I understand the purpose of this treatment is to treat and possibly correct my diseased tooth and or tissues in my mouth.
Laser consent form dental.
Founded in 1964 only four years after the invention of the very first laser fotona is one of the most experienced developers of high technology laser systems recognized for the design manufacture and support of advanced solid state laser systems for.
Monique fitch performing laser therapy on me.
Explore the biolase product line and the latest in dental laser technology.
Medicine aesthetics surgery gynecology.
I consent to dr.
Benefits of laser therapy.
For a test drive at your office call 833 biolase.
Lasers are the heart of our business.
I hereby authorize dr.
We will be pleased to explain it.
Please read this form carefully and ask about anything that you do not understand.
The laser energy from an epic laser interacts with chromophores in the proprietary laser activated gel to accelerate the in office whitening procedure.
After a thorough oral examination my dentist has advised me that the reduction of a frenum s in my mouth may help to restore anatomy function and or possibly prevent commonly associated future problems including recession loss of gum tissue and periodontal bone loss.
A soft tissue laser will be utilized and is fda approved for soft tissue surgery.
Generally laser treatment results in improvement in the intended condition.
Laser therapy is designed to eliminate or substantially reduce periodontally diseased gums and or pockets to help control or prevent future periodontal disease progression.
Chen assisted by other dentist s and or dental auxiliaries of their choice to perform upon my child or legal ward dental treatment or oral surgery procedure s including the use of any necessary or.
Informed consent for soft tissue dental laser procedures the goal of a laser procedure is to eliminate or remove soft gum tissue that is excessive causing restrictions getting in the way of ideal esthetics and or inhibiting a tooth from erupting.
Add advanced dental equipment like intraoral scanners to your practice today.
Informed consent form diagnosis.
Acknowledgement of consent for laser treatment this authorization and informed consent is given of my own free will after the doctor has explained to me the foreseeable dental and medical risks involved and discussed below.
I understand that a swaddle blanket may be used to gently ensure my child s safety during the frenectomy procedure applies to infants only.