| Dental Appliances/Prostheses | | Class I
|
| Custom-made dental crown metal/ceramic | |
|
| Dental bridge metal-ceramic | |
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| Custom-made dental crown ceramic | |
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| Bonded dental bridge | |
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| Custom-made dental crown metal | |
|
| Root canal post custom-made | |
|
| Ceramic dental inlay | |
|
| Resin dental inlay | |
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| Gold dental inlay | |
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| Dental crown/bridge temporary | |
|
| Dental occlusal splint custom-made | |
|