Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete
CPT4 code
Name of the Procedure:
Reconstruction of mandible or maxilla, endosteal implant (e.g., blade, cylinder); complete
Summary
This procedure involves rebuilding the jawbone (mandible) or upper jaw (maxilla) using endosteal implants, which can be blade or cylinder-shaped. The implants are anchored into the bone to provide a stable foundation for dental prostheses.
Purpose
The surgery addresses bone loss and structural damage to the jaw. The goal is to restore jaw functionality and appearance, enabling better chewing, speaking, and overall oral health.
Indications
- Significant bone loss in the jaw due to injury, disease, or congenital defects.
- Inadequate bone structure for traditional dentures.
- Severe periodontal disease leading to bone resorption.
- Patients with missing teeth requiring stable implant support.
Preparation
- Patients may need to fast for 8-12 hours before surgery.
- Adjustments to current medications, as advised by the healthcare provider.
- Pre-operative imaging tests like X-rays or CT scans to evaluate bone condition.
- Comprehensive dental and medical history review.
Procedure Description
- Anesthesia: General or local anesthesia is administered.
- Incision: The surgeon makes an incision in the gum to expose the jawbone.
- Bone Preparation: The jawbone is prepared to receive the implant.
- Implant Placement: Blade or cylinder implants are inserted into the bone.
- Gum Closure: The gum is stitched back into place over the implant.
- Healing Cap: A healing cap may be placed to protect the site during healing.
- Tools: Surgical drills, blades or cylinder implants, sutures.
- Technology: Imaging guidance and possibly computer-aided planning.
Duration
The procedure typically takes 2-4 hours, depending on the complexity.
Setting
This surgery is usually performed in a hospital or specialized outpatient surgical center.
Personnel
- Oral and Maxillofacial Surgeon
- Anesthesiologist
- Surgical Nurses
- Dental Assistants
Risks and Complications
- Infection
- Nerve damage leading to numbness or tingling
- Implant failure or rejection
- Bleeding and swelling
- Sinus complications (for maxilla procedures)
Benefits
- Improved chewing and speaking abilities.
- Enhanced facial aesthetics and structure.
- Long-lasting support for dental prosthetics.
- Generally, benefits can be noticed within a few weeks post-recovery.
Recovery
- Post-operative care includes pain management and antibiotics.
- Soft diet recommended for several weeks.
- Follow-up visits to monitor healing and implant integration.
- Full recovery and osseointegration can take 3-6 months.
Alternatives
- Traditional dentures or bridges (less stable, may require adjustments).
- Bone grafting before a traditional implant (more stages, longer recovery).
- Cons: Alternatives may offer less stability and longer treatment duration compared to endosteal implants.
Patient Experience
- Patients may experience pain and swelling, managed with prescribed medications.
- Discomfort from incisions and sutures is common but temporary.
- Gradual improvement in oral function and comfort over the recovery period is expected.