Dental Code D4266: Guided tissue regeneration - resorbable barrier, per site

Dental Code D4266 refers to a dental procedure known as guided tissue regeneration (GTR) with a resorbable barrier. This technique is used to promote the regeneration of gum tissue and bone in areas where they have been damaged or lost due to periodontal disease or other dental conditions. In this article, we will delve into the details of this procedure, its steps, and its significance in restoring oral health.

On average, patients pay $780 for this D4266 service at the dentist's office, with as little as $560 charged for this in less expensive cities and as much as $1,030 in more expensive cities.

Low cost of living	Medium cost of living	High cost of living
Memphis (Tennessee), Cincinnati (Ohio)	Miami (Florida), Denver (Colorado), Austin (Texas)	(New York (New York), San Francisco (California)
$560	$780	$1,030

However, the price for the service D4266 depends not only on the region where you live, but also varies from dentist to dentist. Therefore, it makes sense to compare prices before choosing a dentist. The best way to do this price comparison is at Dr. BestPrice and save a lot of money. 

Before initiating the guided tissue regeneration procedure, the dentist will conduct a thorough examination to evaluate the extent of gum and bone loss. This may involve dental X-rays, periodontal charting, and assessing the overall condition of the patient's oral health. Based on the findings, a treatment plan will be customized to address the specific needs.
During this stage, the dentist will evaluate the depth of the periodontal pockets, which are spaces that form between the teeth and gums as a result of gum disease. The pocket depth indicates the severity of the condition and helps determine the appropriate treatment approach.

To ensure the patient’s comfort during the procedure, the dentist will administer a local anesthetic to numb the treatment area. Local anesthesia involves the injection of a medication, such as lidocaine, near the site that needs to be treated. This numbs the area and prevents pain or discomfort throughout the process.

In this step, the dentist will make a small incision in the gum tissue near the affected area to create a flap. The flap allows access to the underlying bone and facilitates the removal of any diseased tissue.

The flap reflection technique involves lifting a section of the gum tissue away from the tooth and bone to expose the underlying area. This allows the dentist to thoroughly clean the area and remove any debris, bacteria, or infected tissue that may be present.

Once the flap is reflected, the dentist will perform debridement and bone preparation. Debridement involves the removal of plaque, calculus (hardened plaque), and infected tissue from the tooth surface and root. This process is essential for eliminating the sources of infection and promoting a clean environment for tissue regeneration.
Following debridement, the dentist will prepare the underlying bone to create a suitable environment for tissue regeneration. This may involve smoothing the bone surface or using special tools to reshape irregularities.

A resorbable barrier is a biocompatible membrane made of materials such as collagen or synthetic polymers. It acts as a physical barrier, preventing the migration of gum tissue into the bone defect and allowing space for new bone and gum tissue to form. The barrier is placed over the treated area, ensuring proper coverage.
The resorbable barrier serves as a scaffold, guiding the growth of new tissue and providing support during the healing process. Over time, the barrier naturally dissolves or is absorbed by the body, eliminating the need for its removal.

After the resorbable barrier is securely in place, the gum flap is repositioned and sutured back into position. The stitches used are usually dissolvable and will naturally dissolve over time. Sutures help hold the flap in place and promote proper healing.

Following the procedure, the dentist will provide the patient with specific instructions for postoperative care. This may include guidelines for maintaining oral hygiene, avoiding certain foods, and using prescribed medications, such as antibiotics or pain relievers, if necessary. It is essential to follow these instructions diligently to support the healing process and optimize the treatment outcomes.

Regular follow-up appointments will be scheduled to monitor the healing process and make any necessary adjustments to the treatment plan.

Dental Code D4266, guided tissue regeneration with a resorbable barrier, is a valuable procedure that aids in the regeneration of gum tissue and bone in areas affected by periodontal disease or other dental conditions. By creating a barrier and promoting the growth of new tissue, this technique helps restore oral health and improve the stability of teeth. The procedure involves an initial diagnosis and treatment planning, local anesthesia to ensure comfort, flap reflection to access the treatment area, debridement and bone preparation to create a clean environment, placement of a resorbable barrier to guide tissue regeneration, suturing to secure the flap, and postoperative care instructions for optimal healing.

It is important to note that dental procedures should always be performed by qualified dental professionals, and individual cases may vary. The dentist will provide personalized advice and treatment recommendations based on the patient’s specific needs and conditions. 

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