Name of the Procedure:

Replace Missing or Broken Teeth - Complete Denture (Each Tooth) (D5520)

Summary

This procedure involves repairing a complete denture by replacing any missing or broken teeth. It is typically performed in a dental office.

Purpose

The primary goal of this procedure is to restore functionality and aesthetics to a complete denture. It addresses issues such as difficulty in chewing, speaking, and the aesthetic impact of missing teeth.

Indications

• Missing or broken teeth in a complete denture.
• Discomfort or difficulty in chewing or speaking due to damaged dentures.
• Aesthetic concerns due to missing teeth.

Preparation

• Consultation with a dentist to examine the condition of the denture.
• Possible X-rays or oral examinations to assess the fit and condition of the remaining denture components.
• No special fasting or medication adjustments typically required.

Procedure Description

1. The dentist will examine the denture for any signs of damage or wear.
2. The broken or missing tooth on the denture will be identified.
3. An impression of the affected denture area may be taken to ensure accurate replacement.
4. The new tooth is fabricated, matching the shape and color of the existing teeth.
5. The dentist will securely attach the new tooth to the denture.
6. The denture will be polished and adjusted for comfort and fit.

Tools and Equipment:

• Dental impression materials
• Denture acrylic
• Dental adhesives
• Polishing tools

Anesthesia or Sedation:

• Typically not required unless adjustments are being made inside the mouth.

Duration

The procedure usually takes between 1-2 hours, depending on the complexity and number of teeth being replaced.

Setting

This procedure is primarily performed in a dental office or outpatient dental clinic.

Personnel

• Dentist or Prosthodontist
• Dental Technician (for fabricating the denture tooth, if necessary)
• Dental Assistant

Risks and Complications

Common risks:

• Slight discomfort or soreness
• Minor adjustments needed post-procedure

Rare risks:

• Poor fit requiring denture remaking
• Allergic reaction to materials

Benefits

• Improved ability to chew and speak
• Enhanced appearance and confidence
• Better overall oral health

Benefits are often realized immediately after the procedure, although minor adjustments may be needed.

Recovery

• Follow dentist’s instructions for care and maintenance of the denture.
• Avoid hard or sticky foods immediately after the procedure.
• Schedule follow-up appointments for adjustments if needed.
• No specific downtime; normal activities can usually be resumed immediately.

Alternatives

• Partial denture replacement if other natural teeth are remaining.
• Dental implants for a more permanent solution.

Pros and Cons of Alternatives:

• Partial dentures are less invasive but may not be suitable for those lacking sufficient remaining teeth.
• Dental implants provide a long-term solution but are more costly and involve a surgical procedure.

Patient Experience

Patients may feel slight pressure or discomfort during the denture adjustment. Post-procedure, some minor soreness is possible but typically resolves quickly. Pain management may include over-the-counter pain relievers. The overall experience is generally positive, with immediate improvements in function and appearance.

Patients are encouraged to communicate any discomfort to their dentist for prompt adjustment and care.