oral-health-and-disease-ontologies / NDPBRN

Repository for code and ontology files for the NDPBN project
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Revise definition of surgical dental procedure #32

Open wdduncan opened 5 years ago

wdduncan commented 5 years ago

@alanruttenberg Here is a potential definition for 'surgical dental procure' from MedNet: The branch of medicine that employs operations in the treatment of disease or injury. Surgery can involve cutting, abrading, suturing, or otherwise physically changing body tissues and organs. source: https://www.medicinenet.com/script/main/art.asp?articlekey=5603

alanruttenberg commented 5 years ago

Obviously needs to be adapted.

One try: A surgical dental procedure is a dental procedure involving cutting, abrading, suturing, or otherwise physically changing body tissues and organs.

This relies on 'dental procedure' for the scope. However our dental procedure definition isn't great either. "A heath care encounter in which a dental patient undergoes a diagnostic or therapeutic process." If the dentist takes your blood pressure, is that taking a dental procedure? Maybe specify anatomy, as I do in the version below "in the oral cavity"

For reference below is the definition from the American College of Surgeons https://www.facs.org/~/media/files/advocacy/state/definition%20of%20surgery%20legislative%20toolkit.ashx. It's long. Below I'll try to adapt it to our purposes

Surgery is performed for the purpose of structurally altering the human body by incision or destruction of tissues and is part of the practice of medicine. Surgery also is the diagnostic or therapeutic treatment of conditions or disease processes by any instruments causing localized alteration or transportation of live human tissue, which include lasers, ultrasound, ionizing radiation, scalpels, probes, and needles. The tissue can be cut, burned, vaporized, frozen, sutured, probed, or manipulated by closed reduction for major dislocations and fractures, or otherwise altered by any mechanical, thermal, light-based, electromagnetic, or chemical means. Injection of diagnostic or therapeutic substances into body cavities, internal organs, joints, sensory organs, and the central nervous system is also considered to be surgery (this does not include administration by nursing personnel of some injections, such as subcutaneous, intramuscular, and intravenous when ordered by a physician). All of these surgical procedures are invasive, including those that are performed with lasers, and the risks of any surgical intervention are not eliminated by using a light knife or laser in place of a metal knife or scalpel. Patient safety and quality of care are paramount, and the College therefore believes that patients should be assured that individuals who perform these types of surgery are licensed physicians (defined as doctors of medicine or osteopathy) who meet appropriate professional standards.

A surgical dental procedure is a dental procedure in which there is structural alteration in or around the oral cavity by incision or destruction of tissues by or manipulation with instruments causing localized alteration or transportation of tissue, including lasers, ultrasound, ionizing radiation, scalpels, probes, and needles.

I'm not sure if oral cavity is too broad. Is there concise narrower scope? E.g. "mouth or jaw"?

On Mon, May 13, 2019 at 11:14 AM Bill Duncan notifications@github.com wrote:

@alanruttenberg https://github.com/alanruttenberg Here is a potential definition for 'surgical dental procure' from MedNet: The branch of medicine that employs operations in the treatment of disease or injury. Surgery can involve cutting, abrading, suturing, or otherwise physically changing body tissues and organs. source: https://www.medicinenet.com/script/main/art.asp?articlekey=5603

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alanruttenberg commented 5 years ago

By my definition it seems like a root canal or even a restoration would be subclass. A proposed modification in bold: On Mon, May 13, 2019 at 1:46 PM Alan Ruttenberg alanruttenberg@gmail.com wrote:

A surgical dental procedure is a dental procedure in which there is structural alteration of soft tissue or bone in or around the oral cavity by incision or destruction of tissues by or manipulation with instruments causing localized alteration or transportation of tissue, including lasers, ultrasound, ionizing radiation, scalpels, probes, and needles.