Maxillofacial Prosthodontics
(Standards of Care)
1. Medical-Dental History and Treatment Plan
A thorough and complete medical and dental history is obtained from the patient to include the pathology report and radiation/oncology report where indicated. Any medical or dental conditions such as radiation or chemotherapy are then considered in the treatment plan. The prosthodontic resident should be technically capable of completing the treatment plan with staff supervision. The patient is in agreement with the plan and understands the time required to complete it.
2. Diagnostic Casts
Are accurate, clean, bubble free reproductions of the existing dental and/or facial anatomy. Casts should be properly articulated on an appropriate articulator when indicated.
3. Jaw Relations Records
The resident is capable of performing proper patient jaw manipulations in order to reflect correct relations. Records should be of an appropriate material to allow handling by laboratory personnel without severe distortion.
4. Laboratory Procedures
Working casts should be trimmed, smoothed, and free of all bubbles and voids. Land areas of working casts should be trimmed and rounded.
5. Prescription Forms
All laboratory prescription forms should be completed. All prescription forms going to the lab must be countersigned by the maxillofacial prosthodontist.
6. Devices
All devices should restore the proper function and esthetics of the patient. This may include proper velopharyngeal function, mastication, swallowing, speech, or obturation.
7. Delivery
All prostheses should be smoothed and polished to be irritation free. Prostheses should be retentive with no movement during function, if possible. Residents should provide the patient with instruction as to the nature, usage, and care of all prostheses.
8. Follow-Up
Residents should provide timely post-insertion visits for patients under therapy. All prostheses should be thoroughly inspected and evaluated as to their effectiveness and any needed adjustments made at this time.
9. Patient Management
All patients should be treated in accordance with the highest professional standards.
10. Time Management
Residents should preplan all maxillofacial treatment. Residents should arrive on time, begin treatment promptly, and complete treatment in an expeditious manner. All laboratory procedures should be accomplished to allow the laboratory technicians ample time to meet the delivery date.
11. Standards of Care
All patients will be evaluated utilizing the standard of care forms.
Maxillofacial Prosthodontics Standards of Care Evaluation Form