Root Canal Consent

ROOT CANAL

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Root Canals

Your tooth needs a root canal because bacteria has entered the internal hollow portion of the tooth due to a large cavity or crack. The thin hollow chambers will be cleaned with small K3 nickel titanium “pipe cleaners,” washed with sodium hypochorite (bleach) and filled with a warm plastic material called gutta percha. A temporary filling will be placed in the tooth followed by a permanent filling a week after procedure. A crown is recommended for your tooth due to lack of nourishment/oxygen.

There is a 95% success rate with root canal therapy.

Reasons for failure are as follows:

Other canals which were not located may contain dormant bacteria.
The tooth may be cracked too extensively.
The file may fracture in the canal.

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Consent

I {name}(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 {name}agree to this treatment and understand all risks and steps toward a successful treatment plan, and I now consent to treatment.
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ROOT CANAL