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Transcript
Animal General 725 River Rd. Edgewater, NJ 07020 Dental Consent Form Please Read During the physical examination, it is often not possible to completely evaluate the degree of dental disease. Only when your pet is under anesthesia can a thorough dental exam be done. Because of this, dental problems such as loose, diseased or fractured teeth may be later discovered while under anesthesia. We try to make the preliminary estimate accurate, but this is not always possible in the examination room. In order to accurately access your pet’s dental needs some additional procedures may be necessary: 1. Dental Extractions for hopeless, painful and fractured teeth Agree_____ Disagree_____ 2. Gingival/Gum Flap Surgery to close gaps left by extractions Agree_____ Disagree_____ 3. Dental x-rays if there is periodontal disease or suspected root exposure Agree_____ Disagree_____ 4. Oravet Gel Application is a sealant that creates an invisible barrier that prevents plaque and tarter forming bacteria from attaching to the teeth. This would be good if you are able to work on your pet’s mouth and able to keep up once a week. This is an OPTIONAL treatment Agree_____ Disagree_____ Print: __________________________________________________________________ Signature: ____________________________________________________________ Date: __________________________________________________________________