Texas Administrative Code
Title 25 - HEALTH SERVICES
Part 7 - TEXAS MEDICAL DISCLOSURE PANEL
Chapter 602 - PROCEDURE REQUIRING FULL DISCLOSURE OF SPECIFIC RISKS AND HAZARDS-LIST A
Section 602.21 - Dental Surgery Treatments and Procedures
Universal Citation: 25 TX Admin Code ยง 602.21
Current through Reg. 49, No. 38; September 20, 2024
(a) Oral surgery.
(1) Extraction (removing
teeth).
(A) Dry socket (inflammation in the
socket of a tooth).
(B) Permanent
or temporary numbness or altered sensation.
(C) Sinus communication (opening from tooth
socket into the sinus cavity).
(D)
Fracture of alveolus and/or mandible (upper and/or lower jaw).
(2) Surgical exposure of tooth in
order to facilitate orthodontics.
(A) Injury
to tooth or to adjacent teeth and structures.
(B) Failure to get proper attachment to tooth
requiring additional procedure.
(b) Endodontics (deals with diseases of the dental pulp).
(1) Apicoectomy (surgical
removal of root tip or end of the tooth, with or without sealing it).
(A) Shrinkage of the gums and crown margin
exposure.
(B) Sinus communication
(opening from tooth socket into the sinus cavity).
(C) Displacement of teeth or foreign bodies
into nearby tissues, spaces, and cavities.
(2) Root amputation (surgical removal of
portion of one root of a multi-rooted tooth).
(A) Shrinkage of the gums and crown margin
exposure.
(B) Sinus communication
(opening from tooth socket into the sinus cavity).
(C) Displacement of teeth or foreign bodies
into nearby tissues, spaces, and cavities.
(3) Root canal therapy (from an occlusal
access in order to clean and fill the canal system).
(A) Instrument separation (tiny files which
break within the tooth canal system).
(B) Fenestration (penetration of walls of
tooth into adjacent tissue).
(C)
Failure to find and/or adequately fill all canals.
(D) Expression of irrigants or filling
material past the apex of the tooth (chemicals used to clean or materials used
to fill a root may go out the end of the root and cause pain or
swelling).
(E) Damage to adjacent
tissues from irrigants or clamps.
(F) Fracture or loss of tooth.
(c) Periodontal surgery (surgery of the gums).
(1) Gingivectomy and
gingivoplasty (involves the removal of soft tissue).
(A) Tooth sensitivity to hot, cold, sweet, or
acid foods.
(B) Shrinkage of the
gums upon healing resulting in teeth appearing longer and greater spaces
between some teeth.
(2)
Anatomical crown exposure (removal of enlarged gingival tissue and supporting
bone to provide an anatomically correct gingival relationship).
(A) Tooth sensitivity to hot, cold, sweet, or
acid foods.
(B) Shrinkage of the
gums upon healing resulting in teeth appearing longer and greater spaces
between some teeth.
(3)
Gingival flap procedure, including root planing (soft tissue flap is laid back
or removed to allow debridement (cleaning) of the root surface and the removal
of granulation tissue (unhealthy soft tissue)).
(A) Permanent or temporary numbness or
altered sensation.
(B) Tooth
sensitivity to hot, cold, sweet, or acidfoods.
(C) Shrinkage of the gums upon healing
resulting in teeth appearing longer and greater spaces between some
teeth.
(4) Apically
positioned flap (used to preserve keratinized gingival (attached gum tissue) in
conjunction with osseous resection (removal) and second stage implant
procedure).
(A) Permanent or temporary
numbness or altered sensation.
(B)
Shrinkage of the gums upon healing resulting in teeth appearing longer and
greater spaces between some teeth.
(5) Clinical crown lengthening (removal of
gum tissue and/or bone from around tooth).
(A) Permanent or temporary numbness or
altered sensation.
(B) Shrinkage of
the gums upon healing resulting in teeth appearing longer and greater spaces
between some teeth.
(6)
Osseous surgery-including flap entry and closure (modification of the bony
support of the teeth).
(A) Permanent or
temporary numbness or altered sensation.
(B) Tooth sensitivity to hot, cold, sweet, or
acid foods.
(C) Loss of
tooth.
(D) Shrinkage of the gums
upon healing resulting in teeth appearing longer and greater spaces between
some teeth.
(7) Guided
tissue regeneration-resorbable barrier.
(A)
Permanent or temporary numbness or altered sensation.
(B) Accidental aspiration (into the lungs) of
foreign matter.
(C) Rejection of
donor materials.
(8)
Guided tissue regeneration-nonresorbable barrier (includes membrane removal).
(A) Permanent or temporary numbness or
altered sensation.
(B) Shrinkage of
the gums upon healing resulting in teeth appearing longer and greater spaces
between some teeth.
(C) Accidental
aspiration (into the lungs) of foreign matter.
(D) Rejection of donor materials.
(9) Pedicle soft tissue graft
procedure.
(A) Permanent or temporary
numbness or altered sensation.
(B)
Shrinkage of the gums upon healing resulting in teeth appearing longer and
greater spaces between some teeth.
(C) Rejection of donor materials.
(10) Free soft tissue graft
protection-including donor site surgery.
(A)
Permanent or temporary numbness or altered sensation.
(B) Shrinkage of the gums upon healing
resulting in teeth appearing longer and greater spaces between some
teeth.
(C) Rejection of
graft.
(11) Sub
epithelial connective tissue graft procedures.
(A) Permanent or temporary numbness or
altered sensation.
(B) Shrinkage of
the gums upon healing resulting in teeth appearing longer and greater spaces
between some teeth.
(C) Rejection
of graft.
(12) Distal or
proximal wedge procedure (taking off gum tissue from the very back of the last
tooth or between teeth). Shrinkage of the gums upon healing resulting in teeth
appearing longer and greater spaces between some teeth.
(13) Soft tissue allograft and connective
tissue double pedicle graft from below (creates or augments gum tissue).
(A) Permanent or temporary numbness or
altered sensation.
(B) Tooth
sensitivity to hot, cold, sweet, or acid foods.
(C) Shrinkage of the gums upon healing
resulting in teeth appearing longer and greater spaces between some
teeth.
(d) Implant procedures.
(1) Bone grafting
(replacing missing bone).
(A) Permanent or
temporary numbness or altered sensation.
(B) Rejection of bone particles or graft from
donor or recipient sites.
(C)
Damage to adjacent teeth or bone.
(2) Surgical placement of implant body.
(A) Blood vessel or nerve injury.
(B) Damage to adjacent teeth or bone
fracture.
(C) Sinus communication
(opening from tooth socket into the sinus cavity).
(D) Failure of implant requiring corrective
surgery.
(E) Cyst formation, bone
loss, or gum disease around the implant.
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