SCHEDULE 1Band 1 Charges– Diagnosis, treatment planning and maintenance

Regulation 4(1)

  1. a

    clinical examination, case assessment and report

  2. b

    orthodontic case assessment and report

  3. c

    advice, dental charting, diagnosis and treatment planning

  4. d

    radiographic examination, including panoral and lateral headplates, and radiological report

  5. e

    study casts including in association with occlusal analysis

  6. f

    colour photographs

  7. g

    instruction in the prevention of dental and oral disease including dietary advice and dental hygiene instruction

  8. h

    surface application as primary preventive measures of sealants and topical fluoride preparations

  9. i

    scaling, polishing and marginal correction of fillings

  10. j

    taking material for pathological examination

  11. k

    adjustments to and easing of dentures or orthodontic appliances

  12. l

    treatment of sensitive cementum

SCHEDULE 2Band 2 Charges– Treatment

Regulation 4(2)

  1. a

    non-surgical periodontal treatment including root-planing, deep scaling, irrigation of periodontal pockets and subgingival curettage and all necessary scaling and polishing

  2. b

    surgical periodontal treatment, including gingivectomy, gingivoplasty or removal of an operculum

  3. c

    surgical periodontal treatment, including raising and replacement of a mucoperiostal flap, curettage, root planning and bone resection

  4. d

    free gingival grafts

  5. e

    permanent fillings in amalgam, composite resin, synthetic resin, glass ionomer, compomers, silicate or silico-phosphate, including acid etch retention

  6. f

    sealant restorations

  7. g

    endodontic treatment of permanent or retained deciduous teeth

  8. h

    pulpotomy

  9. i

    apicectomy

  10. j

    extraction of teeth

  11. k

    transplantation of teeth

  12. l

    oral surgery including surgical removal of cyst, buried root, unerupted tooth, impacted tooth or exostosed tooth and alveolectomy

  13. m

    soft tissue surgery in relation to the buccal cavity and lips

  14. n

    frenectomy, frenoplasty and frenotomy

  15. o

    relining and rebasing dentures including soft linings

  16. p

    addition of tooth, clasp, labial or buccal flange to dentures

  17. q

    splints (other than laboratory fabricated splints) in relation to periodontally compromised teeth and in connection with external trauma

  18. r

    bite raising appliances (other than laboratory fabricated appliances)

SCHEDULE 3Band 3 Charges– Provision of Appliances

Regulation 4(3) and (4)

a

porcelain, composite or acrylic mastique veneers, including acid etch retention

b

inlays, pinlays, onlays and palatal veneers, in alloys containing 60% or more fine gold, porcelain, composite resin and ceramics

Crowns including any pin or post aids to retention

c

full or three quarter crown cast in alloys containing not less than 331/3% fine gold or platinum or palladium

d

full or jacket crown cast in alloys containing stainless steel or cobalt chromium or nickel chromium

e

crown in porcelain or synthetic resin and other non-metallic crowns

f

full or jacket crowns in alloys containing not less than 331/3% fine gold or platinum or palladium, or alloys containing stainless steel or cobalt chromium or nickel chromium, with thermally bonded porcelain

g

jacket crown thermally bonded to wrought platinum coping

h

prefabricated full or jacket crown, including any pin or post retention

i

crowns in other materials

Bridges including any pin or post aids to retention

j

bridges in alloys containing 60% or more fine gold with or without thermally bonded facings

k

bridges cast in alloys containing stainless steel, cobalt chromium or nickel chromium, with or without thermally bonded facings

l

acid etch retained bridges

m

bridges in other materials

n

provision of full (complete) or partial dentures, overdentures and obturators in synthetic resin or metal or both synthetic resin and metal, including any cast or wrought metal components or aids to retention

o

orthodontic treatment and appliances

p

other custom made appliances excluding sports guards

SCHEDULE 4Urgent Treatment under Band 1 Charge

Regulation 4(5)

  1. a

    examination, assessment and advice

  2. b

    radiographic examination and radiological report

  3. c

    dressing of teeth and palliative treatment

  4. d

    pulpectomy or vital pulpotomy

  5. e

    re-implantation of a luxated or subluxated permanent tooth following trauma including any necessary endodontic treatment

  6. f

    repair and refixing of inlays and crowns

  7. g

    refixing a bridge

  8. h

    temporary bridges

  9. i

    extraction of not more than 2 teeth

  10. j

    provision of post-operative care including treatment of infected sockets

  11. k

    adjustment and alteration of dentures or orthodontic appliances

  12. l

    urgent treatment for acute conditions of the gingivae or oral mucosa, including treatment for pericoronitis or for ulcers and herpetic lesions, and any necessary oral hygiene instruction in connection with such treatment

  13. m

    treatment of sensitive cementum or dentine

  14. n

    incising an abscess

  15. o

    other treatment immediately necessary as a result of trauma

  16. p

    not more than 1 permanent filling in amalgam, composite resin, synthetic resin, glass ionomer, compomers, silicate or silico-phosphate including acid etch retention

SCHEDULE 5Exemptions– Categories and Evidence

Regulation 7

(1)

(2)

Category

Evidence

1

Under 18 years of age.

1

The person’s birth certificate.

2

18 years of age and receiving qualifying full-time education (within the meaning set out in paragraph 1(2) of Schedule 12ZA to the Act).

2

The person’s birth certificate and a document signed by the principal or another officer of the recognised educational establishment (within the meaning of paragraph 1(3)(a) of Schedule 12ZA to the Act), or by or on behalf of the person providing instruction by other comparable means, to the effect that the person is receiving full-time instruction at the establishment or by other comparable means.

3

Expectant mother.

3

A certificate, signed by a registered medical practitioner or a registered midwife, as to the pregnancy.

4

Having borne a child in the previous 12 months.

4

The child’s birth certificate.

SCHEDULE 6Manner of determining Charge for Replacement

Regulation 11

1

Where the Assembly on considering a claim submitted for the approval of a free replacement of a dental appliance or an orthodontic appliance supplied in the course of the provision of relevant primary dental services, considers that there are grounds for believing that—

a

the replacement is necessitated by such an act or omission as is referred to in regulation 11(1); or

b

the replacement, although necessitated by such an act or omission as is referred to in regulation 11(1), was not wholly necessitated by a lack of reasonable care as is referred to in regulation 11(3),

it may investigate the matter.

2

The Assembly may make such inquiry into any matter falling within paragraph 1 as it thinks fit and if either—

a

in its opinion the circumstances so require; or

b

the person supplied or (if he or she is under 16 years of age) the person in charge of him or her so requires,

the inquiry will take the form of an oral hearing by a committee appointed by the Assembly for the purpose.

3

The Assembly, having considered any report made by the committee under paragraph 2—

a

will determine whether the replacement is necessitated by an act or omission on the part of the person

supplied or (if the act or omission occurred when the person supplied was under 16 years of age) of the person supplied or of the person having charge of him or her when the act or omission occurred;

b

if it is so necessitated, will determine whether the replacement was not wholly necessitated by a lack of reasonable care as referred to in regulation 11(3); and

c

if it is so necessitated, will determine, in accordance with regulation 11(2) and (3), the amount of the charge to be made and recovered.

4

The Assembly will communicate its determination to—

a

the relevant person (within the meaning of regulation 11(4));

b

the provider of relevant primary dental services replacing the dental appliance or orthodontic appliance; and

c

the relevant Local Health Board.

SCHEDULE 7Revocations

Regulation 14

  • The National Health Service (Dental Charges) Regulations 1989 (S.I. 1989/394)

  • The National Health Service (Dental Charges) Amendment Regulations 1993 (S.I. 1993/419)

  • The National Health Service (Dental Charges) Amendment Regulations 1998 (S.I. 1998/2221)

  • The National Health Service (Dental Charges) Amendment (Wales) Regulations 2000 (S.I. 2000/977)

  • The National Health Service (General Dental Services) and (Dental Charges) (Amendment) (Wales) Regulations 2001 (S.I. 2001/1359) (W.87)

  • The National Health Service (General Dental Services) and (Dental Charges) (Amendment) (Wales) Regulations 2003 (S.I. 2003/138 (W10)).