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UnitedHealthcare Dental Coverage GuidelineFULL MOUTH DEBRIDEMENT Guideline Number: DCG001.02 Table of Contents Page INSTRUCTIONS FOR USE .......................................... 1 BENEFIT CONSIDERATIONS

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What is full mouth debridement?

Full mouth debridement is a procedure that involves the thorough cleaning of the teeth and gums to remove plaque, tartar, and bacteria.

Who is required to file full mouth debridement?

Dentists and dental hygienists are required to perform and document full mouth debridement for patients who exhibit signs of excessive buildup of plaque and tartar.

How to fill out full mouth debridement?

Full mouth debridement is typically filled out by documenting the procedure, including the areas of the mouth that were treated, the instruments used, and any recommendations for follow-up care.

What is the purpose of full mouth debridement?

The purpose of full mouth debridement is to improve overall oral health by removing harmful bacteria and preventing gum disease and tooth decay.

What information must be reported on full mouth debridement?

Information that must be reported on full mouth debridement includes the date of the procedure, the areas treated, any complications encountered, and post-treatment recommendations.

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