And such other additional or alternative procedures that may be found immediately necessary during the course of treatment. I also consent to the use of local anesthetics and/or sedation for the purpose of this treatment.
I understand the goals of endodontic root canal treatment is to retain that may otherwise require extraction. Although endodontic root cancel treatment usually has a high degree of clinical success, it is a dental-biological procedure, whose results cannot be guaranteed. Occasionally, endodontic root canal treatment may fail, resulting in tooth loss. A permanent (outside) restoration, such as a crown only or full-coverage crown should be placed afterward. Following the completion of endodontic root canal treatment, fracture and loss of my roots canal-filled tooth due to brittleness may be more likely to occur unless my root canal-filled tooth is restored within a month following completion endodontics.
which have been discussed with me include, but are not limited to:
1. Pain and swelling
2. Injury to the nerves of the lower lip, teeth, chin, and tongue causing numbness and or pain which could be permanent
4. Unusual reactions to medications given or prescribed
5. Separation of instrumentation in the root canal
6. Tooth fracture, root perforation, sinus perforation
7. Antibiotics may inhibit the effectiveness of birth control pills
I acknowledge that no guarantee or assurance has been made to me as to the results that may be obtained. I agree to cooperate completely and will follow post-operative instructions to the best of my ability for my own comfort and safety. I have had the opportunity to ask questions concerning these procedures and all my questions have been answered.
I CERTIFY THAT I HAVE READ AND FULLY UNDERSTAND THE ABOVE CONSENT TO TREATMENT AND THAT THE EXPLANATIONS WERE GIVEN TO ME PRIOR TO TREATMENT.