PROSTHODONTICS - American College of Prosthodontists

76 Parameters of Care Tupac et almay also involve partial or total removal of soft tissues and the bony zygoma, maxilla, and frontal bonesand may communicate with nasal and/or oral cavities. The loss of tissues that are involved with tumorsfrequently leaves the patient with severe facial deformity that may result in:1. Behavior maladjustment2. Prejudice regarding employment3. Difficulties in interpersonal relationships4. Altered voice quality5. Loss of self-esteem6. Sexual dysfunctionThe educationally qualified prosthodontist is most trained to design and fabricate prostheses to treatand manage these disorders.Areas of consideration and reference include but are not limited to:Facial Augmentation Implants [D5925 CDT-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]Ocular Prosthesis, Interim [D5923 CDT-2005]Ocular Prosthesis [D5916 CDT-2005]Orbital Prosthesis [D5915 CDT-2005, 21077 CPT-2005]ImplantParameter Guidelines: Orbital DefectICD-9 Codes170.0171.1173.1173.2173.3190.0–190.9216.1237.70–237.72446.4743.00–743.06743.10–743.12A. Indications for care1. Loss of sensory organ (eye) resulting in blindness2. Facial soft tissue deformity, resulting from skin, muscle, and connective tissue loss3. Facial hard tissue deformity, resulting from loss of bone and cartilage4. Exposure of nasal, frontal, and sphenoid sinuses5. Degenerated orbit (sclera shell)6. Loss of self-esteem7. Professional referralsB. Therapeutic goals1. Mobility coordination with contralateral side (ocular)2. Color stable and correct (ocular/orbital)3. Size conformity with contralateral side (ocular/orbital)4. Improve facial, ocular, and orbital form5. Improve voice quality2010 CDEL Re-recognition of the Specialty Report 116 of 279