Name of the Procedure:

Placement of Device to Facilitate Eruption of Impacted Tooth (D7283)

• Common Name: Tooth Eruption Device Placement
• Technical/Medical Term: Orthodontic Tooth Eruption Assisted Device Placement

Summary

This is a dental procedure where a device is placed to help a tooth that is stuck, or impacted, come into its proper position in the mouth.

Purpose

This procedure is used when a tooth is unable to emerge through the gum on its own, often due to being blocked by other teeth or bone. The goal is to assist the natural eruption process, improving alignment and function of the teeth.

Indications

• Impacted tooth (most commonly canines).
• Teeth that are not erupting as expected.
• Crowding issues caused by an impacted tooth.

Preparation

• Dental examination and X-rays to identify the impacted tooth.
• Pre-procedure instructions might include fasting if sedation is involved.
• Adjustments in certain medications, if necessary, as advised by your dentist.

Procedure Description

1. Anesthesia: Local anesthesia is administered to numb the area.
2. Incision: A small incision in the gum to expose the impacted tooth.
3. Placement of Device: An orthodontic bracket or similar device is attached to the tooth.
4. Attachment to Braces: A wire or chain is linked to existing braces to gradually pull the tooth into place.
5. Closure: The gum tissue may be repositioned or left open depending on the specific case.

Duration

Approximately 30 minutes to 1 hour.

Setting

Performed in a dental office or outpatient orthodontic clinic.

Personnel

• Orthodontist or Oral Surgeon
• Dental Assistant
• Possibly an Anesthesiologist, if sedation is used

Risks and Complications

• Common: Discomfort, swelling, minor bleeding, infection at the site.
• Rare: Damage to adjacent teeth, prolonged pain, or infection requiring additional treatment.

Benefits

• Helps the impacted tooth to erupt properly.
• Can prevent complications such as misalignment or crowding.
• Improvements can often be seen within a few months as the tooth begins to move.

Recovery

• Post-procedure: Soft diet and pain management as needed.
• Oral hygiene: Special care around the site to prevent infection.
• Recovery Time: Initial recovery in a few days; full eruption may take months.
• Follow-Up: Regular orthodontic visits to monitor progress and adjust the device.

Alternatives

• Extraction: Removing the impacted tooth, though this may require additional space management with braces or aligners.
• Observation: In some cases, waiting to see if the tooth will erupt on its own might be recommended.
• Pros and Cons: Extraction avoids long adjustment periods but might need further orthodontic work. Waiting involves no immediate intervention but may prolong discomfort or alignment issues.

Patient Experience

• During Procedure: Local anesthesia minimizes pain; some pressure might be felt.
• After Procedure: Mild discomfort or swelling managed with over-the-counter pain relief. Patients may feel a slight pulling sensation as the device works.
• Comfort: Cold packs and soft food diet recommended for the first few days post-procedure.