PROSTHODONTICS - American College of Prosthodontists

102 Parameters of Care Tupac et alB. Therapeutic goals1. Improved mastication2. Reduction of pain/discomfort3. Esthetics4. Occlusal rehabilitation5. Improved support of TM joint and orofacial muscles6. Positive psychosocial response7. Restore intra-arch and interarch integrity and stability by replacement of teeth and associatedstructures.8. Improved tooth form and function9. Improved treatment prognosis10. Improved prosthetic support or retention11. Transitional restorationC. Risk factors affecting the quality of treatment1. Dyskinesia2. Preexisting systemic conditions3. Hyperactive gag reflex4. Xerostomia5. Increased salivation6. Periodontal disease7. Endodontic complications8. Occlusal factors9. Skeletal factors10. Inadequate tooth structure11. Parafunctional habits12. Caries susceptibility13. Psychosocial factors14. Preexisting tooth position and alignment15. Inadequate hard and/or soft tissue16. Unrealistic patient expectationsD. Standards of care1. Preprosthetic preparationa. Appropriate nonsurgical evaluationb. Appropriate surgical evaluationc. Appropriate endodontic evaluationd. Appropriate periodontal evaluatione. Appropriate orthodontic evaluation2. Transitional fixed partial denture prostheses [D6253, D6793 CDT 2005]3. Transitional removable partial denture prostheses [D5211, D5212, D5820, D5821 CDT 2005]4. Transitional complete denture [D5130, D5140, D5810, D5811 CDT 2005]5. Transitional implants and associated prostheses [D6000-D6199 CDT 2005]6. Implant supported or retained prostheses [D6000-D6199 CDT 2005]7. Maintenance of existing prostheses [D5410-D5899 CDT 2005]8. Pretreatment follow-up [D5410-D5899 CDT 2005]9. Patient education10. Informed consentE. Specialty performance assessment criteria1. Favorable outcomesa. Improved masticationb. Improved speechc. Improved estheticsd. Improved swallowing2010 CDEL Re-recognition of the Specialty Report 142 of 279