| (a) Oral surgery.
(1) Extraction (removing teeth).
(A) Dry socket (inflammation in the socket of a tooth).
(B) Permanent or temporary numbness or altered sensation.
(C) Sinus communication (opening from tooth socket
into the sinus cavity).
(D) Fracture of alveolus and/or mandible (upper and/or
lower jaw).
(2) Surgical exposure of tooth in order to facilitate
orthodontics.
(A) Injury to tooth or to adjacent teeth and structures.
(B) Failure to get proper attachment to tooth requiring
additional procedure.
(b) Endodontics (deals with diseases of the dental
pulp).
(1) Apicoectomy (surgical removal of root tip or end
of the tooth, with or without sealing it).
(A) Shrinkage of the gums and crown margin exposure.
(B) Sinus communication (opening from tooth socket
into the sinus cavity).
(C) Displacement of teeth or foreign bodies into nearby
tissues, spaces, and cavities.
(2) Root amputation (surgical removal of portion of
one root of a multi-rooted tooth).
(A) Shrinkage of the gums and crown margin exposure.
(B) Sinus communication (opening from tooth socket
into the sinus cavity).
(C) Displacement of teeth or foreign bodies into nearby
tissues, spaces, and cavities.
(3) Root canal therapy (from an occlusal access in
order to clean and fill the canal system).
(A) Instrument separation (tiny files which break within
the tooth canal system).
(B) Fenestration (penetration of walls of tooth into
adjacent tissue).
(C) Failure to find and/or adequately fill all canals.
(D) Expression of irrigants or filling material past
the apex of the tooth (chemicals used to clean or materials used to
fill a root may go out the end of the root and cause pain or swelling).
(E) Damage to adjacent tissues from irrigants or clamps.
(F) Fracture or loss of tooth.
(c) Periodontal surgery (surgery of the gums).
(1) Gingivectomy and gingivoplasty (involves the removal
of soft tissue).
(A) Tooth sensitivity to hot, cold, sweet, or acid
foods.
(B) Shrinkage of the gums upon healing resulting in
teeth appearing longer and greater spaces between some teeth.
(2) Anatomical crown exposure (removal of enlarged
gingival tissue and supporting bone to provide an anatomically correct
gingival relationship).
(A) Tooth sensitivity to hot, cold, sweet, or acid
foods.
(B) Shrinkage of the gums upon healing resulting in
teeth appearing longer and greater spaces between some teeth.
(3) Gingival flap procedure, including root planing
(soft tissue flap is laid back or removed to allow debridement (cleaning)
of the root surface and the removal of granulation tissue (unhealthy
soft tissue)).
(A) Permanent or temporary numbness or altered sensation.
(B) Tooth sensitivity to hot, cold, sweet, or acid
foods.
(C) Shrinkage of the gums upon healing resulting in
teeth appearing longer and greater spaces between some teeth.
(4) Apically positioned flap (used to preserve keratinized
gingival (attached gum tissue) in conjunction with osseous resection
(removal) and second stage implant procedure).
(A) Permanent or temporary numbness or altered sensation.
(B) Shrinkage of the gums upon healing resulting in
teeth appearing longer and greater spaces between some teeth.
(5) Clinical crown lengthening (removal of gum tissue
and/or bone from around tooth).
(A) Permanent or temporary numbness or altered sensation.
(B) Shrinkage of the gums upon healing resulting in
teeth appearing longer and greater spaces between some teeth.
(6) Osseous surgery-including flap entry and closure
(modification of the bony support of the teeth).
(A) Permanent or temporary numbness or altered sensation.
(B) Tooth sensitivity to hot, cold, sweet, or acid
foods.
(C) Loss of tooth.
(D) Shrinkage of the gums upon healing resulting in
teeth appearing longer and greater spaces between some teeth.
(7) Guided tissue regeneration-resorbable barrier.
(A) Permanent or temporary numbness or altered sensation.
(B) Accidental aspiration (into the lungs) of foreign
matter.
(C) Rejection of donor materials.
(8) Guided tissue regeneration-nonresorbable barrier
(includes membrane removal).
(A) Permanent or temporary numbness or altered sensation.
(B) Shrinkage of the gums upon healing resulting in
teeth appearing longer and greater spaces between some teeth.
(C) Accidental aspiration (into the lungs) of foreign
matter.
(D) Rejection of donor materials.
(9) Pedicle soft tissue graft procedure.
(A) Permanent or temporary numbness or altered sensation.
(B) Shrinkage of the gums upon healing resulting in
teeth appearing longer and greater spaces between some teeth.
(C) Rejection of donor materials.
(10) Free soft tissue graft protection-including donor
site surgery.
(A) Permanent or temporary numbness or altered sensation.
(B) Shrinkage of the gums upon healing resulting in
teeth appearing longer and greater spaces between some teeth.
(C) Rejection of graft.
(11) Sub epithelial connective tissue graft procedures.
(A) Permanent or temporary numbness or altered sensation.
(B) Shrinkage of the gums upon healing resulting in
teeth appearing longer and greater spaces between some teeth.
(C) Rejection of graft.
(12) Distal or proximal wedge procedure (taking off
gum tissue from the very back of the last tooth or between teeth).
Shrinkage of the gums upon healing resulting in teeth appearing longer
and greater spaces between some teeth.
(13) Soft tissue allograft and connective tissue double
pedicle graft from below (creates or augments gum tissue).
(A) Permanent or temporary numbness or altered sensation.
(B) Tooth sensitivity to hot, cold, sweet, or acid
foods.
(C) Shrinkage of the gums upon healing resulting in
teeth appearing longer and greater spaces between some teeth.
(d) Implant procedures.
(1) Bone grafting (replacing missing bone).
(A) Permanent or temporary numbness or altered sensation.
(B) Rejection of bone particles or graft from donor
or recipient sites.
(C) Damage to adjacent teeth or bone.
(2) Surgical placement of implant body.
(A) Blood vessel or nerve injury.
(B) Damage to adjacent teeth or bone fracture.
(C) Sinus communication (opening from tooth socket
into the sinus cavity).
(D) Failure of implant requiring corrective surgery.
(E) Cyst formation, bone loss, or gum disease around
the implant.
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