Name of the Procedure:

Prefabricated Esthetic Coated Stainless Steel Crown - Primary Tooth (HCPCS Code D2934)

Summary

A prefabricated esthetic coated stainless steel crown is a type of dental crown used to restore and protect a primary (baby) tooth that has been damaged due to decay or trauma. These crowns are specifically designed to be durable while maintaining a natural tooth appearance.

Purpose

The procedure addresses dental decay, fractures, or other damage to primary teeth, and it aims to:

• Restore the function and appearance of a damaged primary tooth.
• Maintain the health of surrounding teeth and gums.
• Enable the child to chew and speak properly.
• Preserve the tooth until it is naturally replaced by a permanent tooth.

Indications

The procedure is indicated for:

• Significant decay or structural damage in a primary tooth.
• Fractured or broken primary teeth.
• Teeth that have undergone large fillings or pulpotomy treatment.
• Improving esthetics in visible areas of the mouth.

Preparation

• No specific fasting or medication adjustments are typically required.
• A preliminary dental exam and X-rays are conducted to assess the tooth and surrounding structures.

Procedure Description

1. Assessment and Preparation: The dentist begins by examining the tooth and administering local anesthesia to ensure comfort.
2. Decay Removal: Any decay or damaged parts of the tooth are removed.
3. Tooth Shaping: The tooth is reshaped to fit the prefabricated crown.
4. Crown Placement: The prefabricated esthetic coated stainless steel crown is selected, fitted, and adjusted to match the shape and size of the prepared tooth.
5. Cementing the Crown: Dental cement is used to securely attach the crown to the tooth.

Tools include dental drills, prefabricated esthetic crowns, and dental cement. Anesthesia typically involves local anesthesia, but sedation options may be considered for very young or anxious patients.

Duration

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

Setting

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

Personnel

• Dentist: Performs the procedure.
• Dental Assistant: Assists the dentist and helps manage the patient's comfort.
• Anesthesiologist or Nurse: May be present if sedation is used.

Risks and Complications

• Common risks include sensitivity and minor discomfort post-procedure.
• Rare complications can include allergic reactions to materials, fitting issues, or infection.

These complications are usually manageable with minor interventions or adjustments.

Benefits

• Restores the tooth's function and appearance immediately.
• Protects the tooth from further decay or damage.
• Maintains proper alignment of teeth for future dental health.

Recovery

• Post-procedure instructions involve avoiding sticky or hard foods that might dislodge the crown.
• Over-the-counter pain relief can be used for any discomfort.
• Follow-up visits may be scheduled to monitor the crown and surrounding teeth.

Alternatives

• Dental fillings (for less extensive decay).
• Extraction (in cases where the tooth cannot be saved).
• Resin-bonded composite crowns.

Pros and cons should be discussed with the dentist to determine the most appropriate treatment for the child's specific condition.

Patient Experience

• During the Procedure: The patient will be numbed and should feel minimal discomfort. There may be vibrations and sounds associated with dental drills.
• After the Procedure: Mild tenderness or sensitivity can occur, but significant pain is uncommon. Pain management options and comfort measures are available to ensure a smooth recovery.