| Dental Appliances/Prostheses | Dental Appliances/Prostheses | Class I
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| Complete upper denture | Complete upper denture |
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| Complete lower denture | Complete lower denture |
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| Partial denture | Partial denture |
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| Custom-made mouthguard | Custom-made mouthguard |
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| Dental implant suprastructure permanent custom-made | Dental implant suprastructure permanent custom-made |
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| Mandible-repositioning/palate-lifting sleep-disordered breathing orthosis | Mandible-repositioning/palate-lifting sleep-disordered breathing orthosis |
|
| Ceramic dental inlay | Ceramic dental inlay |
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| Dental bridge ceramic | Dental bridge ceramic |
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| Dental occlusal splint custom-made | Dental occlusal splint custom-made |
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| Custom-made dental crown ceramic | Custom-made dental crown ceramic |
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| Denture reliner hard | Denture reliner hard |
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| Denture reliner soft professional | Denture reliner soft professional |
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| Denture clasp metal custom-made | Denture clasp metal custom-made |
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| Overdenture | Overdenture |
|
| Orthodontic retainer | Orthodontic retainer |
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| Dental implantation drilling template custom-made | Dental implantation drilling template custom-made |
|