Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-535A - Orthodontic services › Section 182-535A-0010 - Definitions

Current through Register Vol. 24-14, July 15, 2024
The following definitions and those found in chapter 182-500
				  WAC apply to this chapter.
"Adolescent dentition"
means teeth that are
				  present after the loss of primary teeth and prior to the cessation of growth
				  that affects orthodontic treatment.
"Appliance placement"
means the application of
				  orthodontic attachments to the teeth for the purpose of correcting dentofacial
				  abnormalities.
"Cleft"
means an opening or fissure involving
				  the dentition and supporting structures, especially one occurring in utero.
				  These can be:
(a) Cleft lip;
(b) Cleft palate (involving the roof of the mouth); or
(c) Facial clefts (e.g., macrostomia).
"Comprehensive
				  full orthodontic treatment"
means utilizing fixed orthodontic appliances
				  for treatment of adolescent dentition leading to the improvement of a client's
				  severe handicapping craniofacial dysfunction and/or dentofacial deformity,
				  including anatomical and functional relationships.
"Craniofacial anomalies"
means abnormalities of
				  the head and face, either congenital or acquired, involving disruption of the
				  dentition and supporting structures.
"Craniofacial team"
means a cleft
				  palate/maxillofacial team or an American Cleft Palate Association-certified
				  craniofacial team. These teams are responsible for the management (review,
				  evaluation, and approval) of patients with cleft palate craniofacial anomalies
				  to provide integrated management, promote parent-professional partnership, and
				  make appropriate referrals to implement and coordinate treatment plans.
"Crossbite"
means an abnormal relationship of a
				  tooth or teeth to the opposing tooth or teeth, in which normal buccolingual or
				  labiolingual relations are reversed.
"Dental dysplasia"
means an abnormality in the
				  development of the teeth.
"Ectopic eruption"
means a condition in which a
				  tooth erupts in an abnormal position or is fifty percent blocked out of its
				  normal alignment in the dental arch.
"EPSDT"
means the agency's early and periodic
				  screening, diagnostic, and treatment program for clients twenty years of age
				  and younger as described in chapter 182-534 WAC.
"Hemifacial microsomia"
means a developmental
				  condition involving the first and second brachial arch. This creates an
				  abnormality of the upper and lower jaw, ear, and associated structures (half or
				  part of the face is smaller in size).
"Limited orthodontic treatment"
means
				  orthodontic treatment with a limited objective, not involving the entire
				  dentition. It may be directed only at the existing problem, or at only one
				  aspect of a larger problem in which a decision is made to defer or forego more
				  comprehensive therapy.
"Malocclusion"
means improper alignment of
				  biting or chewing surfaces of upper and lower teeth or abnormal relationship of
				  the upper and lower dental arches.
"Maxillofacial"
means relating to the jaws and
				  face.
"Occlusion"
means the relation of the upper and
				  lower teeth when in functional contact during jaw movement.
"Orthodontics"
means treatment involving the use
				  of any appliance, in or out of the mouth, removable or fixed, or any surgical
				  procedure designed to redirect teeth and surrounding tissues.
"Orthodontist"
means a dentist who specializes
				  in orthodontics, who is a graduate of a postgraduate program in orthodontics
				  that is accredited by the American Dental Association, and who meets the
				  licensure requirements of the department of health.
"Permanent dentition"
means those teeth that
				  succeed the primary teeth and the additional molars that erupt.
"Primary dentition"
means teeth that develop and
				  erupt first in order of time and are normally shed and replaced by permanent
				  teeth.
"Transitional dentition"
means the final phase
				  from primary to permanent dentition, in which most primary teeth have been lost
				  or are in the process of exfoliating and the permanent successors are
				  erupting.
11-14-075, recodified as §
											182-535A-0010, filed 6/30/11,
					 effective 7/1/11. Statutory Authority:
					 RCW
					 74.04.050,
					 74.08.090. 08-17-009, §
					 388-535A-0010, filed 8/7/08, effective 9/7/08. Statutory Authority:
					 RCW
					 74.08.090,
					 74.09.520 and
					 74.09.035,
					 74.09.500. 05-01-064, §
					 388-535A-0010, filed 12/8/04, effective 1/8/05. Statutory Authority:
					 RCW
					 74.08.090,
					 74.09.035,
					 74.09.520,
					 74.09.500,
					 42 U.S.C.
					 1396 d(a), C.F.R. 440.100 and 225. 02-01-050,
					 § 388-535A-0010, filed 12/11/01, effective
					 1/11/02.