ABUTMENT SUPPORTED PORCELAIN/CERAMIC CROWN
HCPCS code
Name of the Procedure:
Abutment Supported Porcelain/Ceramic Crown
Common Names: Dental crown, Tooth cap
Technical/Medical Terms: Abutment Supported Porcelain/Ceramic Crown (D6058)
Summary
An abutment supported porcelain/ceramic crown is a dental procedure where a crown (a tooth-shaped "cap") is placed over a tooth or a dental implant abutment. The crown is designed to look like a natural tooth and is often used to restore a damaged, decayed, or lost tooth.
Purpose
This procedure addresses:
- Damaged or weakened teeth
- Severe tooth decay
- Tooth loss requiring a dental implant
The goal is to restore the tooth's function, appearance, and structure, providing long-term stability and protection for the affected tooth or implant.
Indications
- Severely cracked or fractured teeth
- Large fillings that compromise the integrity of the tooth
- Root canal-treated teeth requiring structural support
- Dental implants needing prosthetic crowns
Preparation
- Regular oral hygiene prior to the procedure
- Assessment and imaging (e.g., X-rays, CT scans) to determine the suitability
- Adjustments in medication (if necessary) under the direction of the dentist
Procedure Description
- Initial Consultation: Dentist examines the tooth and takes required X-rays.
- Preparation: If a natural tooth is being crowned, it is shaped to fit the crown. For implants, the abutment is placed.
- Impression: An impression of the tooth/abutment is taken to create a custom-made crown.
- Temporary Crown: A temporary crown may be placed while the permanent crown is being fabricated.
- Crown Placement: The permanent porcelain/ceramic crown is checked for fit and color before being cemented onto the tooth or abutment.
Tools/Equipment: Dental impression materials, temporary and permanent crown materials, dental cement.
Anesthesia: Local anesthesia is commonly used to ensure comfort; sedation may be used if needed.
Duration
The entire process, from initial consultation to final crown placement, typically takes a few weeks. Individual appointments may last between 30 minutes to an hour.
Setting
The procedure is typically performed in a dental office or clinic.
Personnel
- Dentist
- Dental Assistant
- Dental Lab Technicians (for fabricating the crown)
Risks and Complications
Common risks:
- Sensitivity or discomfort post-procedure
- Risk of crown loosening or falling off
Rare complications:
- Allergic reaction to materials
- Damage to surrounding teeth or tissues
Benefits
- Restores tooth functionality and appearance
- Protects damaged teeth from further deterioration
- Long-lasting and durable
Expected benefits like improved chewing and aesthetics can be realized soon after the permanent crown is placed.
Recovery
- Maintain good oral hygiene practices
- Avoid hard or sticky foods initially
- Follow-up appointments to ensure proper crown fit and function
- Pain management with over-the-counter analgesics if necessary
The recovery period is generally short, with most patients resuming normal activities within a day.
Alternatives
- Dental Bridges: Good for replacing missing teeth but require altering adjacent teeth.
- Partial Dentures: A removable option but can be less stable.
- Direct Fillings or Bonding: Less invasive but not suitable for severely damaged teeth.
Patient Experience
During the procedure, patients will generally not feel pain due to local anesthesia. Some might feel pressure or minor discomfort. Post-procedure, mild sensitivity or discomfort is common, which can be managed with over-the-counter pain medication. Proper care and hygiene are essential for the longevity of the crown.