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 You may also need24: Root Form Implant Prosthodontics: Single-Tooth Implant Restorations30: Maintenance and HygienePostoperative Guidelines for the Implant SurgeonRecommended Diet After Implant Surgery18: All-on-4 Implants8: Hard Tissue Surgery and Bone Grafting26: Implant Prosthodontics: Design and Fabrication of a Hybrid Bridge Fixed-Detachable Prosthesis3: Evaluation and Selection of the Implant Patient Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)Click to share on Google+ (Opens in new window) Related Tags: Atlas of Oral Implantology 3e Jan 5, 2015 | Posted by mrzezo in Implantology | Comments Off on Consent Form for Implant Surgery
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 You may also need24: Root Form Implant Prosthodontics: Single-Tooth Implant Restorations30: Maintenance and HygienePostoperative Guidelines for the Implant SurgeonRecommended Diet After Implant Surgery18: All-on-4 Implants8: Hard Tissue Surgery and Bone Grafting26: Implant Prosthodontics: Design and Fabrication of a Hybrid Bridge Fixed-Detachable Prosthesis3: Evaluation and Selection of the Implant Patient Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)Click to share on Google+ (Opens in new window) Related