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Download Completion of Orthodontic Treatment 10/10/00 postorth
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Completion of Orthodontic Treatment 13 10/10/00 postorth.doc The Final Result Before removing the orthodontic appliances it is important that you are satisfied with the final result. Be certain that you are satisfied before you agree to the removal of your appliances. Retention. Teeth have a tendency to return to their original position unless a retainer is worn. At the end of treatment it is necessary to retain the teeth in position otherwise they may move out of alignment. This may be achieved with a hidden wire glued to the teeth or a removable appliance. Maintenance of Retainers. Retainers may wear or break. If not repaired your teeth may move. Contact us immediately if your retainer becomes damaged. Follow-up Appointments To ensure a long lasting result it is necessary to be checked at regular 6 monthly intervals. Removal of Fixed Appliances After removal of fixed appliances some glue may remain. This may become stained and require removal at a later date. If this occurs, please contact us. Completion Agreement 1. I am satisfied with the position of my teeth. 2. I am happy to have the bands, brackets or appliance removed. 3. I agree to return immediately if my retainer breaks or any teeth move out of position. 4. I agree to return for follow-up regular six-monthly checkups. I have been given the opportunity to ask questions about orthodontic treatment. I have read and understood this consent form and have been given a copy to take home Initial ____ Name ( Block Capitals)___________________________________________________ Patient's Signature .................................................................Date................................ Dentist's Signature .................................................................Date................................ Stuart Orton-Jones 33 High Street Harpole, Northampton, NN7 4DH, UK Telephone:- 01604 832399 Fax:- 01604 832867 Mobile:- 07885 349300 e-mail:- [email protected]
