How long does it take to fabricate an overdenture?

The process typically takes several weeks, involving multiple appointments for impressions, fittings, and adjustments.

Can an overdenture be converted to a fixed prosthesis later?

Yes, if the patient's oral health and financial situation improve, an overdenture can potentially be converted to a fixed prosthesis.

Is an overdenture comfortable to wear?

Most patients find overdentures comfortable once they are properly fitted and adjusted. Regular follow-ups ensure continued comfort.

Are there any special care instructions for an overdenture?

Yes, patients should clean their overdenture daily and maintain regular dental check-ups to ensure the health of supporting teeth or implants.

D5864

Overdenture Partial Maxillary - CDT Code Guide

Prosthodontics, removable/Other Removable Prosthetic Services

Overview

CDT code D5864 pertains to the fabrication and placement of an overdenture partial maxillary. This procedure involves creating a removable prosthesis that fits over the remaining natural teeth or dental implants in the upper jaw. It is typically used in cases where patients have lost several teeth but still retain some natural teeth or implants that can support the overdenture. The overdenture helps improve chewing function, aesthetics, and speech, while also preserving the underlying bone structure. This procedure is particularly beneficial for patients who are not suitable candidates for fixed prosthetics due to financial constraints or anatomical limitations.

When to Use This Code

When a patient has multiple missing teeth in the maxillary arch but retains some natural teeth or implants.
In cases where a patient desires a removable prosthetic solution for ease of cleaning and maintenance.
When a patient requires a cost-effective alternative to fixed prosthetics.
For patients with anatomical limitations that prevent the use of fixed prosthetics.
In scenarios where preserving the remaining natural teeth is a priority.

Documentation Requirements

Detailed patient history and clinical examination notes.
Radiographic evidence supporting the need for an overdenture.
Documentation of existing natural teeth or implants that will support the overdenture.
A treatment plan outlining the steps and materials involved in the fabrication of the overdenture.
Patient consent form acknowledging understanding of the procedure and its benefits.

Billing Considerations

Ensure accurate documentation of the clinical necessity for the overdenture. Be aware of frequency limitations set by insurance providers, as some may only cover this procedure once every few years. Common modifiers may include those indicating the presence of supporting implants. Verify with the patient's insurance for coverage details and any pre-authorization requirements.

Related CDT Codes

D5863 D5865 D5110 D5120 D6010

Frequently Asked Questions

An overdenture is supported by remaining natural teeth or implants, while a complete denture is used when all teeth in the arch are missing.

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