Discussion and Refusal of Periodontal Charting

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Discussion and Refusal of Periodontal Charting

At BHDG we care deeply about your oral health and its connection to your overall well being. We understand and respect your decision not to have your periodontal examination done today. We want to ensure that you are aware of the risks of delaying treatment and would like to educate you as to why this is a vital part of your dental visit. Periodontal examinations provide a baseline for the long-term monitoring of periodontal disease, they help us to measure and evaluate the success of periodontal treatment and the need for and frequency of maintenance visits. I have been informed that my condition requires regular and ongoing follow-up and maintenance visits to prevent progression of disease and further loss of supporting bone and gum tissue. I am refusing to have this examination at this time.

I therefore release____________________from any and all liability resulting from diseases or tooth loss, now or in the future, that this examination may have revealed.

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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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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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