PROSTHODONTICS - American College of Prosthodontists

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Figure12Thebuccalmucosaisviewedbyretractingitwithatonguebladeorfingerswhilethemouthisinarelaxedopenposition.Theparotidglandsshouldbepalpatedaspartofthisstep.Theresultsofbidigitalpalpationshouldbecomparedbetweentherightandleftsides.Thecolor,contour,consistencyandfunctionofthealveolarprocessesandgingivaareassessed,aswellasthatofthehardpalate.Onesignoforalsquamouscellcarcinomathatissometimesoverlookedisatooththatexperiencesbonelossoutofproportiontotherestofthearch,intheabsenceofadefiniteetiologysuchasacrackedroot.Anotherisapoorlyhealingextractionsite.Anysubmucosalswellingsshouldbeidentifiedandaccountedfor;thehardpalateisthemostcommonintraoralsiteforminorsalivaryglandtumors,whichmaybebenignormalignant,andisalsoasitewherelymphomamayoccur. 402010 CDEL Re-recognition of the Specialty Report 224 of 279
Figure13Thesoftpalate,uvula,andtonsillarpillarsmaybemoreofachallengetoviewintheirentirety,butitshouldbethoroughlyinspectedaswellasgentlypalpatedifpossible.Thetonsilsandpharyngealwallsshouldbeexamined,withattentionpaidtomassesaswellasasymmetry.Tonguedepressionisanaidinthisexamination,aswellashavingthepatientsay“ahhh”whilegentlybreathinginandout.Somepatientscannothelpresistingthisphaseoftheexamination,andifthepatient’scooperationisrequestedinadvance,thecliniciancouldmakesurethelightisoptimallyplacedandusethetonguedepressortoactivatethegagreflex,affordingabriefviewofthearea.Thisisnotrecommendedasthefirst‐lineexaminationtechnique,butasthefallbacktechniquewhenothersfail.Atonguedepressorisnotalwaysstrongenoughtowrestleanobstinatetongue,inwhichcasetheuseofamirrorasatonguedepressorisrecommended.Withoutthiseffort,cancerssuchasthatshowninfigure13maygoundetected.Thislesion(photocourtesyofDrRoseGeist)continuedtoenlargeduring 412010 CDEL Re-recognition of the Specialty Report 225 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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I192 Classification Sy stemfor Part
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Page 243 and 244: COUNCIL ON DENTAL EDUCATION AND LIC
Page 245 and 246: Accreditation Standards forAdvanced
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Page 249 and 250: Mission Statement of theCommission
Page 251 and 252: PrefaceMaintaining and improving th
Page 253 and 254: Definitions of Terms Used in Prosth
Page 255 and 256: Educationally Qualified: An individ
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Page 263 and 264: STANDARD 4 - CURRICULUM AND PROGRAM
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Page 271 and 272: 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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