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MAXILLARY PARTIAL DENTURE - FLEXIBLE BASE (INCLUDING ANY CLASPS TEETH)

HCPCS code

MAXILLARY PARTIAL DENTURE - FLEXIBLE BASE (INCLUDING ANY CLASPS TEETH) (D5225)

Name of the Procedure:

  • Common Name(s): Flexible Partial Denture, Flexible Base Upper Partial
  • Medical Term: Maxillary Partial Denture - Flexible Base

Summary

A flexible partial denture is a type of removable dental appliance that replaces missing teeth in the upper jaw. The base of the denture is made of a flexible, non-metallic material for comfort and aesthetic purposes, often resembling the natural gum tissue.

Purpose

  • Medical Conditions: To address tooth loss due to decay, injury, or other dental issues.
  • Goals/Expected Outcomes: The procedure aims to restore functionality (chewing, speaking), improve oral aesthetics, and prevent the shifting of remaining natural teeth.

Indications

  • Missing one or more teeth in the upper jaw.
  • Patients seeking a more comfortable, less rigid alternative to traditional metal-based partial dentures.
  • Patients with an adequate oral health baseline to support a removable dental appliance.

Preparation

  • Pre-Procedure Instructions: Typically, no special fasting or medication adjustments are required.
  • Diagnostic Tests/Assessments: Dental examinations, x-rays, and molds of the mouth to create a custom fit denture.

Procedure Description

  1. Initial Consultation: Thorough dental exam and discussion of patient medical history.
  2. Mouth Preparation: Taking impressions (molds) of the upper jaw.
  3. Fabrication: The dental lab constructs the flexible base denture using the impressions.
  4. Fitting and Adjustment: Patient returns for fitting. Adjustments made for comfort and function.
    • Tools & Equipment: Dental trays for molds, flexible denture material (usually thermoplastic polymer), adjustment tools.
    • Anesthesia/Sedation: Not typically required.

Duration

  • Takes a few weeks from initial consultation to final fitting.
  • Individual fitting appointments last around 30 to 60 minutes.

Setting

  • Performed in a dental office setting.

Personnel

  • Primary: Dentist or dental prosthodontist.
  • Support Staff: Dental assistants, lab technicians.

Risks and Complications

  • Common Risks: Initial discomfort or soreness, minor adjustments needed.
  • Rare Risks: Allergic reactions to the materials used, improper fit leading to sores or irritation.

Benefits

  • Expected Benefits: Improved aesthetic appearance of the teeth, enhanced ability to chew and speak.
  • Timeline for Realizing Benefits: Immediately after proper fitting and adjustment.

Recovery

  • Post-Procedure Care: Regular oral hygiene practices, initial follow-up for adjustments.
  • Expected Recovery Time: Minimal, with immediate function and comfort expected.
  • Restrictions/Follow-Up: Regular dental check-ups recommended to ensure proper fit and function.

Alternatives

  • Other Options: Traditional metal-based partial dentures, dental bridges, dental implants.
  • Pros/Cons:
    • Traditional Dentures: More rigid, may be less comfortable but durable.
    • Dental Bridges/Implants: Permanent, may offer better stability but involve more invasive procedures and higher costs.

Patient Experience

  • During Procedure: Minimal discomfort during mold-taking.
  • After Procedure: Possible initial adjustment period with minor discomfort, generally manageable with over-the-counter pain relief.
  • Pain Management: Typically, no significant pain experienced; minor discomfort can be managed with routine painkillers if needed.
  • Comfort Measures: Proper fitting and follow-up adjustments ensure optimum comfort.

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