K08.421 Partial loss of teeth due to periodontal diseases, class I

ICD10CM code

#### Name of the Condition
- Partial Loss of Teeth Due to Periodontal Diseases, Class I (ICD Code: K08.421)

#### Summary
Partial loss of teeth due to periodontal diseases refers to the early stage of tooth loss caused by gum diseases. This condition involves the breakdown of the tissues and bone supporting the teeth, leading to their loosening and eventual loss.

#### Causes
Periodontal disease, primarily caused by poor oral hygiene, leads to the buildup of plaque and tartar. If untreated, this bacterial infection can damage the gums and jawbone. Other contributing factors include genetic predisposition and systemic health issues like diabetes.

#### Risk Factors
- Smoking or tobacco use
- Advanced age
- Family history of periodontal disease
- Poor oral hygiene
- Conditions such as diabetes
- Stress

#### Symptoms
- Bleeding gums during brushing or flossing
- Red, swollen, or tender gums
- Persistent bad breath
- Receding gums
- Loose or shifting teeth

#### Diagnosis
Diagnosis typically involves:
- Dental examination to assess gum health
- Measurement of pocket depth around the teeth
- Dental X-rays to check for bone loss

#### Treatment Options
- Professional dental cleaning to remove plaque and tartar
- Scaling and root planing for deeper cleaning
- Antibiotics to control infection
- Surgery in severe cases (e.g., flap surgery or bone grafts)
- Treatments aim to control infection, restore support structures, and prevent further tooth loss.

#### Prognosis and Follow-Up
With timely and effective treatment, the progression of periodontal disease can be slowed. Regular dental check-ups and good oral hygiene practices are crucial for managing the condition and preventing further tooth loss.

#### Complications
- Progression to more advanced periodontal disease
- Increased risk of complete tooth loss
- Potential impact on systemic health, such as heart disease

#### Lifestyle & Prevention
- Maintain proper oral hygiene with regular brushing and flossing
- Use antiseptic mouth rinse
- Quit smoking and tobacco use
- Eat a balanced diet rich in vitamins and minerals
- Schedule regular dental visits for cleanings and exams

#### When to Seek Professional Help
- Persistent gum bleeding or swelling
- Severe tooth pain or loose teeth
- Changes in bite or alignment
- Signs of infection, such as pus around the gums or fever

#### Additional Resources
- American Academy of Periodontology (periodontics.org)
- National Institute of Dental and Craniofacial Research (nidcr.nih.gov)

#### Tips for Medical Coders
- Ensure correct coding by specifying the type of tooth loss and periodontal disease.
- Verify the documentation supports the condition as Class I.
- Avoid coding errors by not confusing with other periodontal or dental conditions.

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