PROSTHODONTICS - American College of Prosthodontists

78 Parameters of Care Tupac et ald. Tissue irritationse. Tissue changes, requiring prosthesis modificationf. Recurrence of diseaseg. Lack of patient complianceh. Change in color and appearance of prostheses with timei. Loss of retention1. Adhesive allergy or ineffectiveness2. Implants: Loss of integration3. Implant fractures of framework or implant retentive devicej. Loss of prosthesis/damage to prosthesisk. Changing season resulting in changing skin color11I) Nasal Defect1. AcquiredA nasal prosthesis provides more than just an esthetic replacement device. A stable nasal prosthesisimproves the patient’s self-esteem and ability to interact with society; it directs airflow and helps tomaintain humidity and protect nasal mucous membranes. The educationally qualified prosthodontisthas the scientific knowledge to work closely with surgical colleagues to achieve optimum care. Secondarysurgical reconstructive procedures, skin grafting, and the use of osseointegration reconstruction aftertumor removal can enhance prosthesis stability and success.Areas of consideration and reference include but are not limited to:Facial Augmentation Implants Prosthesis [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]Nasal Prosthesis [D5913 CDT-2005, 21087 CPT-2005]Parameter Guidelines: Nasal DefectICD-9 Codes160.0170.0172.3173.3195.0237.70–237.72446.3446.4744.81–744.89744.9A. Indications for care1. Restoration of facial form2. Psychosocial implicationa. Self-esteemb. Unwillingness to be seen in society3. Patient request for treatment4. Efficacy of treatment compared with surgical alternatives5. Unsatisfactory surgical result6. Professional referrals2010 CDEL Re-recognition of the Specialty Report 118 of 279