# The National Health Service (Dental Charges) Regulations 2005, Schedule 4A: Complex Care Pathways under a Band 2 Charge


Complex care pathway 1
(a)oral health assessment including clinically appropriate radiographs;
(b)recording of diagnosis and depth of active carious lesions;
(c)identification and recording of modifiable risk factors;
(d)development of a treatment plan in line with findings from the oral health assessment, which must be shared with the patient;
(e)provision of clinically evidenced preventative advice and support for the duration of the complex care pathway;
(f)provision of clinically appropriate restorations of all relevant and a minimum of 5 teeth and, if required, endodontic therapy;
(g)re-evaluation of the patient prior to completion of the complex care pathway;
(h)assessment to determine the clinically appropriate interval for a risk-based recall after the dental services in (a) to (g) are complete.
Complex care pathway 2
(a)oral health assessment including clinically appropriate radiographs;
(b)recording of diagnosis and depth of active carious lesions;
(c)recording of the diagnosis statement for periodontitis;
(d)identification and recording of modifiable risk factors;
(e)development of a treatment plan in line with findings from the oral health assessment, which must be shared with the patient;
(f)provision of clinically evidenced preventative advice and support for the duration of the complex care pathway;
(g)provision of a minimum of 3 cycles of periodontal treatment to address periodontitis, in line with the patient’s treatment plan and clinically evidenced care;
(h)provision of clinically appropriate restorations of all relevant and a minimum of 5 teeth and, if required, endodontic therapy;
(i)assessment to determine the clinically appropriate interval for a risk-based recall after the dental services in (a) to (h) are complete.
Complex care pathway 3
(a)oral health assessment including clinically appropriate radiographs;
(b)recording of the diagnosis statement for periodontitis;
(c)identification and recording of modifiable risk factors;
(d)development of a treatment plan in line with findings from the oral health assessment, which must be shared with the patient;
(e)provision of clinically evidenced preventative advice and support for the duration of the complex care pathway;
(f)provision of a minimum of 2 cycles of periodontal treatment to address periodontitis, in line with the patient’s treatment plan and clinically evidenced care;
(g)assessment to determine the clinically appropriate interval for a risk-based recall after the dental services in (a) to (f) are complete.

---
Source: https://www.legislation.gov.uk/uksi/2005/3477/schedule/4A (the official version)
Page: https://openlegislation.uk/national-health-service-dental-charges-regulations-2005/schedule-4A
Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.