PROSTHODONTICS - American College of Prosthodontists

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72 Parameters of Care Tupac et al11F) Traumatic InjuryTraumatic injury often causes unique tissue problems. The educationally qualified prosthodontist is besttrained to evaluate the defect and coordinate, manage, and design prostheses to deal with the resultantdefect(s). The prosthesis can restore form and function and reestablish partitions between contiguouscavities. The treatment of these problems, especially the more complex ones, often involves multiplesurgeries to attempt reconstruction, necessitating multiple prostheses used over time.Areas of consideration and reference include but are not limited to:Auricular Prosthesis [D5914 CDT-2005, 21086 CPT-2005]Commissure Splint [D5987 CDT-2005]Cranial Implants [62140 CPT-2005]Facial Augmentation Implants [62141 CPT-2005]Facial Moulage [D5912 CDT-2005]Facial Moulage, Sectional [D5911 CDT-2005]Facial Prosthesis [D5919 CDT-2005, 21088 CPT-2005]Facial Prosthesis, Replacement [D5929 CDT-2005]Nasal Prosthesis [D5913 CDT-2005, 21087 CPT-2005]Nasal Septal Prosthesis [D5922 CDT-2005]Obturator Prosthesis, Definitive [D5932 CDT-2005, 21080 CPT-2005]Obturator Prosthesis, Interim [D5936 CDT-2005, 21079 CPT-2005]Ocular Prosthesis [D5916 CDT-2005]Ocular Prosthesis, Interim [D5932 CDT-2005]Surgical Splint [D5988 CDT-2005]Surgical Stent [D5982 CDT-2005]Trismus Device [D5937 CDT-2005]Dental ProsthesesParameter Guidelines: Traumatic InjuryICD-9 Codes801–804.9870–873.9910–910.9A. Indications for care1. Loss of soft or hard tissue in the head or neck area2. Assess location of fragments of teeth, bone, restorations, or foreign objects after trauma3. Professional/patient referral/request4. Poor patient self-esteem and quality of life5. Surgical techniques do not adequately restore missing tissuesB. Therapeutic goals1. Coordinate appropriate care with other health professionals2. Improve function and appearance (ideal)3. Improve partition between various head and neck spaces4. Control fluids5. Assist airflow6. Improve speech7. Improve deglutition8. Treat dento-alveolar structures9. Improve patient’s self-esteem and quality of life2010 CDEL Re-recognition of the Specialty Report 112 of 279
December 2005, Supplement, Volume 14, Number 4 73C. Risk factors affecting quality of treatment (severity factors that increase risk and the potential forknown complications)1. Increased scarring2. Loss of hard and soft tissues3. Decreased oral opening may restrict access4. Collapse or loss of arch integrity5. Loss of dento-alveolar structures6. Premorbid prosthetic experience7. Other disease processes or medications that may compromise results8. Altered neurological condition and/or response9. Treatment delayed because of other more urgent or life-threatening care10. Inability to properly maintain restoration because of additional injuries (i.e., quadriplegia)11. Psychosocial12. Patient’s expectations13. Lack of patient motivation and/or complianceD. Standards of care1. Comprehensive clinical assessment2. Appropriate consultation and referral for alternative treatment modalities3. Prosthesis to include surgical stents, splints, intraoral and extraoral prostheses (if applicable)4. Adjunctive dental care to support or retain prosthesis5. Prosthetic preparationa. Review of medical historyb. Maxillofacial examinationc. Dental examinationd. Implante. Medical6. Educate in proper prosthesis maintenance7. Post-treatment follow-upE. Specialty performance assessment1. Favorable outcomesa. Improved speechb. Improved masticationc. Improved deglutitiond. Improved estheticse. Improved self-imagef. Improved facial height and supportg. Airway supporth. Support to muscles and jointsi. Patient adaptationj. Improved control of fluids2. Known risks and complicationsa. Difficulties with speech, mastication, deglutitionb. Unstable/unretained prosthesisc. Tissue changes requiring new prosthesis/modificationd. Additional surgical procedures requiring new prosthesis/modificatione. Unrestored tissue deficit (especially neurologic)f. Degradation of support structures including dento-alveolar complexg. Fluid incompetencyh. Unrealistic expectationsi. Ulceration of tissuesj. Alterations in sensory perception (taste, smell)k. Delayed dento-alveolar complications2010 CDEL Re-recognition of the Specialty Report 113 of 279
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COUNCIL ON DENTAL EDUCATION AND LIC
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A. General InformationThe American
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The American College of Prosthodont
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Changes in Scope of PracticeThe Ame
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ReferencesThe American College of P
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ENVISIONED FUTURE~ 10-30 YEAR HORIZ
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Prosthodontists will provide prosth
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GOALS AND OBJECTIVES~ 3-5 YEAR PLAN
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E4. Create effective linkages to fu
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Journal of ProsthodonticsImplant, E
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December 2005, Supplement, Volume 1
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184 Classification System Jor Parti
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186 Classification Systemfor Partia
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188 Classification System jor Parti
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Figure 4. Class IV palienl. Edenlul
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I192 Classification Sy stemfor Part
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74 Classification System for the Co
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ORALCANCERSCREENING,EXAMINATIONANDB
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ChrisBornITProjectManagerLomaLindaU
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THOSEATRISKFORORALCANCERWhoisatrisk
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Inaprospectivestudy(NIH‐AARPDieta
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AgedataWhenexaminingdatafrom19agegr
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Whatisthestatusofcommunityscreening
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ReferencesArbesSJ,OlshanAF.CaplanDJ
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THEPROCESSOFONCOGENESISIntroduction
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tightregulationoftranscriptionaleve
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withalloftheotherhallmarksinplace,a
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THERADIOGRAPHICEXAMINATIONCanradiog
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thinningorperforationofthecortices,
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lymphoma)andprimarycarcinomas,areen
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Figure4EffectsonadjacentstructuresW
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fromaprimarylesioninboneorthesoftti
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THEORALCANCERSCREENINGEXAMINATIONTh
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Society’sABCDERule:lookforAsymmet
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Function:Paraesthesia,paralysis,pai
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Examinetheentireheadandneckincludin
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Figure11IntraoralexaminationTheintr
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Figure13Thesoftpalate,uvula,andtons
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Figure15Examinationofthetongueisthe
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Figure18Finally,thefloorofthemouthn
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MANAGEMENTOFSUSPICIOUSORALLESIONSIn
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Tables1through10ThoseatriskTable1 4
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Table3 512010 CDEL Re-recognition o
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Table6 532010 CDEL Re-recognition o
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Table9Table10 552010 CDEL Re-recogn
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CPE Course History From 2000-2010Da
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Accreditation Standards forAdvanced
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Document Revision History (continue
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Mission Statement of theCommission
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PrefaceMaintaining and improving th
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Definitions of Terms Used in Prosth
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Educationally Qualified: An individ
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Intent: Major changes have a direct
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STANDARD 2 - PROGRAM DIRECTOR AND T
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STANDARD 3 - FACILITIES AND RESOURC
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STANDARD 4 - CURRICULUM AND PROGRAM
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Intent: Students will have in depth
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4-18 Students/Residents must be exp
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STANDARD 5 - ADVANCED EDUCATION STU
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STANDARD 6 - RESEARCHAdvanced speci
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PROSTHODONTICS - American College of Prosthodontists

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