PROSTHODONTICS - American College of Prosthodontists

December 2005, Supplement, Volume 14, Number 4 79B. Therapeutic goals1. Improve facial form2. Potential to protect nasal mucous membranes3. Improved esthetics4. Improved patient self-esteem and quality of life5. Improved air flow6. Improved speechC. Risk factors affecting quality of treatment (severity factors that increase risk and the potential forknown complications)1. Size and location of defect2. Quality of tissues3. Preradiation sequelae4. Psychosocial factors5. Patient’s age6. Patient’s expectation and motivation7. Patient’s compliance8. Tissue irritation from reaction to materials9. Adjunctive treatment sequelaeD. Standards of care1. Pretreatment evaluationa. Review medical historyb. Maxillofacial examc. Dental examination2. Consider adjunctive pretreatment surgical revision of site to include consideration for implants3. Consider appropriate consultation and referrals for alternative treatment modalities (skin graftimplants)4. Appropriate material selection and coloration5. Accurate impression, prosthesis design, and alternative retention modalities6. Maintenance of prosthesis7. Patient education8. Post-treatment follow-up careE. Specialty performance assessment1. Favorable outcomesa. Improved psychosocial attitude and self-esteemb. Improved facial symmetryc. Improved estheticsd. Improved air flowe. Protect nasal mucous membranes2. Known risks and complicationsa. Unrealistic patient expectationsb. Loss and/or damage to prosthesisc. Change in color and appearance of prosthesis with timed. Tissue irritation from materials and allergic response, inflammation, or ulceratione. Lack of patient compliancef. Tissue changes requiring modification or refabrication of prosthesisg. Recurrence of diseaseh. Loss of retentioni. Adhesive allergyii. Implants: Loss of integrationiii. Implants: Fracture of framework or implant-retained devisei. Loss of prosthesis/damage to prosthesisj. Changing seasons resulting in changing skin color2010 CDEL Re-recognition of the Specialty Report 119 of 279