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Implants – Dental Coverage Guideline - UHCprovider.com

Implants Page 1 of 6 UnitedHealthcare Dental Coverage Guideline Effective 01/01/2022 Proprietary Information of UnitedHealthcare. Copyright 2022 United HealthCare Services, Inc. UnitedHealthcare Dental Cover a ge Guideline Implants Guideline Number: Effective Date: January 1, 2022 Instructions for Use Table of Contents Page Coverage Rationale .. 1 Definitions .. 2 Applicable Codes .. 2 Description of Services .. 4 References .. 4 Guideline History/Revision Information .. 5 Instructions for Use .. 5 Coverage Rationale Guidelines for implant placement, subsequent implant supported restorations, and necessary treatment of peri-implant defects: The implant fixture must be osseointegrated prior to loading with final abutment and/or prosthesis Implant must have adequate implant body to crown ratio Must not have more than two threads above the alveolar crest Implant must not be closer than to adjacent roots Same day implant placement at time of extraction considered acceptable Periodontal health of existing dentition must b

Debridement and osseous contouring of a peri -implant defect or defects surrounding a single implant and includes surface cleaning of the exposed implant surfaces, including flap entry and closure . ... Khongkhunthian P, et al. Dental implants in patients with oral mucosal diseases - a systematic review. J Oral Rehabil. 2016 May;43(5):388- 99.

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