THE BASICS OF EBD. Elliot Abt, D.D.S., M.S., M.Sc. Advocate Illinois Masonic Medical Center
|
|
|
- Paula Sherman
- 5 years ago
- Views:
Transcription
1 THE BASICS OF EBD Elliot Abt, D.D.S., M.S., M.Sc. Advocate Illinois Masonic Medical Center
2 Topics EBD vs. traditional approach to decisions Clinical examples Hierarchy of evidence Problems with published research
3 Defining Evidence-Based Dentistry Evidence-based dentistry (EBD) is an approach to oral health that requires the judicious integration of systematic assessments of clinically relevant scientific evidence, relating to the patient s oral and medical condition and history, with the dentist s clinical expertise and the patient s treatment needs and preferences.
4 Research Evidence Clinical Experience Patient Preferences Evidence-based decisions
5 Condition A Treatment B Outcome C Traditional decisions
6 Dental School Rules All endo teeth need posts/crowns All missing teeth must be replaced All cases mounted in centric relation Border mould / face-bow / split-cast a must!! Never use cantilevers Chronic irritation leads to malignant transformation
7 Example 1 Bounded Edentulous Spaces
8 Traditional Approach All missing teeth must be replaced to restore function and to avoid arch collapse.
9 EB Approach
10 EB Approach Implant vs. fixed bridge survival
11 EB Approach Implant vs. fixed bridge survival Partial edentulism is a condition, rather than a pathologic entity
12 EB Approach Implant vs. fixed bridge survival Partial edentulism is a condition, rather than a pathologic entity No treatment leads to a minor self-limiting movement of teeth within first year postextraction
13 Treatment Options
14 Treatment Options 3-unit fixed bridge
15 Treatment Options 3-unit fixed bridge Single-tooth implant
16 Treatment Options 3-unit fixed bridge Single-tooth implant Removable prosthesis
17 Treatment Options 3-unit fixed bridge Single-tooth implant Removable prosthesis No treatment!!
18 Example 2 Amalgam versus composite
19 Research Evidence
20 Research Evidence On occlusal surface, both restoratives have good outcomes
21 Research Evidence On occlusal surface, both restoratives have good outcomes With inter-proximal and multi-surface lesions, risk of secondary caries is higher with composite as compared with amalgam
22 Research Evidence On occlusal surface, both restoratives have good outcomes With inter-proximal and multi-surface lesions, risk of secondary caries is higher with composite as compared with amalgam Fracture rates appear to be similar with both restoration types
23 Inter-proximal lesions
24 Inter-proximal lesions Does the patient have a high caries index?
25 Inter-proximal lesions Does the patient have a high caries index? Is the lesion sub-gingival?
26 Inter-proximal lesions Does the patient have a high caries index? Is the lesion sub-gingival? Is there enamel at the gingival margin?
27 Inter-proximal lesions Does the patient have a high caries index? Is the lesion sub-gingival? Is there enamel at the gingival margin? Is the lesion on a bicuspid or molar?
28
29
30
31 Example 3: Good Evidence Not Being Used Appropriately
32 Example 3: Good Evidence Not Being Used Appropriately SEALANTS!!!
33 Example 3: Good Evidence Not Being Used Appropriately SEALANTS!!!
34 Example 3: Good Evidence Not Being Used Appropriately SEALANTS!!! FLUORIDE!!!
35 Example 3: Good Evidence Not Being Used Appropriately SEALANTS!!! FLUORIDE!!!
36 Evidence-based Dentistry Because each patient is unique, research evidence should help guide, rather than dictate clinical decision making.
37 5-step process 1. develop a focused clinical question (PICO) 2. search for evidence 3. critically appraise the evidence 4. apply evidence to patient question/ circumstance 5. evaluate
38 3 Questions to Keep in Mind What are the results? Are the results valid? Are the results relevant to my patients/ practice?
39 Evidence Pyramid
40 Research Design Systematic Reviews/ Meta-analysis Randomized Controlled Trials Cohort Case-Control Cross-sectional Case Series Narrative Review Opinion
41 Research Design Cohort Study Randomized Controlled Trials Case-Control Study Cross-sectional Study Case Series
42 Research Design Cohort Study Randomized Controlled Trials Interventional design Case-Control Study Cross-sectional Study Case Series
43 Research Design Cohort Study Randomized Controlled Trials Interventional design Case-Control Study Cross-sectional Study Case Series Observational designs
44 Research Design Systematic Reviews/ Meta-analysis Randomized Controlled Trials Cohort Case-Control Cross-sectional Case Series Animal Studies In-vitro Studies
45 Research Design Systematic Reviews/ Meta-analysis Randomized Controlled Trials Therapy/Prevention Cohort Case-Control Cross-sectional Case Series Animal Studies In-vitro Studies
46 Research Design Systematic Reviews/ Meta-analysis Randomized Controlled Trials Therapy/Prevention Cohort Prognosis Case-Control Cross-sectional Case Series Animal Studies In-vitro Studies
47 Research Design Systematic Reviews/ Meta-analysis Randomized Controlled Trials Therapy/Prevention Cohort Prognosis Case-Control Risk factor/rare diseases Cross-sectional Case Series Animal Studies In-vitro Studies
48 Research Design Systematic Reviews/ Meta-analysis Randomized Controlled Trials Therapy/Prevention Cohort Prognosis Case-Control Risk factor/rare diseases Cross-sectional Prevalence Case Series Animal Studies In-vitro Studies
49 Research Design Systematic Reviews/ Meta-analysis Randomized Controlled Trials Therapy/Prevention Cohort Case-Control Risk factor/rare diseases Cross-sectional Case Series Prognosis Prevalence Complication/Unusual finding Animal Studies In-vitro Studies
50 Research Design Narrative Review Systematic Review
51 Research Design Narrative Review Systematic Review Broad topic Few inclusion criteria Susceptible to bias Non-reproducible
52 Research Design Narrative Review Broad topic Few inclusion criteria Susceptible to bias Non-reproducible Systematic Review Narrow topic Exhaustive literature search Strict inclusion/exclusion criteria Reproducible
53 Meta-analysis
54 Meta-analysis Statistical pooling of data from multiple studies - why do we need to do this?
55 Meta-analysis Statistical pooling of data from multiple studies - why do we need to do this? Increases power & precision, answers questions, settles controversies
56 Meta-analysis Statistical pooling of data from multiple studies - why do we need to do this? Increases power & precision, answers questions, settles controversies Only if comparing apples with apples
57 Forest Plot
58 I Don t Have Time to Read All This!! Critical Summaries EB Treatment Recommendations
59 Keeping up with the literature
60
61 The holy grail of published research is
62 The holy grail of published research is P < 0.05
63
64 P<0.05 Positive Study the treatment works
65 P<0.05 Positive Study the treatment works
66 P<0.05 Positive Study the treatment works P>0.05 Negative Study the treatment doesn t work
67 P<0.05 Positive Study the treatment works P>0.05 Negative Study the treatment doesn t work
68 The null hypothesis Observe things in nature Do an observational study Do a randomized controlled trial
69 Beta-carotene & cardiovascular mortality
70 Summary
71 Summary Evidence-based dentistry is an approach to improving patient care through decision making
72 Summary Evidence-based dentistry is an approach to improving patient care through decision making Incorporates research evidence, along with clinical expertise and patient preferences.
73 Summary Evidence-based dentistry is an approach to improving patient care through decision making Incorporates research evidence, along with clinical expertise and patient preferences. Research evidence should help guide, rather than dictate, clinical decisions.
74 Thank You!
30/01/2012. Aim. Learning Objectives. Learning Objectives. We know that. Learning Objectives. Diagnosing. Treatment planning.
Aim Advanced Partial Dentures A contradiction or a true advance? Looking to the Partial denture option Learning Objectives Diagnosing Treatment planning Learning Objectives Expectations have greatly overtaken
Searching Effectively and Efficiently for Accurate Answers to Clinical Questions
Searching Effectively and Efficiently for Accurate Answers to Clinical Questions Andrew Schenkel DMD, MS New York University College of Dentistry Richard McGowan MLS New York University Health Sciences
DIAGNOSTIC/PREVENTIVE SERVICES
DIAGNOSTIC/PREVENTIVE SERVICES Diagnostic Services D0120 Periodic oral evaluation 100% 100% D0140 Limited oral evaluation problem focused 100% 100% D0150 Comprehensive oral evaluation 100% 100% D0160 Detailed
Prosthetic Options in Implant Dentistry. Hakimeh Siadat, DDS, MSc Associate Professor
Prosthetic Options in Dentistry Hakimeh Siadat, DDS, MSc Associate Professor Dental Research Center, Department of Prosthodontics & Dental s Faculty of Dentistry, Tehran University of Medical Sciences
Evidence-Based Dentistry and AHRQ
Evidence-Based Dentistry and AHRQ Kenneth S. Fink, MD, MGA, MPH Director, Evidence-based Practice Centers Program Agency for Healthcare Research and Quality What is Evidence-based Practice? Clinical Expertise
The width of the MCXL step bur is 1.4 mm wide and has a blunt end. As the bur approaches the inside of
As I teach first year dental students how to prep a tooth for a full gold crown, get an impression, pour and mount models, wax-up, cast and polish, they are almost always amazed at all the required steps
Formulating answerable clinical questions
Evidence Based Dentistry Formulating answerable clinical questions Asbjørn Jokstad University of Oslo, Norway 23 Aug 2001 1 Bleeding, pain and swelling four hours after wisdom tooth removal in a 32 y female.
Uppers are from Mars, Lowers from Venus Clarifying Overdentures
Uppers are from Mars, Lowers from Venus Clarifying Overdentures M. Nader Sharifi, D.D.S., M.S. Thomas P. Hinman Dental Meeting Atlanta, GA March 23, 2017 About Your Speaker: M. Nader Sharifi, D.D.S., M.S.
WASHINGTON STATE COUNCIL OF COUNTY AND CITY EMPLOYEES AFSCME AFL-CIO DENTAL PLAN VIII
WASHINGTON STATE COUNCIL OF COUNTY AND CITY EMPLOYEES AFSCME AFL-CIO DENTAL PLAN VIII HOW TO OBTAIN PLAN BENEFITS To obtain benefits see the Payment of Claims provision. Forward Your completed claim form
SECURE CHOICE INDIVIDUAL COPAYMENT SCHEDULE
DentiCare of Alabama, Inc. 3595 Grandview Parkway, Suite 650 Birmingham, AL 35243 SECURE CHOICE INDIVIDUAL COPAYMENT SCHEDULE SECTION I: PLAN DENTIST SERVICES (Subject to Exclusions and Limitations Listed
DENTAL PLAN INFORMATION
County of Kern DENTAL PLAN INFORMATION FOR PERMANENT EMPLOYEES Independence PPO Dental LIBERTY Cobalt Plus DHMO Dental Administered by LIBERTY Dental Plan of California 1(888) 273-3179 www.libertydentalplan.com/countyofkern
PG Dip (Level II), Advanced Course in Restorative & Aesthetic Dentistry
Syllabus and Specific & GDC Development Outcomes PG Dip (Level II), Advanced Course in Restorative & Aesthetic Dentistry www.dominic-hassall-training.co.uk 1 Day 1 Course Introduction Dominic Hassall Tutorial
Dental plan premiums. Plan name Age 60+ These premiums apply to members who live anywhere in Alaska.
Dental plan premiums These premiums apply to members who live anywhere in Alaska. Plan name Age 60+ Premier $46 PPO SM 1000 $43 PPO SM 1500 $50 Premier Preventive Alaska Mandated Plan $30 Premiums effective
Practice Impact Questionnaire
Practice Impact Questionnaire Your practitioner identifier is: XXXXXXXX It is very important that ONLY YOU complete this questionnaire because your responses will be compared to responses that you provided
Newport News Public Schools Summary Schedule of Services Delta Dental PPO EPO Plan
Newport News Public Schools Summary of Services Delta Dental PPO EPO Plan Services In-Network Out-of-Network PPO Premier All Other Diagnostic & Preventive Oral Exams & Teeth Cleanings Fluoride Applications
أ.م. هدى عباس عبد اهلل CROWN AND BRIDGE جامعة تكريت كلية. Lec. (2) طب االسنان
Lec. (2) CROWN AND BRIDGE أ.م. هدى عباس عبد اهلل Patient selection and examination A thorough diagnosis must first be made of the patient's dental condition, considering both hard and soft tissues. this
Abstract. A Case Of External Resorption
SHGDDS 1 BY Steven H. Goldstein, DDS Abstract External resorption is a condition that leads to the irreversible loss of enamel, dentin, cementum, and in some cases bone. Its cause is not fully understood,
FIXED PROSTHODONTICS
FIXED PROSTHODONTICS UnitedHealthcare Dental Coverage Guideline Guideline Number: DCG017.02 Effective Date: May 1, 2017 Table of Contents Page INSTRUCTIONS FOR USE... 1 BENEFIT CONSIDERATIONS... 1 COVERAGE
DENTAL FOR EVERYONE SUMMARY OF BENEFITS, LIMITATIONS AND EXCLUSIONS
DENTAL FOR EVERYONE SUMMARY OF BENEFITS, LIMITATIONS AND EXCLUSIONS DEDUCTIBLE The dental plan features a deductible. This is an amount the Enrollee must pay out-of-pocket before Benefits are paid. The
Evidence-Based Clinical Recommendations for Pit and Fissure Sealants. Julie Frantsve-Hawley, RDH, PhD American Dental Association
Evidence-Based Clinical Recommendations for Pit and Fissure Sealants Julie Frantsve-Hawley, RDH, PhD American Dental Association Overview Background and rationale Clinical questions Methods Timeline Dissemination
Occlusion & Prosthodontics
Occlusion & Prosthodontics Occlusion and Prosthodontic Treatments Babak Shokati DDS, MSc. MSc. Candidate (Prosthodontics) Occlusion: A Controversial Issue Occlusion related issues and contradictory debates:
1 24% 25 49% 50 74% 75 99% Every time or 100% 2. Do you assess caries risk for individual patients in any way? Yes
1. When you examine patients to determine if they have a primary caries lesion, on what percent of these patients do you use airdrying to help diagnose the lesion? Never or 0% (skip to question 3) 1 24%
Diagnosis. overt Examination. Definitive Examination. History. atient interview. Personal History. Clinical Examination.
Diagnosis overt Examination History Definitive Examination atient interview Personal History Mental Attitude Medical History Dental History Clinical Examination Extra Oral Oral Radiographic Evaluation
2018 fee schedule. Georgia. Diagnostic Services (Performed by a General Dentist)
Diagnostic Services (Performed by a General Dentist) page 1 of 12 IS NOT A REGISTERED INSURANCE PLAN. It is a savings plan offered exclusively by Coast Dental practices to patients who do not have dental
DELTA DENTAL PPO sm AGREEMENT SUPPLEMENT TO DELTA DENTAL PREMIER PARTICIPATING DENTIST S AGREEMENT
DELTA DENTAL PPO sm AGREEMENT SUPPLEMENT TO DELTA DENTAL PREMIER PARTICIPATING DENTIST S AGREEMENT This agreement (the "Supplement") supplements the Delta Dental Premier Participating Dentist s Agreement
Bay Dental. Quality, affordable dental insurance coverage for your entire family
Bay Dental Quality, affordable dental insurance coverage for your entire family Bay Dental offers three great plans, all with quick and simple online quoting and enrollment Underwritten by Madison National
Printed copies of this document are considered uncontrolled Rev
assignment_id service_code Topic Subtopic Long Names 239 D3346 Root Canal Procedure Retreatment 240 D3347 Root Canal Procedure Retreatment 241 D3348 Root Canal Procedure Retreatment 242 D3425 Root Canal
Component parts of Chrome Cobalt Removable Partial Denture
Lec. 5 د.بسام الطريحي Component parts of Chrome Cobalt Removable Partial Denture Major connectors: Are either bars or plates, the difference between them is in the amount of tissue covers. Plates are broad
Delta Dental of Iowa Reference Code Listing
4 Based on documentation received, this procedure does not meet the plan criteria to allow a benefit. 7 Service indicated is not a benefit. 12 Patient not eligible for service per contract limitation.
Pemberton Township BOE Group 86004
www.horizonblue.com Pemberton Township BOE Group 86004 Traditional Plan HDC Plan D Annual Deductible per person NONE Out-of-network Yes No Annual Maximum $1,000 NONE Ortho Maximum $1,000 $1,000 COVERED
Asking answerable clinical questions
Asking answerable clinical questions The key to evidence-based decision making Asbjørn Jokstad University of Oslo, Norway 15/07/2004 1 What Questions Arise? At least x 1 question / consultation Most of
EssentialSmile Ped 221 Schedule of Benefits
EssentialSmile Ped 221 Schedule of Benefits P.O. Box 19199 Plantation, FL 33318 Telephone: 877-760-2247 Fax: 954-370-1701 www.mysolstice.net Members can search for a Network Provider at www.solsticecare.com/provider-search.aspx
EssentialSmile Ped 221 Schedule of Benefits
EssentialSmile Ped 221 Schedule of Benefits P.O. Box 9 Plantation, FL 33318 Telephone: 877 760 2247 Fax: 954 370 1701 www.mysolstice.net Members can search for a Network Provider atwww.solsticecare.com/provider
Volume 27 No. 11 August New Information and Reminders for Dental Services
State of New Jersey Department of Human Services Division of Medical Assistance & Health Services Volume 27 No. 11 August 2017 To: Subject: Dental Providers - For Action Managed Care Organizations For
Types of prostetic appliances Dr. Barbara Kispélyi
Semmelweis University Faculty of Dentistry Department of Prosthodontics Types of prostetic appliances Dr. Barbara Kispélyi Types of prostetic appliances Types of the fixed prostetic appliances According
CDT Companion. Help Guide and Training Manual
CDT 2016 Companion Help Guide and Training Manual Categories of Service The CDT Code is organized into twelve categories of service, each with its own series of five-digit alphanumeric codes. These categories:
Delta Dental EPO City & County of Denver Group #6791 EPO
MAXIMUM BENEFIT - Calendar Year Maximum Delta Dental EPO City & County of Denver Group #6791 EPO Unlimited See copayment schedule for additional details. Orthodontic Lifetime Unlimited See copayment schedule
HealthPartners Dental Distinctions Benefits Chart
HealthPartners Dental Distinctions Benefits Chart Effective Date: The later of the effective date, or most recent anniversary date, of the Master Group Contract and your effective date of coverage under
Practicing Minimally Invasive Dentistry with Durability and Esthetic in Mind
Clinical Applications of CAD/CAM and All Ceramic Restorations in 01 Practicing Minimally Invasive Dentistry In light of Current Technologies Practicing Minimally Invasive Dentistry with Durability and
PREDICTABILITY IN COMPREHENSIVE RECONSTRUCTION Bite registration and recovery process for comprehensive reconstructive cases.
PREDICTABILITY IN COMPREHENSIVE RECONSTRUCTION Bite registration and recovery process for comprehensive reconstructive cases. By Matt Roberts The most predictable comprehensive restorative techniques revolve
Current International Developments and Trends
Evidence Based Dentistry Current International Developments and Trends Asbjorn Jokstad University of Oslo, Norway 02/12/2002 1 A rapidly changing society The production of new knowledge is at maximum in
Dental Benefits Options For State, Education & Local Government Employees
2016 2017 Dental Benefits Options For State, Education & Local Government Employees Option 1: Delta Dental PPO* Benefit Plan Delta Dental PPO Network Delta Dental Premier Network OR Non-Participating Dentist
Interdisciplinary Treatment Planning in Transitioning Periodontally Hopeless Dentition
Interdisciplinary Treatment Planning in Transitioning Periodontally Hopeless Dentition A clinical case review I NTRODUCTION Decreasing risk in an advanced periodontally diseased dentition presents a great
The Dental Board of California - Dental Materials Fact Sheet Adopted by the Board on October 17, 2001
The Dental Board of California - Dental Materials Fact Sheet Adopted by the Board on October 17, 2001 As required by Chapter 801, Statutes of 1992, the Dental Board of California has prepared this fact
Dental Blue Program 2
SUMMARY OF BENEFITS Dental Blue Program 2 (with Orthodontics) Medium Option Massachusetts Bankers Association Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue
DELTA DENTAL OF CALIFORNIA Client Name: University of Southern California Student Health Plan Group No.: 05008
DELTA DENTAL OF CALIFORNIA Client Name: University of Southern California Student Health Plan Group No.: 05008 BENEFIT HIGHLIGHTS FOR DELTA DENTAL PPO TABLE OF ALLOWANCE The Delta Dental PPO table plan
Elite PPO Basic (DC) Coverage Schedule for Adult Services
Elite PPO Basic (DC) Coverage Schedule for Adult Services - age 19 and over (coverage begins the first day of the month following the month in which the Member turns 19) - Benefit Coverage In-Network Out-of
Dental plan premiums for Oregon
Dental plan premiums for Oregon These premiums apply to members who live anywhere in Oregon. Plan name *Age 60+ PPO SM $40 Exclusive PPO SM $44 Premiums effective Jan. 1, 2018, through Dec. 31, 2018 *
Delta Dental of Colorado DENVER HEALTH AND HOSPITAL AUTHORITY GROUP #587. EXCLUSIVE PANEL OPTION (EPO) List of Patient Copayments
List of Copayments Code edure Code Definition Copay DIAGNOSTIC CODES D0120 Periodic oral evaluation - established patient $10.00 D0140 Limited oral evaluation - problem focused $10.00 D0145 Oral evaluation
Removable partial dentures
Removable partial dentures Feb, 4, 2015 McCracken's Removable Partial Prosthodontics, Twelfth Edition Carr, Alan B 1 Prosthesis that replaces the missing teeth and associated supporting structures in a
Benefits are payable after a twelve (12) month waiting period. We will require the following information with the first claim:
Your WellAway Broker: J+C Budmiger GmbH Eta-Glob Help-System CH-3900 Brig / Switzerland Dental Benefits Rider Basic & Major Subject to a USD $ 50 deductible per policy year All benefits In Aggregate USD
IMPLICATIONS OF EVIDENCE BASED DENTISTRY
IMPLICATIONS OF EVIDENCE BASED DENTISTRY FOR MEDICAID AND SCHIP MAX ANDERSON, DDS, MS, MEd WHERE ARE WE GOING? HOW DO WE LEVERAGE EVIDENCE BASED DENTISTRY TO IMPROVE ORAL HEALTH? WHERE ARE WE GOING? EVIDENCE
WHY DENTAL SEALANTS MIGHT BE THE RIGHT CHOICE A GUIDE FOR YOU AND YOUR CHILDREN
WHY DENTAL SEALANTS MIGHT BE THE RIGHT CHOICE A GUIDE FOR YOU AND YOUR CHILDREN We don t need to tell you why it is important to keep up with a healthy oral hygiene regimen for your child, mainly because
The Dental Board of California Dental Materials Fact Sheet Adopted by the Board on October 17, 2001
The following document is the Dental Board of California s Dental Materials Fact Sheet. The Department of Consumer Affairs has no position with respect to the language of the Dental Materials Fact Sheet;
APPENDIX G: THSTEPS DENTAL GUIDELINES
CHILDREN S SERVICES HANDBOOK APPENDIX G: THSTEPS DENTAL GUIDELINES G.1 American Academy of Pediatric Dentistry Periodicity Guidelines (9 Pages)........ CH-382 G.2 American Dental Association Guidelines
Texas Essential Health Benefit PLUS Family Plan with EHB PLUS (for Children)
This summary of benefits, along with the exclusions and limitations describe the benefits of the Essential Health Benefit PLUS Family Plan with EHB PLUS (for Children). Please review closely to understand
Delta Dental of Colorado EXCLUSIVE PANEL OPTION (EPO) Schedule EPO 1B List of Patient Co-Payments. * See Special Provisions on Last Page
List of Co-Payments Code edure Code Definition Co-Pay DIAGNOSTIC CODES D0120 Periodic oral evaluation - established patient $10.00 D0140 Limited oral evaluation - problem focused $10.00 D0145 Oral evaluation
General Dentist Fee Schedule
General Dentist Fee Schedule ADA Diagnostic D0120 Periodic oral evaluation $0 $72 $72 D0140 Limited oral evaluation problem focused $77 $107 $30 D0150 Comprehensive oral evaluation new or established patient
General Dentist Fee Schedule
General Dentist Fee Schedule Diagnostic D0120 Periodic oral evaluation $0 $59 $59 D0140 Limited oral evaluation problem focused $71 $88 $17 D0150 Comprehensive oral evaluation new or established patient
Question #2: What range of options would you present to this patient?
Question #2: What range of options would you present to this patient? Some highlights of different treatment planning perspectives 1 Tidy up orthodontic treatment before proceeding with any type of treatment,...implant/
Fee Schedule Detail Procedure Procedure Description Code Fee
Fee Schedule Detail Procedure Procedure Description Code Fee D0120 PERIODIC ORAL EVALUATION - ESTABLISHED PATIENT $ 32.29 D0140 LIMITED ORAL EVALUATION-PROBLEM FOCUSED $ 53.02 D0150 COMPREHENSIVE ORAL
SCD Case Study. Attachments in Prosthodontics
SCD Case Study Attachments in Prosthodontics Precision attachments are retention units milled out of alloy. They have male and female parts that fit together with tolerances of 10 microns. It is important
DENTAL FOR EVERYONE DIAMOND PLAN PPO & PREMIER SUMMARY OF BENEFITS, LIMITATIONS AND EXCLUSIONS
DENTAL FOR EVERYONE DIAMOND PLAN PPO & PREMIER SUMMARY OF BENEFITS, LIMITATIONS AND EXCLUSIONS DEDUCTIBLE Your dental plan features a deductible. This is an amount you must pay out of pocket before Benefits
Clincheck Setup for the Occlusion Minded Dentist
What Today is About Clincheck Setup for the Occlusion Minded Dentist Guidelines for setting up a case Look at actual ClinCheck setups The statements, views and opinions expressed in this program and related
Out-of- In-Network Essential Health Benefit. Network** N/A Class IV/Orthodontia N/A Deductible. $0 $50 Out of Pocket Maximum
Utah Essential Health Benefit PPO Family Plan with EHB (for Children) This summary of benefits, along with the exclusions and limitations describe the benefits of the Essential Health Benefit PPO Family
Dental Blue Program 2. Summary of Benefits. Amherst College
Dental Blue Program 2 Summary of Benefits Amherst College Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association Dental Blue Program 2 Preventive
If we listen to our patients, our treatment acceptance can approach 100%
Module 2 ADVANCED TREATMENT PLANNING: CONCEPTS Treatment Planning: Edentulism Dentures: Standard or Turbyfill. Dentures: Mini-Implant Retained: Soft tissue supported denture. Dentures: Standard Implant
Peninsula Dental Social Enterprise (PDSE)
Peninsula Dental Social Enterprise (PDSE) Amalgam Policy Version 2.0 Date approved: July 2018 Approved by: The Board Review due: July 2020 Policy will be updated as required in response to a change in
The costs and benefits of prosthodontic interventions:
PROSTHODONTICS 4th year - Fall 2008 The costs and benefits of prosthodontic interventions: Treatment outcomes in prosthodontics and importance of oral hygiene compliance and good control routines Asbjørn
deltadentalins.com/usc
Plan Benefit Highlights for: UNIVERSITY OF SOUTHERN CALIFORNIA STUDENT PLAN Group No: 05008 The Delta Dental PPO table plan provides you great dental benefits at a reasonable cost. With a table of allowance
RETIREE DENTAL PLAN. RETIREE DENTAL PLAN FEE SCHEDULE Page 1 of 8
D0120 periodic oral evaluation $ 30.50 D0140 limited oral evaluation problem focused $ 30.50 D0150 comprehensive oral evaluation - new or established patient $ 30.50 D0160 detailed and extensive oral evaluation
DF1 Case Studies Restorative Case
DF1 Case Studies Restorative Case Before After Michael Hicks North Western Deanery Background Miss O attended for a routine check-up following the birth of her daughter. She had a neglected dentition but
How to be a Wiser Dental Consumer
How to be a Wiser Dental Consumer Jeffery W. Johnston DDS MS VP and Operating Chief Science Officer Delta Dental MI, OH, IN Adjunct Clinical Professor, The University of Michigan Diplomate, American Board
Advanced restorative techniques and the full mouth reconstruction: the use of gold copings in bridgework
Clinical Advanced restorative techniques and the full mouth reconstruction: the use of gold copings in bridgework Paul Tipton 1 Introduction From the studies produced by Lindhe and Nyman, described earlier
Delta Dental EPO City & County of Denver Group #6791 EPO
MAXIMUM BENEFIT - Calendar Year Maximum Delta Dental EPO City & County of Denver Group #6791 EPO Unlimited See copayment schedule for additional details. Orthodontic Lifetime Unlimited See copayment schedule
PART 3 WHAT IS COVERED
PART 3 WHAT IS COVERED A. DEDUCTIBLE Deductible is the amount of charges you will pay before We begin to pay for certain Covered Services. 1. Your Yearly Deductible for Covered Services is $25.00. During
Delta Dental PPO Plan Benefit Summary
Delta Dental PPO Plan Benefit Summary SAIF Corporation Group ID: 10001747 Effective: January 1, 2018 Calendar year costs Annual Maximum, per member Calendar year deductible, per member Calendar year maximum
Delta Dental PPO EPO PLAN DESIGN THE NORFOLK CONSORTIUM
Delta Dental PPO EPO PLAN DESIGN THE NORFOLK CONSORTIUM SCHEDULE OF BENEFITS AND COPAYMENTS/ The benefits shown below are performed as deemed appropriate by the attending Dentist subject to the limitations
A Tale of 2 Evidence Based Reviews: Current Evidence on Community Water Fluoridation
A Tale of 2 Evidence Based Reviews: Current Evidence on Community Water Fluoridation Jay Kumar, DDS, MPH State Dental Director Disclaimer The views and opinions expressed in this presentation are that
STRIVING FOR EXCELLENCE WITH EBD. Jane Gillette, DDS
STRIVING FOR EXCELLENCE WITH EBD Jane Gillette, DDS What is excellence? Overview Are we practicing with excellence of knowledge? Why does some science fail us? What do our patients consider evidence?
DELTA DENTAL PPO EPO PLAN DESIGN CP070
DELTA DENTAL PPO EPO PLAN DESIGN CP070 SCHEDULE OF BENEFITS AND The benefits shown below are performed as deemed appropriate by the attending Dentist subject to the limitations and exclusions of the program.
WARM SPRINGS IHS IMPLEMENTS A NON-INVASIVE APPROACH TO CARIES IN CHILDREN. Frank Mendoza, DDS Pediatric Dentist Warm Springs IHS
WARM SPRINGS IHS IMPLEMENTS A NON-INVASIVE APPROACH TO CARIES IN CHILDREN Frank Mendoza, DDS Pediatric Dentist Warm Springs IHS CONFEDERATED TRIBES OF WARM SPRINGS Approximately 5,208 members Approximately
Welcome to Arkansas Blue Cross and Blue Shield Dental Plan
Welcome to Arkansas Blue Cross and Blue Shield Dental Plan University of Arkansas System Dental Program Beginning January 1, 2018, the University of Arkansas System dental plan will be administered by
Tooth and Surface Identification (TID and SID)
Tooth and Surface Identification (TID and SID) Dental treatment documentation and billing require to properly identify teeth and tooth surfaces. Incorrect TID and SID are frequent reasons for claim denial
Thebemed Medical Scheme Dental Benefit Table
CONSERVATIVE DENTISTRY Thebemed Medical Scheme Dental Benefit Table 2017 ENERGY CORE OPTION DENTAL BENEFIT TABLE 2017 ENERGY MEDIUM OPTION DENTAL BENEFIT TABLE 2017 ENERGY OPEN OPTION DENTAL BENEFIT TABLE
You just get more with
You just get more with Over 5 million restorations delivered through the Authorized BruxZir Laboratory network The #1 prescribed brand of solid zirconia is available at dental laboratories nationwide.
Systematic reviews & Meta-analysis
Systematic reviews & Meta-analysis Asbjørn Jokstad University of Oslo, Norway 15/07/2004 1 The Review article An attempt to synthesise the results and conclusions of two or more publications on a given
Excellent temporaries
Excellent temporaries User report on Structur 2 SC and Structur 2 Premium from VOCO T he use of acrylic and composite type materials for the provisionalisation of crown and bridge work has been well established
HealthPartners State of Minnesota Dental Plan Appendix
HealthPartners State of Minnesota Dental Plan Appendix Effective Date: The later of the effective date of your Employer s Dental Benefit Plan or your effective date of coverage under the Plan. See Section
EFFECTIVE DATE: 04/24/14 REVISED DATE: 04/23/15, 04/28/16, 06/22/17, 06/28/18 POLICY NUMBER: CATEGORY: Dental
MEDICAL POLICY SUBJECT: DENTAL IMPLANTS PAGE: 1 OF: 5 If a product excludes coverage for a service, it is not covered, and medical policy criteria do not apply. If a commercial product (including an Essential
INTRODUCTION TO GUARDIAN CLINICAL POLICY
DENTAL INSURANCE INTRODUCTION TO GUARDIAN CLINICAL POLICY April 26, 2018 Introduction and General Clinical Guidelines Prosthodontics Periodontics Oral Surgery General Anesthesia/IV Sedation Page 1 of 6
6610 NE 181st Street, Suite #1, Kenmore, WA
660 NE 8st Street, Suite #, Kenmore, WA 9808 www.northshoredentalacademy.com.08.900 READ CHAPTER The Professional Dental Assistant (p.-9) No Key Terms Recall Questions:,,,, and 6 CLASS SYLLABUS DAY READ
HDS PROCEDURE CODE GUIDELINES
D0100 - D0999 Clinical Oral Evaluations D0120 - D0180 The codes in this section have been revised to recognize the cognitive skills necessary for patient evaluation. The collection and recording of some
HSCSN Table Top Reference Guide
Age Limitation Covered One per 6 months per dentist or dental group. Only one exam (D0120) every 6 months per dentist or dental D0120 iodic oral evaluation 0-20 No group. D0140 Limited oral evaluation
GOVERNMENT NOTICE GOEWERMENTSKENNISGEWING
STAATSKOERANT, 11 MAART 2011 No,34101 3 GOVERNMENT NOTICE GOEWERMENTSKENNISGEWING DEPARTMENT OF HEALTH DEPARTEMENT VAN GESONDHEID No. R. 212 11 March 2011 HEALTH PROFESSIONS COUNCIL OF SOUTH AFRICA REGULATIONS
Magnification so what!
Magnification so what! Case report 2. Precision Tooth Preparation. Dr. Shamir B. Mehta BDS BSC MClinDent(Prosth) GDP Harrow, Senior clinical teacher & Deputy Director MSc Aesthetic Dentistry, King s College
Prosthodontic Rehabilitation with Overdenture Using Modified Impression Technique: A Case Report
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 14, Issue 10 Ver.VII (Oct. 2015), PP 102-107 www.iosrjournals.org Prosthodontic Rehabilitation with Overdenture
Telescopic Retainers: An Old or New Solution? A Second Chance to Have Normal Dental Function
Telescopic Retainers: An Old or New Solution? A Second Chance to Have Normal Dental Function Joseph B. Breitman, DMD, FACP, 1,2 Scott Nakamura, DMD, 3 Arnold L. Freedman, DDS, 4 & Irving L. Yalisove, DDS
Evidence-Based Integrated Care Plan (EBICP)
Evidence-Based Integrated Care Plan (EBICP) Wouldn t it be nice if those who needed extra care could get extra care for no extra cost? With Delta Dental, they can. s Evidence-Based Integrated Care Plan