4123-7-18 Payment for dental care.

(A) A self-insuring employer shall pay for dental care in the following cases:

(1) Where an industrial injury or occupational disease either has caused damage or has adversely affected the claimant’s natural teeth.

(2) For industrial injuries or occupational diseases sustained prior to January 1, 1979, artificial teeth or other denture must be in place in the worker’s mouth at the time of damage or loss.

(3) For industrial injuries or occupational diseases sustained on or after January 1, 1979, the requirements of division (A)(2) of this rule do not apply.

(B) Responsibility for injuries or occupational diseases affecting the claimant’s natural teeth is limited to the repair or replacement of those teeth actually injured at the time of the accident, or directly affected by the injury or disease. This responsibility does not include the replacement of teeth which are extracted or repaired for purposes unrelated to the industrial injury or occupational disease.

(C) Replacement of artificial teeth when the injury or occupational disease has resulted in a deformity of the jaw to the extent that artificial teeth cannot be used, is subject to the limitations of paragraphs (A)(2) and (A)(3) of this rule.

(D) Responsibility for the repair of both natural and artificial teeth is limited to the damage done at the time of the accident, or to the damage directly caused by an allowed injury or occupational disease.

HISTORY: Eff (Amended) 1-1-78; 12-21-79; Replaces: 4123-7-18 Eff 2-14-05

Promulgated Under: 119.03

Statutory Authority: RC 4121.12, 4121.121, 4121.30, 4121.31, 4123.05, 4123.66

Rule Amplifies: RC 4123.66

R.C. 119.032 review dates: 03/01/2009