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Patient Information

Medisave

Medisave Claims for dental treatment in institutions approved by the Ministry of Health Singapore

What is Medisave ?

Medisave Scheme is a Singapore  National Healthcare Savings Scheme. Singaporeans or permanent residences who are employed with CPF will have to put aside a part of their income into the Medisave Account.

What medical procedures  can be claim under the Medisave Scheme ?

Medisave  savings can be used to claim for hospitalization, day surgeries and certain out patients treatment.  However they can only be used in medical /dental institutions approved by the Ministry of Health.  For exact details of what can be claims under the Medisave scheme, choose a clinic or hospital  accredited by Ministry of Health, they will assist you accordingly.

Are there withdrawal limits for MediSave ?

Medisave withdrawal limits are set by the government  and these limits are revised periodically to met the health care demands of Singapore . The main objective of Medisave withdrawal limits is to safe guard excessive or unwise use of  Medisave funds .  This will ensure that sufficient funds are available for medical needs during old age.  Our clinic staff  will advise you on the withdrawal limits for the  various  dental procedures claimable under  the Medisave Scheme

Can Medisave be used by members of my family ?

Medisave funds can also be used for a Medisave Account holder dependants.  Dependants refers to spouse, children, parents and grandparents.

Medisave claims for Dental Surgery : General information  for patients.

Medisave claim for dental surgery

Mount Elizabeth Dental Surgery Pte Ltd is a day surgery clinic facility  accredited by the Ministry of Health (Singapore). Our dental clinic, located at Mount Elizabeth Medical Centre, Mount Elizabeth Hospital is fully equipped for dental surgery  in both in-clinic and hospital settings. For Singaporeans and Permanent Residents of Singapore  with a Medisave  Account , certain types of dental procedures can be paid partially with Medisave.

What are the common dental surgery procedures that are Medisave claimable ?

Some of the common procedures  claimable under the Medisave Scheme are :

  • Surgical extraction of teeth/roots
  • Wisdom teeth removal ,
  • Removal of cyst/tumour
  • Biopsy
  • Correction of tonque tied
  • Dental implant surgery
  • Bone grafting
  • Jaw surgery

Notes :

The complexity of the dental procedures  will determine The amount that is deductable from the  Medisave account will depends on the complexity of the case and the withdrawal limits set by the Ministry of Health.  The amount claimable is stipulated in surgery tables set by the Ministry of Health in Singapore.

How much can I claim from my  Medisave Account for  wisdom tooth surgery or dental implant surgery ?

Some of the common procedures and the amount  deductable  from Medisave account are listed here :

sds-medisave

Notes.

The above table is only a simple guide and  the final amount may vary depending  on the complexity of the case and final approval from the Ministry of Health.

The final amount deductable from the Medisave Account is dependant on the  final approval by the Ministry of Health

How can I claim from  my Medisave account for dental surgery ?

Firstly you must ensure that you have a CPF/Medisave  account . Secondly check that you have sufficient funds ins your medisave account.

On the day of surgery, you must bring along your Identity  Card to show proof that you are a Singapore Citizen or Permanent Resident.  Do not worry about how to claim from your medisave account . Our clinic staff are trained to do the necessary paper work for Medisave claims .

Notes.

The above table is only a simple guide and  the final amount may vary depending  on the complexity of the case and final approval from the Ministry of Health.

The final amount deductable from the Medisave Account is dependant on the  final approval by the Ministry of Health

How can I claim from  my Medisave account for dental surgery ?

Firstly you must ensure that you have a CPF/Medisave  account . Secondly check that you have sufficient funds ins your medisave account.

On the day of surgery, you must bring along your Identity  Card to show proof that you are a Singapore Citizen or Permanent Resident.  Do not worry about how to claim from your medisave account . Our clinic staff are trained to do the necessary paper work for Medisave claims .

What if I do not have sufficient funds in my Medisave  Account ?

In  the event  of insufficient funds , you can use your  immediate family ‘s Medisave Account . Immediate family,  according to Ministry of Health  includes spouse and parents.

Useful links

www.mycpf.cpf.gov.sg

www.moh.gov.sg/content/moh_web/home/cost/medisave/Withdrawal_limits.html

www.iras.gov.sg/irashome/page04.aspx?id=1260

www.mahkotamedical.com/patient-guide/medisave-faq.html

ROOT CANAL TREATMENT OR TOOTH IMPLANT

Wearing a denture to replace missing teeth is no longer a desired option in the fast evolving modern society. Sometimes a tooth may be so severely damaged from tooth decay or trauma that the nerve of the tooth is dead or non-vital. Patients  and dentist are faced with this difficult decision , to save the tooth with root canal treatment and crown or just extract the tooth and replaced it with a tooth implant or dental implant.

Root canal  treatment and dental implant are both proven method of dental treatment with high success rate . Both treatment modality  are relatively complex treatment involving a lot of time and are more costly than dentures . So should you have a root canal treatment and crowning be done  or is it better to have a tooth implant instead.?

There are 6 instances whereby dental implants are preferred over root canal treatment and crowning.

1) Badly broken down tooth

Before opting for a root canal treatment the dentist have to decide whether the there is enough tooth structure after root canal treatment for crowning. Even with enough tooth structure for crowning, the dentist have to assess whether the final crown tooth is strong enough to withstand daily biting forces. One of the most common and heart breaking  failure mode of root canal treated tooth is root fracture. When root fracture occurs, the whole tooth has to be extracted and be replaced with a tooth implant instead.

The picture on the left shows  a molar that is badly broken down. There is not enough tooth structure for crowning and even if crowning  is done, root fracture is inevitable. In such cases, dental implant is the best option.

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2) Tooth fracture

Fracture lines that run across a tooth  is an good indication that a tooth is severely weaken . If the fracture line extends deep into the gum , the tooth is generally not restorable and has to be extracted and replaced with a dental implant instead.

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3) Root canals that cannot be treated

In order for a root canal treatment to be successful , the root canals in a tooth must be completely patent for cleaning and filling. If the  root canal are not patent for root canal treatment, bacterial will be left behind, setting stage for recurrence of infection and root canal failure.

Contraindications for root canal treatment

1) Broken  root canal instrument that are obstructive and cannot be retrieved.  The peri-apical xray on the left shows a broken root canal instrument in the root . Since the obstruction cause by the broken instrument  is preventing the cleaning  of the  apical region of the  root canal system , tooth extraction and replacement with a tooth implant is the next best option.

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4) Root fractures

Its not uncommon for heavily filled teeth to sustain microscopic fractures in the root . These microscopic fractures are often difficult to diagnose as they are not visible to the naked eye. Root canal treatment in tooth with root fractures has a very poor prognosis. This is because the constant ingress of bacterial through root fracture will    inevitable lead to root canal failure.

Root fractures are usually diagnosis with the help of operating microscope. The picture on the left  taken from our clinic operating microscope shows a microscopic fracture extending across a molar  tooth and into the root.

Treatment required : extraction of the fractured molar and tooth replacement with a dental implant

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5) Root Decay

Tooth with extensive root decay are not restorable. In other words, even if root canal treatment is done, due to the lack of tooth structure to retain and support a crown, failure will occur . Instead of spending considerable time and money  for root canal treatment and crowning, extraction of the bad tooth and replace with a  tooth implant ,is a better option as the prognosis is very much better.

The xray on the left shows an extensive root decay almost amputating the tooth crown from the root . In case like this, extraction of the tooth and replace it with a tooth implant or dental implant is the treatment of choice.

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6) Advance Gum Disease

One of the most question ask by patients with loose teeth due to gum disease is whether root canal treatment can save the tooth .

The answer is no because root canal treatment merely replaces an infected nerve and pulp tissues with a clean root filling material. It will not cure gum disease nor cause the bone supporting the loose tooth to grow back. Gum diseases is due to the loosening of tooth root attachment to the bone as a result of bacterial plaque on the tooth or root  external surfaces . Some patients are also genetically prone to bacterial  plaque induced gum disease.

The picture on the left shows a loose lateral and central incisors due to advance gum diseases and resulting bone lost. In such cases, root canal treatment is of  no use . The tooth should be  removed  as soon as possible so as to preserve as much jaw bone as possible for dental implants.

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