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PROSTHODONTICS - American College of Prosthodontists

PROSTHODONTICS - American College of Prosthodontists

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December 2005, Supplement, Volume 14, Number 4 17b. Intracoronal and extracoronal restorative proceduresc. Complete arch impressiond. Maxillomandibular record at the existing occlusal vertical dimensione. Facebow record and articulation on a semi-adjustable articulatorf . Insertion <strong>of</strong> prosthesisg. Post treatment follow-up7. Class IV completely dentate patient [D2000-D2999 CDT 2005]a. Accommodation to systemic conditionsb. Treatment <strong>of</strong> etiologic factorsc. Establish therapeutic occlusal vertical dimensiond. Intracoronal and extracoronal restorative procedurese. Complete arch impressionf . Maxillomandibular record at the confirmed therapeutic occlusal vertical dimension and eccentricrecords as necessaryg. Facebow record and articulation on a semi- or fully adjustable articulatorh. Metal or porcelain try-in and assessmenti. Insertion <strong>of</strong> prosthesisj. Post treatment follow-upE. Specialty performance assessment criteria1. Favorable outcomesa. Reduction and/or elimination <strong>of</strong> etiologyb. Improved masticationc. Improved speechd. Improved estheticse. Improved swallowingf . Establishment <strong>of</strong> therapeutic occlusal vertical dimensiong. Restored TM joint and or<strong>of</strong>acial muscle supporth. Improved tooth stabilityi. Address patient concernsj. Positive psychosocial responsek. Improved airway supportl. Improved comfortm. Satisfactory patient adaptationn. Improved intra-arch and interarch integrity and stability.2. Known risks and complicationsa. Refractory patient responseb. Ulcerationsc. Speech alterationsd. Unacceptable estheticse. Unrealistic patient expectationsf . Materials failure/incompatibilityg. Functional limitationsh. Difficult mastication and swallowingi. TM joint and/or or<strong>of</strong>acial muscle dysfunctionj. Periodontal complicationsk. Endodontic complicationsl. Alterations in taste perceptionm. Allergic responsen. Unknown longevity <strong>of</strong> materialso. Increased caries susceptibilityp. Tooth sensitivityq. Tongue/cheek bitingr. Pain2010 CDEL Re-recognition <strong>of</strong> the Specialty Report 57 <strong>of</strong> 279

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