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Periodontics Section   Policy Name Date Modified Apically Positioned Flap 01/23/2003 Bone Replacement Graft 01/23/2003 Chemotherapeutic Agents 01/23/2003 Clinical Crown Lengthening 01/23/2003 Combined Connective Tissue and Double Pedicle Graft 01/23/2003 Distal or Proximal Wedge Procedure 01/23/2003 Free Soft Tissue Graft 01/23/2003 Full Mouth Debridement 01/23/2003 Gingival Flap Procedure, Including Root Planing 01/23/2003 Gingivectomy or Gingivoplasty 01/23/2003 Guided Tissue Regeneration 01/23/2003 Osseous Surgery 01/23/2003 Pedical Soft Tissue Graft 01/23/2003 Periodontal Maintenance Procedures 01/23/2003 Periodontal Scaling and Root Planing 01/23/2003 Provisional Splinting 01/23/2003 Soft Tissue Allograft 01/23/2003 Subepithelial Connective Tissue Graft 01/23/2003 Surgical Revision Procedure, per Tooth 01/23/2003 Unscheduled Dressing Change 01/23/2003 Unspecified Periodontal Procedure 01/23/2003