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ADD TOOTH TO EXISTING PARTIAL DENTURE

HCPCS code

Name of the Procedure:

Add Tooth to Existing Partial Denture (D5650)

  • Common Name: Adding a tooth to a partial denture
  • Medical Term: Prosthetic dental tooth addition

Summary

In simple terms, this procedure involves attaching an additional artificial tooth to an existing partial denture. This can be necessary if a patient loses another natural tooth and needs the partial denture to be updated to fill the new gap.

Purpose

  • Medical condition: This procedure addresses missing teeth that create gaps in the dental structure, which can affect chewing, speaking, and the overall aesthetics of a smile.
  • Goals: The goal is to restore functionality and aesthetics by updating the partial denture to include the new missing tooth.

Indications

  • Symptoms/Conditions: Missing tooth that needs to be replaced along with other teeth already being supported by the denture.
  • Criteria: Patients currently using a partial denture who lose an additional tooth.

Preparation

  • Pre-procedure instructions: Typically, no extensive preparation is required. However, patients should continue with good oral hygiene practices.
  • Assessments: A dental assessment, including an impression or scan of the mouth, is necessary for accurate fitting.

Procedure Description

  1. Impression: The dentist takes an impression or scan of the patient's mouth to update the denture model.
  2. Laboratory work: The impression is sent to a dental lab where the new tooth is crafted to match the existing denture in size, shape, and color.
  3. Attachment: Once the new tooth is ready, it is attached to the partial denture framework using dental acrylic or another suitable bonding material.
  • Tools/Equipment: Dental impression materials, bonding agents, dental tools for adjustments.
  • Anesthesia: Usually, no anesthesia is needed for this procedure.

Duration

The entire process, including dental visits and laboratory work, typically takes about 1-2 weeks. The actual in-office adjustment and fitting take around 30 minutes to an hour.

Setting

This procedure is performed in a dental clinic setting.

Personnel

  • Healthcare professionals involved: A dentist or a prosthodontist will conduct the procedure, possibly supported by dental assistants.

Risks and Complications

  • Common risks: Slight discomfort or minor irritation as the new tooth is adjusted and fitted.
  • Rare risks: Allergic reaction to the materials used, improper fit causing sores or rubbing.

Benefits

  • Benefits: Improved function for chewing and speaking, better smile aesthetics. Benefits can be realized immediately after fitting the updated denture.

Recovery

  • Post-procedure care: Maintain good oral hygiene, follow any specific care instructions given by the dentist.
  • Recovery time: Typically minimal. Patients can usually return to normal activities immediately with some potential minor adjustments needed during follow-up visits.

Alternatives

  • Other options: Removable dental bridges, implants, or creating a new partial denture.
  • Pros and cons: Implants offer a more permanent solution but require surgery. A new partial denture can be more costly and time-consuming.

Patient Experience

  • During: Generally painless. Some patients may experience slight discomfort during the impression taking.
  • After: Minimal discomfort; the new tooth should feel like an extension of the denture. Pain management usually isn't necessary.

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