This type of appliance could be appropriate to either Band 2 or Band 3 treatment, depending on where the appliance is made.
Band 2 is appropriate if it's a chair-side made appliance.
Band 3 is appropriate if the appliance is made in a laboratory supported by evidence of a laboratory docket or prescription.
As with any Band 2 or Band 3 claim, an examination and an assessment of the patient's oral health and completion of the planned treatment is a requirement.
If clinical records were subsequently reviewed following submission of a claim, there would be an expectation the record would include a description of the presenting symptoms, diagnosis, clinical justification for the type of appliance, fitting and adjustment of the appliance, and a review after treatment.
Study models and a review appointment are not technically required for submission of a Band 3 claim relating to providing a patient with a laboratory constructed occlusal appliance, however good practice would suggest an expectation that:
- study models were available as a reference point for assessment of possible future tooth surface loss, where applicable
- at least one follow-up appointment was arranged in that same course of treatment to assess the fit of the appliance or patient symptoms, tolerance and compliance