D6192 Dental Code: Uses, Benefits, and Clinical Considerations

The D6192 dental code is a critical classification used in restorative dentistry, specifically for semi-precision attachments in removable prosthetics. This code plays a significant role in ensuring patients receive durable, functional, and aesthetically pleasing dental prostheses.

With the rising demand for advanced dental prosthetics, understanding D6192 is essential for both dental professionals and patients. This comprehensive guide will explore its definition, applications, procedural steps, cost factors, and more—providing an in-depth resource for anyone seeking clarity on this dental code.

D6192 Dental Code
D6192 Dental Code

2. Understanding the D6192 Dental Code

Definition and Purpose

The D6192 code, as defined by the American Dental Association (ADA), refers to:

“A semi-precision attachment abutment for a removable prosthesis, including the placement of the attachment.”

This means it covers the use of specialized connectors that improve the stability and retention of removable partial dentures (RPDs) or overdentures while minimizing stress on abutment teeth.

When Is D6192 Used?

D6192 is typically applied in cases where:

  • A patient needs a removable partial denture with enhanced stability.

  • Natural teeth or implants serve as abutments for the prosthesis.

  • Semi-precision attachments (e.g., studs, magnets, or telescopic crowns) are incorporated into the design.

3. Types of Dental Prostheses Covered Under D6192

Type of Prosthesis Description Common Attachments Used
Removable Partial Denture (RPD) Replaces multiple missing teeth Stud attachments, bars
Overdenture Rests on implants or natural roots Ball attachments, magnets
Hybrid Prosthesis Combines fixed and removable elements Telescopic crowns, precision clips

4. Clinical Applications of D6192

Patient Eligibility

  • Patients with sufficient bone support for abutment teeth or implants.

  • Those needing long-term, stable prosthetic solutions.

  • Cases where traditional clasps may compromise aesthetics or function.

Common Scenarios Requiring D6192

  • Replacing multiple missing teeth without full dentures.

  • Improving retention in existing removable dentures.

  • Distributing occlusal forces more evenly to prevent damage to abutments.

5. Step-by-Step Procedure for D6192

  1. Diagnosis & Treatment Planning

    • Comprehensive exam (X-rays, impressions).

    • Selection of attachment type.

  2. Tooth/Implant Preparation

    • Reshaping abutment teeth or placing implants.

  3. Attachment Placement

    • Cementing or screwing in the semi-precision component.

  4. Prosthesis Fabrication

    • Dental lab creates a custom-fit removable prosthesis.

  5. Final Fitting & Adjustments

    • Ensuring proper fit and bite alignment.

6. Materials Used in D6192 Procedures

  • Metal alloys (cobalt-chrome, titanium) for durability.

  • Zirconia or ceramic for aesthetic cases.

  • Resin components for flexibility and comfort.

7. Cost and Insurance Coverage for D6192

Average Pricing

  • $500 – $1,500 per attachment (varies by material and case complexity).

  • Full prosthesis cost: $2,000 – $5,000.

Insurance Considerations

  • Some plans cover 50-80% of the cost.

  • Pre-authorization may be required.

8. Comparison with Other Dental Codes

Code Description Key Difference
D6190 Precision attachment (more complex) Higher cost, more retention
D6191 Non-precision attachment (simpler) Less retention, lower cost
D6194 Fixed attachment (permanent) Not removable

9. Advantages and Limitations of D6192

✅ Pros:
✔ Improved stability over traditional dentures.
✔ Better force distribution.
✔ Enhanced aesthetics (no visible clasps).

❌ Cons:
✖ Higher cost than standard RPDs.
✖ Requires healthy abutments.

10. Frequently Asked Questions (FAQs)

Q1: How long does a D6192 prosthesis last?

A: With proper care, 5–10 years before needing adjustments or replacement.

Q2: Does insurance cover D6192?

A: Many plans cover it partially; check with your provider.

Q3: Are semi-precision attachments painful?

A: No, the procedure is performed under anesthesia for comfort.

11. Conclusion

The D6192 dental code is essential for patients needing stable, high-quality removable prosthetics with semi-precision attachments. Understanding its uses, costs, and benefits helps in making informed dental decisions. Always consult a prosthodontist to determine if this solution is right for you.

12. Additional Resources

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