• CONSENT TO APPLICATION OF TOOTH GEM

  • Tooth Bling General Information: Tooth Bling is non-invasive; they don't damage the tooth or enamel and are semi-permanent; lasting on average 6 or more months. The adhesive is the same as what a dentist uses to put on braces. The gems we use are 100% real Swarovski Crystal. Once the Tooth Bing is on, there may be some dental adhesive surrounding it on the tooth. This will wear off within a couple of weeks from

    Removal & Care: If you are ready to remove your tooth bling before it naturally falls off,

    it can easily be removed at your next professional routine dental cleaning or any dental professional. Once your tooth jewel does fall off naturally, there may still be some residual adhesive left. This too can easily be removed at your next professional routine dental cleaning. If you use tooth whitening strips, the area under the Tooth Jewel will not receive the whitening treatment while the Tooth Jewel is on.

    Tooth Bling Replacement Guarantee: If your tooth bling falls off within three months of us applying it, you may bring in your original receipt along with your copy of this signed form and we will be happy to apply another for you. We are only able to replace the

    Agreement: The tooth to be blinged is a real tooth, there are no cracks or chips, I do not wear invisalign or a full cover retainer and my teeth have been evaluated by a dental professional within the last year for any diseases/discoloration/damage etc. You understand that technician is not responsible for any damage done to your tooth/teeth after the Tooth Bling procedure, specifically by self removal or tampering. Any after care of the Tooth Bling will be done by your dental professional.

    I certify that I have read and initialed the above paragraphs and have had explained to my understanding this consent and procedure permit.

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  • After Care Instructions for Tooth Bling

    Do not touch or play with the crystal with your tongue

    (You may feel the crystal inside your lips for the first

    few days but should get used to it after that)

    Do not eat or chew gum for one hour after the Tooth

    When you eat for the next 12 hours, softer food is

    Do not brush your teeth for 12 hours after the Tooth

    You can drink and smoke immediately after the Tooth

    Remember aftercare and removal is to be done by

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