Dental Code D2792: Crown - Full Cast Noble Metal

Dental Code D2792 refers to the procedure of a full cast noble metal crown, a type of dental restoration used to cover and protect a severely damaged or decayed tooth. This comprehensive restoration is designed to restore the natural function, appearance, and strength of the affected tooth, providing long-lasting protection and improved oral health.

Dental Code D2792 is a specific code used in the dental industry to identify and bill for the procedure of a full cast noble metal crown. This code is part of the Current Dental Terminology (CDT) system, which is a comprehensive list of dental procedures and their associated codes used for insurance claims, treatment planning, and record-keeping.

"Crown" - This refers to the restoration that covers the entire visible portion of the tooth above the gumline.
"Full cast" - This indicates that the crown is fabricated from a single piece of metal, rather than being a layered or veneered restoration.
"Noble metal" - The crown is made from a high-quality, corrosion-resistant alloy that contains precious metals such as gold, platinum, or palladium.
The use of a full cast noble metal crown is typically recommended for teeth that have extensive damage, decay, or structural weaknesses that cannot be adequately restored with a less invasive procedure, such as a filling or onlay.

Before the crown can be placed, the affected tooth must be prepared to provide a strong, stable foundation for the restoration. This typically involves the following steps:
Local anesthesia is administered to ensure the patient's comfort during the procedure.
The tooth is carefully shaped and reduced in size to create space for the crown, ensuring a proper fit and occlusion (bite) with the opposing teeth.
Any remaining decay or damaged tooth structure is removed, and the tooth is thoroughly cleaned and disinfected. An impression (mold) of the prepared tooth and surrounding teeth is taken, either using a physical impression material or a digital scanning device.

The impression or digital scan is sent to a dental laboratory, where the crown will be custom-made to fit the patient's unique tooth structure and bite. This process typically takes 1-2 weeks to complete. The laboratory utilizes advanced technology and skilled technicians to ensure the crown is crafted with precision and attention to detail.

At the laboratory, a model of the prepared tooth is created from the impression or digital scan. This model serves as the foundation for the crown's fabrication, allowing the technicians to precisely replicate the tooth's shape and dimensions.
The technicians carefully select a high-quality noble metal alloy, such as gold, platinum, or palladium, and use specialized equipment to cast the crown in a single, solid piece. This ensures the crown's durability and long-lasting performance.
The crown is meticulously adjusted and polished to ensure a precise fit and a natural, aesthetic appearance. This attention to detail helps the crown blend seamlessly with the patient's existing teeth, creating a harmonious and attractive smile.
The final step in the crown fabrication process is a thorough inspection to verify the crown's quality and fit before it is sent back to the dental office.

Once the custom-made crown is ready, the patient returns to the dental office for the final step of the procedure. This appointment is crucial for ensuring the crown's proper fit and function.

The fit and occlusion of the crown are carefully checked to ensure a proper and comfortable bite. The dentist will make any necessary adjustments to ensure the crown does not interfere with the patient's natural bite or cause any discomfort.
The tooth is thoroughly cleaned and etched to create a strong bond between the tooth and the crown. This process helps the specialized dental cement adhere securely, creating a long-lasting and durable attachment.
A specialized dental cement is used to permanently affix the crown to the prepared tooth. The dentist takes great care to ensure the crown is properly positioned and the cement is applied evenly to prevent any gaps or irregularities.
The crown is polished and any final adjustments are made to ensure a comfortable and aesthetically pleasing result. The patient's satisfaction and the long-term success of the crown are the top priorities during this final appointment.

Dental Code D2792 represents the procedure for a full cast noble metal crown, a durable and long-lasting dental restoration used to protect and restore severely damaged or decayed teeth. This comprehensive restoration process involves carefully preparing the tooth, fabricating the custom crown in a dental laboratory, and permanently securing the crown to the tooth.

The use of a high-quality noble metal alloy, such as gold, platinum, or palladium, provides superior strength, corrosion resistance, and a natural, aesthetic appearance. Full cast noble metal crowns are typically recommended for teeth that have undergone significant structural damage or decay and require a strong, long-lasting restoration.

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