Dental Code D7640: Mandible - closed reduction (teeth immobilized, if present)

Dental Code D7640 refers to a specific dental procedure known as Mandible Closed Reduction. It involves the immobilization of teeth, if present, to address mandible fractures. 

On average, patients pay $3450 for this D7640 service at the dentist's office, with as little as $2800 charged for this in less expensive cities and as much as $3800 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)
$2800	$3450	$3800

However, the price for the service D7640 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. 

The first step in the Mandible Closed Reduction procedure is the diagnosis and evaluation of the patient's condition. A dentist or oral surgeon will carefully examine the mandible for any signs of fracture. This may include physical examination, X-rays, and possibly a CT scan to assess the extent and location of the fracture. During the physical examination, the dentist or oral surgeon will palpate the jaw, checking for tenderness, swelling, or abnormal movement. X-rays provide detailed images of the mandible, allowing the healthcare professional to visualize the fracture and determine the best course of treatment. In some cases, a CT scan may be necessary to obtain a more comprehensive view of the fracture, especially if it involves complex or multiple fractures.

Once the fracture has been confirmed, the next step is to administer anesthesia to ensure the patient's comfort throughout the procedure. Local or general anesthesia may be used, depending on the complexity of the fracture and the patient's overall health. Local anesthesia involves the injection of an anesthetic agent near the site of the fracture, numbing the area and preventing pain during the procedure. General anesthesia, on the other hand, induces a state of unconsciousness, allowing the patient to remain unaware and pain-free throughout the entire procedure. The choice of anesthesia will be determined by the dentist or oral surgeon in consultation with the patient based on various factors, such as the patient's medical history, the extent of the fracture, and the patient's comfort level.

To access the fractured area, the dentist or oral surgeon will make an incision along the gum line or inside the mouth, near the site of the fracture. This incision allows for proper exposure of the fractured mandible, facilitating the subsequent steps of the procedure. The size and location of the incision will depend on the location and complexity of the fracture. In some cases, a small incision may be sufficient, while in others, a larger incision may be necessary to provide adequate access to the fractured segments. The dentist or oral surgeon will carefully handle the soft tissues surrounding the fracture, ensuring minimal damage and preserving the blood supply to facilitate proper healing.

With the fractured mandible exposed, the dentist or oral surgeon will carefully manipulate the fractured segments into their proper position. This step is known as reduction and aims to realign the broken bone fragments. Specialized instruments and techniques are utilized to achieve accurate alignment. The dentist or oral surgeon will use their expertise and precision to gently guide the fractured segments back into their anatomically correct position. This process requires careful manipulation and may involve the use of dental wires, plates, or screws to hold the segments in place during the healing process. The goal of reduction is to establish proper alignment, restore function, and promote optimal healing of the fractured mandible.

If teeth are present in the fractured area, they will be immobilized to facilitate the healing process. This immobilization prevents unnecessary movement and ensures that the fractured segments remain in their proper position during the recovery period. Various methods may be employed, such as wiring or splinting the teeth together. Dental wires are commonly used to stabilize the teeth by wrapping them with a thin wire, which is then secured to neighboring teeth, creating a stable framework. Splinting involves bonding the teeth together using a composite material or a temporary crown. This immobilization technique ensures that the teeth remain in their desired position, allowing the fractured mandible to heal properly.

Once the fractured segments have been properly aligned and the teeth immobilized, the next step is to close the incision or wound. Sutures or other suitable closure techniques are used to bring the tissues together and promote healing. The type of sutures used may vary depending on the location and size of the incision. Dissolvable sutures are commonly used, eliminating the need for their removal as they naturally dissolve over time. Non-dissolvable sutures may be used in certain cases and will require a follow-up appointment for their removal. In addition to sutures, the dentist or oral surgeon may use tissue adhesives or surgical staples to close the incision. Proper wound care instructions will be provided to the patient, including guidelines for oral hygiene, avoiding certain foods that may disrupt the healing process, and medications to manage pain or prevent infection.

After the procedure, the patient will be given instructions on postoperative care. This may include pain management, oral hygiene guidelines, and dietary restrictions to facilitate healing. The patient may be advised to take pain medication as prescribed by the dentist or oral surgeon to manage any discomfort during the recovery period. Oral hygiene practices, such as gentle brushing and rinsing with a prescribed mouthwash, may be recommended to maintain oral health while avoiding the surgical site. Follow-up appointments will be scheduled to monitor the progress of healing and make any necessary adjustments to the treatment plan.

During these follow-up visits, the dentist or oral surgeon will assess the patient's healing, remove any non-dissolvable sutures if necessary, and ensure that the fractured mandible is stabilizing properly. X-rays or other imaging techniques may be used to evaluate the healing process and confirm the alignment of the fractured segments.

Dental Code D7640, also known as Mandible Closed Reduction, is a dental procedure aimed at addressing fractures of the mandible. The procedure involves the careful manipulation and realignment of fractured segments, along with the immobilization of teeth if present. By following the precise steps outlined by the dentist or oral surgeon, patients can benefit from proper healing and restoration of normal jaw function. Join Our Dental Auction Platform for Great Savings!