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Notice On Dental Care

Original Language Title: Bekendtgørelse om tandpleje

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Table of Contents
Chapter 1 Children's and youth care
Chapter 2 Resurrecorder care
Chapter 3 Special care
Chapter 4 Economic aid for dental hygis by accident-related dental damage
Chapter 5 Region care
Chapter 6 Odontological country-and knowledge center function
Chapter 7 Deposits to cancer patients who have received radiation treatment or chemotherapy, patients with the syndrome of the SJew, as well as to patients with congenitive rare diseases.
Chapter 8 Coordination
Chapter 9 Financing, administration and entry into force
Appendix 1

Publication of dental

In accordance with Article 78 (2), 2, section 129 (4). 2 and paragraph 1. 6, section 130, § 132, paragraph 1. 2, section 133, paragraph 1. 5, section 134, paragraph 1. 2, section 136 (4). Paragraph 1 and paragraph. 2, section 137, paragraph 1. 2, section 164, section 166 (4). 4 and section 248 (4). 2 in the health care law, cf. Law Order no. 913 of 13. July 2010, as amended by law no. 164 of 28. 2012, 2012 :

Chapter 1

Children's and youth care

§ 1. The unpaid preventive and processing of dental treatment shall include all children and young people under the age of 18, enrolled in the register of the population of the municipality.

Paragraph 2. The local authorities shall also be responsible for the completion of the processing of operations beyond the 18-turned 18. year, cf. however, section 18 (2). 3. In the case of relocation between the municipalities, the responsibility for completion shall be the responsibility of the new residence municipality.

Paragraph 3. In cases where it is considered appropriate that children and young people under 18-year-free preventive and treated dental care are offered under the age of 18 years of payment outside the municipality of residence (the municipality of nations), another municipality can grant it by the law. dentition and, by agreement with the Member State of residence, to claim this refund for the costs associated with it.

Paragraph 4. The agreement between 2 municipalities is to be concluded in accordance with paragraph 1. 3, it may not be required to receive the payment of the payment of the agreement covered by the Agreement in the place of residence of the Member State of residence, in accordance with the provisions of the Agreement. however, section 3 (3). 3.

Paragraph 5. In the case of children and young people under the age of 18, having a stay at the 24-year-old in the Act of Social Services, the local authority may provide the free-free offer of children and youth care in their own clinics or by entering into the Act of Children under the age of 18, subject to the subject of Article 67 of the Act of Social Services. agreement on this with the municipality of the municipality of the municipality in which the institution is situated, cf. however, paragraph 1 7.

Paragraph 6. Selects the municipality Board, cf. paragraph 5, leaving the task of the task to the municipality in which the institution is situated shall be obliged to provide processing offers to the institution of the institution of which the institution is situated.

Paragraph 7. Children and young people under the age of 18, who need a specialised dental offer which cannot be offered in the stock exchange and youth care services, have to be searched for treatment in the specialty, the region care or by one of the odontological lands-and knowledge centers, cf. ~ § 12, 18 and 22. ~

Paragraph 8. The children and youth health care must cooperate with the region regarding the odontological special treatment provided by the region under Section 18, children and young people must be offered.

Niner. 9. Young over eighteen years, which, due to reduced mobility or far-reaching physical or mental disabilities, will only be difficult to exploit the ordinary dental records in the practice, but which do not require a specialised dental offer, cf. Section 12 (special care) can be visited directly to the recorder when they leave the children and youth care.

§ 2. The juvenile and youth care care must include :

1) Prevention, including awareness-raising activities, etc.

2) Studies on the development and state of health of the tooth, mouth and chain-of-the-mouth.

3) Individual prevention, including information for the individual and the parents.

4) The treatment of anomalies, lesions and disease in the tooth, mouth and chain preparation and orthodonings in accordance with the rules laid down in Annex 1 to the notice shall be specified for orthodox and orthodox indications.

Paragraph 2. The rules on the scale and requirements for the stock exchange and youth care are the same, whether dental care is provided at a public clinic or in the practice of dentistry. This applies to both the dental care of private practice to be part of the remuneration-free municipal dentists ' offer, and in the case of dental care, as the child / young people have chosen, cf. § § 4 and 5.

Paragraph 3. The local authorities may lay down general guidelines concerning the frequency of calls for children and young people into dental care.

Paragraph 4. The Municipal Council may agree to the region of the region that the region of the region is responsible for the anaesthesia for children and young people who need to be dentisted in general anesthesia.

§ 3. The local authorities shall be able to offer the unpaid child and youth care in public clinics (clinic-mouths) or practising dentists with which the local authorities will enter into an agreement (practice municipalities). The city council may also decide to enter into agreement with one or more practitioners in the field of dentists on the taking of stock and youth care. The local authority has continued to be responsible for the solution, even though there is agreement with one or more dentists about the task of the task.

Paragraph 2. The city council may decide to organise its children's and youth care so that the municipality uses both public clinics and the practitioners of dentists.

Paragraph 3. Young people of 16 and 17 years may choose to receive the unpaid local authority from dental care by practising dentistry by choice, even though the municipality board has decided to organise the youth health care in public clinics or has concluded an agreement ; with one or more dentists about the task of the task. Wants young people at 16 and 17 years for other or more expensive treatment in private dentists than the one that can be approved by the municipality, cf. paragraph 5, they may be refunded an amount equal to the price of the treatment approved by the local authority council.

Paragraph 4. Regardless of the fact that the municipality board has decided to organise the dental work for young people in 16 and 17 years of practising dentists, these young people may instead choose to receive the municipal dental offer in public office if the municipality of residence has been established ; one like that.

Paragraph 5. The local authorities may decide that, as well as other special, costly processing services that are provided in private practice pursuant to paragraph 1. ONE, ONE. Act. and paragraph 1. First of all, when the local authority has approved the initials and the treatment of the dentists, two or three shall not be initiated. The local authorities may determine the services that can be implemented without prior approval.

Paragraph 6. The local authorities have a duty to inform us of how the municipality has organised the unpaid child and youth care, cf. paragraph The options available, including the special options applicable to the 16 and 17 year olds, are available to you on the options available.

§ 4. Children and young people under the age of 16 who want a second dental plan other than that, the local administrative board, may choose to receive children and youth care in private dental practice at their own choice. The selection of private practice applies to the total dental offer, cf. however, paragraph 1 2.

Paragraph 2. The municipal board has decided to offer a share of the children's and youth care services free of charge in private dental practice, in accordance with their choice, cf. Section 3, paragraph 3. 2, will result in the choice of private practice in accordance with paragraph 1. 1, not an own payment for this part of the municipal dental offer.

Paragraph 3. In municipalities, which have organised the children's and youth care services at public service or have concluded an agreement with one or more dentists in the name of the task, children and young people under 16 shall have children under the age of 16 who choose to receive dental care in private practice at their own time ; Choice shall be entitled to a grant for dental work. The Municipal Board shall grant a contribution of 65% of the costs of preventive and processing dental treatment in private practice. The municipal subsidy shall be calculated on the basis of tariffs provided for in the contract of dental care for children and young people under the age of 18 in the general practice of dentists concluded between the KL and the Danish Dental Association.

Paragraph 4. The local authorities may decide that, as well as other special, costly processing services that are provided in private practice pursuant to paragraph 1. 1 and for which no rates have been determined, cf. paragraph 3. First, when the local authority has approved the initials and the processing quotes by the local authorities, the local authority has approved the initials. The municipal supplement shall be calculated in such cases on the basis of the approved treatment offer by the local authority. The local authorities may determine the services that can be implemented without prior approval.

Paragraph 5. If a different or more expensive treatment is requested than the one approved by the municipality, the parents of children and young people under the age of 16 shall receive a refund of an amount equal to 65% of the cost of the treatment of the municipality approved.

Paragraph 6. Suppression of subsidies in the selection of private practice as referred to in paragraph 1. Paragraph 1 shall be subject to the authority of the authority of the parent authorities to inform the municipal council of the elections before the benefits are received by the practitioner ' s orthodontist. It is also a condition that rules concerning the rotation of treatment for which the local authorities have been established pursuant to section 6 (2). Two is complied with.

§ 5. Children and young people under the age of 18, who want a second dental plan to be available to the local authority, free of charge, can choose to receive children and youth care in a second-town dental practice. The choice of dental work at another municipality's dental practice is the same as the overall dental plan. The proprietor of the parent authorities shall inform the local authorities of the municipality of residence in the place of residence of which the municipality parents have chosen to perform the care of the child or the care of the young people.

Paragraph 2. A municipal board may refuse to accept children and young people from other municipalities for capacity-based reasons if it considers that the municipality does not without extension of its processing capacity can comply with its obligations in relation to their own children and young people, or that the municipality's own children will wait a long time for a treatment offer, such as an offer of dental regulation.

Paragraph 3. If the average costs per child and youth care care in the treatment municipality is greater than in the municipality of residence, cf. Section 28, the municipality board of the worker municipality may decide to charge an own payment for children and young people from other municipalities similar to the difference between the average cost per year. child in the municipal dental care in the treatment municipality and the municipality of residence respectively.

§ 6. In cases where children and young people under the age of 18 choose to receive the municipal dental offer in private dental practice or in the case of another municipality's dental practice, cf. sections 4 and 5 of the municipalities of the municipality of residence of the municipality of residence decide that the completion of concrete proceedings began where treatment has been started.

Paragraph 2. The local authorities may decide that children and young people choose to switch between the remuneration of the residence of the person of residence, private practice, in accordance with the case of the payment of the payment of the payment of the payment of the payment of the payment of section 4 and another municipality's dental practice, cf. § 5, do not change the affinity of affinity until 1 year after the last handler shift.

Chapter 2

Resurrecorder care

§ 7. The local authorities must offer preventive and processing dental care to persons registered to the population of the municipality and which, due to reduced mobility or physical or mental disability, can only be difficult to exploit the ordinary people ; the dental plan (recorder).

Paragraph 2. The local authorities may conclude an agreement with the region or one or more municipal management boards on the management of the dental records for the products referred to in paragraph 1. 1 involved persons.

Paragraph 3. An agreement in accordance with paragraph 1. 2 concluded between the municipal management board and the region of the region shall be followed by the provision in section 14 (1). 5 on framework agreements between municipal management boards and regional councils.

Paragraph 4. People who are searched for recorder as provided for in paragraph 1. 1 but, as after dentition, the need for a specialized dental offer is estimated to be required to be searched to specialty care, cf. Chapter 3.

§ 8. The city council may offer a surround care by publicly employed dentists or practitioners, perhaps. in cooperation with clinical dentists. The city council may decide to enter into agreement with one or more general dentists / clinical dentists on the care of the care in the care of the care.

Paragraph 2. The city council may decide to organise its reorder care so that the municipality applies both to dentists / clinical dentists and dentists / Clinical dentists.

Paragraph 3. Persons who do not wish to receive the municipality's offer of caring, retaining the right to grant allowance in accordance with the rules of health law, section 65.

§ 9. People who are offered dental care at the public clinic may choose instead to receive the dental care offered by practising dentistry / clinical dentists.

Paragraph 2. The expenditure for the dental hygiatric dentistry shall be borne by the municipality. However, the beginning of particularly costly treatments cannot be achieved unless the local authority has approved the initiation and the processing quotation from the dentist or the dentists of the dentists.

Paragraph 3. The local authorities may determine the benefits which are subject to the approval of the municipality.

§ 10. The city council may decide that persons receiving care-care must pay a share of the cost. However, the patient ' s own payment in the recorder can, however, maximally constitute 390 kr. yearly (basic amounts per 1. In January 2005). In the case of preventive and processing, the dental care provided for in the Agreement between the Salary and Takstn of the Regions and the Danish Dental Board and awarded in accordance with section 65 of the Health Code, the municipal management board may, the Mauritator ' s Mauritator ' s claim ; payment corresponding to the patient ' s own payment in the practice care.

Paragraph 2. The local authorities have a duty to inform us of how the municipality has organised the care of the care, cf. § 8.

Paragraph 3. The local authorities have a duty to inform the people who are offered to be provided for care in accordance with section 7, on the options they have after paragraph 9.

§ 11. The range of consorrows shall include :

1) Almen and individual prevention, including assistance for oral hygiene, including information on, and instruction in dentistry, for each patient and for the relevant perversal staff.

2) Studies on the state of health of the tooth, mouth and chain-of-state.

3) The treatment of symptoms, diseases and malfunctions in the tooth and mouth of the foot-and-mouth disease, in order to maintain in good functioning state, taking into account the overall state of the individual.

Paragraph 2. The city council has a duty to complete the proceedings that began. In the case of relocations between the municipalities, the new place of residence shall be incumbated to complete proceedings and continue the offer of care in the care of the care.

Paragraph 3. The rules on the scale and requirements for the circumstance care are the same, whether dental is provided by means of a public servant or a dental hygiist / clinical dentistry.

Chapter 3

Special care

§ 12. The local authorities must offer a specialised dental care (special care) offering to mental, mental development, etc., which have enrolled the population of the municipality and who cannot take advantage of the ordinary toothbrush offer on the market ; the youth care, the practice care or in the care of the care.

§ 13. People covered by § 12, which have accommodation in local or regional or regional or regional housing housing according to the Law of the Public Houses and so on, either established by the municipality or by the region, Agreement with the municipality will be able to refer directly to special care services.

Paragraph 2. Persons covered by section 12, which are admitted to or associated psychiatric hospital departments, including district psychiatric arrangements, will be directly referred to specialty-care.

Paragraph 3. People referred to in the first paragraph of paragraph 1. 1 and 2, and which, following dentition and advice in the specialty and counselling, are not deemed to have need for specialised treatment, reference is made to care in the care or in the practice.

Paragraph 4. Persons who do not wish to receive the offer of special care shall retain the right to grant allowance in accordance with the rules of health law, section 65.

§ 14. The Municipality Board may provide specialised dental care in accordance with section 12 by establishing treatment offers in their own clinics or by entering into agreement on this subject to other municipal boards, regional councils or private clinics.

Paragraph 2. If the municipality of the municipality chooses to leave the task to the region, the Region Council shall be obliged to, in accordance with the agreement with the municipality board, see it, cf. paragraph -Five and a half. 7, providing processing offers.

Paragraph 3. Selects the municipality Board, cf. paragraph 2, to leave the task of the persons covered by section 13 (3). 1 to the municipality or region in which the dwelling is situated, this obligation shall be made, in accordance with the agreement of the place of residence of the Member State of residence, to provide treatment for treatment.

Paragraph 4. Selects the municipality Board, cf. paragraph 2, to leave the task of the persons covered by section 13 (3). 2 to the municipality or region that runs the institution, respectively, the special care services provided by the institution, the municipality or region shall be obliged to provide the means of treatment with the place of residence of the municipality of residence or region.

Paragraph 5. The Municipal Council shall, in a dialogue with the Regional Council, develop an annual account of the needs and the expected consumption of the appropriate treatment for the region in the region. The Municipal Management Board shall be sent to the regional Council before 1. May. On the basis of the statement, a framework agreement between the municipalities and the regional council is concluded.

Paragraph 6. The one in paragraph 1. The 5 said yearly statement shall contain information on :

1) The expected consumption of regional services by the number of seats within each patient category in the following year, including the number of patients in general anesthesia.

2) The expected consumption of regional services in the subsequent 3-year period, distributed within the number of seats within each patient category.

3) How many people are divided into patients ' categories, covered by the obligation to supply the region, cf. paragraph 2, the local authority board may, even or in conjunction with other municipal management or private clinics, expect to process.

4) Other conditions that, after the Council's opinion, are important for the region's universal service obligations.

Paragraph 7. The one in paragraph 1. The framework agreement (5) shall include :

1) The Council of the Regions ' s obligation to adapt and develop the offers made by the regional council on behalf of the local authority board.

2) Information about the total number of services and offers made available by the Regional Board of the Council for the City of Comparalas. The information must be specified in the number of seats within each patient category, including the number of patients in general anesthesia.

3) Agreement for handling charges.

4) Agreement for the region of the region to make available information for the collection of own funds for the self-payment of the patient in the local authority.

5) Process for ongoing alignment of the agreement.

§ 15. The local authority can decide that people who receive a special care offer under section 12 will pay a share of the cost, cf. however, paragraph 1 However, the maximum amount of the patient ' s own payment in the specialty can be at a maximum of 1 450 kr. yearly (basic amounts per 1. In January 2005). In the case of preventive and processing, the dental care covered by the Agreement between the Salary and Takstn of the Regions and the Danish Dental Board and awarded by the Danish Dental Board and awarded in accordance with section 65 of the Health Act, the municipal management board may have a maximum levy on one of the products concerned ; payment corresponding to the patient ' s own payment in the practice care. In the case of other services, including services rendered in addition to benefits in that Agreement, the own payment of the municipality shall be determined by the local authority.

Paragraph 2. Children and young people under the age of 18 who receive special care services pursuant to section 12 cannot be charged for the processing.

Paragraph 3. The local authorities have a duty to inform us of how the municipality has organised the specialty care subject, cf. § 14.

§ 16. Special care referred to in section 12 shall include :

1) Individual and collective prevention, including assistance and instruction in the dental care of each patient, together with the systematic instruction, etc. to the key people of the patient.

2) Studies on the state of health of the tooth, mouth and chain-of-state.

3) Treatment of lesions, disease and function disorders in the tooth, mouth and jailers, so that this is maintained in good functioning state, taking into account the overall state of the individual.

Paragraph 2. The city council has a duty to complete the proceedings that began. In the case of relocation between the municipalities, the new place of residence shall be incumbable to complete proceedings and continue the offer of special care services.

Chapter 4

Economic aid for dental hygis by accident-related dental damage

§ 17. The local authority shall provide support to dentures to persons in the event of functional destructive or aqueous effects of accidental effects on teeth, mouth and jaws.

Paragraph 2. Aid shall be granted only in accordance with paragraph 1. 1, in the extent the dental damage is not covered by an insurance.

Paragraph 3. Aid shall be granted for treatment in accordance with the status and maintenance level of the tandis.

Paragraph 4. If the patient wishes to receive a treatment other than the aid granted to it, the patient may be reimbursed a sum equal to the price of the treatment for which the municipality has approved aid.

Paragraph 5. No aid shall be provided for the repair or replacement of previously allocated dental records.

Chapter 5

Region care

§ 18. The Council of the Regions must offer children and young people under the age of 18, with odontological disorders, which are indifferent to a lasting reduction, an unpaid specialised dental offer. In addition, the region of the region must offer free-charge highly specialised treatment for children and young people who need it in accordance with the requirements of the child and the need for such treatment. § 19.

Paragraph 2. The regional special offer must be organised in cooperation with the children's and youth care provider, which is responsible for the general preventive and processing dental care for children and young people under the age of 18, cf. § 1. The cost of dentistry in the municipal dentistry as part of a regional tandis offer, including a highly specialised offer, cf. paragraph 1, the municipal dental care is incumcous until the child is 18 years old.

Paragraph 3. The Committee of the Regions shall be provided to children and young people who are subject to paragraph 1. 1, offer free-charge special treatment after the 18th birthday. the year, until physical maturity of the individual makes it possible to complete the treatment in question. The tender must be given in accordance with the requirements set out in Annex 1 to the notice for ortodontivisitation and orthodontiindications. The Committee of the Regions may decide to conclude an agreement with interning dentists or municipal dentists on the management of tasks that can be solved by them.

Paragraph 4. Persons receiving special-charge special treatment in accordance with paragraph 1. 3, cannot choose to receive the regional offer from practising dentists or in the municipal dental care if the regional council has decided that the task should be carried out at regional level.

Paragraph 5. Ordinary preventive and processing dental care for persons receiving non-remunlatively special treatment after the 18th birthday. year, cf. paragraph 3, provided by practising dentists in accordance with the rules of health law, section 65.

§ 19. Children and young people who need highly specialised counselling or treatment must be searched by the country of residence of the Member State of residence (region of residence) to one of the 2 odontological villages, and knowledge centers, at the Kingdom Hospital or Aarhus University Hospital respectively ; cf. Chapter 6.

Paragraph 2. The region of the Bopold region pays (cost-specific charges) for the advice and treatment of children and young people who, pursuant to paragraph 1, 1 is being referred to the hospital or the University Hospital of the Kingdom.

20. Region care in accordance with section 18 shall include :

1) Consultative business in connection with inquiries and references from the stock exchanges and youth care services.

2) Study and treatment plan in specialized odontological team for referred to patients with the need for odontological special treatment.

3) Treatment of particularly difficult cases referred from the stock exchange and youth care, in which the treatment requires close cooperation between the various parts of the odontological regionals specialties (paedophile, ortodonti, protetik, surgery).

4) Treatment of patients over 18 years of the final treatment (e.g. with implants) only can be completed when the patient has been outgrown (in the age of 20 to 25 years), cf. Section 18 (2). 3. The treatment is carried out in accordance with the treatment plan laid down in cooperation between the municipal dental and regional specialist function.

Paragraph 2. The content of the highly specialised dental offer in accordance with section 19 (3). ONE, TWO. Act. appear in section 22.

Paragraph 3. In the case of relocation between regions, the new Member State of residence shall continue the tender and complete the treatment in question.

Paragraph 4. The rules on the scale and requirements for the region are the same, whether dental care is provided by means of a publicly employed staff or the practitioners of dentists.

Chapter 6

Odontological country-and knowledge center function

§ 21. The region must offer highly specialized odontological advice, rescue and treatment of patients with rare diseases, with whom the underlying condition gives rise to special problems in teeth, mouth or jaw, and highly specialised. advice or treatment of children with odontological disorders, cf. § 19.

Paragraph 2. The task pursuant to paragraph 1. 1 is carried out by 2 odontological landscapes and knowledge centers at the Kingdom Hospital and the University Hospital of the College of the College. The task must be resolved in close cooperation with the dental school schools in Copenhagen and Aarhus.

Paragraph 3. The region of the Bopold region shall pay (cost-specific charges) for patients who, pursuant to paragraph 1, 1 is referred to as advice, rescue and treatment at the hospital or the University Hospital of the Kingdom.

§ 22. The agricultural and knowledge centre function shall include :

1) Consultative business towards the municipal and regional dentistry and the practitioners of odontological extraction, diagnostics and treatment planning for patients with rare diseases, with which there are far-wide odontological problems.

2) Study and treatment plan for patients referred from the region care and patients with rare diseases combined with extensive ocular odontological problems, where highly specialised treatment is required.

3) Treatment or participation in treatment of patients referred from the region care and patients with rare diseases combined with extensive ocular odontological problems in cases in which highly specialised treatment is required.

4) In the case of the region, odontological extraction, diagnostics and treatment planning for patients with congenital rare diseases, which have significant dental problems and which are applying for special grants pursuant to section 26, are carried out.

5) The development of information material for patients and relatives of rare diseases combined with extensive ocular odontological problems.

6) The creation of the knowledge database, the preparation of the processing protocols (clinical guidelines) and the participation of the reference group.

Chapter 7

Deposits to cancer patients who have received radiation treatment or chemotherapy, patients with the syndrome of the SJew, as well as to patients with congenitive rare diseases.

-23. The Committee of the Regions provides a special subsidy for the dental treatment of cancer patients who, after irradiation in the main or semi-region, have significant documented dental problems.

Paragraph 2. The treatment needs as a result of radiation treatment, cf. paragraph 1, must be documented to the region via hospital journals, x-rays, etc from oncological departments, and a statement from the dentist. The Committee of the Regions shall issue a grant of the grant of a patient to be searched to the special dental offer.

Paragraph 3. Support shall be given to dental and to the appropriate treatment of the individual at the time of the individual at the time of the individual. No aid shall be provided for the repair or replacement of previously allocated dental records.

Paragraph 4. The patient's self-payment to dental dental hygis can be a maximum of 1,450 kr. yearly (basic amounts per 1. In January 2005). When the patient can document an own payment within 12 months-calculated from the appropriation application-that exceeds 1,450 kr. (basic amount per 1. In January 2005, the region will pay the future patient share in the case of dental care services covered by the subsidy grant of the region.

Paragraph 5. However, the start of particularly costly treatments cannot be achieved until the region has approved the processing proposal and the treatment of the dentist.

Paragraph 6. The Committee of the Regions may fix which benefits are covered by the grant grant without prior approval.

Paragraph 7. Expenditure for treatment not covered by the grant authorization, cf. paragraph Five and six, paid for by the patient. If the patient wishes to receive a more expensive treatment than the aid granted to it, the patient may be reimbursed a sum equal to the price of the treatment provided by the regional council.

§ 24. The Committee of the Regions provides a special subsidy for the dental treatment of cancer patients who, due to chemotherapy, have significant documented dental problems. The special aid is granted only as long as the chemotherapy is still needed for special efforts.

Paragraph 2. The need as a result of chemotherapy, cf. paragraph 1, must be documented to the region via the journal records, as well as declaration by its own dentistry. The Committee of the Regions shall issue a grant of the grant of a patient to be searched to the special dental offer.

Paragraph 3. Support shall be given to dental and to the appropriate treatment of the individual at the time of the individual at the time of the individual. No aid shall be provided for the repair or replacement of previously allocated dental records.

Paragraph 4. The patient's self-payment to dental dental hygis can be a maximum of 1,450 kr. yearly (basic amounts per 1. In January 2005). When the patient can document an own payment within 12 months-calculated from the appropriation application-that exceeds 1,450 kr. (basic amount per 1. In January 2005, the region will pay the future patient share in the case of dental care services covered by the subsidy grant of the region.

Paragraph 5. However, the start of particularly costly treatments cannot be achieved until the region has approved the processing proposal and the treatment of the dentist.

Paragraph 6. The Committee of the Regions may fix which benefits are covered by the grant without prior approval.

Paragraph 7. Expenditure for treatment not covered by the grant authorization, cf. paragraph Five and six, paid for by the patient. If the patient wishes to receive a more expensive treatment than the aid granted to it, the patient may be reimbursed a sum equal to the price of the treatment provided by the regional council.

§ 25. The Committee of the Regions provides a special subsidy for the dental care of people who can document significant dental problems as a result of the SJew syndrome.

Paragraph 2. The need for action as a result of the SJew syndrome, cf. paragraph 1, must be documented in the region through the journal records and the declaration by its own dentist. The Committee of the Regions shall issue a grant of the grant of a patient to be searched to the special dental offer.

Paragraph 3. Support shall be given to dental and to the appropriate treatment of the individual at the time of the individual at the time of the individual.

Paragraph 4. The patient's self-payment to dental dental hygis can be a maximum of 1,450 kr. yearly (basic amounts per 1. In January 2005). When the patient can document an own payment within 12 months-calculated from the appropriation application-that exceeds 1,450 kr. (basic amount per 1. In January 2005, the region will pay the future patient share in the case of dental care services covered by the subsidy grant of the region.

Paragraph 5. However, the start of particularly costly treatments cannot be achieved until the region has approved the processing proposal and the treatment of the dentist.

Paragraph 6. The Committee of the Regions may fix which benefits are covered by the grant without prior approval.

Paragraph 7. Expenditure for treatment not covered by the grant authorization, cf. paragraph Five and six, paid for by the patient. If the patient wishes to receive a more expensive treatment than the aid granted to it, the patient may be reimbursed a sum equal to the price of the treatment for which the region has approved aid.

SECTION 26. The Committee of the Regions provides a special subsidy for the dental care of people who can document significant dental problems resulting from a congenital rare disease.

Paragraph 2. The need as a result of congenitive rare diseases, cf. paragraph 1, must be documented to the region via journal records, affidavit from the dentist and the prior odontological extraction, diagnostics and treatment planning from one of the odontological villages and knowledge centres, cf. paragraph § 22, nr. 4. The Committee of the Regions shall issue a grant of the grant of a patient to be searched to the special dental offer.

Paragraph 3. Support shall be given to dental and to the appropriate treatment of the individual at the time of the individual at the time of the individual.

Paragraph 4. The patient's self-payment to dental dental hygis can be a maximum of 1,450 kr. yearly (basic amounts per 1. In January 2005). When the patient can document an own payment within 12 months-calculated from the appropriation application-that exceeds 1,450 kr. (basic amount per 1. In January 2005, the region will pay the future patient share in the case of dental care services covered by the subsidy grant of the region.

Paragraph 5. However, the start of particularly costly treatments cannot be achieved until the region has approved the processing proposal and the treatment of the dentist.

Paragraph 6. The Committee of the Regions may fix which benefits are covered by the grant without prior approval.

Paragraph 7. Expenditure for treatment not covered by the grant authorization, cf. paragraph Five and six, paid for by the patient. If the patient wishes to receive a more expensive treatment than the aid granted to it, the patient may be reimbursed a sum equal to the price of the treatment for which the region has approved aid.

Chapter 8

Coordination

§ 27. The regional councils and the municipal boards must ensure the coordination of public tandis and the toothpick in private practice.

Paragraph 2. The Committee of the Regions, in cooperation with the municipal boards in the region, as well as representatives from the practice, will be a coordination committee that is being put together, so that it represents the various interests in the gums of the individual region. The Coordinating Committee shall designate one of the members as coordinator / contact.

Paragraph 3. The Coordination Committee shall, inter alia, be responsible for :

1) To ensure appropriate visitation and coordination between the municipal dentistry, the practice care and the regional dental care.

2) To ensure that effective transfer procedures are established between the stock market and youth care and the practice care and to help maintain young people in a regular orthodletic quest.

3) To ensure that on-call arrangements are established in the area for the provision of adequate dentists outside of the usual treatment time.

Paragraph 4. Questions relating to coordination, visitation and referral of the members of the Committee may be submitted for discussion in the Coordinating Committee.

Paragraph 5. The Coordination Committee may set up collaboration / coordination bodies for the taking of tasks and coordination in each functional area.

Chapter 9

Financing, administration and entry into force

§ 28. The costs of dental floodlees shall be borne by the place of residence of the Member State of residence.

Paragraph 2. For children and young people who receive dental care in the dental practice of another municipality, cf. section 5, the municipality of residence shall pay the processing municipality an amount corresponding to the average cost of the place of residence for each of the Member State of residence. Child of the children's children and youth care. The payment may, however, amount to a maximum amount equal to the average cost of the treatment municipality by the worker. child in the municipal dental care. The Bopold municipality pays the subsidy directly to the processing municipality.

Paragraph 3. The calendar of a municipality's total cost of the execution of the children's and youth care, cf. paragraph 2 shall include :

1) All the direct costs associated with the taking of the task are, for example, at the pay time. pension contributions and other wage earths, and more and more work, services, materials and specially purchased appliances. For children and young people who are treated in private dental practice, the direct costs, for example, will be paid to the fees paid for in private practice. For example, in municipalities which have outsourced the children's and youth care services, the direct costs will be the price agreed upon for the task of the task.

2) All the indirect costs associated with the task delivery, such as indirect labour costs, share costs, such as management, administration, rent, equipment, development, etc., and statutory insurance, pension obligations, forging of operating capital, interest and depreciation of plant values as well as the cost of the estimated cost of facilities, provided for by the task delivery.

Paragraph 4. The costs of dental floodor in accordance with Chapters 5 to 7 shall be borne by the Member State of residence.

§ 29. The ceiling of sections 10, 15, 23, 24, 25 and 26 (basic amounts per year). 1. In January 2005, the single payment shall be adjusted once a year on the 1 year. January. The adjustment shall be made on the basis of the rate adjustment rate, in accordance with the rule of a rate adjustment percentage. The amount is rounded to the nearest chronosum delegate by 5.

-$30. When the patients referred to in section 23, 24, 25 and 26 have reached the annual ceiling for own payment, the dentist shall send the bill to the region on the part of the patient ' s own payment that exceeds DKK 1,450 kr. (basic amount per 1. In January 2005).

§ 31. The Board of Health shall lay down detailed guidelines on the scale and requirements of municipal and regional dentists.

§ 32. The Board of Health may lay down rules concerning the reporting of local authorities and regions on health issues and the consumption of resources in the local authority and regional care.

§ 33. The rules of this notice shall apply mutatis mutandis to municipal and regional tandis schemes, which include several municipalities or regions.

§ 34. Persons not domiciled in this country, but who are entitled to dental work in Denmark under EU law or international agreements, is entitled to benefits in the municipality / region and to the expenditure of the municipality / region from which the beneficiary receives one ; special health card, cf. § 12 of Notice no. 582 of 10. June 2009 on the optional inserting into security groups, health certificates and so on.

Paragraph 2. Persons who are sick (for) in another country but which have the right to dental while in Denmark under the right of a temporary residence in Denmark are entitled to benefits in the municipality / region and to the expenditure of the municipality / region in which the person in question is resident ; Say it.

Paragraph 3. The reimbursement of the costs of dental work for persons who are ill (for) in another country, which is to be transferred to the Danish health service, falls to the municipality / region which has incurred the expenditure for the benefit to which the amount relates.

Paragraph 4. The European Parliament and Council Regulation (EC) No 7 (EC) No (EC) No (EC) No (EC) No (EC) No 883/2004 on the coordination of social security systems and of the associated Regulation (EC) No 203/2004. The detailed rules for the implementation of Regulation No 2 (2007/2009), The Agreement on the European Economic Cooperation (EEA Agreement), Nordic Convention on the Social Security Agreement and the Agreement between the European Communities, its Member States and Switzerland on the free movement of persons ;

$35. The announcement shall enter into force on 1. March 2012.

Paragraph 2. Publication no. 727 of 15. June 2007 on dental work is repealed at the same time.

The Ministry of Health and Prevention, the 28th. February 2012

Pia Olsen Dyhr

/ Tue Schou Pedersen


Appendix 1

Orthositivity and Orthodox Orthotics Rules

(The rules laid down in this Annex are determined in accordance with Article 2 (2) of the notice. 1, no. 4)

Target statement

The target of the orthoptic orthoptic of children and youth care is to prevent and treat the type of dentition which implies predictably or existing risks to physical damage and / or psychosocial workloads.

Dental error covers a wide spectrum, from, for example, teeth that are not placed, or misplaying, over error positions in the individual jaw, to the wrong pawn of the jaws as a result of an unfavourable growth form.

Toothmaking mistakes can evolve until the child's growth and physical maturation have ended.

Ortodontic visitation

Selection to orthopbial treatment takes place on the basis of a biological risk assessment, the purpose of which is to diagnose the type of dentition which involves predictable or existing risks to physical damage and / or psychosocial life ; loads. The selection takes place partly in the regular, general studies, on the one hand, by systematic screening.

When dentists have been diagnosed with dentistry processing indicator, that is, significant deviations in the orthodor or bats of the heretic must be weighted in the context of the expression of the care expressed by the child and the parents of the child.

Orthoptic examination by regular examinations to the child's customary dentistry,

Ortodontic study is an integral part of the regular, general studies on the stock exchanges and youth care. The purpose of this is to ensure a timely selection of children who should be treated early, that is to say. before screening at the specialty doctor. This is guaranteed by means of close cooperation between the dentist who is responsible for the child's general dental work and special care doctor. See also below "Prevention and Treatment Interceptive and Reactive Processing".

Orthoptic screening at specialty doctor

In addition to the orthodox studies carried out in connection with the regular, general studies, it is necessary to ensure that all children with moderate or larger dental records are searched by special medical practicae. The purpose of this is to ensure uniform and timely selection of the children who have an indication of treatment. It is not deemed necessary to allow children who are either not less or less in the teeth position to participate in this screening process. The child's usual dentistry is expected to be able to perform and record this assessment. In the case of the above studies, diagnostic and indication of indication according to applicable rules shall be diagnosed.

Prevention and treatment-Interceptive and corrective treatment

For orthopathy treatments, such as for all types of diseases and treatments, the pathways, reaction patterns and psychological complications cannot be grasping at levels, but are individually different.

Some tandis must be processed early in order to achieve a satisfactory result. It would therefore not be appropriate either from a process of treatment or resource to defer the treatment.

Individual factors cannot always be recognised in a full range of children. However, Interceptive / preemptive orthodox treatment can often save a child for a later greater consideration. Prevention therefore consists primarily of early intervention (Interceptive Processing) towards a development that will cause serious dental work later on.

At the time of the initiation of the interceptive treatment, it cannot always be anticipated that the serious malocal vision will develop without any unseen treatment. Nevertheless, increased attention should be paid to the use of early, interceptive treatments, where this is possible, rather than later-much more resource-reactive corrective treatment.

Interceptive treatment can usually be carried out with relatively simple means, and the prevention of treatment is in the fact that it is replaced by the entry of more resources, complicated and biological less appropriate treatments. For example, Health Services are recommending the closure of the remaining teeth of children and young people with a lack of dental equipment, since this biological solution may in many cases be a very useful alternative to expensive protestations. reconstructions, such as implants. In the same way, the child's usual dental hygias should be subject to the regular checks from around The age of 9 years of age has special vigilance on the occasion of the camps and the promotion of the corner teeth for early diagnostics and interceptive treatment in relation to the extopes of these.

It should be sought that orthoptic treatments are to be carried out by specialised doctors, but that other groups of staff within the dental work are being extended to an extended level. The distribution of responsibility in relation to the specific treatment must be clear (journals) when more handlers (dentists / dentists / clinicians) are involved in the same treatment.

Before the end of the municipal orthodontist, extreme growth-related chain formities must be carried out with such severe aberrations in the chain, that both orthodics and surgical intervention are necessary, be diagnosed and necessary as appropriate. It must be added that the treatment indicator is indisputably present in the case of serious facial malformations (e.g. lip-palpiate of steed) and congenital or acquired cranial malformations (e.g., certain syndromes).

Calibration, team composition, and the size of the enclosure

In general, the search for orthoptic treatment in a given child population would be a group of patients, because it may be difficult to determine whether or not the treatment should be carried out.

Expiration to denotes shall be based on a technical assessment by the individual specialist in accordance with the requisition criteria, determined by the Board of Health. There is a consensus among most specialists in the area of children / young people who should be treated unconditionally. However, the search criteria based on risk assessment may, to a certain extent, give rise to opportunities for interpretation, and thus to a variation in the tendering (Grayzone range), in which the treatment requirements are assessed in different ways ; special co-doctors. In addition, an appreciable expectation of users can have decisions in cases of cases falling in different ways.

In order to ensure a consistent offer and to reduce the previously established large variation in the processing offer, calibration exercises must therefore be considered as a necessary part of the orthontic service. However, when specialists are working in small units, the possibility of calibration will not be present. If specialists are working in large number of dental units, where intercolating cooperation can serve as a basis for an ongoing exchange of experience and calibration of specialised paramedics, the variations in the visitation will be reduced. Herivia will help ensure a uniform rating level as a basis for a suitable, professional and resource management of the area.

The Board of Health therefore recommends that the municipalities cooperate in greater tandis units 1) The Board of Health also recommends that in the field of dental regulation the following should be the following team composition (a minimum team) : 1 special medical doctor : 1 dental, 3 clinics. Depending on the population and other local conditions, it may be necessary to extend the number of clinical staff (dentists and clinics under one) from 4 to 5 people. The dental plan must be organised for the purpose of appropriate and maximum utilization of the resources allocated to the tasks, both personnel and local and economic, and a framework must be created for the necessary flexibility, depending on the part of other local conditions. In order to ensure the necessary unit size in the field of dental, there should be at least 1,2, but 2 minimum number of units per head. organizational unit. Under optimum conditions, this would mean that an organizational unit in the field of dental regulation should cover the need for a population deficit of 55000-100 000 people, that is to say. about. Eleven thousand, 20,000 children and young people.

Risk Assessment

The basis for the visitation criteria is a risk assessment, which means that, in each case, an individual assessment of whether the various dentition errors imps predictable or existing risks to physical risks ; damage and / or psychosocial workloads.

It is expected that some children themselves with the orthopedic treatment indicator do not want to be treated. Conversely, other children with less serious dental work could express a very strong desire for treatment (see "Reaction carried out on psychosocial indices vs cosmetic treatment").

Additionally, dentists may be without genes to the child themselves, but may be evaluated by the vitrifier to develop in such a degree that it will cause damage later.

Table 1 contains a list of the risks that can be set in relation to toothmaking errors.

Treatment performed on psychosocial indication vs cosmetic treatment

In the case of the risk factor of the 'psycho-social workloads', it should be recalled that the children and young people should offer orthoptic treatment to children and young people who have a well-defined indication. It must therefore be a matter of professional opinion, which talks in favour of the implementation of the individual child's treatment. It is well known that the boundaries of normal variation are linked to social norms in reference groups and the surrounding society.

The starting point, however, is that the offer at national level must be uniform and that the municipal dental care should not be offered cosmetic dental care.

In order to distinguish between processing carried out on psychosocial indications and cosmetic treatment, the following definitions may be drawn up :

Treatment performed in the field of psychology (risk factor IV) is the treatment in which the key indication of the procedure is a correction of the person's appearance, so that this does not degenerate into a degree that it should be regarded as crippling.

Treatment carried out on cosmetic indications is the treatment in which the cosmetic account is the decisive indication of the treatment, that is to say. a treatment which is intended to change / improve the appearance of the principal, but where a technical assessment is not a question of deviations in skins that may be regarded as crippling. Cosmetic treatments are not covered by the offer in the children's and youth care services.

Visitation Criteria for Orbial Treatment Selection

It is not possible in all the details to describe the impact of the different factors on the overall individual assessment. As a result, combined with a professional assessment, combinations of several minor males can result in an oral effect that an orthontic treatment should still be provided on the basis of the word. It is the assessment of the Health Board that the application of the criteria mentioned will help to reduce variations in the treatment supply.

Table 2 specifies the visitation criteria for orthoptic selection

Implementation of orthoptic treatment

The Board of Health must draw attention to the fact that, even the early interceptive treatments, orthopatics-are long-term therapies that require a good cooperation from both the child and young people as the home.

In the case of a lack of cooperation, including loss of hygiene, in spite of the necessary motivation, instruction and information of child / young and parents, the dental hygienic must consider whether or not it is in the best interests of the child / young person to continue the treatment, or whether it should be interrupted. The children's and youth care care should be informed about these matters before the start of treatment.

TABLE 1-Risks related to dentists error
RISK CODE
TYPE
DESCRIPTION
I
Damage to teeth and ambient tissues
Parodeonovit damage : Extreme, extremely deep bites that damage the parodonite behind the teeth of the upper jaw or in front of the front teeth of the mandion.
Accident damage to teeth : v. extremely overbite, especially when the teeth are not protected by the lips.
Rodresorption of (over-jaherbe-) teeth : eks. v. non-probed, error-nest corner teeth
II
Functional risks
Operation Disruption in the form of extended thickness and lower power, muscle tenderness, change of function patterns for resting position, singing and talking, increasing and unsuitable loading of germs and chains, the development of temporal lobe, any disturbance, mandible sounds, muscle and capsule and asymmetrical gas movement are described in varying degrees by the following miscellusions : horizontally maximized overbite, open bites, deep bite, mandibular overbite, and unilaterally cross-bite.
III
Sensions
Freshmations of the overhermanders V : V Extreme overbite if underlip lies behind the front teeth and presses these forward.
Sen developments of extremely deep bites : v. Extreme jaw-moving in connection with a lack of contact between the front teeth. The deviation can result in such serious errors in the congestation that orthodox / surgical treatment will be necessary.
Croat chain development : v. a cross-bite or a sackbite of the coercive of the mandible.
IV
Psychosocial risks
Risk of Psychosocial Workload : (g) the number of dentists which are far beyond normal variation so that the person's appearance differs in such a degree that it shall be deemed to be invalidity.

TABLE 2-Visitation Criteria for Orbial Treatment Selection
Potential
the risks,
Manifestations
Processing Indication
Increased horizontally maximized overbite
I, II, III, IV
Extreme overbite (over 9 mm)
Almost always
Moderate overbite (6-9 mm), combined with the volume / volume of the levileueble or the apparent dysfunction (medical catch, if applicable). combined with heavy pressure)
By Individual Assessment
Small overbite (less than 6 mm) combined with other deviations
By Individual Assessment
Small overbite (less than 6 mm) alone
Almost never
Increased vertically overbite
I, II, III
Deeply bite with palatinal encoding of mine. 1-2 teeth and clear irritation / impression in the palate and / or subjective genes
Almost always
Deeped piece (over 75% overlap) with retroclinically incised incisions and clearly atypical wear of a non-general character
Almost always
Deeply bites with retroclinically incised incision, uncertain incidence of incident support (mine. 2 teeth without incident support) and an arterial rotating growth type ;
Almost always
Other palatinal contact combined with other symptoms
By Individual Assessment
Other palatinal touch alone
Almost never
Open Bound
II (IV)
Open bites with reduced occlusion field (i.e. only contacts on molars),
Always. #
Open bites with functional problems (eat/chew / bidfunctionproblems mm)
Always. #
Extensive skeletal bone conditionally open bites-extreme, deviant man-moving
Almost always #
Mandibulary overbite / reverse chain change (inverter)
I, II, III, IV
Mandibulary overbite / reverse chain change (inverter) with a lack of space for the eruption of teeth in the overjaw
Almost always #
Mandibulary overbite / reverse chain change (excitation)
Almost always
Mandibulary overbite / reverse chain change (inverter) with clear bidlock
Almost always
Smaller inversions without major problems of space
Almost never
Basic deviations without acute problems
Observation
Crossbite / Saksbites
II, III
Crosstab / sax bites of pronounced forcierge (unconditionally at 2 mm or more) or bidlock
Almost always
Crosstab / sax bites with a lack of space on OK-teeth where the extraction is not obvious
Almost always
Toss one or double-sided sax bites
Almost always
Saksbit of one or more orphan teeth, including 7 + 7, alone
Almost never
Copy / displacement
I, III, (IV) (where :
extraction / amotio
Great glarglow at front and corner teeth
Almost always
is not a
appropriate
Ektopi / displacement that imps eruptionshindring
Almost always
solution)
Copy / displacement that results in retention
Almost always
Non-profanned teeth
I, IV
Incidents and Corner teeth
Almost always
Other teeth where amotio is not a professional solution
By Individual Assessment
Acquired dental records
IV
Necessary pretreatment for protesting
By Individual Assessment
Agenesi
I, II, III, IV
For and corner teeth, where large diastemata remains in the case (i.e. the absence of a natural correction)-shall also consider the spread of dispersion ;
Almost always.
Premolars (depending on number and location and growth pattern)
By Individual Rating *
Multiple-pretreatment for prosthesis
Almost always.
Propagal
IV
Extreme dispersion position in the front-jaw front with platitudes corresponding to a whole range of teeth or more and where plastic place is not possible / appropriate
By Individual Assessment
Extreme dispersion position as part element in combination with other deviations
By Individual Assessment
TrangPosition
(I), IV
Large conspicual tranglar position with the position variation of several teeth in the front-jaw front-primarily overhermantic incidences (platitude, corresponding to a full width or more).
By Individual Rating-Almost Always Always
In the sub-front of combination with other indications
By Individual Assessment
Total display of single-country and subchain fronts alone
Never.
Function Deviations
II
Children and young people with proven suffering which cannot be held without a correction to the summary of the summary ;
By Individual Rating *
Growth residue (Interceptive ortodonti)
II, IV
Asymmetry
Almost always #
Chain-in-pain
Almost always #
Extreme growth conditions (male dibular overbite, possibly. open bites)
Almost always #
Extraordinarily psychosocial needs
IV
Children and young people with a combination of minor tandis errors and well-documented problems, such as referral from another authorized processing officer, where treatment has been without result-not cosmetic ortodonti
In limited scope by individual assessment

# In cooperation with or referring to oral-surgical treatment, cf. Health Management Specialties 2)

*I In cooperation with or in the region care, cf. Healthcare guide 3)

Official notes

1) The structure and organisation of the tooth-stained system. Table 5. The National Health Service 2004.

2) The health management specialist's Specials for Tand, foot-and-mouth, and jaws of 22. June 2010.

3) Instructions for the scale and requirements of local authority and regional tandis 2012.