41826 Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair

Name of the Procedure:

Excision of Lesion or Tumor, Dentoalveolar Structures; with Simple Repair

Summary

This procedure entails the surgical removal of abnormal growths or tumors in the dentoalveolar structures—areas related to the teeth and their surrounding bone. A simple repair is then performed to close the surgical site.

Purpose

This procedure addresses abnormal growths or tumors in the dentoalveolar region, which may include dental, gingival, or alveolar bone issues. The primary goal is to remove the lesion to prevent the spread of disease, alleviate symptoms, and restore oral health.

Indications

• Presence of an abnormal mass or tumor in the dentoalveolar region.
• Persistent oral pain or discomfort.
• Infections or abscesses affecting the dentoalveolar structures.
• Non-healing sores or ulcers in the mouth.
• Diagnostic biopsy results indicating the need for excision.

Preparation

• Pre-procedure consultation with a dental specialist.
• Imaging studies such as X-rays or CT scans.
• Blood tests as needed.
• Fasting if general anesthesia is planned.
• Instructions on medication adjustments (e.g., stopping blood thinners).

Procedure Description

1. Anesthesia: Local or general anesthesia is administered.
2. Incision: An incision is made around the lesion or tumor.
3. Excision: The abnormal growth is carefully removed.
4. Simple Repair: The surgical site is closed with sutures.
5. Post-Procedure Care: Instructions are provided for recovery and follow-up.

Tools include scalpels, forceps, dental drills, and suturing materials.

Duration

The procedure typically takes between 30 minutes to 1 hour.

Setting

Performed in a dental clinic, outpatient surgical center, or hospital.

Personnel

• Oral and maxillofacial surgeon or a dental specialist.
• Surgical nurse.
• Anesthesiologist (if general anesthesia is used).

Risks and Complications

• Infection at the surgical site.
• Bleeding or hematoma formation.
• Pain or swelling post-procedure.
• Nerve damage leading to numbness.
• Recurrence of the lesion or tumor.
• Allergic reactions to anesthesia.

Benefits

• Removal of problematic lesions or tumors.
• Alleviation of symptoms like pain and discomfort.
• Prevention of potential malignant transformation.
• Improved oral health and function.

Benefits are typically realized within a few weeks post-procedure with successful healing.

Recovery

• Post-procedure instructions on oral hygiene.
• Pain management with prescribed medications.
• Avoiding hard or crunchy foods.
• Follow-up appointments for monitoring healing.
• Recovery time is typically 1-2 weeks, with possible adjustments based on individual cases.

Alternatives

• Observation: Monitoring the lesion without immediate removal.
• Biopsy and additional diagnostic tests for further evaluation.
• Non-surgical treatments such as laser therapy or cryotherapy.
• Each alternative has its own pros and cons, which should be discussed with the healthcare provider.

Patient Experience

During the procedure, patients under local anesthesia may feel pressure but no pain. Post-procedure, managing mild to moderate pain with medication is usual. Swelling and discomfort are common but typically subside within a few days. Regular follow-up ensures proper healing and addresses any complications.