Dentistry On 66

INFORMED CONSENT FOR ENDODONTIC (ROOT CANAL) TREATMENT

ALTERNATIVE TREATMENT (discussed only as they apply)

  • Extraction of the tooth
  • Referral to a root canal specialist (Endodontist)
  • Pain, infection, swelling and sepsis are all risks of no treatment

RISKS

  • Approximately 5-l 0% of root canals fail , requiring retreatment root surgery or extraction
  • Potential for post-operative discomf01t, pain, swelling and or infection.
  • Creating an access hole within the tooth, crown or bridge to reach to the canal(s) of the tooth
  • Blocked or calcified root canals which may prevent successful or ideal treatment.
  • Possible inability to retrieve small files or instruments separated within the tooth.
  • Perforations or creation of unintended holes through the tooth when attempting to locate the canals
  • Identification of a crown or root fracture during or after treatment.
  • Root canal filling material which does not extend to the end of the root or extends beyond the end of the root
    possibly preventing successful or ideal treatment.
  • Occurrence of any of the above may require referral the Endodontist or tooth extraction.

A CROWN is always recommended following a root canal therapy to prevent fracture of the tooth once it has been cleaned and filled

Failure to do so may result in complex or catastrophic fracture of the tooth requiring its extraction

By signing, I or the patient for whom I act as guardian/POA, understand and agree with the following statements:

  • The above risks, benefits and alternative treatments have been discussed clearly
  • Although success rates are very high there are no guarantees regarding the longevity or anticipated result
    of the procedure.
  • I understand the information discussed and have had the opportunity to ask questions
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