Free Alveoloplasty Note Template (D7310, D7311, D7320, D7321)
An alveoloplasty note has to show bone recontouring that went beyond the minor smoothing every extraction already includes. This template documents the quadrant and the number of teeth or tooth spaces, why the ridge needed recontouring, how it was done, closure, and the prosthesis it prepares for.
By Yasmin Byott, DDS, MS · Founder, ButterNote · Updated
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Alveoloplasty in conjunction with extractions, [upper right] quadrant, [#2-5, 4 teeth/tooth spaces] (D7310). Medical history reviewed; [no changes; no antiresorptive medications; no head and neck radiation]. Indication: [irregular alveolar crest with sharp buccal bony prominences and undercuts after extraction of #2-5, which would interfere with seating the immediate denture]. Consent obtained, including [pain, swelling, bleeding, and infection]. Local anesthesia: [2] carpules of [4% Septocaine 1:100k epi] via [buccal and palatal infiltration]. [Extractions #2-5 completed, see extraction note.] [Crestal incision from #1 to #6]; full-thickness mucoperiosteal flap reflected. Alveolar ridge recontoured with [rongeurs and a bone file] [and a surgical bur under copious sterile saline irrigation]; sharp edges and undercuts removed while preserving ridge height. Ridge palpated through the repositioned tissue: smooth, no sharp edges. Site irrigated; flap closed with [4-0 chromic gut, continuous]. Hemostasis achieved. [Immediate denture inserted and adjusted.] Post-operative instructions given verbally and in writing. Analgesics: [ibuprofen with or without acetaminophen as directed]. Next visit: [post-op check and denture adjustment in 24-48 hours].
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When to use this template
Use this alveoloplasty note template when you recontour the alveolar ridge, most often to prepare for a denture, an immediate denture, or other prosthetic treatment. CDT has four codes, chosen by whether extractions were done in the same area and how many teeth or tooth spaces the recontouring covered in the quadrant: D7310 (in conjunction with extractions, four or more teeth or tooth spaces, per quadrant), D7311 (in conjunction with extractions, one to three), D7320 (not in conjunction with extractions, four or more), and D7321 (not in conjunction with extractions, one to three). A quadrant runs from the midline distally to the last tooth.
The descriptors state that the alveoloplasty is a distinct, separate procedure from extractions. AAOMS coding guidance adds the practical test: it is reported only when bone recontouring is needed, not for the lesser procedure of minor smoothing of the socket bone, which is included in the extraction. Some payers consider an alveoloplasty performed in the same area as a surgical extraction to be part of the extraction. So the note has to describe a separate problem and a separate procedure: what was wrong with the ridge (sharp edges, irregular crest, bony prominences, undercuts that would block a denture), where, and how it was corrected.
Record the technique: incision and flap if used, the instruments (rongeurs, bone file, bur under irrigation), the extent by site, and the result, such as a smooth ridge without undercuts and with ridge height preserved. Record closure, hemostasis, and any immediate denture insertion. Removal of tori and exostoses has its own codes, so document those separately if you do them at the same visit. Note medical history that matters for bone surgery, such as antiresorptive medications or prior head and neck radiation.
Step by step: how to document this alveoloplasty
- 1
Define the problem
Record the ridge problem, its location, and the prosthesis it would affect.
- 2
Consent and anesthetize
Record consent, relevant medical history, and the anesthetic, volume, and technique.
- 3
Expose
Record the incision and flap design if a flap was reflected.
- 4
Recontour
Record the instruments, irrigation, and the sites recontoured, preserving ridge height.
- 5
Verify and close
Palpate for a smooth ridge, irrigate, and record sutures and hemostasis.
- 6
Instruct and follow up
Record post-operative instructions, analgesics, any immediate denture, and the follow-up.
Tips for using this template
- check_circleName the quadrant and count the teeth or tooth spaces. Those two facts, plus whether extractions were done, pick the code.
- check_circleWrite the separate reason: the ridge problem that needed recontouring. Minor smoothing of the socket is part of every extraction and is not an alveoloplasty.
- check_circleDescribe the technique and extent by site: flap, instruments, irrigation, and the result.
- check_circleUse the right pair: D7310/D7311 with extractions in the area, D7320/D7321 without.
- check_circleExpect scrutiny when the alveoloplasty is in the same area as surgical extractions. Some payers bundle it there, so the narrative has to show a distinct procedure.
- check_circleTorus and exostosis removal have their own codes. Document and report them separately.
- check_circleRecord the prosthetic plan (immediate denture, conventional denture, partial) that the recontouring serves.
- check_circleScreen and record antiresorptive medications and head and neck radiation before elective bone surgery.
Standards & references
- AAOMS Coding Corner: Alveoloplasty and extraction coding (2025): AAOMS guidance on D7310 to D7321: report only when recontouring is needed, not minor smoothing; quadrant definition; payer bundling.
- ADA Code on Dental Procedures (CDT): Alveoloplasty codes D7310, D7311, D7320, and D7321 and their descriptors.
- AAOMS Parameters of Care: American Association of Oral and Maxillofacial Surgeons clinical guidelines, including dentoalveolar surgery.
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