Dr. Fred Koslowsky - 403.234.7400
General Informed Consent
Your treatment plan includes recommendations for you to benefit from excellent oral health. These recommendations are based on a thorough clinical evaluation, a radiographic exam, and the state of health you are currently in. Our intent is to treat you and your family in a gentle and comfortable manner that includes treatment choices based on your informed consent. In determining the ideal plan for your dental health and wellness, we will recommend the best treatment suitable for you. In order that you are fully informed regarding treatment intended to restore or maintain your health, we feel it is important that you understand the following risks, benefits and limitations of your treatment choices. Achieving and maintaining good oral health involves treatment of the gums (periodontal tissue) and the teeth. The longevity of restorations and health of your gums are directly related to how well you take care of your overall health along with regular brushing, flossing, and regular check-ups.
To help you and your family establish and maintain a healthy condition of your mouth, we will use and recommend the very best dental materials and techniques available, and continue to participate in advanced studies for dental education. Although no material to date can replace the complete strength of the tooth enamel, we will select materials that maximize the strength and aesthetic quality of your new restorations based on current research and technology. Generally, direct placed fillings, suitable for small cavities or tooth fracture, are made of plastic composite; and indirect restorations (crowns, inlys, onlays) more suitable for larger cavities or tooth fracture are made of porcelain and/or gold. All of our patients are advised that dental work placed in their mouth, may need to be replaced once, and maybe twice in their lifetime depending on the strength of the materials and how well they are maintained. It is also important for you to know that placement of new restorations carry a risk of need for further treatment. Even if no pain was present in a tooth before treatment began, there is a chance that it may develop after. This situation may arise due to previous decay (infection) or fracture of the tooth resulting in irreversible changes of the pulp or nerve. These changes include underlying chronic inflammation or infection of the tissues that may result in the need for root canal following the placement of a new filling. This inflammation or infection may not have resulted in any pain or discomfort before your treatment, and may not be visible clinically or on x-rays. Although some normal sensitivity to temperature or biting is expected after new restorations are placed, any symptoms which may include pain or swelling that worsen over time, weeks or years after a restoration was placed, may lead to the need for root canal treatment or removal of the offending tooth. At times we may recommend root canal prior to the placement of a new restoration. This is done only if we suspect an already damaged nerve.
Gum or Periodontal Treatment
Treatment of the gums may include scaling, the removal of calculus, a polish to remove plaque, and fluoride treatment to increase enamel strength and maintain tooth restorations. The presence of calculus or bleeding gums is a sign your gums may be infected. If calculus has been present for a long time, usually greater than 6 months, it develops into very hard, tenacious deposits. These toxic deposits result in bone resorption and gum recession. Several appointments, sometimes with the use of a local anaesthetic, may be required to remove these deposits. In cases where there is an excess of calculus due to insufficient brushing and flossing, some sensitivity of the teeth, spaces between teeth or root exposure may occur due to additional recession of the gums as the tissues heal. There is always some chance when treating infection that pain and an increase of infection may result due to the presence of bacteria in the mouth. Treatment of moderate to severe cases of gum disease may require antibiotics and/or a referral to a gum specialist. Like chronic tooth decay, gum disease is not always associated with any pain until severe infection results. Therefore early treatment and on-going maintenance is the best way to prevent disease.
It is important to inform our office of any changes in your medical history including any drugs or pills you are currently taking. Please advise us if you have any allergies. Allergies to dental materials may occur; the most common allergies are to latex and nickel.
Local Anaesthetic (Freezing)
Many dental procedures necessitate the use of local anaesthetics (dental freezing) to numb the tissues to keep you comfortable. The administration of a local anaesthetic carries some risk or untoward reactions or side effects which may include, but are not limited to bruising, haematoma; cardiac stimulation; temporary or rarely, permanent numbness; or muscle soreness. On rare occasions needles may break and require surgical retrieval. Please be cautious against chewing your lip or cheeks while they are numb as injury can result and swelling, bruising or infection may occur. We ask that you monitor your children carefully following dental freezing.
Unfortunately, due to the nature of dental disease and the body’s natural response to treatment, there is no guarantee your treatment will be successful even after the effort has been spent to restore your tooth or mouth. Although these risks are seldom enough to avoid necessary treatment, by informing you of the risks associated with treatment contained in this letter, we hope that together we can help you make informed decisions involving your oral health and wellness care.
Our most important goal for you and your family is to have you enjoy the type of dental health you deserve. We use our mouth for social interaction when we smile, communication when we speak, and for nutrition when we eat. A healthy mouth can enhance our lives in many ways.
Many of our clients have thanked us for taking the time to explain to them the benefits and risks associated with ideal dental treatment. If you ever have any questions or concerns relating to your treatment choices or service please call our office at 403-234-7400.
Welcome to Discovery Dental Centre, and thank-you for choosing our office.
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