Laser Assisted Periodontal Therapy Consent Form

I have read and understand this consent form i agree to its terms and authorize treatment.

Laser assisted periodontal therapy consent form.

After careful oral examination of my condition dr. In laser assisted periodontal therapy or lapt dr. Use of a laser for dental treatment hard and or soft tissue and root canal is a very safe and predictable form of treatment. Informed consent and authorization for periodontal treatment utilizing the laser assisted new attachment procedure lanap 1.

Informed consent periodontal treatment patient name procedure i understand that i have periodontal gum and bone disease. Periodontal diseases are infections in the structures around the teeth. This disease process has been explained to me and i understand it is caused by bacterial toxins. I consent to dr.

I do hereby waive release absolve. It is photo thermal produces heat. Please submit the form prior to arrival. You will be asked to use our hand sanitizer upon entering and leaving the office.

Gene greenlees md or wendy greenlees rn np has explained the nature and purpose of the laser treatment including any risks and possible complications and has discussed the contents of this form with me. Huber has informed me that i have periodontal disease. Please bring your own mask or face covering. Safety glasses are worn to protect the eyes from any unforeseen effects.

Download our online periodontal treatment consent form and bring to your visit to steven w. Laser gum treatment cost in us uk and worldwide. Monique fitch performing laser therapy on me. These glasses are specific to the type of laser.

I realize that this disease may be painless. Before to deep dive into all costs of treating gum disease with laser you should remember that the laser therapy is a complementary method to cure gingival problems. The laser cauterizes blood vessels and nerve endings to reduce bleeding and pain. Benefits of laser therapy.

They re most often caused by a combination of bacteria and dental plaque and they should be treated quickly because they. Laser therapy is designed to eliminate or substantially reduce periodontally diseased gums and or pockets to help control or prevent future periodontal disease progression. Due to the covid 19 pandemic we have instituted an additional dental treatment consent form. In fact professional teeth cleaning 75 to 100 scaling root planning 275 to 850 are also required to reach the result.