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DRUGS AND MEDICATIONS - I understand that antibiotics and analgesics and other medications can cause allergic
reactions causing redness and welling of tissues, pain, itching, vomiting, and/or anaphylactic shock (severe allergic reaction).
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CHANGES IN TREATMENT PLAN - I understand that during treatment it may be necessary to change or add procedure
because of conditions found while working on the teeth that were not discovered during examination, the most common
being root canal therapy following routine restorative procedures. I give my permission to Dr. Azouz to make any/all changes and
additions as necessary.
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FILLINGS - Dental fillings may require additional treatment and/or sensitivity with new dental restorations.
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SCALING/ROOT PLANNING - Deep cleaning may result in sensitive teeth and/or sore gums.
Reduction in swelling of the gums may expose more tooth surface.
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COSMETIC PROCEDURES - may result in exposed nerves, needing root canal, post and crown.
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ENDODONTIC TREATMENT - I realize there is no guarantee that root canal treatment will save my tooth and those
complications can occur from the treatment, and that occasionally metal objects are cemented in the tooth or extend through
the root which does not necessarily affect the success of the treatment. I understand that occasionally additional surgical
procedures may be necessary following root canal treatment.
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CROWN, BRIDGES, AND CAPS - I understand that sometimes it is not possible to match the color of natural
teeth exactly with artificial teeth. I further understand that I may be wearing temporary crowns, which may come off
easily and that I must be careful to ensure that they are kept on until the permanent crowns are delivered. I realize
that the final opportunity to make changes in my new crown, bridge, or cap (including shape, fit, size, and color) will be
before cementation.
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