Chapter 7 Dental Insurance

Level 1 care in dental care is diagnostic and preventive. This level of care involves routine check-ups, cleanings, and x-rays to diagnose and prevent dental issues. It focuses on maintaining oral health and preventing any potential problems.

Preventive dental care includes fluoride treatments. Fluoride treatments are a common preventive measure used to strengthen the teeth and prevent tooth decay. Fluoride helps to remineralize the enamel, making it more resistant to acid attacks from bacteria and plaque. Regular fluoride treatments can help to prevent cavities and maintain good oral health.

A periodic tooth cleaning is a type of treatment that falls under the category of diagnostic and preventive dentistry. This treatment involves the removal of plaque, tartar, and stains from the teeth, as well as a thorough examination of the oral cavity to detect any signs of dental problems. By regularly undergoing tooth cleaning, individuals can prevent the development of dental issues and maintain good oral health.

Respite care is not covered under a dental insurance plan. Dental insurance plans typically cover services related to dental care, such as endodontic care (root canal treatment), orthodontic care (braces), and restoration care (fillings, crowns, etc.). However, respite care refers to temporary care provided to individuals with disabilities or chronic illnesses, and it is not related to dental care. Therefore, it is not covered under a dental insurance plan.

Oral surgery is the correct answer because it involves operative treatments of the mouth, such as tooth extractions, dental implants, and jaw surgery. This type of dental care focuses on surgical procedures to treat various conditions and improve oral health. Orthodontic treatment is primarily concerned with aligning teeth and correcting bite issues, while restorative dentistry involves repairing and restoring damaged teeth. Endodontic care focuses on treating the dental pulp and root canals. Therefore, oral surgery is the most appropriate option for operative treatment of the mouth.

Fillings and crowns are examples of restorative care because they are procedures that are done to repair and restore damaged or decayed teeth. Restorative care focuses on treating dental problems and restoring the function and appearance of the teeth. Preventive care, on the other hand, aims to prevent dental problems from occurring in the first place, while diagnostic care involves identifying and diagnosing dental issues. Routine care refers to regular check-ups and cleanings.

A scheduled plan is a type of insurance plan that pays benefits for specific procedures listed in a schedule. The plan will cover the costs of these procedures up to a predetermined amount. This means that the plan will only provide benefits for the procedures that are included in the schedule, and any other procedures will not be covered. This type of plan is often used for dental or vision insurance, where specific procedures are listed and covered up to a certain limit.

Major services typically refer to more extensive dental procedures such as inlays, crowns, dentures, and orthodontics. These procedures often require specialized materials and techniques, making them more expensive. Due to their higher cost, insurance plans usually have a larger deductible or copay for major services, with copays as high as 50%. Therefore, major services are the correct category for the items mentioned in the question.

This question is asking about the type of dental treatment that would be appropriate for a patient with severe gingivitis. Gingivitis refers to inflammation of the gums, which is a characteristic of periodontal disease. Periodontics is the branch of dentistry that focuses on the prevention, diagnosis, and treatment of periodontal disease. Therefore, the correct answer is Periodontics.

Periodontics is a form of medical health insurance that covers the treatment and care of gum disease. It specifically focuses on the prevention, diagnosis, and treatment of conditions affecting the gums and supporting structures of the teeth. Orthodontic insurance, on the other hand, primarily covers the cost of braces and other procedures related to teeth alignment. Oral surgery and endodontic insurance cover different aspects of dental care, such as tooth extractions and root canal treatments, respectively. Therefore, the correct answer is Periodontics.

Restorative care is the type of care that re-establishes functional use to natural teeth. This type of care includes procedures such as fillings, crowns, bridges, and dentures, which aim to repair and restore damaged or missing teeth, allowing them to function properly again.

Prosthodontics refers to the treatment that involves the replacement of missing teeth with artificial devices, such as dentures. This branch of dentistry focuses on restoring and improving the function and appearance of teeth through the use of prosthetic devices. It includes the design, fabrication, and fitting of dental prostheses like dentures, bridges, and implants. Prosthodontics helps to restore the natural look and functionality of the teeth, allowing individuals to chew, speak, and smile confidently.

A root canal procedure is a type of dental treatment known as endodontic. This procedure involves removing the infected or damaged pulp from the tooth and filling it with a material to prevent further infection. Endodontics specifically focuses on the treatment of the dental pulp and tissues surrounding the roots of the tooth.

Fillings, oral surgery, and periodontics are considered basic services in dentistry. Basic services typically refer to routine and essential dental procedures that are necessary for maintaining oral health and preventing further dental problems. These services are commonly covered by dental insurance plans and are often the foundation of dental care, addressing common issues such as cavities, gum disease, and minor oral surgeries.

Lost dentures are excluded in a Dental Insurance plan. This means that if a person loses their dentures, they will not be covered by their insurance for the cost of replacing them.

In a non-scheduled plan, benefits are paid based on what is considered reasonable and customary. This means that the amount paid for a particular service or treatment is determined by what is considered reasonable and customary for that specific procedure in a particular geographic area. The plan also includes deductibles and coinsurance, which means that the insured individual is responsible for paying a certain portion of the cost of the service or treatment.