Oral and Maxillofacial Rehabilitation Program (OMRP)

In order to make sure that more Ontarians receive the care they need, the Ontario government has created the Oral and Maxillofacial Rehabilitation Program (OMRP). This program provides funding for patients who require implants to retain a removable, highly specialized prosthetic device in order to restore the ability to chew, swallow and speak when no other treatment alternative exists.

Typically, patients for this program will be those who have had a major jaw reconstruction following a significant health event, such as a head and neck cancer or a traumatic facial injury. Following reconstructive surgery, some people may require a highly specialized prosthetic device to replace any missing tissue, such as jaw bone and gums, and restore their ability to eat food or speak. For some people, properly wearing the prosthetic device will not be possible without the aid of dental implants. The OMRP provides funding for the surgical placement of these dental implants and the modifications required to attach this prosthesis to the implants.

Who is eligible for this program?

To be eligible for funding, an individual must be:

  1. In possession of a valid Ontario Health Card Number,
  2. 18 years of age or older1,
  3. Eligible for a maxillofacial intraoral prosthesis funded by the Assistive Devices Program (ADP),
  4. Assessed as unable to retain the ADP-funded intraoral prosthesis without implants, and
  5. Assessed as a suitable candidate for dental implant surgery.


1Those under the age of 18 can apply for funding for required dental rehabilitation services through the Cleft Lip and Palate/Craniofacial Program. To learn more about this program, select the following link:
http://www.health.gov.on.ca/en/public/publications/child/cleft.aspx

What is the connection between this program and the Assistive Devices Program (ADP)?

In order to be eligible for the OMRP, the specialized prosthetic devices needed by these patients have to be funded through the ADP and supplied by vendors registered with the ADP.

Patients will not be eligible to receive funding through the OMRP if any of the following applies:

  • they do not meet ADP's eligibility requirements to receive an ADP funded maxillofacial intraoral prosthesis; or
  • they require a device that is not listed in the ADP's product manual (e.g. fixed devices such as a crown or bridge); or
  • their maxillofacial intraoral prosthesis is made by a non-ADP registered supplier.

To learn more about the ADP and its funding of maxillofacial intraoral prostheses, please visit http://www.health.gov.on.ca/en/public/programs/adp/about.aspx

How can I find out if I am eligible to receive services under the OMRP?

In order to have an assessment completed to determine if you are eligible for the OMRP, you must first be referred to one of the treatment centres by your physician or dentist. There is an application form for the program and your referring physician or dentist will need to complete the first part of the application. The form is then sent by your referring provider to one of the designated OMRP hospital sites.

In general, patients should be cancer free for a period of one year prior to a referral for this program.

Once the hospital site has received the application form from your physician or dentist, you will be contacted by the site to arrange for an assessment of your eligibility for the OMRP. Eligibility assessments will involve an in-person visit and will be conducted by an Assistive Devices Program Authorizer and an Oral and Maxillofacial Surgeon.

If following an eligibility assessment for the OMRP an individual is determined to be eligible for the program, the ADP Authorizer will initiate an application to ADP for the required prosthesis(es).

It is important to note that an individual's dental implant surgery and prosthodontic services that have not first been approved through the complete application process to the Oral and Maxillofacial Rehabilitation Program will not be funded.

Where is the OMRP being offered?

This program is currently being offered at four treatment centres:

  • Sunnybrook Health Sciences Centre,
  • London Health Sciences Centre, and
  • University Health Network and Mount Sinai Hospital (joint initiative), and
  • The Ottawa Hospital.

The OMRP will only fund the program's related services when they are performed at one of the above treatment centres. Any dental implant surgeries and prosthodontic services that are delivered in locations other than the sites listed above (including other hospitals or in private dental offices) will not be funded under the OMRP.

What does OMRP cover?

The program provides funding for 100% of the treatment costs for a defined list of services, including the surgical placement of dental implants and the changes required for the ADP funded prosthesis to attach to the dental implants.

What costs are not covered by the Oral and Maxillofacial Rehabilitation Program?

The actual prosthesis must be funded through the Assistive Devices Program (ADP).

Under ADP, some patients may be responsible for a portion of the costs associated with their prosthesis.

Also, the OMRP is not a substitute for private dental insurance and does not pay for routine dentistry (e.g. cleanings), orthodontic services, or services required following discharge from the program. In addition, the OMRP does not cover any travel costs incurred in obtaining treatment provided under the program.

I'm a dentist or physician and think I have a patient who could be covered by this program. Where can I get a copy of the application form?

Select here to download the application form:
Application form

Who can I contact for more information about this program?

Please contact:

Sunnybrook Health Sciences Centre
Department of Dentistry
Suite H 126
2075 Bayview Avenue
Toronto ON M4N 3M5
Tel: 416-480-4436
Fax: 416-480-5757

London Health Sciences Centre
Oral and Maxillofacial Surgery
University Hospital
Rm B3-300
339 Windermere Rd.
London, ON N6A 5A5
Tel: 519-663-3451
Fax: 519-663-3004

University Health Network/ Mount Sinai Hospital
c/o University Health Network
Department of Dentistry, Maxillofacial and Ocular Prosthetics
610 University Avenue Room 2 - 933,
Toronto, Ontario M5G 2M9
Tel: 416-946-2198
Fax: 416-946-6576

The Ottawa Hospital (Civic Site)
Dental Clinic
1053 Carling Avenue
Ottawa ON K1Y 4E9
Tel: 613-798-5555 ext. 14084
Fax: 613 761-5134

Health Sciences North
Northeast Cancer Centre
Dental Oncology Program
41 Ramsey Lake Road
Sudbury, ON P3E 5J1
Tel: 705-523-7334
Fax: 705-523-7354

 


For More Information

Call ServiceOntario, Infoline at:
1-866-559-4598(Toll-free in Ontario only)
TTY 1-800-387-5559.
In Toronto, TTY 416-327-4282
Hours of operation : 8:30am - 5:00pm