Dental Code D4276: Combined connective tissue and double pedicle graft, per tooth

Dental Code D4276 refers to a specific dental procedure known as a combined connective tissue and double pedicle graft, which is performed on a per-tooth basis. The purpose of the D4276 procedure is to restore the gum tissue to its original position, covering the exposed tooth roots and improving both function and appearance.

Dental Code D4276, the combined connective tissue and double pedicle graft, is a surgical technique used in periodontal therapy to treat gum recession. Gum recession occurs when the gum tissue surrounding the teeth recedes, exposing the tooth roots. This condition can lead to tooth sensitivity, root decay, and aesthetic concerns. 

Before the combined connective tissue and double pedicle graft procedure, your dentist or periodontist will conduct a thorough examination of your oral health. This assessment may involve a visual inspection, periodontal probing, and dental X-rays to evaluate the extent of gum recession and determine if the D4276 procedure is necessary. The dentist will assess the overall health of your gums, the depth of the gum recession, and any other contributing factors.

To ensure your comfort during the procedure, local anesthesia will be administered to numb the area being treated. Your dentist will discuss the anesthesia options with you beforehand and address any concerns you may have. The most common type of anesthesia used is a local anesthetic, which numbs the specific area being treated while allowing you to remain conscious throughout the procedure.

The combined connective tissue and double pedicle graft utilize tissue from your own mouth to restore the gum tissue. Typically, the donor tissue is taken from the palate (roof of the mouth). Your dentist will carefully remove a thin layer of tissue from the palate, ensuring it is sufficient to cover the exposed tooth roots. The palate is chosen as the donor site because it provides tissue that is similar in nature to the gum tissue around the teeth.

The recipient site refers to the area where the graft will be placed. Your dentist will thoroughly clean the area and prepare it to receive the graft. This involves removing any debris or diseased tissue and creating a suitable environment for the graft to integrate. The recipient site is carefully prepared to ensure optimal healing and integration of the graft with the surrounding gum tissue.

The first part of the procedure involves the placement of a connective tissue graft. The harvested tissue from the palate is carefully positioned over the recipient site, covering the exposed tooth roots. The connective tissue graft acts as a protective barrier, preventing further gum recession and covering any exposed roots. The graft is secured in place using sutures, which will help promote healing and tissue integration. The sutures are typically placed in a way that minimizes tension on the graft and ensures proper alignment of the tissues.

The second part of the procedure involves the creation of two pedicle flaps adjacent to the recipient site. These flaps are carefully prepared and repositioned to provide additional coverage and support for the connective tissue graft. The pedicle flaps are derived from the surrounding gum tissue and are moved to cover the graft site. This technique allows for a greater amount of tissue to be used in the grafting process and provides improved blood supply to the graft. The flaps are sutured in place, creating a stable environment for the healing process to occur.

After the combined connective tissue and double pedicle graft procedure, your dentist will provide you with detailed postoperative instructions. It is essential to follow these instructions carefully to promote proper healing. This may include guidelines on oral hygiene, dietary restrictions, and the use of prescribed medications or antimicrobial mouth rinses. It is important to attend follow-up appointments to monitor the healing progress and ensure the success of the procedure.

Dental Code D4276, the combined connective tissue and double pedicle graft, is a surgical procedure used to treat gum recession. It involves the use of your own tissue, typically from the palate, to restore the gum tissue and cover exposed tooth roots. The procedure consists of several steps, including initial assessment, anesthesia, preparation of the donor and recipient sites, placement of the connective tissue graft, creation and repositioning of double pedicle flaps, and postoperative care. By undergoing this procedure, patients can improve both the function and aesthetics of their gums, protecting the tooth roots and enhancing overall oral health. It is important to consult with a qualified dentist or periodontist to determine if Dental Code D4276 is appropriate for your specific dental condition. Gum recession can lead to tooth sensitivity, root decay, and aesthetic concerns. The combined connective tissue and double pedicle graft procedure aims to address these issues by restoring the gum tissue to its original position.

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