Name of the Procedure:

Crown - Porcelain Fused to High Noble Metal (HCPCS D6750)

Summary

A porcelain-fused-to-high-noble-metal crown is a dental procedure that involves placing a durable and aesthetically pleasing cap over a damaged tooth. The crown is made of porcelain material that is bonded to a metal base, which gives it strength and a natural appearance.

Purpose

This procedure is used to restore teeth that are compromised by decay, fractures, or large fillings. The ultimate goal is to protect the tooth, improve its appearance, and ensure it functions correctly.

Indications

• Significant tooth decay or damage
• Large fillings that weaken the tooth structure
• Cracked or fractured teeth
• Tooth discoloration that is unresponsive to whitening
• Teeth that have undergone root canal therapy

Preparation

• Pre-procedure: No special fasting or medication adjustments are required.
• Diagnostic: Dental X-rays and a thorough examination to assess the tooth's health and structure.

Procedure Description

1. Anesthesia: Local anesthesia is administered to numb the tooth and surrounding area.
2. Tooth Preparation: The dentist removes any decay and shapes the tooth to make space for the crown.
3. Impressions: An impression of the prepared tooth is taken to create a custom crown.
4. Temporary Crown: A temporary crown is placed to protect the tooth while the permanent one is being made.
5. Permanent Crown Placement: During a follow-up visit, the temporary crown is removed, and the permanent crown is cemented in place.

Duration

Approximately 60-90 minutes for each visit. Typically, two visits are required: one for preparation and impressions, another for the final crown placement.

Setting

The procedure is performed in a dentist’s office or dental clinic.

Personnel

The dentist primarily performs the procedure, with assistance from dental hygienists and dental assistants.

Risks and Complications

• Sensitivity to hot or cold for a few weeks
• Risk of the crown becoming loose or falling off
• Discomfort or pain
• Rarely, allergic reaction to the metal components

Benefits

• Restored tooth function and strength
• Improved appearance with a natural-looking tooth
• Protection of the damaged tooth from further decay or fracture
• Longevity with proper care

Recovery

• Mild discomfort and sensitivity for a few days
• Avoid hard or sticky foods that could dislodge the temporary crown
• Maintain oral hygiene by brushing and flossing regularly
• Follow-up visit to check the crown and overall dental health

Alternatives

• Composite resin filling: Less durable, used for smaller repairs.
• Gold crown: Very durable but less aesthetic.
• Ceramic crown: Aesthetic but may not be as strong as high noble metal.
• Observation: For minor issues, delaying intervention.

Each alternative has its benefits and limitations, which can be discussed with the dentist.

Patient Experience

• During the procedure: Minimal discomfort due to local anesthesia.
• After the procedure: Mild soreness or sensitivity managed by over-the-counter pain relievers.
• Good oral hygiene and routine dental check-ups are essential for the crown's longevity.