A-29, r. 5 - Regulation respecting the application of the Health Insurance Act

Section 35 Disposition versions

2020-05-07

35. The services referred to in section 31 and the services referred to hereafter are considered insured services where they are rendered by a dentist to an insured person under 10 years of age:

(a)  extraction of a tooth or root;

(b)  the following restoration services:

i.  obturation:

(A)  amalgam;

(B)  with aesthetic material (on an anterior tooth or on a buccal or mesial surface of an upper premolar);

(C)  reconstitution of the incisal third or complete of an anterior tooth in aesthetic material;

ii.  pivots;

iii.  prefabricated metallic crown;

iv.  prefabricated crown (porcelain-fused-to-metal or aesthetic material) on a deciduous anterior tooth;

v.  recementation of a prefabricated crown;

(c)  the following endodontic services:

i.  sedative dressing;

ii.  pulpotomy on a permanent tooth under general anaesthesia;

iii.  pulpotomy or pulpectomy on a deciduous tooth;

iv.  apexification on a permanent tooth (insertion of dentinogenic medium in order to close the apex);

v.  root canal treatment on a permanent tooth with a guttapercha point.

R.R.Q., 1981, c. A-29, r. 1, s. 35; O.C. 1712-82, s. 1; O.C. 1771-83, ss. 3 and 4; O.C. 1980-88, s. 2; O.C. 1134-91, s. 2; O.C. 1192-92, s. 3; O.C. 1469-92, s. 7; O.C. 69-94, s. 1; O.C. 1179-95, s. 7; O.C. 1287-96, s. 3; O.C. 1100-99, s. 1; O.C. 550-2004, s. 1; O.C. 840-2004, s. 1; O.C. 65-2014, s. 1; O.C. 21-2015, s. 1; O.C. 446-2020, s. 3.

2015-02-12

35. For the purposes of the second paragraph of section 3 of the Act, the dental services listed below are considered insured services for any insured person under 10 years of age:

(A)  Diagnosis:

Examination

Consultation

(B)  Radiography:

Intraoral radiographs

Extraoral radiographs

Injection of contrast substance

(C)  (paragraph revoked)

(D)  Anaesthesia:

Local or regional

(E)  Restorations:

Obturation

— amalgam

— with aesthetic material (on anterior tooth or on a buccal or mesial surface of an upper premolar)

— complete reconstitution of one third of an incisor

— complete reconstitution of an anterior tooth in aesthetic material

Pivots

Prefabricated crown

— aesthetic material on anterior deciduous tooth

— metallic

Recementation of prefabricated crown

(F)  Endodontics:

Sedative dressing

Pulpotomy on deciduous tooth

Pulpotomy on permanent tooth under general anaesthesia

Pulpectomy on deciduous tooth

Apexification on permanent tooth (insertion of dentinogenic medium in order to close the apex)

Treatment of root canal of permanent tooth with guttapercha point or silver point

Emergency treatment

— emergency opening of pulp chamber

(G)  Surgery:

Package for complex surgery (cases of trauma, reconstruction or oncology where the duration of the anaesthesia is 6 hours or more)

Extraction of teeth

Excision of roots

Removal of foreign body from oral cavity or maxilla

Removal of teeth, dental fragments or foreign body by anthrostomy

Surgical exposure, for orthodontic purposes, of tooth whose crown is covered with bony tissue

Incision and drainage of abscess

Osteitis treatment

— alveolitis

— osteomyelitis

Excision and curettage of intraosteal cyst or granuloma

Marsupialization of intraosseous cyst

Evacuation of cervicofacial hematoma / seroma

Biopsy

Excision of tumor

Mandibulectomy

Maxillectomy

Complete lowering of the floor of the mouth

Extension of mucous folds

Excision of genial apophyses

Excision of mylohyoid ridge

Reinsertion of mylohyoid muscle

Alveolectomy

Tuberoplasty

Alveoplasty

Excision of hyperplastic tissue

Excision of excess mucous membrane

Excision of torus

Treatment of salivary glands

Closure of buccosinusal opening

Frenectomy

Gingivectomy in the case of hyperplastic gingivitis resulting from absorption of medicinal substance

Operculectomy

Haemorrhage control

Repair of laceration of soft tissue

Complete avulsion of inferior dental nerve

Avulsion of a branch of trigeminal nerve

Neural transposition and decompression

Alcoholization of a branch of trigeminal nerve

Infiltration of a branch of trigeminal nerve for diagnostic purposes

Anastomosis of a peripheral nerve under a microscope

Vascular anastomosis under a microscope

Implantation of alloplastic craniomaxillofacial prosthesis to correct congenital, developmental or post-traumatic defects

Craniomaxillofacial distractor

Stitching of a cut nerve (neurorraphy)

Tracheotomy

Submandibular percutaneous intubation

Cleft palate

— closing of soft palate

— closing of hard palate

— additional lengthening of palate with intravelar myoplasty

— pharyngeal flap to cure velopharyngeal insufficiency

— cure of residual palatal fistula

— reconstruction of alveolar ridge

— primary rhinoplasty in the presence of cleft lip

— secondary rhinoplasty by open or endonasal approach

Cheiloplasty (reconstruction of lip)

Glossectomy

Bone graft

Taking of graft

Reduction of fractures

— bicoronal flap

— reduction of frontal bone

— occlusion of frontal sinus

— zygomatic arch

— zygomatic arch or malar bone, or both

— orbit

— nose

— maxilla

— mandible

— condyle

— alveolar bone

— opened reduction of bucket handle mandibular fracture

Immobilization of tooth loosened by trauma

Reimplantation of completely exfoliated tooth

Mandibular reconstruction plate and bone fixation

— placement of reconstruction plate

— removal of bone fixation (pins, plate or screws) by surgical approach

Intermaxillary fixation and preprosthetic splint

Treatment of temporomandibular articulation

— luxation

— meniscectomy

— condylectomy

— high condylectomy (condyloplasty)

— temporomandibular arthroplasty

— coronoidectomy

— infiltration of temporomandibular articulation (inter-articular medication including substance)

— arthrocentesis

— arthroscopy

— injection of botulinum toxin for functional purposes

— implantation of glenoid fossa prosthesis

— implantation of condylar prosthesis

— cure of ankylosis

Osteotomy

— mandible

- vertical or horizontal branch by intra or extraoral approach

- segmental

— maxilla

- le Fort I

- total turbinectomy

- le Fort II

- le Fort III

- segmental

- zygomatic arch

- nasal pyramid

— interdental

Corticotomy

Repositioning or lessening of symphysis menti

Emergency opening of pulp chamber (emergency endodontia)

Oncology and reconstruction

— neck dissection

— lip repair with Abbé flap or cross lip flap

— correction of post-traumatic or surgical scars

— post-traumatic / cleft lip dermabrasion

— graft by transfer of local pedicled myocutaneous flap

— graft by transfer of regional pedicled flap

— free cutaneous graft, head and neck region

— graft by free microanastomosed flap

— intralesional injection of pharmaceutical agent for non-cosmetic purposes.

R.R.Q., 1981, c. A-29, r. 1, s. 35; O.C. 1712-82, s. 1; O.C. 1771-83, ss. 3 and 4; O.C. 1980-88, s. 2; O.C. 1134-91, s. 2; O.C. 1192-92, s. 3; O.C. 1469-92, s. 7; O.C. 69-94, s. 1; O.C. 1179-95, s. 7; O.C. 1287-96, s. 3; O.C. 1100-99, s. 1; O.C. 550-2004, s. 1; O.C. 840-2004, s. 1; O.C. 65-2014, s. 1; O.C. 21-2015, s. 1.

2014-02-27

35. For the purposes of the second paragraph of section 3 of the Act, the dental services listed below are considered insured services for any insured person under 10 years of age:

(A)  Diagnosis:

Examination

Consultation

(B)  Radiography:

Intraoral radiographs

Extraoral radiographs

Injection of contrast substance

(C)  (paragraph revoked)

(D)  Anaesthesia:

Local or regional

(E)  Restorations:

Obturation

— amalgam

— with aesthetic material (on anterior tooth or on a buccal or mesial surface of an upper premolar)

— complete reconstitution of one third of an incisor

— complete reconstitution of an anterior tooth in aesthetic material

Pivots

Prefabricated crown

— aesthetic material on anterior deciduous tooth

— metallic

Recementation of prefabricated crown

(F)  Endodontics:

Sedative dressing

Pulpotomy on deciduous tooth

Pulpotomy on permanent tooth under general anaesthesia

Pulpectomy on deciduous tooth

Apexification on permanent tooth (insertion of dentinogenic medium in order to close the apex)

Treatment of root canal of permanent tooth with guttapercha point or silver point

Emergency treatment

— emergency opening of pulp chamber

(G)  Surgery:

Package for complex surgery (cases of trauma, reconstruction or oncology where the duration of the anaesthesia is 6 hours or more)

Extraction of teeth

Excision of roots

Removal of foreign body from oral cavity or maxilla

Removal of teeth, dental fragments or foreign body by anthrostomy

Surgical exposure, for orthodontic purposes, of tooth whose crown is covered with bony tissue

Incision and drainage of abscess

Osteitis treatment

— alveolitis

— osteomyelitis

Excision and curettage of intraosteal cyst or granuloma

Biopsy

Excision of tumor

Mandibulectomy

Maxillectomy

Complete lowering of the floor of the mouth

Extension of mucous folds

Excision of genial apophyses

Excision of mylohyoid ridge

Reinsertion of mylohyoid muscle

Alveolectomy

Tuberoplasty

Alveoplasty

Excision of hyperplastic tissue

Excision of excess mucous membrane

Excision of torus

Treatment of salivary glands

Closure of buccosinusal opening

Frenectomy

Gingivectomy in the case of hyperplastic gingivitis resulting from absorption of medicinal substance

Operculectomy

Haemorrhage control

Repair of laceration of soft tissue

Complete avulsion of inferior dental nerve

Avulsion of a branch of trigeminal nerve

Neural transposition and decompression

Alcoholization of a branch of trigeminal nerve

Infiltration of a branch of trigeminal nerve for diagnostic purposes

Anastomosis of a peripheral nerve under a microscope

Stitching of a cut nerve (neurorraphy)

Tracheotomy

Submandibular percutaneous intubation

Palatine fissure

Cheiloplasty (reconstruction of lip)

Glossectomy

Bone graft

Taking of graft

Reduction of fractures

— bicoronal flap

— reduction of frontal bone

— occlusion of frontal sinus

— zygomatic arch

— zygomatic arch or malar bone, or both

— orbit

— nose

— maxilla

— mandible

— condyle

— alveolar bone

Immobilization of tooth loosened by trauma

Reimplantation of completely exfoliated tooth

Insertion of splints

— intra- or periosteal (stem or wire for pericranial suspension)

— placement of a reconstruction plate

— acrylic prosthesis or cap splint attached to maxilla or teeth

— arch

— pericranial device

Removal of splints

— intra- or periosteal: stem, wire or screw for pericranial suspension or pericranial device, or both

— acrylic prosthesis or cap splint attached to maxilla or teeth

— arch

— pins, plates or screws requiring a surgical approach

Treatment of temporomandibular articulation

— luxation

— meniscectomy

— condylectomy

— high condylectomy (condyloplasty)

— temporomandibular arthroplasty

— coronoidectomy

— infiltration of temporomandibular articulation (inter-articular medication including substance)

— arthrocentesis

— arthroscopy

Osteotomy

— mandible

- vertical or horizontal branch by intra or extraoral approach

- segmental

— maxilla

- le Fort I

- total turbinectomy

- le Fort II

- le Fort III

- segmental

- zygomatic arch

- nasal pyramid

— interdental

Corticotomy

Repositioning or lessening of symphysis menti

Emergency opening of pulp chamber (emergency endodontia).

R.R.Q., 1981, c. A-29, r. 1, s. 35; O.C. 1712-82, s. 1; O.C. 1771-83, ss. 3 and 4; O.C. 1980-88, s. 2; O.C. 1134-91, s. 2; O.C. 1192-92, s. 3; O.C. 1469-92, s. 7; O.C. 69-94, s. 1; O.C. 1179-95, s. 7; O.C. 1287-96, s. 3; O.C. 1100-99, s. 1; O.C. 550-2004, s. 1; O.C. 840-2004, s. 1; O.C. 65-2014, s. 1.

2012-09-01

35. For the purposes of the second paragraph of section 3 of the Act, the dental services listed below are considered insured services for any insured person under 10 years of age:

(A)  Diagnosis:

Examination

Consultation

(B)  Radiography:

Intraoral radiographs

Extraoral radiographs

Injection of contrast substance

(C)  (paragraph revoked)

(D)  Anaesthesia:

Local or regional

(E)  Restorations:

Obturation

— amalgam

— with aesthetic material (on anterior tooth or on a buccal or mesial surface of an upper premolar)

— complete reconstitution of one third of an incisor

— complete reconstitution of an anterior tooth in aesthetic material

Pivots

Prefabricated crown

— aesthetic material on anterior deciduous tooth

— metallic

Recementation of prefabricated crown

(F)  Endodontics:

Sedative dressing

Pulpotomy on deciduous tooth

Pulpectomy on deciduous tooth

Apexification on permanent tooth (insertion of dentinogenic medium in order to close the apex)

Treatment of root canal of permanent tooth with guttapercha point or silver point

Emergency treatment

— emergency opening of pulp chamber

(G)  Surgery:

Package for complex surgery (cases of trauma, reconstruction or oncology where the duration of the anaesthesia is 6 hours or more)

Extraction of teeth

Excision of roots

Removal of foreign body from oral cavity or maxilla

Removal of teeth, dental fragments or foreign body by anthrostomy

Surgical exposure, for orthodontic purposes, of tooth whose crown is covered with bony tissue

Incision and drainage of abscess

Osteitis treatment

— alveolitis

— osteomyelitis

Excision and curettage of intraosteal cyst or granuloma

Biopsy

Excision of tumor

Mandibulectomy

Maxillectomy

Complete lowering of the floor of the mouth

Extension of mucous folds

Excision of genial apophyses

Excision of mylohyoid ridge

Reinsertion of mylohyoid muscle

Alveolectomy

Tuberoplasty

Alveoplasty

Excision of hyperplastic tissue

Excision of excess mucous membrane

Excision of torus

Treatment of salivary glands

Closure of buccosinusal opening

Frenectomy

Gingivectomy in the case of hyperplastic gingivitis resulting from absorption of medicinal substance

Operculectomy

Haemorrhage control

Repair of laceration of soft tissue

Complete avulsion of inferior dental nerve

Avulsion of a branch of trigeminal nerve

Neural transposition and decompression

Alcoholization of a branch of trigeminal nerve

Infiltration of a branch of trigeminal nerve for diagnostic purposes

Anastomosis of a peripheral nerve under a microscope

Stitching of a cut nerve (neurorraphy)

Tracheotomy

Submandibular percutaneous intubation

Palatine fissure

Cheiloplasty (reconstruction of lip)

Glossectomy

Bone graft

Taking of graft

Reduction of fractures

— bicoronal flap

— reduction of frontal bone

— occlusion of frontal sinus

— zygomatic arch

— zygomatic arch or malar bone, or both

— orbit

— nose

— maxilla

— mandible

— condyle

— alveolar bone

Immobilization of tooth loosened by trauma

Reimplantation of completely exfoliated tooth

Insertion of splints

— intra- or periosteal (stem or wire for pericranial suspension)

— placement of a reconstruction plate

— acrylic prosthesis or cap splint attached to maxilla or teeth

— arch

— pericranial device

Removal of splints

— intra- or periosteal: stem, wire or screw for pericranial suspension or pericranial device, or both

— acrylic prosthesis or cap splint attached to maxilla or teeth

— arch

— pins, plates or screws requiring a surgical approach

Treatment of temporomandibular articulation

— luxation

— meniscectomy

— condylectomy

— high condylectomy (condyloplasty)

— temporomandibular arthroplasty

— coronoidectomy

— infiltration of temporomandibular articulation (inter-articular medication including substance)

— arthrocentesis

— arthroscopy

Osteotomy

— mandible

- vertical or horizontal branch by intra or extraoral approach

- segmental

— maxilla

- le Fort I

- total turbinectomy

- le Fort II

- le Fort III

- segmental

- zygomatic arch

- nasal pyramid

— interdental

Corticotomy

Repositioning or lessening of symphysis menti

Emergency opening of pulp chamber (emergency endodontia).

R.R.Q., 1981, c. A-29, r. 1, s. 35; O.C. 1712-82, s. 1; O.C. 1771-83, ss. 3 and 4; O.C. 1980-88, s. 2; O.C. 1134-91, s. 2; O.C. 1192-92, s. 3; O.C. 1469-92, s. 7; O.C. 69-94, s. 1; O.C. 1179-95, s. 7; O.C. 1287-96, s. 3; O.C. 1100-99, s. 1; O.C. 550-2004, s. 1; O.C. 840-2004, s. 1.