REMOVAL OF BENIGN ODONTOGENIC CYST OR TUMOR-LESION DIAMETER UP T0 1.25 CM
HCPCS code
Name of the Procedure:
Removal of Benign Odontogenic Cyst or Tumor (Lesion Diameter Up to 1.25 cm)
Technical Term: D7450
Summary
The removal of a benign odontogenic cyst or tumor procedure involves surgically extracting a non-cancerous growth from the jaw or surrounding tissues. The specific term "lesion diameter up to 1.25 cm" indicates that the size of the growth is relatively small and should not exceed 1.25 centimeters in diameter.
Purpose
Conditions Addressed:
- Benign odontogenic cysts or tumors in the jaw or surrounding tissues.
- Prevention of potential complications such as infection, displacement of teeth, or jawbone weakening.
Goals:
- Complete removal of the benign growth.
- Alleviation of symptoms related to the cyst or tumor.
- Prevention of recurrence and improvement of oral health.
Indications
Symptoms & Conditions:
- Visible or palpable lumps within the jaw.
- Pain, swelling, or discomfort in the jaw area.
- Displacement or loosening of teeth.
- Infection or drainage of pus from the affected area.
Patient Criteria:
- Diagnosis of a benign odontogenic cyst or tumor by a dental or medical professional.
- Lesion size up to 1.25 cm as confirmed by imaging studies such as X-rays or CT scans.
Preparation
Pre-Procedure Instructions:
- Fasting for 6-8 hours before the procedure, if general anesthesia is to be used.
- Adjustments to medication as advised by the healthcare provider.
- Arrangements for someone to drive the patient home if sedation or anesthesia is required.
Diagnostic Tests:
- Dental X-rays or CT scans to locate and assess the extent of the cyst or tumor.
- Blood tests to evaluate overall health and anesthetic suitability.
Procedure Description
Steps Involved:
- Anesthesia: Local anesthesia, sedation, or general anesthesia is administered based on the complexity of the procedure and patient comfort.
- Incision: A small incision is made in the gum tissue to access the cyst or tumor.
- Removal: Surgical instruments are used to carefully remove the entire cyst or tumor, ensuring clean margins.
- Closure: The incision is stitched up, and packing may be placed to manage bleeding.
Tools & Equipment:
- Surgical scalpel or laser.
- Curettes or other specialized instruments for cyst/tumor excision.
- Sutures for closing the incision.
Duration
The procedure typically takes about 30 to 60 minutes, depending on the complexity and location of the cyst or tumor.
Setting
The procedure can be performed in a dental office, outpatient clinic, or surgical center equipped for minor oral surgeries.
Personnel
- Oral and maxillofacial surgeon or dentist specialized in oral surgery.
- Nurses or dental assistants.
- Anesthesiologist, if general anesthesia is used.
Risks and Complications
Common Risks:
- Swelling and bruising.
- Pain and discomfort.
Rare Complications:
- Infection.
- Damage to adjacent teeth or structures.
- Nerve damage leading to numbness or tingling.
- Uncontrolled bleeding.
Management:
- Antibiotics for infections.
- Pain medication and pain management strategies.
- Follow-up visits for monitoring and managing complications.
Benefits
Expected Benefits:
- Relief from symptoms like pain or swelling.
- Prevention of complications associated with the cyst or tumor.
- Improved oral health.
Realization:
- Immediate relief from mechanical symptoms like swelling or discomfort.
- Full healing within weeks to months.
Recovery
Post-Procedure Care:
- Follow prescribed pain management strategies.
- Eat soft foods and follow dietary restrictions as advised.
- Maintain oral hygiene cautiously around the surgical site.
Recovery Time:
- Initial healing within 1-2 weeks.
- Complete recovery within a month, depending on the individual case.
Alternatives
Treatment Options:
- Observation and regular monitoring of the cyst/tumor.
- Aspiration or drainage if the lesion is fluid-filled.
- Marsupialization to reduce the cyst size while preserving surrounding structures.
Pros and Cons:
- Non-surgical options might delay resolution of the issue or recurrence.
- Surgical removal provides a definitive solution.
Patient Experience
During the Procedure:
- Mild to moderate discomfort if local anesthesia is used.
- Little to no sensation during the procedure with sedation or general anesthesia.
Post-Procedure:
- Soreness and swelling at the surgical site.
- Prescribed pain medication should alleviate most discomfort.
- Cold compresses may help reduce swelling and bruising.
Pain management and personalized care instructions will be provided to ensure comfort and promote optimal healing.