Excision of fibrous tuberosities, dentoalveolar structures
CPT4 code
Name of the Procedure:
Excision of Fibrous Tuberosities in Dentoalveolar Structures
Common Name: Excision of Lumpy Gums
Summary
This is a dental procedure to remove excess fibrous tissue from the gums overlying the alveolar bone (where the teeth are anchored), often due to irritation or other dental issues.
Purpose
Medical Condition or Problem: This procedure is often performed to address overgrowth of gum tissue that may cause discomfort, difficulty in fitting dentures, or aesthetic concerns.
Goals or Expected Outcomes: The main objective is to alleviate discomfort, improve oral function, and enhance the appearance of the gums.
Indications
Symptoms/Conditions:
- Excess gum tissue causing discomfort or interfering with dentures
- Repeated irritation or trauma to the gums
- Difficulty in oral hygiene due to tissue overgrowth
Patient Criteria: - Patients with fibrous tuberosities that affect oral function or cause recurrent oral issues
- Denture wearers experiencing fit issues due to excess gum tissue
Preparation
Pre-Procedure Instructions:
- Fasting may be required if sedation or general anesthesia is used.
- Adjustments to certain medications, especially blood thinners, might be necessary.
Diagnostic Tests/Assessments: - Dental examination and imaging (X-ray) to assess the extent of the fibrous tissue.
Procedure Description
Step-by-Step Explanation:
- Anesthesia — local anesthesia to numb the area, or sedation if necessary.
- Incision — a small incision is made in the gum overlying the fibrous tuberosity.
- Excision — the excess fibrous tissue is carefully cut away.
- Hemostasis — bleeding is controlled, often with cauterization.
- Suturing — the incision is closed with stitches.
Tools and Equipment: Scalpel, sutures, cautery device.
Anesthesia/Sedation: Typically local anesthesia; sedation or general anesthesia for more extensive cases.
Duration
Approximately 30 to 60 minutes, depending on the extent of the procedure.
Setting
Usually performed in a dental office or outpatient surgical center.
Personnel
Healthcare Professionals Involved:
- Oral surgeon or periodontist
- Dental assistant
- Anesthesiologist (if sedation or general anesthesia is used)
Risks and Complications
Common/Rare Risks:
- Infection
- Bleeding
- Swelling
- Pain
- Possible damage to surrounding structures
Complications Management: Proper post-operative care, medications for pain and infection prevention, follow-up visits for monitoring.
Benefits
Expected Benefits:
- Relief from oral discomfort
- Improved fit for dentures
- Enhanced oral hygiene and aesthetics
Realization Timeline: Immediate relief from discomfort, full benefits usually observed after healing in 1-2 weeks.
Recovery
Post-Procedure Care/Instructions:
- Soft diet and avoiding irritants
- Rinsing with prescribed antiseptic mouthwash
- Pain management with prescribed medications or over-the-counter pain relievers
Recovery Time: 1 to 2 weeks for complete healing.
Restrictions/Follow-Up: Avoid strenuous activities that might affect the surgical site; follow-up visits to ensure proper healing.
Alternatives
Other Treatment Options:
- Non-surgical management like adjusting dentures
- Careful monitoring and enhanced oral hygiene practices
Pros and Cons of Alternatives: Non-surgical options may not provide permanent relief and could be less effective in severe cases.
Patient Experience
During the Procedure: Numbness from local anesthesia; possible sensations of pressure but no pain.
After the Procedure: Some discomfort and swelling, manageable with prescribed medications.
Pain Management and Comfort Measures: Pain is usually mild and can be managed with over-the-counter pain relievers or prescribed medication. Regular follow-ups to monitor recovery and address any concerns.