Louisiana Administrative Code
Title 48 - PUBLIC HEALTH-GENERAL
Part I - General Administration
Subpart 1 - General
Chapter 23 - Informed Consent
Section I-2317 - Oral Surgery

Universal Citation: LA Admin Code I-2317

Current through Register Vol. 50, No. 9, September 20, 2024

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.

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

Disclaimer: These regulations may not be the most recent version. Louisiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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