which is not a standard acceptable treatment for the care and protection of this tooth. I understand that by my election of this lower level of treatment, my tooth is more susceptible to damage which could lead to the loss of this tooth. I understand the work done today on this tooth is in no way guaranteed.
I also understand that if I later elect to take the standard acceptable course of treatment with this tooth, any work done today may or may not be financially credited to that acceptable course of treatment.