Prefabricated Stainless Steel Crown - Permanent Tooth (D2931)

Name of the Procedure:

Common Name: Stainless Steel Crown Technical/Medical Term: Prefabricated Stainless Steel Crown - Permanent Tooth (HCPCS Code D2931)

Summary

In this procedure, a prefabricated stainless steel crown is placed over a permanent tooth. The crown acts as a protective cap, covering the entire tooth to restore its shape, size, strength, and appearance.

Purpose

The procedure is designed to help restore and protect a damaged or decayed permanent tooth. The stainless steel crown prevents further decay and restores normal tooth function, allowing the patient to chew and speak properly.

Indications

• Extensive tooth decay or significant loss of tooth structure
• Fractured or broken teeth that cannot be adequately restored with fillings
• Protection for a tooth after a root canal procedure
• Children with high risk of tooth decay who may not tolerate more complex restorative procedures

Preparation

• Ensure proper dental hygiene leading up to the procedure, including brushing and flossing.
• Follow any specific instructions from your dentist regarding medication.
• Diagnostic X-rays might be taken to assess the extent of tooth damage and determine the need for a crown.

Procedure Description

1. Consultation and Diagnosis: Assessment and X-rays to determine the need for a crown.
2. Tooth Preparation: The dentist will numb the affected tooth area with local anesthesia. The tooth is then reshaped to allow the crown to fit properly.
3. Crown Selection: A prefabricated stainless steel crown of appropriate size is selected.
4. Fitting: The crown is trial-fitted, adjusted, and then cemented into place over the prepared tooth.
5. Final Adjustments: The dentist ensures the patient’s bite is proper and makes any necessary adjustments.

Duration

The procedure typically takes about 30 to 60 minutes per crown.

Setting

This procedure is usually performed in a dental office.

Personnel

• Dentist
• Dental Assistant

Risks and Complications

• Common risks include temporary tooth sensitivity or discomfort after the procedure.
• Rare risks include allergic reactions to materials, issues with bite alignment, or crown loosening/falling off.
• Complications can typically be managed with follow-up appointments and adjustments.

Benefits

• Protection of the tooth from further decay or damage.
• Restoration of normal function and aesthetics.
• Durability and longevity; stainless steel crowns can last many years with proper care.
• Immediate improvement in the ability to chew and speak.

Recovery

• Patients can usually resume normal activities immediately after the procedure.
• Avoid eating hard or sticky foods for a few days.
• Maintain good oral hygiene practices, including brushing and flossing.
• Regular follow-ups with your dentist as advised.

Alternatives

• Composite or porcelain crowns: Offer more natural appearance but less durable and more expensive.
• Dental fillings: Appropriate for less severe damage but not as protective.
• Tooth extraction: Considered for severely damaged teeth, followed by prosthetic options like dental implants or bridges.
• Each alternative has its own pros and cons regarding cost, durability, aesthetics, and procedure complexity.

Patient Experience

During the procedure, the patient will feel little to no pain due to the local anesthesia. Mild discomfort or sensitivity may be experienced for a few days post-procedure, manageable with over-the-counter pain relief. Regular follow-up visits ensure the crown remains functional and comfortable.