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Extremadura Children’s Dental Care Plan – PADIEX

PADIEX is the free Dental Care Plan for children residing in the Autonomous Community of Extremadura from January 1 of the year in which they turn 6 years of age until the year in which they turn 15 years of age.

It was implemented in 2005 (Decree 195/2004, DOE No. 2, January 8, 2005). Its purpose is to achieve good oral health for children by applying preventive measures and the necessary treatments.

It is aimed at all children residing in Extremadura who are entitled to health care paid for by the Extremadura Health Service.

What assistance is included?

Children will be included from January 1 of the year in which they turn 6 years old until December 31 of the year in which they turn 15 years old:

  • Hygienic-dietary recommendations to prevent oral diseases.
  • Oral health education to teach brushing and cleaning techniques.
  • Preventive treatment such as fluoridation.
  • Preventive treatment of sealant placement in fissures of first and second permanent molars.
  • Filling of permanent molars in case of irreversible lesions.
  • Tartrectomies (cleaning) in permanent dentition.
  • Caries treatment.
  • Extraction of temporary and permanent teeth (in the latter case, when pulp treatment is not indicated) and erupted supernumerary teeth.
  • Dental emergencies:
  1. If permanent teeth are involved, every effort will be made to preserve the tooth.
  2. If temporary teeth are affected, “treatment will be exclusively palliative, based on pharmacological therapy or extraction of the affected tooth”.
  • Re-evaluation and follow-up, at the dentist’s discretion, of caries, periodontal disease, malocclusion, as well as medically compromised or special risk patients.
  • Complete dental care in children with congenital craniofacial and oral cavity anomalies with dental alterations.
  • Orthodontic treatment for severe malocclusion after undergoing surgery:
  1. Palatal fissure.
  2. Cleft lip.
  3. Another congenital craniofacial malformation.
  4. Disorders of the inciso-canine group:
  5. Ferulization of the previous group.
  6. Reconstruction.
  7. Great reconstruction.
  8. Prefabricated intraradicular pin.
  9. Dental reimplantation.
  10. Soft tissue suture.
  • Pulp treatment of permanent teeth, including:
  • Apicoforming (dental treatment in unformed teeth with pulp destruction).
  • Direct pulp capping.
  • Endodontics.

What is not included?

  • Restorative treatments of the primary dentition.
  • Orthodontic dental care except in cases of severe malocclusion following surgery for cleft palate, cleft lip or other congenital craniofacial malformation.
  • Treatments of the inciso-canine group due to agenesis of all or some of its parts.
  • Traumas of the inciso-canine group when there are third parties obliged to pay.
  • Prosthesis of any kind.

It will be possible to choose between going to the dentists of the public system or to one of the almost 300 dentists of private clinics authorized by the SES.

Modification of Decree 195/2004

On February 25, 2019, the Decree was modified and renamed Decree 195/2004, of December 29, 2004, on dental care for children and persons with certain clinical situations in the Autonomous Community of Extremadura.

The fundamental modification is the inclusion, within the free assistance of the Dental Care Plan, of the orthodontic treatment, to the population residing in the Autonomous Community of Extremadura who are entitled to health care paid for by the Extremadura Health Service and present severe malocclusion after undergoing surgery for:

  • Palatal fissure.
  • Cleft lip.
  • Another congenital craniofacial malformation.

Prior to its provision “it must be expressly authorized by the Extremadura Health Service, after a report from the maxillofacial surgeon justifying the need for the treatment”. This will be done through the benefit application form found at the end of this document.

It is aimed at residents of the Autonomous Community of Extremadura who are entitled to health care paid for by the Extremadura Health Service.

To apply for the orthodontic treatment benefit, it is necessary to fill out an Application Form that must be accompanied by:

  • Report of the pathology suffered and the surgical intervention received by Maxillofacial Surgery.
  • Study and estimate of orthodontic treatment.
  • Health card of the Extremadura Health Service.