Dental Code D6123: Implant supported retainer for metal FPD – titanium and titanium alloys

Dental Code D6123 refers to an implant-supported retainer for a metal fixed partial denture (FPD) made from titanium and titanium alloys. This dental procedure involves the use of dental implants to support a metal retainer, which in turn secures a fixed partial denture in place.

Dental Code D6123 specifically denotes the use of titanium and titanium alloys in fabricating implant-supported retainers for metal FPDs. Titanium is a widely-used material in dental implantology due to its biocompatibility, strength, and corrosion resistance. When used in the fabrication of implant-supported retainers, titanium and its alloys offer excellent stability and durability, ensuring long-term success of the restoration.

The first step in the procedure involves a thorough evaluation of the patient's oral health. This includes a comprehensive examination of the teeth, gums, and jawbone structure. Additionally, diagnostic imaging techniques such as X-rays or CT scans may be used to assess the underlying bone density and quality. Based on the evaluation, the dentist will develop a customized treatment plan that addresses the patient's specific needs.

By considering the patient's oral health and individual requirements, the dentist can create a personalized treatment plan that aims to achieve optimal results.

During the implant placement step, the dentist performs a surgical procedure to insert dental implants into the jawbone. To begin, a local anesthetic is administered to ensure the patient's comfort. The dentist then makes an incision in the gums, exposing the underlying bone. This allows them to create a precise space in which the implant will be positioned.

Next, the dental implants, which are typically made of biocompatible titanium, are carefully inserted into the jawbone. The dentist ensures proper alignment and positioning, taking into account factors such as the number of missing teeth and the desired stability for the fixed partial denture (FPD). Once in place, the gums are sutured back together, and the healing process begins.

Over time, the implants undergo a natural biological process called osseointegration. This process involves the bone cells of the jawbone growing and fusing with the surface of the implant, creating a strong and stable foundation. Osseointegration typically takes several months, allowing the implants to become fully integrated with the jawbone.

The number of implants required depends on various factors, including the number of missing teeth and the overall health and density of the jawbone. In some cases, multiple implants may be placed to support a larger FPD or to provide enhanced stability and distribution of biting forces. The dentist will determine the appropriate number of implants based on a thorough assessment of the patient's oral condition and treatment goals.

After the implant placement, a healing period is necessary to allow the implants to integrate with the jawbone. This process typically takes several months, during which the bone grows around the implants, securing them in place. The patient may be provided with temporary restorations during this healing phase to maintain aesthetics and function.

Once the implants have successfully integrated with the jawbone, abutments are attached to the implants. Abutments act as connectors between the implants and the FPD. These components are usually made from titanium or titanium alloys, ensuring compatibility with the implants. The abutments are carefully positioned and securely attached to the implants, providing a stable foundation for the metal retainer.

After the abutments are in place, impressions of the abutments and surrounding teeth are taken to create an accurate model of the patient's oral structures. The metal retainer is then fabricated using titanium or titanium alloys, which are known for their strength and biocompatibility. The retainer is designed to fit precisely onto the abutments, allowing for a secure attachment to the implants.

In the final step, the metal retainer is cemented or screw-retained onto the abutments. The FPD, which consists of the artificial teeth, is then attached to the metal retainer, completing the restoration. The dentist ensures proper alignment, occlusion, and aesthetics before finalizing the placement. With the implant-supported retainer in place, the patient can enjoy improved oral function, aesthetics, and stability.

Dental Code D6123 represents the use of titanium and titanium alloys in the fabrication of implant-supported retainers for metal FPDs. This procedure involves the placement of dental implants, followed by the attachment of abutments and the fabrication of a metal retainer. The use of titanium ensures optimal strength, biocompatibility, and long-term success of the restoration. By opting for this dental code, patients can benefit from improved oral function, aesthetics, and stability of their fixed partial dentures.

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