Health Care Department Operations Manual

Chapter 3 – Health Care Operations

Article 3.2 – Dental Care: Scope of Services

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3.3.2.12 Orthodontics

  • Policy

    • California Department of Corrections and Rehabilitation (CDCR) dental departments shall not initiate orthodontic procedures, (i.e., braces), or continue orthodontic treatment for patients incarcerated while in active orthodontic treatment.

  • Purpose

    • To establish guidelines for managing patients incarcerated while in active orthodontic treatment.

  • Procedure

    • Orthodontics is not a dental service provided by CDCR dental departments.

    • Patients may request to have orthodontic bands/brackets removed by the CDCR dental department. The CDCR shall not be held liable for changes to the patients’ dentition once the orthodontic bands/brackets are removed and shall obtain informed consent from all patients who request removal of orthodontic bands/brackets.

    • Every attempt shall be made to contact the treating orthodontist prior to removal of orthodontic bands or brackets.

    • Removal of orthodontic bands/brackets and/or arch wires shall be at the discretion of the treating dentist and does not require approval by the Dental Authorization Review Committee.

    • The CDCR shall not be held liable for the replacement of orthodontic bands that are damaged or removed in the process of providing dental procedures on banded teeth.

    • Reference the Health Care Department Operations Manual, Section 3.3.4.5(c)(3) and (4) for referral requirements.

  • References

    • Health Care Department Operations Manual, Chapter 3, Article 3, Section 3.3.4.5, Dental Authorization Review Committee

  • Revision History

    • Effective: 04/2006
      Revised: 11/2017, 11/2020, 02/2022