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Repair of partial or complete dentures, crowns and bridges (once each 12 months).

Adding teeth to an existing partial or complete denture.

Rebasing or relining dentures (once each 36 months).

Recementing of crowns, inlays, onlays and fixed bridgework (once each 12 months).

Other Covered Services such as:

Occlusal adjustments (once each 24 months).

Services to treat root sensitivity.

General anesthesia when administered in conjunction with covered surgical services.

Emergency dental treatment to relieve acute pain.

Emergency dental treatment to control a dental condition that requires immediate care to prevent permanent harm to the member.