D7980 Dental Code
Dental extractions are common procedures, but not all extractions are the same. The D7980 dental code is specifically used for surgical extractions of erupted teeth that require bone removal and/or sectioning of the tooth. Unlike simple extractions (D7140), this procedure involves more complex techniques to safely remove a tooth that cannot be extracted with forceps alone.
This guide provides an in-depth look at D7980, including its clinical applications, procedural steps, potential complications, and billing considerations. Whether you’re a dentist, oral surgeon, or patient, understanding this code ensures proper treatment planning and insurance processing.
2. Understanding the D7980 Dental Code
Definition and Scope
The D7980 code falls under the American Dental Association (ADA) Current Dental Terminology (CDT) and is defined as:
“Surgical removal of erupted tooth requiring elevation of mucoperiosteal flap and removal of bone and/or sectioning of tooth.”
This means the procedure involves:
- Flap elevation (lifting gum tissue)
- Bone removal (osteotomy) if the tooth is partially covered by bone
- Tooth sectioning (cutting the tooth into smaller pieces for easier removal)
When Is D7980 Used?
D7980 is necessary when:
✅ The tooth is fully erupted but cannot be removed with simple extraction methods
✅ The tooth has curved or divergent roots
✅ There is significant bone density around the tooth
✅ The tooth is severely decayed or fractured, making forceps extraction risky
3. Clinical Indications for D7980
Impacted Teeth
While D7980 is not for impacted teeth (those covered by bone and gum tissue, which fall under D7240 or D7250), it is used for erupted teeth that still require surgical intervention.
Severely Decayed or Fractured Teeth
Teeth with large cavities or fractures may crumble during extraction, necessitating sectioning.
Orthodontic Considerations
Some teeth (e.g., first premolars) may require surgical extraction for orthodontic reasons.
4. Step-by-Step Procedure for D7980
| Step | Description |
|---|---|
| 1. Pre-Operative Assessment | X-rays (PAN or CBCT) to evaluate root structure and bone density. |
| 2. Anesthesia | Local anesthesia (lidocaine) or sedation (IV/general anesthesia). |
| 3. Flap Elevation | Incision and reflection of gum tissue to expose bone. |
| 4. Bone Removal (Osteotomy) | Use of a surgical bur to remove bone obstructing the tooth. |
| 5. Tooth Sectioning | Dividing the tooth into segments with a drill. |
| 6. Tooth Removal | Elevators and forceps used to extract tooth pieces. |
| 7. Socket Cleaning | Irrigation and removal of debris. |
| 8. Suturing | Absorbable or non-absorbable sutures placed. |
5. Differences Between D7980 and Other Extraction Codes
| Code | Description | Complexity |
|---|---|---|
| D7140 | Simple extraction (forceps only) | Low |
| D7210 | Surgical extraction (elevation of flap, no bone removal) | Moderate |
| D7980 | Surgical extraction with bone removal/sectioning | High |
6. Common Challenges and Complications
- Nerve Damage (lingual or inferior alveolar nerve)
- Sinus Perforation (upper molars)
- Dry Socket (Alveolar Osteitis) – Preventable with proper clot care
7. Post-Operative Care and Recovery
- First 24 Hours: No rinsing, smoking, or straw use
- Pain Management: NSAIDs (ibuprofen) or prescribed analgesics
- Diet: Soft foods (mashed potatoes, yogurt)
8. Insurance and Billing Considerations
- Medical vs. Dental Insurance Coverage
- Pre-Authorization Requirements
- Proper Documentation Needed
9. FAQs About D7980
Q: Is D7980 painful?
A: No, anesthesia ensures a painless procedure. Post-op discomfort is manageable with medication.
Q: How long does healing take?
A: Initial healing: 1-2 weeks. Full bone remodeling: 3-6 months.
Q: Will I need a bone graft after D7980?
A: Sometimes, especially if future implants are planned.
10. Conclusion
The D7980 dental code is essential for complex extractions requiring bone removal or tooth sectioning. Proper technique, post-op care, and accurate billing ensure successful outcomes. Always consult an oral surgeon for such procedures.
11. Additional Resources
