Medico-legal | Written informed consent dental implant | DENTIST & IMPLANTOLOGIST VIEW ONLY YOUTUBE|
DENTAL IMPLANTS -INFORMATION AND CONSENT FORM:
After a careful examination, I have been advised that my current condition might be improved by replacing my missing tooth/teeth with
an implant/implants and one or more artificial teeth. The placement of dental implants is a treatment option that acts as a support for a new
restoration, fixed bridgework or a removable denture. Restoring lost tooth structure will provide adequate chewing function and speech, create
and maintain an aesthetic appearance and prolong the retention of all sound teeth.
There are alternatives to dental implants including but not limited to: no treatment; removable partial dentures (for eating and aesthetic aid);
Crown and bridge-work (if possible).
I understand local anaesthetic will be given during the procedure and some discomfort following treatment may develop from the injection area
and from opening my mouth during treatment. I understand that my gum tissue will be lifted and an implant (s) will be placed into my jawbone.
I understand that sometimes when there is insufficient bone, a bone graft may be required by either using my own bone harvested from my jaw
and/or certified natural bone mineral usually of synthetic origin. I understand that sometimes the bone graft will be covered with my own
tissue, however when this is not possible a resorbable collagen membrane or less commonly a non-resorbable membrane might be used. I further
understand that if during the surgery if the clinical conditions turn out to be unfavourable for the placement of the implant; my dentist will
determine how to manage the situation. It may involve a bone graft plus a soft tissue graft which may delayed the healing process.
I understand that some of the problems that may occur are temporary: pain around the implant, infection, tingling and loss of sensation. In rare
occasions altered or loss of sensation in the mandible (lower jaw), lower lip and lower chin may be permanent where implant(s) have been placed
in the back of the lower jaw.
I understand that every measure has been taken to reduce the risk of complications such as detailed analysis of the bone, nerve and sinus
anatomy using CT scans, 3D computer reconstruction of my jaw and models.
I understand that the success of dental implant surgery is high and the implant(s) is likely to last my lifetime, however as in any human implant
procedure (heart, kidney, artificial knees and hips) no absolute guarantee can be given.
I understand that the success of a dental implant(s) also depends on strictly following the pre- and post-operative instructions, following oral
hygiene instructions, attendance for yearly examinations and refraining from smoking. Regular six-monthly scaling and polishing of
remaining teeth and or implants are paramount to look after teeth and implants and to prevent periodontal (gum) disease and peri-implantitis.
I understand that the prosthetic phase of my treatment is just as important as the surgical phase for the long-term success of the reconstruction,
which is what we desire. Patients who are under 25 years age, will have continued growth in the jaws over several years and may result in
a change in the alignment of the teeth resulting in a new crown/bridge to correct the misalignment in the future.
I understand that some complications can result from the implant surgery, drugs and anaesthetics. These complications, if any, are
usually temporary and may include: infection, bleeding, swelling, pain, facial discolouration, numbness of the lip, tongue, teeth, chin or gum, jaw
joint injuries, muscle spasm, tooth looseness, tooth sensitivity to hot, cold, sweet or acidic foods, shrinkage of the adjacent gum tissue upon
healing resulting in elongation of some teeth and greater spaces between teeth, cracking or bruising of the corners of the mouth, restricted ability
to open the mouth, speech difficulties, allergic reactions, injury to teeth, bone fractures, nasal sinus penetrations, delayed healing and accidental
swallowing of foreign matter. Published research indicates that permanent complications are rare.
I understand that it is vital for me to continue to see my dentist. Implants, natural teeth and appliances have to be maintained daily in a clean and
hygienic manner. Yearly examinations are important in case of any adjustments are needed. This yearly examination may include visual
examination, gum probing assessment and adjustments of the bite. Normal fees will apply for these procedures.
I understand that complications may arise from my gum disease and I may be referred to a Specialist e.g. Periodontist at my own cost.
I acknowledge that I have provided an accurate medical history, will follow treatment recommendations, and have had the opportunity to ask
questions about these risks. I understand that bisphosphantes (medication) can increase the risk of implant failure and bone necrosis by 5%. I
understand that although smoking is not.....( 5000 CHARACTER LIMIT REACHED!)