D7320 Dental Code: Alveoloplasty in Conjunction with Extractions
Alveoloplasty (D7320) is a crucial dental surgical procedure often performed in conjunction with tooth extractions to prepare the alveolar ridge for future prosthetics, such as dentures or implants. This article provides an in-depth exploration of the D7320 dental code, covering its clinical significance, procedural details, benefits, risks, and post-operative care. Whether you’re a dental professional, a patient considering the procedure, or a coder seeking clarity, this guide offers valuable insights into one of dentistry’s most essential surgical interventions.
2. What is the D7320 Dental Code?
The D7320 dental code, as defined by the American Dental Association (ADA), refers to:
“Alveoloplasty, in conjunction with extractions – per quadrant”
This means the procedure involves reshaping and smoothing the alveolar bone (the jawbone that holds teeth) after tooth extraction to ensure optimal healing and prosthetic fit.
Key Features of D7320:
-
Performed in the same visit as extractions.
-
Covers one quadrant (upper or lower jaw, left or right side).
-
Often necessary for denture preparation or implant placement.
3. Understanding Alveoloplasty: Definition and Purpose
Alveoloplasty is a surgical modification of the alveolar ridge to:
✔ Remove sharp or uneven bone edges.
✔ Create a smooth, uniform ridge for better prosthetic adaptation.
✔ Enhance healing and reduce discomfort post-extraction.
Why is it Important?
Without alveoloplasty, patients may experience:
-
Difficulty wearing dentures due to irregular bone structure.
-
Painful pressure points from sharp bony ridges.
-
Delayed healing due to unstable bone fragments.
4. When is D7320 Necessary?
D7320 is typically required in cases such as:
✅ Multiple Extractions – When several teeth in one quadrant are removed.
✅ Denture Preparation – To ensure a proper fit for full or partial dentures.
✅ Bone Irregularities – If the alveolar ridge has sharp or uneven areas.
✅ Implant Site Preparation – For better bone contour before implant placement.
5. Step-by-Step Procedure of Alveoloplasty (D7320)
| Step | Description |
|---|---|
| 1. Anesthesia | Local anesthesia is administered for patient comfort. |
| 2. Tooth Extraction | Teeth in the targeted quadrant are removed. |
| 3. Bone Assessment | The dentist evaluates the alveolar ridge for irregularities. |
| 4. Bone Reshaping | Surgical burs or rongeurs smooth and contour the bone. |
| 5. Suturing | The gums are sutured to promote proper healing. |
| 6. Post-Op Instructions | Patient receives care guidelines for recovery. |
6. Differences Between D7310 and D7320
| Code | Description | When Used |
|---|---|---|
| D7310 | Alveoloplasty not in conjunction with extractions | Performed after healing from prior extractions. |
| D7320 | Alveoloplasty with extractions | Done during the same visit as tooth removal. |
7. Benefits of Alveoloplasty
-
Improved Denture Fit – Prevents sore spots and instability.
-
Faster Healing – Reduces risk of bone spicules and infections.
-
Better Aesthetics – Creates a natural-looking gumline.
-
Enhanced Comfort – Eliminates sharp edges that cause pain.
8. Potential Risks and Complications
While generally safe, possible complications include:
-
Swelling & Bruising – Common but temporary.
-
Infection – Rare if proper oral hygiene is maintained.
-
Nerve Injury – Uncommon but possible in lower jaw procedures.
9. Post-Operative Care and Recovery
-
Avoid rinsing for the first 24 hours.
-
Soft diet recommended for 3-5 days.
-
Pain management with prescribed or OTC medications.
-
Follow-up visit to monitor healing progress.
10. Cost and Insurance Coverage for D7320
-
Average Cost: $200 – $500 per quadrant.
-
Insurance Coverage: Often covered if deemed medically necessary.
11. Common FAQs About D7320
Q1: Does D7320 hurt?
A: No, the procedure is performed under anesthesia, ensuring minimal discomfort.
Q2: How long does recovery take?
A: Initial healing takes 1-2 weeks, but full bone remodeling may take months.
Q3: Can I eat normally after alveoloplasty?
A: A soft diet is recommended for the first few days to avoid irritation.
Q4: Is D7320 covered by Medicare?
A: Medicare does not typically cover dental procedures, but some Advantage plans may.
12. Conclusion
The D7320 dental code plays a vital role in ensuring optimal post-extraction healing and prosthetic functionality. By reshaping the alveolar ridge, dentists enhance patient comfort, improve denture fit, and prevent complications. Whether you’re preparing for dentures or implants, understanding this procedure helps in making informed dental decisions.
13. Additional Resources
