• Tooth Gem Consent Form

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  • Tooth Jewel Placement: Tooth Jewels must be placed on a real and flat tooth, if you have a tooth that is a false, crowned, or capped the Tooth Jewel glue will not adhere to the false tooth. The Tooth Jewel must be placed high on the tooth, or in the center, as the low part of the tooth is what sinks into food when biting.

    Tooth Jewel General Information and Care: Tooth Jewels are non-invasive; They don’t damage the tooth or enamel and our semi-permanent. No drilling or damage is done to the tooth/teeth during or after this procedure. The adhesive is the same as what a dentist uses to put on braces. The Tooth Jewels we us are 100% real lead free Swarovski Crystal, Diamond or Gold. Once the tooth jewel is on, there may be some dental adhesive surrounding the Tooth Jewel on the tooth. This will wear off within a couple of weeks from normal brushing and eating. Tooth Jewels can last anywhere between four months to a few years. If you are ready to remove your tooth jewel before it naturally falls off, it can be easily removed at your next professional routine dental cleaning. Once your Tooth Jewel does fall off naturally, there may still be some residue adhesive left on your tooth. This too can easily be removed at your next professional routine dental cleaning. If you use teeth whitening strips, the area under the tooth Joe will not receive the whitening treatment while the Tooth Jewel is on.

    Tooth Jewel Replacement Guarantee: if your tooth gem falls off within two months of applying it, you may bring in your copy of the signed form and we will be happy to apply another one for you. We are only able to replace the Tooth Jewel once.

     

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