Laser Assisted Periodontal Therapy Consent Form

Please submit the form prior to arrival.

Laser assisted periodontal therapy consent form.

They re most often caused by a combination of bacteria and dental plaque and they should be treated quickly because they. I do hereby waive release absolve. Due to the covid 19 pandemic we have instituted an additional dental treatment consent form. Informed consent and authorization for periodontal treatment utilizing the laser assisted new attachment procedure lanap 1.

Laser energy is not ionizing radiation i e. Laser gum treatment cost in us uk and worldwide. I realize that this disease may be painless. Informed consent periodontal treatment patient name procedure i understand that i have periodontal gum and bone disease.

Download our online periodontal treatment consent form and bring to your visit to steven w. The laser cauterizes blood vessels and nerve endings to reduce bleeding and pain. Laser therapy is designed to eliminate or substantially reduce periodontally diseased gums and or pockets to help control or prevent future periodontal disease progression. Seibert d m d ltd in champaign and charleston il.

After careful oral examination of my condition dr. Please bring your own mask or face covering. 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. I consent to dr.

This disease process has been explained to me and i understand it is caused by bacterial toxins. 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. Huber has informed me that i have periodontal disease.

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. Greenberg uses a special soft and hard tissue laser the waterlase laser this will remove diseased tissue leaving healthy tissue intact and bacteria free. It is photo thermal produces heat. These glasses are specific to the type of laser.

I have read and understand this consent form i agree to its terms and authorize treatment. You will be asked to use our hand sanitizer upon entering and leaving the office. Monique fitch performing laser therapy on me. Use of a laser for dental treatment hard and or soft tissue and root canal is a very safe and predictable form of treatment.