| Dental Appliances/Prostheses | Dental Appliances/Prostheses | Class I
|
| Denture reliner hard | Denture reliner hard |
|
| Denture clasp metal custom-made | Denture clasp metal custom-made |
|
| Complete upper denture | Complete upper denture |
|
| Complete lower denture | Complete lower denture |
|
| Overdenture | Overdenture |
|
| Partial denture | Partial denture |
|
| Orthodontic retainer | Orthodontic retainer |
|
| Dental occlusal splint custom-made | Dental occlusal splint custom-made |
|
| Mandible-repositioning sleep-disordered breathing orthosis | Mandible-repositioning sleep-disordered breathing orthosis |
|
| Mouthguard reusable | Mouthguard reusable |
|