• Discussion and Informed Consent for Gingival Graft

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  • Facts for Consideration

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  • Benefits of Gingival Graft, Not Limited to the Following:

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  • Risks of Gingival Graft, Not Limited to the Following:

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  • Alternatives to Suggested Treatment:

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  • No guarantee or assurance has been given to me by anyone that the proposed treatment or surgery will cure or improve the condition(s) listed above.

  • Discussion and Informed Consent for Anesthesia/Sedation

  • Facts for Consideration

    During dental treatment, patients may have difficulty understanding the procedure and/or its management because of either psychological issues, a cognitive, physical or medical disability, or fear and anxiety. Considering patient safety and comfort, they may benefit from behavior management through communication techniques or immobilization. In addition, the dentist may also identify the need for sedation medication and anesthesia for the patient’s comfort and behavior management. Anesthesia is a method of providing medication to reduce patient anxiety, awareness of the surgery or treatment and reduction or elimination of pain associated with  surgery or treatment. Patients may require local anesthesia, or light to moderate conscious sedation, for their comfort   during the performance of dental restorations or surgical procedures. The depth of anesthesia, except for local anesthesia, is a matter of degrees beginning at a low level called “light” and adjusted to lighter or deeper levels depending on the patient’s tolerance for the procedure and discomfort. Your dentist will recommend and explain to you which type of anesthesia might be appropriate for your individual medical/dental needs. In the case of a minor (anyone under the age of 18), the administration and monitoring of anesthesia may vary depending on the type of procedure, the typeof practitioner, the age and health  of the  patient and the  setting  in which  anesthesia  is provided. Risks may vary with each specific situation. You are encouraged to explore all the options available for your child’s anesthesia for his or her dental treatment, and consult with your dentist or pediatrician as needed.
  • Option 1:        Local Anesthesia

  • Option 2:       Conscious Sedation

  • Alternative Treatments, Not Limited tothe Following:

  • For All Female Patients

  • For All Patients

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