PROSTHODONTICS - American College of Prosthodontists

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30 Parameters of Care Tupac et ale. Restoration of facial heightf. Restored TM joint and orofacial muscle supportg. Positive psychosocial responseh. Improved airway supporti. Improved comfortj. Satisfactory patient adaptation2. Known risks and complicationsa. Refractory patient responseb. Ulcerationsc. Speech alterationsd. Unacceptable estheticse. Unrealistic patient expectationsf. Materials failureg. Biomechanically induced implant complicationsh. Difficulty chewing and/or swallowingi. TM joint and/or orofacial muscle supportj. Alterations in taste perceptionsSelected References (Complete Edentulism 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.Atwood DA: Some clinical factors related to rate of resorption of residual ridges. J Prosthet Dent 1962;12:441-450Atwood DA: A cephalometric study of the clinical rest position of the mandible. Part I: The variability of the clinical rest positionfollowing the removal of occlusal contacts. J Prosthet Dent 1956;6:504-509Beck HO: Occlusion as related to complete removable prosthodontics. J Prosthet Dent 1972;27:246-262Becker CM, Swoope CC, Guckes AD: Lingualized occlusion for removable prosthodontics. J Prosthet Dent 1977;38:601-608Boos RH: Intermaxillary relation established by biting power. J Am Dent Assoc 1940;27:1192-1199Brewer AA, Rebiel PR, Nassif NJ: Comparison of zero degree teeth and anatomic teeth on complete dentures. J Prosthet Dent1967;17:28-35DeVan MM: The concept of neutrocentric occlusion as related to denture stability. J Am Dent Assoc 1954;48:165-169Ettinger RL, Taylor TD, Scandrett FR: Treatment needs of overdenture patients in a longitudinal study: five-year results. JProsthet Dent 1984;52:532-537Fish EW: Using the muscles to stabilize the full lower denture. J Am Dent Assoc 1933;20:2163-2169Frush JP, Fisher RD: Introduction to dentogenic restorations. J Prosthet Dent 1955;5:586-595Hardy IR, Kapur KK: Posterior border seal - its rationale and importance. J Prosthet Dent 1958;8:386-397Hickey JC, Williams BH, Woelfel JB: Stability of mandibular rest position. J Prosthet Dent 1962;11:566-572Kolb HR: Variable denture-limiting structures of the edentulous mouth. Part I: Maxillary border areas. J Prosthet Dent1966;16:194-201Kolb HR: Variable denture-limiting structures of the edentulous mouth. Part II: Mandibular border areas. J Prosthet Dent1966;16:202-212Kurth LE: Physics of mandibular movement related to full denture construction. Ann Dent 1933;12:131-141Lytle RB: The management of abused oral tissues in complete denture construction. J Prosthet Dent 1957;7:27-42Martone A, Edwards L: The phenomenon of function in complete denture prosthodontics. Anatomy of the mouth and relatedstructures. Part I: The face. J Prosthet Dent 1961;11:1006-1018Martone A, Edwards L: The phenomenon of function in complete denture prosthodontics. Anatomy of the mouth and relatedstructures. Part II: Musculature of expression. J Prosthet Dent 1961;11:1006-1018McGarry TJ, Nimmo A, Skiba JF, et al: Classification system for complete edentulism. The American College of Prosthodontics.J Prosthodont 1999;8:27-39Niswonger ME: The rest position of the mandible and the centric relation. J Am Dent Assoc 1934;21:1572-1582Pleasure MW: Anatomic versus nonanatomic teeth. J Prosthet Dent 1953;3:747-754Pound E: Let/S/ be your guide. J Prosthet Dent 1977;38:482-489Rudd KD, Morrow RM: Occlusion and the single denture. J Prosthet Dent 1973;30:4-10Sears VH: Thirty years of nonanatomic teeth. J Prosthet Dent 1953;3:596-6172010 CDEL Re-recognition of the Specialty Report 70 of 279
December 2005, Supplement, Volume 14, Number 4 31Silverman MM: Determination of vertical dimension by phonetics. J Prosthet Dent 1956;6:465-471Tallgren A: Changes in adult face height due to aging, wear and loss of teeth and prosthetic treatment. Acta Odontol Scand1957;15:1-122Tallgren A: The continuing reduction of the residual alveolar ridges in complete denture wearers: a mixed-longitudinal studycovering 25 years. J Prosthet Dent 1972;27:120-123Thompson JR: The rest position of the mandible and its significance to dental science. J Am Dent Assoc 1946;33:151-180Trapozzano VR: Testing of occlusal patterns on the same denture base. J Prosthet Dent 1959;9:53-69Wright CR Muysens JH, Strong LH, et al: A study of the tongue and its relation to denture stability. J Am Dent Assoc 1949;39:269-275Preface6) Implant Placement and Restoration ParameterThe specialty of Prosthodontics is the specialty responsible for the diagnosis and treatment of completeand partial Edentulism. The prosthodontist is responsible for preparing a patient preprostheticallyfor subsequent prosthodontic procedures. Not only does a prosthodontist replace and repair teeth,but also prepares the patient to receive artificial tooth and tissue replacements. Prosthodontists areresponsible for managing all aspects of the treatment of complete and partial edentulism regardless ofthe complexity of any adjunctive preprosthetic procedures required. When a tooth is or teeth are lost,the well-documented sequelae of loss of adjacent alveolar structures and the concomitant decrease inprosthetic function can now be delayed along with an increase in function versus conventional tissueborneappliances. Dental implant therapy can be used to replace missing teeth and preserve alveolarbone.A dental implant is a prosthetic device of alloplastic material implanted into the oral tissues beneaththe mucosal and/or periosteal layer and on/or within the bone to provide retention and support of fixedor removable prostheses. The placement of a dental implant is part of a prosthodontic treatment planthat addresses the diagnosis of a missing tooth or teeth, and the treatment is the replacement of a tooth,multiple teeth, and/or contiguous structures surrounding the oral and facial region along with manyextra-oral applications. The diagnosis for the need of a dental implant is a prosthodontic diagnosis thatreflects all the usual criteria for tooth and contiguous structure replacement. Only after a prosthodonticneed has been established is the surgical diagnosis made to determine if the prosthodontic need canbe satisfied. The therapeutic purpose and value of a dental implant is to support and retain teeth andpreserve remaining bone.Thus, dental implant restoration is a prosthodontically driven procedure that requires extensivepresurgical consultations and treatment planning. The prosthodontist is responsible for the placementof the dental implant according to the prescription of the prosthodontist or referring dentist. Theprosthodontist is responsible for acquiring and/or conveying sufficient diagnostic information to ensurethe accurate placement of dental implant(s) to maximize prosthodontic function. Sufficient presurgicalconsultations should identify alternative implant sites so that surgical flexibility is maintained to deal withunforeseen anatomic limitations. With the rapid advancements in soft tissue and bone augmentation,the placement of implants outside the normal anatomic location to support prosthodontic replacement isbecoming less acceptable unless there has been informed consent by the patient for alternative implantlocation and angulation. Prosthodontists have the unique educational background and experience in bothplacement and restoration at the specialty level of education. By planning and creating the restoration,the prosthodontist has the advantage of placing the implant in the most favorable location to fulfill thepatient’s needs.Because prosthodontists are the recognized specialists in tooth and contiguous structure replacement,prosthodontists must strive to position the implants in the most advantageous location and angulationfor future prosthodontic procedures. The prosthodontist must evaluate the patient to determine thenumber, type, length, and location of the dental implants so that the prosthodontic restoration willremain healthy and functional. The prosthodontist, in cooperation with the patient, must remain flexiblein the final prosthodontic reconstruction to account for surgical variability and anatomic limitations. It2010 CDEL Re-recognition of the Specialty Report 71 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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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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Figure 4. Class IV palienl. Edenlul
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I192 Classification Sy stemfor Part
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74 Classification System for the Co
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ORALCANCERSCREENING,EXAMINATIONANDB
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ChrisBornITProjectManagerLomaLindaU
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THOSEATRISKFORORALCANCERWhoisatrisk
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Whatisthestatusofcommunityscreening
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ReferencesArbesSJ,OlshanAF.CaplanDJ
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THEPROCESSOFONCOGENESISIntroduction
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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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THEORALCANCERSCREENINGEXAMINATIONTh
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Function:Paraesthesia,paralysis,pai
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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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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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