Informed Consent Discussion For Denture(S) (Page 2 of 4) in pdf

_______

I understand my dentist will make every attempt to create a natural appearance for the denture(s);

however, it may not be possible for the denture(s) to support my lip and facial contours perfectly.

_______

I understand eating with the denture(s) will require practice. My dentist has recommended I start

with soft foods cut into small pieces and chew slowly, using both sides of my mouth at the same

time, to prevent the denture(s) from tipping. I understand I need to be cautious when eating chewy,

hot, or hard foods (for example: apples, popcorn, raisins, candy).

_______

I understand that pronouncing certain words may take practice. I can do this by reading aloud and

repeating troublesome words. Sometimes the denture(s) will slip when I laugh, cough, or smile. I

can reposition the denture(s) by gently biting down and swallowing. If a speaking problem

persists, I will call my dentist for consultation.

_______

Similar to natural teeth, I understand that my denture(s) require daily brushing to remove food

deposits and plaque. My dentist has explained to me how best to care for my denture(s) and which

products to use. I have to brush my gums, tongue, and palate with a soft bristled brush before

wearing my denture(s). If I do not properly clean or care for my denture(s), they may stain,

develop odor, and affect the way food tastes.

_______

I understand that any adjustments I make to my denture(s) can compromise the denture(s) and

cause gum and cheek irritation and sores. If my denture(s) become loose, chip, crack, or break, I

will contact my dentist immediately. Glue bought over-the-counter to repair a broken denture

often contains harmful chemicals and should not be used on dentures. Adjusting my denture(s) on

my own is not advised and may result in permanent changes to the denture(s) that affect their fit

and function. This may also result in the need to remake the denture, which I understand will be at

my own expense.

_______

I understand that I am required to keep regular care appointments with my dentist to maintain

good oral health and ensure my denture(s) retain their proper fit and function.

_______

I understand that every reasonable effort will be made to ensure the success of my treatment.

Benefits of Dentures, Not Limited to the Following:

I understand that a reasonable aesthetic appearance may be achieved.

______

With dentures, I understand my function and ability to eat will improve as opposed to being

edentulous (without teeth).

Risks of Dentures, Not Limited to the Following:

I understand that there are potential problems such as: periodontal (gum) disease, porcelain

fractures, occlusal (bite) changes, stains and color changes, gum recession, food impaction, decay,

excessive wear due to grinding and bruxing, temporomandibular joint dysfunction (TMD), and

others.

I understand that dentures may have characteristics and potential problems, such as: odor,

chipping, and wear; stability and retention problems; changes in facial and lip appearance; and

adaptation of the tongue and lips for proper speech. Periodic relines may be required as gum and

bone may change over time, oral sensations may change, and good oral hygiene is imperative.

Page 2 of 4

Informed Consent Discussion For Denture(S) Page 2

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