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  • Informed Consent Tooth Removal (extraction) - Burchfield, Dds

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4444 Carter Creek Pkwy Suite 101, Bryan, Texas 77802 (979)8467799 www.burchfielddds.com Informed Consent Tooth Removal (Extraction) Patient Name: Date: Tooth #: Dr. Burchfield or Dr. Melton has explained.

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Obtaining valid informed consent means ensuring that: Treatment is voluntary. Patients must not be coerced into having dental treatment. Dental practitioners must always obtain permission before dental treatment as well as during the course of treatment. Patients can withdraw their consent at any time.

I have read and understand the information in this form. I have been encouraged to ask questions and all of my questions have been answered to my satisfaction. I have also been informed that I can withdraw from the study at any time. By signing this form, I voluntarily agree to participate in this study.

For an impacted tooth, the surgeon may have to cut a flap of gum tissue and remove some surrounding bone. The tooth will be removed with forceps. If it is hard to remove, the tooth may be sectioned (broken) into pieces.

Introduction. Informed consent is the process in which a health care provider educates a patient about the risks, benefits, and alternatives of a given procedure or intervention. The patient must be competent to make a voluntary decision about whether to undergo the procedure or intervention.

Dry socket is the most common complication following tooth removals, such as the removal of third molars, also called wisdom teeth. Medicine you can buy without a prescription usually will not be enough to treat dry socket pain. Your dentist or oral surgeon can offer treatments to relieve your pain.

A process in which patients are given important information, including possible risks and benefits, about a medical procedure or treatment, genetic testing, or a clinical trial. This is to help them decide if they want to be treated, tested, or take part in the trial.

Bone loss – A tooth's root provides stability and support to your jaw bone. If a tooth is removed and not replaced, the bone in the jaw will start to slowly deteriorate, resulting in irreversible bone loss.

In its most basic terms, informed consent is the conversation during which the dentist gives the patient information about: Any dental health problems that the dentist observed. The nature of any proposed treatment. The potential benefits and risks associated with that treatment. Any alternatives to the proposed ...

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232