M27.62
Post-osseointegration biological failure of dental implant
Clinical Classification Guidelines
Inclusion Terms
- Failure of dental implant due to lack of attached gingiva
- Failure of dental implant due to occlusal trauma (caused by poor prosthetic design)
- Failure of dental implant due to parafunctional habits
- Failure of dental implant due to periodontal infection (peri-implantitis)
- Failure of dental implant due to poor oral hygiene
- Iatrogenic post-osseointegration failure of dental implant
- Post-osseointegration failure of dental implant due to complications of systemic disease
Medical Intelligence & Overview
Post-osseointegration biological failure of a dental implant refers to the situation where an implant that has successfully integrated with the jawbone fails to stay stable or integrate properly over time. This condition can arise due to various factors, including infections, trauma, poor oral hygiene, and systemic health issues. Recognizing the causes and symptoms of this failure can help in understanding the importance of proper dental care and early intervention to preserve oral health.
Causes & Symptoms
Clinical Causes: Lack of attached gingiva, which reduces the support and stability for the implant Occlusal trauma resulting from poor prosthetic design, leading to excessive force on the implant Parafunctional habits such as teeth grinding or clenching that exert abnormal forces Peri-implantitis, an infection around the implant caused by bacterial buildup Poor oral hygiene, leading to accumulation of plaque and bacteria Iatrogenic causes, including surgical errors or improper placement of the implant Complications related to systemic diseases like diabetes or autoimmune conditions that impair healing
Key Symptoms: Persistent or increasing pain around the implant site Swelling, redness, or bleeding of the gums surrounding the implant Loosening or instability of the dental implant Difficulty chewing or discomfort during biting Receding gum tissue around the implant area Infection or pus formation near the implant Radiographic signs such as bone loss around the implant
Diagnostic & Treatment
Diagnosis Path: Diagnosis involves a thorough clinical examination and imaging studies like dental X-rays to assess bone levels around the implant. The dentist may evaluate implant stability, check for signs of infection or inflammation, and review the patient's oral hygiene practices. Sometimes, additional tests or biopsies are performed to identify underlying issues or systemic conditions affecting healing.
Treatment Protocols: Treatment options depend on the severity and cause of the failure. They can include:
Clinical Advice & FAQs
Billing Guidance
Is M27.62 a billable ICD-10 code?
Yes, M27.62 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M27.62?
Clinical documentation must specify the nature of Post-osseointegration biological failure of dental implant and any associated comorbidities for accurate reporting.
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