Name of the Procedure:

Mobilization of Erupted or Malpositioned Tooth to Aid Eruption (HCPCS D7282)

Summary

This procedure involves gently repositioning a tooth that has erupted improperly or is not in the correct position. The goal is to help the tooth move into a better alignment within the dental arch.

Purpose

• Medical Conditions Addressed: Malpositioned or partially erupted teeth that could affect the alignment and health of adjacent teeth.
• Goals: To aid in the proper alignment of the tooth, ensuring better dental function and aesthetics.

Indications

• Symptoms of an impacted tooth, such as pain or swelling.
• Visible misalignment of a tooth.
• Difficulty in cleaning the affected area, leading to decay or gum issues.

Preparation

• Pre-Procedure Instructions: Patients are generally advised to maintain good oral hygiene and avoid eating or drinking a few hours before the procedure.
• Diagnostics: X-rays or digital scans of the mouth to assess the position of the tooth and surrounding structures.

Procedure Description

1. Anesthesia: Local anesthesia is administered to numb the affected area.
2. Incision and Exposure: A small incision may be made in the gum to expose the tooth if it is not fully visible.
3. Repositioning: Special dental instruments are used to gently move the tooth into a better position.
4. Fixation: Temporary braces or bands may be applied to hold the tooth in its new position.
5. Closure: The gum incision is closed, if applicable, and the area is cleaned.

Duration

The procedure typically takes about 30 to 60 minutes, depending on the complexity.

Setting

This procedure is usually performed in a dentist's office or an outpatient clinic.

Personnel

• Dentist or Oral Surgeon: Performs the procedure.
• Dental Assistant/Nurse: Assists with preparation and support.
• Anesthesiologist (if sedation is used): Manages pain and anesthesia.

Risks and Complications

• Common Risks: Pain, swelling, minor bleeding.
• Rare Risks: Infection, damage to adjacent teeth, prolonged numbness, or adverse reaction to anesthesia.
• Management: Prescribed antibiotics and pain relievers, follow-up appointments for monitoring.

Benefits

• Expected Benefits: Improved alignment of the tooth, enhanced oral function, and aesthetics.
• Realization Time: Benefits typically become evident within a few weeks to a few months as the tooth stabilizes.

Recovery

• Post-Procedure Care: Good oral hygiene, prescribed medications, and avoiding hard or sticky foods.
• Recovery Time: Usually a few weeks for initial recovery, with full stabilization taking a few months.
• Follow-Up: Regular dental check-ups to monitor progress.

Alternatives

• Orthodontic Treatment: Braces or aligners to shift teeth into place.
• Extraction: Removing the problematic tooth, followed by orthodontics or prosthetics.
• Pros and Cons: Orthodontics takes longer but is less invasive. Extraction might be simpler but could require additional work to replace the missing tooth.

Patient Experience

• During the Procedure: Minimal discomfort due to local anesthesia; pressure sensations may be felt.
• After the Procedure: Some pain and swelling, managed with pain relievers and ice packs.
• Pain Management: Prescribed pain medications and over-the-counter options like ibuprofen or acetaminophen. Comfort measures include soft foods and rinsing with warm salt water.