Dental Code D6118: Implant/abutment supported interim fixed denture for edentulous arch – mandibular

Dental Code D6118 refers to the procedure of creating an implant/abutment supported interim fixed denture for the edentulous arch in the mandibular region. This dental code specifically addresses the treatment option for patients who have lost all of their teeth in the lower jaw and require a temporary fixed denture supported by dental implants and abutments.

Dental Code D6118 represents the provision of a temporary fixed denture for patients who have lost all their teeth in the mandibular arch. This code indicates the use of dental implants and abutments to support the interim denture, providing stability and functionality during the healing and osseointegration phase before the placement of a permanent prosthesis.

The first step in the process is a comprehensive examination of the patient's oral health. This includes evaluating the condition of the remaining oral structures, bone quality, and overall oral health. Radiographs, such as panoramic X-rays and cone-beam computed tomography (CBCT) scans, may be taken to assess the bone density and determine the optimal implant placement positions.

Before the implant placement, any remaining teeth or roots in the edentulous arch are extracted, ensuring a clean and healthy foundation for the dental implants. In some cases, bone grafting or augmentation may be necessary to enhance the quality and quantity of the available bone for implant placement.

Implant placement is a crucial step in the process of creating an implant/abutment supported interim fixed denture for the edentulous mandibular arch. This step involves the surgical insertion of dental implants into the jawbone. The implants serve as artificial tooth roots that will provide a stable foundation for the denture.

Before the implant placement procedure, the patient's oral health is thoroughly assessed, including the evaluation of bone quality and quantity through radiographic imaging. This helps the dental professional determine the optimal positioning and number of implants required for the specific case.

The surgical procedure is usually performed under local anesthesia to ensure the patient's comfort. A small incision is made in the gum tissue to expose the underlying jawbone. Then, using specialized instruments, the dentist carefully prepares the implant sites by drilling precise holes into the bone. The implants, typically made of biocompatible materials like titanium, are then inserted into these prepared sites.

After a healing period, during which the implants integrate with the surrounding bone (osseointegration), abutments are connected to the implants. Abutments are small connector pieces that extend above the gum line, providing a foundation for the denture.

After a healing period, during which the implants undergo a process called osseointegration, the next step is to take impressions of the implant sites and abutments. Impressions serve as a mold of the patient's mouth and provide detailed information to the dental laboratory for the fabrication of the interim fixed denture.

To take the impressions, a specialized dental putty or digital scanning technology is used. The putty is carefully placed over the implants and abutments and allowed to set. Once set, it captures the exact shape and position of the implant fixtures and abutments. The impressions are then sent to a dental laboratory, where technicians use them to create a customized interim fixed denture. 

Once the interim fixed denture is fabricated, it is delivered to the dental office. The denture is then carefully placed on the abutments and adjusted to ensure proper fit, bite alignment, and comfort for the patient. Any necessary adjustments are made to achieve the desired outcome.

Following the delivery of the interim fixed denture, the patient is instructed on proper oral hygiene practices and given guidelines for maintaining the denture. Regular follow-up appointments are scheduled to monitor the healing process, assess the stability of the implants, and address any concerns or issues that may arise.

Dental Code D6118 represents the provision of an implant/abutment supported interim fixed denture for the edentulous mandibular arch. This procedure involves multiple steps, including initial examination and treatment planning, preparatory procedures, implant placement, abutment connection, impressions and laboratory fabrication, delivery and adjustment of the denture, and post-placement care and monitoring. The temporary fixed denture provides stability and functionality during the healing phase before the placement of a permanent prosthesis. It is essential for patients to maintain good oral hygiene and attend regular follow-up appointments to ensure the long-term success of the implant-supported denture. By following these steps, dental professionals can help patients regain their oral function and improve their quality of life.

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