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Dental Code D7994: Surgical Placement of Zygomatic Implant

Dental Code D7994: Surgical Placement of Zygomatic Implant

Dental Code D7994: Surgical Placement of Zygomatic Implant

Dental Code D7994 refers to the surgical placement of zygomatic implants, a specialized procedure used in cases where traditional dental implants cannot be successfully placed due to insufficient bone volume in the upper jaw. 

What does Dental Code D7994 mean?

Dental Code D7994 specifically denotes the surgical placement of zygomatic implants. Zygomatic implants are longer and anchored in the zygomatic bone, also known as the cheekbone, rather than the maxilla (upper jawbone). This technique allows for the successful placement of dental implants in patients with severe bone loss in the upper jaw.

Patient Evaluation

Before proceeding with the zygomatic implant procedure, a comprehensive evaluation is conducted to determine the patient's suitability for this treatment. This evaluation involves assessing the quantity and quality of the available bone in the upper jaw, as well as considering the patient's overall oral health and medical history. X-rays, CT scans, and 3D imaging may be used to obtain detailed information about the jawbone structure and identify areas of bone loss.

Treatment Planning

Once the patient is deemed suitable for zygomatic implants, a customized treatment plan is developed. This plan takes into account the specific needs and goals of the patient, including the number of implants required and the placement locations. The dentist collaborates with oral and maxillofacial surgeons and prosthodontists to ensure a comprehensive approach to treatment. Advanced imaging techniques such as CT scans may be used to aid in the precise planning of implant placement, allowing for accurate determination of implant length and angulation.

Anesthesia and Incision

On the day of the surgery, the patient is administered a suitable form of anesthesia to ensure their comfort throughout the procedure. The most common type of anesthesia used is general anesthesia, which allows the patient to sleep and remain pain-free during the surgery. Once the patient is anesthetized, an incision is made in the gum tissue, exposing the underlying bone. The incision is carefully planned to provide optimal access to the surgical site while minimizing damage to surrounding tissues.

Zygomatic Implant Placement

The next step involves the precise placement of zygomatic implants. A specialized surgical technique is employed to anchor the implants into the zygomatic bone. These implants are longer than traditional dental implants and are designed to bypass areas of inadequate bone density in the upper jaw. The surgeon carefully drills a channel into the zygomatic bone, creating a path for the implant insertion. The implants are then threaded into the bone, ensuring stability and support for the future prosthesis. The number of implants placed may vary depending on the individual patient's needs, but typically, two zygomatic implants are placed on each side of the upper jaw.

Temporary Prosthesis

After the zygomatic implants are successfully placed, a temporary prosthesis may be attached to provide functional and aesthetic benefits during the healing period. This temporary prosthesis allows the patient to regain their ability to chew and speak comfortably while the implants integrate with the bone. The temporary prosthesis is custom-made to fit the patient's mouth and is designed to provide stability and support to the implants. It is typically made of acrylic material and can be easily adjusted or modified to accommodate any changes in the healing process.

Healing and Osseointegration

Following the surgery, a period of healing is required for the zygomatic implants to integrate with the surrounding bone. This process, known as osseointegration, typically takes several months. During this time, the patient undergoes regular follow-up appointments with their dental professional to monitor the healing progress. The implants gradually fuse with the bone, creating a strong and stable foundation for the final prosthesis. It is important for patients to adhere to a strict oral hygiene routine and follow all post-operative instructions provided by their dental team to ensure successful osseointegration.

Final Prosthesis

Once the healing and osseointegration are complete, the temporary prosthesis is replaced with the final, permanent prosthesis. This prosthesis is custom-designed to match the patient's natural teeth in terms of appearance and functionality. It is securely attached to the zygomatic implants, providing a long-term solution for patients with severe bone loss in the upper jaw. The final prosthesis can be either fixed or removable, depending on the patient's preferences and clinical requirements. Fixed prostheses are typically supported by a metal framework that connects the zygomatic implants and provides stability and durability.

Summary: Dental Code D7994

Dental Code D7994 represents the surgical placement of zygomatic implants, a specialized dental procedure used to address severe bone loss in the upper jaw. This technique allows patients with insufficient bone volume to receive dental implants and restore their oral function and aesthetics. The procedure involves a comprehensive evaluation, treatment planning, anesthesia, incision, zygomatic implant placement, temporary prosthesis, healing, and final prosthesis. By understanding the steps involved in the zygomatic implant procedure, patients can make informed decisions about their dental health and work closely with their dental professional to achieve optimal outcomes. The expertise of oral and maxillofacial surgeons, prosthodontists, and other dental specialists is crucial in ensuring the success of this intricate procedure.


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