PROSTHODONTICS - American College of Prosthodontists

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Figure9Thefrontoftheneckisexaminednext,includingthelarynx,salivaryglands,thyroidgland,andcarotidarteries.Anenlargedcarotidbifurcationmaybedifferentiatedfromalymphnodebythepresenceofapronouncedpulse.Palpatethelarynxforsignsofenlargementorimmobility.Thethyroidglandisnotnormallypalpable,andshouldmovefreelyupanddownwhileswallowing.Thiscanbeobserved,withthepatientturningtheirheadtofirsttowardsonesideandthentheotherwhileswallowing,andthenpalpatedinthesamemanner(figure10).Alsonotethepresenceofanythyroidnodulesormasses(figure11).Figure10 382010 CDEL Re-recognition of the Specialty Report 222 of 279
Figure11IntraoralexaminationTheintraoralexaminationistypicallyperformedwiththepatientlyinginthedentalchair,butcanalsobeadequatelyachievedwiththepatientsittingupright.Allremovableprosthesesshouldbetakenoutbeforethisexamination.Thelipsshouldbeevaluatedbothopenandclosed,firstvisuallyincludingthevermilionborder,commissures,andmucosa.Theyarenextpalpatedbilaterallyandbidigitallybetweenthethumbandfingers.Thelipvermilionisafrequentsiteformalignancy,anddysplasticchangesareobservedinmanyolderadultsintheformofactiniccheilitis.Inthiscommonpremalignantcondition,thevermilionborder(particularlyonthelowerlip)becomesblurredandilldefined;thevermilionmucosaispuffywithroughscalyleukoplakiaorerythroleukoplakia(figure12).Indurationmaysignaltheonsetofsquamouscellcarcinoma. 392010 CDEL Re-recognition of the Specialty Report 223 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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28 Cllas$caizon of Complete Edentul
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30 Clmsjfication ofCom&e Edentulirm
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32 Clarszjicatwn ofcomplete Edeiitu
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Figure 14. Class Ipatient. (A) Pano
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Figure 16. Class KU patient. (A) Pa
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38 Clm$cation of Cumllete EdClass 1
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182 Classification System for Parti
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184 Classification System Jor Parti
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186 Classification Systemfor Partia
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188 Classification System jor Parti
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Figure 4. Class IV palienl. Edenlul
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