D2920 Dental Code meaning

The D2920 dental code is a specific procedural code used in dentistry to describe the process of adding a crown to a tooth that already has a pre-existing crown. This procedure is often referred to as a “re-cementation” or “replacement” of a crown. The American Dental Association (ADA) assigns these codes to standardize dental procedures for billing and insurance purposes. Understanding the D2920 code is crucial for both dental professionals and patients, as it helps in accurately describing the treatment and ensuring proper reimbursement.

D2920 Dental Code meaning
D2920 Dental Code meaning

What Does D2920 Entail?

The D2920 code is used when a dentist needs to re-cement or replace an existing crown. This could be due to various reasons such as the crown becoming loose, damaged, or no longer fitting properly. The procedure involves removing the old crown, preparing the tooth if necessary, and then placing a new crown or re-cementing the existing one.

Importance of the D2920 Code

The D2920 code is essential for maintaining accurate dental records and ensuring that patients receive the appropriate care. It also helps in streamlining the billing process, making it easier for dental offices to communicate with insurance companies. By using standardized codes like D2920, dental professionals can avoid misunderstandings and ensure that patients are billed correctly for the services they receive.


D2920 Dental Code Meaning Medical

From a medical perspective, the D2920 dental code represents a procedure that is often necessary to maintain oral health. A crown is a cap that is placed over a tooth to restore its shape, size, strength, and appearance. When a crown becomes loose or damaged, it can lead to further dental issues such as tooth decay, gum disease, or even tooth loss if not addressed promptly.

Why Re-Cement or Replace a Crown?

There are several reasons why a dentist might need to re-cement or replace a crown:

  1. Loose Crown: Over time, the cement that holds a crown in place can wear away, causing the crown to become loose. A loose crown can be uncomfortable and may even fall out, leaving the underlying tooth exposed.
  2. Damaged Crown: Crowns can become chipped, cracked, or broken due to trauma or wear and tear. A damaged crown may not function properly and can compromise the health of the underlying tooth.
  3. Poor Fit: Sometimes, a crown may not fit properly due to changes in the tooth or gum tissue. A poorly fitting crown can cause discomfort and may not provide adequate protection for the tooth.
  4. Decay Under the Crown: If decay develops under a crown, the crown may need to be removed to treat the decay. After the decay is addressed, a new crown may be placed.

The Procedure

The procedure for re-cementing or replacing a crown typically involves the following steps:

  1. Examination: The dentist will examine the tooth and crown to determine the best course of action. This may involve taking X-rays to assess the condition of the underlying tooth.
  2. Removal of the Old Crown: If the crown is to be replaced, the dentist will carefully remove the old crown. This may involve using special tools to break the cement seal.
  3. Tooth Preparation: If necessary, the dentist will prepare the tooth for a new crown. This may involve removing any decay or reshaping the tooth to ensure a proper fit for the new crown.
  4. Impression: An impression of the tooth will be taken to create a custom-fit crown. This impression is sent to a dental lab where the crown is fabricated.
  5. Temporary Crown: While the permanent crown is being made, a temporary crown may be placed to protect the tooth.
  6. Placement of the New Crown: Once the permanent crown is ready, the dentist will place it on the tooth and cement it in place. The crown will be adjusted to ensure a proper fit and bite.

D2920 Dental Code Meaning List

The D2920 dental code is part of a larger list of dental codes used to describe various procedures. Below is a table that outlines some of the most common dental codes related to crowns and other restorative procedures:

CodeDescription
D2740Crown – Porcelain/Ceramic Substrate
D2750Crown – Porcelain Fused to High Noble Metal
D2751Crown – Porcelain Fused to Predominantly Base Metal
D2752Crown – Porcelain Fused to Noble Metal
D2780Crown – 3/4 Cast High Noble Metal
D2781Crown – 3/4 Cast Predominantly Base Metal
D2782Crown – 3/4 Cast Noble Metal
D2790Crown – Full Cast High Noble Metal
D2791Crown – Full Cast Predominantly Base Metal
D2792Crown – Full Cast Noble Metal
D2920Re-cement or Re-bond Crown
D2930Prefabricated Stainless Steel Crown – Primary Tooth
D2931Prefabricated Stainless Steel Crown – Permanent Tooth
D2932Prefabricated Resin Crown
D2933Prefabricated Stainless Steel Crown with Resin Window
D2934Prefabricated Esthetic Coated Stainless Steel Crown – Primary Tooth
D2940Sedative Filling
D2950Core Buildup, Including Any Pins
D2951Pin Retention – Per Tooth, In Addition to Restoration
D2952Post and Core in Addition to Crown, Directly Fabricated
D2953Each Additional Cast Post – Same Tooth
D2954Prefabricated Post and Core in Addition to Crown
D2955Core Buildup for Retained Root or Core Buildup for Retained Natural Tooth
D2957Each Additional Prefabricated Post – Same Tooth
D2960Labial Veneer (Resin Laminate) – Chairside
D2961Labial Veneer (Resin Laminate) – Laboratory
D2962Labial Veneer (Porcelain Laminate) – Laboratory

Conclusion

The D2920 dental code is a vital part of dental practice, ensuring that procedures like crown re-cementation or replacement are accurately documented and billed. Understanding this code helps both dental professionals and patients navigate the complexities of dental care, ensuring that treatments are both effective and properly compensated.


FAQs

Q1: What is the D2920 dental code used for?
A1: The D2920 dental code is used to describe the procedure of re-cementing or replacing an existing crown on a tooth.

Q2: Why might a crown need to be re-cemented or replaced?
A2: A crown may need to be re-cemented or replaced if it becomes loose, damaged, no longer fits properly, or if there is decay under the crown.

Q3: How is the D2920 procedure performed?
A3: The procedure involves removing the old crown, preparing the tooth if necessary, and then placing a new crown or re-cementing the existing one.

Q4: Is the D2920 procedure covered by insurance?
A4: Coverage for the D2920 procedure varies by insurance plan. It’s best to check with your insurance provider to understand your coverage.

Q5: How long does a re-cemented or replaced crown last?
A5: With proper care, a re-cemented or replaced crown can last many years. Regular dental check-ups and good oral hygiene are essential for maintaining the crown.


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