8/14/2019 Peace Corps Office of Medical Services Dental Technical Guideline 180 | Dental Policy

1/8

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

2/8

]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

3/8

]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

4/8

]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

5/8

]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

7/8

]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

8/8

]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