Dental Code D4264: Bone replacement graft – retained natural tooth – each additional site in quadrant

Dental Code D4264 refers to a specific dental procedure known as a bone replacement graft for a retained natural tooth. This code is used when an additional site within the same quadrant requires a bone graft to support the tooth.

On average, patients pay $470 for this D4264 service at the dentist's office, with as little as $150 charged for this in less expensive cities and as much as $650 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)
$150	$470	$650

However, the price for the service D4264 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. 

Dental Code D4264 specifically denotes the need for a bone replacement graft procedure in cases where a retained natural tooth requires additional support in the form of bone grafting. This code is used when the tooth is situated within the same quadrant as a previously treated tooth that has already undergone a bone replacement graft.

The first step in the bone replacement graft procedure is an initial assessment by your dentist. This evaluation is crucial for determining the need for additional bone support and planning the grafting procedure accordingly. During the assessment, the dentist will thoroughly examine the retained natural tooth and its surrounding bone structure. The dentist may also take X-rays or scans to assess the extent of bone loss and determine the appropriate treatment approach.

Once the treatment plan is established, the dentist will administer local anesthesia to ensure your comfort during the procedure. Local anesthesia numbs the treatment area, preventing any pain or discomfort. Additionally, a dental dam may be placed to isolate the treatment site. A dental dam is a thin, rubber-like sheet that is placed around the tooth to create a sterile environment and prevent contamination during the procedure.

To access the treatment site, the dentist will make a small incision in the gum tissue near the retained natural tooth. This incision allows the dentist to visualize the area and prepare it for the grafting process. In some cases, the tooth may need to be gently moved or repositioned to facilitate access to the underlying bone.

The next step involves the actual bone grafting process. A bone graft is a procedure where bone or a bone substitute material is placed in the area where additional bone support is required. The graft material serves as a scaffold, providing support and promoting the growth of new bone cells. The graft material can be synthetic, derived from another part of the body, or obtained from a tissue bank. The dentist will select the most appropriate graft material based on the specific needs.

During the bone grafting procedure, the dentist carefully prepares the graft material. If using a synthetic graft material, it is often in the form of granules or putty. If using a bone substitute material, it may come in the form of a membrane or gel. Alternatively, if utilizing autogenous grafting, which involves using bone from the body, the dentist may harvest bone from another site, such as the chin or hip, and shape it to fit the treatment area.

Once the graft material is prepared, it is placed in the area where additional bone support is required. The dentist ensures that the graft material is in close contact with the existing bone. This proximity facilitates the integration of the graft with the surrounding bone, allowing for the formation of new bone cells over time.

To ensure proper integration and stability of the graft, the dentist may use additional techniques to secure it in place. These techniques can include the use of small screws, plates, or membranes. These devices help hold the graft material in position during the healing process. The dentist will select the appropriate method based on the specific case and the desired outcome.

Once the graft is in place, the soft tissue is sutured back in position, allowing for proper healing. The sutures used are typically dissolvable and do not require removal.

After the bone replacement graft procedure, the dentist will provide the patient with post-operative care instructions. It is crucial to follow these instructions to promote proper healing and optimize the success of the graft. The instructions may include guidelines on oral hygiene, pain management, and dietary restrictions.

Dental Code D4264 represents a bone replacement graft procedure for a retained natural tooth. It specifically indicates the need for additional support in cases where a retained tooth within the same quadrant requires a bone graft. The procedure involves an initial assessment, anesthesia, accessing the treatment site, bone grafting, securing the graft, and post-operative care. The bone graft serves as a scaffold, promoting the growth ofnew bone cells and integrating with the existing bone structure. The success of the bone replacement graft relies on proper healing and integration of the graft with the surrounding bone, which is monitored through follow-up appointments with the dentist.

By understanding Dental Code D4264 and the associated procedure, patients can better comprehend the importance of this treatment in maintaining their oral health and preserving their natural teeth. The bone replacement graft provides additional support to the retained natural tooth, allowing for improved function and longevity. 

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