Laser Assisted Periodontal Therapy Consent Form

Informed consent periodontal treatment patient name procedure i understand that i have periodontal gum and bone disease.

Laser assisted periodontal therapy consent form.

These glasses are specific to the type of laser. 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. Benefits of laser therapy. Use of a laser for dental treatment hard and or soft tissue and root canal is a very safe and predictable form of treatment.

They re most often caused by a combination of bacteria and dental plaque and they should be treated quickly because they. It is photo thermal produces heat. Greenberg uses a special soft and hard tissue laser the waterlase laser this will remove diseased tissue leaving healthy tissue intact and bacteria free. Laser energy is not ionizing radiation i e.

Seibert d m d ltd in champaign and charleston il. Informed consent and authorization for periodontal treatment utilizing the laser assisted new attachment procedure lanap 1. I have read and understand this consent form i agree to its terms and authorize treatment. Safety glasses are worn to protect the eyes from any unforeseen effects.

Periodontal diseases are infections in the structures around the teeth. I do hereby waive release absolve. After careful oral examination of my condition dr. Please submit the form prior to arrival.

In laser assisted periodontal therapy or lapt dr. In fact professional teeth cleaning 75 to 100 scaling root planning 275 to 850 are also required to reach the result. 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. Monique fitch performing laser therapy on me.

Laser therapy is designed to eliminate or substantially reduce periodontally diseased gums and or pockets to help control or prevent future periodontal disease progression. You will be asked to use our hand sanitizer upon entering and leaving the office. Download our online periodontal treatment consent form and bring to your visit to steven w. Laser gum treatment cost in us uk and worldwide.

I consent to dr. This disease process has been explained to me and i understand it is caused by bacterial toxins. The laser cauterizes blood vessels and nerve endings to reduce bleeding and pain. Huber has informed me that i have periodontal disease.