Dental Code D6120: Implant supported retainer – porcelain fused to titanium and titanium alloys

Dental Code D6120 refers to the procedure known as an implant-supported retainer, specifically involving the use of porcelain fused to titanium and titanium alloys. This dental code is used to describe a specific type of dental restoration that combines the strength and durability of titanium with the aesthetic appeal of porcelain. 

Dental Code D6120 signifies the fabrication and placement of a retainer that is supported by dental implants. The retainer itself is constructed using a combination of porcelain and titanium or titanium alloys. This code is used to document the process of creating and fitting these implant-supported retainers, which are designed to replace missing teeth and provide support and stability to the surrounding dental structures.

The first step in the process of a dental implant-supported retainer is an initial assessment and treatment planning. During this stage, the dentist will evaluate the patient's oral health, including the condition of the remaining teeth, gums, and jawbone. This assessment helps determine if the patient is a suitable candidate for the procedure and allows the dentist to develop a personalized treatment plan.

Once the treatment plan is established, the next step involves the placement of dental implants. Dental implants are inserted into the jawbone, where they serve as artificial tooth roots. These implants are typically made of titanium or titanium alloys due to their biocompatibility and ability to fuse with the surrounding bone through a process called osseointegration. The number and position of the implants will depend on the specific needs of the patient.

Implant placement refers to the surgical procedure involved in the placement of various types of implants within the human body. Implants are medical devices designed to replace or augment a specific function or structure in the body. They are often made from biocompatible materials such as metals, ceramics, or polymers, and are used to restore functionality, support damaged tissues, or enhance bodily features. Implant placement procedures can vary depending on the specific type of implant and the location in the body where it is being placed.

Implant placement procedures require careful planning, precise surgical techniques, and adherence to strict sterility protocols. Surgeons with specialized training and expertise in the specific implantation procedure perform these surgeries in collaboration with a multidisciplinary team, including anesthesiologists, nurses, and other healthcare professionals.

After the placement of the dental implants, a healing period is necessary to allow for osseointegration to occur. During this period, which can last several months, the implants gradually bond with the jawbone, creating a stable foundation for the implant-supported retainer. The patient may wear a temporary restoration during this time to maintain proper aesthetics and function.

Once the implants have fully integrated with the jawbone, the next step involves taking impressions of the patient's mouth. These impressions are used to create a precise model of the patient's teeth and gums, which is then sent to a dental laboratory. In the laboratory, skilled technicians use the model to fabricate the implant-supported retainer.

In the dental laboratory, the porcelain fused to titanium and titanium alloy framework is meticulously crafted. The framework provides the necessary strength and stability, while the porcelain overlays ensure a natural and aesthetically pleasing appearance.

During the framework design phase, the technicians take into account various factors to achieve optimal results. They consider the patient's bite alignment, ensuring that the implant-supported restoration aligns with the opposing teeth to facilitate proper chewing and biting functionality. Additionally, the technicians take the patient's tooth color into consideration, ensuring that the shade of the porcelain closely matches the surrounding teeth for a seamless integration. They also consider the patient's overall facial aesthetics, taking into account factors such as lip contour and facial symmetry to create a restoration that enhances the patient's appearance.

Once the dental laboratory completes the fabrication of the implant-supported retainer, it is ready for final placement. The retainer is securely attached to the dental implants, and adjustments are made to ensure proper fit, occlusion, and overall comfort. The dentist will also check the patient's bite to ensure that it is balanced and functional.

Dental Code D6120 represents the procedure of creating and placing an implant-supported retainer using porcelain fused to titanium and titanium alloys. This dental restoration combines the strength and durability of titanium with the aesthetic appeal of porcelain, providing patients with a functional and natural-looking solution for missing teeth. The process involves initial assessment and treatment planning, implant placement, healing and osseointegration, impression and laboratory fabrication, porcelain fusing and framework design, and final placement and adjustment. By following these steps, dentists can successfully restore patients' smiles, improving both oral health and overall quality of life.

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