I understand that there are risks and complications associated with the administration of medications, including anesthesia, and performance of the Recommended Treatment. These potential risks and complications, include, but are not limited to, the following:
1. Drug reactions and side effects.
2. Atypical reaction to sedation medications, which may require emergency medical
attention and/or hospitalization.
3. Altered mental states.
4. Allergic reactions.
5. Nausea and/or vomiting
6. As a result of the injection or use of anesthesia, there may be swelling, jaw
muscle tenderness, or even resultant numbness of the tongue, lips, teeth, jaws, and/or facial tissues, which is typically temporary, but in rare instances, may be