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. 12, December 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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