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RESIN-BASED COMPOSITE - ONE SURFACE

HCPCS code

Name of the Procedure:

Resin-Based Composite - One Surface
Common names: Composite Fillings, White Fillings
Technical/Medical term: D2391

Summary

The resin-based composite - one surface procedure involves placing a tooth-colored filling on a decayed or damaged tooth to restore its function and appearance.

Purpose

This procedure addresses tooth decay (cavities) or minor damage to a tooth. The goal is to restore the tooth's appearance, strength, and function while providing a natural look that blends with the surrounding teeth.

Indications

  • Presence of small to medium-sized cavities.
  • Minor tooth fractures or chips.
  • Replacement of worn-out or defective old fillings.
  • Aesthetic preference for tooth-colored fillings.

Preparation

  • No fasting required.
  • Inform your dentist of any medications or health conditions.
  • Diagnostic dental X-rays may be taken to assess the tooth's condition.
  • Local anesthesia will be applied to numb the area.

Procedure Description

  1. The dentist administers local anesthesia to numb the area around the affected tooth.
  2. Any decayed or damaged portions of the tooth are removed using a dental drill.
  3. The tooth is cleaned and prepared for the composite.
  4. A bonding agent is applied, followed by the composite resin.
  5. The resin is shaped and molded to fit the tooth's contour.
  6. A special curing light is used to harden the composite.
  7. Final adjustments are made to ensure a comfortable bite, and the filling is polished.

Duration

The procedure typically takes about 30 to 60 minutes, depending on the complexity.

Setting

Performed in a dentist's office.

Personnel

  • Dentist
  • Dental assistant

Risks and Complications

  • Sensitivity to hot and cold for a few days following the procedure.
  • Possible allergic reaction to the materials used (rare).
  • Risk of the filling cracking or falling out over time, requiring repair or replacement.

Benefits

  • Restores tooth function and aesthetic appearance.
  • Provides a durable and natural-looking solution.
  • Immediate improvement, typically with minimal discomfort.

Recovery

  • Avoid eating or drinking until the numbness wears off.
  • Maintain good oral hygiene practices.
  • Follow-up visits may be scheduled to check the filling.
  • Usually, full recovery with no restrictions within a day.

Alternatives

  • Amalgam fillings (silver-colored, more durable but less aesthetic).
  • Gold fillings (very durable but costly and less aesthetic).
  • Porcelain fillings (durable and aesthetic, but more expensive).
Patient Experience

During the procedure, the patient may feel slight pressure but should not experience pain due to the anesthesia. Afterward, there may be temporary sensitivity and minor discomfort, which can usually be managed with over-the-counter pain relievers.

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