Alternatives to Surgery: Risks to my health if the above procedure is not performed include but are not limited to:
- Infection
- Cyst or tumor formation
- Periodontal (gum) disease
- Increased risk for complications if removal is required at a later time
Possible complications have been discussed with me include but are not limited to:
- Injury to the nerves, lower lip, and tongue causing numbness which could be permanent
- Bleeding and/or bruising may be prolonged
- Dry Socket
- Involvement of the sinus above the upper teeth
- Infection
- Decision to leave a small piece of root in the jaw when its removal would require extensive surgery and increased risk of complications
- Injury to the adjacent teeth or fillings
- Unusual reaction to medications given or prescribed
I understand that a perfect result cannot be guaranteed. If any unforeseen conditions arise during the procedure, I request and authorize the dentist to do whatever they deem advisable to correct the condition.
I agree to cooperate completely with the doctor and will follow post-operating instructions to the best of my ability for my own comfort and safety. I have had the opportunity to ask questions and address concerns in regards to this/these procedure(s)