PROSTHODONTICS - American College of Prosthodontists

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10 Parameters of Care Tupac et al2. Known risks and complicationsa) Temporary pain from necessary clinical examinationb) Transient bleedingc) Dislodgment of existing restorationsd) Hyperactive gag reflexe) Increased anxiety levelsf) Extraction of mobile teeth during diagnostic impression makingg) Aggravation of preexisting or unknown disease conditionsh) Lack of patient understanding or unrealistic expectationsSelected References (Comprehensive Clinical Assessment Parameter)This list of selected references is intended only to acknowledge some of the sources of information drawnupon in the preparation of this document. Citation of the reference material is not meant to implyendorsement of any statement contained in the reference material, or that the list is an exhaustivecompilation of information on the topic. Readers should consult other sources to obtain a completebibliography.Abbott FB: Psychological assessment of the prosthodontic patient before treatment. Dent Clin North Am 1984;28:361-367Burket LW, Lynch MA, Brightman VJ, et al: Burket’s Oral Medicine: Diagnosis and Treatment (ed 8). Philadelphia, Lippincott,1984Dawson PE: Evaluation, Diagnosis, and Treatment of Occlusal Problems (ed 2). St. Louis, Mosby, 1989Friedman JW: Development of criteria and standards for dental care. Dent Clin North Am 1985;29:465-475Friedman S: Diagnosis and treatment planning. Dent Clin North Am 1977;21:237-247Full-mouth reconstruction: fixed removable. Dent Clin North Am 1987;31:305-562Hall WB, Roberts WE, LaBarre EE: Decision Making in Dental Treatment Planning. St. Louis, Mosby, 1994Hoad-Reddick G, Grant AA: Prosthetic status: the formation of a schedule. J Prosthet Dent 1988;59:105-10Lackey AD: Examining your smile. Dent Clin North Am 1989;33:133-137McGarry TJ, Nimmo A, Skiba JF, et al: Classification system for complete edentulism. The American College of Prosthodontics.J Prosthodont 1999;8:27-39McGarry TJ, Nimmo A, Skiba JF, et al: Classification system for partial edentulism. J Prosthodont 2002;11:181-193McGarry TJ, Nimmo A, Skiba JF, et al: Classification system for the completely dentate patient. J Prosthodont 2004;13:73-82McNeill C: Temporomandibular Disorders: Guidelines for Classification, Assessment, and Management (ed 2). Chicago,Quintessence, 1993Mitchell DF, Standish SM, Fast TB: Oral Diagnosis, Oral Medicine (ed 2). Philadelphia, Lea & Febiger, 1971Okeson JP: Management of Temporomandibular Disorders and Occlusion (ed 3). St. Louis, Mosby, 1993Pearson TA, Blair SN, Daniels SR, et al: AHA Guidelines for Primary Prevention of Cardiovascular Disease and Stroke: 2002update: consensus panel guide to comprehensive risk reduction for adult patients without coronary or other atheroscleroticvascular diseases. American Heart Association Science Advisory and Coordinating Committee. Circulation 2002;106:388-391Roblee RD: Interdisciplinary Dentofacial Therapy: A Comprehensive Approach to Optimal Patient Care. Chicago, Quintessence,1994Rosenberg MM: Periodontal and Prosthetic Management for Advanced Cases. Chicago, Quintessence, 1988Rosenstiel SF, Land MF, Fujimoto J: Contemporary Fixed Prosthodontics (ed 3). St. Louis, Mosby, 2001Sonis ST, Fazio RC, Fang LST: Principles and Practice of Oral Medicine (ed 2). Philadelphia, Saunders, 1995Symposium on periodontal restorative interrelationships. Dent Clin North Am 1980;24:167-393Wood NK, Goaz PW: Differential Diagnosis of Oral Lesions (ed 4). St. Louis, Mosby, 1991Zambito RF, Sciubba JJ: Manual of Dental Therapeutics. St. Louis, Mosby, 1991Preface2) Limited Clinical Assessment ParameterMany patients evaluated by prosthodontists do not require a comprehensive clinical assessment. Thereare multiple types of limited assessments:1. Referral2. Emergency2010 CDEL Re-recognition of the Specialty Report 50 of 279
December 2005, Supplement, Volume 14, Number 4 113. Second opinions4. OtherThe dental history and clinical examination should focus on the limited problem or complaintidentified by a health care provider and/or presented by the patient. It should also include a generalsurvey of the oral cavity and related structures. The prosthodontist must use his or her discretion inidentifying which of the examination criteria need be evaluated to complete a limited assessment:1. Chief complaint2. Identification of primary care provider3. Identification of all other health care providers4. Identification of necessary examination criteria to achieve a diagnosisGeneral Criteria and StandardsInformed consent: All prosthodontic procedures should be preceded by the patient’s consent. Informedconsent is obtained after the patient has been informed of the indications for the procedure(s), goalsof treatment, the known benefits and risks of the procedure(s), the factor(s) that may affect the knownrisks and complications, the treatment options, the need for active maintenance by the patient, the needfor future replacements and revisions, and the favorable outcome.Documentation: Parameters of care for prosthodontic procedures include documentation of objectivefindings, diagnosis, and patient management intervention.Coding and NomenclatureDiagnostic and procedural codes have been included in the ACP Parameters of Care only for generalguidance. The codes listed may not be all-inclusive or represent the most current or specific choices. Theinclusion of codes is not meant to supplant the use of current coding books or to relieve practitionersof their obligation to remain current in diagnostic and procedural coding. The ACP Committee onParameters of Care and Committee on Nomenclature do not endorse the use of this document as acoding manual.The diagnostic and procedural codes listed throughout this section may not be all-inclusive and shouldserve only as practice guidelines. ICD-9-CM (International Classification of Diseases, Ninth Revision, ClinicalModification) diagnostic codes may change yearly and must be reviewed and updated annually to ensureaccuracy. Specific diagnoses must be obtained from a current, recognized ICD-9-CM code source andsubstantiated by documentation in the dental record. Procedural codes listed throughout this sectionserve as a guide, which may be applicable to the treatment performed or management modality chosen.These may not be the most recent, applicable, or acceptable codes. Some dental/medical insuranceproviders have billing conventions unique to their organizations. It is the provider’s responsibility to beaware of these unique situations.Current Procedural Terminology (CPT), the recognized codes for dental/medical billing, are revisedyearly and must be reviewed and updated annually to ensure accuracy. The recent codes are acceptedby dental/medical insurance providers and should be obtained from the current year’s version of theAmerican Medical Association (AMA) CPT Manual. Current Procedural Terminology C○ 2005 American MedicalAssociation. All rights reserved.Current Dental Terminology (CDT) codes, the recognized codes for dental/medical billing, are revisedevery 3 years (previously every 5 years) and should be reviewed and updated whenever the most recentversion of the American Dental Association (ADA) CDT Manual is published. Current Dental TerminologyC○ 2002, 2004 American Dental Association. All rights reserved.2010 CDEL Re-recognition of the Specialty Report 51 of 279
Page 1: COUNCIL ON DENTAL EDUCATION AND LIC
Page 4 and 5: A. General InformationThe American
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ORALCANCERSCREENING,EXAMINATIONANDB
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THEPROCESSOFONCOGENESISIntroduction
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Accreditation Standards forAdvanced
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Mission Statement of theCommission
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PrefaceMaintaining and improving th
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Educationally Qualified: An individ
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STANDARD 6 - RESEARCHAdvanced speci
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PROSTHODONTICS - American College of Prosthodontists

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