Home / New Patients / Patient Forms / Restorative Consent
Restorative Consent

Schedule Your Consultation Today!

Ask the doctor

 Restorative Dentistry Consent

  • INFORMED CONSENT Restorative Dentistry

  • Restorative dentistry involves the restoration of decayed and/or broken down teeth with materials such as composite resin, glass ionomer, and/or ceramic. As dental materials are constantly changing, we continually strive to choose the most durable and biocompatible materials for each individual.

    Fillings are indicated when there is sufficient healthy tooth structure to support them. Often it is not known how much healthy tooth structure remains until after the old filling and recurrent decay are removed. If more than half the tooth has been lost, it is likely that an onlay or crown will be indicated. Onlays cover the entire chewing surface of a tooth, but typically do not extend to or beyond the gum line. Crowns typically cover the entire tooth. We utilize current best practices available at the time of treatment procedures.

    It is important to realize that all restorative dentistry requires maintenance; no filling, crown, or onlay will last forever. Fillings typically last about 5 years, while crowns and onlays typically last much longer. However, with all the variables that exist in each person’s oral environment (including genetic disposition), and his/her choices and lifestyle, there is no way to guarantee how long ANY restoration will last. Excellent oral hygiene (daily flossing, brushing 2x/day), careful chewing (avoiding hard things like corn nuts, bottle caps, etc.), moderate food selection and avoidance of potentially harmful habits (gum chewing, nail biting, etc.) will increase the longevity of a restoration. Every effort will be made to provide you the best possible treatment.

    Whenever a tooth receives a filling, crown, onlay or veneer - inflammation occurs within and around the tooth. If this inflammation is within the body’s ability to control, only a little temporary discomfort will occur. If the inflammation exceeds the body’s ability to control, iontophoresis, low level laser therapy, microcurrent, and/or root canal therapy may be used to reduce the inflammation. There is no way to predict a specific tooth’s response prior to a procedure.

    Dr. Judson B. Wall and Staff Dental Solutions, Inc.

  • These items may change, depending on what is found clinically, and additional procedures may be required.

    I understand the risks, benefits, costs and limitations associated with the procedure(s) outlined and explained above, and I agree to proceed with the proposed treatment.

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY

After submitting, feel free to return to the Patient Forms page. Please note, there are multiple forms for each section.

Schedule Your Consultation Today!

Skip to content