Rct Consent Form - Do not wait to begin these procedures. Web consent for root canal treatment. Root canal treatment, also called endodontic treatment, involves removing the nerve tissue (called pulp) located in the center of the tooth and its root or roots (called the root canal). Waiting to do a crown after a rct can cause high risk of breakage of the tooth which can lead to tooth loss. If the root canal fails, i may need additional treatment or the tooth may need to be removed. I hereby authorize __________________________________________ (doctor name) and any associates to perform a root canal on tooth/teeth number(s): Web informed consent for root canal treatment. Web informed consent for root canal treatment. Web my consent and i understand the risks that are involved in performing this procedure. Web what happens after a rct a rct occurs in an already weakened tooth, so fracture is a greater possibility.
I (patient name) ______________________________herby authorize dr. Specifically, i have been informed that: Web consent for root canal treatment. Waiting to do a crown after a rct can cause high risk of breakage of the tooth which can lead to tooth loss. Web what happens after a rct a rct occurs in an already weakened tooth, so fracture is a greater possibility. ______________________________ (herein called doctor) to perform root canal treatment of tooth/teeth # __________________________ on myself. I hereby authorize __________________________________________ (doctor name) and any associates to perform a root canal on tooth/teeth number(s): Web informed consent for root canal treatment. Root canal treatment, also called endodontic treatment, involves removing the nerve tissue (called pulp) located in the center of the tooth and its root or roots (called the root canal). If the root canal fails, i may need additional treatment or the tooth may need to be removed. Web my consent and i understand the risks that are involved in performing this procedure. Web informed consent for root canal treatment. There is about a five percent chance that my root canal therapy may not work. Do not wait to begin these procedures.