PROSTHODONTICS - American College of Prosthodontists

More documents

Recommendations

Info

32 Parameters of Care Tupac et alis the responsibility of the prosthodontist to be familiar with the different types of implants because eachsystem has its own intricacies and capabilities. The prosthodontist should be knowledgeable about anyimplant system recommended and/or used in patient treatment.Initially, prosthodontic restorations supported and/or retained by implants have had the greatestimpact on completely edentulous patients. In fact, the McGill Proclamation declares the two-implantmandibular overdenture as the first choice for the completely edentulous patient. Today implants canbe used in the partially edentulous patient for a variety of applications. Whether it is the conservation ofhealthy abutment teeth by using single or multiple implant replacements of teeth instead of conventionalfixed prosthodontics, or perhaps the reduction in prosthetically influenced alveolar resorption by implantsupported/retainedcomplete dentures, the impact of implant prosthodontics will continue to improvethe health and comfort of patients. Treatment of only the area of pathology without sacrificing orjeopardizing adjacent healthy tissues is now a reality.A refractory patient is one who presents with chronic complaints following appropriate therapy. Inthose instances where patient expectations exceed physical limitations, a mutually satisfactory resultmay not be possible through the completion of their treatment plan.General 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 72 of 279
December 2005, Supplement, Volume 14, Number 4 33Parameter Guidelines: Implant Placement and RestorationA. Indications for care1. Complete edentulism (see Complete Edentulism Parameter) [525.40-525.44 ICD-9-CM]2. Partial edentulism (see Partial Edentulism Parameter) [525.50-525.54 ICD-9-CM]3. Implant-specific indicatorsa. Adequate host bone [525.20-525.26 ICD-9-CM]b. Adequate soft tissue [528.71-528.72 ICD-9-CM]c. Prosthetic need [525.40-525.44, 525.50-525.54 ICD-9-CM]d. Maintenance of soft tissue architecturee. Alveolar bone preservationf. Improved functionB. Therapeutic goals1. Complete edentulism (see Complete Edentulism Parameter)2. Partial edentulism (see Partial Edentulism Parameter)3. Implant-specific goalsa. Bone preservationb. Soft tissue preservationc. Prosthetic support and retentiond. Improved form and functione. Improved estheticsf. Provision of adequate bone-borne occlusal support stopsg. Limited painh. Limited period of disabilityi. Achievement of uncomplicated healingj. Appropriate understanding and acceptance of diagnosis, treatment plan, and possible outcomesk. Minimally invasive surgery (no removal of non-regenerable tissues)C. Risk factors affecting quality of treatment1. Complete edentulism (see Complete Edentulism Parameter)2. Partial edentulism (see Partial Edentulism Parameter)3. Implant-specific risk factorsa. Bone factors (quantity and quality)b. Surgicalc. Implant characteristicsd. Anatomical considerationse. Presence of active periodontal diseasef. Number of implants relative to number of teeth to be replacedg. Interarch distanceh. Biomechanical loading factorsi. Presence of local or systemic conditions which affect healing (e.g., history of radiation therapy,diabetes, etc.)j. Peri-implant tissue quality and contourk. Proximity of implant site to adjacent structuresl. Existing and proposed occlusal factorsm. Tobacco usen. Current and past pharmacological therapiesD. Standards of care1. Completely edentulous patient [525.40-525.44 ICD-9-CM]a. Pretreatment procedures1. Radiographic evaluation2. Articulated diagnostic casts, when indicated2010 CDEL Re-recognition of the Specialty Report 73 of 279
Page 1:
COUNCIL ON DENTAL EDUCATION AND LIC
Page 4 and 5:
A. General InformationThe American
Page 7 and 8:
The American College of Prosthodont
Page 9 and 10:
Page 11 and 12:
Page 13 and 14:
Page 15 and 16:
Page 17 and 18:
Changes in Scope of PracticeThe Ame
Page 19 and 20:
Page 22 and 23: The American College of Prosthodont
Page 26 and 27: ReferencesThe American College of P
Page 30 and 31: COUNCIL ON DENTAL EDUCATION AND LIC
Page 33 and 34: ENVISIONED FUTURE~ 10-30 YEAR HORIZ
Page 35 and 36: Prosthodontists will provide prosth
Page 37 and 38: GOALS AND OBJECTIVES~ 3-5 YEAR PLAN
Page 39 and 40: E4. Create effective linkages to fu
Page 41 and 42: Journal of ProsthodonticsImplant, E
Page 43 and 44: December 2005, Supplement, Volume 1
Page 71: December 2005, Supplement, Volume 1
Page 123 and 124:
December 2005, Supplement, Volume 1
Page 125 and 126:
Page 127 and 128:
Page 129 and 130:
Page 131 and 132:
Page 133 and 134:
Page 135 and 136:
Page 137 and 138:
Page 139 and 140:
Page 141 and 142:
Page 143 and 144:
Page 145 and 146:
Page 147 and 148:
28 Cllas$caizon of Complete Edentul
Page 149 and 150:
30 Clmsjfication ofCom&e Edentulirm
Page 151 and 152:
32 Clarszjicatwn ofcomplete Edeiitu
Page 153 and 154:
Figure 14. Class Ipatient. (A) Pano
Page 155 and 156:
Figure 16. Class KU patient. (A) Pa
Page 157 and 158:
38 Clm$cation of Cumllete EdClass 1
Page 159 and 160:
Page 161 and 162:
182 Classification System for Parti
Page 163 and 164:
184 Classification System Jor Parti
Page 165 and 166:
186 Classification Systemfor Partia
Page 167 and 168:
188 Classification System jor Parti
Page 169 and 170:
Figure 4. Class IV palienl. Edenlul
Page 171 and 172:
I192 Classification Sy stemfor Part
Page 173 and 174:
Page 175 and 176:
74 Classification System for the Co
Page 177 and 178:
Page 179 and 180:
Page 181 and 182:
Page 183 and 184:
Page 185 and 186:
ORALCANCERSCREENING,EXAMINATIONANDB
Page 187 and 188:
ChrisBornITProjectManagerLomaLindaU
Page 189 and 190:
THOSEATRISKFORORALCANCERWhoisatrisk
Page 191 and 192:
Inaprospectivestudy(NIH‐AARPDieta
Page 193 and 194:
AgedataWhenexaminingdatafrom19agegr
Page 195 and 196:
Whatisthestatusofcommunityscreening
Page 197 and 198:
ReferencesArbesSJ,OlshanAF.CaplanDJ
Page 199 and 200:
THEPROCESSOFONCOGENESISIntroduction
Page 201 and 202:
tightregulationoftranscriptionaleve
Page 203 and 204:
withalloftheotherhallmarksinplace,a
Page 205 and 206:
THERADIOGRAPHICEXAMINATIONCanradiog
Page 207 and 208:
thinningorperforationofthecortices,
Page 209 and 210:
lymphoma)andprimarycarcinomas,areen
Page 211 and 212:
Figure4EffectsonadjacentstructuresW
Page 213 and 214:
fromaprimarylesioninboneorthesoftti
Page 215 and 216:
THEORALCANCERSCREENINGEXAMINATIONTh
Page 217 and 218:
Society’sABCDERule:lookforAsymmet
Page 219 and 220:
Function:Paraesthesia,paralysis,pai
Page 221 and 222:
Examinetheentireheadandneckincludin
Page 223 and 224:
Figure11IntraoralexaminationTheintr
Page 225 and 226:
Figure13Thesoftpalate,uvula,andtons
Page 227 and 228:
Figure15Examinationofthetongueisthe
Page 229 and 230:
Figure18Finally,thefloorofthemouthn
Page 231 and 232:
MANAGEMENTOFSUSPICIOUSORALLESIONSIn
Page 233 and 234:
Tables1through10ThoseatriskTable1 4
Page 235 and 236:
Table3 512010 CDEL Re-recognition o
Page 237 and 238:
Table6 532010 CDEL Re-recognition o
Page 239 and 240:
Table9Table10 552010 CDEL Re-recogn
Page 241 and 242:
CPE Course History From 2000-2010Da
Page 243 and 244:
Page 245 and 246:
Accreditation Standards forAdvanced
Page 247 and 248:
Document Revision History (continue
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
Page 257 and 258:
Intent: Major changes have a direct
Page 259 and 260:
STANDARD 2 - PROGRAM DIRECTOR AND T
Page 261 and 262:
STANDARD 3 - FACILITIES AND RESOURC
Page 263 and 264:
STANDARD 4 - CURRICULUM AND PROGRAM
Page 265 and 266:
Intent: Students will have in depth
Page 267 and 268:
4-18 Students/Residents must be exp
Page 269 and 270:
STANDARD 5 - ADVANCED EDUCATION STU
Page 271 and 272:
STANDARD 6 - RESEARCHAdvanced speci
Page 273 and 274:
2010 CDEL Re-recognition of the Spe
Page 275 and 276:
Page 277 and 278:
Page 279:
show all

PROSTHODONTICS - American College of Prosthodontists

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?