PROSTHODONTICS - American College of Prosthodontists

82 Parameters of Care Tupac et alC. Risk factors affecting quality of treatment (severity factors that increase risk and the potential forknown complications)1. Reduced hemopoietic functions2. Mucositis3. Candidiasis and other fungal infectious agents4. Weight loss5. Viral and bacterial-induced mucosal infection6. Poor oral hygieneD. Standards of care1. Appropriate clinical assessment2. Minimize xerostomia, ageusia, and anosmia3. Reduced periodontal risks4. Minimal mucositis5. Maintain adequate nutrition-body weight stability6. Continually monitor oral hygiene status7. Provide necessary noninvasive dental care8. Appropriate follow-up and treatment planning9. Management and maintenance of hard and soft tissue complicationsE. Specialty performance assessment1. Evaluate dental status before chemotherapy to eliminate potential oral, dental infection2. Monitor extraction sites for healing before the initiation of chemotherapy3. Educate patient regarding oral cancer and good dental hygiene during chemotherapy4. Monitor and treat mucositis11L) Implant Retained Extraoral ProsthesisCranial-based osseointegrated implants are capable of providing retention for a variety of extraoralprostheses needed for reconstruction of facial deformities. Eliminating the need for adhesives improvesthe convenience and longevity of the prosthetic device while eliminating much of the insecurity associatedwith patient apprehension and self-consciousness. Surgical and maxillofacial prosthetic pretreatmentplanning is critical to the successful application of these techniques. Thus, the educationally qualifiedprosthodontist is the most appropriately trained practitioner to create these prostheses.Areas of consideration and reference include but are not limited to:Facial Prosthesis [D5919 CDT-2005, 21088 CPT-2005]Cranial Based Osseointegrated ImplantsFacial Moulage [D5912 CDT-2005]Facial Moulage, Sectioned [D5911 CDT-2005]Facial Prosthesis [D5919 CDT-2005, 21088 CPT-2005]Facial Prosthesis Replacement [D5929 CDT-2005]Parameter Guidelines: Implant-Retained Extraoral ProsthesisICD-9 CodesRefer to subparameters 11F, 11G, 11H.A. Indications for care1. Restoration of facial form2. Psychosocial implication3. Patient request for treatment4. Efficiency of treatment compared with surgical referral5. Patient referral6. Unsatisfactory existing adhesive retained prosthesis2010 CDEL Re-recognition of the Specialty Report 122 of 279