Informed Consent Denture
Your visit at the dentist
Your dentist will make a treatment plan for you. Your wishes and requests are included in the treatment plan. Based on this, we look at the possibilities to get a desired solution that suits you best. After your dentist has determined your wishes together with you, he will put the treatment plan into effect. After the treatment plan has been accepted, you will be referred by the dentist to the clinical prosthesis dental technician specialized in dentures.
What is a full or partial denture?
Full dentures or partial dentures are removable devices that replace natural teeth when they are lost. The dentures are in principle loose on the oral tissue. Due to the saliva, the synthetic resin sticks to the tissues, the mouth muscles can help with retention to hold. The hard, rigid plate must function in the mouth, of which everything is in a sense movable. It is possible that the dentures can cause some complaints and discomfort in the beginning; often it is the lower denture that cause complaints. Within dentistry, a distinction is made between full dentures and partial dentures such as frame dentures.
The complete denture can be completely above, completely below or completely above and below. The full denture is therefore a complete solution for the replacement of your teeth. The dentures are always custom-made based on the shape of your jaw. The denture consists a plate of synthetic resin on which teeth are anchored. The synthetic resin plate and teeth adapt naturally to the mouth. The shapes and colors of the teeth in the natural teeth are almost identical to the dentures. In some situations, the dentures can be made from a steel palate, a steel structure, soft inner lining, transparent palate (aesthetic option) and also monomer free. It is also possible to convert the existing denture into click dentures on implants. For the other features of a full denture, please refer to the following passage about the synthetic resin prosthesis with the partial denture.
The partial denture has different types of versions, synthetic resin, flexible and steel/frame denture. The synthetic resin prosthesis has many advantages and can always be expanded; can almost always be rebased/repaired, tightened. A synthetic resin prosthesis is also an affordable solution. However, you should take into account that: The anchors and/or denture itself can damage other elements; the prosthesis often becomes loose; the prosthesis has a risk of breakage; you need more time to get used to it; the synthetic resin prosthesis takes up a lot of space in your mouth, your speech and taste abilities are reduced (cold and warm).
The flexible denture or flexiplast prosthesis is an allergy-free prosthesis, and is characterized by the
following points: Strong, flexible and light denture, virtually unbreakable; monomer free (low risk of
allergic reactions), takes up a lot of space in the mouth; flexible dentures cannot be repaired; cannot
be expanded (none with placements). Steel frame prosthesis, this is a partial denture with a metal base, to which the gum-colored synthetic resin is attached. Teeth and/or molars are manufactured in the synthetic resin. There are clammers on the metal base. These are metal hooks that are attached to your own teeth. The frame prosthesis also contains a bio-compatible metal; fits comfortably and takes up less space in the mouth (thanks to the clamps/hooks); has less chance of breakage. Also has less influence on speech and taste, feeling for cold and hot. The clamps are molded completely to the shape of the molars. Partly because of the klammers you can clearly see the teeth while laughing or talking. There is an option to have these executed in gold color (gold plated). In some cases, supports are created by the clappers so that the elements (teeth and molars) are ground to a minimum. A common feature in all types of denture mentioned (full and partial) is the loss of speech. In addition, it is also important to mention that one of the best solutions for partial dentures is the manufacture of a bridge with a fixed construction, possibly with implants.
Visits at the dentist
The denture specialist will manufacture the denture for you on base of the treatment plan and on behalf of the dentist. The dentist makes the denture in 2-5 visits. Each visit lasts 30 minutes. Because we have our own laboratory, the production of the denture usually takes a few days, usually very quickly. In exceptional cases there are also possibilities to manufacture the prosthesis faster, within one day. Depending on your situation, the phases are as follows:
- Provisional start making impressions and lining the plaster models
- Individual Prints
- Bite determination, relationship between top and bottom
- Fully washable
- Placement (by denture specialist)
Phase 1 & 2 the dental impressions are made. Although we do our very best, in exceptional situations, the following inconveniences can occur when printing your jaws: Nauseous feeling; mild pain; limited mucosal damage; dry mouth; dry lips and lip corners.
Phase 3 is intended for the determination of the bite and measurements of your denture. New plaster models are made from the individual impression, on which a set of bite plates is made. Our dental technician uses the bite plates to determine the relationship between your upper and lower jaw, the size and precision anchoring as well as to determine where your teeth will eventually be placed. The color and shape of your dentures (new teeth) will also be examined in consultation with you. It is advisable to discuss the color with your practitioner during this phase. After phase 4, the color is fixed and it is not possible to adjust it.
Phase 4: Our clinical technician will then make a denture for you on the basis of the collected data. Among other things, he will check whether the bite registration has been correctly determined and, of course, it will also be checked whether the chosen teeth suit your appearance. If you and your practitioner are satisfied with the result, the fitting denture will be returned to a dental technician who will finish the denture to synthetic resin and smooth. The next session is then intended to place your prosthesis. The fitting phase can optionally be repeated until the desired result is achieved. An additional fitting phase is required for a frame prosthesis. are chosen. In this case, additional technical costs will be charged. Porcelain teeth in a denture have a high risk of tooth fracture. This is not a desirable situation. We therefore advise against this. Light reflection can also occur with some types of light bulbs. It is advisable to make good choices regarding position and color during this phase. Subsequent corrections entail unnecessarily high costs that fall outside the budget.
Phase 5. Placement of your denture by one of our specialists. The method of implementation is reserved for the practitioner
After placing your dentures
After the denture has been placed, you may experience certain discomforts
Pressure marks may occur Difficulty swallowing
Nausea may occur
Not being able to chew
Get used to new position of teeth and molars Wear and discoloration
Aftercare by the dentist
Our denture specialist will make every effort to extend the necessary aftercare as much as possible and to remedy any inconveniences and complaints for you. The aftercare period lasts approximately three months after the placement of your denture. You are not advised to continue walking around with pain/complaints. Furthermore, it is absolutely not allowed to sharpen the denture yourself or to try to repair and/or adjust it in any way whatsoever. In such a case, the cause irreparable damage that is not covered by aftercare. You also regularly come once a year for a follow-up check. However, if the denture starts to become loose, you will return to your practitioner for rebasing (tightening of your prosthesis). The check-ups at the dentist are different from the check-ups with your denture. It is very important that the denture is properly maintained. This prevents plaque and tartar on your dentures and increases the life of your dentures. You can also clean your dentures after every meal with lukewarm water and (green) soap. You can also use this to clean the denture. before going to sleep. Unlike your real teeth, you should not brush your dentures with toothpaste. Failure to comply with (follow-up) appointments Meeting the agreements with your practitioner is one of the essential conditions for achieving the intended treatment results. It is very important that you comply with all (series) sessions/appointments on time. This also has a major influence on the planning of our Laboratory. If the agreements are not met, the entire treatment planning is disrupted. The costs incurred by your practitioner in connection with the reserved time for your consultations will also be passed on to you.
Interim discontinuation or termination of the treatments/consultations
Discontinuation or termination of your denture treatment unfinished can have negative consequences for your teeth. The intended treatment results cannot be achieved either. There is also a chance that permanent damage to your teeth can occur. You are therefore responsible for any consequences that may arise as a result of discontinuing the treatment. The costs incurred will be charged to you, sometimes up to 100%.
We cannot rule out the possibility of a synthetic resin prosthesis, partly in view of its fragile condition. There is therefore no possibility for free repairs for this type of prosthesis. With regard to steel/frame dentures, there is a two-year warranty (only for steel and not for teeth and/or synthetic resin). Well under conditions; Dropping a denture, for example, is excluded from the warranty. Nor is there any guarantee for jaw shrinkage. However, depending on the individual situation and circumstances of the case, we can always consider whether you qualify for our leniency scheme.
I understand that I have the right to choose, on the base of adequate information, from alternate treatment plans that meet professional standards of care.
By signing below, I consent to the general treatments and/ or proposed treatment.
I, Hereby autthorize and direct Dentalzorg Dentistry and it’s staff to perform upon me with the dental treatment including necessary or advisable examination, rediographs
( X-rays), diagnostics, local anesthesia and any other treatment the dentist considers necessary to create betterhealth for my mouth.
In general terms, dental treatment may include but not limited to one or number of the following:
Administration of local anesthesia
Cleaning of the teeth and application of topical fluoride
Application of sealants to the grooves of the teeth
Treatment of diseased or injured teeth with dental restorations
The replacement of missing teeth with a dental prosthesis ( Crown, bridge, partials, etc )
Treatment of the canal or pulp chamber that lies in the middle of the tooth and its roots also known as
“endodontic” therapy or root canal treatment
RISK OF DENTAL PROCEDURES IN GENERAL
Included ( but not limited to ) are complications resulting from the use of dental instruments, drugs, medicines analgesics ( Pain killers ) anesthetics and injections. These complications include pain, infection, swelling, bleeding, sensitivity, numbness and tingling sensations in the lip, tongue, chin, gums, cheeks, and teeth .Thrombophlebitis ( inflammation to a vein ) reactions to injection, change in occlusion ( biting ), muscle cramps and spasms. Tempomandibular jaw (TMJ) joint difficulty, loosening of teeth or restoration in teeth, injury to other tissues. Referred pain to the ear, neck and head nausea, allergic reactions, itching, bruises, delayed haling, sinus
complications and further surgery. Medications and drugs may cause drowsiness and lack of awareness and coordination, this it’s not advisable not to operate any vehicle or work for twenty-four hours or until recovered from its effects.
CHANGES IN TREATMENT PLAN
A treatment plan is based on the best evidence available during the examination. I understand that during treatment, it may be necessary to change and/or add procedure because of conditions found while working on the teeth that were not discovered during the examination or course of treatment.
I understand that i may experience hot and cold sensitivity, pain or discomfort following routine restorative procedures and that is usually temporary and should settle without further treatment. If in the event that my condition does not getting any better, I understand that i may need futher dental treatment, the most being root canal therapy.
CROWNS (CAPS), BRIDGES AND ONLAYS
I understand that sometimes it is not possible to match the color of artificial teeth with natural teeth. I further understand that I may be wearing temporary crowns, which may come off easily and that I must be careful to ensure that they are kept permanent on until the permanent crowns are delivered. I realized the final opportunity
to make changes in my new crown or bridge (including shape, fit, size and color) will be before cementation. Once cemented, I understand that any changes in shape, fit, size or color wil incur additional charge.
I understand that i have the right to choose, on the basis of adequate information, from alternate treatment plans that meet professional standards of care By signing below, I consent to the general treatments and/or proposed treatment
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