Dental Treatment

 

SL.NO.

TREATMENT TYPE

TREATMENT NAME

1

CONSULTATION

2

X-RAYS

INTRA ORAL PERIEPICAL (IOPA) (RVG)
ORTHOPANTOMOGRAM (OPG) WITH CD.
CEPHALOGRAM (CEPH)
OCCLUSAL
BITE WING RADIOGRAPH
IOPA (FILM)
TMJ TOMOGRAM (OPEN / CLOSED MOUTH VIEWS)
ONLY RIGHT / LEFT
PA CEPHALOGRAM
SUB MENTO VERTEX VIEW
SINUS VIEW

3

FILLINGS

OCCLUSAL GRINDING
IRM FILLING
GLASS IONOMER FILLING
GLASS IONOMER LINING (CERVICAL ABRATION)
COMPOSITE FILLING (SMALL)
COMPOSITE FILLING (MEDIUM)
COMPOSITE FILLING (LARGE)
COMPOSITE FILLING (CLASS - V)
CORE BUILD UP
AESTHETIC BUILD UP (EACH TOOTH)
VENEERS PORCELAIN (EACH TOOTH)
COMPOSITE PORCELAIN (EACH TOOTH)

4

RCT (including entrance fillings)

ANY TOOTH

5

PERIODONTICS

SCALING & POLISHING
SCALING
POLISHING ONLY
DEEP SCALING (UNDER LA)
CURETTAGE/FLAP/GINGIVECTOMY (Per Quadrant)
FULL MOUTH
CURETTAGE (ONE TOOTH)
BLEACHING
UPPER BLEACHING
LOWER BLEACHING
SPLINTING PER SEGMENT
COMPOSITE SPLINTING (6 UNITS)
C. SPLINTING (MORE THAN 6 UNITS)
BONE GRAFTING (PER QUAD, excludig graft material)
LOCAL PROPHY
SALINE IRRIGATION
STAIN REMOVAL

6

EXTRACTION

REGULAR
TRANS ALVEOLAR / DIFFICULT EXTRACTION
IMPACTION UNDER L.A (LOWER)
IMPACTION UNDER L.A (UPPER)
SURGIGICAL EXPOSURE OF A TOOTH
HORIZONTAL IMPACTION

7

MINOR ORAL SURGERY

APISECTOMY + EACH ADDITIONAL TOOTH
BIOPSY
ALCOHOL INJECTION
OPERCULECTOMY
FRENECTOMY
ALVEOLOPLASTY (FULL MOUTH)
ALVEOLOPLASTY (ONE ARCH)
ALVEOLOPLASTY (LOCALISED)
GINGIVECTOMY / GINGIVOPLASTY

8

CROWNS & BRIDGES (PER UNIT)

ACRYLIC CROWN (JC)
FULL METAL (Ni-Cr)
METAL WITH CERAMIC FACING
METAL WITH ACRYLIC FACING
PROCELAIN/CERAMIC (PFM)
FULL CERAMIC CROWN
DAVIS POST
CAST POST
FIBRE POST or LC POST
COMPOSITE VENEER (EACH)
PROCELAIN VENEER
PROCERA CROWN
UNITI

9

IMPLANT (CROWN /BRIDGE COST EXTRA)

ITI STRAUMAN M IMPLANT
BICORTICAL SREW IMPLANT
LIFE CARE
BRANE MARK (NOBEL BIOCARE)
SINUS LIFT SURGERY
MEMBRANE / GRAFTING CHARGES

10

DENTURES

COMPLETE DENTURE (INDIAN)
COMPLETE DENTURE (IMPORTED)
COMPLETE DENTURE (LUCITONE)
UPPER CD (INDIAN)
UPPER CD (IMPORTED)
UPPER CD (LUCITONE)
LOWER CD (INDIAN)
LOWER CD (IMPORTED)
LOWER CD (LUCITONE)
PARTIAL DENTURE (Minimum 1 Unit)
EVERY ADDITIONAL UNITS
CAST PARTIAL DENTURE (CAST PD) (Minimum 2 Units)
EVERY ADDITIONAL UNITS
RELINING & REBASE
(PER DENTURES RS.2500/-)
SOFT RELINING – UPPER
SOFT RELINING – LOWER
DENTURE WITH METALLIC BASE (UPPER)
DENTURE WITH METALLIC BASE (LOWER)

11

ORTHODONTICS

FIXED APPLIANCE (FA)
CERAMIC APPLIANCE
STUDY MODELS
BROKEN ARCH WIRE
NEW BRACKETS
REFIXING BRACKETS (UP TO 2 BRACKETS FREE OF COST)
EVERY BRACKETS RS.
CAP SPLINT (SOFT / HARD)
BITE RAISING APPLIANCE

12

REMOVABLE APPLIANCE

UPPER HAWLEYS APPLIANCE (UHA)
LOWER HAWLEYS APPLIANCE (LHA)
FIXED RETAINERS (UPPER)
FIXED RETAINERS (LOWER)
SOFT SPLINT

13

FUNCTIONAL APPLIANCE

ANY FUNCTIONAL APPLIANCE (PER ARCH)
CHIN CUP / REVERSE HEAD GEAR / FACE MASK

14

SMILE DESIGNING

SMILE DESIGNING

15

PEDODONTICS

STAINLESS STEEL CROWN
PULPOTOMY
SPACE MAINTAINER (UNILATERAL)
SPACE MAINTAINER (BILATERAL)
STRIP CROWN
INCLINED PLANE
FLUORIDE (EACH TOOTH)
FILLING ANY TOOTH
SCALING
RCT ANY TOOTH
HABIT BREAKING APPLIANCE
REMOVABLE SPACE MAINTAINER
AESTHETIC BUILD UP
EXTRACTION
PIT & FISSURE SEALANT

16

TRAUMA

COMPOSITE SPLINTING

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