EXTRACTION

EXTRACTION

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Patient Name

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Please inform us if you are on any blood thinners or suffer from cardiac conditions.
Extraction

Your tooth is recommended to be extracted because it is deemed irreparable. This procedure involves freezing the area and removing a small portion of bone around the tooth if necessary to allow for a smoother procedure.

Possible outcomes:

        1.The tooth may fracture into small pieces which will be located by taking an x-ray and then removed.

2.Other fillings/teeth may fracture due to procedure.

        3.The nerve may be dislodged where paralysis of the area may be temporary or permanent.

        4.An abscess may be lodged in the area.

        5.You may experience dry socket if post op instructions are not followed.

Risks:

Bone Fracture
Jaw fracture(rare)
Upper posterior teeth. Oro-antral communication. You may require an additional procedure. Please inform us if you are on any blood thinners or suffer from cardiac conditions.

Any Questions?
Consent

I, {name}, hereby acknowledge that I have been informed to my satisfaction of all the treatment considerations, including benefits of treatment, risks of treatment and risks 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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