Clinical Oral Evaluations and Radiographs

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Questions and Answers

Which code corresponds to a complete facial moulage?

  • D5911
  • D5912 (correct)
  • D5913
  • D5914

What is the purpose of an obturator prosthesis?

  • To restore nasal septal function
  • To replace missing cranial structures
  • To close an oral-nasal defect (correct)
  • To aid in speech production

Which code is associated with a pediatric speech aid prosthesis?

  • D5952 (correct)
  • D5953
  • D5960
  • D5954

Which prosthesis is used for facial augmentation?

<p>D5925 (B)</p> Signup and view all the answers

Which code represents an interim ocular prosthesis?

<p>D5923 (A)</p> Signup and view all the answers

What code is used for a therapeutic pulpotomy excluding final restoration?

<p>D3220 (A)</p> Signup and view all the answers

Which procedure involves the treatment of root canal obstruction with non-surgical access?

<p>D3331 (B)</p> Signup and view all the answers

Which code pertains to apexification or recalcification during the initial visit?

<p>D3351 (A)</p> Signup and view all the answers

What is the code for endodontic therapy on a bicuspid tooth, excluding final restoration?

<p>D3320 (B)</p> Signup and view all the answers

Which procedure is described for incomplete endodontic therapy in an unrestorable tooth?

<p>D3332 (C)</p> Signup and view all the answers

What is the purpose of a pulpit capping procedure?

<p>Preserve vital pulp tissue (D)</p> Signup and view all the answers

Which code corresponds to a surgical procedure for isolation of a tooth with a rubber dam?

<p>D3910 (C)</p> Signup and view all the answers

What procedure is coded as D3460?

<p>Endodontic endosseous implant (C)</p> Signup and view all the answers

What is the code for a complete maxillary denture?

<p>D5110 (B)</p> Signup and view all the answers

Which code corresponds to the adjustment of a mandibular complete denture?

<p>D5411 (A)</p> Signup and view all the answers

What procedure is indicated by the code D5720?

<p>Rebase maxillary partial denture (D)</p> Signup and view all the answers

If a patient requires a flexible base for their maxillary partial denture, which code should be used?

<p>D5225 (B)</p> Signup and view all the answers

Which code is used for the repair of a broken complete denture base?

<p>D5510 (C)</p> Signup and view all the answers

What is the purpose of D5860?

<p>Overdenture – complete (B)</p> Signup and view all the answers

Which service is indicated by the code D5861?

<p>Overdenture – partial (C)</p> Signup and view all the answers

What does the code D5750 represent?

<p>Reline complete maxillary denture (chairside) (B)</p> Signup and view all the answers

Which procedure is covered under the code D5670?

<p>Replace all teeth and acrylic on cast metal framework (maxillary) (A)</p> Signup and view all the answers

What does D5640 indicate in terms of service?

<p>Repair broken teeth – per tooth (A)</p> Signup and view all the answers

Which procedure involves repositioning and stabilizing a disc through arthroscopy?

<p>arthroscopy – surgical: disc repositioning and stabilization (A)</p> Signup and view all the answers

What does the procedure D7911 specifically refer to?

<p>complicated suture – up to 5 cm (A)</p> Signup and view all the answers

Which of the following procedures involves the removal of hyperplastic tissue?

<p>excision of hyperplastic tissue – per arch (B)</p> Signup and view all the answers

What does the procedure D7950 entail?

<p>osseous, osteoperiosteal, or cartilage graft of the mandible or maxilla (C)</p> Signup and view all the answers

Which procedure is performed for orthognathic deformities?

<p>osteoplasty – for orthognathic deformities (D)</p> Signup and view all the answers

What is the aim of surgery coded as D7983?

<p>closure of salivary fistula (A)</p> Signup and view all the answers

Which procedure involves the surgical removal of a cyst from the salivary glands?

<p>sialolithotomy (D)</p> Signup and view all the answers

What does D7991 refer to in surgical terms?

<p>coronoidectomy (C)</p> Signup and view all the answers

What is the code for limited orthodontic treatment of the adolescent dentition?

<p>D8030 (D)</p> Signup and view all the answers

Which of the following codes pertains to comprehensive orthodontic treatment for the adult dentition?

<p>D8090 (B)</p> Signup and view all the answers

What type of service does code D8660 represent?

<p>Pre-orthodontic treatment visit (A)</p> Signup and view all the answers

Which orthodontic treatment code is designated for interceptive orthodontic treatment of the transitional dentition?

<p>D8060 (B)</p> Signup and view all the answers

Which code would you use for a removable appliance therapy in orthodontics?

<p>D8210 (A)</p> Signup and view all the answers

What is the primary procedure involved in D7111?

<p>Extraction of a deciduous tooth with coronal remnants (A)</p> Signup and view all the answers

D7220 is used for which type of tooth removal?

<p>Soft tissue impacted tooth (B)</p> Signup and view all the answers

Which procedure involves the closure of an oroantral fistula?

<p>D7260 (D)</p> Signup and view all the answers

What type of biopsy does D7285 refer to?

<p>Hard tissue biopsy (A)</p> Signup and view all the answers

What is performed under the code D7311?

<p>Alveoloplasty with extractions of one to three teeth (A)</p> Signup and view all the answers

The procedure D7413 involves the excision of what type of lesion?

<p>Malignant lesion up to 1.25 cm (A)</p> Signup and view all the answers

D7610 involves open reduction of fractures in which structure?

<p>Maxilla (A)</p> Signup and view all the answers

Which procedure is indicated by D7270?

<p>Reimplantation or stabilization of a tooth (A)</p> Signup and view all the answers

What does D7451 address?

<p>Removals of benign odontogenic cyst greater than 1.25 cm (C)</p> Signup and view all the answers

D7550 refers to which process during surgery?

<p>Partial ostectomy/sequestrectomy for non-vital bone (C)</p> Signup and view all the answers

What type of surgical procedure does D7720 describe?

<p>Closed reduction of a fracture of the maxilla (D)</p> Signup and view all the answers

Which surgical code is associated with the placement of a temporary anchorage device requiring surgical flap?

<p>D7292 (D)</p> Signup and view all the answers

D7283 is related to what surgical procedure?

<p>Placement of a device to facilitate eruption of impacted tooth (D)</p> Signup and view all the answers

Which procedure does D7790 cover?

<p>Management of temporomandibular joint dysfunction (C)</p> Signup and view all the answers

Flashcards

Pulp Capping (D3110/D3120)

Treating a damaged pulp (inner part of a tooth) by applying a material to protect it.

Pulpotomy (D3220)

Removing the coronal part of the damaged pulp and applying a medicament to it.

Endodontic Therapy (D3310/D3320/D3330)

Treatment of the pulp and root canals of a tooth.

Endodontic Retreatment (D3346/D3347/D3348)

Redoing previous root canal therapy on existing work.

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Apexification/Recalcification (D3351-D3353)

Stimulating the body to create new material to close a root tip opening or a damaged root tip.

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Apicoectomy (D3410-D3426)

Surgical procedure removing apex (tip) of root.

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Root Canal Obstruction (D3331)

Root canal that has something blocking passage.

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Pulpal Therapy (D3230/D3240)

Treating the pulp of primary teeth with a filling material that breaks down.

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Complete Denture

A full set of artificial teeth and gums that replaces all missing teeth.

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Partial Denture

A removable appliance that replaces some missing teeth.

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Immediate Denture

A denture placed immediately after tooth extraction.

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Denture Adjustment

A service that modifies a denture for better fit or function.

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Denture Repair

Fixing a damaged denture, including replacing teeth or fixing the base.

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Denture Rebase

Replacing the denture base with new material.

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Denture Reline

Replacing or adding material to the inside of a denture to improve the bite and fit.

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Interim Prosthesis

A temporary denture used while awaiting the final replacement.

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Overdenture

A removable denture that is supported by existing teeth or dental implants.

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Tissue Conditioning

Treatment to prepare gum tissue for a denture or other prosthesis.

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Facial Moulage (D5911, D5912)

A 3-dimensional model of a patient's face, used for creating prostheses or for reconstructive surgery planning.

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Nasal Prosthesis (D5913)

A prosthetic device that replaces a missing or deformed nose.

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Auricular Prosthesis (D5914)

A prosthetic ear that replaces a missing or damaged ear.

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Orbital Prosthesis (D5915)

A prosthetic eye that replaces a missing or damaged eye.

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Ocular Prosthesis (D5916)

A prosthetic eye that provides a realistic appearance after eye removal.

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Open Reduction

A surgical procedure to reposition a dislocated joint by making an incision and directly manipulating the bones.

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Closed Reduction

A non-surgical procedure to reposition a dislocated joint by manipulating the bones without an incision.

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Manipulation Under Anesthesia

A procedure where a dislocated joint is repositioned by manipulating the bones while the patient is under anesthesia.

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Condylectomy

Surgical removal of a condyle, which is a rounded bony prominence.

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Surgical Discectomy

Surgical removal of a disc, often done for herniated discs in the spine.

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Arthrotomy

An incision into a joint to access its internal structures.

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Arthroplasty

A surgical procedure to repair or replace a damaged joint.

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Arthrocentesis

A procedure where a needle is inserted into a joint to remove fluid or inject medication.

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Limited Orthodontic Treatment

Orthodontic treatment that focuses on addressing specific minor issues, like correcting a slight bite problem or closing small gaps between teeth.

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Interceptive Orthodontic Treatment

Early orthodontic treatment aimed at preventing more serious problems from developing. It's often done in the primary or transitional dentition.

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Comprehensive Orthodontic Treatment

A complete orthodontic treatment plan that addresses a wide range of alignment issues, aiming for a perfect bite and healthy smile.

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D8010

Limited orthodontic treatment of the primary dentition, often for minor spacing or crowding in baby teeth.

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D8090

Comprehensive orthodontic treatment for adults, addressing a range of alignment issues and achieving a healthy bite.

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What are the two main types of extractions?

Extractions are categorized as "simple" and "surgical". Simple extractions involve removing teeth that are visible and accessible, while surgical extractions require more extensive procedures, such as cutting bone or lifting tissue.

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What are the two main categories of surgical extractions?

Surgical extractions can be categorized as soft tissue removal and bony removal. Soft tissue removal involves removing teeth that are only covered by gum tissue, whereas bony removal involves removing teeth embedded in the bone.

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D7111: Deciduous Tooth Extraction

This code represents the removal of a baby (deciduous) tooth that has lost its crown.

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D7140: Erupted Tooth or Exposed Root Extraction

This code refers to the removal of a fully grown (erupted) tooth or a tooth where the root is exposed.

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D7210: Surgical Removal of Erupted Tooth

This code represents the surgical removal of a fully grown tooth that requires cutting gum tissue and/or bone.

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D7220: Impacted Tooth Removal (Soft Tissue)

This code indicates the removal of a tooth that is stuck under the gum, but not embedded in the bone.

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D7230: Impacted Tooth Removal (Partially Bony)

This code represents the removal of a tooth that is partially embedded in the bone.

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D7240: Impacted Tooth Removal (Completely Bony)

This code is used for the removal of a tooth that is fully embedded in the bone.

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D7241: Impacted Tooth Removal (Completely Bony, Complicated)

This code represents the removal of a completely embedded tooth that has unusual surgical complications.

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D7250: Residual Tooth Roots Removal

This code represents the surgical removal of the roots of a tooth that has broken off.

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D7260: Oroantral Fistula Closure

This code represents the surgical repair of a hole between the mouth and the maxillary sinus.

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D7280: Surgical Access for Unerupted Tooth

This code represents making an opening in gum tissue to allow an unerupted tooth to come out.

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D7290: Surgical Repositioning of Teeth

This code represents moving a tooth to a different position in the mouth through surgery.

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D7310: Alveoloplasty with Extractions (Four or More Teeth)

This code represents reshaping the jawbone after the removal of four or more teeth in a quadrant.

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D7320: Alveoloplasty without Extractions (Four or More Teeth)

This code represents reshaping the jawbone independent of tooth removal, involving four or more teeth or spaces in a quadrant.

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Study Notes

Clinical Oral Evaluations

  • D0120: Periodic oral evaluation of established patients.
  • D0140: Limited oral evaluation focused on a specific problem.
  • D0145: Oral evaluation for patients under three years of age, including caregiver counseling.
  • D0150: Comprehensive oral evaluation for new or established patients.
  • D0160: Detailed, extensive oral evaluation, problem-focused, reported.
  • D0170: Re-evaluation (limited, problem-focused), for established patients, not post-operative.
  • D0180: Comprehensive periodontal evaluation for new or established patients.

Radiographs/Diagnostic Imaging

  • D0210: Intraoral complete series, including bitewings.
  • D0220: Intraoral periapical first film.
  • D0230: Intraoral periapical, each additional film.
  • D0240: Intraoral occlusal film.
  • D0250: Extraoral first film.
  • D0260: Extraoral, each additional film.
  • D0270-D0274: Bitewing films (single, two, three, or four films).
  • D0277: Vertical bitewings (7-8 films).
  • D0290: Posterior-anterior or lateral skull and facial bone survey film.
  • D0310: Sialography.
  • D0320: Temporomandibular joint arthrogram, including injection.
  • D0321: Other temporomandibular joint films, per report.
  • D0322: Tomographic survey.
  • D0330: Panoramic film.
  • D0340: Cephalometric film.
  • D0350: Oral/facial photographic images.
  • D0360: Cone beam CT—craniofacial data capture, includes multiple images.
  • D0362/D0363: Cone beam three-dimensional image reconstruction from existing data, includes multiple images.

Tests and Examinations

  • D0415: Microorganism collection for culture and sensitivity.
  • D0416: Viral culture.
  • D0417: Saliva sample collection and preparation for laboratory testing.
  • D0418: Saliva sample analysis.
  • D0421: Genetic tests for susceptibility to oral diseases.
  • D0425: Caries susceptibility tests.
  • D0431: Pre-diagnostic tests (excluding cytology or biopsy).
  • D0460: Pulp vitality tests.
  • D0470: Diagnostic casts.
  • D0472: Accession of tissue: gross examination, preparation, and written report transmission.

Oral Pathology Laboratory

  • D0473: Tissue accession, gross and microscopic examination, preparation, and report transmission.
  • D0474: Tissue accession, gross and microscopic examination, surgical margins assessment, preparation, and report transmission.
  • D0480: Exfoliative cytologic smears (brush biopsy) microscopic exam, preparation, and report transmission.
  • Other procedures (D0486, D0475, D0476, D0477, etc.): Detailed laboratory procedures, as listed.
  • D0481–D0485: Electron Microscopy, Immunohistochemical/fluorescence/hybridization studies, consultations.
  • D0502: Other oral pathology procedures, per report.
  • D0999: Unspecified diagnostic procedure, per report.

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