APPENDIX F Consent Form for Implant Surgery The implant surgery procedure has been explained to me, and I understand what is necessary to accomplish the placement of the implant under the gum or in the bone. The Dr./s have carefully examined me. To my knowledge, I have given an accurate report of my health history. Any prior allergic or unusual reactions to drugs, foods, insect bites, anesthetics, pollen, dusts, blood or body disease, gum or skin reactions, abnormal bleeding, or any other conditions concerning my health are included. I was informed of other methods that would replace missing teeth. I have tried or considered these methods, and I prefer an implant(s) to help secure the replaced missing teeth. I understand that any of the following may occur: bone disease, loss of bone and/or gum tissue, inflammation, swelling, infection, sensitivity, looseness of teeth, followed by necessity of extraction. Also possible are temporomandibular joint problems, headaches, referred pains to the back of the neck and facial muscles, and tired muscles when chewing. I also understand that if conventional removable dentures are used, I may suffer injury to and/or loss of teeth and bone as well. Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: Distributors of Musculoskeletal Tissue Implant Patient Follow-Up Form 28: Principles of Occlusion in Implantology 23: Root Form Implant Prosthodontics: Abutments 3: Evaluation and Selection of the Implant Patient 6: Preparations for Implant Surgery Stay updated, free dental videos. Join our Telegram channel Join Tags: Atlas of Oral Implantology 3e Jan 5, 2015 | Posted by mrzezo in Implantology | Comments Off on Consent Form for Implant Surgery VIDEdental - Online dental courses
APPENDIX F Consent Form for Implant Surgery The implant surgery procedure has been explained to me, and I understand what is necessary to accomplish the placement of the implant under the gum or in the bone. The Dr./s have carefully examined me. To my knowledge, I have given an accurate report of my health history. Any prior allergic or unusual reactions to drugs, foods, insect bites, anesthetics, pollen, dusts, blood or body disease, gum or skin reactions, abnormal bleeding, or any other conditions concerning my health are included. I was informed of other methods that would replace missing teeth. I have tried or considered these methods, and I prefer an implant(s) to help secure the replaced missing teeth. I understand that any of the following may occur: bone disease, loss of bone and/or gum tissue, inflammation, swelling, infection, sensitivity, looseness of teeth, followed by necessity of extraction. Also possible are temporomandibular joint problems, headaches, referred pains to the back of the neck and facial muscles, and tired muscles when chewing. I also understand that if conventional removable dentures are used, I may suffer injury to and/or loss of teeth and bone as well. Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: Distributors of Musculoskeletal Tissue Implant Patient Follow-Up Form 28: Principles of Occlusion in Implantology 23: Root Form Implant Prosthodontics: Abutments 3: Evaluation and Selection of the Implant Patient 6: Preparations for Implant Surgery Stay updated, free dental videos. Join our Telegram channel Join
