per segment
332	Ostectomy – per jaw
337	Reduction of fibrous tuberosity
338	Reduction of flabby ridge – per segment
341	Removal of hyperplastic tissue
343	Repositioning of muscle attachment
344	Vestibuloplasty
345	Skin or mucosal graft

Surgical Procedures for Prostheses⁴⁷

331 Alveoloplasty – per segment Surgical modification of the shape of a segment of the alveolar bone.
332 Ostectomy – per jaw Surgical modification of the bony architecture of the maxilla or mandible.
337 Reduction of fibrous tuberosity Removal of fibrous tissue from the posterior maxillary alveolar ridge.
338 Reduction of flabby ridge – per segment Removal of unsupported soft tissue from a segment of the alveolar ridge.
341 Removal of hyperplastic tissue Removal of an area of hyperplastic tissue from the alveolar ridge or adjacent mucosa.
343 Repositioning of muscle attachment Surgical repositioning of a muscle attachment to a more favourable position.
344 Vestibuloplasty Surgical deepening of the buccal or labial vestibule.
345 Skin or mucosal graft Surgical procedure involving a skin or mucosal graft.

Treatment of Maxillofacial Injuries

Maxillofacial Injury Treatment⁴⁸

351 Repair of skin and subcutaneous tissue or mucous membrane Surgical cleaning and repair of facial skin wounds or oral mucous membrane involving subcutaneous tissues.
352 Fracture of maxilla or mandible – not requiring fixation Conservative treatment where there is no marked displacement; no physical reduction required.
353 Fracture of maxilla or mandible – with wiring of teeth or intraoral fixation Treatment requiring interdental wiring or dental splints for reduction and fixation.
354 Fracture of maxilla or mandible – with external fixation Treatment using pins inserted through the skin into the bone, locked with external clamps.
355 Fracture of zygoma Treatment of a fracture of the zygoma.
359 Fracture of the maxilla or mandible requiring open reduction Surgical treatment where the fracture is exposed and fixed directly with wires, plates, or screws.

Dislocations

361 Mandible – relocation following dislocation Relocation of the condylar head within the fossa, usually by manipulation.
363 Mandible – relocation requiring open operation Surgical exposure and repositioning of a dislocated temporomandibular joint.

Osteotomies⁴⁹

Osteotomy Procedures⁵⁰

365 Osteotomy – maxilla Surgical exposure and fracturing of the maxilla to modify its form or position.
366 Osteotomy – mandible Surgical exposure and fracturing of the mandible to modify its form or position.

General Surgical Procedures

371 Removal of tumour, cyst or scar – cutaneous, subcutaneous or in mucous membrane Surgical removal from superficial tissues. Pathological review may be necessary.
373 Removal of tumour, cyst or scar involving muscle, bone or other deep tissue Surgical removal from deep tissues. Pathological review may be necessary.
375 Surgery to salivary duct Includes removal of stones and plastic surgery of salivary ducts.
376 Surgery to salivary gland General item for surgery to the salivary gland not described elsewhere.
377 Repair of soft tissue Surgical procedures (including suturing) for the repair of soft tissues.
378 Surgical removal of foreign body Surgical removal of a foreign body impacted in tissues.
379 Marsupialisation of cyst Surgically opening a cyst to convert it into a partially open pouch.

Code	Description
381	Surgical exposure of an unerupted tooth – per tooth
382	Surgical exposure and attachment of device for orthodontic traction
384	Repositioning of displaced tooth/teeth – per tooth
385	Surgical repositioning of unerupted tooth – per tooth
386	Splinting of displaced tooth/teeth – per displaced tooth
387	Replantation and splinting of a tooth
388	Transplantation of tooth or tooth bud
389	Surgery to isolate and preserve neurovascular tissue
391	Surgical intervention of a frenum
392	Drainage of abscess
393	Surgery involving the maxillary antrum
394	Surgery for osteomyelitis
395	Repair of nerve trunk
399	Control of reactionary or secondary post-operative haemorrhage

Specialized Oral Surgery⁵¹

389 Surgery to isolate and preserve neurovascular tissue Additional surgery to protect the neurovascular bundle from injury during dento-alveolar procedures.
391 Surgical intervention of a frenum Includes frenotomy, frenuloplasty, or frenectomy. Refer to ADA Consensus Statement on Ankyloglossia.
392 Drainage of abscess Drainage/irrigation of an abscess through incision or tube (not through root canal or at extraction).
393 Surgery involving the maxillary antrum Includes lavage, antrostomy, foreign body recovery, or closure of oro-antral communication.
394 Surgery for osteomyelitis General item for surgical treatment of osteomyelitis.
395 Repair of nerve trunk Surgical procedure to repair a nerve trunk.
399 Control of reactionary or secondary post-operative haemorrhage Procedures to control bleeding occurring after the initial surgical event.

Endodontics

Pulp and Root Canal Treatments⁵²

411 Direct pulp capping Exposed pulp covered with a protective dressing or cement.
412 Incomplete endodontic therapy Decision made that a tooth is not suitable for restoration during endodontic assessment.
414 Pulpotomy Amputation of part of the pulp; remaining pulp covered with protective dressing.
415 Complete chemo-mechanical preparation of root canal – one canal Preparation and removal of pulp or necrotic debris from a single canal.
416 Complete chemo-mechanical preparation of root canal – each additional canal Preparation of additional canals in a multi-rooted tooth.
417 Root canal obturation – one canal Filling of a root canal following preparation.
418 Root canal obturation – each additional canal Filling of additional canals in a multi-rooted tooth.
419 Extirpation of pulp or debridement of root canal(s) Partial removal of pulp to relieve pain or assess root integrity. Not to be used with 415/416 at the same visit.
421 Resorbable root canal filling – primary tooth Placement of resorbable filling material in a primary tooth.

Periradicular Surgery⁵³

Procedures include normal post-operative care. Item 434 is for apical seal only; apicectomy and curettage are itemised separately.

431 Periapical curettage – per root Surgical exposure to remove pathological tissue at the root apex.
432 Apicectomy – per root Surgical removal of the apical portion of the root and associated curettage.
433 Exploratory periradicular surgery Surgery to investigate root and structural integrity.
434 Apical seal – per canal Surgical method of debriding and filling the apical end of the root canal.
436 Sealing of perforation Surgical sealing of a communication between the canal/chamber and periradicular tissues.
437 Surgical treatment and repair of external root resorption – per tooth Surgical management of external resorption defects.
438 Hemisection Separation of a multi-rooted tooth into two parts.

Other Endodontic Services

Code	Description
445	Exploration and/or negotiation of a calcified canal
451	Removal of root filling – per canal
452	Removal of a cemented root canal post or post crown
453	Removal or bypassing fractured endodontic instrument
455	Additional appointment for irrigation and/or dressing
457	Obturation of resorption defect or perforation (non-surgical)
459	Guided endodontic repair – per tooth

Detailed Endodontic Services⁵⁴

445 Exploration and/or negotiation of a calcified canal Procedures to locate/negotiate abnormally calcified canals requiring specific time.
451 Removal of root filling – per canal Removal of existing obturation material for retreatment.
452 Removal of a cemented root canal post or post crown Removal of existing post/crown to access the canal system.
453 Removal or bypassing fractured endodontic instrument Procedures to manage instruments lodged in the canal.
455 Additional appointment for irrigation and/or dressing Separate appointment for therapeutic dressing replacement. Not for use with 411–421.
457 Obturation of resorption defect or perforation (non-surgical) Internal repair of defects from within the root canal.
459 Guided endodontic repair – per tooth Stimulation of tissue ingrowth via guided repair. Item 415 is separate; not for use with 417.

Restorative Services

Itemisation includes preparation, lining, contouring, and post-operative care. Pins, cusp capping, and incisor corner replacements are itemised separately.

Metallic Restorations – Direct⁵⁵

511 Metallic restoration – one surface – direct
512 Metallic restoration – two surfaces – direct
513 Metallic restoration – three surfaces – direct
514 Metallic restoration – four surfaces – direct
515 Metallic restoration – five surfaces – direct

Direct Restorations

Adhesive Restorations – Anterior Teeth – Direct

521 Adhesive restoration – one surface – anterior tooth – direct Direct restoration using adhesive technique and tooth-coloured material.
522 Adhesive restoration – two surfaces – anterior tooth – direct Direct restoration involving two surfaces of an anterior tooth.

Adhesive Restorations – Anterior (Continued)⁵⁶

523 Adhesive restoration – three surfaces – anterior tooth – direct
524 Adhesive restoration – four surfaces – anterior tooth – direct
525 Adhesive restoration – five surfaces – anterior tooth – direct
526 Adhesive restoration – veneer – anterior tooth – direct Direct bonding of a veneer of adhesive tooth-coloured material.

Adhesive Restorations – Posterior Teeth – Direct

531 Adhesive restoration – one surface – posterior tooth – direct
532 Adhesive restoration – two surfaces – posterior tooth – direct
533 Adhesive restoration – three surfaces – posterior tooth – direct
534 Adhesive restoration – four surfaces – posterior tooth – direct
535 Adhesive restoration – five surfaces – posterior tooth – direct
536 Adhesive restoration – veneer – posterior tooth – direct Direct bonding of a veneer of adhesive tooth-coloured material to a posterior tooth.

Indirect Restorations⁵⁷

Metallic Restorations – Indirect⁵⁸

541 Metallic restoration – one surface – indirect
542 Metallic restoration – two surfaces – indirect
543 Metallic restoration – three surfaces – indirect
544 Metallic restoration – four surfaces – indirect
545 Metallic restoration – five surfaces – indirect

Tooth-coloured Restorations – Indirect

551 Tooth-coloured restoration – one surface – indirect
552 Tooth-coloured restoration – two surfaces – indirect
553 Tooth-coloured restoration – three surfaces – indirect
554 Tooth-coloured restoration – four surfaces – indirect
555 Tooth-coloured restoration – five surfaces – indirect
556 Tooth-coloured restoration – veneer – indirect Indirect tooth-coloured restoration involving a veneer.

Other Restorative Services⁵⁹

571 Adaptation of new restoration to existing removable prosthesis Used when a new restoration must accommodate an existing removable prosthesis.
572 Provisional/interim restoration – per tooth Temporary restoration not an intrinsic part of other treatment (e.g., not for endodontic access sealing).
574 Metal band Cementation of a metal band for diagnostic, protective, or provisional purposes.
575 Pin retention – per pin Use of a pin to aid retention of direct or indirect restorations.
577 Cusp capping – per cusp Used with restorations that restore the anatomical/functional height of a cusp.
555 Tooth-coloured restoration – five surfaces – indirect
556 Tooth-coloured restoration – veneer – indirect (constructed indirectly)
578 Restoration of an incisal corner – per corner Used with restorations that restore the anatomical/functional shape of an incisal corner.
579 Bonding of tooth fragment Direct bonding of a fragment as an alternative to a restoration.
586 Preformed Full Crown – metallic – significant preparation Coronal restoration where significant tooth preparation is required.
587 Preformed Full Crown – metallic – minimal preparation Minimal or no preparation required (e.g., ‘Hall’ technique).
588 Preformed Full Crown – tooth-coloured Placement of a preformed tooth-coloured crown.
595 Removal of indirect restoration Removal of a definitive indirect restoration for possible reinsertion.
596 Recementing of indirect restoration Recementing a previously cemented indirect restoration.
597 Post – direct Insertion of a post into a root canal to anchor a crown/restoration.
598 Restoration root capping – direct Direct restoration of the root of a decoronated tooth.

Prosthodontics⁶⁰

Itemisation includes soft and hard tissue management during impression and insertion.

611 Full crown – polymeric material – indirect Artificial crown constructed with polymeric material.
613 Full crown – ceramic – indirect Artificial crown constructed with ceramic material.
615 Full crown – veneered – indirect Metallic base veneered with tooth-coloured material.

Crowns and Bridges⁶¹

618 Full crown – metallic – indirect Custom fabricated metal crown.
625 Post and core for crown – indirect Fabricated post/core to anchor an artificial crown.
627 Preliminary restoration for crown – direct Base restoration placed at the same appointment as crown preparation.
629 Post and root cap – indirect Post and capping fitted to a root; may support an overdenture.

Provisional Crowns and Bridges⁶²

631 Provisional crown – per tooth Temporary crown designed to last until definitive construction. Not for use between appointments of a single course.
632 Provisional bridge pontic – per pontic Fixed provisional pontic. Abutments itemised as 631; implant abutments as 633.
633 Provisional implant abutment – per abutment Specific provisional abutment fitted to accommodate a provisional prosthesis.
634 Provisional implant restoration – per implant abutment Provisional restoration of an implant not an intrinsic part of treatment.

Bridge Services⁶³

642 Bridge pontic – direct – per pontic Direct attachment of a replacement tooth to adjoining abutments.
643 Bridge pontic – indirect – per pontic Indirect artificial replacement tooth joined to retainers.
644 Semi-fixed attachment Mechanical lock or keyway within a restoration matched by a bridge component.
645 Precision or magnetic attachment Retention device matched by a complementary attachment on a prosthesis.
648 Bonded retainer – direct – per tooth Retainer directly bonded to abutment for pontic support.
649 Bonded retainer – indirect – per tooth Framework bonded to abutment for pontic or attachment support.

Crown and Bridge Repairs⁶⁴

651 Recementing crown or veneer
652 Recementing bridge or splint – per abutment
653 Rebonding of bridge or splint (requires surface retreatment)
655 Removal of crown
656 Removal of bridge or splint
658 Repair of crown or bridge – indirect Extraoral repair per crown or pontic.
659 Repair of crown, bridge or veneer – direct Intraoral repair per crown, pontic, or veneer.

Implant Prostheses⁶⁵⁶⁶

Items refer to implant prostheses. The prosthesis itself should be itemised separately.

661 Fitting of implant abutment – per abutment Final abutment or replacement, including those for overdentures.
663 Removal of implant and/or retention device Surgical removal of an implant.
664 Fitting of bar for denture – per tooth or implant Rigid bar for support/retention. Attachments itemised as 645; components in prosthesis as 735.
665 Prosthesis with resin base attached to implants – removable
666 Prosthesis with metal frame attached to implants – fixed
667 Prosthesis with metal frame attached to implants – removable
668 Implant prosthetic screw replacement
669 Removal and reattachment of prosthesis fixed to implant(s)
671 Full crown attached to osseointegrated implant – non-metallic
672 Full crown attached to osseointegrated implant – veneered
673 Full crown attached to osseointegrated implant – metallic
678 Diagnostic template
679 Surgical implant guide
684 Insertion of first stage endosseous implant
691 Second-stage surgery endosseous implant
665 Prosthesis with resin base attached to implants – removable Self-removable resin base prosthesis. Abutments (661) and retention (735) itemised separately.
666 Prosthesis with metal frame attached to implants – fixed Fixed metal frame prosthesis, not for self-removal. Includes screw access sealing.
667 Prosthesis with metal frame attached to implants – removable Self-removable metal frame prosthesis.
668 Implant prosthetic screw replacement Replacement of an existing screw.
669 Removal and reattachment of prosthesis fixed to implant(s) Maintenance removal of a fixed prosthesis requiring screw access.
671 Full crown – non-metallic – indirect (implant attached)
672 Full crown – veneered – indirect (implant attached)
673 Full crown – metallic – indirect (implant attached)
678 Diagnostic template Radiographic template for surgical planning.
679 Surgical implant guide Appliance indicating location and angulation for insertion.
684 Insertion of the first stage of two-stage endosseous implant Surgical insertion; soft tissues closed over implant.
685 Insertion of first stage maxillofacial endosseous implant Used to retain a maxillofacial prosthesis.
686 Insertion of a one-stage maxillofacial endosseous implant Surgical insertion for maxillofacial prosthesis retention.
687 Insertion of a mini-implant – per implant Small diameter (< 3.0 mm) implant with integral abutment.
688 Insertion of a one-stage endosseous implant – per implant Surgical insertion of a one-stage implant.
689 Provisional implant Special purpose implant intended for later removal.
690 Provisional retention or anchorage device Temporary device (screws/implants) to assist orthodontic movement.
691 Second-stage surgery of two-stage endosseous implant Surgical access to attach transmucosal component (healing abutment).

Implant Repairs and Maintenance⁶⁷

692 Closure of screw access chamber Subsequent sealing of access channel (not for new delivery).
693 Remodelling of a fixed implant prosthesis Remodelling of metal-resin prosthesis; teeth itemised as 765.
694 Repair/replacement of ceramic component Extraoral repair of ceramic on implant crown/bridge.
695 Cleaning and polishing of an implant prosthesis Extraoral cleaning, calculus removal, and disinfection.
696 Removal of fractured abutment screw Removal of the apical threaded part of a fractured screw.

Dentures and Maxillofacial Prosthetics⁶⁸⁶⁹⁷⁰

Provision includes multiple appointments and reasonable care/adjustment following insertion.

Item	Description
711	Complete maxillary denture
712	Complete mandibular denture
713	Provisional complete maxillary denture
714	Provisional complete mandibular denture
715	Provisional complete maxillary and mandibular dentures
716	Metal palate or plate
719	Complete maxillary and mandibular dentures
721	Partial maxillary denture – resin base
722	Partial mandibular denture – resin base
723	Provisional partial maxillary denture
724	Provisional partial mandibular denture
727	Partial maxillary denture – metal framework
728	Partial mandibular denture – metal framework

711/712 Complete denture Patient-removable prosthesis replacing all teeth in the maxilla or mandible.
713 Provisional complete maxillary denture Temporary prosthesis designed to last until definitive construction. Tissue conditioning (771) separate.
714/715 Provisional complete dentures Temporary prostheses for mandible or both arches.
716 Metal palate or plate Custom fabricated metal section added to a resin base.
719 Complete maxillary and mandibular dentures Provision of removable prostheses for both arches.
721/722 Partial denture – resin base Resin base for partial prosthesis. Teeth, rests, and retainers itemised separately.
723/724 Provisional partial denture Temporary partial prosthesis, including vacuum-formed appliances with teeth.
727/728 Partial denture – custom fabricated metal framework Metal framework for partial prosthesis. Other components itemised separately.
731 Retainer (clasp) – per tooth Clasp adapted to a tooth undercut to aid retention.
732 Occlusal rest – per rest Unit of a partial denture resting on a tooth for support.
733 Tooth/teeth (partial denture) Each denture tooth added to a new partial denture base.
734 Overlays – per tooth Extension covering occlusal surfaces of remaining teeth/roots.
735 Precision or magnetic denture attachment Device within prosthesis connecting to tooth (645) or implant (661).
736 Immediate tooth replacement – per tooth Provision for immediate replacement of an extracted tooth.
737 Resilient lining Provision of a resilient tissue-bearing surface.
738 Wrought bar Joining sections of a partial prosthesis.
739 Metal backing of denture teeth – per backing Metallic extension of the framework to provide backing.

Denture Maintenance⁷¹

741 Adjustment of a denture Improvement of comfort/function (not for routine new denture adjustments).
743/744 Relining – processed Replacement of tissue fitting surface (complete or partial) via laboratory process.
745/746 Remodelling Replacement of the resin base, with or without tooth rearrangement.
751/752 Relining – direct Addition to fitting surface using self- or light-cured material.
753 Cleaning and polishing of pre-existing denture Stand-alone cleaning not associated with other maintenance.
754 Denture base modification Modification to enhance aesthetics, function, or tooth retention.
755 Maintenance of overdenture attachment Replacement of a polymer insert.

Denture Repairs⁷²

761 Reattaching pre-existing retainer (clasp) to denture Repair involving reattachment of an existing clasp.
762 Replacing/adding retainer (clasp) to denture Repair involving a new retainer.
763/764 Repairing broken base Repair of broken resin base (complete or partial).
765 Replacing and/or adding a new tooth Repair involving new teeth for a denture or implant prosthesis.
766 Reattaching an existing tooth to a denture Repair involving reattachment of a pre-existing tooth.
768 Adding a denture tooth to replace extracted/decoronated tooth Modification of existing denture. Immediate replacement may also use 736.
769 Repair or addition to metal frame Complex procedure requiring dismantling of the denture.

Other Prosthodontic Services⁷³

771 Tissue conditioning – per application Provisional lining to improve mucosal health.
772 Splint – resin Appliance for stabilising mobile or displaced teeth.
773 Splint – metal – indirect Custom metal appliance bonded to teeth for stabilisation.
775 Characterisation of denture base Stippling, staining, or shaping rugae for aesthetics.
776 Impression – dental appliance repair/modification Taking an impression specifically for repair/modification.
777 Identification Marking appliance with patient name or ID.
778 Inlay for denture tooth Provision of an inlay within a denture tooth.
779 Surgical guide for an immediate denture Appliance indicating final ridge contours for extractions.

Maxillofacial Prosthetics⁷⁴

781 Obturator Component used to close defects between oral and nasal compartments.
782 Surgical/interim obturator Temporary prosthesis inserted immediately following surgical loss.
783 Revision of surgical/interim obturator Revision during the post-surgical healing phase.
785 Interim or diagnostic maxillofacial prosthesis Provisional prosthesis to facilitate definitive design.
786 Mandibular resection prosthesis Maintains functional position and improves speech/deglutition after trauma/surgery.
787/788/789 Extraoral prosthesis (Ear, Nose, Eye) Prostheses retained by spectacles, adhesive, or implants (implants itemised separately).
790 Adjustment of a maxillofacial prosthesis Improvement of comfort/function (not for routine new insertion adjustments).

Orthodontics

Provision includes anticipated adjustments. For TADs see 689/690.

Removable Appliances⁷⁵

811 Passive removable appliance – per arch Maintains tooth position; does not exert pressure for movement.
821 Active removable appliance – per arch Contains elements capable of exerting pressure for tooth/arch movement.
823 Functional orthopaedic appliance – custom fabrication Custom appliance for orthopaedic change of jaw shape/relationship.
824 Functional orthopaedic appliance – prefabricated Elastomeric appliance to guide eruption or influence muscle activity.
825 Sequential plastic aligners – per arch Series of custom aligners and clinical review. Includes composite buttons.

Fixed Appliances⁷⁶

829 Partial banding – per arch Bands/brackets on six teeth or fewer.
831 Full arch banding – per arch Bands/brackets on most teeth. Includes adjustments and arch wire replacements.
833 Removal of banding – per arch Removal of bands and/or brackets.
841 Fixed palatal or lingual arch appliance Fixed to palatal/lingual aspect to change/maintain arch form.
842 Partial banding for inter-maxillary elastics Bands/brackets on two or more teeth in both arches for elastic use.
843 Expansion appliance – fixed – per arch Fixed appliance exerting force to expand the arch.
844 Sagittal movement appliance Fixed by TADs to move teeth sagittally.
845 Passive appliance – fixed Designed to prevent movement (e.g., space maintainer).
846 Minor tooth guidance – fixed Appliance attached directly to teeth for minor guidance.

Extraoral Appliances and Attachments⁷⁷

851 Extraoral appliance Appliances worn extraorally (e.g., headgear) for stabilisation or correction.
862 Bonding of attachment for application of orthodontic force Prefabricated attachment on a malpositioned tooth. Not for standard banding (829/831) or surgical exposure (382).

Other Orthodontic Services

871 Orthodontic adjustment
872 Reattachment of passive appliance – fixed
873 Repair of passive appliance – fixed
874 Removal of passive appliance – fixed
875 Repair of removable appliance – resin base
876 Repair of removable appliance – clasp, spring or tooth
877 Addition to removable appliance – clasp, spring or tooth
878 Relining – removable appliance – processed
871 Orthodontic adjustment Adjustment not anticipated at insertion. Not for use with active treatment items.
872/873/874 Fixed Passive Appliance Services Reattachment, repair, or removal of fixed passive appliances.
875/876/877/878 Removable Appliance Services Repair of base/clasp, additions, or processed relining.

Complete Courses of Treatment⁷⁸

881 Course of orthodontic treatment Encompasses all appointments after diagnosis, including active fixed therapy and retention.
882 Course of orthodontic treatment with orthognathic surgery Includes pre- and post-surgical orthodontics and collaborative surgical planning.

General Services

Emergencies

911 Palliative care – per appointment Interim care to relieve pain, infection, or bleeding.
915 After-hours callout Additional item for treatment provided after hours.
916 Travel to provide services Travel from usual practice (not for mobile/outreach services).

Teledentistry

Emergencies⁷⁹

Teledentistry is not suitable for procedural dental treatment.

919 Teleconsultation Remote consultation and support. Items 131, 141, 142 itemised separately.
920 Extended teleconsultation – 30 minutes or more Remote extended consultation.
921 Teleconsultation by referral Remote consultation provided by referral.

Drug Therapy⁸⁰

926 Individually made tray – medicament(s) Tray for applying medicaments to teeth or tissues.
927 Provision of medication/medicament Supply or administration of medications required for treatment.
928 Intravenous cannulation and establishment of infusion Venepuncture and establishment of infusion.
929 Provision of neuromodulator therapy Injection for oral and maxillofacial diseases.

Anaesthesia, Sedation and Relaxation Therapy

941 Local anaesthesia Used for diagnosis or pain relief as a specific treatment (not with other treatments).
942 Sedation – intravenous – per 30 minutes Incremental administration of sedative drugs.
943 Relative analgesia – inhalation – per 30 minutes Nitrous oxide and oxygen mixture for anxiolysis/analgesia.
944 Relaxation therapy Non-drug therapy to induce lowered mental/autonomic arousal.
945 Low level laser therapy – per appointment Photobiomodulation for various dental applications.
948 Dental acupuncture – per appointment Treatment by needle, laser, pressure, or heat.
949 Treatment under general anaesthesia/sedation Treatment where GA/sedation is administered by another practitioner.

Occlusal Therapy⁸¹

961 Minor occlusal adjustment – per appointment Correction of minor irregularities and traumatic contacts.
963 Clinical occlusal analysis Includes (a) Occlusal assessment, (b) Muscle assessment, and (c) Joint assessment.
964 Registration and mounting of models
965 Occlusal appliance
966 Adjustment of pre-existing occlusal appliance
967 Pantographic tracing
968 Occlusal adjustment following analysis
971 Physical therapy for TMJ
972 Repair/addition – occlusal appliance
964 Registration and mounting of dental models for occlusal analysis Clinical procedures for mounting models on an articulator or digital equivalent.
965 Occlusal appliance Indirectly made custom appliance for TMJ disorders, parafunctional protection, or surgical positioning.
966 Adjustment of pre-existing occlusal appliance Alteration of an existing appliance.
967 Pantographic tracing Graphic recording of jaw movements.
968 Occlusal adjustment following occlusal analysis Adjustment following procedures 963 and/or 964.
971 Physical therapy for TMJ and associated structures Adjunctive therapy (heat, radiation, ultrasound).
972 Repair/addition – occlusal appliance Repair, reinsertion, and adjustment.

Miscellaneous Services

981 Splinting and stabilisation – direct – per tooth Joining adjacent teeth for mutual support (not covered by 386/387).
982 Enamel stripping – per appointment Removal of enamel from interdental surfaces to reduce width.
984 Mandibular advancement appliance for snoring/sleep apnoea Custom, titratable oral appliance provided on medical request.
985 Repair/addition – snoring or sleep apnoea device Repair and adjustment of the device.
986 Post-operative care not otherwise included Care provided by a practitioner who did not perform the initial treatment.
987 Recontour tissue – per appointment Recontouring not described elsewhere (e.g., dermal fillers).
990 Treatment not otherwise included (specify) Identification of dental treatment not elsewhere described.
999 GST For practice accounting systems that cannot accommodate GST on non-clinical components.

Index⁸²

A⁸³

Abrasion – enamel micro-abrasion 116
Abscess or cyst, drainage of 392
Abutments:
- fitting of implant 661
- preparation – bonded retainer 648, 649
- provisional 633
- removal of fractured screw 696
- titanium 633, 661
Account itemisation page 13
Acrylic:
- anti-snoring device 984, 985
- complete denture 711, 712, 719
- denture base modification 754
- denture characterisation 775
- denture inlay 778
- denture relining 743, 744, 751, 752
- denture remodelling 745
- denture repair 763, 764
- denture tooth replacement or addition 765, 768
- immediate denture surgical guide 779
- immediate tooth replacement 736
- occlusal appliance 965, 966, 972
- overlay 734
- partial mandibular denture – custom metal framework 728
- partial mandibular denture – resin base 722
- partial maxillary denture – custom metal framework 727
- partial maxillary denture – resin base 721
- passive appliance – fixed 845, 873
- prosthesis with resin base – removable 665
- provisional complete mandibular denture 714
- provisional complete maxillary and mandibular denture 715
- provisional complete maxillary denture 713
- provisional partial mandibular denture 724
- provisional partial maxillary denture 723
- reattaching tooth to denture 766
- removable appliance relining 878
- resilient denture lining 737
- sleep apnoea device 984, 985
- splint 772
- splinting 981
- surgical implant guide 679
- tooth – partial denture 733
- tray 926
Acupuncture 948
Adding tooth to:
- denture 765
- partial denture 768
Addition to metal denture 769
Additional root canal irrigation or dressing 455
Adhesive restorations:
- anterior – direct 521–526
- bonded facing 526, 536
- compomer 521–526, 531–536
- composite resin 521–526, 531–536
- posterior – direct 531–536
- silver glass ionomer cement 521–526, 531–536
- veneers 526, 536
Adjunctive physical therapy for temporomandibular joint 971
Adjustments:
- dentures 741
- orthodontic 871
After-hours loading 915
Alveolar osteitis 986
Alveoloplasty 331
Amalgam:
- preliminary restoration for crown 627
- restorations 511–515
Anaesthesia:
- loading for treatment under general 949
- local 941
Anti-snoring device 984, 985
Antibiotic sensitivity test 043
Antrum, maxillary, surgery 393
Apical seal 434
Apicectomy 432
Attachments:
- gold 644, 645
- orthodontic 862
- precision or magnetic 645, 735
- semi-fixed 644

B

Bacteriological examination: see also Microbiological screening test 041
Bar for overlay denture 664
Biologically active components, derived from blood 057
Biopsy of tissue 051
Biostimulation: see Low level laser therapy (LLLT)
Bleaching: see also Whitening
- external 118
- home application 119
internal 117
provision of medicament 927
removal of stains 111
tray for home application 926

Blood⁸⁴

biologically active components 057
collection 055

Bonding

orthodontic attachment 862
tooth fragment 579

Bone

fractures 352–355, 359
maxillary sinus augmentation – lateral wall approach 247
maxillary sinus augmentation – trans-alveolar technique 246
osseous grafts 243, 244
osseous surgery 242
removal of tumour, cyst or scar 373
Botulinum 927

Bridges

bonded retainer – direct 648
bonded retainer – indirect 649
intracoronal attachment – magnetic or precision 645
itemisation pages 10–11
magnetic attachment 645
pontic – direct 642
pontic – indirect 643
precision attachment 645
provisional 632
rebonding 653
recementing 652
removal 656
repair – direct 659
repair – indirect 658
semi-fixed attachment 644
stress-breaker 644
Bypass or removal of fractured endodontic instrument 453

C

Calcified canal exploration 445
Calculus removal:
- first appointment 114
- subsequent appointment(s) 115
Cancer – head and neck examination 059
Cannulation, intravenous 928
Cariostatic agent application 123
Casts: see also Tooth-coloured restorations – indirect
- diagnostic models 071, 074
- metal backing, partial dentures 739
- metal base, partial dentures 727, 728
- metallic restorations 541–545
- mounting for occlusal analysis 964
- tooth-coloured restorations 551–556
CBCT / CBVT: see Cone Beam Computed Tomography
Cephalometric analysis – excluding radiographs 081
Cephalometric radiographs 036
Ceramic restorations: see Tooth-coloured restorations – indirect
Characterisation of denture base 775
Chemo-mechanical preparation of root canal(s) 415, 416
Chrome-cobalt:
- denture backing 739
- denture bar 664
- occlusal rest 732
- overlays 734
- palate or plate 716
- partial denture – custom framework 727, 728
- prosthesis attached to implants – fixed 666
- prosthesis attached to implants – removable 667
- provisional partial maxillary denture 723
- retainer 731
Cleaning and polishing dentures 753
Cleaning and polishing implants 695
Complete course of orthodontic treatment 881
- with orthognathic surgery 882
Complete dentures 711, 712, 719
Compomer adhesive restorations:
- anterior teeth 521–526
- posterior teeth 531–536
Composite resin adhesive restorations:
- anterior teeth 521–526
- bonded facing 526, 536
- posterior teeth 531–536
Comprehensive head and neck cancer examination 059
Concentrated fluoride application 123
Cone Beam Computed Tomography:
- analysis and interpretation – maxillary and mandibular dentition (both arches) 089
- analysis and interpretation – maxillary and mandibular dentition (single arch) 088
- analysis and interpretation – orofacial structures 091
- analysis and interpretation – small field of view (less than one complete dental arch) 087
analysis and interpretation – temporomandibular joints only 090
acquisition of scan 026

Consultations⁸⁵

by referral 016, 017
teleconsultation 919–921
Contouring of tooth 171
Control of haemorrhage 399

Cores

post and core for crown 625
preliminary restoration for crown 627

Crowns

full – ceramic – indirect 613
full – metallic – indirect 618
full – polymeric – indirect 611
full – veneered – indirect 615
implant – full, metallic – indirect 673
implant – full, non-metallic – indirect 671
implant – full, veneered – indirect 672
itemisation pages 10–11
lengthening 238
metallic – minimal tooth preparation – preformed 587
metallic – significant tooth preparation – preformed 586
post and core 625
preliminary restoration 627
provisional (temporary/intermediate) 631
recementing 651
removal of crown 655
removal of post or post crown 452
repair – direct 659
repair – indirect 658
tooth-coloured – preformed 588
veneered – indirect 615

Culture (bacteriological) examinations

and identification 042
Cusp capping 577

Cyst or abscess

drainage 392
marsupialisation 379
surgical removal 371, 373
Cytological examination 053

D

Debridement, periodontal 222
Debridement/preparation of root canal:
- one canal 415
- subsequent canal(s) 416
Dental health insurance page 13
Dental materials page 7

Denture maintenance

adjustments 741
base modification 754
cleaning and polishing 753
identification 777
impression for repair 776
overdenture maintenance 755
relining – direct 751, 752
relining – processed 743, 744
remodelling 745, 746
repairs 761–766, 768, 769

Dentures

bar for overlay 664
characterisation 775
complete 711, 712, 719
immediate tooth replacement 736
inlay 778
itemisation page 11-12
metal palate or plate 716
partial denture components 731–736, 738, 739
partial mandibular denture – custom metal framework 728
partial mandibular denture – resin base 722
partial maxillary denture – custom metal framework 727
partial maxillary denture – resin base 721
precision or magnetic attachment 735
provisional complete mandibular denture 714
provisional complete maxillary and mandibular dentures 715
provisional complete maxillary denture 713
provisional partial mandibular denture 724
provisional partial maxillary denture 723
resilient lining 737
Desensitising agents, application 165

Diagnostic

cephalometric analysis 081
digital modelling 075
intraoral evaluation 076
maxillofacial prostheses 785
modelling 071
mounting of casts 964
pantographic tracing 967
physical modelling 074
templates 678
wax up 074
Dietary analysis and advice 131
Dislocations of mandible 361, 363
Displaced tooth – repositioning 384
dPTFE 236, 237, 243
Drainage of abscess or cyst 392
Drug – supply, prescription or administration 927, 928
Dry socket 986

E⁸⁶

Education 131, 141, 142
Emergency:
- after-hours loading 915
- travel loading 916
Enamel:
- bonded bridge 642
- bonded facing – direct 526, 536
- bonded facing – indirect 556
- bonded retainer – direct 648
- bonded retainer – indirect 649
- micro-abrasion 116
- resin infiltration 163
- stripping 982
Endodontics: see Chemo-mechanical preparation of root canal(s); Extirpation of pulp; Root canal filling
Endosseous implants: see Implants
ePTFE 236, 237, 243

Examinations

bacteriological 041
biopsy 051
cancer of head and neck 059
comprehensive 011
consultation by referral 016, 017
culture 042
cytological 053
haematological 056
head and neck 059
histopathological 052
limited 013
microbiological 048
pathology 044
periodic 012
saliva 047
Excision: see also Removal of hyperplastic tissue 341; tumour, cyst or scar 371, 373
Expansion appliance 843
Exploration for canal in calcified root 445
Exploratory periradicular surgery 433
Exposure, surgical 381, 382

F

Fissure sealing 161
Flabby ridges, reduction of 338
Fluoride – topical application 123 (see also Remineralisation – topical agent application)
Foreign body removal 378
Fractures (bone) 352–355, 359
Frenectomy / Frenotomy / Frenuloplasty 391

Full crowns

attached to osseointegrated implant 671–673
ceramic – indirect 613
metallic – indirect 618, 673
polymeric – indirect 611
tooth-coloured – indirect 671
veneered – indirect 615, 672
Full dentures 711, 712, 719 (see also Denture maintenance; Dentures)

Functional orthopaedic appliances

custom fabrication 823
prefabricated 824
Fused restorations: see Tooth-coloured restorations – indirect

G

General anaesthesia, loading for treatment under 949
Gingival graft 235
- xenograft 239
Gingivectomy 231

Glass ionomer cement⁸⁷

adhesive restorations – anterior teeth 521–526
adhesive restorations – posterior teeth 531–536

Gold (see also Metallic restorations)

attachments 644, 645
bonded retainer 649
bridge – indirect 643
bridge – precision attachment 645
bridge – retainer 649
bridge – semi-fixed attachment 644
denture tooth 733
full crown 615, 618, 672, 673
overlays 734
partial denture – custom fabricated 727, 728
post and core for crown 625
post and root cap 629
repair of crown or bridge 658

Grafts

gingival 235
mucosal 345
osseous – block 244
osseous – tooth 243
skin 345
xenograft 239
GST 999, pages 22–32
Guided endodontic repair 459
Guided tissue regeneration 236
- membrane removal 237

H

Haematological examination 056
Haemorrhage, control of 399
Health insurance page 13
Hemisection of tooth 438
Histopathological examination 052
Hygiene instruction 141
Hyperplastic tissue, removal of 341

I

Identification of denture 777
Immediate tooth replacement 736

Implants (see also Maxillofacial prostheses)

bone augmentation 243
cleaning 695
diagnostic templates 678
fitting of abutment 661
fitting of bar for denture 664
full crown – metallic – indirect 673
full crown – non-metallic – indirect 671
full crown – veneered – indirect 672
insertion – first stage 684, 685
insertion – second stage 691
insertion – single stage 686, 688
maxillary sinus augmentation – lateral wall approach 247; trans-alveolar technique 246
mini-implant 687
polishing 695
prosthesis repairs and maintenance 692–696
prosthesis with metal frame – fixed 666
prosthesis with metal frame – removable 667
prosthesis with resin base – removable 665
prosthetic screw replacement 668
provisional implant 689
provisional implant abutment 633
provisional implant restoration 634
provisional retention or anchorage device 690
remodelling fixed implant 693
removal 663
removal and reattachment of prosthesis 669
removal of fractured abutment screw 696
repair or replacement – ceramic component 694
screw access closure 692
screw replacement 668
surgical guide 679
Impression for denture repair 776
Incisal corner, restoration of 578
Incision and drainage 392
Incomplete endodontic therapy 412
Infection, periodontal 213
Inhalation analgesia 943
Inlays/dentures 778
Inlays/onlays – indirect:
- metallic 541–545
- tooth-coloured 551–556
Insertion of suture 399
Intermediate restorations:
- bridge 632
- crown 631
Intravenous cannulation 928
Intravenous sedation 942
Irrigation or dressing of root canal, additional 455
Itemisation guidelines pages 8–12

L

Laser therapy 945
Letter of referral 019
Local anaesthesia (special circumstances) 941
Low level laser therapy (LLLT) 945

M⁸⁸

Magnetic attachments:
- intracoronal components 645
- prosthodontic component 735
Mandibular dislocation 361, 363
Mandibular resection prosthesis 786
Marsupialisation of cyst or abscess 379
Maryland bridge 642, 643, 648, 649
Materials page 7
Maxillary antrum surgery 393
Maxillary fracture:
- external fixation 354
- intraoral fixation 353
- requiring fixation 352
- requiring open reduction 359
- wiring of teeth 353
Maxillary sinus augmentation:
- lateral wall approach 247
- trans-alveolar technique 246
Maxillofacial prostheses:
- adjustment 790
- diagnostic 785
- extraoral 787–789
- insertion – first stage 685
- insertion – second stage 691
- insertion – single stage 686
- mandibular resection 786
- obturator 781
- obturator – surgical/interim 782, 783
- provisional/interim 785
Medication – supply, prescription or administration 927, 928
Metal:
- backing – cast metal partial denture 739
- band 574
- denture frame repairs 769
- palate or plate 716
- splints 773
Metal band cementation 574
Metallic crown 586, 587, 618
Metallic restorations (see also Gold):
- direct 511–515
- indirect 541–545
Micro-abrasion, enamel 116
Microbiological screening test 048
Milled restorations: see Tooth-coloured restorations – indirect
Mini-implant 687
Minor tooth guidance 846
Mounting diagnostic casts 964
Mouthguards 151
- bi-maxillary 153
Mucosal graft 345
Muscle attachment, repositioning 343

N

Nerve trunk, surgical repair 395
Neuromodulator therapy 929
Neurovascular tissue surgery 389
Non-precious metal:
- bridge – precision or magnetic attachment 645
- bridge – semi-fixed attachment 644
- bridge pontic 643
- full crown 615, 618
- partial denture – custom fabricated 727, 728
- post 597
- post and core for crown 625
- post and root cap 629
- provisional abutment 633
- restorations 541–545

O

Obturation:
- resorption defect or perforation 459
- root canal 417, 418
Obturator 781
- surgical/interim – insertion 782
- surgical/interim – revision 783
Occlusal:
- adjustments 961, 968
- appliances 965, 966, 972
- clinical analysis 963
- pantographic tracing 967
- physical therapy for 971
- registration and mounting casts 964
- rests for partial dentures 732
Occlusal splint: see Occlusal appliance
Odontoplasty 171
Onlays: see Metallic restorations
Oral drug administration 927
Oral hygiene instruction 141
Orthodontic appliances:
- addition to 877
- adjustment 871
bonding of attachment 862
extraoral 851
fixed 829, 831, 841–843, 845, 846
functional orthopaedic appliance – custom fabrication 823
functional orthopaedic appliance – prefabricated 824
passive 811
reattachment of passive appliance – fixed 872
relining 878
removable – active 821, 825
removable – passive 811
removal of banding 833
removal of passive appliance – fixed 874
repair of passive appliance – fixed 873
repair of removable appliance – clasp, spring or tooth 876
repair of removable appliance – resin base 875
sagittal movement appliance 844
sequential plastic aligners 825
Orthodontic complete course 881
- with orthognathic surgery 882
Orthognathic surgery with orthodontic course 882
Orthopaedic appliance – functional 823, 824
Osseous:
- graft – block 244
- graft – tooth 243
- surgery 242
Ostectomy 332
Osteomyelitis, surgery for 394
Osteotomy 365, 366
Other treatment not described elsewhere 990
Overdenture maintenance 755
Overlay for partial dentures 734

P⁸⁹

Palate, metal 716
Palliative care 911
Panoramic radiograph 037
Pantographic tracing 967
Partial dentures (see also Denture maintenance):
- cast metal framework – mandibular 728
- cast metal framework – maxillary 727
- each retainer 731
- each tooth 733
- itemisation page 12
- metal backing 739
- occlusal rest 732
- overlay 734
- provisional mandibular denture 724
- provisional maxillary denture 723
- resin base – mandibular 722
- resin base – maxillary 721
- wrought bar 738
Passive appliance (orthodontics):
- reattachment – fixed 872
- removable 811
- removal – fixed 874
- repair – fixed 873
Pathology:
- biopsy 051
- histopathology 052
- specimen collection 044
Patient education 131, 141, 142
Perforation of root canal:
- non-surgical sealing 459
- surgical sealing 436
Peri-implant disease:
- non-surgical treatment 223
- surgical treatment 233
Periapical curettage 431
Periodontics:
- active non-surgical 250
- analysis and recording, clinical 221
- biologically active agent application 234
- bone surgery 242
- crown lengthening surgery 238
- debridement 222
- flap surgery 232
- gingival graft 235
- gingivectomy 231
- grafts 235, 239
- guided tissue regeneration – membrane removal 237
- guided tissue regeneration – tooth 236
- guidelines page 9
- infection, acute 213
- maxillary sinus augmentation – lateral wall approach 247
- maxillary sinus augmentation – trans-alveolar technique 246
- membrane removal 237
- osseous graft – block 244
- osseous graft – tooth 243
- osseous surgery 242
- peri-implant disease – non-surgical treatment 223
- peri-implant disease – surgical treatment 233
- periradicular surgery 433
- root planing 222
root resection 241
supportive therapy 251
surgery – one tooth 245
xenografts 239
Periradicular exploratory surgery 433
Photobiomodulation: see Low level laser therapy (LLLT)
Photographic records:
- extraoral 073
- intraoral 072
Physical therapy for temporomandibular joint 971
Pin retention 575
Plaque removal 111
Plastic aligners, sequential 825
Plate, metal 716
Polymeric material: see Acrylic
Pontic:
- direct 642
- indirect 643
- provisional 632
Porcelain: see Tooth-coloured restorations – indirect
Post:
- and core – indirect 625
- insertion of 597
- direct 597
- removal of 452
- and root cap – indirect 629
- titanium 597
Post and root capping 629
Post crown, removal of 452
Post-operative care 986
Precision attachments:
- intracoronal components 645
- prosthodontic components 735
Preformed crown:
- metallic – minimal tooth preparation 587
- metallic – significant tooth preparation 586
- tooth-coloured 588
Preformed post 597
Preformed restorations: see Tooth-coloured restorations – indirect
Preliminary restorations 627
Prescription 927
Preventive services:
- desensitising agents, application 165
- dietary analysis and advice 131
- fissure seals 161
- mouthguards 151, 153
- odontoplasty 171
- oral hygiene instruction 141
- resin infiltration 163
- tobacco counselling 142
- tooth seals 161
Prophylaxis 111, 113–115
Prosthetics: see Dentures
Provisional:
- abutment 633
- bridge 632
- complete mandibular denture 714
- complete maxillary and mandibular denture 715
- complete maxillary denture 713
- crown 631
- implant 689
- implant restoration 634
- obturator 782, 783
- partial mandibular denture 724
- partial maxillary denture 723
- pontic 632
- restoration 572
- retention or anchorage device 690
Pulp:
- capping – direct 411
- extirpation 419
- removal 415, 416
- testing 061
- vitality test 061
Pulpectomy and root canal filling – primary tooth 421
Pulpotomy 414

R⁹⁰

Radiographs:
- cephalometric 036
- Cone Beam Computed Tomography – scan acquisition 026
- extraoral 031, 033, 035–038
- hand–wrist 038
- intraoral 022
- panoramic 037
- temporomandibular joint 035
- tomography 039, 083
Rapid expansion appliance 843
Rebasing denture 745, 746
Rebonding bridge or splint 653
Recementing:
- bridge 652
- crown 651
- indirect restoration 596
- splint 652
veneer 651
Recontouring:
- restoration 113
- tissue 987
Referral, letter of 019
Registration and mounting of models 964
Reinforced glass ionomer cement: see Silver glass ionomer cement
Relative analgesia 943
Relaxation therapy 944
Relining dentures:
- direct 751, 752
- processed 743, 744
Relining orthodontic appliance 878
Remineralisation – home application 122
- provision of medicament 927
- tray for home application 926
Remineralisation – topical agent application 121–123
Remodelling dentures 745, 746
Remodelling fixed implant prostheses 693
Remote consultation 919–921
Removal of:
- banding 833
- bridge 656
- calculus – first appointment 114; subsequent appointment(s) 115
- crown 655
- cyst 371, 373
- foreign body 378
- fractured abutment screw 696
- fractured endodontic instrument 453
- implant 663
- indirect restoration 595
- passive orthodontic appliance – fixed 874
- plaque 111
- post or post crown 452
- prosthesis, with reattachment 669
- pulp 419
- root filling 451
- scar 371, 373
- splint 656
- stains 111
- tooth 311, 314
- tooth – surgical 322, 324
- tooth fragment 311, 314
- tumour 371, 373
Repair of:
- crown or bridge – direct 659; indirect 658
- denture tooth replacement 765, 768
- dentures 761–766, 768, 769
- external root resorption 437
- implant – ceramic component 694
- metal casting 769
- occlusal appliance 972
- passive orthodontic appliance 873
- removable orthodontic appliance 875, 876
- skin, subcutaneous tissue or mucous membrane 351
- sleep apnoea or anti-snoring device 985
- soft tissue 377
- veneer 659
Replacement of implant prosthetic screw 668
Replantation of tooth 387
Report, written 018
Repositioning:
- displaced tooth 384
- unerupted tooth 385
Resilient denture lining 737
Resin:
- anti-snoring device 984, 985
- complete denture 711, 712, 719
- denture base modification 754
- denture characterisation 775
- denture inlay 778
- denture relining 743, 744, 751, 752
- denture remodelling 745
- denture repair 763, 764
- denture tooth replacement or addition 765, 768
- immediate denture surgical guide 779
- immediate tooth replacement 736
- occlusal appliance 965, 966, 972
- overlay 734
- partial mandibular denture – custom metal framework 728
- partial mandibular denture – resin base 722
- partial maxillary denture – custom metal framework 727
- partial maxillary denture – resin base 721
- passive appliance – fixed 845, 873
- prosthesis with resin base – removable 665
- provisional complete mandibular denture 714
- provisional complete maxillary and mandibular denture 715
- provisional complete maxillary denture 713
- provisional partial mandibular denture 724
- provisional partial maxillary denture 723
reattaching tooth to denture 766
removable appliance relining 878
resilient denture lining 737
sleep apnoea device 984, 985
splint 772
splinting 981
surgical implant guide 679
tooth – partial denture 733
tray 926
Resin infiltration 163

Restorations⁹¹

adaptation of new restoration to existing removable prosthesis 571
adhesive – direct 521–526, 531–536
cast 551–556
ceramic 551–556
compomer 521–526, 531–536
composite resin 521–526, 531–536
crown – preliminary 627
cusp 577
direct 511–515, 521–526, 531–536
fused 551–556
glass ionomer cement 521–526, 531–536
implant – provisional/intermediate 634
incisal corner 578
indirect 541–545, 551–556
itemisation page 7, pages 9–10
metallic – direct 511–515; indirect 541–545
milled 551–556
non-precious metal 541–545
porcelain 551–556
preformed 551–556
provisional/interim 572
provisional/interim implant 634
recementing indirect restoration 596
recontouring 113
removal of indirect restoration 595
root capping 598
silver glass ionomer cement 521–526, 531–536
surface descriptions page 7
tooth-coloured 521–526, 531–536, 551–556

Retainers

orthodontics 811
partial dentures 731
repairs 761, 762
Retrograde root filling (apical seal) 434

Root canal filling (see also Chemo-mechanical preparation)

incomplete 412
one canal 417
resorbable 421
subsequent canal(s) 418
Root canal irrigation or dressing, additional 455
Root canal itemisation guidelines pages 8–9
Root canal perforation 436, 459
Root capping, restoration of 598
Root filling, removal of 451
Root hemisection 438
Root planing 222
Root resection or hemisection 241, 438

S

Sagittal movement appliance (orthodontics) 844
Salivary ducts and glands, surgery of 375, 376
Samples for pathology 044, 047, 048, 051, 055
Scale and clean 114, 115
Screening tests:
- microbiological 048
- saliva 047
Screw replacement 668
Sealing of perforation:
- non-surgical 459
- surgical 436
Sedation 942–944
Self-application of medicaments 926
Sequential plastic aligners 825

Silver glass ionomer cement

adhesive restorations – anterior teeth 521–526
adhesive restorations – posterior teeth 531–536

Sinus

maxillary sinus augmentation – lateral wall approach 247
maxillary sinus augmentation – trans-alveolar technique 246
Skin graft 345
Skin repair 351
Sleep apnoea device 984, 985
Soft tissue surgical repair 377
Space maintainer, fixed or removable 811, 845
Specimen collection 044
Splinting displaced tooth 386, 981

Splints

displaced tooth 386, 981
metal 773
occlusal 965, 966, 972
rebonding 653
recementing 652
removal 656
repair 972
replanted tooth 387
resin 772

Stainless steel⁹²

band 574
crown 586, 587
full arch banding 831, 833
partial banding 842
Stress-breaker 644
Study models 071
Supernumerary teeth itemisation pages 14–15

Surgery (see also Maxillary sinus augmentation; Periodontics)

alveoloplasty 331
frenum 391
haemorrhage, control of 399
involving maxillary antrum 393
involving one tooth (periodontal) 245
isolating and preserving neurovascular bundle 389
nerve trunk repair 395
orthognathic surgery 882
ostectomy 332
osteomyelitis 394
replantation of tooth 387
repositioning displaced or unerupted tooth 384, 385
salivary duct 375
salivary gland 376
soft tissue repair 377
suture insertion 399
transplantation 388
vestibuloplasty 344
Surgical exposure 381, 382
Surgical guide:
- immediate denture 779
- implant 679
Surgical reduction:
- fibrous tuberosity 337
- flabby ridges 338
Surgical removal:
- cyst 371, 373
- foreign body 378
- hyperplastic tissue 341
- scar 371, 373
- teeth 322, 324
- tumour 371, 373
Surgical repair:
- external root resorption 437
- mucous membrane 351
- nerve trunk 395
- root perforation 436
- skin and subcutaneous tissue 351
- soft tissue 377
Surgical repositioning 343
Suture insertion 399

T

Teledentistry:
- extended teleconsultation 920
- teleconsultation 919
- teleconsultation by referral 921

Temporary / Provisional

abutment 633
bridge 632
complete mandibular denture 714
complete maxillary and mandibular denture 715
complete maxillary denture 713
crown 631
implant 689
implant restoration 634
metal band 574
obturator 782, 783
partial mandibular denture 724
partial maxillary denture 723
pontic 632
restoration 572
retention or anchorage device 690

Temporomandibular joint

Cone Beam Computed Tomography analysis 090, 091
medicament provision 927
occlusal appliance 965, 966, 972
occlusal clinical analysis 963
physical therapy 971
radiograph 035
relocation following dislocation 361, 363
radiograph 035
relocation following dislocation 361, 363
splint: see occlusal appliance 965, 966, 972

Tests⁹³

antibiotic sensitivity 043
microbiological 048
pulp 061
saliva 047
Tissue conditioning 771
Tissue recontour 987

Titanium

abutment fitting 661
abutment, provisional 633
denture bar 664
implant insertion – first stage 684
implant insertion – provisional 689
implant insertion – second stage 691
implant insertion – single stage 684
post 597
prosthesis attached to implants – fixed 666
prosthesis attached to implants – removable 668
provisional implant abutment 633
provisional implant insertion 689
provisional retention or anchorage device 690
titanium mesh 236, 237, 243
TMJ: see Temporomandibular joint
Tobacco counselling 142
Tomographic analysis 083
Tomography: see Radiographs
Tooth contouring 171
Tooth extraction 311, 314
- surgical 322, 324
Tooth for partial denture 733
Tooth fragment:
- bonding 579
- removal 311, 314
Tooth or tooth bud transplantation 388
Tooth replantation 387
Tooth repositioning, surgical:
- displaced tooth 384
- unerupted tooth 385
Tooth sealing 161
Tooth-coloured adhesive restorations:
- anterior – direct 521–526
- bonded facing 526, 536
- posterior – direct 531–536
Tooth-coloured restorations – indirect 551–556
Tooth–jaw size prediction 082
Topical application of remineralisation agents 121–123
Transplantation of tooth or tooth bud 388
Travel loading 916
Tray for self-application of medicaments 926
Treatment discussion 014, 015
Treatment not described elsewhere 990
Tuberosity, reduction of 337
Tumour, removal of 371, 373

V

Veneers:
- bonded facing – direct 526, 536
- bonded facing – indirect 556
- recementing 651
- repair 659
Venepuncture 928
Vestibuloplasty 344
Vitality test 061
VMK (full crown – veneered) 615

W

Whitening (see also Bleaching):
- cariostatic agents 123
- desensitising 165
- dietary analysis 131
- enamel micro-abrasion 116
- fissure sealing 161
- mouthguard 151, 153
- odontoplasty 171
- oral hygiene instruction 141
- polishing of restoration 113
- remineralisation agents 121, 122
- removal of calculus 114, 115
- removal of stains 111
- surface sealing 161
- tobacco counselling 142
Written report 018
Wrought bar 738

X

X-rays: see Radiographs
Xenograft 239

Z

Zygoma fracture 355

Notes and Back Matter⁹⁴⁹⁵

Personal Notes⁹⁶

Contact Information⁹⁷

Australian Dental Association

Phone: (02) 8815 3333
Email: contact@ada.org.au
Website: ada.org.au

Original PDF page 1: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.1 ↩
Original PDF page 2: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.2 ↩
Original PDF page 3: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.3 ↩
Original PDF page 4: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.4 ↩
Original PDF page 5: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.5 ↩
Original PDF page 35: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.35 ↩
Original PDF page 37: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.37 ↩
Original PDF page 38: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.38 ↩
Original PDF page 41: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.41 ↩
Original PDF page 46: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.46 ↩
Original PDF page 47: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.47 ↩
Original PDF page 7: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.7 ↩
Original PDF page 8: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.8 ↩
Original PDF page 9: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.9 ↩
Original PDF page 10: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.10 ↩
Original PDF page 11: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.11 ↩
Original PDF page 12: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.12 ↩
Original PDF page 13: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.13 ↩
Original PDF page 14: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.14 ↩
Original PDF page 15: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.15 ↩
Original PDF page 16: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.16 ↩
Original PDF page 17: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.17 ↩
Original PDF page 18: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.18 ↩
Original PDF page 19: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.19 ↩
Original PDF page 20: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.20 ↩
Original PDF page 21: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.21 ↩
Original PDF page 22: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.22 ↩
Original PDF page 23: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.23 ↩
Original PDF page 24: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.24 ↩
Original PDF page 34: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.34 ↩
Original PDF page 25: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.25 ↩
Original PDF page 26: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.26 ↩
Original PDF page 27: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.27 ↩
Original PDF page 28: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.28 ↩
Original PDF page 29: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.29 ↩
Original PDF page 30: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.30 ↩
Original PDF page 31: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.31 ↩
Original PDF page 32: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.32 ↩
Original PDF page 33: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.33 ↩
Original PDF page 36: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.36 ↩
Original PDF page 39: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.39 ↩
Original PDF page 40: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.40 ↩
Original PDF page 42: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.42 ↩
Original PDF page 44: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.44 ↩
Original PDF page 45: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.45 ↩
Original PDF page 48: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.48 ↩
Original PDF page 49: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.49 ↩
Original PDF page 50: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.50 ↩
Original PDF page 52: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.52 ↩
Original PDF page 51: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.51 ↩
Original PDF page 53: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.53 ↩
Original PDF page 54: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.54 ↩
Original PDF page 55: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.55 ↩
Original PDF page 56: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.56 ↩
Original PDF page 57: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.57 ↩
Original PDF page 58: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.58 ↩
Original PDF page 61: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.61 ↩
Original PDF page 59: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.59 ↩
Original PDF page 60: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.60 ↩
Original PDF page 6: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.6 ↩
Original PDF page 62: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.62 ↩
Original PDF page 63: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.63 ↩
Original PDF page 64: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.64 ↩
Original PDF page 65: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.65 ↩
Original PDF page 66: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.66 ↩
Original PDF page 67: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.67 ↩
Original PDF page 68: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.68 ↩
Original PDF page 69: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.69 ↩
Original PDF page 70: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.70 ↩
Original PDF page 71: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.71 ↩
Original PDF page 72: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.72 ↩
Original PDF page 73: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.73 ↩
Original PDF page 74: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.74 ↩
Original PDF page 75: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.75 ↩
Original PDF page 76: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.76 ↩
Original PDF page 77: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.77 ↩
Original PDF page 78: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.78 ↩
Original PDF page 79: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.79 ↩
Original PDF page 80: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.80 ↩
Original PDF page 83: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.83 ↩
Original PDF page 82: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.82 ↩
Original PDF page 93: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.93 ↩
Original PDF page 85: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.85 ↩
Original PDF page 86: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.86 ↩
Original PDF page 87: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.87 ↩
Original PDF page 88: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.88 ↩
Original PDF page 89: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.89 ↩
Original PDF page 90: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.90 ↩
Original PDF page 91: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.91 ↩
Original PDF page 92: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.92 ↩
Original PDF page 94: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.94 ↩
Original PDF page 95: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.95 ↩
Original PDF page 96: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.96 ↩
Original PDF page 98: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.98 ↩
Original PDF page 99: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.99 ↩
Original PDF page 97: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.97 ↩
Original PDF page 100: ada handbook australian-schedule-and-dental-glossary-13th-edition (1), p.100 ↩

Quartz 4

Explorer

ada_handbook_australian-schedule-and-dental-glossary-13th-edition (1)_formatted_text

The Australian Schedule of Dental Services and Glossary1

Front Matter

Publication Information2

Edition History

Rights and Permissions

Acknowledgements

Foreword

Overview and Purpose3

GST Determinations

Development and Acknowledgements

Table of Contents4

Goods and Services Tax (GST)5

Diagnostic Services6789

Preventive, Prophylactic and Bleaching Services

Periodontics1011

Oral Surgery

Endodontics

Restorative Services

Prosthodontics

Orthodontics

General Services

Miscellaneous

Thirteenth Edition Updates

Amended Item Numbers12

New Item Numbers

Deleted Item Numbers

New Sections

Amended Section Name

General Information

Purpose and Principles13

Clarification

Guidelines for Submissions to the ADA’s Schedule and Third Party Committee

Correspondence

Notes for Guidance

Linings14

Standardisation of Surface Descriptions of Dental Restorations

Dental Materials

Restorative Procedures

Clinical Case Examples15

Example 616

Guidelines for Periodontics

Provisional Restoration or Prosthesis

Definitive Restoration or Prosthesis

Direct and Indirect Fabrication

Fabrication Examples17

Direct and Indirect Restorations, Crowns and Bridges

Example 818

Example 9

Example 10

Cementation

Immediate Dentures

Partial Dentures

Partial Denture Examples19

Itemisation of Accounts

Item Numbers and Fees20

Guidelines for Original Itemisation

Multiple Appointment Procedures

Dental Health Insurance and Other Third Parties

Tooth Identification

Adult and Deciduous Dentition21

Itemisation of Dental Implants

Itemisation of Supernumerary Teeth

Supernumerary Tooth Examples22

Illustrated Definitions

Tooth Terminology23

Dental Arch Components24

Specific Tooth Types

Surface Terminology

Anatomical Features

Mandible Features25

Third Molar Impactions

Crowns and Bridges

Crown and Bridge Components26

Implants

Implant Structure27

Partial Maxillary Denture28

Veneer

The Australian Schedule of Dental Services and Glossary¹

Publication Information²

Overview and Purpose³

Table of Contents⁴

Goods and Services Tax (GST)⁵

Diagnostic Services⁶⁷⁸⁹

Periodontics¹⁰¹¹

Amended Item Numbers¹²

Purpose and Principles¹³

Linings¹⁴

Clinical Case Examples¹⁵

Example 6¹⁶

Fabrication Examples¹⁷

Example 8¹⁸

Partial Denture Examples¹⁹

Item Numbers and Fees²⁰

Adult and Deciduous Dentition²¹

Supernumerary Tooth Examples²²

Tooth Terminology²³

Dental Arch Components²⁴

Mandible Features²⁵

Crown and Bridge Components²⁶

Implant Structure²⁷

Partial Maxillary Denture²⁸

GST Status Symbols²⁹

GST Explanatory Notes³⁰

Date of Effect³¹

Spare Parts for Medical Aids³²

Medical Service Definition³³

Appropriate Treatment Criteria³⁴

Third Party Arrangements (Section 38-60)³⁵

Dental Goods (Subsections 38-7(3) and 38-10(3))³⁶

Consumables in Manufacturing³⁷

Repair Services³⁸

Apportionment of Mixed Supplies³⁹

Consultations and Reports⁴⁰

Clinical and Laboratory Examinations⁴¹

Diagnostic Models and Records⁴²

Dental Prophylaxis and Bleaching⁴³

Remineralisation Agents⁴⁴

Periodontal Procedures⁴⁵

Extractions⁴⁶

Surgical Procedures for Prostheses⁴⁷

Maxillofacial Injury Treatment⁴⁸

Osteotomies⁴⁹

Osteotomy Procedures⁵⁰

Specialized Oral Surgery⁵¹

Pulp and Root Canal Treatments⁵²

Periradicular Surgery⁵³

Detailed Endodontic Services⁵⁴

Metallic Restorations – Direct⁵⁵

Adhesive Restorations – Anterior (Continued)⁵⁶

Indirect Restorations⁵⁷

Metallic Restorations – Indirect⁵⁸

Other Restorative Services⁵⁹

Prosthodontics⁶⁰

Crowns and Bridges⁶¹

Provisional Crowns and Bridges⁶²

Bridge Services⁶³

Crown and Bridge Repairs⁶⁴

Implant Prostheses⁶⁵⁶⁶