Name of the Procedure:

Common Name: Pontic Porcelain Fused to High Noble Metal
Medical Term: Dental Code D6240

Summary

The Pontic Porcelain Fused to High Noble Metal (D6240) is a dental procedure used to create a replacement tooth (pontic) anchored by crowns on adjacent teeth. The replacement tooth is made of porcelain fused to a high noble metal framework, ensuring both aesthetics and durability.

Purpose

This procedure addresses the issue of missing teeth. The primary goals are to restore function for chewing and speaking, maintain the alignment of adjacent teeth, and enhance the cosmetic appearance of the smile.

Indications

• One or more missing teeth
• Adjacent teeth in good condition to support the bridge
• Desire for a durable and aesthetically pleasing tooth replacement
• Adequate oral hygiene to support the longevity of the bridge

Preparation

• Comprehensive dental examination and imaging (X-rays or CT scans)
• Treatment planning, including impressions of the teeth
• Pre-procedure instructions, such as brushing and flossing thoroughly and possibly avoiding food and drink for a few hours before the procedure

Procedure Description

1. Preparation of Adjacent Teeth: The teeth adjacent to the missing tooth are shaped to receive crowns.
2. Impression Taking: Impressions of the prepared teeth and surrounding area are taken to create a model.
3. Temporary Bridge Placement: A temporary bridge may be placed to protect the prepared teeth while the permanent bridge is fabricated.
4. Bridge Fabrication: Dental lab creates the pontic from high noble metal fused with porcelain.
5. Final Bridge Placement: The temporary bridge is removed, and the permanent bridge is fitted, adjusted, and cemented in place.

Tools and Equipment: Dental drills, impression materials, porcelain, high noble metal, and dental cement.
Anesthesia: Local anesthesia is typically used to numb the area.

Duration

The entire process usually requires two to three appointments, each ranging from 30 minutes to 2 hours.

Setting

The procedure is performed in a dental office or clinic.

Personnel

• Primary Dental Professional: General Dentist or Prosthodontist
• Supporting Staff: Dental Assistants and possibly a Dental Hygienist

Risks and Complications

• Sensitivity to hot and cold in the crowned teeth
• Risk of the bridge becoming loose or falling off
• Potential for decay in the supporting teeth if oral hygiene is neglected
• Rarely, allergic reaction to materials used

Benefits

The procedure provides a durable, functional, and aesthetically pleasing replacement for missing teeth, improving both the functional and cosmetic aspects of the patient's oral health. Benefits are typically realized immediately following the final bridge placement.

Recovery

• Mild discomfort or sensitivity can be managed with over-the-counter pain relievers.
• Instructions will include maintaining excellent oral hygiene, avoiding hard or sticky foods initially, and following up with regular dental checkups.
• The majority of patients return to normal activities immediately, with full recovery in a few days.

Alternatives

• Dental Implant: Offers a more permanent solution without affecting adjacent teeth but requires surgery and a longer healing period.
• Removable Denture: Less invasive and less costly but may not be as stable or comfortable.
• Resin-bonded Bridge: Minimally invasive but may not be as durable.

Patient Experience

Patients receive local anesthesia to minimize discomfort. Post-procedure, there may be mild soreness and sensitivity, manageable with pain relief measures. Dentists provide guidance for maintaining comfort and ensuring successful long-term outcomes.