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8/14/2019 Peace Corps Office of Medical Services Dental Technical Guideline 180 | Dental Policy
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Ufnlf Lcrps]flaghlnj Iuhmfjhgf >15
MFG]NJ UCJHLX
>' UV[UC\F
]af purpcsf cb tahs iuhmfjhgf s tc cutjhgf taf prf sfrvhlf* g sfrvhlf ngm pcst sfrvhlflc`pcgfgts cb taf Ufnlf Lcrps mfgtnj prcirn`'
;' KNLDI[CVGM
Mfgtnj prckjf`s nrf cgf cb taf cst lc``cg g sfrvhlf afnjta prckjf`s bcr Rcjugtffrs ngmnrf n jfnmhgi lnusf cb `fmhlnj fvnlunthcgs fmfvnls( gm pcst sfrvhlf Bfmfrnj F`pjcyffs)Lc`pfgsnthcg Nlt !BFLN( ljnh`s' @ngy Rcjugtffrs sfrvf g nrfns whta jh`htfm cr gc nllfsstc mfgtnj bnlhjhthfs'
]af prf sfrvhlf mfgtnj fvnjunthcg s mfshigfm c?
'Fstnkjhsa n knsfjhgf mfgtnj afnjta stntus prhcr tc Ufnlf Lcrps sfrvhlf4
'Hmfgthby mfgtnj prckjf`s tant gffm c kf lcrrfltfm prhcr tc Ufnlf Lcrps sfrvhlf4
'Mftfr`hgf hb ng hgmhvhmunj)s mfgtnj afnjta fquhrfs n lcugtry nsshig`fgt ant lng suppcrtng ngthlhpntfm mfgtnj cr pfrhcmcgtnj gffm'
]af hg sfrvhlf mfgtnj prcirn` whjj prcvhmf?
'\uppcrt bcr prfvfgthvf mfgtnj ayihfgf c `nhgtnhg mfgtnj afnjta4
'[fstcrnthvf lnrf bcr mfgtnj prckjf`s tant nrhsf murhgi sfrvhlf4'
'N mfgtnj fxn` nt Ljcsf cb \frvhlf !Ln\(4
'[cuthgf mfgtnj prcpayjnxhs !mfgtnj ljfnghgi( nt lns'
]af pcst sfrvhlf mfgtnj prcirn` whjj prcvhmf?
'Fvnjunthcg cb sfrvhlf rfjntfm mfgtnj lcgmhthcgs4
]rfnt`fgt cr sfrvhlf rfjntfm mfgtnj lcgmhthcgs ugmfr BFLN'
Urf \frvhlf Mfgtnj Ljfnrnglf]af nppjhlngt s fxn`hgfm ky n mfgthst cb ahs#afr lachlf ngm ngy rflc``fgmfm mfgtnjtrfnt`fgt s pfrbcr`fm' ]af mfgthst tafg lc`pjftfs af [fpcrt cb Mfgtnj Fxn`hgnthcg* Bcr`UL >985 !Mfgtnj( N]]NLA@FG] N ngm sfgms t whta n lc`pjftf sft cb mfgtnj x rnys tctaf Cbbhlf cb @fmhlnj \frvhlfs C@\('
Cbbhlf cb @fmhlnj \frvhlfs @nrla ;55> Unif >
8/14/2019 Peace Corps Office of Medical Services Dental Technical Guideline 180 | Dental Policy
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]I >15Mfgtnj Ucjhly
]af Ufnlf Lcrps mfgtnj lcgsujtngt fvhfws taf [fpcrt cb Mfgtnj Fxn`hgnthcg ngm taf x rnys*ngm nppjhfs af bcjjcwhgi lrhtfrhn bcr mfgtnj ljfnrnglf?
'Mflnyfm tffta ust kf rfstcrfm cr fxtrnltfm'
Brnlturfm tffta ust kf rfstcrfm cr fxtrnltfm'Brnlturfm fstcrnthcgs `ust kf rfpnhrfm whta n gfw rfstcrnthcg cr taf tccta ust kffxtrnltfm'
Ufrhcmcgtnj mhsfnsf ant ans af pctfgthnj tc kflc`f sy`ptc`nthl ust kf lcrrfltfm kypfrhcmcgtnj surifry cr fxtrnlthcg'
Nkslfssfm ffta ust kf trfntfm whta rcct lngnj tafrnpy cr fxtrnlthcg'
]ffta whta hrrfvfrshkjf pujphths `ust kf trfntfm whta rcct lngnj tafrnpy cr fxtrnlthcg'
]ffta whta prfvhcus rcct lngnj tafrnpy ant s bnhjhgi `ust kf rftrfntfm !fhtafrlcgvfgthcgnjjy cr surihlnjjy( cr fxtrnltfm'
]f`pcrnj @ngmhkujnr Ochgt !]@O( mhsfnsf `ust kf trfntfm ngm taf nppjhlngt ust kfwhtacut buglthcgnj jh`htnthcg bcr n pfrhcm cb cgf yfnr prhcr tc sfrvhlf'
]f`pcrnry rfstcrnthcgs hgljumhgi stnhgjfss stffj lrcwgs( ust kf rfpjnlfm whtapfr`ngfgt fstcrnthcgs'
Nlthvf crtacmcgthl tafrnpy `ust kf lc`pjftfm ngm taf kngms f`cvfm' [ftnhgfrs !fhtafrbhxfm cr rf`cvnkjf( nrf nllfptnkjf'
Nppjhlngts whta h`pnltfm whsmc` tffta nrf nllfptfm b* hg taf vhfw cb taf fxn`hghgimfgthst ngm taf C@\ lcgsujtngt* afy nrf ugjhdfjy tc gffm trfnt`fgt cvfr taf gfxt twcyfnrs'Nppjhlngts whta kruxhs` ngm n rflc``fgmnthcg rc` tafhr mfgthst bcr ng clljusnj iunrm`ust anvf taf mfvhlf bnkrhlntfm prhcr tc sfrvhlf'
@hsshgi tffta mc gct gffm c kf rfpjnlfm'
]af [fpcrt cb Mfgtnj Fxn`hgnthcg ngm x rnys nrf nhgtnhgfm g taf Rcjugtffr)s afnjtarflcrm'
8/14/2019 Peace Corps Office of Medical Services Dental Technical Guideline 180 | Dental Policy
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]I >15Mfgtnj Ucjhly
=' HG \F[RHLF MFG]NJ U[CI[N@
='> Urfvfgthcg
Iccm mfgtnj ayihfgf s dgcwg tc rfmulf af hglhmfglf cb mflny' Mfgtnj ayihfgf ust
kf f`panshzfm g kcta hghthnj ngm lcgthguhgi afnjta fmulnthcg prcirn`s' ]af bcjjcwhgimfgtnj ayihfgf flaghqufs sacujm kf strfssfm c Rcjugtffrs?
'Krusa nt jfnst whlf mnhjy whta iccm qunjhty bjucrhmf tcctapnstf'
'Bjcss nt jfnst cglf mnhjy'
'Fxfrlhsf lnuthcg wafg fnthgi ccms tant ny anvf crfhig ckoflts tant lcujm lahp crctafrwhsf mn`nif ffta'
]cctapnstf* cctakrusafs* ngm mfgtnj bjcss nrf prcvhmfm fhtafr tarcuia taf Rcjugtffrjhvhgi njjcwnglf cr suppjhfm tarcuia af afnjta ught'
='; @hm \frvhlf Mfgtnj Fxn`hgnthcg ngm UrcpayjnxhsUfnlf Lcrps suppcrts ng nggunj mfgtnj lafld up hgljumhgi prcpayjnxhs ngm khtfwhgi xrnys( wafg tafrf s n qunjhbhfm mfgthst cr mfgtnj ayihfghst mfgthbhfm nt pcst' ]af rghmsfrvhlf mfgtnj fxn`hgnthcg ans wc ckoflthvfs?
[cuthgf mfgtnj ljfnghgi4
;' Hmfgthbhlnthcg gm rfnt`fgt b fnrjy mhsfnsf
@fmhlnj fvnlunthcg `fmfvnl( s gct nutacrhzfm cr taf purpcsfs cb prcvhmhgi ngnggunj mfgtnj lafld up' Acwfvfr* mfgtnj lnrf* gljumhgi ng nggunj lafld up* wahjf hgtaf V'\' cg pfrscgnj kushgfss `ny kf nutacrhzfm arcuia af usf cb taf UL >;9L+Nutacrhznthcg cb Uny`fgt cb @fmhlnj#Mfgtnj \frvhlfs+ !sff sflthcg 2 kfjcw(' ]afrnthcgnjf bcr nggunj vfrsus sf`hnggunj mfgtnj fxn`hgnthcg ngm prcpayjnxhs hs cutjhgfmkfjcw'
@ngy mfgthsts g taf Vghtfm \tntfs flc``fgm mfgtnj fxn`hgnthcg ngmprcpayjnxhs fvfry shx cgtas' Acwfvfr* prcbfsshcgnj mfgtnj cringhznthcgsmc gct spflhby taf brfqufgly cb prcpayjnxhs cr hgmhvhmunjs whta afnjtaypfrhcmcgthn' ]af N frhlng Mfgtnj Nssclhnthcg !NMN( rflc``fgms+pfrhcmhl mfgtnj fxn`hgnthcgs' ]af NMN ans gc pcjhly rfinrmhgi taf
brfqufgly cb acsf fxn`s' ]af V'\' Urfvfgthvf \frvhlfs ]nsds Bcrlf* taf
prff`hgfgt scurlf cb prfvfgthvf afnjta rflc``fgmnthcgs g taf V\* stntfstant +tafrf hs jhttjf fvhmfglf ant nggunj cr sf`hnggunj mfgtnj lafld upsnrf gflfssnry cr pfrscgs whtacut ljhghlnj fvhmfglf cb mfgtnj mhsfnsf'
Nmmhthcgnjjy* tafrf hs gc slhfgthbhl fvhmfglf c suppcrt taf prf`hsf tantsf`h nggunj prcpayjnxhs vfrsfs fss rfqufgt prcpayjnxhs ans ngy cgitfr` kfgfbht cg mfgtnj afnjta' @ujthpjf stumhfs anvf sacwg tant hg
@nrla ;55> Unxf
8/14/2019 Peace Corps Office of Medical Services Dental Technical Guideline 180 | Dental Policy
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]I >15Mfgtnj Ucjhly
hgmhvhmunjs whta afnjtaypfrhcmcgthn* nggunj slnjhgi hs ns fbbflthvf ns`crf rfqufgt slnjhgi hg `nhgtnhghgi pfrhcmcgtnj afnjta'
]afrf s strcgi fvhmfglf ant tccta krusahgi ngm jcsshgi nrf fbbflthvf`fngs cb nhgtnhghgi pfrhcmcgtnj afnjta'
Hgmhvhmunjs whta nlthvf pfrhcmcgtnj mhsfnsf mfgthbhfm ky n mfgthst ny rfquhrf crf brfqufgtfxn`s ngm slnjhgi' g tafsf lnsfs Ufnlf Lcrps suppcrts ngm prcvhmfs njj gflfssnry nrf'Acwfvfr* bcr Rcjugtffrs hg iccm mfgtnj afnjta* taf Ufnlf Lcrps mfgtnj pcjhly cb nggunjfxn`hgnthcgs ngm prcpayjnxhs* wafrf nvnhjnkjf* s `fmhlnjjy scugm'
Mfgtnj fxn`hgnthcgs ngm prfvfgthvf lnrf !ljfnghgi ngm slnjhgi( cbbfrfm hg lcugtry nrf cbtfgjh`htfm' Acwfvfr* cst mfgthsts nrf nkjf tc hmfgthby ngm trfnt nsy`ptc`nthl lnrhfs' Yafgnvnhjnkjf* ljfnghgi ngm slnjhgi sacujm kf pfrbcr`fm nggunjjy'
Vgjfss taf jclnj mfgtnj lnrf s ugnllfptnkjf cr fvfg sh`pjf fxn`hgnthcg ngm trfnt`fgt* njjRcjugtffrs sacujm anvf n hm sfrvhlf mfgtnj fxn`hgnthcg'
='< Hg Lcugtry @ngnif`fgt cb Mfgtnj Urckjf s
Ifgfrnj Urhglhpjfs
]af mfgtnj lnrf nvnhjnkjf g lcugtry s brfqufgtjy h`htfm ngm rfstcrnthvf wcrd `nygffm c kf rfmcgf nbtfr lns' ]ahs hs pnrthlujnrjy truf bcr lrcwgs* rcct lngnj bhjjhgis*ngm krhmif wcrd' Ht hs cbtfg hg taf Rcjugtffr)s gtfrfst c mfjny trfnt`fgt ugthj nbtfrlns !sff sflthcg 1 kfjcw('
Ufnlf Lcrps mcfs gct prcvhmf mfgtnj lnrf tc trfnt nfstafthl lcgmhthcgs* f'i' crtacmcgthn*mfgtnj vfgffrs* cr wahtfghgi prclfmurfs* cr tc lcrrflt prf fxhsthgi strulturnj prckjf`s*f'i'* njclljushcg'
Nutacrhzhgi Mfgtnj Lnrf
Njj trfnt`fgts fxlfpt bcr rcuthgf lafld ups* ljfnghgi* ngm s`njj bhjjhgis rfquhrfprhcr nutacrhznthcg brc` taf C@\ mfgtnj lcgsujtngt'
Hg ifgfrnj* af hgh`u` rfstcrnthvf mfgtnj wcrd pcsshkjf sacujm kf mcgf hglcugtry'
Gcg mfstrulthvf* f`pcrnry prclfmurfs sacujm kf usfm wafgfvfr pcsshkjf* tafrfkynjjcwhgi mfbhghthvf trfnt`fgt c kf lnrrhfm cut nbtfr LC\c Bcr fxn`pjf* t `ny kfprfbfrnkjf c anvf n jnrif bhjjhgi mcgf g lcugtry rntafr tang n lrcwg' N lrcwglcujm kf nppjhfm nbtfr rfturg tc taf V'\'
]rfnt`fgt c lcrrflt n prf fxhsthgi nfstafthl prckjf` s gct nutacrhzfm ky UfnlfLcrps ngm s gct njjcwfm hg lcugtry'
@nrla ;55>bbhlf cb@fmhlnj\frvhlfs Unif =
8/14/2019 Peace Corps Office of Medical Services Dental Technical Guideline 180 | Dental Policy
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]I >15Mfgtnj Ucjhly
]rfnt`fgt c rfpjnlf prf fxhsthgi hsshgi tffta s gct nutacrhzfm ky Ufnlf Lcrpsngm s gct njjcwfm hg lcugtry'
@fmfvnl s gct nutacrhzfm cr taf purpcsfs cb prcvhmhgi rcuthgf prfvfgthvf mfgtnjlnrf'
@ngnif`fgt cb Mfgtnj Urckjf`s
N Rcjugtffr wac rfquhrfs* cr hs rfqufsthgi* mfgtnj trfnt`fgt `ny kf rfbfrrfm tc njclnj mfgthst' ]af mfgthst whjj prcvhmf n mhnigcshs* rfnt`fgt pjng ngm fsth`ntfm lcstcb taf trfnt`fgt g wrhthgi'
Hg njj lnsfs*fxlfpt wafg n s`njj bhjjhgi hs rfquhrfm* mftnhjs cb taf trfnt`fgt pjng ngmlcst sacujm kf sfgt* vhn n bhfjm lcgsujt tarcuia af HAL* tc taf C@\ mfgtnjlcgsujtngt wac whjj nmvhsf cg taf kfst lcursf cb nlthcg'
]af mfgtnj lcgsujtngt whjj nmvhsf cgf cb taf bcjjcwhgi tarff cpthcgs?
~ ]rfnt`fgt lng kf mfbfrrfm ugthj LC\c
~ N tf`pcrnry prclfmurf sacujm kf lnrrhfm cut'
~ N rfstcrnthvf prclfmurf s rfquhrfm' ]af mfgtnj lcgsujtngt whjj mftfr`hgf btaf prclfmurf lng kf mcgf g lcugtry cr rfquhrfs fmfvnl rfihcgnj cr V'\'(
Acw tc Lcgtnlt taf C@\ Mfgtnj Lcgsujtngt
Hg urifgt lnsfs* f'i'* trnu`n* mfgtnj gbflthcgs cr ugrf`htthgi pnhg?
'\fgm n lnkjf cr bnx tc C@\' Hgljumf taf pnthfgt)s sy`ptc`s* af trfnthgi mfgthst)smhnigcshs* rfnt`fgt pjng ngm fsth`ntfm lcst cb taf trfnt`fgt* ns wfjj ns fxpfltfmlns mntf'
Hg gcg urifgt lnsfs?
\fgm n lnkjf cr bnx tc C@\ ns cutjhgfm nkcvf' @~hj cr pcula taf prf sfrvhlf x rnys*lurrfgt x rnys ngm n lcpy cb taf prf sfrvhlf Bcgg UL >985 !Mfgtnj( tc C@\' ]ahsprcvhmfs taf mfgtnj lcgsujtngt whta nmfquntf gbcggnthcg tc fvnjuntf af lnsf'
Fxlfpt hg f`frifglhfs* af mfgtnj lcgsujtngt)s rfspcgsf s rfquhrfm kfbcrf nutacrhzhgitrfnt`fgt'
6' N\\F\\HGI G LCVG][X MFG]NJ \F[RHLF\
Rcjugtffrs ust cgjy kf sfgt c n mfgthst wacsf sfrvhlfs anvf kffg nssfssfm y taf UL@C'Hg nmmhthcg tc cktnhghgi rfpcrts brc` prfvhcus pnthfgts* n vhsht tc taf mfgtnj cbbhlf hs ifgfrnjjyrfquhrfm' ]af UL@C sacujm lcgshmfr af bcjjcwhgi bnltcrs wafg nssfsshgi fgtnj sfrvhlfs'
Cbbhlf cb @fmhlnj \frvhlfs @nrla ;55> Unif 6
8/14/2019 Peace Corps Office of Medical Services Dental Technical Guideline 180 | Dental Policy
6/8
]I >15Mfgtnj Ucjhly
\tfrhjhznthcg ngm Ngth \fpshsUrnlthlfs
Gfw mhspcsnkjf ijcvfs* nsd* gffmjfs ngm syrhgifs ngm ngfstafthl n`pujfs ust kf usfmbcr fnla pnthfgt' Ng nmfquntf stcld ust kf sffg'
Hgstru`fgts ust kf nutcljnvfm kftwffg pnthfgts'Njj surbnlfs `ust kf mhshgbfltfm kftwffg pnthfgts'
\ahfjmhgi bcr mfgtnj x rnys sacujm kf nvnhjnkjf !sff ]C ;9L`ny kf hssufm ky taf UL@C ns pfr ]flaghlnj Iuhmfjhgf ;9L Bcr`* Nutacrhznthcg bcr Uny`fgt cb @fmhlnj#Mfgtnj \frvhlfs) + Vgjfss prfvhcusjy nutacrhzfm
ky taf C@\ mfgtnj lcgsujtngt* cgjy fvnjunthcg ngm sh`pjf trfnt`fgts sacujm kfnutacrhzfm' UL@Cs sacujm hgstrult taf Rcjugtffr tc lcgtnlt C@\ hb `crf lc`pjfx lnrfhs rfquhrfm'
Bcr hm sfrvhlf mfgtnj fxn`hgnthcgs af >;9L sacujm rfnm?
]afrf nrf twc cpthcgs bcr pny`fgt#rfh`kursf fgt cr lnrf nutacrhzfm ky n >;9L?
]af mfgtnj prcvhmfr nllfpts af >;9L ngm suk`hts n ljnh` tc taf Ufnlf Lcrps AfnjtaKfgfbht Urcirn`' ]ahs hs taf prfbfrrfm `ftacm'
]af Rcjugtffr pnys bcr taf fmhlnj lnrf ngm suk`hts n ljnh` bcr rfh`kursf`fgt c tafUfnlf Lcrps Afnjta Kfgfbhts Urcirn`'
3
]ahs hgbcr`nthcg* hgljumhgi njj gflfssnry mclu`fgtnthcg cr suk`htthgi n ljnh`* hsahiajhiatfm hg rfm* kcjm typf hg taf lfgtfr cb af >;9L'
Unif 2nrla ;55>bbhlf cb @fmhlnj \frvhlfs
8/14/2019 Peace Corps Office of Medical Services Dental Technical Guideline 180 | Dental Policy
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]I >15Mfgtnj Ucjhly
Ljnh`s suk`httfm c taf Ufnlf Lcrps Afnjta Kfgfbhts Urcirn` whjj kf rfh`kursfmnllcrmhgi c taf Ufnlf Lcrps Afnjta Kfgfbhts bff slafmujf cgjy'
Urhcr tc rflfhvhgi lnrf* taf Rcjugtffr sacujm rfnm ngm ugmfrstngm af hgbcr`nthcg cgpny`fgt#rfh`kursf`fgt cr `fmhlnj lnrf nutacrhzfm ky n >;9L'
N>>>;9L nutacrhznthcgs sacujm kf suk`httfm c taf Ufnlf Lcrps Afnjta Kfgfbhts Urcirn`bcr pny`fgt cr rfh`kursf`fgt' ]ahs hgljumfs >;9Ls ssufm ky pcst cr ky C@\* >;9Lshssufm cr usf g taf V'\' cr cvfrsfns* gm >;9Ls ssufm cr usf murhgi sfrvhlf cr nbtfrLC\c
9' LM\ FQN@HGN]HCG\
[fbfr tc ]I ;9L' ]ahs nutacrhznthcg sacujm fnm?
1' MCLV@FG]N]HCG CB MFG]NJ LN[F
]af UL >985 !Mfgtnj( bcr` ust kf usfm cr njj prf sfrvhlf ngm lns mfgtnj fxn`hgnthcgs'@hm sfrvhlf usf cb taf UL >985 !Mfgtnj( bcr` hs fglcurnifm kut gct rfquhrfm' ]af mfgthst)s
cbbhlf mclu`fgtnthcg cb taf hm sfrvhlf fxn` s nllfptnkjf b ht hs nllurntf ngm lc`pjftf'
8' UC\] \F[RHLF MFG]NJ KFGFBH]\
8'> Fvnjunthcg
Fvnjunthcg cb sfrvhlf rfjntfm mfgtnj lcgmhthcgs nrf nutacrhzfm ushgi n >;9L' ]ahsnutacrhznthcg s vnjhm bcr >15 mnyspcst sfrvhlf ngm mcfs gct nutacrhzf rfnt`fgt' b
Cbbhlf cb@fmhlnj\frvhlfs @nrla ;55> Unif 9
8/14/2019 Peace Corps Office of Medical Services Dental Technical Guideline 180 | Dental Policy
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]I >15Mfgtnj Ucjhly
hgmhlntfmnt lns* UL@Cs `ny ssuf n >;9L cr spflhbhl mfgtnjfvnjunthcg'Yafg nsfrvhlf rfjntfm fgtnj prckjf` rhsfs whtahg >15mnysnbtfrlns taf Ucst \frvhlf ghtwhjj njsc ssuf ngnutacrhznthcg'
8'; ]rfnt`fgt
Mfgtnj kfgfbhts nrf nvnhjnkjf ugmfr BFLN' ]af Mfpnrt`fgt cb Jnkcr !MCJ(nm`hghstfrs BFLN' ]af MCJ nutacrhzfs af C@\ Ucst \frvhlf Vght tc `ngnif ljnh`sjfss tang ->*555' Kcta taf MCJ ngm taf Ucst \frvhlf Vght usf mfgtnj x rnys ngmmclu`fgtnthcg `nhgtnhgfm g taf Rcjugtffr afnjta flcrm tc prclfss ljnh`s'
Cbbhlf cb@fmhlnj\frvhlfs @nrla ;55> Unif 1