Warranty of dental treatment at Patheodent
  • Warranty of dental treatment at Patheodent

    Please read the warranty terms carefully and sign to confirm your understanding and acceptance.
  • PATIENT AND TREATMENT DETAILS

  • Treatment date (warranty start date)*
     - -
  • WARRANTY OF DENTAL TREATMENT AT PATHEODENT

  • The warranty for all prosthetic work is 3 years. Patheodent will repair or replace without charge to patient any covered treatment that fails due to faulty materials.

    Treatments eligible for coverage:

    The following types of treatments are eligible for coverage under the limited 3-year warranty agreement: Crowns, bridges, inlays, onlays, abutments and implant crowns.

    How to obtain care and service: In the event of a failure of a covered treatment, the patient must notify Patheodent of the failure within a reasonable time after discovery (not to exceed 7 days) and schedule and attend to an appointment with Patheodent to take or schedule corrective action. Patient's failure to timely notify Patheodent of a failure is grounds for voiding coverage.

    Term: Coverage of Covered treatments begins on the treatment date

    What is not covered: This limited warranty agreement does not cover: Trauma, pre-existing conditions, Bruxism, Cosmetic discoloration, failure of a covered treatment due to: failure of patient to comply with his or her responsibilities, other treatments, medical conditions resulting from substance abuse, medical conditions that cause damage to oral structures including the supporting bone around implants, loss or a removable prosthetic or appliance.

    Patient responsibilities: Patient is responsible for routine dental care and proper oral and dental hygiene. Failure to receive routine dental care and proper dental hygiene will void coverage. Smoking, drug use and other abusive habits will also void coverage. Patient is responsible for providing proof of routine dental care. This limited warranty is not an insurance policy.

  • GUARANTEE OVERVIEW

  • Guarantee overview:

    • Protection from the start of your treatment

    • Covers cost of remedial work undertaken.

    • 3 years protection for your implant restoration (implant supported crown, bridge or denture), 5 years protection for the implant abutment and a lifetime protection on the implant component.

    • Responsible patient aftercare plan

    • Follow maintenance protocol.

    • Attend annual or bi-annual hygiene visits and dental consultation.

    • Attend annual implant reviews.

  • PATIENT ACKNOWLEDGEMENT AND SIGNATURE

  • Date*
     - -
  • PATHEODENT PRACTITIONER COUNTERSIGNATURE

  • To be completed by the Patheodent practitioner. The practitioner can countersign on the same device or on a separate device using the Save and Continue option.
  • Date*
     - -
  • INFORMATION ON PRODUCT CONCERNING WARRANTY

  • To be completed by the practitioner. Add a tooth entry for each tooth covered by this warranty.
  • Patheodent Incorporated 14 Eaton Road, Tamboerskloof, Cape Town 8001 Tel: 021 423 5808 | Fax: 021 424 0255 | Emergency: 021 712 6699 Email: dentists@patheodent.co.za Practice Number: 542 9420
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