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Contour of existing restoration of tooth biologically incompatible with oral health

ICD10CM code
#### Name of the Condition
- Contour of Existing Restoration of Tooth Biologically Incompatible with Oral Health
- ICD-10 Code: K08.54

#### Summary
This condition occurs when the shape or contour of a dental restoration (such as a filling or crown) adversely affects the surrounding oral tissue, potentially leading to oral health issues.

#### Causes
- Poorly shaped or misaligned dental restorations.
- Use of materials that react negatively with the oral environment.
- Inadequate dental fittings leading to irritation or damage to oral tissues.

#### Risk Factors
- Previous dental restorations.
- Lack of regular dental check-ups.
- Use of cheaper or substandard restorative materials.

#### Symptoms
- Sensitivity or pain in the affected area.
- Swelling or irritation of the gums.
- Difficulty in chewing or flossing around the restored tooth.
- Bad breath or a bad taste in the mouth.

#### Diagnosis
- Visual examination by a dentist.
- Dental X-rays to assess the fitting of the restoration.
- Feedback from the patient on discomfort or bite alignment issues.

#### Treatment Options
- Refining or reshaping the existing dental restoration.
- Replacing the incompatible restoration with a new, better-fitted one.
- Use of biocompatible materials to avoid adverse reactions.
- Monitoring and adjustments to improve comfort and function.

#### Prognosis and Follow-Up
- Majority of cases resolve well with appropriate dental intervention.
- Regular dental visits are crucial to ensure restorations remain compatible.
- Continued monitoring helps in preventing recurrence and managing any new symptoms promptly.

#### Complications
- Increased risk of tooth decay or gum disease if not corrected.
- Damage to surrounding teeth or jaw alignment issues.
- Potential need for more extensive dental work if ignored.

#### Lifestyle & Prevention
- Maintain oral hygiene with regular brushing and flossing.
- Routine dental check-ups every six months.
- Immediate consultation for any discomfort following a dental restoration.

#### When to Seek Professional Help
- Persistent pain or discomfort around a restored tooth.
- Noticeable swelling or pus around the restoration site.
- Difficulty in maintaining oral hygiene due to misaligned restorations.

#### Additional Resources
- American Dental Association (ADA) [Website](https://www.ada.org)
- Academy of General Dentistry (AGD) [Website](https://www.agd.org)

#### Tips for Medical Coders
- Ensure accurate use of ICD-10 Code K08.54 when documentation specifies the contour-related issues of dental restorations.
- Verify the specific nature of incompatibility mentioned (size, shape, material) to avoid coding errors.
- Double-check if other related complications are present and need coding separately.

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