ultaire® akp - solvay® dental 360 · 2020-03-14 · solvay® dental 360 — ultaire® akp...

Ultaire® AKPReimbursement Guidefor RPDs made with Ultaire® AKP (Aryl Ketone Polymer)

Solvay® Dental 360 — Ultaire® AKP Reimbursement Guide — 2

IntroductionThis guide was developed to help with the reimbursement submission process for removable partial dentures (RPDs) manufactured from Ultaire® AKP (aryl ketone polymer).

Because Ultaire® AKP is so distinctly different from cast metal, conventional acrylic resins and other flexible resins for RPDs, the existing reimbursement codes for RPDs are not applicable. Using the “Generic” CDT code is recommended until a new code is obtained. This guide provides details on how to code and bill for the new material, intending to augment your current awareness of coding, coverage, and reimbursement for RPDs.

Solvay® Dental 360 is committed to not only supporting your efforts to provide patients with a premium alternative to metal and flexible partials — but also help your practice navigate through the reimbursement process. Our goal is to equip you with what you’ll need to enable dental reimbursement committees to make evidence-based decisions when selecting preferred treatment options for your patients.

The Reimbursement ProcessIt’s critical to demonstrate why RPDs manufactured from Ultaire® AKP do not fit within existing CDT codes. Evidence to help substantiate the clinical and material property advantages of Ultaire® AKP can be found on subsequent pages.

How to File a Dental Claim Form for an RPD Manufactured from Ultaire® AKP

1. Complete an ADA Dental Claim Form for the patient receiving a removable partial denture made from Ultaire® AKP.

2. In the procedure submission section of the form, use CDT Code D5899 for the designation of the prosthesis.

3. Attach a copy of pages 3-13 from this Reimbursement Guide when submitting the Form, which outlines why the other codes do not apply for RPDs manufactured with Ultaire® AKP.

Claim Outcome

Approval or denial for each claim submitted is at the discretion of the individual payer. If a claim is initially denied, follow the typical appeal process for that payer and reinforce why the existing codes do not apply to Ultaire® AKP.

For further questions regarding reimbursement, please contact Solvay® Dental 360 Customer Service at (844) 659-1869.


Ultaire® AKPGeneric Name: High-Performance Polymer, Denture Resin Milling Blank

Brand Name: Dentivera® Milling Disc

Manufacturer: Solvay® Dental 360 (A Division of Solvay Specialty Polymers, USA, LLC)

Reason for Review: Provide payers with scientific, clinically-relevant information regarding Ultaire® AKP (aryl ketone polymer), a high-performance polymer option prescribed for removable partial dentures.

Table of ContentsProduct .............................................................................................................................................................4

Ultaire® AKP (Aryl Ketone Polymer) ..............................................................................................................4

Comparison of RPD Materials .................................................................................................................. 4-7

Economic Value ............................................................................................................................................8

Clinical Data .....................................................................................................................................................9

Market Research ..........................................................................................................................................9

Clinical Studies and Trials ..........................................................................................................................10

Summary ....................................................................................................................................................11

Coding ............................................................................................................................................................12

Coverage ...................................................................................................................................................12

Current CDT Codes Do Not Apply to Ultaire® AKP ...................................................................................12

A New CDT Code is Required ...................................................................................................................13

Recommendation ..........................................................................................................................................13


Ultaire® AKP (Aryl Ketone Polymer)High-performance polymer materials provide many beneficial properties not currently satisfied by traditional cast metal, flexible and resin-based materials in the denture space of the dental market.

Solvay® Dental 360 developed a new high-performance polymer specifically for use in RPDs. This aryl ketone polymer, called Ultaire® AKP, is sold to dental labs in a disc form called the Dentivera® Milling Disc. It produces an RPD that is bone-like in its rigidity and flexibility and will not wear on the abutment teeth as metal partials do. The elastic modulus of the Ultaire® AKP material is closer to that of cortical bone than metal options.

The Ultaire® AKP RPD will have a long lifetime1 (over ten years with normal insertion and removal). It is designed to be supportive yet lightweight, delivering a comfortable, natural-looking partial which may improve overall patient compliance.

Due to the fully biocompatible nature of this material, Ultaire® AKP is non-allergenic — which is not the case with conventional flexible, acrylic resin based or metal partials. Ultaire® AKP is monomer, BPA and nickel-free, as well as non-irritant, non-pyrogenic, non-mutagenic, and non-cytotoxic.

Comparison of RPD MaterialsUltaire® AKP bridges the gap between metal RPDs and those made with polymers that merely meet minimum requirements.

Typical Properties ASTM Test Methods

Units

Cobalt-Chrome (CoCr/Metal)

D5213, D5214, D5282, D5283

Acrylics/Resin(PMMA), (Flexible/Acetal)

D5211, D5212, D5225, D5226

Ultaire® AKP (Aryl Ketone Polymer)

CODE TBD

Tensile Strength MPa 644-1300 48-76 91

Elastic Modulus (Cortical Bone 10-20 GPa)

GPa 145-230PMMA 2.5-2.8

Acetal 0.845

3.5

Flexural Strength MPa ~2600PMMA 74-77

Acetal 100.5

148

Charpy Impact, notched kJ/m2 N/APMMA

1.1Acetal 6-15

10.2

Specific Gravity g/cm3 8.3PMMA ~1.17

Acetal 1.41

1.3

Specific Strength MPa / g/cm3 78 41-65 70

0 5040302010 250100GPa

Flexible ~0.845 - 2.8 GPa

Aryl Ketone3.5 GPa

Cortical Bone 10-20 GPa

CoCr (cobalt-chrome/metal)

~220 GPa

Elastic ModulusAn object’s resistance to being deformed when stress is applied

Product


14.00

12.00

10.00

8.00

6.00

4.00

2.00

0.00Valplast® Duracetal™ Juvora™ Bredent

BioHPP®

Pekkton® Trinia™

IvoryTrinia™

PinkUltaire® AKP

Flexural Strength

“Too Flexible”

“Too Stiff”

12.00

10.00

8.00

6.00

4.00

2.00


BioHPP®

Pekkton® Trinia™

IvoryTrinia™

PinkUltaire® AKP

Tensile Strength

“Too Flexible”

“Too Stiff”

Flex

ural

Mod

ulus

(MP

a)E

last

ic M

odul

us (G

Pa)

RPDs need the right combination of flexural strength and tensile strength.

14.00

12.00

10.00

8.00

6.00

4.00

2.00


BioHPP®

Pekkton® Trinia™

IvoryTrinia™

PinkUltaire® AKP

Flexural Strength

“Too Flexible”

“Too Stiff”

12.00

10.00

8.00

6.00

4.00

2.00


BioHPP®

Pekkton® Trinia™

IvoryTrinia™

PinkUltaire® AKP

Tensile Strength

“Too Flexible”

“Too Stiff”

Flex

ural

Mod

ulus

(MP

a)E

last

ic M

odul

us (G

Pa)

Note: “Too Flexible” and “Too Stiff” are not clinical claims based on evidence.

Flexural Strength: (MPa)

At what point does the material yield or break?

The flexural strength needs to be high enough to withstand loading and not break — and to avoid permanent deformation during mastication. RPDs made with Ultaire® AKP are designed to have the most effective flexural strength.

Tensile Strength: (GPa)

How resistant is the material to breaking under tension or deformation?

An RPD needs an appropriate tensile strength to ensure that stresses encountered during normal biting forces and insertion/removal of the prosthesis do not cause permanent RPD deformation. The tensile strength cannot be so high (or stiff) that it becomes difficult to insert or remove the denture.


Detailed Comparison of RPD Materials This table compares the properties of the different materials used to fabricate RPDs – along with the impact to the patient or clinician.

TraitWhy is it

important?

Cobalt-Chrome (CoCr/Metal) D5213, D5214 D5282, D4283


D5211, D5212, D5225, D5226


CODE TBD

Aesthetics Patients care about appearance

Visible metal clasps, conduct heat/cold, oral galvanism

UNFAVORABLE

Can be tooth/gingival colored or translucent, lightweight

EXCELLENT

Can be tooth/gingival colored and is lightweight

EXCELLENT

Stain Resistance Patients don’t want their RPD to stain

Does not stain

EXCELLENT

∆E from pre- to post-soak after 30 d Curry: 27.7 Wine: 2.2

LOW

∆E from pre- to post-soak after 30 d Curry: 7.9 Wine: 0.5

VERY HIGH

Water Sorption and Solubility Per ISO 20795: Min water sorption requirement is < 32 µg/mm; Solubility is < 1.6 µg/mm

Any swelling or leaching influencing flexural strength, fatigue, and color

Solubility: None

LOW

Sorption: 21 µg/mm3 Solubility: 0.1 -2.65 µg/mm3

HIGH

Sorption: 8 µg/mm3 Solubility: 0 µg/mm3

LOW

Flexural Strength (MPa)

Able to withstand loading and avoid permanent deformation during mastication

~2500 MPa

TOO HIGH

Reported acrylics ~77 to >100 MPa

HIGH - VERY HIGH

148 MPa

VERY HIGH

Elastic Modulus (GPa)

Ease of denture insertion and removal

145-230 GPa

TOO HIGH

2.5-2.8 GPa

HIGH

3.5 GPa

HIGH

Impact Strength Withstand impact without fracturing

N/A

(ASSUMED) HIGH

0.44±0.15 kN Charpy impact dry and conditioned in water at 37ºC for 7 days

As molded: 1.1 kJ/m2 Post-conditioning: 1.5 kJ/m2

LOW

Charpy impact dry and conditioned in water at 37ºC for 7 days

As molded: 9 kJ/m2 Post-conditioning: 10.2 kJ/m2

HIGH

Repair Chairside capability for dentists

Soldering is typically required and repairs often increase risk of corrosion leading to reactions in the soft tissue

DIFFICULT

Easy to adjust, polish and handle — is relineable/repairable at chairside

EASY

Easy to polish using same procedures as for acrylics; relineable repairs can be challenging; Solvay® Dental 360 has a recommended approach

MODERATE

Resistance to Cleaners

Maintain of surface quality and color stability of dentures (durability)

45ºC no significant changes before and after cleanser• Roughness: (Ra, µm) • Polident: (3 min): 0.07 • 0.5% NaOCl (10 min): 0.07 • Some dark tarnishing

HIGH (SOME PITTING)

7 days at 50ºC for 15 min/day• Roughness: (Ra, µm) • Polident: 0.56 • Efferdent: 0.61• 0.5% NaOCl: 0.93 (+54%) • Noticeable color difference

(∆E < 2)HIGH (COLOR EFFECT)

7 days at 50ºC for 15 min/day• Roughness: (Ra, µm) • Polident: 0.03 • Efferdent: 0.03• 0.5% NaOCl: 0.03 • No color difference (∆E < 0.2)

HIGH

Resistance to Heat

Maintain mechanical properties when subjected to common high temperature items (e.g., boiling water, hot coffee, humidity)

Extreme resistance to heat

HIGH - VERY HIGH

May melt if exposed to temperatures 130oC or greater

MODERATE

Thermal analysis demonstrated aryl ketone has high resistance to heat (up to 300˚C)

HIGH - VERY HIGH

Fatigue and Creep Resistance

Retention of shape to maintain position, comfort, and strength over time More durability

CoCr has a -2.44N change in retention force and shows a ~300micron deformation of the active clasp arm over 15,000 cycles

MODERATE

Aryl ketone materials show superior creep performance versus the acetal resin systems, as it shows about a ~3-11x lower strain (over all stresses tested) compared to Acetal over 1,000 hr experiment

MODERATE

Fatigue improved over CoCr by undergoing just a -0.06N change in retention force and no measurable macroscopic deformation in a clasp fatigue test over 15,000 cycles

VERY HIGH

Non-Favorable

Caution

Favorable


TraitWhy is it

important?

Cobalt-Chrome (CoCr/Metal) D5213, D5214 D5282, D4283


D5211, D5212, D5225, D5226


CODE TBD

Biofilm Resistance

Superior biofilm resistance enables better overall oral health

Aryl ketone shows a 51% drop in Candida albicans (yeast strain often responsible for denture stomatitis biofilm build up)

This is a significantly better performance than CoCr (95% confidence interval)

MODERATE

Aryl ketone has demonstrated 90% significantly better performance than acetal resin against biofilms of Candida albicans, ctrep mutans and dtrep sanguinis (the bacterial strains primarily responsible for dental caries)

MODERATE

Aryl ketone has demonstrated better resistance to biofilms compared to CoCr and acetal

HIGH

Toxicity Toxic chemicals can lead to adverse health effects

Sensitization to nickel and possibly cobalt

LOW

Possible leaching of 0.1-5% of residual monomer and additives

Generally no cytotoxicity, possible carcinogenic and embryotoxic potential of monomer, rare severe allergic reactions reported

LOW

No cell lysis or systemic toxicity and does not leach in water, ethanol, or hexane; aryl ketones are monomer and nickel free

NO RISK

Biocompatibility Only safe, biocompatible materials can be used within the body

• Increase in chromium levels in blood and plasma

• Small amounts of chromium found in saliva of partial denture wearers (0.1479 ppm)

• 8-15% of population has dermal contact sensitization to Ni, Cr, or Co

• Inhibited gingival cell growth with cobalt

• Cobalt alloys should be avoided due to carcinogenicity risks

SENSITIZATION

• 45 mg MMA release per mL of saliva over 1 week of denture use (non-heat polymerized)

• Release of PMMA in heat polymerized in much less quantity

• Possible leaching of 0.1-5% of residual monomer & additives

• No reported effects on organs (kidneys, spleen, pancreas, lungs, gut)

• Possible carcinogenic and embryotoxic potential of monomer

• Rare severe allergic reactions reported

MONOMER LEACH

• No delayed dermal contact sensitization

• Non-irritant, non-mutagenic to multiple strains of salmonella, e coli

• Non-mutagenic in mouse lymphoma forward gene mutation assay

• Does not induce micronuclei• No cell lysis or systemic toxicity,

non-pyrogenic; does not leach in water, ethanol, or hexane

SAFE

Less Time to Manufacture

Turnaround time to the patient

188 minutes

LONG

176 minutes

MEDIUM

98 minutes to manufacture No waxing and no casting

FASTER

Perception Patient compliance may improve if they perceive it well

Patients do not like the look of metal in the mouth: the rigidity and hot/cold conduction can be uncomfortable

NEGATIVE

Flexibles tend to get too loose too fast: typically used as a temporary solution

MEDIUM

The tooth color and ability to shade the clasp is favorable: the strength is perceived well

POSITIVE

Non-Favorable

Caution

Favorable

Detailed Comparison of RPD Materials (Continued) This table compares the properties of the different materials used to fabricate RPDs – along with the impact to the patient or clinician.


Economic Value

For Dentists:

The shorter manufacturing time at the lab may lead to a faster turnaround time for the dentist to receive the RPD. After dentists send an impression for a metal RPD to the lab, the average turnaround time is 10-15 days.3 With an RPD made from Ultaire® AKP, the CAD to finish turnaround time may be as little as one day.2

In addition, Ultaire® AKP RPDs are designed to provide a custom fit that requires minimal adjusting. This means fewer visits to the dentist to adjust the fit of the RPD. A recent market study conducted focus groups with 400 dentists and hygienists to get feedback on RPDs produced from three different materials (metal, flexible, and Ultaire® AKP). The study found that:3

For Patients:

An Ultaire® AKP RPD is custom-designed for each patient and fits the first time – requiring fewer dental visits for adjustments. The reduced fabrication time (CAD to finish in one day), combined with the precise fit, provides a significantly quicker turnaround time for patients to get their prosthesis.

The clasps do not loosen over time, which may mean fewer re-visits for tightening. The bone-like properties of Ultaire® AKP are less likely to cause harm to abutment teeth. Ultaire® AKP delivers premier aesthetics and comfort which may improve patient compliance.

For Labs:

An Ultaire® AKP RPD is produced digitally in a dental lab using CAD/CAM technology. The manufacturing process is shorter – eliminating the need for waxing and casting – saving time and money for the lab.

Dentists see an average of six patients monthly for RPD adjustments

Hygienists consult with an average of 20 patients monthly on the need for RPD adjustments

The average time investment (chairtime) for patient adjustments is around 25 minutes

Prescribing RPDs produced with Ultaire® AKP could potentially save dentists 2.5 hours/month of chairtime on adjustments, freeing them up to provide other cost beneficial work.

Dentists Were Nearly Unanimous

said it would be of value to eliminate

adjustments

96%said it would be VERY valuable

to eliminate adjustments

71%

From CAD to Finish in 1 Day

1.5 hours in time savings to manufacture

each case

Increases workflow efficiency

Reduces labor costs

No in-house waxing or casting

necessary


Clinical DataMarket Research — Patients Prefer Ultaire® AKP1

In August 2018, market research was conducted with six focus groups in Atlanta, Georgia to collect in-depth insights from dentists, hygienists and consumers about their attitudes regarding metal versus Ultaire® AKP partial dentures.1

• Both male and female patients were vocal on their dissatisfaction with their current metal RPDs. Hygienists reiterated receiving similar feedback from patients.

• Patients complained that their metal RPD was uncomfortable, made speech and eating difficult, caused a negative taste while eating, broke easily, caused tooth decay around the clasps, slipped, was hard to clean, and was not aesthetically pleasing — which makes them self-conscious and embarrassed.

Metal RPD Ultaire® AKP RPD

On a 5-point scale, each group rated what was most important to them when it came to RPDs:

All three groups felt

✔ Comfort

✔ Flexibility

✔ Easier to smile

were some of the most critical attributes.

Patients liked the Ultaire® AKP RPDs better than the metal RPDs,

describing them as:

✔ More comfortable

✔ Better aesthetics

✔ Cosmetic – the clasps don’t show like the metal clasps

✔ Flexible

✔ Light and thin but still strong

✔ Blends with the gums

✔ Easy to adjust if needed


Clinical Studies and TrialsPatient Satisfaction: Initial studies conducted by Solvay® Dental 360 included seventeen patients enrolled in a patient satisfaction trial to evaluate overall satisfaction and preference between the standard metal frame and then their satisfaction wearing a high-performance polymer frame (Ultaire® AKP). Results demonstrated an increase in satisfaction scores when wearing the Ultaire® AKP frame as shown in the table to the right.4

Oral Health and Quality of Life: An ongoing clinical trial of forty patients is currently under way at the University of Chicago, Illinois and the University of Leeds, United Kingdom. The intended objective of the trial is to evaluate the change in patient oral health and related quality of life while wearing the Ultaire® AKP RPD. Results from this study will be presented upon its completion in the near future.2

Clasp Fatigue: A study published in Dental Materials in 2019 compared the retentive force of individual RPD clasps made from CoCr or an AKP material (Ultaire® AKP) following prolonged fatigue testing. The study found that Ultaire® AKP clasps maintain shape with less distortion than metal.5

• Unlike CoCr, the Ultaire® AKP clasps did not work harden, nor did they have as large a reduction in retentive force and accompanying permanent deformation.5

• The retentive force for the Ultaire® AKP clasps was consistent over 15,000 cycles of fatigue-mimicking, prolonged clinical use.5

• The AKP material was more robust, showing minimal deformation even in non-ideal paths of removal, as many patients would routinely use.5

Biofilm: In biofilm testing, aryl ketone shows a 51% drop in Candida albicans (yeast strain primarily responsible for denture stomatitis biofilm build up on surface). This value indicates a statistically significant better performance (95% confidence interval) than CoCr.2

SatisfactionMetal Frame

Ultaire® AKP Frame

Comfort 76.5% 81.3%

Weight 82.4% 93.8%

Aesthetics 58.8% 87.5%

Color 76.5% 81.3%

Satisfaction with RPD

Ultaire® AKP CoCr

Active Clasp Insertion Clasp

0˚ 10˚ 0˚ 10˚

Mean Distortion (mm)

0.030 ± 0.024

0.019 ± 0.016

0.105 ± 0.095

0.319 ± 0.195

Distortion Results of Pre- and Post-Cycled Scans


Summary: Ultaire® AKP RPDs are Different

✔ Excellent fatigue and creep resistance

✔ High machinability

✔ Stain-resistance

✔ Coatability and repairability

✔ Precision fit through processing via CAD/CAM technology

✔ Fully biocompatible

✔ Non-allergenic

✔ Bone-like characteristics

RPDs made with Ultaire® AKP meet multiple patient and clinical requirements that are not present in metal replacement technologies currently on the market — hitting the “sweet spot” between metal and flexible materials. Ultaire® AKP is the only solution that provides rigidity and toughness combined with:

Ultaire® AKP Patients


CodingCoverageThe Dentivera® Milling Disc, made from Ultaire® AKP, received FDA approval on June 15, 2016. It is available in North America and has 510k clearance. It is also available in the United Kingdom, Germany, Austria, Switzerland, and Belgium and has been granted CMDCAS, EU regulatory approvals and CE mark. Ultaire® AKP is made in the U.S. under FDA and International Organization for Standardization (ISO) guidelines.

Current CDT Codes Don’t Apply to Ultaire® AKPThe current CDT reimbursement codes used for RPD frameworks are listed below. These codes do not describe Ultaire® AKP or the techniques required for manufacturing Ultaire® AKP frames.

RPD Material Existing Dental Codes Why Existing Dental Codes Don’t Apply to Ultaire® AKP

Cast Metal

D5213 Maxillary partial denture: cast metal framework with resin denture bases (incl. any conventional clasps, rests and teeth)

D5214 Mandibular partial denture: cast metal framework with resin denture bases (incl. any conventional clasps, rests and teeth)

D5282 Removable unilateral partial denture: one-piece cast metal (incl. clasps and teeth), maxillary (New in 2019)

D5283 Removable unilateral partial denture: one-piece cast metal (incl. clasps and teeth), mandibular (New in 2019)

Ultaire® AKP (an aryl ketone RPD material) is metal-free.

The codes used for cast metals are not applicable to Ultaire® AKP.

Flexible

D5225 Maxillary partial denture: flexible base (incl. any clasps, rests and teeth)

D5226 Mandibular partial denture: flexible base (incl. any clasps, rests and teeth)

Ultaire® AKP demonstrates low deformation through fatigue testing, therefore presenting superior performance over flexible materials such as acetal in both fatigue and creep resistance, which typically lend the flexible material better for a temporary solution. The codes used for flexibles are not applicable to the properties established by Ultaire® AKP.

Resin Based

D5211 Maxillary partial denture: resin base (incl. conventional clasps, rests and teeth)

D5212 Mandibular partial denture: resin base (incl. conventional clasps, rests and teeth)

The biocompatibility and non-allergenic properties of the Ultaire® AKP RPD differentiate it from conventional acrylic resin methyl methacrylate (MMA) based materials, which have been proven to be allergenic in nature.

The codes used for conventional acrylic resin are not applicable to Ultaire® AKP.

New Manufacturing

Process for RPDs made with

Ultaire® AKP

New Code Required The fitting and manufacturing process for Ultaire® AKP requires that a disc, made of the high-performance polymer, is milled into the design of the RPD framework via CAD/CAM technology.

Utilizing this technology provides a more precise fit for the patient, but also requires a different workflow in the clinical setting and how they interact with the dental laboratory manufacturing the RPD.

There are fewer manufacturing steps using the CAD/CAM technology and the interaction between the dentist and the laboratory is more integrative. Manipulation of the RPD chairside is much more limited (i.e. the claps can’t be bent to fit like one can do with a metal RPD nor heated and manipulated as can be done with acrylic).

The existing codes do not describe the new techniques required for manufacturing.


A New CDT Code is RequiredThe Ultaire® AKP distinction in materials, properties, and manufacturing identify the need for a discrete code that accurately reports an RPD or overdenture that is constructed with a framework fabricated in the lab from a high-performance polymer material through the CAD/CAM process.

Solvay® Dental 360 is currently working with the ADA to generate a distinct CDT code to be used for Ultaire® AKP partial dentures. Expect an announcement from Solvay® Dental 360 once a new code has been implemented into the latest CDT Dental Procedure Code Manual.

RECOMMENDATIONBecause Ultaire® AKP is so distinctly different from metal or other flexible RPD materials, properties and processes — the existing dental codes for RPDs (D5213, D5214, D5282, D5283, D5211, D5212, D5225, D5226) are not applicable.

References1. Market research. Conducted Aug 2018. Solvay® Dental 360 data on file.

2. Solvay® Dental 360 data on file.

3. Market research. Conducted Oct 2018 by Prost Marketing Inc. Solvay® Dental 360 data on file.

4. Cooper, Lyndon. Clinical study: REFRAME RPD study on aryl ketone polymer (AKP) removable partial dentures. Univ of IL, Chicago. July 6, 2016.

5. Marie A, Keeling A, Hyde P, et al. Deformation and retentive force following in vitro cyclic fatigue of cobalt-chrome and aryl ketone polymer (AKP) clasps. School of Dentistry, University of Leeds UK. Document DCR-DENT-00106.

Disclaimer

Solvay® Dental 360 has authorized the completion of this guide for the benefit of dental practices prescribing Ultaire® AKP RPDs for patients. Readers of this guide are advised that the contents of this publication are to be used as guidelines and are not construed as policies of Solvay® Dental 360.

Solvay® Dental 360 specifically disclaims liability or responsibility for the results or consequences of any actions taken in reliance on the statements, opinions, or suggestions in this guide.

Solvay® Dental 360 makes no representations or warranties with respect to the contents of the guide and disclaims any implied guarantee or warranty of fitness for any particular purpose. Solvay® Dental 360 will not be liable to any individual or entity for any losses or damages that may be occasioned by the use of this guide.

The recommendation is to use CDT Code D5899 (Unspecified removable prosthodontic procedure). A value commensurate to the improved properties of Ultaire® AKP should be applied to the reimbursement strategy chosen.

D5899

Solvay® Dental 360, a division of Solvay Specialty Polymers USA, LLC. All trademarks and registered trademarks are property of the companies that comprise the Solvay Group or their respective owners. © 2019, Solvay Specialty Polymers. All rights reserved. SD-DENT-00139 v2 EN

Caution: Federal law restricts this device to sale by or on the order of a dentist or other authorized dental professional.

SolvayDental360 @SolvayDental360 /Company/SolvayDental360www.SolvayDental360.com

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