Laser Assisted Periodontal Therapy Consent Form

Please bring your own mask or face covering.

Laser assisted periodontal therapy consent form. This disease process has been explained to me and i understand it is caused by bacterial toxins. I consent to 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. Seibert d m d ltd in champaign and charleston il.

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. The laser cauterizes blood vessels and nerve endings to reduce bleeding and pain. It is photo thermal produces heat. In fact professional teeth cleaning 75 to 100 scaling root planning 275 to 850 are also required to reach the result.

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. Periodontal diseases are infections in the structures around the teeth. Monique fitch performing laser therapy on me.

They re most often caused by a combination of bacteria and dental plaque and they should be treated quickly because they. I realize that this disease may be painless. In laser assisted periodontal therapy or lapt dr. Benefits of laser therapy.

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. Please submit the form prior to arrival. Informed consent and authorization for periodontal treatment utilizing the laser assisted new attachment procedure lanap 1.

I do hereby waive release absolve. 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. Huber has informed me that i have periodontal disease.

Download our online periodontal treatment consent form and bring to your visit to steven w. Laser therapy is designed to eliminate or substantially reduce periodontally diseased gums and or pockets to help control or prevent future periodontal disease progression. Informed consent periodontal treatment patient name procedure i understand that i have periodontal gum and bone disease. After careful oral examination of my condition dr.