Name of the Procedure:

Composite Resin Filling for Four or More Surfaces or Involving Incisal Angle (Anterior) (D2335)

Summary

A Composite Resin Filling is a dental procedure used to repair teeth with cavities or decay. Specifically, the D2335 code refers to fillings on four or more surfaces or those involving the incisal angle of anterior (front) teeth. This filling is made from a tooth-colored resin material that blends with the natural tooth color.

Purpose

This procedure addresses dental cavities, decay, or structural damage in the front teeth. The goal is to restore the tooth’s function and appearance, preventing further decay and maintaining oral health.

Indications

• Presence of cavities or decay involving four or more surfaces of an anterior tooth.
• Structural damage to the incisal angle of front teeth.
• Tooth discoloration or aesthetic concerns.

Preparation

• Generally, no special preparation is required.
• Patients should brush and floss teeth before the appointment.
• Inform the dentist of any medical conditions or medications.
• No fasting or significant medication adjustment is usually necessary unless advised otherwise.

Procedure Description

1. Examination: The dentist examines the tooth and may take X-rays.
2. Anesthesia: Local anesthesia is administered to numb the area.
3. Decay Removal: The dentist removes the decayed portions of the tooth.
4. Etching: The tooth surface is etched with a special gel to create a bonding surface.
5. Bonding: A bonding agent is applied to the etched surface.
6. Resin Application: Layers of composite resin are applied, shaped, and hardened using a special curing light.
7. Shaping and Polishing: The resin is shaped to match the natural tooth and polished for a smooth finish.

Duration

The procedure typically takes about 30 to 60 minutes per tooth, depending on the extent of the decay.

Setting

The procedure is performed in a dental office or outpatient clinic.

Personnel

• Dentist
• Dental Assistant

Risks and Complications

• Sensitivity to hot and cold
• Risk of infection
• Possible need for future adjustments
• Rarely, an allergic reaction to materials used

Benefits

• Restores tooth functionality and appearance.
• Prevents further decay and structural damage.
• Aesthetically pleasing, as the resin matches the natural tooth color.
• Immediate improvement in appearance and function.

Recovery

• Minor sensitivity may occur for a few days.
• Avoid eating hard or sticky foods for 24 hours.
• Maintain regular oral hygiene.
• Any discomfort typically subsides within a few days.
• A follow-up visit may be scheduled to ensure proper fitting and comfort.

Alternatives

• Amalgam (silver) fillings: Durable but less aesthetically pleasing.
• Crowns: Used for more extensive damage but more invasive.

• Glass Ionomer Fillings: Less durable but releases fluoride.

  Patient Experience

• Patients will feel minimal discomfort due to local anesthesia.
• Mild discomfort or sensitivity might be experienced once the anesthesia wears off.
• The restored tooth blends well with natural teeth, providing an improved smile and confidence.
• Pain management includes over-the-counter pain relievers if needed.