41825 Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair

Name of the Procedure:

Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair

Summary

This is a surgical procedure to remove abnormal growths or tumors from the dentoalveolar structures (the bone, gums, and teeth). The excision is performed without any subsequent repair or reconstruction.

Purpose

The procedure aims to treat or prevent complications arising from lesions or tumors in the mouth. The goals include removing potentially cancerous growths, relieving pain or discomfort, and maintaining oral health.

Indications

• Presence of a lesion or tumor in the dentoalveolar structures confirmed by imaging or biopsy
• Symptoms like pain, swelling, or bleeding in the mouth
• Growth that interferes with chewing, speaking, or other oral functions
• Suspicion of malignancy or pre-cancerous changes

Preparation

• Fasting for 6-8 hours before the procedure if general anesthesia will be used
• Adjustment or temporary discontinuation of certain medications (e.g., blood thinners)
• Pre-procedure dental and medical assessments, including X-rays and possibly a biopsy

Procedure Description

1. Anesthesia: Administration of local or general anesthesia to numb the area or render the patient unconscious.
2. Incision: The surgeon makes an incision in the gums to access the lesion or tumor.
3. Excision: The lesion or tumor is carefully cut out using surgical tools such as scalpels or laser devices.
4. Hemostasis: Control of bleeding through sutures or cauterization.
5. Closure: The incision may be left to heal naturally without repair or stitching.

Duration

The procedure typically takes between 30 minutes to 1 hour, depending on the size and location of the lesion.

Setting

The procedure may be performed in a hospital, outpatient surgical center, or dental clinic.

Personnel

• Oral Surgeon or Dental Surgeon
• Surgical Nurse
• Anesthesiologist (if general anesthesia is used)

Risks and Complications

• Infection at the surgical site
• Bleeding or hematoma formation
• Nerve damage resulting in numbness or altered sensation
• Swelling and pain
• Possible recurrence of the lesion or tumor

Benefits

• Removal of harmful or painful lesions
• Prevention of complications related to oral tumors
• Improvement in oral function and health

Recovery

• Post-procedure pain management typically involves over-the-counter pain relievers or prescribed medications
• Instructions on maintaining oral hygiene and avoiding certain foods
• Follow-up appointments to monitor healing and ensure the lesion does not recur
• Full recovery may take one to two weeks

Alternatives

• Observation for smaller, non-painful lesions that do not appear dangerous
• Non-surgical treatments such as cryotherapy or laser ablation
• Partial removal or biopsy for further diagnostics before full excision

Patient Experience

During the procedure, patients may feel pressure but should not experience pain under effective anesthesia. Post-procedure, patients might experience discomfort, swelling, or mild pain, which can be managed with prescribed pain relievers. Most patients can return to normal activities within a few days, with complete healing expected in one to two weeks.