Patient Care Letter & Consent Form
Date:
Dear,
This information is to help you make an informed decision about having implant
treatment. You should take as much time as you wish to make the decision in relation to
signing the following consent form. You are encouraged to ask any questions, and have
the answers to your satisfaction before you give permission for the treatment to be
carried out.
Below is described your proposed dental implant treatment and the formal terms and
conditions of my engagement. I apologise for the large amount of information contained
in this letter but it is important that you should understand and read it carefully. Please
keep this letter in a safe place as the treatment described is long-term and it can often be
difficult to remember the exact details several months later. Also you have received a
patient leaflet containing further information regarding your implant treatment. If you are
unclear as to any of the areas discussed please contact me.
During the course of the implant treatment it is important that you keep the dentist
informed of any changes to your general medical condition and of any other additional
treatment you may be receiving from a doctor or dentist. Failure to keep the dentist
informed may adversely affect or delay your treatment.
It is also important that you keep your appointments and do not miss any stages, as this
could adversely affect treatment and delay placement of the new teeth.
If an appointment is missed or cancelled with less than 48 hours notice an additional fee
will be charged.
WHY ARE IMPLANTS NEEDED?
Once teeth are lost, the bone in which they are embedded gradually disappears because it
is no longer required to support the teeth. The teeth and lost bone are usually replaced by
removable dentures or fixed bridges to restore appearance, speech and mastication. As
with all man made substitutes for nature’s living tissues, there are drawbacks to artificial
appliances. Dentures reduce