Endodontic Therapy Consent

Informed Consent for Endodontic Therapy on Tooth #

Root Canal Therapy has been explained to me and my questions answered. I understand that root canal treatment is a procedure undertaken to retain a tooth that may otherwise require extraction. Although root canal therapy has a very high degree of clinical success (90%), it is a biologic procedure and results cannot be guaranteed. Possible instrument separation and complexities from curved canals may arise. I also understand that occasionally, some teeth that have had non-surgical root canal treatment may require additional procedures such as, re-treatment and/or root-end surgery, at a later time. I also understand that even after root canal therapy, re-treatment and surgery, a small percentage of teeth nevertheless require extraction. I understand the final restoration for this tooth should usually be completed as soon as possible.

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  • (patient or parent)

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