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Icon Dental Treatment Code

Icon Dental Treatment Code. Icon represents a revolutionary new approach to treat incipient caries: The description of this code states it is to be used to “. Esthetically treat smooth surface white spots. Resin infiltration can also be used for anterior interproximal lesions (calgar et al 2015).

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Download icon font or svg download your collections in the code format compatible with all browsers, and use icons on your website. Additionally, the new cdt code, d0704: Ready to be used in web design, mobile apps and presentations. Resin infiltration can also be used for anterior interproximal lesions (calgar et al 2015). Download 822 dental treatment icons. Available in png and svg formats.

Additionally, the new cdt code, d0704:

Resin infiltration can also be used for anterior interproximal lesions (calgar et al 2015). Icon represents a revolutionary new approach to treat incipient caries: Available in png and svg formats. If treatment performed by a dentist is accurately reported with supporting documents, why would the insurance company not only be allowed to down code, but to tell the dental office that it cannot bill the patient? A limited clinical inspection is performed to identify possible signs of oral or systemic disease, malformation, or injury, and the potential need for referral for diagnosis and treatment. That being said, we have many patients with stable results for 6+ years.

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The american dental association (ada) has announced that resin infiltration of incipient smooth surface lesions is now covered by a 2013 cdt code classification.the newly defined classification allows practices to accurately code and bill for icon by dmg america, a resin infiltration technology that fills, reinforces, and stabilizes demineralized enamel for the purpose of arresting the.

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He also is the author of dental insurance and reimbursement coding and claim submission.

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Promote healing or prevent further deterioration.” this treatment isn’t to be done as an endodontic access closure, but it can be placed over a lesion treated with advantage arrest.

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This ce webinar will cover how bioceramic materials have changed our definition of irreversible pulpitis and their application in vital pulp therapy of immature and mature teeth.

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That being said, we have many patients with stable results for 6+ years.

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Icon etchant is applied to the tooth for two minutes.

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Dental clinical policy bulletins are developed by aetna to assist in administering plan benefits and constitute neither offers of coverage nor medical/dental advice.

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Additionally, the new cdt code, d0704:

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Dental clinical policy bulletins are developed by aetna to assist in administering plan benefits and constitute neither offers of coverage nor medical/dental advice.

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Research shows stability for at least 2 years.

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For instance, take 9110 versus 3332.

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Icon can arrest the progress of early enamel lesions up to the first third of the dentin in one simple procedure.

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Accurate recording and reporting dental treatment is supported by a set of codes that have a consistent format and are at the appropriate level of specificity to adequately encompass commonly accepted dental procedures.

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18 the appearance at the end of treatment with the resin applied.

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The american dental association (ada) has announced that resin infiltration of incipient smooth surface lesions is now covered by a 2013 cdt code classification.the newly defined classification allows practices to accurately code and bill for icon by dmg america, a resin infiltration technology that fills, reinforces, and stabilizes demineralized enamel for the purpose of arresting the.

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The american dental association (ada) has announced that resin infiltration of incipient smooth surface lesions is now covered by a 2013 cdt code classification.the newly defined classification allows practices to accurately code and bill for icon by dmg america, a resin infiltration technology that fills, reinforces, and stabilizes demineralized enamel for the purpose of arresting the.

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Research shows stability for at least 2 years.

Sours: https://studytour.github.io/icon/icon-dental-treatment-code/

Resin infiltration of incipient smooth surface lesions (038)

Number: 038
(Updated)

Subject: Resin infiltration of incipient smooth surface lesions

Reviewed: May 13, 2020

Important note

This Clinical Policy Bulletin explains how we determine whether certain services or supplies are medically necessary. We made these decisions based on a review of currently available clinical information including:

  • Clinical outcome studies in the peer-reviewed published medical and dental literature
  • Regulatory status of the technology
  • Evidence-based guidelines of public health and health research agencies
  • Evidence-based guidelines and positions of leading national health professional organizations
  • Views of physicians and dentists practicing in relevant clinical areas
  • Other relevant factors

We expressly reserve the right to revise these conclusions as clinical information changes, and welcome further relevant information.

Each benefits plan defines which services are covered, excluded and subject to dollar caps or other limits. Members and their dentists will need to refer to the member's benefits plan to determine if any exclusions or other benefits limitations apply to this service or supply. 

The conclusion that a particular service or supply is medically necessary does not guarantee that this service or supply is covered (that is, will be paid for by Aetna) for a particular member. The member's benefits plan determines coverage. Some plans exclude coverage for services or supplies that we consider medically necessary. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. In addition, coverage may be mandated by applicable legal requirements of a state, the federal government or CMS for Medicare and Medicaid members. 

Policy

The restoration of a smooth-surface on which decay is present and extends into the dentin is considered a one-surface resin-based composite. Restoration of an incipient lesion that does not extend into the dentin may be reported as a resin infiltration of incipient smooth surface lesion. Infiltrating resin restoration is used for strengthening, stabilizing and/or limiting the progression of the lesion.

Background

This technique is used to treat smooth-surface white-spot lesions microinvasively. It is based on penetrating an early enamel caries lesion with low-viscosity light-curing resins called infiltrants. The surface layer is eroded and desiccated, followed by resin infiltrant application. Driven by capillary force, the resin penetrates into the lesion microporosities and is hardened by light curing.

Infiltrated lesions lose their whitish appearance and look similar to sound enamel.

Codes1

D2990 - Resin infiltration of incipient smooth surface lesions.

Revision dates

Original policy: October 29, 2012
Updated: January 13, 2014; January 26, 2015; February 17, 2016; March 15, 2017; Aprio 26, 2018; April 29, 2019; May 13, 2020
Revised:

The above policy is based on the following references:

1American Dental Association. CDT 2020 Dental Procedure Codes.*
2Dorothy D. McComb, B.D.S., M.Sc.D., FRCD(C). NIH Consensus Development Conference on Caries. Copyright 2000 Regents of the University of Michigan. 2003. 
3Shivanna, V., Shivakumar B. Novel treatment of white spot lesions: a report of two cases. J Conserv Dent. 2011 Oct-Dec; 14 (4): 423–426. doi: 10.4103/0972-0707.87217.    
4American Academy of Pediatric Dentistry (PDF). Council on Clinical Affairs. Guidelines on caries-risk assessment and management for infants, children, and adolescents. Clinical Procedure Guidelines. Vol 37.No 6 15.16. Accessed April 24, 2018.

*Copyright 2019 American Dental Association. All rights reserved.

Property of Aetna. All rights reserved. Dental Clinical Policy Bulletins are developed by Aetna to assist in administering plan benefits and constitute neither offers of coverage nor medical/dental advice. This Dental Clinical Policy Bulletin contains only a partial, general description of plan or program benefits and does not constitute a contract. Aetna does not provide health care services and, therefore, cannot guarantee any results or outcomes. Participating health care professionals are independent contractors in private practice and are neither employees nor agents of Aetna or its affiliates. Treating health care professionals are solely responsible for medical/dental advice and treatment of members. This Clinical Policy Bulletin may be updated and, therefore, is subject to change.

Sours: https://www.aetna.com/health-care-professionals/clinical-policy-bulletins/dental-clinical-policy-bulletins/DCPB038.html
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Icon

The solution to treating caries while preserving healthy tooth structure

Until now, dental professionals have had only two choices to treat early caries: use fluoride and other treatments to remineralize enamel in the very early stages - or "wait and see" until it's time to "drill and fill." 

Icon represents a revolutionary new approach to treat incipient caries: a caries infiltrant. This breakthrough micro-invasive technology fills and reinforces demineralized enamel without drilling or anesthesia, up to the first third of dentin (D1). 

Why do previous treatments fall short? 

  1. Fluoride therapy isn't always effective in the advanced stages
  2. Filling almost always sacrifices large amounts of healthy tooth structure

 

How Icon effectively infiltrates early caries

With the onset of caries, cariogenic acids attack the enamel and draw out minerals.

With the onset of caries, cariogenic acids attack the enamel and draw out minerals.

After treatment with Icon, the pore system is closed, blocking the progression of caries.

After treatment with Icon, the pore system is closed, blocking the progression of caries.

"White spots are a major issue for my post-orthodontic patients. Icon enables me to remove them in one simple and painless treatment. It's a "wow!" moment for the patient and a significant source of growth for my practice." - Dr. Timothy Hess, DDS

Icon

Icon Smooth Surface Mini Kit  
220402 Each Patient Pack treats 2-3 lesions (2 patient packs). It includes:
1 0.45ml Syringe Icon-Etch
1 0.45ml Syringe Icon-Dry
1 0.45ml Syringe Icon-Infiltrant
6 Smooth Surface Tips
1 Luer-Lock Tip
   
Icon Smooth Surface Cube  
220403 Each Patient Pack treats 2-3 lesions (7 patient packs). It includes:
1 0.45ml Syringe Icon-Etch
1 0.45ml Syringe Icon-Dry
1 0.45ml Syringe Icon-Infiltrant
6 Smooth Surface Tips
1 Luer-Lock Tip
   
Icon Etch-Refill  
220385 Smooth Surface Etch & Tips
3 0.45ml Syringes Icon-Etch
15 Smooth Surface Tips
   
Icon Proximal Mini Kit  
220400 Each Patient Pack treats 2 lesions (2 patient packs). It includes:
1 0.30ml Syringe Icon-Etch
1 0.45ml Syringe Icon-Dry
1 0.45ml Syringe Icon-Infiltrant
6 Proximal Tips
4 Dental Wedges
1 Luer-Lock Tip
   
Icon Proximal Cube  
220401 Each Patient Pack treats 2 lesions (7 patient packs). It includes:
1 0.30ml Syringe Icon-Etch
1 0.45ml Syringe Icon-Dry
1 0.45ml Syringe Icon-Infiltrant
6 Proximal Tips
4 Dental Wedges
1 Luer-Lock Tip
Downloads
  • Icon

    One Minute Product Meeting

    Download

  • Icon

    Icon Etch Refill Instructions for Use

    Download

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Sours: https://www.dmg-america.com/
ICON Treatment Tutorial

Dental code for icon treatment

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Listing Results Dental code for icon treatment

New Codes Coming Jan. 1, 2013: Resin Infiltration And


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5 hours agoIcon is a caries infiltrant that is being used in many dental offices to treat early carious lesions and carious white spot lesions with a minimally invasive procedure. Icon is manufactured by DMG America, which relies upon research showing that …

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9 hours ago The American Dental Association (ADA) has announced that resin infiltration of incipient smooth surface lesions is now covered by a 2013 CDT Code classification. The newly defined classification allows practices to accurately code and bill for Icon by DMG America,

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Just Now Englewood, NJ – December 1, 2012—The American Dental Association (ADA) has announced that resin infiltration of incipient smooth surface lesions is now covered by a 2013 CDT Code classification.The newly defined classification allows practices to accurately code and bill for Icon® by DMG America, a resin infiltration technology that fills, reinforces, and stabilizes demineralized enamel

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Just Now The Dental Data Reporting System of the IHS accepts all procedure codes listed in the Current Dental Terminology (CDT) published by the American Dental Association as well as unique codes (in boldface) created by the IHS. Use of exam codes: The 0114 Screening Exam is used when no dental chart is made (e.g., large groups of school children).

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8 hours agoIcon is a relatively new dental treatment for addressing this cosmetic issue. Here is a basic overview of how the process works: Pitarra, your cosmetic dentist in Corpus Christi, slightly erodes the surface of the white spots in order to expose the porous layer underneath.

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7 hours ago incipient proximal dental lesions. Icon Resin Infiltrant – Smooth Surface is a spe - cially developed infiltration product for smooth surfaces, particularly well-suited to remove white spots and treat incipient caries, especially those related to orthodontic treatment. Indications • Micro-invasive treatment of non-cavitat-ed dental enamel

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3 hours ago of treatment on the Internet and volunteered a strong desire for infiltration treatment to improve the dentofacial esthetics. Together with the patient, the scope of the treatment was determined: treatment of the changes in enamel in the esthetically relevant areas of …

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7 hours ago To date, it’s been the most effective treatment modality I’ve had for dealing with fluorosis stains, white spot lesions and decalcified spots. Recently I started implementing DMG's ICON treatment. It’s resin infiltration that “fills in” the de-calcified areas leading to the white spots.

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3 hours ago The lesions were infiltrated with the ICON-infiltrant for three minutes (Fig. 9), air dried, flossed, and light cured for 40 seconds (Fig.10). The lesion was infiltrated for an additional 1 minute and light cured for 40 seconds. The esthetic masking effect of the treatment was evident immediately upon completing the treatment (Fig. 11). Prior

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3 hours ago from orthodontic treatment, for aesthetic purposes. The code is used to describe a proprietary product (Icon Smooth Surface Caries Infiltration, DMG America Ridgefei ld park, New Jersey) and is not indicated due to insufficient e vidence of effci acy. Coverage Limitations and Exclusions

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7 hours ago You can choose what works best for you. If you want to change how it paints on the tooth chart, in the Office Manager, from the Maintenance menu, point to Practice Setup, and then click Procedure Code Setup. Under Procedure Code Category, select Conditions, select 15114 Unerupted Tooth, and then click Edit. Make the desired changes.

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7 hours ago Not a valid code. Heading only. Arrested dental caries Excessive attrition of teeth Odontoclasia Other dental caries Dental caries, unspecified Abrasion of teeth STANCES IN WHICH THESE ICD-10 CODES MAY BE USED SERVICE PROVIDERS SHOULD BE AWARE THAT AN ICD-10 CODE IS A DIAGNOSTIC CODE. i.e. A CODE GIVING THE REASON FOR A PROCEDURE; SO THERE MIGHT …

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Frequently Asked Questions

How is icon used to treat dental lesions?

Icon® is used for the microinvasive treatment of dental lesions in the proximal region and on smooth surfaces. In one patient visit, and with no drilling, Icon® can arrest the progression of early enamel lesions (caries) and white spot caries-like lesions.

What does the icon mean in dental terms?

Icon represents a revolutionary new approach to treat incipient caries: a caries infiltrant. This breakthrough micro-invasive technology fills and reinforces demineralized enamel without drilling or anesthesia, up to the first third of dentin (D1).

Are there any coding guidelines for dentists?

not present date 1 date 1 Procedure Code Procedure Code iCd 10 Code 8104 Examination Z01.2 8110 Sterile instrumentation Z01.2 8109 X 2 Infection control Z01.2 3 more rows ...

What are the benefits of icon dental resin infiltration?

Icon Dental is a cutting-edge no drill dental resin infiltration system. Using Icon, our pediatric dentists are able to treat both early-stage cavities (caries), without the need for cavity drilling, as well as treat undesirable white spots on teeth. What are the benefits of Icon dental resin infiltration?

Sours: https://convertf.com/dental-code-for-icon-treatment/

Code icon dental

Treating Post-Orthodontic White Spots: A Conservative Resin Infiltration Technique

INTRODUCTION
White spot lesions are often the result of demineralization (the dissolution of enamel) which creates a subsurface pore system within sound enamel. As demineralization occurs, the enamel becomes increasingly honeycombed and can somewhat resemble the structure of a sponge. This subsurface pore system becomes filled with an air-fluid mixture that causes light to refract differently than the surrounding healthy tooth structure, thus causing the distinctive “white spots” on the surface.1

A growing number of dentists are utilizing a technique known as resin infiltration to treat both white spots and other incipient lesions. In 2009, a new resin infiltration system (Icon [DMG America]), the first and only product of its kind, was introduced. This resin system is designed to penetrate the porous defects in demineralized enamel and to halt the progression of proximal lesions, making white spot lesions disappear.2

Understanding the Materials and Technique
Resin infiltration is a straightforward technique, but it is important to understand what needs to be accomplished for success, and what each of the product’s components delivers. The technique is exacting and requires strict adherence to the protocol to achieve the best outcomes. The resin infiltration system has 3 component parts. The first is Icon Etch, a 15% hydrogen chloride acid solution designed to remove the thin layer of remineralized enamel that generally covers areas of demineralization, such as post-orthodontic white spots.3 The second part is Icon Dry; a high concentration of alcohol designed to desiccate both the surface of the lesion and the subsurface porosity, which is the body of the lesion. Last, the Icon Resin is an ultraflowable resin that has a high penetration coefficient, one that is much greater than that of the most flowable adhesives available.4 It is this patented high-penetration resin that finds entry into the tiny pore system, reinforcing the enamel, improving the Vickers hardness, and refracting light similarly to that of healthy enamel.5 Remarkably, this resin stops lesion progression by establishing a diffusion barrier within the enamel matrix, strengthening the enamel by increasing the physical hardness of the enamel, while making it less resistant to further acid attack.6 The refractive index of the resin closely matches that of the dissolved enamel it is replacing, so the restoration blends with the surrounding tooth structure for excellent aesthetic results.7

CASE REPORT
Diagnosis and Treatment Planning

A 26-year-old female who was suffering from unsightly post-orthodontic white spots since the age of 12 years presented to the office. She liked the general shape and alignment of her teeth, but was increasingly unhappy about the white spots (Figures 1 and 2). In this particular case, the surfaces of teeth Nos. 4 to 13 were heavily demineralized, and the lesions were considered to be profound. Historically, 2 different regimens of remineralization treatments using popular remineralization products and techniques during an extended period of time had been attempted. Each had proven unsuccessful in masking the defects. The patient continued to seek a solution which then led to discussions on bleaching and cosmetic veneers. Eventually, I learned about the new resin infiltration system as a minimally invasive, lower-cost, and yet permanent solution to the problem.

Figure 1. The patient presented with significant white spot lesions that were clearly visible when smiling.
Figure 2. White spot lesions present where brackets were removed post-orthodontic treatment.
Figure 3. The teeth were isolated from gingival tissue using resin dam and OptraGate (Ivoclar Vivadent) for retraction. First applications of Icon Etch (DMG America) were placed only on the white spot lesions.
Figure 8. The patient, after final polishing of the curing resin infiltrant.
Figure 9. The patient was thrilled to have a more aesthetically pleasing smile.

Because the patient had undergone previous remineralization therapies, I was prepared for the substantially harder and more acid-resistant enamel surface layer covering the surface of the teeth.8 When using the Icon system, the clinician should be aware that aggressive remineralization attempts, prior to resin infiltration, may present a somewhat more complicated “surface removal step.” Normally, two 2-minute etching steps on white spot lesions are sufficient. However, the previous surface remineralization made the surface enamel of this patient harder and more resistant to the Icon Etch, requiring additional steps to penetrate the lesions.

Clinical Protocol
The patient was fitted with an OptraGate (Ivoclar Vivadent) for isolation and, due to the close proximity of the white spots to gingival tissue, a light-cured resin material (FastDam [Spectrum Dental]) was placed along the gingival border to protect the tissue from exposure to the Icon Etch.

Prior to the etching/surface removal procedure, the surface of the teeth was gently abraded with a medium-grit flexible disk (Medium Sof-Lex Contouring and Polishing Disc [3M]). This procedure, when done conservatively, removes only a very thin layer of the surface enamel and does not harm the surface of the teeth. Next, the enamel surfaces of teeth Nos. 4 to 13 were etched for 2 minutes using the Icon Etch (Figure 3). The etchant was periodically massaged against the tooth surfaces to freshen the acid against each surface. The etchant was then suctioned and removed with cotton gauze, and the etching procedure was repeated using the same protocol for another 2-minute period (Figure 4). The teeth were then thoroughly rinsed with copious amounts of water. Next, the surfaces of the teeth were dried for an extended period, knowing that the desiccation of the tooth surface and subsurface pore structure is most critical to a successful outcome. At this point, I focused attention on the centrals for application of the Icon Dry. This is also a critical waypoint that must be understood by all who would employ Icon in their treatment strategies. The Icon Dry performs double duty in the technique; it provides a proof check that the enamel surface has been removed, as well as that of an effective drying agent. To “proof” your work, apply just a drop or 2 of Icon Dry, and then the appearance of the lesion should be carefully observed. Should the lesion experience a positive, more natural appearance, it is a sure indication that the surface enamel has been removed (Figures 5 and 6).7 However, should the surface remain unchanged and very whitish in appearance, it should be assumed that enamel remains atop the lesion. Additional removal of enamel will be necessary.

In this case, a third etching step proved necessary, but only on certain surfaces. Following the final rinse and drying step, we were able to proceed with the resin infiltration step. The etched surface must be kept free of saliva and other contaminates and, if contamination occurs, simply re-etch for 10 seconds.

The infiltration was completed in 2 separate steps; an initial 3-minute infiltration in which individual lesions or entire surfaces were coated with a thin layer of the resin infiltrant (Figure 7). It is during this period that the Icon Resin is drawn into the desiccated lesions by way of capillary action. Attention should be kept that the surfaces being treated be kept “glistening,” thus providing a constant source of resin for the thirsty lesions. At the end of the infiltration step, excess resin was removed by means of a cotton roll (or similar) and contact areas cleared utilizing dental floss prior to light-curing. The treated surfaces were then individually light-cured for 30 to 40 seconds. (This time period has been recommended by a number of clinicians who have written on the topic.) Per manufacturer’s instructions, it is important that light-curing units used for this procedure have an output of 450 nm and a light intensity of at least 800 mW/cm.9 The light should be placed as close to the material as possible but should not touch the material. Following the first infiltration step, a second infiltration step is required; this step addresses any minor polymerization shrinkage that may have occurred and seals microgaps at the surface.6 The case was then completed by utilizing composite polishing instruments to bring the surface to a smooth texture.

CLOSING COMMENTS
Since its introduction in 2009, Icon has been the subject of literally hundreds of studies, the subject of numerous case reports, and has been discussed in professional forums around the world. This resin infiltration technique has received its own CDT Code, D2990, in 2013 from the ADA Code Committee.

The resin infiltration product and technique, described and demonstrated in this clinical case report, represents a significant step forward in the minimally invasive treatment of incipient caries lesions, post-orthodontic white spots, as well as mild to moderate fluorosis cases (Figures 8 and 9).


References

  1. Kim S, Kim EY, Jeong TS, et al. The evaluation of resin infiltration for masking labial enamel white spot lesions. Int J Paediatr Dent. 2011;21:241-248.
  2. Paris S, Meyer-Lueckel H. Infiltrants inhibit progression of natural caries lesions in vitro. J Dent Res. 2010;89:1276-1280.
  3. Meyer-Lueckel H, Paris S, Kielbassa AM. Surface layer erosion of natural caries lesions with phosphoric and hydrochloric acid gels in preparation for resin infiltration. Caries Res. 2007;41:223-230.
  4. Meyer-Lueckel H, Paris S. Infiltration of natural caries lesions with experimental resins differing in penetration coefficients and ethanol addition. Caries Res. 2010;44:408-414.
  5. Palamara JEA, Tyas M, Burrow MF. Resin infiltrated artificial caries lesions examined by polarized light microscopy and micro-hardness tests. In: Icon Science Book: Micro-invasive Caries Treatment with Resin Infiltration. 3rd ed. London, England: Icon Books; 2010.
  6. Paris S, Schwendicke F, Seddig S, et al. Micro-hardness and mineral loss of enamel lesions after infiltration with various resins: influence of infiltrant composition and application frequency in vitro. J Dent. 2013;41:543-548.
  7. Torres CRG, Borges AB, Torres LMS, et al. Effect of caries infiltration technique and fluoride therapy on the color masking of white spot lesions. J Dent. 2011;39:202-207.
  8. Koenigs PM, Faller RV. Fundamentals of dentifrice: oral health benefits in a tube. dentalcare.com/en-US/dental-education/continuing-education/ce410/ce410.aspx?ModuleName=course­content&PartID=1&SectionID=-1. Accessed July 23, 2016.
  9. DMG America. Icon Resin Infiltration Product [instructions for use]. dmg-america.com/catalog/infiltrant/icon. Accessed July 23, 2016.

Dr. Winter started working in her father’s dental practice as a teenager. She received her bachelor of science from University of Southern California (2001) and graduated magna cum laude from the University of Nevada, Las Vegas School of Dental Medicine in 2010. She currently practices comprehensive restorative and aesthetic dentistry in San Diego (Hornbrook Center for Dentistry) and in Chino Hills (Fabozzi Dental), Calif. Dr. Winter is a member of the American Academy of Cosmetic Dentistry and the AGD. She can be reached via email at [email protected]

Disclosure: Dr. Winter reports no disclosures.

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