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We would like our patients to be informed about the various procedures involved in endodontics therapy and have their consent before starting treatment. Conservative root canal therapy or endodontic surgery might be required for complete treatment of the tooth. The following discusses possible risks that may occur from endodontic treatment and other treatment choices.

Risks Specific to Endodontic Therapy


The risks include:
• The possibility of instruments breakage within the root canals: extra openings of the crown or root of
the tooth.
• Damaged bridges, existing fillings, crowns or porcelain veneers.
• Loss of tooth structure in gaining access to canals.
• Cracked teeth.
During treatment, complications may occur which make treatment impossible or which may require dental
surgery.

Other Treatment Choices:
These include no treatment, waiting for more definite development of symptoms or tooth extraction.


Risks:
involved in these choices might include pain, infection, swelling, loss of teeth and infection to other areas.


Consent
I, the undersigned, being the patient (parents or guardian of minor patient) consent to the performing of
procedures decided upon to be necessary or advisable in the opinion of the doctor. I understand that root canal
treatment is an attempt to save a tooth that might otherwise required extraction. Although root canal therapy
has a very high degree of success, it cannot be guaranteed.

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