Dental Code D4267: Guided tissue regeneration - nonresorbable barrier, per site (includes membrane removal)

Dental Code D4267 corresponds to a specific dental procedure known as guided tissue regeneration (GTR) with a non resorbable barrier. This technique is commonly used in periodontal therapy, which focuses on treating diseases and conditions affecting the gums and supporting structures of the teeth. The purpose of Dental Code D4267 is to promote the regeneration of lost periodontal tissues, such as bone and connective tissue, around a tooth.

On average, patients pay $320 for this D4267 service at the dentist's office, with as little as $670 charged for this in less expensive cities and as much as $1150 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)
$320	$670	$1150

However, the price for the service D4267 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 guided tissue regeneration procedure is the diagnosis and treatment planning phase. The dentist will conduct a thorough examination of the patient's oral health, assessing the condition of the gums, teeth, and supporting structures. This evaluation may involve periodontal probing, which measures the depth of the pockets between the teeth and gums, as well as X-rays to evaluate the bone levels and identify any underlying issues. Based on the findings, a personalized treatment plan will be developed to address the specific needs of the patient.

To ensure patient comfort during the procedure, local anesthesia will be administered. This numbs the treatment area, preventing any pain or discomfort. The dentist will apply a topical gel to numb the gums before injecting the local anesthetic into the affected area.

Once the area is adequately numbed, the dentist will create a small incision in the gums to gain access to the affected site. This incision allows for clear visibility and proper treatment of the damaged periodontal tissues. The dentist will use specialized instruments to gently separate the gum tissue from the underlying bone, creating a small flap.

In this step, the dentist will carefully remove any diseased or damaged tissues from the affected area. This includes removing bacteria, debris, and calculus (hardened plaque) that may be present. The process of removing these diseased tissues is known as debridement. The dentist will use hand instruments or ultrasonic scalers to thoroughly clean the root surfaces and remove any deposits.

The nonresorbable barrier is a specialized membrane made of biocompatible materials, often made of expanded polytetrafluoroethylene (ePTFE) or high-density polytetrafluoroethylene (HDPTFE). It acts as a physical barrier between the gum tissue and the underlying bone, preventing unwanted cells from migrating into the healing area. The barrier is carefully trimmed to fit the defect or treated area and is placed over the exposed bone surface. It is secured in place using sutures or dental adhesive, ensuring proper coverage of the defect site.

The purpose of the nonresorbable barrier is twofold: it prevents the migration of epithelial tissue, which can impede proper healing, and it allows space for the regeneration of periodontal tissues, including bone and connective tissue. By creating a protected environment, the barrier encourages the growth of new cells in the desired areas.

Once the nonresorbable barrier is in place, the dentist will carefully suture the gums back together using dissolvable sutures. The sutures hold the flap of gum tissue in position, ensuring the stability of the barrier and facilitating undisturbed healing. The sutures will naturally dissolve over time, eliminating the need for their removal.

Following the guided tissue regeneration procedure, the dentist will provide the patient with detailed instructions for post-operative care. These instructions are crucial for promoting proper healing and maximizing the success of the procedure. The patient may be prescribed pain medication to manage any discomfort that may arise after the anesthesia wears off. The dentist will also provide guidelines on proper oral hygiene practices, which may include gentle brushing, using a prescribed mouth rinse, and avoiding certain foods that may irritate the treated area. Additionally, the patient will be advised to attend follow-up appointments to monitor the healing progress and make any necessary adjustments to the treatment plan.

Dental Code D4267 refers to guided tissue regeneration with a non resorbable barrier, which is a valuable procedure in periodontal therapy. This technique aims to regenerate lost periodontal tissues, such as bone and connective tissue, around a tooth. The procedure involves diagnosing the condition, accessing the affected area, removing diseased tissues, and placing a nonresorbable barrier to guide tissue regeneration. By creating a protected environment, the barrier encourages the growth of new cells and promotes proper healing. Post-operative care, including pain management, oral hygiene practices, and follow-up appointments, is crucial for successful outcomes.

It is important to note that the specific details of the guided tissue regeneration procedure may vary depending on the individual case and the approach of the dentist. Dental professionals should be consulted for personalized information and guidance regarding Dental Code D4267. They will evaluate the patient's unique condition and determine the most appropriate treatment plan to achieve optimal results.

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