Dental Code D6093: Re-cement or re-bond implant/abutment supported fixed partial denture

Dental Code D6093 refers to the procedure known as re-cementation or re-bonding of an implant or abutment supported fixed partial denture. This code is specifically used in dental billing and insurance claims to describe the process of reattaching a fixed partial denture that has become dislodged or loosened. 

Dental Code D6093 is used to indicate the reattachment of an implant or abutment supported fixed partial denture. A fixed partial denture, commonly known as a dental bridge, is a prosthetic device used to replace one or more missing teeth. It is typically supported by dental implants or abutments, which are surgically placed into the jawbone.

Over time, a fixed partial denture may become dislodged or loosened due to various factors such as normal wear and tear, trauma, or improper oral hygiene. When this occurs, it is necessary to re-cement or re-bond the denture to ensure its stability and functionality. Dental Code D6093 specifically covers the procedure involved in reattaching the denture to the implant or abutment.

The first step in the re-cementation or re-bonding process is a thorough assessment and evaluation of the patient's dental condition. The dentist will examine the fixed partial denture, the implant or abutment, and the surrounding oral tissues to determine the cause of the dislodgement or loosening. X-rays or other imaging techniques may be used to assess the integrity of the implant and the supporting structures.

Once the evaluation is complete, the dentist will carefully remove the dislodged or loosened fixed partial denture. This is done using specialized dental instruments without causing any further damage to the denture or the implant.

After the denture is removed, the dentist will clean both the denture and the implant or abutment to remove any debris, residual cement, or bacteria. Thorough cleaning is essential to ensure proper bonding during the reattachment process. In some cases, the dentist may need to reshape or adjust the denture or the implant to achieve an optimal fit.

Once the denture and implant or abutment are cleaned and prepared, the dentist will proceed with the application of dental cement. The choice of dental cement is crucial to ensure a strong and durable bond between the fixed partial denture and the implant or abutment. There are various types of dental cement available, including resin cements, glass ionomer cements, and zinc oxide eugenol cements. The dentist will select the appropriate cement based on factors such as the material of the denture and the implant or abutment, as well as the specific needs of the patient.

Before applying the cement, the dentist will ensure that the denture and the implant or abutment are completely dry. Moisture can interfere with the bonding process, compromising the stability of the reattached denture. Therefore, the dentist may use air syringes or absorbent materials to dry the surfaces thoroughly.

Next, the dental cement will be mixed according to the manufacturer's instructions. This may involve combining a base and an accelerator or using a self-curing cement that sets without the need for mixing.

With the cement ready, the dentist will carefully position the fixed partial denture onto the implant or abutment. This requires precision and attention to detail to ensure proper alignment and fit. The dentist will gently press the denture into place, allowing the cement to flow and fill any gaps between the denture and the implant or abutment.

After the dental cement is applied and the denture is positioned, the dentist will proceed with the final placement and evaluation of the reattached denture. The patient will be asked to bite down to assess the occlusion, or the way the upper and lower teeth come together. This step is crucial to ensure that the denture is properly aligned and does not interfere with the patient's bite or cause any discomfort.

The dentist will carefully evaluate the fit of the denture, checking for any areas of instability or pressure points. Adjustments may be made to the denture if necessary to achieve optimal comfort and functionality. Any excess cement that has extruded from the margins of the denture will be carefully removed to prevent irritation of the surrounding soft tissues.

Dental Code D6093 refers to the re-cementation or re-bonding of an implant or abutment supported fixed partial denture. This procedure involves the removal of the dislodged denture, cleaning and preparation of the denture and implant, application of dental cement, and final placement and evaluation of the reattached denture. It is important for patients to seek prompt dental care when a fixed partial denture becomes loose or dislodged to prevent further complications and ensure the functionality of the prosthetic device.

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