Name of the Procedure:

Precision Attachment (HCPCS Code: D5862)

• Common Names: Precision Dental Attachment, Removable Prosthodontic Attachment
• Technical Terms: Precision Attachment Prosthesis, Attachment Retained Overdentures

Summary

A precision attachment is a dental device used to secure removable partial dentures or overdentures to existing teeth or implants with high accuracy. It ensures a stable fit, better comfort, and improved functionality compared to traditional methods.

Purpose

Precision attachments are designed to:

• Stabilize dentures and prevent slippage.
• Improve chewing efficiency.
• Enhance speech and comfort.
• Address issues of missing teeth and provide better oral hygiene accessibility.

Indications

• Missing multiple teeth.
• Need for removable partial dentures.
• Patients requiring improved denture stability.
• Individuals with sufficient bone density to support attachments.
• Suitable for those with adjacent natural teeth or implants.

Preparation

• Pre-procedure dental consultations.
• Diagnostic imaging (X-rays, CT scans) to assess bone and tooth structure.
• Minor adjustments to current oral hygiene routines.
• Possible instructions on fasting if sedation is used.

Procedure Description

1. Initial Assessment: Thorough evaluation and imaging to plan the procedure.
2. Preparation of Teeth: Removal of any decayed tissue and shaping of teeth to accommodate the attachments.
3. Attachment Fabrication: Custom-made attachments are created in a dental lab.
4. Placement: Attachments are precisely placed or fitted on/into the existing teeth or implants.
5. Adjustments: Fine-tuning for optimal fit and comfort.
6. Denture Fitting: Connecting the removable partial denture to the attachments.

Tools/Equipment:

• Dental handpieces.
• Impression materials.
• Attachment systems (e.g., ball attachments, bar attachments).

Anesthesia: Local anesthesia, sometimes sedation for patient comfort.

Duration

Typically takes between 1-2 hours, not accounting for the lab time needed to fabricate custom attachments.

Setting

Performed in a dental office or outpatient dental clinic.

Personnel

• Dentist or Prosthodontist
• Dental Assistant
• Lab Technicians (for custom attachment fabrication)

Risks and Complications

• Common: Temporary discomfort, minor swelling, or soreness.
• Rare: Infection, attachment loosening, damage to adjacent teeth or gums.
• Management: Antibiotics for infection, adjustments or replacement for loose attachments.

Benefits

• Enhanced denture stability and fit.
• Improved comfort and functionality in terms of chewing and speaking.
• Better oral hygiene compared to fixed alternatives.
• Benefits are typically realized shortly after fitting and adjustments.

Recovery

• Immediate return to normal activities, but avoid hard or sticky foods initially.
• Maintain meticulous oral hygiene practices.
• Follow-up visits for adjustments and monitoring.
• Full adaptation may take a few weeks.

Alternatives

• Traditional dentures: Less stable but more cost-effective option.
• Dental implants: Permanent solution but involves a longer and more invasive process.
• Fixed bridges: Requires alteration of adjacent teeth and is not removable.

Patient Experience

During the procedure, minimal discomfort due to local anesthesia. Post-procedure might involve mild soreness or pressure as you adapt to the new attachment system. Over-the-counter pain relievers normally manage any discomfort. Regular follow-up visits help ensure adjustments and comfort are maintained.