Consent for Extraction - Peyton Cunningham DDS
... Irreversible damage to the nerve tissue inside the tooth Failed endodontic therapy ...
... Irreversible damage to the nerve tissue inside the tooth Failed endodontic therapy ...
pediatric dental - Western Health Advantage
... The following Copayments apply when services are performed by your assigned Primary Care Dentist or a Contracted Specialist (with prior approval from Access Dental). If Specialist Services are recommended by your Primary Care Dentist, the treatment plan must be preauthorized in writing by Access Den ...
... The following Copayments apply when services are performed by your assigned Primary Care Dentist or a Contracted Specialist (with prior approval from Access Dental). If Specialist Services are recommended by your Primary Care Dentist, the treatment plan must be preauthorized in writing by Access Den ...
Consent for tooth extraction
... I have been informed of the following possible alternative treatments, and the costs risks & benefits of each: No treatment Root Canal therapy Filling Crown Gum treatment Other________________________. I have been informed and fully understand that there are certain inherent and potential risks asso ...
... I have been informed of the following possible alternative treatments, and the costs risks & benefits of each: No treatment Root Canal therapy Filling Crown Gum treatment Other________________________. I have been informed and fully understand that there are certain inherent and potential risks asso ...
pediatric dental - Western Health Advantage
... The following Copayments apply when services are performed by your assigned Primary Care Dentist or a Contracted Specialist (with prior approval from Access Dental). If Specialist Services are recommended by your Primary Care Dentist, the treatment plan must be preauthorized in writing by Access Den ...
... The following Copayments apply when services are performed by your assigned Primary Care Dentist or a Contracted Specialist (with prior approval from Access Dental). If Specialist Services are recommended by your Primary Care Dentist, the treatment plan must be preauthorized in writing by Access Den ...
Resolution of Furcation Bone Loss Associated with Endodontic
... An endodontic infection of necrotic pulp tooth plays an important role to spread bacteria to the root canal system and result with the formation of periradicular pathologies (7). In the absence of bacteria, periapical inflammatory reaction is not progressed and damaged tissues heal rapidly (8-9). Th ...
... An endodontic infection of necrotic pulp tooth plays an important role to spread bacteria to the root canal system and result with the formation of periradicular pathologies (7). In the absence of bacteria, periapical inflammatory reaction is not progressed and damaged tissues heal rapidly (8-9). Th ...
SCOPE OF ENDODONTICS
... considered as indication for the endodontic surgery, and contraindication for the conservative endodontic. Really, before surgery is performed, the dentist should try with conservative non surgical endodontic therapy. In case of failure, the change to the surgical treatment become mandetory and (the ...
... considered as indication for the endodontic surgery, and contraindication for the conservative endodontic. Really, before surgery is performed, the dentist should try with conservative non surgical endodontic therapy. In case of failure, the change to the surgical treatment become mandetory and (the ...
HealOzone - now available at Wilkinson Dental Care
... keep fillings smaller because less infected tooth needs to be removed, thus reducing the amount of drilling and often eliminating the need for local anaesthesia. treat deep decay and greatly reduce the need for root canal treatment. sterilise root canals before filling them make teeth less sensitive ...
... keep fillings smaller because less infected tooth needs to be removed, thus reducing the amount of drilling and often eliminating the need for local anaesthesia. treat deep decay and greatly reduce the need for root canal treatment. sterilise root canals before filling them make teeth less sensitive ...
tooth removal consent form
... I understand that the extraction of a tooth (teeth) has been recommended by my dentist. I have had any alternative treatment (if any) explained to me, as well as the consequences of doing nothing about my dental conditions. I understand that non-treatment may result in, but not be limited to: infect ...
... I understand that the extraction of a tooth (teeth) has been recommended by my dentist. I have had any alternative treatment (if any) explained to me, as well as the consequences of doing nothing about my dental conditions. I understand that non-treatment may result in, but not be limited to: infect ...
Endodontic treatment referral form
... Patients with moderate/severe dentoalveolar trauma who require endodontic treatment e.g. complicated crown root fracture, avulsion, intrusion, tooth with open apex, root fracture, etc. Patients with complex medical/dental history or on medication that affect their dental management e.g. cancer, limi ...
... Patients with moderate/severe dentoalveolar trauma who require endodontic treatment e.g. complicated crown root fracture, avulsion, intrusion, tooth with open apex, root fracture, etc. Patients with complex medical/dental history or on medication that affect their dental management e.g. cancer, limi ...
Consent Surgery
... Root canal surgery, or “apicoectomy”, is a surgical procedure that involves conventional local anesthesia with or without sedation by mouth, small incisions in the gum area, removal or some bone around the root, sectioning a small part of the root end and plugging it with a permanent filling materia ...
... Root canal surgery, or “apicoectomy”, is a surgical procedure that involves conventional local anesthesia with or without sedation by mouth, small incisions in the gum area, removal or some bone around the root, sectioning a small part of the root end and plugging it with a permanent filling materia ...
RESTORATIVE AND ROOT CANAL TREATMENT PATIENT
... allergic reactions to drugs or medications used, etc. 4. I understand that if nothing is done, any of the following could occur: bone disease, loss of bone, gum tissue inflammation, infection, sensitivity, fracture of teeth, loss of teeth. Also possible are temporomandibular joint (jaw) problems, he ...
... allergic reactions to drugs or medications used, etc. 4. I understand that if nothing is done, any of the following could occur: bone disease, loss of bone, gum tissue inflammation, infection, sensitivity, fracture of teeth, loss of teeth. Also possible are temporomandibular joint (jaw) problems, he ...
Endo Consent
... explained the risks and benefits of the alternatives. I also understand that root canal therapy has a very high success rate, but the doctor has not guaranteed or warranted a perfect result. The doctor has explained to me that there are certain potential risks in the procedure. These include: 1. Ina ...
... explained the risks and benefits of the alternatives. I also understand that root canal therapy has a very high success rate, but the doctor has not guaranteed or warranted a perfect result. The doctor has explained to me that there are certain potential risks in the procedure. These include: 1. Ina ...
METROZOL - for treatment of gangrenous pulpitis and
... Isolate the tooth from contamination with saliva. Before applying the paste make the preparation – remove the carious dentin and pulp residues from the root canal. After completion of the processing of the canal dry it and introduce the paste "Metrozol" with rotary paste filler to the apex. In the c ...
... Isolate the tooth from contamination with saliva. Before applying the paste make the preparation – remove the carious dentin and pulp residues from the root canal. After completion of the processing of the canal dry it and introduce the paste "Metrozol" with rotary paste filler to the apex. In the c ...
Endodontics
... INFORMED CONSENT: I have been given the opportunity to ask any questions regarding the nature and purpose of root canal retreatment and have received answers to my satisfaction. I have been given the option of seeking this treatment from a specialist. I do voluntarily assume any and all possible ris ...
... INFORMED CONSENT: I have been given the opportunity to ask any questions regarding the nature and purpose of root canal retreatment and have received answers to my satisfaction. I have been given the option of seeking this treatment from a specialist. I do voluntarily assume any and all possible ris ...
The Oral Cavity--- aka
... B. Sublingual ( under tongue) C. Submandibular (posterior to teeth--- secretes Amylase) 10. Teeth perform Mastication = chewing ( which breaks down connective tissue of meat and fiber in plants a. dentin = like bone ( non-living) b. pulp cavity = blood and nerves c. root canal = narrow tunnels @ bas ...
... B. Sublingual ( under tongue) C. Submandibular (posterior to teeth--- secretes Amylase) 10. Teeth perform Mastication = chewing ( which breaks down connective tissue of meat and fiber in plants a. dentin = like bone ( non-living) b. pulp cavity = blood and nerves c. root canal = narrow tunnels @ bas ...
Informed consent - Cala Hills Endodontics
... During treatment, complications may be discovered which make treatment impossible and which may require dental surgery. These complications may include, but are not limited to, blocked canals due to filling or prior treatment, natural calcification, broken instruments, curved roots, periodontal (gum ...
... During treatment, complications may be discovered which make treatment impossible and which may require dental surgery. These complications may include, but are not limited to, blocked canals due to filling or prior treatment, natural calcification, broken instruments, curved roots, periodontal (gum ...
informed consent for endodontic (root canal) therapy
... I understand that after endodontic therapy, my tooth will require an additional restoration (filling, onlay, crown, or bridge). I realize that should I neglect to return to my restorative (family) dentist for the proper restoration within one month that there is an increased risk of 1) failure of th ...
... I understand that after endodontic therapy, my tooth will require an additional restoration (filling, onlay, crown, or bridge). I realize that should I neglect to return to my restorative (family) dentist for the proper restoration within one month that there is an increased risk of 1) failure of th ...
Medical Consent Form (Word format)
... services are rendered and charged to you, not your insurance company. However, if insurance information is provided prior to your treatment and verification is obtained, we will accept assignment for the insurance portion of the benefits. Any portion of the fee not covered by your insurance is your ...
... services are rendered and charged to you, not your insurance company. However, if insurance information is provided prior to your treatment and verification is obtained, we will accept assignment for the insurance portion of the benefits. Any portion of the fee not covered by your insurance is your ...
Informed Consent for Endodontic Treatment The goal of root canal
... c) Extraction: To be replaced with either nothing, a denture, a bridge or an implant ...
... c) Extraction: To be replaced with either nothing, a denture, a bridge or an implant ...
DMO 100%/100%/60% with Ortho
... Complete Upper Denture 60% Partial Upper Denture 60% Crown (porcelain with noble metal) 60% Anesthesia 60% Oral Surgery (removal of impacted tooth; partially bony) 60% Endodontics (molar root canal therapy) 60% Periodontics (osseous surgery; per quadrant) 60% ...
... Complete Upper Denture 60% Partial Upper Denture 60% Crown (porcelain with noble metal) 60% Anesthesia 60% Oral Surgery (removal of impacted tooth; partially bony) 60% Endodontics (molar root canal therapy) 60% Periodontics (osseous surgery; per quadrant) 60% ...
Abstract
... Retreatment procedures in endodontic practice require complete removal of the original root filling materials. The aim of this study was to compare the amount of residual filling material on the walls of root canals that were obturated with gutta-percha or Resilon. Thirty extracted single-rooted hum ...
... Retreatment procedures in endodontic practice require complete removal of the original root filling materials. The aim of this study was to compare the amount of residual filling material on the walls of root canals that were obturated with gutta-percha or Resilon. Thirty extracted single-rooted hum ...
“Doctor, I may have a failed root canal treatment case on my first
... root canal and among those, the infamous Enterococcus faecalis. From time to time, retrograde apical filling leakage allows for those bacteria to be released as well as their byproducts and toxins into the surrounding bone. This might explain why endodontic apical surgeries have had statistically lo ...
... root canal and among those, the infamous Enterococcus faecalis. From time to time, retrograde apical filling leakage allows for those bacteria to be released as well as their byproducts and toxins into the surrounding bone. This might explain why endodontic apical surgeries have had statistically lo ...
Specialist Endodontist
... pulp tissue (nerve and blood vessels) normally contained in the centre of the tooth becomes diseased or dies. This may lead to inflammation or infection (an abscess) in the surrounding jaw bone causing pain and swelling at the end of the tooth root, although it can sometimes remain pain-free. An End ...
... pulp tissue (nerve and blood vessels) normally contained in the centre of the tooth becomes diseased or dies. This may lead to inflammation or infection (an abscess) in the surrounding jaw bone causing pain and swelling at the end of the tooth root, although it can sometimes remain pain-free. An End ...
CONSENT FOR ENDODONTIC TREATMENT
... still occur. Examples include situations that may not be apparent until treatment has started, eg. cracked parts of tooth, difficult access, fine canals, difficult anatomy. RISKS: All reasonable measures are taken to minimise risks during treatment. Possible risks include, but are not limited to, th ...
... still occur. Examples include situations that may not be apparent until treatment has started, eg. cracked parts of tooth, difficult access, fine canals, difficult anatomy. RISKS: All reasonable measures are taken to minimise risks during treatment. Possible risks include, but are not limited to, th ...
Endodontic therapy
Endodontic therapy or root canal therapy is a sequence of treatment for the infected pulp of a tooth which results in the elimination of infection and the protection of the decontaminated tooth from future microbial invasion. Root canals and their associated pulp chamber are the physical hollows within a tooth that are naturally inhabited by nerve tissue, blood vessels and other cellular entities which together constitute the dental pulp. Endodontic therapy involves the removal of these structures, the subsequent shaping, cleaning, and decontamination of the hollows with small files and irrigating solutions, and the obturation (filling) of the decontaminated canals with an inert filling such as gutta-percha and typically a eugenol-based cement.Epoxy resin is employed to bind gutta-percha in some root canal procedures.