PROSTHODONTICS - American College of Prosthodontists

66 Parameters of Care Tupac et alprosthesis in the case of insufficiency, a palatal lift prosthesis for incompetence, or a combination ofthese two prostheses.Areas of consideration and reference include but are not limited to:Maxillofacial Stabilizing ProsthesisPalatal Augmentation ProsthesisPalatal Lift Prosthesis, ModificationPalatal Lift Prosthesis, DefinitivePalatal Lift Prosthesis, InterimSpeech Aid, AdultSpeech Aid, ModificationSpeech Aid, PediatricParameter Guidelines: Palatopharyngeal IncompetenceICD-9 Codes145.0–147.9237.70–237.72377.9434.91744.81–744.89744.9749.00–749.04749.10–749.14749.20–749.25750.10–750.9A. Indications for care1. Unintelligible or socially unacceptable speech2. Loss of deglutition (regurgitation of food and/or fluid into nasal cavities and sinuses)3. Exposure of nasopharyngeal space (palatopharyngeal insufficiency)4. Poor patient self-esteem and quality of life5. Psychosocial factors6. Professional referralB. Therapeutic goals1. Speech improvement2. Improved deglutition3. Positive psychosocial response4. Improvement in patient self-esteem and quality of life5. Replace dento-alveolar anatomy6. Improved occlusion7. Improved masticationC. Risk factors affecting quality of treatment (severity factors that increase risk and the potential forknown complications)1. Neuromuscular disease2. Long-term prognosis3. Size and location of palatopharyngeal deformity4. Inadequate supporting structure – poor arch form and/or inadequate tooth numbers or form toinclude strategic position of teeth in the dental arch5. Edentulism (maxillary arch)6. Discordant maxillo-mandibular relations and occlusion7. Hyperactive gag reflex2010 CDEL Re-recognition of the Specialty Report 106 of 279