Dental Code D6096: Remove broken implant retaining screw

Dental Code D6096 refers to the procedure of removing a broken implant retaining screw. This code is specific to dental implant restorations and addresses the need to remove a screw that has become fractured or damaged within the implant structure. 

Dental Code D6096 signifies the removal of a broken implant retaining screw. Dental implants are widely used to replace missing teeth and restore oral function. They consist of a titanium post that is surgically placed into the jawbone, serving as an artificial tooth root. The implant retaining screw is an essential component of the implant restoration, as it secures the prosthetic tooth or crown onto the implant post.

However, in some cases, the retaining screw may fracture or become damaged due to factors such as excessive force, improper tightening, or material fatigue. When this occurs, it is necessary to remove the broken screw to ensure the stability and longevity of the dental implant.

Before proceeding with the removal of a broken implant retaining screw, the dentist will thoroughly evaluate the patient's oral condition. This includes a comprehensive examination, review of dental records, and potentially obtaining necessary diagnostic imaging such as X-rays or a cone beam computed tomography (CBCT) scan. The purpose of this assessment is to determine the extent of the damage and plan the appropriate course of action.

Once the evaluation is complete, the dentist will create an access point to reach the affected implant. This is typically done by creating a small incision in the gum tissue overlying the implant site. In some cases, a flap may need to be reflected to gain better visibility and access to the implant.

After gaining access to the implant, the dentist will carefully remove the prosthetic restoration attached to the implant retaining screw. This may involve unscrewing or gently prying off the crown or bridge, depending on the type of restoration in place.

With the prosthetic restoration removed, the dentist will examine the broken implant retaining screw. This assessment helps determine the best approach for removing the fractured or damaged screw. Factors such as the location and condition of the screw, as well as the type of implant system used, will influence the techniques employed during the removal process.

There are several techniques available for removing a broken implant retaining screw. The specific method chosen will depend on the individual case. Some common techniques include:

a. Screwdriver Extraction: If the broken screw is accessible and protruding above the implant platform, a specialized screwdriver can be used to unscrew and remove it.

b. Screw Tap Extraction: In cases where the broken screw is embedded within the implant or below the implant platform, a screw tap may be utilized. This tool helps create a new pathway within the screw to facilitate its removal.

c. Reverse Drilling: Another technique involves using a drill with a reverse cutting direction to create a new channel within the broken screw. This allows for the insertion of a removal tool that can extract the screw.

d. Ultrasonic Removal: Ultrasonic instruments can be employed to vibrate and loosen the broken screw, making it easier to remove.

Which of the methods mentioned is suitable for the individual patient depends entirely on the circumstances and the oral and dental health. 

After successfully removing the broken implant retaining screw, the dentist will thoroughly clean the implant site and surrounding area. This may involve irrigating the site with an antimicrobial solution to minimize the risk of infection. Additionally, any damaged or compromised components of the implant system may need to be replaced or repaired.

After the successful removal of a broken implant retaining screw, the patient will require appropriate post-operative care and follow-up visits. The dentist will provide instructions on oral hygiene practices, including gentle brushing and rinsing techniques, to promote healing and prevent infection.

Pain and discomfort following the procedure can usually be managed with over-the-counter pain medications or as prescribed by the dentist. It is important to adhere to any prescribed medication regimen and report any persistent or worsening symptoms promptly.

Regular follow-up appointments will be scheduled to monitor the healing process and assess the overall success of the procedure. These visits allow the dentist to evaluate the implant site, ensure proper integration of any replacement components, and address any concerns or complications that may arise.

Dental Code D6096 involves the removal of a broken implant retaining screw. This procedure is necessary when the screw becomes fractured or damaged within the implant structure, compromising the stability and function of the dental implant. The process includes a thorough evaluation, accessing the implant, removing the prosthetic restoration, assessing the screw, selecting an appropriate removal technique, and ensuring proper cleaning and preparation of the implant site.

Prices for this D6096 procedure may vary, so it is advisable to compare options and seek a consultation to discuss your specific case.

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