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The CPT® Code 21453 refers to the closed treatment of a mandibular fracture utilizing interdental fixation. This procedure is performed without the need for surgical incisions, making it a less invasive option for managing fractures of the lower jaw, or mandible. During this treatment, the physician employs wires and arch bars to stabilize the fractured segments of the jaw, ensuring proper alignment and healing. In cases where the patient is edentulous, meaning they do not have any natural teeth, the physician may first create dentures or acrylic splints. These devices are then affixed to the jaw to provide a stable base before the arch bars and wires are applied. This method of treatment is crucial for restoring function and aesthetics to the jaw while minimizing complications associated with more invasive surgical techniques.
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