Name of the Procedure:

Implant-Supported Porcelain Fused to Metal Crown (Titanium High Noble Metal) (D6066)

Common Name(s): Dental Implant Crown

Technical/Medical Term(s): Implant-Supported PFM Crown, Titanium Crown, High Noble Metal Crown

Summary

This procedure involves placing a crown made from porcelain fused to titanium metal onto a dental implant. This crown mimics the appearance and function of a natural tooth, providing a long-term solution for missing teeth.

Purpose

Conditions Addressed:

• Missing teeth due to injury, decay, or disease
• Significant tooth damage that requires replacement

Goals/Outcomes:

• Restoration of dental aesthetics
• Improvement of oral function such as chewing and speaking
• Prevention of jawbone loss associated with missing teeth

Indications

Symptoms/Conditions:

• One or more missing teeth
• Compromised adjacent teeth due to the absence of a tooth
• Difficulty in eating or speaking due to tooth loss

Patient Criteria:

• Adequate bone density and volume in the jaw
• Good oral hygiene and general health
• Non-smoker (or willing to stop smoking before and after surgery)

Preparation

Pre-Procedure Instructions:

• Maintain good oral hygiene
• Follow specific dentist instructions for fasting if sedation is used
• Adjust medications as directed by the healthcare provider (e.g. blood thinners)

Diagnostic Tests:

• Dental X-rays and 3D scans to assess bone structure
• Impressions or digital scans of teeth and gums

Procedure Description

Steps:

1. Local anesthesia or sedation is administered to ensure patient comfort.
2. The dental implant, a small titanium post, is surgically placed into the jawbone.
3. Healing time of 3-6 months is allowed for the implant to integrate with the bone.
4. After integration, an abutment is attached to the implant to hold the crown.
5. The porcelain-fused-to-metal crown is custom-made and then placed onto the abutment.
6. Final adjustments are made to ensure a proper fit and bite.

Tools/Equipment:

• Dental X-rays
• Surgical drills
• Dental impressions or digital scanning devices
• Titanium implants and abutments
• PFM crown

Anesthesia: Local anesthesia or sedation depending on individual patient requirements.

Duration

The entire process spans about 3-6 months including the healing period, but individual surgical sessions typically last 1-2 hours.

Setting

Performed in a dental office, outpatient dental clinic, or surgical center.

Personnel

• Dentist specializing in implants
• Dental surgeon (if specialized surgical steps are required)
• Dental assistant
• Anesthesiologist or nurse (if sedation is used)

Risks and Complications

Common Risks:

• Infection at the implant site
• Injury to adjacent teeth or blood vessels
• Nerve damage resulting in pain, numbness, or tingling

Rare Risks:

• Implant failure due to poor osseointegration
• Sinus problems if the implant protrudes into a sinus cavity

Benefits

Expected Benefits:

• Restoration of natural appearance and function
• Long-lasting dental solution
• Improved oral health and comfort

Benefit Realization:

• Fixed and functional teeth structure typically realized post-recovery

Recovery

Post-Procedure Care:

• Take prescribed antibiotics to prevent infection
• Use pain relievers as needed
• Follow specific dietary restrictions (soft foods initially)

Recovery Time:

• Initial healing takes a few days to a couple of weeks; full osseointegration may take 3-6 months

Follow-Up:

• Regular dental check-ups to monitor healing and crown placement

Alternatives

Options:

• Removable dentures
• Fixed bridges
• Non-implant-supported crowns

Pros and Cons:

• Dentures are less invasive but less stable
• Bridges may not require surgery but impact adjacent teeth
• Non-implant crowns are less sturdy and durable

Patient Experience

During Procedure:

• Some pressure or pushing sensations are common
• Numbness due to anesthesia
• Sedation may cause grogginess

After Procedure:

• Mild discomfort or swelling
• Pain managed by prescribed medication
• Gradual return to normal activities and diet