Name of the Procedure:

Replace Broken Teeth - Per Tooth (HCPCS Code: D5640)

Common Names: Broken tooth replacement, Dental prosthesis procedure

Technical/Medical Term: Removable prosthesis, Dental appliance for broken teeth

Summary

This procedure involves replacing a broken or damaged tooth with a suitable dental prosthesis. It is a non-invasive process where a removable appliance is fitted to restore the function and aesthetics of the affected tooth.

Purpose

Medical Conditions/Problems Addressed:

• Broken, fractured, or severely decayed teeth that cannot be repaired by other means.
• Teeth lost due to trauma or periodontal disease.

Goals/Expected Outcomes:

• Restore proper chewing and speaking function.
• Improve appearance and smile aesthetics.
• Prevent misalignment of adjacent teeth.

Indications

Symptoms/Conditions Warranting Procedure:

• Visibly broken or cracked teeth.
• Significant discomfort or pain from damaged teeth.
• Loss of tooth structure affecting daily activities.

Patient Criteria:

• Sufficient bone and gum support to hold the prosthesis.
• Overall good oral health without active infections.

Preparation

Pre-Procedure Instructions:

• Maintain good oral hygiene leading up to the procedure.
• Follow any specific dietary or medication guidance provided by the dentist.
• Undergo a thorough dental examination and imaging (X-rays) to assess the extent of damage.

Procedure Description

Step-by-Step Explanation:

1. Assessment: Dentist evaluates the damaged tooth and surrounding oral structures.
2. Impression Taking: A mold of the patient's teeth is created to ensure a custom fit for the prosthesis.
3. Manufacturing: The dental prosthesis is fabricated in a dental lab.
4. Fitting: The prosthesis is fitted to replace the broken tooth, with adjustments made to ensure comfort and proper function.

Tools/Equipment/Technology Used:

• Dental impression materials and trays
• Prosthetic modeling tools
• Dental lab fabrication equipment

Anesthesia/Sedation:

• Typically not required, though some patients may receive local anesthesia for comfort.

Duration

The entire procedure, including assessment, impression, and fitting, typically takes 1-2 appointments, each lasting about 1-2 hours.

Setting

Performed in a dental clinic or outpatient dental office.

Personnel

Healthcare Professionals Involved:

• General Dentist or Prosthodontist
• Dental Assistants and Hygienists

Risks and Complications

Common Risks:

• Minor discomfort or irritation from the prosthesis.
• Temporary difficulty in speaking or chewing as adjustment occurs.

Rare Risks:

• Allergic reaction to materials used.
• Potential damage to adjacent teeth or gums.

Complications:

• Poor fit requiring adjustment or replacement.
• Infection if proper oral hygiene is not maintained.

Benefits

Expected Benefits:

• Improved oral function and aesthetics.
• Immediate restoration of appearance and ability to chew properly.
• Enhanced self-confidence and overall oral health.

Realization Timeline:

• Benefits are typically realized immediately after the procedure.

Recovery

Post-Procedure Care:

• Follow oral hygiene practices meticulously.
• Regular dental check-ups for adjustments and maintenance.

Expected Recovery Time:

• Minimal to none. Most patients can resume normal activities immediately.

Restrictions/Follow-Up:

• Avoid hard foods initially.
• Schedule follow-up appointments for fit adjustments and examinations.

Alternatives

Other Treatment Options:

• Dental implants
• Fixed bridges
• Other types of removable dentures

Pros and Cons of Alternatives:

• Implants: More permanent but require surgical intervention and higher costs.
• Bridges: Fixed but affect adjacent teeth.
• Other Dentures: May vary in comfort and durability.

Patient Experience

During the Procedure:

• Mild discomfort during impression-taking.
• Generally well-tolerated without significant pain.

After the Procedure:

• Some initial adjustment period for speaking and chewing.
• Minor soreness that subsides with time.
• Pain management typically not needed, but over-the-counter pain relievers can be used if necessary.