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PROSTHODONTICS - American College of Prosthodontists

PROSTHODONTICS - American College of Prosthodontists

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74 Parameters <strong>of</strong> Care Tupac et all. Material failure/incompatibilitym. Continued psychosocial problemsn. Lack <strong>of</strong> patient compliance or understanding11G) Auricular Defect1. Acquired2. Congenital and DevelopmentalAuricular acquired and congenital defects may be partial or total; various types <strong>of</strong> grafted tissue orimplants may be present. An auricular prosthesis is intended to potentially restore both the anatomicaspects <strong>of</strong> the auricle as well as provide the function <strong>of</strong> sound guidance and support other devices suchas eyeglasses or hearing aids.The educationally qualified prosthodontist is best trained to evaluate and treat the patient forrestoration <strong>of</strong> the defect.Areas <strong>of</strong> consideration and reference include but are not limited to:Auricular ProsthesisFacial Augmentation ImplantsFacial MoulageFacial Moulage, SectionalFacial ProsthesisFacial Prosthesis, ReplacementImplant RetentionParameter Guidelines: Auricular DefectICD-9 Codes161.1171.1172.2173.2212.0216.2237.70–237.72744.0–744.09744.1744.21–744.29744.3A. Indications for care1. Restoration <strong>of</strong> facial form2. Psychosocial implications3. Patient request for treatment4. Pr<strong>of</strong>essional referral5. Efficacy <strong>of</strong> treatment compared with surgical alternatives6. Unsatisfactory surgical result7. Improve directional hearingB. Therapeutic goals1. Restore facial form2. Potential to restore directional hearing3. Restore esthetics4. Improved patient self-esteem and quality <strong>of</strong> life2010 CDEL Re-recognition <strong>of</strong> the Specialty Report 114 <strong>of</strong> 279

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