M27.63
Post-osseointegration mechanical failure of dental implant
Clinical Classification Guidelines
Inclusion Terms
- Failure of dental prosthesis causing loss of dental implant
- Fracture of dental implant
Excludes Type 2
- cracked tooth (K03.81)
- fractured dental restorative material with loss of material (K08.531)
- fractured dental restorative material without loss of material (K08.530)
- fractured tooth (S02.5)
Medical Intelligence & Overview
The ICD-10 code M27.63 refers to a specific complication that can occur after a dental implant has successfully integrated with the jawbone, known as osseointegration. This complication involves mechanical failure of the implant, often resulting in the loss of the dental prosthesis or fracture of the implant itself. Such issues can impact dental function and aesthetics, necessitating proper diagnosis and management.
Causes & Symptoms
Clinical Causes: Excessive biting or chewing forces that exceed the strength of the implant or surrounding bone Poor implant design or manufacturing defects Trauma or injury to the implant site Inadequate osseointegration due to infection or poor bone quality Corrosion or wear of the implant materials over time Improper placement or alignment during the initial procedure Patient habits such as parafunctional activities (e.g., teeth grinding or clenching)
Key Symptoms: Loosening or instability of the dental implant Pain or discomfort at the implant site Swelling or inflammation around the implant area Presence of a clicking or fracture sound during biting Visible fracture or damage to the implant during examination Loss of the dental prosthesis that was attached to the implant Difficulty chewing or biting due to implant instability
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves a combination of clinical examination and imaging techniques. A dentist or oral surgeon will assess signs of mechanical failure, such as implant movement or damage. Radiographs (X-rays) are used to evaluate the integrity of the implant and surrounding bone structures, helping to identify fractures or other structural issues. In some cases, additional imaging or tests may be necessary to determine the underlying cause of failure.
Treatment Protocols: Management of post-osseointegration mechanical failure depends on the severity and underlying cause. Options may include: - Removal of the damaged implant - Repair or replacement of the fractured or failed implant - Reinforcement of surrounding bone with grafts if necessary - Addressing contributing factors such as bite misalignment or parafunctional habits - Re-implantation after appropriate healing and stabilization Preventive measures focus on proper implant placement, patient education on habits, and regular follow-ups to monitor implant integrity.
Clinical Advice & FAQs
Billing Guidance
Is M27.63 a billable ICD-10 code?
Yes, M27.63 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M27.63?
Clinical documentation must specify the nature of Post-osseointegration mechanical failure of dental implant and any associated comorbidities for accurate reporting.
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