La. Admin. Code tit. 48 § I-2317

Current through Register Vol. 50, No. 11, November 20, 2024

Section I-2317 - Oral Surgery

A. Removal of Tooth (including Impacted Tooth) (an impacted tooth is under the gum or bone)

1. infection;

2. bleeding;

3. failure of wound to heal;

4. injuries to adjacent teeth and/or hard or soft tissues;

5. paresthesia or numbness of face and/or mouth;

6. fracture of mandible (lower jaw) or maxilla (upper jaw);

7. opening between mouth and sinus or mouth and nose;

8. tooth or fragment in maxillary sinus;

9. incomplete removal of tooth;

10. dry socket;

11. possible injury to tmj (temporomandibular joint dysfunction or jaw joint).

B. Repair or Removal of Damaged Teeth

1. infection;

2. bleeding;

3. failure of wound to heal;

4. paresthesia or numbness of face and/or mouth;

5. loss of teeth;

6. loss of bone.

C. Removal of Exostosis, Tori, Tuberosities (Excess Bone)

1. infection;

2. bleeding;

3. failure of wound to heal;

4. slough (unanticipated loss of hard and/or soft tissue);

5. paresthesia or numbness of face and/or mouth;

6. opening between mouth and sinus or mouth and nose;

7. injury to adjacent structures.

D. Dental Implants

1. infection;

2. bleeding;

3. failure of wound to heal;

4. permanent and disfiguring scarring;

5. premature loss of implant(s) and attachment(s);

6. loss of bone;

7. mobility of implant (failure of implant to attach);

8. paresthesia or numbness of face and/or mouth;

9. mandibular fracture (lower jaw);

10. injury to adjacent teeth;

11. inability to place implant in intended site;

12. injury of maxillary sinus.

E. Maxillary and Mandibular Osteotomies (Cutting and Movement of Jawbones)

1. infection;

2. bleeding;

3. failure of wound to heal;

4. permanent and disfiguring scarring;

5. difficulty in mastication (chewing);

6. malocclusion (improper bite);

7. continued muscle pain and headaches;

8. impaired or obstructed airway (difficulty in breathing) which might cause death;

9. undesirable facial appearance;

10. new or continued temporomandibular joint symptoms (tmj);

11. nerve injury;

12. failure of bone to heal;

13. loss of teeth, bone or soft tissue;

14. damage to teeth requiring additional treatment (root canal);

15. relapse or shift of jaw structures;

16. opening between mouth and sinus or mouth and nose.

F. Genioplasty (Chin Reconstruction), Sliding Osteotomy (Cutting and Moving the Bone), Bone Graft, Alloplast (Synthetic Implant)

1. infection;

2. bleeding;

3. failure of wound to heal;

4. permanent and disfiguring scarring;

5. undesirable chin contour;

6. failure of bone to heal;

7. paresthesia or numbness of face and/or mouth;

8. resorption of hard and/or soft tissues secondary to alloplast implant (synthetic);

9. injury to dental structures;

10. rejection of implant material;

11. lip incompetence (droop of lip).

G. Surgery for Cleft Lip/Palate and Craniofacial Deformities (Repair of Defects from Birth Injury, Prior Surgery, and/or Disease)

1. infection;

2. bleeding;

3. failure of wound to heal;

4. permanent and disfiguring scarring;

5. impaired chewing or swallowing;

6. unstable or inadequate function of dental occlusion (bite);

7. residual speech problems or impairment;

8. unfavorable facial symmetry;

9. airway impairment (difficulty in breathing) which might cause death;

10. nerve injury C sensory or motor (feeling and function);

11. loss of grafted or implanted materials;

12. blood supply compromise to tissues, hard and soft, resulting in loss of tissues;

13. failure of bone to heal;

14. failure to correct deformity;

15. opening between mouth and sinus or mouth and nose.

H. Removal of Cyst, Benign Tumors or Malignant Tumors from Jaws

1. infection;

2. bleeding;

3. failure of wound to heal;

4. permanent and disfiguring scarring;

5. recurrence of lesion;

6. loss of bone which would result in facial deformity;

7. unanticipated loss of teeth or adjacent vital structures;

8. facial bone fracture;

9. paresthesia or numbness of face and/or mouth;

10. metastasis (spread of cancer if tumor is cancerous).

I. Surgical Treatment of Facial Infection Including Drainage

1. infection;

2. bleeding;

3. failure of wound to heal;

4. permanent and disfiguring scarring;

5. loss or damage to teeth and adjacent structures including bone;

6. persistence and/or spread of infection to other parts of body;

7. airway impairment (difficulty in breathing) which might cause death.

J. Surgical Removal of Cysts, Benign Tumors and Stones of the Salivary Gland

1. infection;

2. bleeding;

3. failure of wound to heal;

4. permanent and disfiguring scarring;

5. recurrence of original problem;

6. metastasis (spread of cancer if tumor is cancerous);

7. damage or loss of adjacent vital structures (salivary);

8. persistent problem requiring removal of gland.

K. Temporomandibular Joint Disease (Surgery and/or Manipulation)

1. infection;

2. bleeding;

3. failure of wound to heal;

4. permanent and disfiguring scarring;

5. failure to relieve pain;

6. inability to chew properly;

7. restriction of jaw movement;

8. locking of jaw joint (open or closed);

9. failure of alloplast (synthetic implant) to function requiring removal;

10. malocclusion (improper bite);

11. motor or sensory nerve damage (function or feeling);

12. damage to ear canal, cartilage, or middle ear;

13. development of arthritis condition.

L. Surgical Repair of Mandible (Lower Jaw) Fractures

1. infection;

2. bleeding;

3. failure of wound to heal;

4. permanent and disfiguring scarring;

5. failure of bones to heal properly;

6. malocclusion (improper bite);

7. damage to teeth or loss of teeth;

8. motor or sensory nerve damage (function and feeling).

M. Surgical Repair of Maxilla (Upper Jaw) Fractures

1. infection;

2. bleeding;

3. failure of wound to heal;

4. permanent and disfiguring scarring;

5. failure of bones to heal properly;

6. malocclusion (improper bite);

7. opening between mouth and sinus or mouth and nose;

8. loss of bone or teeth;

9. chronic sinusitis or sinus infection;

10. motor or sensory nerve damage (function and feeling);

11. telecanthus (widening of the space between the eyes);

12. abnormal eye movements;

13. abnormal vision;

14. difficulty breathing;

15. overflow of tears;

16. inability to smell.

N. Surgical Correction of Soft Tissue Injuries of Face

1. infection;

2. bleeding;

3. failure of wound to heal;

4. permanent and disfiguring scarring;

5. failure to restore appearance;

6. motor or sensory nerve damage (function and feeling);

7. salivary gland duct damage.

La. Admin. Code tit. 48, § I-2317

Promulgated by the Department of Health and Hospitals, Louisiana Medical Disclosure Panel, LR 18:1391 (December 1992), repromulgated LR 19:1581 (December 1993), amended by the Department of Health and Hospitals, Office of Public Health, Medical Disclosure Panel, LR 23:75 (January 1997), LR 24:1304 (July 1998).

AUTHORITY NOTE: Promulgated in accordance with R.S. 40:1299.40 E et seq.