Name of the Procedure:

Composite Resin Filling for Three Surfaces
Technical Term: Resin-Based Composite, Three Surfaces (HCPCS code: D2332)

Summary

A Composite Resin Filling for Three Surfaces is a dental procedure used to restore a tooth that has been affected by decay or damage. The dentist removes the decayed portion of the tooth and fills it with a tooth-colored resin material that matches the natural color of the tooth.

Purpose

This procedure is undertaken to address tooth decay or structural damage that affects three surfaces of a single tooth. The primary goal is to restore the tooth's function and appearance while preventing further decay or damage.

Indications

• Visible tooth decay involving three surfaces of a tooth.
• Structural damage due to trauma or wear affecting multiple surfaces.
• Broken or fractured teeth.
• Replacement of old or malfunctioning fillings.

Preparation

• No special fasting is required.
• Patients may be advised to brush and floss before the appointment.
• The dentist may take X-rays or perform other diagnostic assessments to evaluate the extent of decay or damage.

Procedure Description

1. Anesthesia: Local anesthesia is administered to numb the area around the affected tooth.
2. Decay Removal: The dentist uses a dental drill to remove the decayed portion of the tooth.
3. Tooth Preparation: The tooth is cleaned and etched to prepare it for the bonding agent.
4. Bonding Agent Application: A bonding agent is applied and cured with a special light.
5. Resin Application: The composite resin is applied in layers, each layer being hardened with a curing light.
6. Shaping and Polishing: Once the resin is applied, the dentist shapes and polishes it to match the tooth's natural contours and provides a smooth finish.

Duration

The procedure typically takes about 45 minutes to 1 hour per tooth.

Setting

This procedure is usually performed in a dental office or a specialized outpatient dental clinic.

Personnel

• Dentist: Performs the procedure.
• Dental Assistant: Assists the dentist in preparation and during the procedure.

Risks and Complications

• Sensitivity to hot or cold substances post-procedure.
• Risk of infection if post-procedure care is not followed.
• Potential for the filling to chip or wear down over time.
• Rare cases of an allergic reaction to the composite resin.

Benefits

• Restoration of tooth function and aesthetic appearance.
• Prevention of further decay or damage.
• Immediate improvement in tooth appearance and function.

Recovery

• Avoid eating or drinking hot substances until the anesthesia wears off.
• Follow all oral hygiene instructions provided by the dentist.
• A follow-up appointment may be scheduled to ensure the filling is properly set.
• Normal activities can be resumed almost immediately, although some minor sensitivity may persist for a few days.

Alternatives

• Amalgam fillings: A more durable but less aesthetically pleasing option.
• Ceramic fillings: More costly but highly durable and aesthetically pleasing.
• Gold fillings: Durable and long-lasting but expensive and visually different from natural teeth.

Patient Experience

During the procedure, the patient should not feel pain due to local anesthesia, but may experience pressure and vibrations from the dental tools. After the procedure, some mild sensitivity and discomfort are normal, which can be managed with over-the-counter pain relief as recommended by the dentist.