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Are dental implants considered major restorative care for insurance?

Jan 24

When discussing your dental care plan, you might start hearing words like "basic" or "major" used to describe the necessary treatments and operations. Why does this matter? Major dental treatment describes procedures that go beyond simple fillings and root canals. Dentures, dental bridges, dental implants, and other procedures that restore lost or damaged teeth can be included in this category of services. It is crucial to understand the difference between a basic and significant treatment when discussing insurance coverage.


Tiers of Common Dental Insurance


Three groups of dental services are frequently used in dental insurance plans:


  • X-rays and cleanings are examples of preventative and diagnostic care.
  • Routine dental care, such as fillings and root canals.
  • Major restorative care, such as crowns, bridgework, and dentures.

Major dental restoration care is frequently only reimbursed up to 50% by insurance, despite the fact that insurance typically covers 100% of the cost of preventative procedures and roughly 75–80% of the cost of essential treatments. This means that you will be responsible for paying half of the overall cost of major dental work out of pocket.


Dental implants are a major restorative care for insurance.


For insurance purposes, dental implants are regarded as substantial restorative care. They do not require prior insurance company approval and are covered by the majority of dental plans.


Insurance companies view dental implants as severe restorative care.


Dental implants are considered primary restorative care for insurance companies. The coverage varies from company to company, but most dental implant coverage is obtained through supplemental plans.


Dental implants are considered major restorative care for insurance because they are expensive and require a lot of time.


Because they are costly and time-consuming, dental implants are regarded by insurance as substantial restorative care. Insurance companies often pay for dental implants as an effective restorative therapy. However, the patient must verify what their particular insurance provider will pay for.


Insurance companies classify dental implants as substantial restorative care, but there are restrictions on what is covered.


A dental implant is a titanium post that is surgically inserted into a patient's jaw bone. The titanium post will replace the roots of a tooth and function as an anchor for an artificial tooth or crown. The implant can be used to replace one or more teeth and can also be used to support dentures. Dental implants are considered primary restorative care for insurance and will often be covered in full with no out-of-pocket costs to the patient. However, not all dental implants are deemed primary restorative care; some may not be covered by your plan.


Dental implants are considered primary restorative care for insurance. Restorative care is the treatment of a tooth or teeth to repair damage caused by tooth decay, injury, or disease. Restorative treatments can include fillings, crowns, and bridges. When a dental implant is used to replace an absent tooth root, it is considered primary restorative care for insurance purposes because it replaces the missing root structure that would otherwise support the natural teeth on either side of the space.


At Seaglass Dental Care, we treat tooth decay, fill cavities, fix broken teeth, and use dental implants and dentures to replace missing teeth. Patients visit our dental clinic to prevent problems like decay or gum conditions like gingivitis. Depending on their concerns, we advise patients to call us for regular dental checkups 2-3 times a year. We can clean your teeth and take care of any other issues that may arise while you are having your checkup.