How often should a complete maxillary denture be relined?

Typically, a reline is recommended every 1-2 years, but this can vary based on individual patient needs and changes in oral anatomy.

Can this procedure be billed if the denture is less than a year old?

Yes, if there are valid clinical reasons such as significant changes in the patient's oral condition, but insurance coverage should be verified.

Is a reline necessary if the denture feels slightly loose?

A reline can improve fit and comfort if the denture is loose, but a dental professional should evaluate to determine necessity.

What materials are used for a direct reline?

Materials typically include soft or hard acrylics designed to bond with the existing denture base and conform to the oral tissues.

D5730

Reline Complete Maxillary Denture - CDT Code Guide

Prosthodontics, removable/Denture Reline Procedures

Overview

CDT Code D5730 refers to the direct reline of a complete maxillary denture. This procedure involves adding new material to the tissue side of a denture to ensure a better fit against the patient's gums. Typically, this is necessary when the denture becomes loose due to changes in the oral cavity, such as bone resorption or tissue shrinkage. Dental professionals perform this procedure chairside, allowing for immediate adjustments and improvements in the fit and comfort of the denture. This code is categorized under prosthodontics, specifically focusing on removable denture reline procedures, and is crucial for maintaining the functionality and longevity of a complete maxillary denture.

When to Use This Code

When a patient reports discomfort or looseness with their current maxillary denture.
Following significant weight loss or other physiological changes that affect oral structures.
After a period of healing post-extraction, where the oral tissues have changed.
When there is noticeable wear on the denture base affecting fit.
To improve the fit of a denture that has been in use for an extended period.

Documentation Requirements

Detailed patient history and reason for reline.
Clinical notes on the condition of the existing denture and oral tissues.
Description of the reline material used and the procedure performed.
Patient consent and understanding of the procedure.
Post-procedure instructions and follow-up plan.
Any complications or adjustments made during the procedure.

Billing Considerations

Ensure to check the patient's insurance policy for frequency limitations on denture relines, as some plans may only cover this procedure once every few years. Common modifiers like -52 for reduced services may apply if the procedure is not fully completed. Always verify coverage details with the insurance provider to avoid unexpected expenses for the patient.

Related CDT Codes

D5750 D5760 D5110 D5120

Frequently Asked Questions

A direct reline is performed chairside with immediate adjustments, while an indirect reline involves sending the denture to a lab for modification.

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