Diagnostic (D0100-D0999)
D0120: Periodic oral evaluation – established patient
A periodic oral examination seeks to actively monitor one’s dental health over time by assessing the oral health are regularly scheduled intervals, such a size months. A variety of techniques and imagery will be used to monitor, maintain, or improve the present level of one’s overall oral health.
D0140: Limited oral evaluation – problem focused
An oral health evaluation that is just focused on a particular issue or condition is referred to as a limited oral evaluation. Acute infection or oral trauma are common causes of this kind of evaluation’s clients’ patients’ dental emergencies.
D0150: Comprehensive oral evaluation – new or established patient
A comprehensive oral exam is commonly conducted at one’s initial visit, and one’s dentist will examine the patient’s medical history, do a complete visual examination, take x-rays, and inspect your head and neck to look for any lumps, bumps, etc. that might be signs of an oral health issue.
D0180: Comprehensive periodontal evaluation – new or established patient
Comprehensive periodontal evaluation is a procedure that includes probing and charting, evaluation and documentation of new and existing patients’ dental and medical histories, and an assessment of overall health. They are necessary for patients exhibiting periodontal disease.
D0210: Intraoral – complete series of radiographic images
Intraoral radiographic images show the crowns and roots of all teeth, the periapical regions, and the alveolar bone and typically consist of 14 to 22 periapical and posterior bitewing images.
D0220: Intraoral – periapical first radiographic image
The entire area “around the apex” is visible in periapical images, which is crucial because if the pulp tissue inside the tooth is unhealthy or infected. Also, indicators of advanced periodontal disease include regions of bone loss surrounding the root visible on periapical imaging.
D0251: Extra-oral posterior dental radiographic image
Extraoral radiographs refer to any orofacial views taken orally with the film positioned extra. Dentists frequently used these views to check areas that intraoral films could not completely cover or to see the skull’s and face’s architecture.
D0274: Bitewings- four radiographic images
Dental decay can be detected quite effectively using bitewing. The chewing surfaces of the tooth, known as the crown, and the in-between surfaces, known as the interproximal portions, will be displayed as the most common sites for dental decay since they are dimensionally highly precise.
D0330: Panoramic radiographic image
An x-ray in two dimensions showing the patient’s whole mouth in one image is known as a panoramic radiographic image. The x-ray shows the teeth, numerous head and neck bones, and other significant anatomical features.
Preventive (D1000-D1999)
D1110: Prophylaxis – adult
Prophylaxis is a procedure that comprises scaling and polishing to remove stains, calculus, and coronal plaque in adults with permanent or transitional dentition using specialzied dental tools and polishing methods.
D1120: Prophylaxis – child
Child prophylaxis involves cleaning the dental structures of a child’s primary and transitional dentition of plaque, calculus, and stains. Since it helps to smooth any uneven surfaces, making it more difficult for plaque-forming germs to stick to the teeth, it is a great way to brighten a smile and lower the risk of foul breath in children.
D1206: Topical application of fluoride varnish
Fluoride varnish, a thin coating used to prevent tooth decay, is made of 5% sodium or 22,600 PPM fluoride resin. The production of cavities is intended to be delayed, prevented, and reversed by fluoride varnish.
D1351: Sealant – per tooth
Dental sealants are plastic coatings typically applied to the chewing surfaces of the molars and premolars, the permanent back teeth, to help prevent tooth decay. Dental sealants are frequently applied to children and teenagers as molars erupt.
Restorative (D2000-D2999)
D2330-D2394: Tooth colored filling – Resin-based composite
A decaying section of a tooth can be repaired using dental composite resin, a tooth-colored restorative material. These fillings are referred to as “tooth-colored” due to their exceptional capacity to replicate your natural teeth’ shade, texture, and radiance.
D2740: Crown – porcelain/ceramic substrate
Porcelain or another form of ceramic is typically used to make an all-ceramic crown. The crown covers a tooth that has been filed down to restore its shape, look, or structural integrity. These crowns can also be used for cosmetic purposes, as they don’t have any metal.
D2950: Core buildup, including any pins when required
A core buildup is recommended for teeth with considerable coronal tooth structure loss from caries or trauma when there is not enough tooth structure left to support a crown. Core buildup, including any pins, refers to the preparation of the anatomical crown before placing a restorative crown.
Endodontics (D3000-D3999)
D3310-D3330: Endodontic therapy
Endodontic therapy, sometimes called root canal therapy, is a dental procedure used to treat internal tooth infections. Additionally, it might shield the tooth from recurring infections. The tooth’s root canal, or pulp, is cleaned out and generally the tooth is filled or crowned.
D3346-D3348: Retreatment of previous root canal therapy
Root canal retreatment entails removing the old crown and packing material, cleaning the root canals of any remaining nerve or infection, and then re-packing and re-crowning the tooth. Except for structural removal, root canal retreatment is the same as the initial root canal process.
Periodontics (D4000-D4999)
D4342: Periodontal scaling and root planing – one to three teeth per quadrant
Periodontal scaling and root planing is a therapeutic technique that involves instrumenting the teeth’s crown and root surfaces to remove plaque, calculus, and any rough, calculus-permeated, or diseased cementum and dentin. It is performed on one to three teeth per quadrant.
D4910: Periodontal maintenance
Periodontal maintenance entails cleaning the teeth, site-specific scaling, root planing, and eliminating calculus and bacterial plaque from the supragingival and subgingival areas.
D4355: Full mouth debridement to enable comprehensive evaluation and diagnosis
The removal of plaque and calculus that prevents a thorough oral examination from being performed due to subgingival and supragingival plaque and calculus is known as full mouth debridement. It involves removing large stains from the tooth surfaces to provide room for a thorough oral examination.
Prosthodontics (D5000-D5899)
D5110: Complete denture – maxillary
The spaces caused by missing upper jaw teeth are filled with a removable prosthesis called a complete maxillary denture. Dentures also referred to as artificial teeth, are frequently made of acrylic resin, with the “gums” and “teeth” components being made to closely resemble the real gums and teeth. All of the teeth are replaced by complete dentures. Dentures can help you regain confidence while enabling you to speak and chew more clearly.
D5120: Complete denture – mandibular
Mandibular complete dentures are dental prosthetic devices designed to fully replace the lower jaw’s teeth. After losing a tooth, these dentures allow a person to eat and speak normally again and are removable so they are easily maintained.
D5130: Immediate denture, maxillary
Maxillary immediate dentures are inserted into the mouth as soon as the last remaining upper jaw teeth are removed. This method is used when a person does not want to go without teeth for several months while dentures are made and extraction tooth sockets heal.
D5140: Immediate denture, mandibular
Mandibular immediate dentures are inserted into the mouth right after the last remaining lower jaw teeth are removed. This method is used when a person does not want to go without teeth for several months while dentures are made and extraction tooth sockets heal.
D5211: Maxillary partial denture – resin base (including any conventional clasps, rests, and teeth)
A partial maxillary denture is the only effective treatment option for someone who has lost multiple teeth in the upper jaw without dental implants or a bridge. The anchoring effect that the mouth’s remaining healthy teeth give for this prosthetic allows for a natural appearance and decent comfort. A partial maxillary denture is made to be attached to the teeth of the upper jaw, which provides solid support for the prosthetic and improves the appearance of your smile by making the parts seem more natural.
D5213: Maxillary partial denture – cast metal framework with resin denture bases (including any conventional clasps; rests and teeth)
A dental implant called a maxillary partial denture replaces damaged or broken teeth in the upper jaw with several cast-metal-based artificial teeth. It has a cast metal framework and resin denture bases.
D5214: Mandibular partial denture – cast metal framework with resin denture bases (including any conventional clasps; rests and teeth)
A mandibular partial denture, supported by multiple cast-metal prosthetic teeth, replaces missing or broken teeth in the lower jaw. It has resin denture bases and a cast metal framework.
D5863: Overdenture, complete maxillary
A removable dental prosthesis known as a complete maxillary overdenture is affixed to one or more natural teeth that are still present, their roots, and dental implants that cover and support the teeth of the upper jaw.
D5864: Overdenture, partial maxillary
The upper jaw’s missing tooth roots are replaced with one or more implants by partial maxillary overdentures so that the partial can attach to the implants. Comparatively speaking, an overdenture partial looks more natural than a conventional partial denture.
D5865: Overdenture, complete, mandibular
One of the most common dental procedures is a complete mandibular overdenture. It is applied on the lower jaw over dental implants, teeth, and roots with a fully removable denture and fills in for all missing teeth.
D5866: Overdenture, partial mandibular
For the partial to attach to the implants, partial mandibular overdentures replace one or more tooth roots in the lower jaw with implants. Compared to a conventional partial denture, an overdenture partial is typically more secure and comfortable to wear.
Implant Services (D6000-D6199)
D6010: Surgical placement of implant body: endosteal implant
Endosteal implants are dental implants used to replace lost teeth. A post or abutment is placed on top of the implant body, a cylindrical or surgical screw. Once the bone has grown stronger and wider around the body, the oral surgeon implants a permanent crown on top.
D6059: Abutment supported porcelain fused to metal crown (high noble metal)
An abutment on an implant maintains, supports, and stabilizes a single metal-ceramic crown repair known as an abutment-supported porcelain fused to a metal crown. These restorations are known for their amazing endurance and beauty.
Prosthodontics, fixed (D6200-D6999)
D6240: Pontic – porcelain fused to high noble metal
An artificial tooth attached to a dental bridge is a pontic. The pontic is made as a single prosthetic and looks like a real tooth poking through the gums since it is attached for support. This method produces an artificial tooth with exceptional compression and tensile strength and covers the underlying metal. This veneer replicates the surrounding teeth’s organic brightness. Another advantage of porcelain is that it resists stains.
D6750: Implant Crown – porcelain fused to high noble metal
A porcelain fused to metal implant crown is attached to the implant to restore the missing tooth/teeth for optimal form and function. The crown can be made to match the color of natural teeth thanks to the porcelain component, which ensures the greatest aesthetic results.
Oral & Maxillofacial Surgery (D7000-D7999)
D7111: Extraction, coronal remnants deciduous tooth
Coronal remnants, also known as pediatric extractions, are taken from a baby’s deciduous tooth. These are baby teeth that are loose and about to come out but haven’t because they are uncomfortable or can’t fall out on their own.
D7250: Surgical removal of residual tooth roots (cutting procedure)
To access the tooth during a surgical extraction, your doctor will make a little incision in your gum. The tooth will then be removed, either whole or broken into smaller pieces. Most of the time, a local anesthetic can be used during surgical extractions.
D7140: Extraction, erupted tooth or exposed root (elevation and/or forceps removal)
Erupted tooth extraction removes an erupted or visible tooth during a dental procedure. A “simple” extraction which is sometimes known as an “open” extraction, and is typically performed with forceps to remove the entire tooth at once.
D7210: Surgical removal of erupted tooth requiring removal of bone and/or sectioning of d, and including elevation of mucoperiosteal flap if indicated
If a tooth can’t be extracted with forecepts alone, a surgical extraction will be required to remove the tooth and root, and could involve breaking the tooth apart and/or removal of bone in order to fully extract the tooth.
D7220-D7240: Removal of impacted tooth
Impacted tooth extraction is where the dentist uses forceps or an elevator tool to widen the socket and loosen the tooth that is growing in at an angle. A surgically opened gum line is necessary for the dentist to reach an impacted tooth and remove it fully.
Orthodontics (D8000-D8999)
D8080: Comprehensive orthodontic treatment of the adolescent dentition
Comprehensive orthodontic treatment is used to obtain perfect alignment of all the teeth and jaws in good form and function. Adolescents generally receive this treatment because their bodies are still developing and are more responsive to orthodontic treatment.
Adjunctive General Services (D9000-D9999)
9110: Palliative (emergency) treatment of dental pain – minor procedure
Prompt treatment of a condition to lessen its effects or the agony it inflicts is referred to as palliative treatment. It often involves substances administered to the teeth or gum system to relieve pain brought on by certain gingival problems or the aftereffects of dental surgery.
D9230: Inhalation of nitrous oxide/anxiolysis, analgesia
Nitrous oxide’s use has been proven to be a highly effective way to reduce patient anxiety before and during dental treatments. When used by trained dental practitioners, N2O can be used safely and effectively in many conditions that call for managing pain and anxiety during minor oral procedures.
D9910: Application of desensitizing medicament
If a patient has more than a modest tooth sensitivity, desensitizing medicines block the tiny pores of exposed root surfaces. Dentists use desensitizing medications to seal the tooth’s dentin layer, which causes sensitivity.
D9940: Occlusal guard, by report
An occlusal guard covers the entire arch of teeth, including the implant-supported restoration, and shields it from the force exerted by the opposing teeth by acting as a barrier. The guard functions as an occlusal force distributor and absorber.
Invisalign
Invisalign is a transparent alternative to conventional metal braces. Your teeth will gradually straighten using a series of transparent plastic aligners. Because Invisalign is almost invisible, no one will be aware that you are using them until you tell them. Additionally, they are detachable, allowing you to eat and drink whatever you like.
For more information, please see these valuable resources from the American Dental Association:
Clinical Terms: https://www.ada.org/publications/cdt/glossary-of-dental-clinical-terms
Administrative Terms: https://www.ada.org/publications/cdt/glossary-of-dental-administrative-terms
