Excision of hyperplastic alveolar mucosa, each quadrant (specify)
CPT4 code
Name of the Procedure:
Excision of Hyperplastic Alveolar Mucosa, Each Quadrant
Common name(s): Gum tissue surgery, hyperplastic tissue removal
Medical term: Alveolar mucosa excision
Summary
The excision of hyperplastic alveolar mucosa involves surgically removing overgrown gum tissue from one or more quadrants of the mouth. This procedure aims to improve oral hygiene and comfort by eliminating excessive gum tissue.
Purpose
This procedure addresses the issue of hyperplastic (overgrown) alveolar mucosa, which can impede oral hygiene, create aesthetic concerns, or cause discomfort. The goal is to restore normal gum contour, enhance oral hygiene, and improve overall oral health.
Indications
- Noticeable gum overgrowth that interferes with oral hygiene
- Discomfort or pain due to excessive gum tissue
- Aesthetic concerns related to gum appearance
- Patients with a history of periodontal disease
Preparation
- Patients may be advised to fast for a few hours before the procedure.
- Any medications being taken should be discussed with the surgeon, particularly blood thinners.
- A thorough dental examination and possibly imaging tests to assess the extent of the overgrowth.
Procedure Description
- Local anesthesia is administered to numb the affected area.
- The surgeon uses specialized tools to carefully excise the overgrown gum tissue from the specified quadrant.
- Bleeding is controlled, and the surgical area is cleaned.
- Sutures may be placed to ensure proper healing of the tissues.
- A periodontal dressing might be applied to protect the surgical site.
Duration
The procedure typically takes about 30 to 60 minutes per quadrant, depending on the extent of the overgrowth.
Setting
The procedure is usually performed in an outpatient setting such as a dental clinic or surgical center.
Personnel
- Oral surgeon or periodontist
- Dental assistant or surgical nurse
- Anesthesiologist (if sedation or general anesthesia is required)
Risks and Complications
- Common risks: Pain, swelling, and bleeding at the surgical site.
- Rare complications: Infection, delayed healing, scarring, and adverse reactions to anesthesia.
- Management includes antibiotics for infection, pain relievers, and proper post-surgical care.
Benefits
- Restoration of normal gum contour
- Improved oral hygiene and reduced risk of periodontal disease
- Enhanced comfort and aesthetics
- Benefits are usually realized within a few weeks post-surgery.
Recovery
- Patients may experience some discomfort and swelling, which can be managed with prescribed pain medication.
- Strict oral hygiene instructions will be provided, including gentle brushing and avoiding certain foods.
- Follow-up appointments for suture removal and progress assessment.
- Most patients fully recover in 1 to 2 weeks.
Alternatives
- Non-surgical treatments such as scaling and root planing for mild cases.
- Laser surgery to remove overgrown tissue, which may offer quicker recovery times.
- Pros and cons of alternatives vary, with surgical excision being the most definitive treatment for severe overgrowth.
Patient Experience
During the procedure, patients will feel pressure but should not experience pain due to local anesthesia. Post-procedure, some swelling and mild soreness are expected. Pain management includes prescribed medications and cold packs. Comfort measures include following a soft food diet and rinsing with an antiseptic mouthwash as advised by the dentist.