Laser Assisted Periodontal Therapy Consent Form

Safety glasses are worn to protect the eyes from any unforeseen effects.

Laser assisted periodontal therapy consent form.

I have read and understand this consent form i agree to its terms and authorize treatment. These glasses are specific to the type of laser. 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.

I do hereby waive release absolve. Laser gum treatment cost in us uk and worldwide. Benefits of laser therapy. Periodontal diseases are infections in the structures around the teeth.

Informed consent and authorization for periodontal treatment utilizing the laser assisted new attachment procedure lanap 1. They re most often caused by a combination of bacteria and dental plaque and they should be treated quickly because they. Please submit the form prior to arrival. I realize that this disease may be painless.

The laser cauterizes blood vessels and nerve endings to reduce bleeding and pain. I consent to dr. Informed consent periodontal treatment patient name procedure i understand that i have periodontal gum and bone disease. Huber has informed me that i have periodontal disease.

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. 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. This disease process has been explained to me and i understand it is caused by bacterial toxins.

Seibert d m d ltd in champaign and charleston il. After careful oral examination of my condition dr. 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. It is photo thermal produces heat.

You will be asked to use our hand sanitizer upon entering and leaving the office. Due to the covid 19 pandemic we have instituted an additional dental treatment consent form. Download our online periodontal treatment consent form and bring to your visit to steven w. Please bring your own mask or face covering.