Forms 1 Informed consent for crown and bridge prosthetics I have been advised of and understand that treatment of dental conditions requiring crowns and/or fixed bridgework, involves certain risks and possible unsuccessful results, including the possibility of failure.
By signing this Consent for Final Cementation, I give Dove Dental Specialists my consent for final cementation, acknowledge my approval of the appearance and authorize use of discussed material.
Reduction of the tooth structure: In order to replace decayed or otherwise traumatized teeth, it is necessary to modify the existing tooth or teeth so that crowns (caps) and/or bridges may be placed upon them. Tooth preparation will be done as conservatively as practical. In preparation of teeth, anesthetics are usually needed.
understand that treatment of dental conditions requiring crowns and/or fixed bridge includes certain risks and possible unsuccessful results, with even the possibility of failure.
By signing this document, I am freely giving my consent to allow and authorize my Doctor to render any treatment necessary and/or advisable to my dental conditions including the prescribing and administering of any medications and/or anesthetics deemed necessary to my treatment.
1. preparation of the tooth, an impression sent to the lab, construction and temporary cementation of a temporary crown; and later 2.) removal of the temporary crown, adjustment, and cementation of the permanent crown after esthetics and function have been verified and accepted.
Informed Consent for Crowns & Bridges Diagnosis: Crowns are often needed when a large cavity threatens the ongoing health and longevity of a tooth or to restore a tooth after root canal therapy. Description of Procedure: In order to replace decayed or otherwise traumatized teeth the