PROSTHODONTICS - American College of Prosthodontists

62 Parameters of Care Tupac et al6. Limitation of opening—scar contracture or trismus7. Compromised or missing opposing dentition8. Hyperactive gag reflex9. Psychosocial factors10. Caries susceptibility11. Occlusal factors, to include altered mandibular envelope of motion, and/or altered and restrictedmandibular movement12. Preexisting systemic conditions13. Parafunctional habits14. Skeletal factors15. Neurological alterations to include changes in sensory input and neuromuscular function16. Periodontal/endodontic complications17. Saliva and salivary gland alterationsD. Standards of care1. Comprehensive clinical assessment2. Preprosthetic preparationa. Appropriate review of medical historyb. Appropriate consultation with physician/surgeonc. Appropriate oral surgical evaluationd. Appropriate endodontic evaluatione. Appropriate periodontic evaluationf. Appropriate dental specialty reviewg. Implant evaluation3. Placement of obturator prosthesesa. Surgical obturatorb. Interim obturatorc. Definitive obturator4. Adjunctive dental care to support or retain prosthesis5. Surgical revision or reconstruction6. Preprosthetic preparationa. Nonsurgicalb. Surgicalc. Endodonticd. Periodontale. Orthodontic7. Direct or perform intracoronal and extracoronal restorative procedures8. Education in proper prosthesis maintenance9. Post-treatment follow-upE. Specialty performance assessment1. Favorable outcomesa. Improved speechb. Improved masticationc. Improved deglutitiond. Improved estheticse. Improved self-imagef. Restoration of facial height and supportg. Airway supporth. Improved control of saliva and mucousi. Support to TM joint and orofacial musclesj. Satisfactory patient adaptation2. Known risks and complicationsa. Recurrence or progression of the diseaseb. Difficulties with speech, mastication, deglutition2010 CDEL Re-recognition of the Specialty Report 102 of 279