Generic Printable Consent Form For Sinus Augmentation Consent to Unforeseen Conditions During surgery unforeseen conditions could be discovered which would call for a modification or change from the anticipated surgical plan
Sinus augmentation requires incision and reflection of gum tissue removal of bone to expose the sinus cavity lifting of the sinus membrane placement of bone graft material into the floor of the sinus possible placement of a barrier membrane and closure of the wound with stitches Informed Consent for the Performance of Sinus Augmentation Surgery An explanation of your need for sinus augmentation its purpose and benefits the surgery involved in this procedure and the possible complications as well as alternatives were discussed with you at your consultation We obtained your verbal consent to undergo this procedure
Generic Printable Consent Form For Sinus Augmentation
Generic Printable Consent Form For Sinus Augmentation
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This procedure is being done to allow for ultimate placement of root form implants that will allow crowns or dentures to be placed ultimately I acknowledge that the doctor has explained the procedure including the location of the incisions and types of implants ultimately to be used Bone grafting is a method to reduce or offset this bone atrophy after extraction s or to supplement bone around an implant in a large sinus cavity or to treat pocketing around tooth Donor Human Allograft Pre packaged cadaver bone particles very effective and reasonable cost
Informed Consent for the Performance of Sinus Augmentation Surgery Diagnosis I have been informed that the purpose of this procedure is to stimulate the growth of bone in the lower portion of the sinus space above the rear portion of my upper jaw in order to provide adequate bone for the anchorage of dental implants 1 After a careful oral examination and study of my dental condition the doctor has advised me that for future implant placement in the posterior maxillary region I need to have placement of bone in the area of my maxillary sinus This bone when mature will be able to support dental implants
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Alternatives to Suggested Treatment Alternatives to the sinus elevation procedure include 1 no treatment resulting in an inability to place implants of sufficient length in the area 2 grafting on top of the bony ridge in the area 3 anchorage of implants in anatomic areas behind the maxillary sinus pterygoid plate anchorage Informed Consent for Maxillary Sinus Elev ation Surgery I h e r e b y a u t h o r iz e D r W a r d an y to perfo rm m a xillary s in us el eva tion surgery o n m yself D i ag n o s i s M y d oc t o r h as t old m e t ha t I ha ve an ins uffi cient bo ne h ei gh t i n m y upper ja w t o pla ce denta l
sinus augmentation surgery Local anesthetic will be administered to me as part of the treatment Antibiotics and other medications may also be given During this procedure the gums may be opened to permit better access to the bone Bone irregularities may be reshaped Some bone may be removed to create a window to access the maxillary sinus Part 2 Details of Consent Condition My doctor has explained the nature of my condition to me Not enough bone to place a dental implant securely understand and choose to undergo the placement of root form implants into the maxillary sinus region 4 I understand that implants will be placed immediately into the sinus cavity following
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Consent to Unforeseen Conditions During surgery unforeseen conditions could be discovered which would call for a modification or change from the anticipated surgical plan
https://c3-preview.prosites.com/278925/wy/docs/Sinus%20Augmentation%20Consent.pdf
Sinus augmentation requires incision and reflection of gum tissue removal of bone to expose the sinus cavity lifting of the sinus membrane placement of bone graft material into the floor of the sinus possible placement of a barrier membrane and closure of the wound with stitches
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Generic Printable Consent Form For Sinus Augmentation - 1 I hereby authorize Dr Amir Guorgui to perform a sinus lift elevation procedure A procedure being done to allow for sufficient bone volume in the posterior maxilla in order to place root form implants that will provide support for the planned restoration 2 I am satisfied that I fully understand the nature and purpose of the treatment 3
