PROSTHODONTICS - American College of Prosthodontists

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March 1.999, Volume 8, iVumber I 33dentition. Examine the patient and assign a class asfollows:Figure 12. Type D mandibular muscle attachments. Onlythe posterior lingual vestibule remains.0 Class I (most favorable): Maxillomandibular relationallows tooth position that has normal articulationwith the teeth supported by the rcsidualridge.Class II: Maxillomandibular relation requires toothposition outside the normal ridge relation to attainesthetics, phonetics, and articulation (eg, anterioror posterior tooth position is not supported by theresidual ridge; anterior vertical and/or horizontaloverlap exceeds the principles of fully balancedarticulation).0 Class III: LIaxillomandibular relation requirestooth position outside the normal ridge relationto attain esthetics, phonetics, and articulation(ie crossbitc-anterior or posterior toothposition is not supported by the residual ridge).Figure 13. Type E mandibular muscle attachmeiits. Nodiscernible vestibular anatomy remains.0 Genioglossus and meritalis muscle attachmentsnear crest of alveolar ridge.15Type D (Fig 12)0 Attached mucosal basc only in the posterior lingualregion.0 Mucosal base in all other regions is detached.Type E (Fig 13)No attached mumsa in any region.Maxilhadiibular RelationshipThe classification of the maxillomandibular relationshipcharacterizes the position of the artificial teethin relation to the residual ridge and/or to opposingIntegration of Diagnostic FindingsThe previous four subclassifications are importantdeterminants in the overall diagnosticclassification of complete edentulism. In addition,variables that can be expected to contribute toincreased treatment difficulty are distributedacross all classifications according to their significance.Classification Systemfor Complete EdentulismClass I (Fig 14 A-H)This classification level characterizes the stage ofederitulism that is most apt to be successfully treatedwith complete dentures using conventional prosthodontictechniques.6 All four of the diagnostic criteriaare favorable.Residual bone height of 21 mm or greater measuredat the least vertical height of the mandibleon a panoramic radiograph.Residual ridge morphology resists horizontal andvertical movement of the denture base; Type Amaxilla.Location of muscle attachments that arc conducivetu denture base stability and retention; TypeA or B mandible.Class I maxillomandibular relationship.2010 CDEL Re-recognition of the Specialty Report 152 of 279
Figure 14. Class Ipatient. (A) Panoramic radiograph. (B) Facial view at the approximate occlusal vcrtical dimension. (C)Otclusal view: maxillary arch. (0) Occlusal view: mandibular arch. (Ej Facial view: tongue in resting position. (4 Facialview: tongue elevated. (G) Lateral view of mandible: patient right. (23) Lateral view of mandible: patient left.2010 CDEL Re-recognition of the Specialty Report 153 of 279
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COUNCIL ON DENTAL EDUCATION AND LIC
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A. General InformationThe American
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The American College of Prosthodont
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Changes in Scope of PracticeThe Ame
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ReferencesThe American College of P
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ENVISIONED FUTURE~ 10-30 YEAR HORIZ
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Prosthodontists will provide prosth
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GOALS AND OBJECTIVES~ 3-5 YEAR PLAN
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E4. Create effective linkages to fu
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Journal of ProsthodonticsImplant, E
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December 2005, Supplement, Volume 1
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Page 101 and 102: December 2005, Supplement, Volume 1
Page 145 and 146: COUNCIL ON DENTAL EDUCATION AND LIC
Page 147 and 148: 28 Cllas$caizon of Complete Edentul
Page 149 and 150: 30 Clmsjfication ofCom&e Edentulirm
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withalloftheotherhallmarksinplace,a
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THERADIOGRAPHICEXAMINATIONCanradiog
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thinningorperforationofthecortices,
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lymphoma)andprimarycarcinomas,areen
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Figure4EffectsonadjacentstructuresW
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fromaprimarylesioninboneorthesoftti
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THEORALCANCERSCREENINGEXAMINATIONTh
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Society’sABCDERule:lookforAsymmet
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Function:Paraesthesia,paralysis,pai
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Examinetheentireheadandneckincludin
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Figure11IntraoralexaminationTheintr
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Figure13Thesoftpalate,uvula,andtons
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Figure15Examinationofthetongueisthe
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Figure18Finally,thefloorofthemouthn
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MANAGEMENTOFSUSPICIOUSORALLESIONSIn
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Tables1through10ThoseatriskTable1 4
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Table3 512010 CDEL Re-recognition o
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Table6 532010 CDEL Re-recognition o
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Table9Table10 552010 CDEL Re-recogn
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CPE Course History From 2000-2010Da
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Accreditation Standards forAdvanced
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Document Revision History (continue
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Mission Statement of theCommission
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PrefaceMaintaining and improving th
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Definitions of Terms Used in Prosth
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Educationally Qualified: An individ
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Intent: Major changes have a direct
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STANDARD 2 - PROGRAM DIRECTOR AND T
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STANDARD 3 - FACILITIES AND RESOURC
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STANDARD 4 - CURRICULUM AND PROGRAM
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Intent: Students will have in depth
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4-18 Students/Residents must be exp
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STANDARD 5 - ADVANCED EDUCATION STU
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STANDARD 6 - RESEARCHAdvanced speci
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2010 CDEL Re-recognition of the Spe
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PROSTHODONTICS - American College of Prosthodontists

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