MANDIBULAR PARTIAL DENTURE - CAST METAL FRAMEWORK WITH RESIN DENTURE BASES (INCLUDING ANY CONVENTIONAL CLASPS
HCPCS code
MANDIBULAR PARTIAL DENTURE - CAST METAL FRAMEWORK WITH RESIN DENTURE BASES (INCLUDING ANY CONVENTIONAL CLASPS) (D5214)
Name of the Procedure:
Common Names: Mandibular partial denture, lower partial denture
Technical Terms: Cast metal framework with resin denture bases, mandibular prosthesis
Summary
A mandibular partial denture is a removable dental appliance designed to replace missing teeth in the lower jaw. It consists of a metal framework covered with resin denture bases and includes any conventional clasps to secure it in place.
Purpose
This dental procedure aims to restore function and aesthetics for individuals with missing teeth in the lower jaw. It helps in improving chewing ability, speech, and overall oral health while also enhancing the patient’s appearance.
Indications
- Missing teeth in the lower jaw
- Difficulty in chewing or speaking due to tooth loss
- Consequences of gum disease or dental decay leading to tooth extraction
- Desire to improve aesthetic appearance
Preparation
- Several dental visits for measurements and impressions of your mouth
- Possible X-rays or other imaging to assess the condition of your jaw and remaining teeth
- Pre-procedure instructions may include maintaining good oral hygiene and possibly adjusting certain medications.
Procedure Description
- Initial Impressions: Your dentist will take an impression of your lower jaw.
- Framework Design: A cast metal framework is custom-made to fit your mouth.
- Fitting: The framework is checked for fit and comfort.
- Resin Base Addition: The framework is combined with resin denture bases that mimic gum tissue.
- Clasps: Conventional clasps are added to secure the denture to your remaining natural teeth.
- Final Adjustments: After the denture is made, it is fitted and adjusted for optimal comfort and function.
Tools and Equipment: Dental impression trays, metal framework, resin material, clasps, dental instruments.
Anesthesia or Sedation: Usually not required, may involve mild local anesthesia for comfort.
Duration
The process involves multiple dental appointments over several weeks. Each appointment typically lasts about 30 to 60 minutes.
Setting
The procedure is performed in a dental office or outpatient dental clinic.
Personnel
- General Dentist or Prosthodontist
- Dental Assistant
- Dental Technician (for lab work)
Risks and Complications
- Initial discomfort or soreness in the mouth
- Allergic reactions to materials used
- Issues with fit leading to potential adjustments
- Risk of mouth sores due to denture irritation
Benefits
- Improved ability to chew and speak
- Enhanced appearance and self-confidence
- Preservation of remaining natural teeth by distributing biting forces
- Better overall oral health
Recovery
- Follow-up visits for adjustments may be required.
- Instructions on denture care and oral hygiene practices.
- Some initial discomfort is expected, but it usually subsides within a few days.
- Full adaptation to the denture may take a few weeks.
Alternatives
- Fixed Dental Bridges: Permanent solution but requires adjacent teeth for support.
- Dental Implants: Permanent and more natural-feeling but involves surgery and higher costs.
Complete Dentures: For individuals without any remaining natural teeth.
Each alternative has its own benefits and drawbacks, and the choice depends on multiple factors including cost, health condition, and patient preference.
Patient Experience
- You may feel some initial discomfort and need time to adjust to speaking and chewing with the new denture.
- Pain management might involve over-the-counter pain relievers.
- Regular follow-ups are essential to ensure proper fit and comfort.