Item Welcome to the NHS Business Services Authority Knowledge Base, the place to ask us anything you need to know

Document What band of treatment is a bite raising appliance (BRA), Nightguard, Poly Occlusal Cover (POC) or an Occlusal Appliance?

This type of appliance could be appropriate to either Band 2 or Band 3 treatment, depending on where the appliance is made.

Band 2 is appropriate if it is a chair-side made appliance and Band 3 if the appliance is made in a laboratory (supported by evidence of a laboratory docket/prescription). As with any Band 2 or Band 3 claim, an examination and an assessment of the patient’s oral health and completion of the planned treatment is a requirement.

If clinical records were subsequently reviewed following submission of a claim, then there would be an expectation that the record would include a description of the presenting symptoms, diagnosis, clinical justification for the type of appliance, fitting and adjustment of the appliance, and a review after treatment.

Study models and a review appointment are not technically required for submission of a Band 3 claim relating to providing a patient with a laboratory constructed occlusal appliance, however good practice would suggest an expectation that:

  • Study models were available as a reference point for assessment of possible future tooth surface loss (where applicable)

  • At least one follow-up appointment was arranged in that same course of treatment to assess the fit of the appliance / patient symptoms, tolerance & compliance etc.

bite raising, bite, BRA, nightguard, POC, occlusal, poly, poly acclusal, mouthguard, mouth guard, guard, nightguard, night,

Need more help?

If this doesn't answer your question please contact us directly or search again. Search Again

Rate this answer