Name of the Procedure:

INTERCEPTIVE ORTHODONTIC TREATMENT OF THE TRANSITIONAL DENTITION (HCPCS D8060)

Summary

Interceptive orthodontic treatment of the transitional dentition involves correcting dental issues in children when they still have a mix of primary (baby) and permanent teeth. This treatment aims to address problems early to prevent more severe dental issues later on.

Purpose

The procedure addresses dental issues such as overcrowding, misaligned bites (malocclusion), and jaw discrepancies in children. The goal is to guide the growth and development of the jaws and teeth, making future orthodontic treatment less complicated and improving overall dental health.

Indications

• Crooked or crowded teeth
• Early loss of primary teeth
• Misaligned bite (e.g., overbite, underbite)
• Thumb sucking habits
• Jaw growth discrepancies
• Early signs of potential orthodontic problems

Preparation

• A comprehensive dental examination, including X-rays and dental impressions, is required.
• Discussion of medical history and current medications.

• No specific fasting or medication adjustments typically needed.

  Procedure Description

  1. Evaluation and Planning: Detailed assessment of dental X-rays, photos, and impressions.
  2. Fitting Orthodontic Appliances: Custom-made braces, expanders, or retainers are fitted to the teeth.
  3. Adjustment Visits: Regular follow-up visits for adjusting appliances to guide teeth and jaw development.
  4. Monitoring: Continuous observation of the teeth and jaw growth over several months to years.

Tools and equipment might include expanders, space maintainers, or braces. Local anesthesia might be used if any tooth extractions are necessary.

Duration

The entire treatment period can range from a few months to several years, but the application and adjustment of appliances usually take 30 to 60 minutes per session.

Setting

Primarily performed in a dental office or orthodontic clinic.

Personnel

• Orthodontist
• Dental Hygienist
• Dental Assistant

Risks and Complications

• Mild discomfort or soreness in the mouth
• Risk of decay around orthodontic appliances if proper hygiene is not maintained
• Potential for allergic reactions to metal or latex materials
• Rare risk of root resorption or damage to tooth structure

Benefits

• Prevents more severe orthodontic problems
• Reduces the need for extensive orthodontic treatment in the future
• Improved jaw growth and alignment
• Enhanced appearance and function of teeth and bite Results typically start to be seen within a few months.

Recovery

• Instructions on maintaining oral hygiene with orthodontic appliances
• Follow-up visits every 4-8 weeks for adjustments
• Temporary dietary restrictions to avoid hard or sticky foods
• Pain management with over-the-counter pain relievers if necessary
• Expected full recovery and adaption within a few weeks

Alternatives

• No early intervention, which may lead to more complex problems later
• Observation and waiting until all permanent teeth have emerged before initiating treatment
• Pros and Cons: Early treatment often results in shorter and less complicated procedures, whereas delaying might require more intensive correction later on.

Patient Experience

During the procedure, the patient may feel some pressure while appliances are being fitted, but regular adjustments should only involve mild discomfort. After the procedure, patients typically experience some soreness or tightness which can be managed with over-the-counter pain relievers. The dental team will provide guidance for comfort and care throughout the process.