It is convenient for me to undergo dental implant treatment.
The main purpose of the intervention is to put the missing teeth back. I know that there are other alternatives, such as the fact that I could resort to conventional prostheses, with a lower cost, but I rule it out because of the benefits that can be obtained with the implantology technique.
The treatment I have to receive involves the administration of local anesthesia, which consists of providing, by means of an injection, substances that cause a reversible blockade of the nerves, so that sensitivity is temporarily inhibited , with the aim of carrying out the treatment without pain.
I will experience a feeling of numbness or tingling in the face, and even temporary paralysis of the perioral muscles from the anesthesia, which may cause a small facial asymmetry, which usually goes away after three or four hours.
The administration of anesthesia may cause, depending on the point where it is administered, ulceration of the mucosa and pain, bite wounds of the desensitized areas and, less often, anesthesia or paresthesias in the area innervated by injury of the damaged nerve for some weeks, limitations in the movement of opening the mouth, which may require further treatment. Anesthesia can also cause a drop in blood pressure which, in less frequent cases, can cause syncope or ventricular fibrillation, which will need to be treated later, and also, in exceptional cases, death.
Although, from my personal history, possible allergies to the anesthetic agent cannot be deduced, it can cause urticaria, dermatitis, asthma, angioneurotic edema (asphyxia), and may even require treatment of urgency
Although it is absolutely exceptional, a sudden movement of the head during the administration of anesthesia could break the needle, which cannot always be removed without causing collateral damage due to the wounds to be applied to the area until the fragment is located (even if it is left withoutextracting it can be perfectly tolerated).
I have stated that I do not suffer from diseases that could complicate the intervention, nor do I take any medications that could alter coagulation or bone healing and I have no history of radiation to the jaws. I know that smoking and poor oral hygiene increase the odds of implant failure.
The surgical procedure can be carried out in two phases or in one, depending on each case. When it is performed in two phases, in the first the snails (implants) are fixed to the bone, by making an artificial bed or alveolus with burs, and the implants are left completely buried under the gum and, in thes e gona (after a variable time of a few months), when the snails are integrated with the bone, a pillar is placed on top of them to later receive the prosthetic additions. When it is carried out in a single phase, in the first intervention the pillar is already placed on top of it.
Even if the necessary diagnostic methods have been performed, it is possible that edematous processes, inflammation, postoperative infection, bleeding or hematomas, osteitis, pain or lacerations in the mucosa of the lip or cheek, or in the tongue, may occur, which do not they depend on the technique used or on having acted correctly, and there is even the possibility of injuring the maxillary sinus and causing sinusitis that must be treated later by the competent specialist.
Less often, regardless of the technique used and having acted correctly, it is possible that nerve-type injuries occur, due to affecting nerve endings or nearby nerves, which can generate loss of sensitivity in the lips, the chin, tongue or gum, depending on which nerve is affected. The loss of sensation is usually temporary, although it can become permanent. Also, communications with the nasal sinuses or nostrils and injury to the roots of adjacent teeth may occur less often, which may require further treatment.
Even if the technique is performed correctly, there is a percentage of failures between 8% and 10% that may require the repetition of the intervention and that, exceptionally, a maxillary fracture may occur which should require further treatment. For unknown reasons, osseointegration may fail. The probability of this happening after five years is less than 1% in the lower arch and close to 10% in the upper arch. The causes of osseointegration failure are multiple: faulty hygiene, factors related to occlusion, factors intrinsic to the patient’s own biology, etc. The failure of an implant means having to modify or sometimes completely change the prosthesis supported on top of it.
When it is necessary to place bone grafts from the same patient, this can trigger significant pain for a few days in the donor area and a hematoma may appear. In addition, the graft may not integrate properly and must be removed and/or replaced with a new one.
The treatment does not end with the placement of the implant, but it will be necessary to visit the doctor periodically and scrupulously follow the hygiene rules that have been explained to me.
Once the prosthesis has been placed, it may fracture, and therefore some screw or component may have to be replaced. I may not like the shape and color of the tooth after treatment, because the qualities of direct or indirect restorations will never be identical to the appearance of a healthy tooth.
In the case of a rehabilitation with a fixed prosthesis on implants, the ceramic can be fractured or the prosthesis de-cemented.
In the case of a rehabilitation with implant-retained overdenture: an adaptation period is required during which the professional will have to make adjustments and, in addition, may present a certain degree of mobility.
It is essential to monitor and clean the area every X months, usually six, in order to prevent, detect early and treat with a better prognosis the appearance of any complication, such as peri-implantitis, which is a type of periodontal disease in implants
Every surgical procedure implies a series of common and potentially serious complications that could require complementary treatments, both medical and surgical.
I know that it is essential to give up the habit of smoking in order to increase the probability of success of the treatment.
I understand that the sensation of chewing with the implanted piece is not the same as with my teeth, due to the lack of proprioception of the new piece.
I give my permission for x-rays, photographs and/or the intervention to be filmed.
I am informed and give the corresponding authorization that, at some point, it is necessary to transmit information between the dental clinic and the prosthesis laboratory, regarding my data, impressions, plaster casts, photographs or videos , and that this must be sent directly or by mail electronic
Regarding my particular case, please read “Particularities of my case”.
Due to the individual characteristics of each person, it is impossible to foresee all the complications arising from the therapeutic act that must be performed on me and that, on the other hand, all kinds of relevant tests are necessary to establish the state of health oral
I understood the explanations given to me, in clear and simple language, and the doctor who attended me allowed me to make all the observations and clarified all the doubts I raised.
I know that I can withdraw from signing this consent at any time prior to the intervention. For all of this, I declare that I am satisfied with the information received and that I understand the scope and risks of this act, so I give my consent for the previously indicated treatment to be carried out.
Patients who smoke: we recommend to stop smoking indefinitely as the risk of gum infections and other pathologies is very high, especially in treatments with implants. It should be noted that given this high risk, treatments in smoking patients do not have any treatment guarantee.
2- DENTAL EXTRACTION
It is convenient for me to have an extraction treatment for a tooth that is irretrievable, from a dental point of view. Therefore, I understand that I will not be able to keep this dental piece, and it can only be replaced by a prosthesis, if necessary.
The purpose of the procedure is to eliminate the problems and subsequent complications that its maintenance in the mouth may cause.
The treatment I have to receive involves the administration of local anesthesia, which consists of providing, by means of an injection, substances that cause a reversible blockade of the nerves, so that sensitivity is temporarily inhibited , with the aim of carrying out the treatment without pain.
I will have a numbness or tingling sensation in the face, and even temporary paralysis of the perioral muscles from the anesthesia which may cause a slight facial asymmetry, which usually goes away after three to four hours .
The administration of anesthesia can cause, depending on the point where it is administered, ulceration of the mucosa and pain, bite wounds in the desensitized areas and less often, anesthesia or paresthesias in the innervated area due to nerve injury damaged for some weeks, limitations in the movement of the opening of the mouth, which may require further treatment. Anesthesia can also cause a drop in blood pressure which, in less frequent cases, can cause syncope or ventricular fibrillation, which will need to be treated later, and also, in exceptional cases, death.
Although, from my personal history, possible allergies to the anesthetic agent cannot be deduced, it can cause urticaria, dermatitis, asthma, angioneurotic edema (asphyxia), and may even require treatment of urgency
Although it is absolutely exceptional, a sudden movement of the head during the administration of anesthesia, could break the needle, which cannot always be removed without causing collateral damage due to the wounds that must be applied to the area until the fragment is located (even if it is left without removing it can be perfectly tolerated).
Although I have been given diagnostic methods that have been deemed accurate (x-rays), it is possible that the inflammatory state of the piece that is to be removed may produce an infectious process, which may require treatment with antibiotics and anti-inflammatories, in the same way that in the course of the procedure profuse bleeding can occur, which would need to be stopped with the placement of a coagulant substance in the alveolus or by suturing. I also know that in the course of the procedure, the rupture of the crown, lacerations of the buccal mucosa or the tongue, fracture of the intraradicular septum or tuberosity may occur, although it is not frequent, which do not depend on the shape or way of practicing the intervention, nor how it has been carried out, but are unpredictable, so the doctor will take the precise measures.
There are different degrees of difficulty in extraction, which depend on different factors, such as the degree of union of the root with the bone, the direction of the roots, etc. This will determine the complexity and duration of this act.
Sometimes it can happen that the roots are fractured, more or less deeply, so a surgical extraction will be required which will consist of lifting a pendant of gum and even drilling the bear to be able to treat the fragment. If the extraction of the fractured fragment was very complex, another visit would have to be scheduled to do it. In the event that such an important removal of bone is necessary that it may compromise the bone support of the roots of the neighboring teeth or may make it difficult to replace the extracted tooth with prosthetics, it is acceptable to leave the rest of the tooth, as long as it is not dislocated and not there are signs of inflammation or cyst at the apex.
It is not very common that when extracting upper teeth, an oro-antral or orosinusal communication can occur, resulting in a communication between the mouth and the nostrils. If this persists, specific minor surgery may be required to close it. Sometimes the root or even the tooth can penetrate the maxillary sinus, which will require sinus surgery to remove the rest of the tooth.
Although it is not frequent, a dislocation of the jaw joint and even a fracture of the jaw can occur, so I will need to receive the precise treatment, through a specialist and a control review.
Although it is not frequent, and regardless of the technique used in the procedure and having acted correctly, the dental nerve or the lingual nerve can be injured, with a loss of sensitivity that is usually temporary and goes away after a few weeks, but which can last from three to six months or be permanent.
Less serious are the local infectious complications, alveolitis, cellulitis, trismus, discomfort in the temporomandibular joint, stomatitis, etc., which can be controlled pharmacologically but which may require subsequent surgical treatment.
If I do not restore the teeth that have been extracted, there may be a migration of the adjacent teeth by tilting and a growth or extrusion of the antagonists that bit against the extract. This produces a change in the shape of the arches, which causes an alteration of masticatory efficiency.
I authorize X-rays, photographs and/or filming of the intervention to be carried out.
I am informed and give the corresponding authorization that, at some point, it is necessary to transmit information between the dental clinic and the prosthesis laboratory, regarding my data, impressions, plaster casts, photographs or videos , and that this must be sent directly or by email.
Regarding my particular case, please read “Peculiarities of my case”.
Due to the individual characteristics of each person, it is impossible to foresee all the complications arising from the therapeutic act that must be performed on me and that, on the other hand, all kinds of relevant tests are necessary to establish the state of health oral
I understood the explanations given to me, in clear and simple language, and the doctor who attended me allowed me to make all the observations and clarified all the doubts I raised.
I know that I can withdraw from signing this consent at any time prior to the intervention.
Patients who smoke: we recommend that you stop smoking indefinitely as the risk of gum infections and other pathologies is very high, especially in treatments with implants. It should be noted that given this high risk, treatments in smoking patients do not have any treatment guarantee.
3- FILLING
It is convenient for me to have a filling or filling treatment.
The main purpose of the intervention is to restore the hard dental tissues and protect the pulp, to preserve the tooth/molar and its function, and at the same time restore, whenever possible, the appropriate aesthetics.
The treatment I have to receive involves the administration of local anesthesia, which consists of providing, by means of an injection, substances that cause a reversible blockade of the nerves, so that sensitivity is temporarily inhibited , with the aim of carrying out the treatment without pain.
I will have a feeling of numbness or tingling in the face, and even temporary paralysis of the perioral muscles from the anesthesia, which may cause a small facial asymmetry, which usually goes away after three or four hours.
The administration of anesthesia may cause, depending on the point where it is administered, mucosal ulceration and pain, bite wounds in the desensitized areas and less often, anesthesia or paresthesias in the area innervated by nerve injury damaged for some weeks, limitations in the movement of the opening of the mouth, which may require further treatment. Anesthesia can also cause a drop in blood pressure which, in less frequent cases, can cause syncope or ventricular fibrillation, which will need to be treated later, and also, in exceptional cases, death.
Although, from my personal history, possible allergies to the anesthetic agent cannot be deduced, it can cause urticaria, dermatitis, asthma, angioneurotic edema (asphyxia), and may even require treatment of urgency
Although it is absolutely exceptional, a sudden movement of the head during the administration of anesthesia, could break the needle, which cannot always be removed without causing collateral damage due to the wounds that must be applied to the area until the fragment is located (even if it is left without removing it can be perfectly tolerated).
The intervention consists of cleaning the cavity of diseased tissue and subsequently filling it with obturation material to achieve a hermetic seal, thus preserving the tooth/molar.
Greater sensitivity, especially to cold, is common in subsequent days, which will disappear spontaneously over a variable period of time (usually four days).
During the first 24 hours after the treatment has been carried out, the restorative material can absorb pigments, so it is recommended to avoid the consumption of dark drinks during this period of time in order to avoid staining.
It is advisable to request a visit as soon as possible, if I notice some signs of mobility or alterations of the occlusion, since it would be necessary to adjust it to relieve the pain and to prevent the formation of periodontitis and/or trauma.
The removal of caries can reactivate infectious processes that make endodontics necessary and that, especially if the caries is deep, the tooth/molar will remain fragile and it may be necessary to carry out another type of reconstruction or col ·place a prosthetic crown.
I may not like the shape and color of the tooth after treatment, because the qualities of direct restorations will never be identical to the appearance of a healthy tooth.
In the case of replacing an amalgam with an aesthetic obturation, the sensitivity of the tooth may increase and it may even be necessary to endodontize (kill the nerve) of the piece.
Every therapeutic act implies a series of common and potentially serious complications that may require complementary treatment, both medical and surgical.
I authorize X-rays, photographs and/or the intervention to be filmed to be carried out.
I am informed and give the corresponding authorization that, at some point, it is necessary to transmit information between the dental clinic and the prosthetics laboratory, regarding my data, impressions, plaster casts, photographs or videos , and that this must be sent directly or by email.
Regarding my particular case, please read “Peculiarities of my case”.
Due to the individual characteristics of each person, it is impossible to foresee all the complications arising from the therapeutic act that must be performed on me and that, on the other hand, all kinds of relevant tests are necessary to establish the state of oral health
I understood the explanations given to me, in clear and simple language, and the doctor who attended me allowed me to make all the observations and clarified all the doubts I raised.
I know that I can withdraw from signing this consent at any time prior to the intervention. For all of this, I declare that I am satisfied with the information received and that I understand the scope and risks of this act, so I give my consent for the previously indicated treatment to be carried out.
Patients who smoke: we recommend that you stop smoking indefinitely as the risk of gum infections and other pathologies is very high, especially in treatments with implants. It should be noted that given this high risk, treatments in smoking patients do not have any treatment guarantee.
4- REHABILITATION WITH FIXED DENTAL PROSTHESIS
Regarding my situation, it is necessary for me to undergo a rehabilitation treatment with fixed dental prosthesis.
In order to be able to carry out a rehabilitation treatment with a fixed dental prosthesis, it is necessary to cut the pillar teeth of the prosthesis, with the aim that the posterior prosthesis has an adequate size and also has adequate retention. The cutting or wear of the teeth is irreversible, so in the case of having to remove the fixed prosthesis, it will be necessary to place another one in its place.
The cut may lead to the possibility of excessive approximation to the pulp chamber (nerve), which would oblige us to perform an endodontic treatment and, in some cases, if the stump remains fragile, to perform a cast pin.
During the time that elapses between the cutting of the teeth and the placement of the definitive fixed prosthesis, you will have to wear a temporary prosthesis cemented with provisional cement as well. Due to the characteristics of this cement, the provisional can sometimes come off, which will need to be cemented again with the same type of cement.
There is the possibility of replacement of the missing piece through implant treatment. Although the benefits and risks of one and the other treatment have been explained to me, given the characteristics of my particular case, it is preferable or I prefer to have a “bridge” (fixed prosthesis).
The treatment I have to receive involves the administration of local anesthesia, which consists of providing, by means of an injection, substances that cause a reversible blockade of the nerves, so that sensitivity is temporarily inhibited in order to carry out the treatment without pain.
Having a feeling of sensitivity or tingling in the face, and even temporary paralysis of the perioral muscles reached by anesthesia, which can cause a small facial asymmetry, which usually goes away after three or four hours.
The administration of anesthesia can cause, at the point where it is administered, mucosal ulceration and pain, bite wounds in the desensitized areas and less often, anesthesia or paresthesias in the area innervated by injury to the affected nerve for some weeks, limitations in the movement of the opening of the mouth, which may require further treatment. Anesthesia can also cause a drop in blood pressure, which, in less frequent cases, can cause syncope or ventricular fibrillation, which will need to be treated later, and, in exceptional cases, even death.
Although, from my personal history, no possible allergies to the anesthetic agent can be deduced, it can cause urticaria, dermatitis, asthma, angioneurotic edema (asphyxia), and may even require emergency treatment .
Although it is absolutely exceptional, a sudden movement of the head during the administration of anesthesia could cause the needle to break, which cannot always be removed without causing collateral damage to the wounds it must enter the area until the fragment is located (although if it is left without extracting it can be perfectly tolerated).
It is necessary to maintain scrupulous hygiene to avoid the development of gingivitis and that this leads to periodontal disease. Under the pontic (artificial tooth that replaces the missing one) leftover food can accumulate and will be removed during dental hygiene.
Regular visits (in principle annual) are very important to monitor the condition of the prosthesis and its environment.
There is the possibility of fracture of any of the components of the prosthesis, mainly the porcelain and/or the stumps.
I may not like the external shape, as well as the chewing surface and color of the tooth after treatment, because the qualities of direct or indirect restorations will never be identical to the appearance of a healthy tooth.
The placement of the fixed prosthesis entails a period of adaptation, during which biting of the tongue or cheeks, excess salivation, etc. may occur.
Although it is very exceptional, intolerance or allergy to the materials used can occur.
I authorize X-rays, photographs and/or the intervention to be filmed.
I am informed and give the corresponding authorization that, at some point, it is necessary to transmit information between the dental clinic and the prosthetics laboratory, regarding my data, impressions, plaster casts, photographs or videos , and that this must be sent directly or by email.
Regarding my particular case, please read “Peculiarities of my case”.
Due to the individual characteristics of each person, it is impossible to predict all the complications arising from the therapeutic act that must be performed and that is necessary to establish the state of oral health.
I understood the explanations given to me, in clear and simple language, and the doctor who attended me allowed me to make all the observations and clarified all the doubts I raised.
I know that I can withdraw from signing this consent at any time prior to the intervention.
Patients who smoke: we recommend to stop smoking indefinitely since the risk of gum infections and other pathologies is very high, especially in treatments with implants. It should be noted that given this high risk, treatments in smoking patients do not have any treatment guarantee.
In prostheses, it is recommended to change the fixation screws at most every 3 years to avoid loosening that could lead to possible fractures.
5- PERIODONTAL TREATMENT HYGIENIC PHASE
With regard to my situation, it is necessary for me to have periodontal treatment in the hygienic phase.
The main purpose of the therapeutic act is to eliminate or reduce the bacterial agents and irritating factors noticed in the supporting tissues of the teeth (gum, alveolar bone, periodontal ligament, cement radicular), to achieve the maintenance of the teeth in time, function and aesthetics, and thus avoid inflammation and bleeding of the gums, as well as the loss of supporting bone.
The act consists of removing the bacterial plaque and the deep calculus, with sonic or ultrasonic devices, or manually, using curettes.
I may need a complementary diagnostic study that would consist of taking several serial x-rays to assess the degree of bone loss.
I may need a complementary diagnostic study that would consist of the probing/measurement of the gum before and/or after the treatment to assess the degree of insertion of the tooth support braces.
The indicated procedure aims to achieve an undoubted benefit, however it is not without complications.
It is possible that after the treatment an increase in tooth sensitivity can be observed, which usually disappears, either spontaneously or with subsequent treatment.
Elongation of the teeth, more noticeable when smiling, may occur as a result of gum inflammation after bacterial agents and irritants have been removed.
The response to the treatment must be evaluated and for this reason it will be necessary to visit the doctor periodically and take special care of dental hygiene, using the techniques he has indicated.
It is very important to maintain good dental care, as well as good maintenance with regular maintenance visits, which should be done throughout life.
The objective pursued cannot always be obtained, in a total or partial way, regardless of the technique used and having acted correctly, and that without a careful contribution in the control of the plaque, through hygiene , the objectives pursued cannot be met. It is also important to acquire good health habits in general.
The treatment I have to receive, sometimes, involves the administration of local anesthesia, which consists of providing, through an injection, substances that cause a reversible blockage of the nerves, so that it is inhibited, transiently, the sensitivity in order to carry out the treatment without pain.
If I have been anesthetized, I will have a sensation of sensitivity and swelling of the lip or face, which can last up to a maximum of 6 hours, depending on the amount and type of anesthetic administered.
The administration of anesthesia can cause, at the point where the injection is administered, a small hemorrhage, ulceration of the mucosa and pain, and less often, limitations in the movement of opening the mouth, which can n require subsequent treatment, and that anesthesia can cause a drop in blood pressure which, in less frequent cases, can produce syncope or ventricular fibrillation, which will need to be treated later, and even, in exceptional cases, death .
Although, from my personal history, no possible allergies or allergy to the anesthetic agent can be deduced, anesthesia can cause urticaria, dermatitis, asthma, angioneurotic edema (asphyxia), which in extreme cases can require urgent treatment.
Although I have been treated with the most appropriate diagnostic methods, I understand that edematous processes, swelling, pain or lacerations may occur in the mucosa of the lip or cheek, or in the tongue, which do not depend of the technique used or of its correct implementation, but they can be unpredictable, although relatively frequent. In any case, the doctor will take the precise measures to continue the treatment.
Every medical procedure implies a series of common and potentially serious complications that could require complementary treatments, both medical and surgical.
The practice of dentistry is not an exact science, therefore results cannot be guaranteed or assured.
Due to the individual characteristics of each person, it is not possible to foresee all existing complications, derived from carrying out a dental treatment.
Regarding my particular case, please read “Peculiarities of my case”.
I authorize X-rays, photographs and/or the intervention to be filmed.
I am informed and give the corresponding authorization that, at some point, it is necessary to transmit information between the dental clinic and the prosthetics laboratory, regarding my data, impressions, plaster casts, photographs or videos , and that this must be sent directly or by email.
I understood the explanations given to me, in clear and simple language, and the doctor who attended me allowed me to make all the observations and clarified all the doubts I raised.
I know that I can withdraw from signing this consent at any time prior to the intervention.
Patients who smoke: we recommend that you stop smoking indefinitely as the risk of gum infections and other pathologies is very high, especially in treatments with implants. It should be noted that given this high risk, treatments in smoking patients do not have any treatment guarantee.
6- ORTHODONTICS
The aim of orthodontic treatment is to align the teeth to correct malocclusions.
The duration of the treatment will depend on the type of malocclusion, the degree or the orthodontic technique used. They can influence other factors, such as: the biological response of each patient, habits, oral hygiene, and also the patient’s cooperation during treatment.
It is essential to go to the indicated visits to minimize problems and avoid complications. Failure to attend may result in a delay in treatment time and damage to the orthodontic appliances.
Failure to comply with the treatment instructions, such as the prescribed number of hours of use of the devices, or the use of elastics where indicated, can also lead to a delay.
Since the structures that support the tooth are different in each individual, sometimes the response to the appliances to achieve the alignment of the teeth is not the one initially programmed and this can lead to longer treatment time.
In cases where it is necessary due to lack of space, stripping will be performed on the teeth that need it. Stripping consists of polishing the interproximal area of the tooth (lateral interdental areas) to achieve the required space. It can be in one or more teeth.
In order to prevent caries, stains, decalcifications and/or iningum disease, it is recommended to maintain excellent oral hygiene during treatment and avoid frequent intake of highly sugary products.
Repeated lack of hygiene will require extraordinary periodontal treatment and may mean the suspension of orthodontic treatment.
The following care and hygiene measures for the aligners must be followed: The aligners must be removed to eat and drink, especially hot liquids. Aligners must be removed for smoking. They must be washed with mild neutral soap, every time they are taken out to eat. They will be stored in a box when not in use.
During orthodontic treatment, it is recommended to have caries checked by your regular dentist.
During the treatment, some of the orthodontic elements (brackets, bands, etc.) may come off, which may cause discomfort or friction, which will force the patient to go to the clinic as soon as possible to reattach them. In these cases there is a risk of ingestion or aspiration of the materials.
Tooth sensitivity and/or painful discomfort may occur due to the forces exerted on the teeth or jaws. Also irritation of the gums, lip, cheeks and tongue that spontaneously resolves after a few days.
There may be a risk of allergy to the materials used which could lead to their withdrawal and an eventual change in the treatment plan.
In the case of orthodontic treatments with mainly aesthetic purposes, there will always be the risk of not meeting the patient’s expectations for reasons that are difficult to avoid: unpredictability of bucofacial growth, etc.
There is a risk that the unpredictable development of dental eruption, the growth of the jaws or the response of teeth or bones to orthodontic forces will force a change in the treatment plan, and this sometimes means having to ‘extract permanent teeth to get space and extend the treatment time.
Some patients are more susceptible to root resorption (shortening) of one or more teeth subjected to orthodontic forces. This phenomenon is not frequent, of known but unpredictable etiology. Usually this has no appreciable consequences, but sometimes it can affect the longevity of the tooth and would involve altering the treatment plan.
There is a risk of discomfort or pain in the temporomandibular joint due to the modification of the occlusal pattern necessary for correct dental alignment. These problems can occur with or without orthodontic treatment and are generally caused by previous predisposing factors (ligamentous hyperlaxity, previous traumas, arthrosis, arthritis, bruxism, stress, etc.), and also by a phenomenon of skeletal maturation.
There may be a risk of gum retraction, not predictable, due to the effect of dental movements. They can also appear hypertrophied as a result of the accumulation of bacterial plaque.
In the case of included teeth, these have a more complex treatment and their results cannot be guaranteed. There is a possibility that the included tooth will damage the root of the neighboring teeth, and sometimes even cause its loss, or that it will be ankylosed, which is impossible diagnose prior to treatment, so it will be necessary to extract and replace it. These actions would correspond to your dentist.
There is a risk of changes in the results achieved at the end of the treatment due to developmental factors or tooth eruption, or changes in the bone supporting the tooth. These factors are difficult to predict but can be alleviated if the indications are followed given by the professional, regarding the use of retainers and the revisions once the treatment.
Orthodontics is not an exact science and therefore no orthodontist can certify success or guarantee a specific result.
Regarding my particular case, please read “Peculiarities of my case”.
At the end of the orthodontic treatment, the dental alignment is not stable, since the alveolar bone and the periodontal ligament are not yet. There is also no correct micro-occlusion. For all these reasons, a maintenance period will be required during which retention devices will be used. these they can be removable, fixed or a combination of both.
In some cases, an adjustment of the occlusion is also indicated.
The patient’s habits and the wear and tear that occurs on the teeth with age can produce movements, beyond the retention period, which makes periodic long-term supervision advisable, as in any other dental treatment.
The fact of not going to check-ups or not wearing the retention devices can cause relapse, and this can induce another complementary treatment.
I authorize X-rays, photographs and/or filming of the intervention to be carried out.
I am informed and give the corresponding authorization that, at some point, it is necessary to transmit information between the dental clinic and the prosthetics laboratory, regarding my data, impressions, plaster casts, photographs or videos , and that this must be sent directly or by mail electronic
I understood the explanations given to me, in clear and simple language, and the doctor who attended me allowed me to make all the observations and clarified all the doubts I raised.
I know that I can withdraw from signing this consent at any time prior to the intervention.
Patients who smoke: we recommend that you stop smoking indefinitely given that the risk of gum infections and other pathologies is very high, especially in treatments with implants. It should be noted that given this high risk, treatments in smoking patients do not have any treatment guarantee.
7- INTRAVENOUS SEDATION
Identification and description of the procedure: Sedation techniques are achieved through the administration, through a catheter (tube) inserted into a vein, of anesthetic, analgesic and tranquilizer (sedative) medications (drugs) administered in the appropriate proportion and doses for each patient, depending on the procedure to be performed, the patient’s personal characteristics, their sensitivity to drugs and their clinical condition. Sedation techniques require the same preparation, caution and vigilance as general anesthesia. Using different clinical methods and devices, vital, cardiac, respiratory, brain and other functions are monitored and monitored. With this, permanent vigilance is maintained throughout the sedation procedure and maximum safety is achieved. The anesthesiologist is in charge of performing and controlling the entire sedation process from start to finish, as well as treating any possible complications that may arise.
Objective of the procedure and expected benefits: The purpose of sedation for examinations of any type or interventions is to provide a conscious, relaxed, comfortable and pain-free state, in which the patient, thanks to the conservation of consciousness, can provide active collaboration.
Reasonable alternatives to the procedure: The treatment can be done without sedation, but more interventions may have to be done and the treatment will take longer.
Foreseeable consequences of the realization: The foreseeable consequences of the realization are: dizziness, tiredness, sleep.
Foreseeable consequences of non-performance: If the procedure is not performed with sedation, the treatment will be prolongedhas more in time and multiple interventions will have to be made.
Risks: Apart from the risk of the surgical intervention, of which the surgeon will inform you, the administration of sedation techniques, as happens in any medical procedure, entails a series of risks, which are accepted according to experience and the current state of medical science and which we go on to list: Accidental puncture of the artery. Repeated punctures due to difficulty in the introduction of the venous catheter, which could condition the exit from the vein of the different drugs used in anesthesia and cause from simple redness to local circulatory problems. After sedation, different symptoms may appear, such as a drop in blood pressure, increased pulse, difficulty breathing, agitation, dizziness, nausea, vomiting, tremors, which are generally considered to be discomforts arrive, in very few cases, to be complications. The administration of serums that are essential during sedation can, exceptionally, produce allergic reactions that can become serious. The systematic practice of allergy tests for drugs that can be used during sedation is not recommended. These tests are not without risks, and even if their result is negative, it does not mean that they cannot produce adverse reactions when we use them during sedation. It is not always possible to predict the transition point between sedation and unconsciousness or general anesthesia. Among the potential risks is excessive sedation, with hypotension and respiratory depression, problems that may even be more common than with general anesthesia. The border between sedation and anesthesia is not sharp.
Risks based on the patient’s clinical situation: Every surgical procedure carries with it a series of common and potentially serious complications that may require complementary treatments, both medical and surgical. Depending on the vital situation of the patient, (existence of situations such as diabetes, heart disease, hypertension, anemia, advanced age, obesity) may increase the anesthetic risk or that complications may appear.
I have been informed by the clinic anesthetist of the type of anesthesia that will be administered to me (or to the patient for whom I am responsible), as well as the risks involved. I have understood the information I have received and voluntarily give my authorization to be anaesthetized by a doctor from the Anesthesiology and Reanimation Service of this clinic. I understand and accept that during the 12 hours following sedation I will not be able to perform any activity that requires full faculties (signing documents, driving vehicles, physical exertion…). For this reason, you must be accompanied by an adult.
Dental implants = 2 years for manufacturing defects (not for infections, no loss of bone or no loss of integration)
prosthesisdental = 2 years per dmanufacturing effects (not due to wear and tear or manipulation by third parties)
In order not to lose the warranty, periodic reviews are required every 6 months to sanitize implanted teeth and prosthesis, take control X-rays, tighten fixation screws.
