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Unlisted procedure, dentoalveolar structures

CPT4 code

Name of the Procedure:

Unlisted procedure, dentoalveolar structures

  • Common names: Custom dental surgery, Unnamed dentoalveolar procedure
  • Medical term: Unlisted dentoalveolar surgery

Summary

This is a customized dental surgical procedure specifically tailored to address unique issues within the dentoalveolar structures (the bones and tissues that support and surround the teeth). As it is unlisted, it cannot be categorized under a standard, predefined dental operation.

Purpose

The purpose of this procedure is to address specific, individualized dental conditions that do not fall under common dental surgeries. The goals are to correct, restore, or improve the structural health and functionality of the dentoalveolar area.

Indications

  • Uncommon or rare dental conditions that cannot be treated with standard procedures
  • Structural abnormalities of the alveolar bone or surrounding tissues
  • Patients who have not responded to conventional treatments

Preparation

  • Follow any special fasting instructions if anesthesia is planned
  • Adjust or temporarily stop certain medications as instructed by the surgeon
  • Complete any required diagnostic tests such as dental X-rays or CT scans

Procedure Description

  1. Administration of local or general anesthesia depending on the complexity.
  2. Surgical access to the dentoalveolar structures.
  3. Custom interventions as per the specific condition, which might include bone grafting, soft tissue repair, or other specialized techniques.
  4. Use of advanced dental instruments and technology tailored to the procedure.
  5. Completion of the surgical intervention and suturing of the site if necessary.

Duration

The procedure typically ranges from 1 to 3 hours, depending on its complexity.

Setting

  • Ambulatory surgical center
  • Outpatient clinic specialized in dental surgery
  • Hospital operating room for extensive or high-risk cases

Personnel

  • Dental surgeon
  • Surgical nurse or dental assistant
  • Anesthesiologist, if general anesthesia is used
  • Possible involvement of a periodontist or oral and maxillofacial surgeon

Risks and Complications

  • Common: Pain, swelling, bruising, infection
  • Rare: Excessive bleeding, nerve damage, reaction to anesthesia, prolonged healing

Benefits

  • Customized solution for unique dental issues
  • Improved dental health and functionality
  • Potentially immediate relief or improvement depending on the condition

Recovery

  • Follow post-operative care instructions provided by the surgeon
  • Take prescribed medications for pain and infection prevention
  • Regular follow-up appointments to monitor healing
  • Recovery time ranges from a few days to a few weeks, with possible activity restrictions

Alternatives

  • Standard dental surgeries if applicable
  • Non-surgical treatments such as medication or physical therapy, if suitable
  • Pros: More predictable and standardized outcomes
  • Cons: May not effectively address atypical dental issues specific to the patient's condition

Patient Experience

  • During the procedure: Varies based on the type of anesthesia; typically, minimal discomfort if local anesthesia is used
  • After the procedure: Some discomfort and swelling; prescribed pain medication can help manage this
  • The surgeon will provide comfort measures and pain management strategies to ensure a smoother recovery

Medical Policies and Guidelines for Unlisted procedure, dentoalveolar structures

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