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Dental Consent Form

OPTIONS:

Your pet is about to undergo a surgical procedure that requires general anesthesia. We want you, the owner, to be well informed and to work within your budget, goals and expectations. Our ultimate goal is your pet’s health and comfort and to give you all options available.

Even young apparently healthy animals can have unknown health problems or allergies that can put them at a higher risk for complications. The following options are offered to further decrease the risks or to decrease pain related to the procedure. There are additional charges for selected medically recommended options.

Pre-Anesthetic Blood Work

We recommend pre-anesthetic blood work for any surgical procedure. Pre-anesthetic blood work checks liver and kidney function for early signs of disease that would otherwise remain undetected. Undetected disease in these organs is a frequent cause of anesthetic complications. This bloodwork costs $115. 

Tooth Extractions

Tooth extractions are often necessary in pets with moderate to severe dental disease or fractured teeth. These can vary from minor single tooth incisor and premolars to major (double and triple rooted) premolars and molars. Some major tooth extractions may also require gingival tissue surgery. Most extractions require extra anesthesia time.

Medications

Surgical procedures can cause discomfort to your pet. All animals undergoing a surgical procedure will receive sedation injection that includes pain medication prior to surgery. Additional pain medication, anti-inflammatories and /or antibiotic may be necessary to home with the pet after the dental procedure

Oravet Sealant and Take Home Kit

This sealant forms a barrier to help protect against the bacteria that leads to plaque and calculus buildup for a cleaner mouth.

DENTAL PROPHY CONSENT

This form is indeed to promote a clearer understanding of the process involved in cleaning your pet’s teeth. Please be aware of the following facts:

In order to minimize the time your pet is under anesthesia it is important that we know your desires before we procedure with today’s procedure. This avoids delays involved with us trying to contact you to discuss your wishes or worse…being unable to contact you at a crucial decision point. In most cases, we make the decisions based upon our values as if we were treating our own pets.

  1. A thorough evaluation of your pet’s mouth, teeth a gums cannot be accomplished without the aid of general anesthetic
  2. Incidental findings, such as tumors and abscessed tooth roots, periodontal (gum) disease, cracked teeth or Feline Odontoclastic Resorptive Lesions (a progressive, cavity-like disease in cats) are not uncommon
  3. It is frequently necessary to change our treatment plan once the pet is anesthetized
  4. Decisions about how to treat a particular problem are highly dependent on your dedication to follow up care, potential costs involved, aesthetics and relative anesthetic risk.
  5. Certain specialized procedures (i.e. crowns and root canals) are not provided at our facility, but are available through veterinarians that specialize in dentistry. These procedures are usually comparable, or more expensive that the same procedures in people. We can refer you to a veterinary specialist for follow up care, if you desire.
  6. Certain disease processes are progressive and it is our intent to minimize pain. Therefore, we may elect to perform procedures that will avoid unnecessary pain in the future (for example, we may extract a tooth that is not yet loose, but has significant bone loss around it)
  7. The removal of some teeth may result in unavoidable consequences, such as jaw fractures or inability for the pet to keep its tongue in its mouth
I understand that the following options require me to be available by phone today until the procedure is complete. I understand that time is of the essence while my pet is under anesthesia and that if I am unable to be reached, my pet’s procedure will stop and that it will be very possible that I may have to come back for another surgical procedure. The best phone number to reach me at today is*
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