Laser Assisted Periodontal Therapy Consent Form

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

Laser assisted periodontal therapy consent form.

It is photo thermal produces heat. Benefits of laser therapy. Periodontal diseases are infections in the structures around the teeth. 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 therapy is designed to eliminate or substantially reduce periodontally diseased gums and or pockets to help control or prevent future periodontal disease progression. Please bring your own mask or face covering. I do hereby waive release absolve. The laser cauterizes blood vessels and nerve endings to reduce bleeding and pain.

Informed consent and authorization for periodontal treatment utilizing the laser assisted new attachment procedure lanap 1. Seibert d m d ltd in champaign and charleston il. I consent to dr. Laser energy is not ionizing radiation i e.

They re most often caused by a combination of bacteria and dental plaque and they should be treated quickly because they. 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. 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. In laser assisted periodontal therapy or lapt dr. Monique fitch performing laser therapy on me. You will be asked to use our hand sanitizer upon entering and leaving the office.

Download our online periodontal treatment consent form and bring to your visit to steven w. After careful oral examination of my condition dr. Please submit the form prior to arrival. These glasses are specific to the type of laser.

Use of a laser for dental treatment hard and or soft tissue and root canal is a very safe and predictable form of treatment. In fact professional teeth cleaning 75 to 100 scaling root planning 275 to 850 are also required to reach the result. Laser gum treatment cost in us uk and worldwide. Due to the covid 19 pandemic we have instituted an additional dental treatment consent form.