Dear patient, you read the information provided below. Read this information and by signing it, you'll learn about the treatments that apply to you or your child. To find out about the benefits and risks of treatment planning at the end of your treatment will ensure that you will be satisfied. We wish you a healthy and happy life.
Anesthesia is applied in order to provide limited pain control during treatment. When necessary, primarily topical anesthetic spray) is attached to the inner part of the cheek, gums, or with. When liquid anesthetic is injected with a syringe if the region matches the tooth and the surrounding area is hissizlestirili for a while. After application of local anesthesia, although rare, in patients with allergic reactions, loss of sensation, bleeding, spasms Nov temporary, temporary facial paralysis can be seen. Application of local anesthesia or acute infections unless there are anatomical differences in the region of a successful application. Local anesthesia is applied to numb the region for approximately 2-4 hours. Therefore, bound to bite scar on cheek and lip, to avoid eating and drinking is not recommended until the numbness is gone. After 2-4 hours, the effects of the anesthesia are eliminated. During your treatment, a biopsy may be taken for further examination. To avoid failure of our health care system and the organization of the treatment program, appointments, and try to arrive on time. When you are not able to come, cancel your appointment 24 hours in advance.
Tooth extraction; hard to get a shot or routine is a surgical procedure and there's no turning back. As with every surgical procedure, there are some risks. These risks, including but not limited to the following, are as follows: 1. Swelling and/or redness, discomfort in the area of Surgery, 2. Stretch the corners of the mouth due to redness and cracking 3. The development and delayed healing of wound infection, 4. Dry socket; usually due to inadequate maintenance, which started a few days after surgery jaw pain, wisdom teeth, especially the lower jaw is more common in shots. 5. Especially for large fillings and crowns in the presence of damage to adjacent teeth, 6. The gums, lips, tongue, teeth and jaw at the tip of sensory loss, or decreased sensation. Especially close to the roots of the nerves in the teeth such as wisdom teeth that can be seen. Numbness is almost always returns to normal, but rarely may be permanent. 7. Trismus; depending on the inflammation or swelling of the mouth opening limitation. 8. Bleeding severe bleeding is not common. For a few hours, but the bleeding continues. 9. After shooting, sharp corners and shooting blanks may occur in the bone ladder. These are corrected with a new surgical intervention. 10. The root part of complete disconnection. To avoid damage to important structures such as nerves or sinuses, sometimes small root fragments can be left. 11. A relationship sinus; posterior sinus is very close to the roots of the teeth of the upper jaw, sinus or the sinuses and in some cases, an opening between the mouth and the root pieces can escape may occur; these special situations must be dealt with. 12. Jaw fractures; although very rare, hard and deeply buried formation of tooth extractions is possible.
Root canal therapy to be saved before the tooth is extracted, a process that is done for understanding. Clinical outcomes of root canal treatment is very successful, despite a treatment that cannot be guaranteed due to a biological process that is never learned. Very little of the small appliances that are used within the root canal during treatment, the possibility of breakage exists, and I'm finding that out can affect the success of the treatment of this condition. In some cases, especially in teeth with periapical lesion, root canal treatment is done after the repetition of recovery without root canal treatment, surgical intervention, and sometimes I have been informed that tooth extraction may be required.
GENERAL CONSENT FORM
The undersigned/the patient's Guardian/conservator by the dentist of the disease diagnosis, treatment plan, and I have been informed about alternative treatments. I agreed to the proposed treatment to me.
Questionable treatment planning could vary told, I understood, and I accepted. I was wondering about my treatment or my child's treatment all the questions were answered. The success of treatment is up to me, falling on me in the house and told that I must comply with oral hygiene and dietary recommendations, I agreed. Treatments that have failed to be done in this regard in undertaking a result of the physician told me couldn't be found, I got it and I accepted. My/my child need to give up harmful habits fulfill, and recommendations regarding me/my child to be written to the defect, the necessity of appropriate dose and duration of use of the tariff explained and I agreed. Me/my child to be applied to the treatment of long-term guaranteed that he could not be explained, understood, and I have accepted. After you accept the treatment of me/my child any information about X-rays, photos, videos, educational and other documents and/or be used for scientific purposes, let's accept that. During treatment, my personal stuff(money, jewels, jewelry, clothes, cell phone, etc.) responsibility and safety of the mine was reported to be, I got it and I accepted. As noted above, during the planning treatment of me/my child as described by me and accepted, I accepted and approved, the following information is included dental treatment. I have been informed regarding patient rights.
Patient or patient's legal representative* -{firstName}
T. C. ID: {kimlikno}
Phone: {phone}
Physician's name-surname: {doktorad}
Date: {date}
