D6117 Dental Code: Implant-Supported Dentures

The D6117 dental code is a specific billing code used by dental professionals to classify implant-supported dentures for a partially edentulous arch. This procedure is a revolutionary solution for patients missing multiple teeth but not requiring a full-arch restoration. Unlike traditional dentures, implant-supported dentures provide superior stability, functionality, and aesthetics by anchoring prosthetic teeth to dental implants surgically placed in the jawbone.

This article will explore every aspect of the D6117 dental code, including its clinical applications, benefits, procedural steps, costs, and comparisons with alternative treatments. Whether you’re a patient considering this option or a dental professional seeking detailed insights, this guide will serve as an authoritative resource.

2. What Does D6117 Cover?

The D6117 code falls under the American Dental Association (ADA) Current Dental Terminology (CDT) and is defined as:

“Implant/abutment supported removable denture for a partially edentulous arch – by report.”

This means the code applies to removable dentures that are secured by implants and abutments in patients who still retain some natural teeth.

Key Features of D6117:

• Removable prosthesis (unlike fixed hybrid dentures under D6110-D6116).

• Supports partial edentulism (not fully toothless arches).

• Uses implants and abutments for retention.

• Requires detailed documentation (“by report”) due to case variability.

3. Types of Implant-Supported Dentures Under D6117

There are two primary types of implant-supported dentures applicable under D6117:

Comparison Table: D6117 vs. Other Implant Codes

4. Benefits of Choosing D6117 Procedures

✅ Enhanced Stability – No slipping compared to traditional dentures.
✅ Bone Preservation – Prevents jawbone deterioration.
✅ Improved Chewing Efficiency – Restores near-natural bite force.
✅ Aesthetic Appeal – Looks and feels like natural teeth.
✅ Long-Term Durability – Lasts 10+ years with proper care.

5. Who Is a Candidate for D6117?

Ideal Candidates:

✔ Patients missing multiple teeth but retaining some natural teeth.
✔ Those with sufficient jawbone density (or willing to undergo bone grafting).
✔ Non-smokers or willing to quit (smoking impairs healing).
✔ Patients committed to oral hygiene and maintenance.

Contraindications:

❌ Severe bone loss without grafting.
❌ Uncontrolled diabetes or immune disorders.
❌ Heavy smokers or those with poor oral hygiene.

6. Step-by-Step Procedure for Implant-Supported Dentures

1. Initial Consultation – Exam, X-rays, 3D scans.

2. Treatment Planning – Number of implants, type of denture.

3. Bone Grafting (if needed) – Ensures implant stability.

4. Implant Placement Surgery – Titanium posts inserted into the jawbone.

5. Osseointegration – Healing period (3-6 months).

6. Abutment Attachment – Connects implants to the denture.

7. Denture Fabrication & Fitting – Custom-made for optimal fit.

7. Cost and Insurance Coverage for D6117

• Average Cost: $3,000–$15,000 per arch (varies by case complexity).

• Insurance Coverage: Some plans cover partial costs (check Medicare/Medicaid limitations).

• Financing Options: Dental loans, payment plans, or CareCredit.

8. Potential Risks and Complications

⚠ Infection – Proper aftercare reduces risk.
⚠ Implant Failure – Rare but possible due to poor osseointegration.
⚠ Nerve Damage – Minimized with expert surgical planning.

9. Aftercare and Maintenance

• Daily Cleaning – Brush, floss, and use antimicrobial rinses.

• Regular Check-ups – Every 6 months for professional cleaning.

• Avoid Hard Foods – Prevents damage to the prosthesis.

10. Frequently Asked Questions (FAQs)

Q1: How long do D6117 dentures last?

A: With proper care, they can last 10–15 years before needing replacement.

Q2: Are implant-supported dentures painful?

A: Local anesthesia ensures minimal discomfort during surgery; soreness subsides in days.

Q3: Can I sleep with my D6117 dentures?

A: Most dentists recommend removal at night to prevent gum irritation.

11. Conclusion

The D6117 dental code represents an advanced solution for partial tooth loss, offering stability, function, and aesthetics. While the procedure requires surgical precision and investment, the long-term benefits outweigh traditional dentures. Consult a prosthodontist to determine if you’re a candidate for implant-supported dentures.

12. Additional Resources

• American Dental Association (ADA) CDT Codes

• Journal of Prosthetic Dentistry – Implant Studies

• Bone Grafting for Dental Implants – NIH Study