49300 SOFT TISSUE PROSTHESIS

PERIODONTICS

PERIODONTAL SERVICES, MISCELLANEOUS

Gingival Mask
(Removable appliance to mask unaesthetic embrasures Note: For extensive gingival prostheses
required after maxilla facial surgery see sub-classification 57300 Prosthesis Maxillofacial, other, code
57372 Gingival Prosthesis)