Filling Consent

Fillings

Your tooth needs a filling due to:

• Cavity, caused by bacteria 
• Crack or fracture
• For aesthetic purposes
   

Process

You will be given anesthetic before we start, unless otherwise indicated. This will last approximately 2-3 hours. Be very careful during this period of time.
The soft decay will be drilled away as minimally as possible. Cracks, fractures and aesthetic procedures will be prepared to the individuals needs.
We will then fill your tooth using a tooth coloured filling, smooth it down and polish it.
 

Post operatively- Your teeth need to heal after treatment.

• Sensitivity to hot and cold liquids                                     
• Sensitivity to touch when chewing
• Bruising of tissues from injection
• If the decay is deep there is a possibility you may need a root canal in the future. This can happen even if the tooth was not painful prior to the procedure.
• Your tooth still contains natural tooth structure and can still get cavities or breakages in the future. 

* Please contact the office if these symptoms last over 2-3 weeks. 

Note from your dentist: It is extremely important for you to complete all of your treatment, if not completed these teeth may become infected, painful or fracture.

I {patientName} (patient or parent) hereby acknowledge that I have been informed to my satisfaction of all the treatment considerations, including benefits of treatment, risks of treatment and risk of non treatment.  I {patientName} agree to this treatment and understand all risks and steps toward a succesful treatment plan, and I now consent to treatment.