D7290 Dental Code: Implant Placement, Benefits, and FAQs
The D7290 dental code refers to the surgical placement of a non-endosseous (non-root-form) implant body in the jawbone. Unlike traditional root-form implants (coded as D6010), this procedure is used when a patient requires an alternative implant design due to bone structure limitations or specific clinical needs.
Dental implants have revolutionized restorative dentistry, offering patients a permanent solution for missing teeth. However, not all patients are candidates for standard implants. The D7290 code comes into play when unique anatomical conditions necessitate a specialized approach.
2. Understanding Dental Implant Procedures
Dental implants are artificial tooth roots made of biocompatible materials (usually titanium) that integrate with the jawbone. They provide a stable foundation for crowns, bridges, or dentures.
Types of Dental Implants:
-
Endosseous (Root-Form) Implants (D6010) – The most common type, resembling a natural tooth root.
-
Non-Endosseous Implants (D7290) – Used when bone structure is insufficient for traditional implants.
-
Subperiosteal Implants – Placed under the gum but above the jawbone.
-
Zygomatic Implants – Anchored in the cheekbone for patients with severe bone loss.
The D7290 code is specifically for non-endosseous implants, which may include blade implants, disc implants, or other specialized designs.
3. When is D7290 Used? Indications and Eligibility
Clinical Scenarios for D7290:
-
Severe Bone Atrophy – Patients with significant jawbone deterioration may not qualify for standard implants.
-
Alternative Implant Designs Needed – Some cases require blade or disc implants for better stability.
-
Failed Previous Implants – If a patient has had unsuccessful root-form implants, D7290 may be an alternative.
-
Medical Contraindications – Certain systemic conditions may make traditional implants risky.
Patient Eligibility Criteria:
✅ Adequate soft tissue health
✅ No uncontrolled periodontal disease
✅ Sufficient bone width (even if height is insufficient for root-form implants)
✅ Commitment to oral hygiene and follow-up care
4. Step-by-Step Procedure for D7290 Implant Placement
| Step | Description |
|---|---|
| 1. Initial Consultation | Comprehensive exam, X-rays, 3D scans (CBCT) to assess bone structure. |
| 2. Treatment Planning | Customized implant design selection (blade, disc, or other non-root-form). |
| 3. Surgical Placement | Local anesthesia → Incision → Placement of the non-endosseous implant. |
| 4. Healing Period | Osseointegration (3-6 months) for stability. |
| 5. Prosthetic Attachment | Crown, bridge, or denture is secured to the implant. |
5. Benefits of Choosing D7290 Over Other Procedures
✔ Works with Limited Bone – Ideal for patients who cannot undergo bone grafting.
✔ Faster Recovery Than Bone Grafts – No need for additional grafting procedures.
✔ Long-Term Stability – High success rate when properly maintained.
✔ Customizable Solutions – Can be tailored to unique anatomical needs.
6. Potential Risks and Complications
-
Infection – Poor oral hygiene can lead to peri-implantitis.
-
Implant Failure – Rare, but possible if osseointegration fails.
-
Nerve Damage – Improper placement may affect nerves.
-
Loosening Over Time – Requires periodic check-ups.
7. Cost and Insurance Coverage for D7290
The cost of D7290 implants varies based on:
-
Geographic location
-
Dentist’s expertise
-
Additional procedures needed
Average Cost: $1,500 – $3,500 per implant.
Insurance Coverage: Some plans partially cover implants if medically necessary.
8. Post-Procedure Care and Recovery Tips
-
Avoid Hard Foods – Stick to soft foods for the first few weeks.
-
Maintain Oral Hygiene – Brush gently, use antimicrobial mouthwash.
-
Follow-Up Visits – Essential for monitoring healing.
-
No Smoking – Smoking delays healing and increases failure risk.
9. Comparing D7290 with Other Dental Implant Codes
| Code | Description | Best For |
|---|---|---|
| D6010 | Root-form implant | Patients with sufficient bone density |
| D7290 | Non-root-form implant | Patients with bone atrophy |
| D6104 | Bone graft for implants | Needed before traditional implants |
10. FAQs About D7290 Dental Code
Q: How long does a D7290 implant last?
A: With proper care, 15+ years.
Q: Is D7290 more painful than traditional implants?
A: No, local anesthesia ensures minimal discomfort.
Q: Can D7290 implants support dentures?
A: Yes, they provide excellent support for overdentures.
11. Conclusion
The D7290 dental code provides a viable solution for patients who cannot receive traditional root-form implants due to bone loss or anatomical challenges. With high success rates, customizable designs, and long-term stability, this procedure offers an excellent alternative for restorative dentistry. Proper patient selection, surgical technique, and aftercare are crucial for optimal outcomes.
12. Additional Resources
