Dear Sir/Madam,
On August 4, 2010, my son collapsed and struck his mouth against a door, fracturing tooth 1.1 in the root. After emergency treatment at the Dental Clinic, we were advised to remove tooth 1.1, insert an implant and restore a new tooth. After an orthodontic examination, the orthodontist found that the lower midline is shifted to the right. In the anterior region, his upper incisors bite onto the lower ones, so the upper incisors are worn. After the injury, the Dental Clinic placed a retention arch to stabilize the incisors, since the upper right incisor has a horizontal fracture in the coronal third of the root. The treatment plan is extraction of that tooth and placement of an implant at its site, but because of the crowding and unfavorable intermaxillary relationships, orthodontic pretreatment is necessary.
Because my son is a student and ZZZS does not pay for the implant, while the estimated price is approx. 4,800€, he sent ZZZS a request for coverage of the above. The request was rejected, and the ZZZS expert's assessment is that the tooth can be replaced with a fixed prosthetic bridge.
Please give me your opinion on whether the ZZZS assessment is really appropriate considering the condition of the tooth after the injury. Is orthodontic treatment also necessary if we decide on a fixed prosthetic bridge, since the implant price is too high for us?
Please give me your professional opinion.
Thank you and kind regards.
Juta