Medical check-up (dentistry)
| Classification according to ICD-10 | |
|---|---|
| Z01.2 | Examination of the teeth |
| ICD-10 online (WHO version 2019) | |
During the dental check- up the teeth and the oral cavity are examined in detail by the dentist for tooth, mouth and jaw diseases.
Assessment
After taking the anamnesis , the teeth are first examined, starting with tooth 18 (top right from the patient's perspective) and examining the maxillary teeth up to tooth 28 (top left). Then continue with tooth 38 (bottom left) and carry out the examination up to tooth 48 (bottom right). The findings are recorded in a dental scheme , with the FDI scheme having established itself internationally. Then the entire oral mucosa and the tongue (tongue base, tongue edges) are examined for changes. The periodontal screening index (PSI) is then recorded, which measures the depth of the gingival pocket. Periodontal diseases can be derived from the latter . The statutory health insurance companies only measure the PSI every two years. This is followed by a palpatory examination of the temporomandibular joints and the masticatory muscles . If necessary, the functionality of the existing dentures is checked.
Optionally, an X-ray examination , a sensitivity test and a percussion test of the teeth, a plaque staining test or a caries risk test can follow. In some cases, additional microbiological (detection of certain periodontal pathogenic bacteria) and genetic (detection of a genetic predisposition) tests are carried out.
In addition to the determination of the above-mentioned findings, the patient is usually unobtrusively recorded by numerous additional findings. This includes the determination of
- existing and missing teeth
- Abrasions
- Cervical erosions
- Discoloration
- Tartar formation
A periodontal status is recorded for diseases of the periodontium .
Orthodontic Exam
Orthodontic examination to clarify the indication and timing of orthodontic-therapeutic measures is a fee item for people with statutory health insurance ( reference no. 01k ). It is predictable for the orthodontic assessment and diagnostics, which are a prerequisite for every orthodontic treatment. It is only available from the dentist / orthodontist, who may also plan the orthodontic treatment according to Bema no. 5 (orthodontic treatment planning), predictable:
- if orthodontic treatment starts within the next 6 months
- in the case of referral to the orthodontist within the next 6 months
- if it is determined that there will be no need for orthodontic treatment in the next 6 months
The service can be re-billed at the earliest after 6 months.
Statutory health insurance
Statutory health insurance companies cover the costs of a normal preventive check-up once every six months, with a minimum interval of 4 months.
Separate regulations apply to early diagnosis examinations for children and adolescents.
Bonus booklet
The bonus booklet is proof of regular dental examinations and adequate oral hygiene . Those with statutory health insurance need the bonus booklet as proof of entitlement to an increased fixed allowance for standard care for dental prosthesis treatment.
Private health insurance
Private health insurances cover the costs of the preventive medical check-up, whereby this is usually reimbursable for the treatment of the same illness once per treatment case . The treatment case is defined as the period of one month.
Individual evidence
- ↑ WG Esders, Rational work processes in the dental practice, Thieme Verlag, (2006) ISBN 3-13-132261-6
- ↑ Uniform evaluation standard - Part 3 - 01k ( page no longer available , search in web archives ) Info: The link was automatically marked as defective. Please check the link according to the instructions and then remove this notice.
- ↑ Guideline of the Federal Joint Committee for an adequate, appropriate and economical dental care contract
- ↑ Guidelines of the Federal Committee of Dentists and Health Insurance Companies on the early detection examinations for dental, oral and jaw diseases (dental early detection in accordance with Section 26 Paragraph 1 Clause 2 SGB V)
- ↑ Fee schedule for doctors, Section B. Basic and general services, general provisions, 1.)
