Can D5228 be used for both temporary and permanent dentures?

D5228 is typically used for immediate, temporary dentures following extractions, providing a stopgap solution until a more permanent option is available.

How does D5228 differ from conventional partial dentures?

Unlike conventional partial dentures, D5228 involves an immediate placement with a flexible base, allowing for quicker restoration of function and aesthetics.

Are there any specific patient conditions that contraindicate the use of D5228?

Patients with severe periodontal disease or significant bone loss may not be ideal candidates for immediate dentures and should be evaluated on a case-by-case basis.

What follow-up care is typically required after placing an immediate partial denture?

Follow-up care includes adjustments to the fit and function of the denture, monitoring of oral health, and ensuring patient comfort and satisfaction.

D5228

Immediate Mandibular Partial Denture - CDT Code Guide

Prosthodontics, removable/Partial Dentures (Including Routine Post-Delivery Care)

Overview

CDT Code D5228 refers to the procedure of creating and fitting an immediate mandibular partial denture with a flexible base. This type of denture is designed to replace missing teeth in the lower jaw immediately after extraction, providing patients with a functional and aesthetic solution without the waiting period typically required for conventional dentures. The flexible base offers enhanced comfort and adaptability, making it suitable for patients with sensitive gums or those who require a more natural fit. This procedure is particularly beneficial in cases where immediate restoration of function and appearance is desired, such as after trauma or in preparation for further dental treatment.

When to Use This Code

When a patient requires immediate tooth replacement in the lower jaw following extractions.
In cases where a flexible base is preferred due to patient comfort or anatomical considerations.
For patients who need a temporary solution while waiting for a more permanent prosthetic option.
In situations where aesthetics and function need to be restored immediately after tooth loss.
When conventional dentures are not suitable due to patient-specific factors.

Documentation Requirements

Detailed patient records indicating the need for immediate partial denture placement.
Clinical notes documenting the condition of the mandibular arch and any extractions performed.
A treatment plan outlining the design and materials used for the flexible base denture.
Patient consent forms acknowledging the immediate nature and temporary status of the denture.
Records of any follow-up care or adjustments made post-delivery.

Billing Considerations

When billing for D5228, it is important to consider the frequency limitations imposed by insurance providers, as immediate dentures may have specific coverage criteria. Common modifiers may include those indicating the urgency or necessity of the procedure. Dental professionals should verify with the patient's insurance to ensure coverage for flexible base materials and any associated clasps or rests.

Related CDT Codes

D5213 D5214 D5225 D5226 D5110

Frequently Asked Questions

The flexible base offers enhanced comfort and a more natural fit, making it ideal for patients with sensitive gums or those requiring a more adaptable prosthetic solution.

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