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Partial loss of teeth due to caries, class IV

ICD10CM code

Name of the Condition

  • Partial loss of teeth due to caries, class IV (K08.434)
  • Dental caries-related partial edentulism

Summary

Partial loss of teeth due to caries refers to the condition where one or more teeth are lost from the dental arch as a result of decay (caries). Class IV indicates a specific categorization of the extent and nature of the tooth loss.

Causes

  • Dental caries begin with the destruction of the tooth enamel, often due to poor oral hygiene and high sugar consumption, allowing bacteria to flourish and erode the tooth structure.

Risk Factors

  • Poor oral hygiene practices
  • High sugar and acidic food intake
  • Lack of regular dental check-ups
  • Smoking and tobacco use
  • Dry mouth conditions, possibly due to medications or health conditions

Symptoms

  • Loss of one or more teeth
  • Sensitivity in remaining teeth
  • Changes in bite or alignment
  • Potential difficulty in chewing or speaking

Diagnosis

  • Dental examination
  • X-rays to assess the extent of decay and determine teeth involvement
  • Patient dental history analysis

Treatment Options

  • Dental prosthetics, such as bridges or partial dentures, to replace missing teeth
  • Implants for permanent tooth replacement
  • Preventive treatments, including fluoride applications and dietary counseling to prevent further decay

Prognosis and Follow-Up

  • With proper dental care and restoration, patients can achieve satisfactory function and aesthetics.
  • Regular dental check-ups are essential to monitor oral health and prevent further tooth loss.

Complications

  • Compromised chewing ability, leading to nutritional deficiencies
  • Changes in speech due to altered teeth positions
  • Potential for further tooth decay and gum disease

Lifestyle & Prevention

  • Maintain excellent oral hygiene, including regular brushing and flossing
  • Limit sugary and acidic food and beverage intake
  • Regular professional dental cleanings and check-ups
  • Application of dental sealants as preventive measures

When to Seek Professional Help

  • Noticeable tooth decay or sensitivity
  • Any sudden or unexplained tooth loss
  • Persistent pain or discomfort in the mouth

Additional Resources

  • American Dental Association (ADA) - website
  • National Institutes of Dental and Craniofacial Research (NIDCR) - website

Tips for Medical Coders

  • Ensure complete documentation of the extent and cause of tooth loss to accurately assign K08.434.
  • Verify the classification level to distinguish from other categories of tooth loss.
  • Avoid coding based solely on patient-reported symptoms without clinical confirmation.

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