Name of the Condition

• Encounter for Fitting and Adjustment of Dental Prosthetic Device
• ICD-10 Code: Z46.3

Summary

• This medical encounter involves the fitting and adjustment of dental prosthetic devices, such as dentures, bridges, or implants, to ensure proper fit and function within the oral cavity.

Causes

• Dental prosthetics are typically needed due to tooth loss from decay, gum disease, injury, or congenital conditions.

Risk Factors

• Tooth loss due to aging, poor oral hygiene, smoking, or previous dental diseases can increase the likelihood of requiring dental prosthetics.

Symptoms

• Patients may experience discomfort, difficulty chewing, speaking issues, or aesthetic concerns without properly fitted dental prosthetics.

Diagnosis

• Dental examination and possibly imaging, such as X-rays or 3D scans, are used to assess the need for and plan the fitting or adjustment of prosthetics.

Treatment Options

• Fitting includes measuring, sizing, and inserting prosthetics. Adjustments may involve reshaping or realigning the device to improve comfort and functionality.
• Regular follow-ups ensure the prosthetic device remains in good condition and fits properly.

Prognosis and Follow-Up

• With proper adjustment, patients can expect improved oral function and appearance. Regular dental visits are important for maintaining the fit and condition of the prosthetic.

Complications

• Poorly fitted prosthetics can cause sores, infections, bone loss, or changes in facial structure if not addressed.

Lifestyle & Prevention

• Good oral hygiene and regular dental check-ups can reduce the need for frequent adjustments. Avoiding hard foods and using recommended care products prolongs prosthetic lifespan.

When to Seek Professional Help

• Seek immediate dental consultation if experiencing persistent discomfort, sores, or difficulty with the prosthetic device.

Additional Resources

• American Dental Association (ADA)
• Dental Prosthetics Patient Support Groups

Tips for Medical Coders

• Accurately assign Z46.3 only for encounters specifically involving fitting or adjustment, not for initial fitting procedures.
• Avoid confusion with codes for surgical placements or restorative treatments which might involve similar devices.