Crown & Bridge Consent Form

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Crown and Bridge Consent Form

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Dental crowns are restorations that cover or cap teeth, restoring them to their natural size, shape, and color. A crown not only helps with appearance, but can strengthen a tooth as well. A fixed (non-removable) bridge is designed to replace teeth that have been lost. Missing teeth may need to be replaced for appearance, or to prevent or correct bite and gum problems related to shifting or stressed teeth. Dental crowns and bridges are made of porcelain, and may or may not have an inner layer of metal while some are made of metal alone. As with all procedures, there are certain potential problems associated with crowns and bridges. These include, but are not limited to: (Please check each off to show acceptance)

I understand that sometimes it is not possible to match the color of natural teeth exactly with artificial teeth. I realize the final opportunity to make changes in my new crown (cap), or bridge, including shape, fit, size and color will be before permanent cementation. After permanently cementing crowns and/or bridges, NO changes can be made. I understand that like natural teeth, crowns and bridges need to be kept clean with proper oral hygiene and periodic professional hygiene maintenance, otherwise decay may develop underneath and/or around the margins of the restoration, leading to further dental treatment and possible replacement of the crown(s) or bridge.

We want you to be happy with the treatment you receive here enough that you refer your family and friends.

New To The Clinic ?

Blue Heron Dental Group is built on a strong reputation of over 30 years of service to the Ottawa community and the families who live here. Other dentists in the community refer pediatric patients to our clinic due to our experience and reputation when treating children.

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Contact Us

102-1500 Bank street Ottawa, Ontario K1H 7Z2

613-706-4101

Info@blueherondentalgroup.ca

 

Clinic Hours

Mon:             7:30am - 3:30pm
Tue:               7:30am - 3:30pm
Wed:             7:30am - 3:30pm
Thu:               7:30am - 7:30pm
Fri:                 7:30am - 3:00pm

Sat:                         Closed
Sun:                        Closed

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