D7852 Dental Code: Fixed Partial Denture Repair

The D7852 dental code is a procedural designation used by dentists and insurance companies to classify repairs to a fixed partial denture (FPD), commonly known as a dental bridge. This code is essential for billing purposes and ensures standardized documentation in dental practices.

Fixed partial dentures are a popular tooth replacement option, but they can suffer from wear, fractures, or loosening over time. The D7852 code covers the repair of these prosthetics, excluding adjustments or recementation, which have separate codes (D7951 for adjustments and D7953 for recementation).

This article will explore the D7852 code in depth, including its clinical applications, repair techniques, costs, and insurance considerations.

2. Understanding Fixed Partial Dentures (FPDs)

A fixed partial denture (FPD) is a prosthetic device used to replace one or more missing teeth by anchoring artificial teeth (pontics) to adjacent natural teeth or implants. Unlike removable dentures, FPDs are permanently cemented in place, providing stability and functionality similar to natural teeth.

Components of a Fixed Partial Denture:

• Abutments – Supporting teeth or implants.

• Pontics – Artificial replacement teeth.

• Connectors – The framework that joins pontics to abutments.

Types of Fixed Partial Dentures:

3. Common Reasons for Fixed Partial Denture Repairs

Fixed partial dentures may require repairs due to:

• Fractures in the pontic or framework.

• Debonding (loosening of the bridge).

• Abutment tooth decay beneath the crown.

• Wear and tear of the prosthetic material.

• Poor fit due to gum recession or bone loss.

4. Types of Repairs Covered Under D7852

The D7852 code applies to:

• Replacing a fractured pontic.

• Repairing a broken connector.

• Rebuilding a damaged retainer.

• Replacing a chipped or cracked ceramic layer.

Exclusions:

• D7951 – Adjustment of prosthesis.

• D7953 – Recementation of a loose FPD.

5. Step-by-Step Procedure for FPD Repair

1. Diagnosis & Examination – X-rays and visual inspection to assess damage.

2. Removal of the Prosthesis – If necessary, the bridge is carefully detached.

3. Repair Process –

   • For porcelain fractures, a dental lab may rebake or replace the ceramic.

   • For framework fractures, soldering or laser welding may be used.

4. Reattachment & Bite Adjustment – The repaired bridge is cemented back.

6. Materials Used in Fixed Partial Denture Repairs

7. Cost and Insurance Coverage for D7852

• Average Cost: $300–$800 per repair.

• Insurance Coverage: Many plans cover 50-80% of the cost.

• Out-of-Pocket Considerations: Lab fees may apply.

8. Alternatives to FPD Repair

• Replacement with a new bridge.

• Switching to dental implants.

• Removable partial dentures as a temporary solution.

9. Preventive Measures to Avoid Future Repairs

• Regular dental check-ups.

• Avoid chewing hard foods.

• Proper oral hygiene to prevent decay under abutments.

10. Case Studies and Real-Life Examples

• Case 1: A 55-year-old patient with a fractured porcelain bridge underwent D7852 repair, restoring function.

• Case 2: A debonded Maryland bridge was successfully recemented (D7953), avoiding full replacement.

11. FAQs on D7852 Dental Code

Q1: Does D7852 cover full denture repairs?
No, it only applies to fixed partial dentures (bridges).

Q2: How long does an FPD repair last?
With proper care, repairs can last 5-10 years.

Q3: Can a repaired bridge fail again?
Yes, if underlying issues (decay, poor fit) are not addressed.

12. Conclusion

The D7852 dental code is crucial for documenting fixed partial denture repairs. Understanding its scope, costs, and procedures helps patients make informed decisions. Regular maintenance and timely repairs can extend the lifespan of dental bridges, ensuring long-term oral health.

13. Additional Resources

• American Dental Association (ADA) Code Manual

• Journal of Prosthetic Dentistry – FPD Repair Techniques