PROSTHODONTICS - American College of Prosthodontists

December 2005, Supplement, Volume 14, Number 4 755. Allow patient to wear jewelry6. Support use of eyeglasses7. Improve less-than-ideal surgical resultsC. Risk factors affecting quality of treatment (severity factors that increase risk and the potential forknown complications)1. Size and location of defect2. Presence and location of remaining auricular appendages3. Postradiation sequelae4. Psychosocial factors5. Patient’s age6. Unrealistic patient expectation7. Lack of patient compliance8. Environmental factors causing prosthesis instability9. Tissue irritation from reaction to materials10. Patient motor skills in proper prosthesis placement11. Inadequate retention/compromised retentionD. Standards of care1. Comprehensive clinical assessment2. Review medical history3. Surgical elimination of unacceptable tissue remnants4. Appropriate consultation and referrals for alternative treatment modalities5. Prosthesis compatibility with soft tissues6. Accurate impression, prosthesis design, and coloration7. Maintenance of prosthesis8. Patient education9. Evaluate for possible alternative means of retention, i.e., implants10. Post-treatment follow-up careE. Specialty performance assessment1. Favorable outcomesa. Improved psychosocial attitude and self-esteemb. Improved facial symmetryc. Improved estheticsd. Improved directional hearinge. Allow use of jewelryf. Improved wearing of eyeglasses2. Known risks and complicationsa. Unrealistic patient expectationsb. Loss of prosthesis/damage to prosthesisc. Change in color and appearance of prosthesis with timed. Tissue irritation from materials and/or allergic responsee. Lack of patient compliancef. Tissue changes requiring modification or refabrication of prosthesisg. Changing seasons resulting in changing skin colorh. Ulcerations, bruisesi. Recurrence of diseasej. Loss of retention11H) Orbital Defects: Evisceration, Enucleation, ExenterationOrbital evisceration, enucleation, exenteration, and/or degeneration establishes that at least one globehas been removed or involved. The surgical parameters determining evisceration versus exenteration, forthe most part, impact very little on the ocular prosthesis. Orbital exenteration due to tumors, however,2010 CDEL Re-recognition of the Specialty Report 115 of 279