Name of the Procedure:

Fixed Partial Denture Sectioning (HCPCS D9120): Also known as bridge sectioning.

Summary

Fixed Partial Denture Sectioning involves cutting a dental bridge, a type of fixed partial denture, to remove a portion or the entire bridge. This may be necessary for various dental treatments or adjustments.

Purpose

Medical Conditions or Problems Addressed:

• Damaged or decayed teeth under a bridge
• Ill-fitting or broken bridges
• Required access to underlying gums or teeth for treatment

Goals or Expected Outcomes:

• Alleviate discomfort or pain
• Facilitate necessary dental treatments
• Restore proper function and aesthetics

Indications

Symptoms or Conditions Warranting Procedure:

• Pain or discomfort under a bridge
• Visible damage or decay in the supporting teeth
• Gum disease requiring treatment

Patient Criteria:

• Presence of a fixed partial denture (bridge)
• Dental assessments indicating the need for bridge modification

Preparation

Pre-Procedure Instructions:

• Maintain oral hygiene
• Follow specific dentist instructions regarding food or drink restrictions
• Discuss any current medications with the dentist

Diagnostic Tests or Assessments:

• Dental X-rays to assess the condition of the bridge and supporting teeth
• Oral examination by the dentist

Procedure Description

Step-by-Step Explanation:

1. Anesthesia Application: Local anesthesia is administered to numb the area.
2. Bridge Assessment: The dentist examines the bridge and determines the sectioning point.
3. Sectioning: Using a dental drill or laser, the dentist carefully cuts through the bridge material.
4. Removal: The separated part of the bridge is removed to allow access for further treatment.
5. Post-Sectioning Treatment: Any additional required treatments are performed (e.g., fillings, root canals).

Tools, Equipment, or Technology Used:

• Dental drill or laser
• Local anesthetics
• Dental probes and mirrors

Anesthesia Details:

• Typically performed under local anesthesia to numb the specific area.

Duration

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

Setting

• Performed in a dental office or outpatient clinic.

Personnel

• Dentist or dental surgeon
• Dental assistant

Risks and Complications

Common Risks:

• Pain or discomfort post-procedure
• Minor bleeding

Rare Risks:

• Infection
• Damage to surrounding teeth or gums

Management:

• Antibiotics or pain relievers may be prescribed
• Follow-up visits to assess healing and address any issues

Benefits

Expected Benefits:

• Relief from pain and discomfort
• Improved dental function and aesthetics

Realization Timeline:

• Immediate to a few days for pain relief
• Full benefits realized once any required follow-up treatments are completed

Recovery

Post-Procedure Care:

• Follow dental hygiene instructions
• Avoid hard or sticky foods
• Take prescribed medications as directed

Expected Recovery Time:

• Typically a few days to a week

Restrictions and Follow-Up:

• Avoid strenuous oral activity for a few days
• Schedule follow-up appointments as advised by the dentist

Alternatives

Other Treatment Options:

• Complete removal and replacement of the bridge
• Dental implants or partial dentures

Pros and Cons:

• Complete Bridge Replacement: Effective but more invasive and costly.
• Dental Implants: Long-lasting solution but requires surgery.
• Partial Dentures: Less invasive but may be less stable.

Patient Experience

During the Procedure:

• Minimal discomfort due to local anesthesia
• Sensation of pressure and vibration from dental tools

After the Procedure:

• Mild pain or discomfort that generally subsides within a few days
• Pain management with over-the-counter pain relievers or prescribed medications
• Follow-up care ensures proper healing and return to normal function.