Dental Cleaning Consent:
I, [Patient's Name], understand that a dental cleaning procedure involves the removal of plaque, tartar, and stains from the teeth to maintain oral health. I understand that while the dental cleaning procedure is generally safe, there may be risks and potential complications, including but not limited to:
- Gum irritation or bleeding
- Tooth sensitivity
- Jaw pain or discomfort
- In rare cases, infection or damage to dental structures
I understand that the dental hygienist will use dental instruments and devices to perform the cleaning procedure and may recommend additional treatments or procedures based on the findings during the cleaning.
I acknowledge that I have been provided with information about the dental cleaning procedure and have had the opportunity to ask questions and seek clarification about the procedure, risks, and alternatives.
I consent to undergo the dental cleaning procedure and authorize the dental hygienist to perform the necessary cleaning and related treatments.