Many Indonesians rely on BPJS Kesehatan to access essential healthcare services, including dental care. According to news circulating on https://pafikutaikab.org/registrasi One of the most common questions is whether dental scaling a procedure to clean plaque and tartar from teeth is covered. While scaling is a routine treatment recommended by dentists to maintain oral hygiene, its coverage under BPJS is not always fully understood by patients.
According to BPJS regulations, basic dental care is included in the national health insurance program. This coverage typically applies to services considered part of essential oral health. Dr. Nadia Pratiwi, a general dentist in Jakarta, explains that BPJS aims to provide preventive care to reduce long-term dental problems. “Scaling is part of preventive treatment,” she said. “But coverage depends on the patient’s condition and the severity of tartar buildup.”
In general, BPJS covers simple scaling, often referred to as basic tartar cleaning. This treatment is usually available when a dentist determines that plaque and tartar buildup may cause gum inflammation or other oral health issues if left untreated. However, scaling performed solely for aesthetic or personal preference is not covered.
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Patients should also understand that BPJS dental services must begin at their assigned primary care facility (FKTP), such as a community health center (puskesmas) or a partner clinic. Dentists at these facilities will assess the patient’s condition and decide whether scaling is medically necessary. If required, the procedure can be done directly at the FKTP or referred to a secondary facility if more advanced care is needed.
However, BPJS does not cover deep scaling or advanced periodontal treatments. Deep scaling involves cleaning below the gumline, which is usually performed for more serious gum disease. These procedures often require specialized tools or additional anesthesia, placing them outside the scope of BPJS’s basic dental benefits.
Another limitation relates to frequency. BPJS does not provide unlimited scaling sessions. If a patient requests repeated cleanings within a short period or asks for cosmetic dental services, the cost may need to be paid out of pocket. “Patients sometimes think they can come for scaling every month,” Dr. Nadia noted. “But BPJS focuses on medical necessity, not routine touch-ups.”
Despite these restrictions, BPJS remains an important resource for maintaining oral health. Scaling can help prevent gum disease, reduce bad breath, and maintain cleaner teeth—especially for patients who may not have access to regular dental visits. Dentists recommend daily brushing, flossing, and regular checkups to reduce the need for more intensive procedures that may not be covered.
To avoid confusion, experts encourage patients to consult their BPJS-affiliated dentist before scheduling scaling. Understanding what is covered, what requires a referral, and what may result in additional fees can help patients plan their dental care more effectively.
Overall, BPJS provides coverage for essential dental scaling when it is medically justified. While it may not include every type of cleaning or cosmetic request, the program is designed to support preventive care and promote better oral health for the Indonesian population.
Source: PAFI
