Information for Patients Undergoing Dental

Treatment

Please note that there are certain potential risks with ANY dental procedure, these are not probable results but statistical possibilities (read below). 1. DRUGS, MEDICATIONS & MIS-INFORMATION Medications may be required and can cause allergic reactions. Please disclose all pre-existing allergies and diseases to the dentist. Any complications arising out of mis-information of any pre-existing allergies, diseases or conditions are your own responsibility. 2. CHANGES IN TREATMENT PLAN During treatment it may be necessary to change or add procedures because of conditions found while working on the teeth that were not discovered during examination, the most common being root canal therapy following routine restorative (fillings, crowns, bridges, gum surgery) procedures. The additional cost of these, is your responsibility. 3. REMOVAL OF TEETH Alternatives to tooth extraction may include RCT, crowns, and gum surgery, etc. Removing teeth does not always remove all the infection, and it may be necessary to have further treatment. There are risks involved in having teeth removed, some of which and not limited to, are pain, swelling, infection, dry socket, numbness in the teeth, lips, tongue etc. (paresthesia) which can last for days or months, or fractured jaw/teeth/restorations. You may need further treatment by a specialist or even hospitalization if complications arise during or following treatment, the cost of which is your responsibility. 4. CROWN, BRIDGES, AND CAPS Sometimes it is not possible to match the colour of natural teeth exactly with artificial teeth. Temporary crowns may come off easily, please ensure that they are kept on till final crowns are cemented. The final opportunity to make changes in your new crown, bridge, or cap (including shape, fit, size, and colour) will be before cementation. 5. DENTURES, COMPLETE OR PARTIAL Full or partial dentures are artificial, constructed of plastic, metal, and/or porcelain. The problems of wearing these include looseness, soreness, and possible breakage. Some patients are extra sensitive and may have problems wearing dentures altogether. The final opportunity to make changes in your new dentures (including shape, fit, size, placement, and colour) will be the "teeth in wax" try-in visit. Most dentures do normally require relining months after initial placement. The cost for this procedure is not included in the initial denture fabrication/insertion fee. 6. ENDODONTIC TREATMENT (ROOT CANAL TREATMENT - RCT) & POST/CORE The purpose of this procedure is to retain teeth that may otherwise have to be extracted. RCT has a very high success rate, but there is no guarantee that it will save your tooth. Complications can occur during/from the treatment, including but not limited to calcification, unique curvature, perforation, fracture, tooth/instrument breakage, infection, which may require additional treatment(s), like extraction, re-treatment, apicectomy, etc. (Refer Paragraph #2). Occasionally objects (Posts/Pins/Crowns) are cemented in/on the tooth or extend through the root, which does not necessarily affect the success of the treatment. These are not included in the initial RCT fee. Once treatment is begun, it is absolutely necessary that RCT must be completed. It may involve one or several appointments. 7. PERIODONTAL LOSS (TISSUE & BONE) / PYORRHOEA This condition causing gum and bone infection can lead to tooth loss. Alternative treatment plans include gum surgery, replacements and/or extractions. Any additional dental procedures may have a future adverse effect on your periodontal condition. 8. NO TREATMENT, INCOMPLETE TREATMENT You have been explained all treatment options including the option of no treatment. The consequences of no treatment or partial/incomplete treatment have also been explained to you. Any complications, dental or medical, arising out of no treatment, incomplete/partial dental treatment are your own responsibility. 9. CIRCUMSTANCES BEYOND OUR CONTROL Natural calamities, political uncertainties, prolonged electricity failures or any other circumstances beyond our control, before or during your dental treatment may delay or hamper the scheduled treatment protocol. Any delays or complications arising out of non-delivery/incomplete/partial delivery of your scheduled dental care for reasons beyond our control is your own responsibility.

Payment Policy

Our payment policy is the same for all patients, domestic and overseas, and includes: 1. All treatment charges are accepted in INDIAN RUPEES ONLY 2. Payments can be made in CASH or by CREDIT/DEBIT CARDS (MASTER CARD/VISA) 3. Itemised bills will be issued at the end of treatment with details of procedures done/charged 4. A copy of the treatment bill/treatment done will be sent to your insurance/company (for company insurance cases) 5. Payments are expected to be paid in full at the first appointment and/or latest by the second appointment (for multi-visit treatments). 6. No work will be sent to the dental lab, unless all dues are cleared. The clinic will not be liable for any delays and associated problems due to non payment of dues 7. Treatment charges can change without notice. Please confirm the treatment charges before treatment 8. During treatment it may be necessary to change or add procedures because of conditions found while working on the teeth that were not discovered during examination. The additional costs of these, is your responsibility 9. You may need further treatment by a specialist or even hospitalization if rare complications arise during or following treatment, the cost of which is your responsibility 10. All efforts will be made to finish treatment within the stipulated time given. However any rare complication or unforeseen circumstances beyond our control, can cause delays. WE ARE NOT LIABLE FOR ANY LOSS OF TIME OR CHANGES IN TRAVEL PLANS OF THE PATIENT DUE TO THESE DELAYS.
Dental Clinic & Dental Implants Centre | Pitampura & Rohini | Delhi, India | Tel: +91 11 27025081 | Mobile: +91 9810850226 | email: tooth.pandit@gmail.com
Dental Clinic &  Dental Implants Centre Your Dentist who cares __________________________________ PITAMPURA & ROHINI, DELHI, INDIA

Information for Patients

Undergoing Dental Treatment

Please note that there are certain potential risks with ANY dental procedure, these are not probable results but statistical possibilities (read below). 1. DRUGS, MEDICATIONS & MIS-INFORMATION Medications may be required and can cause allergic reactions. Please disclose all pre-existing allergies and diseases to the dentist. Any complications arising out of mis-information of any pre-existing allergies, diseases or conditions are your own responsibility. 2. CHANGES IN TREATMENT PLAN During treatment it may be necessary to change or add procedures because of conditions found while working on the teeth that were not discovered during examination, the most common being root canal therapy following routine restorative (fillings, crowns, bridges, gum surgery) procedures. The additional cost of these, is your responsibility. 3. REMOVAL OF TEETH Alternatives to tooth extraction may include RCT, crowns, and gum surgery, etc. Removing teeth does not always remove all the infection, and it may be necessary to have further treatment. There are risks involved in having teeth removed, some of which and not limited to, are pain, swelling, infection, dry socket, numbness in the teeth, lips, tongue etc. (paresthesia) which can last for days or months, or fractured jaw/teeth/restorations. You may need further treatment by a specialist or even hospitalization if complications arise during or following treatment, the cost of which is your responsibility. 4. CROWN, BRIDGES, AND CAPS Sometimes it is not possible to match the colour of natural teeth exactly with artificial teeth. Temporary crowns may come off easily, please ensure that they are kept on till final crowns are cemented. The final opportunity to make changes in your new crown, bridge, or cap (including shape, fit, size, and colour) will be before cementation. 5. DENTURES, COMPLETE OR PARTIAL Full or partial dentures are artificial, constructed of plastic, metal, and/or porcelain. The problems of wearing these include looseness, soreness, and possible breakage. Some patients are extra sensitive and may have problems wearing dentures altogether. The final opportunity to make changes in your new dentures (including shape, fit, size, placement, and colour) will be the "teeth in wax" try-in visit. Most dentures do normally require relining months after initial placement. The cost for this procedure is not included in the initial denture fabrication/insertion fee. 6. ENDODONTIC TREATMENT (ROOT CANAL TREATMENT - RCT) & POST/CORE The purpose of this procedure is to retain teeth that may otherwise have to be extracted. RCT has a very high success rate, but there is no guarantee that it will save your tooth. Complications can occur during/from the treatment, including but not limited to calcification, unique curvature, perforation, fracture, tooth/instrument breakage, infection, which may require additional treatment(s), like extraction, re-treatment, apicectomy, etc. (Refer Paragraph #2). Occasionally objects (Posts/Pins/Crowns) are cemented in/on the tooth or extend through the root, which does not necessarily affect the success of the treatment. These are not included in the initial RCT fee. Once treatment is begun, it is absolutely necessary that RCT must be completed. It may involve one or several appointments. 7. PERIODONTAL LOSS (TISSUE & BONE) / PYORRHOEA This condition causing gum and bone infection can lead to tooth loss. Alternative treatment plans include gum surgery, replacements and/or extractions. Any additional dental procedures may have a future adverse effect on your periodontal condition. 8. NO TREATMENT, INCOMPLETE TREATMENT You have been explained all treatment options including the option of no treatment. The consequences of no treatment or partial/incomplete treatment have also been explained to you. Any complications, dental or medical, arising out of no treatment, incomplete/partial dental treatment are your own responsibility. 9. CIRCUMSTANCES BEYOND OUR CONTROL Natural calamities, political uncertainties, prolonged electricity failures or any other circumstances beyond our control, before or during your dental treatment may delay or hamper the scheduled treatment protocol. Any delays or complications arising out of non- delivery/incomplete/partial delivery of your scheduled dental care for reasons beyond our control is your own responsibility.

Payment Policy

Our payment policy is the same for all patients, domestic and overseas, and includes: 1. All treatment charges are accepted in INDIAN RUPEES ONLY 2. Payments can be made in CASH or by CREDIT/DEBIT CARDS (MASTER CARD/VISA) 3. Itemised bills will be issued at the end of treatment with details of procedures done/charged 4. A copy of the treatment bill/treatment done will be sent to your insurance/company (for company insurance cases) 5. Payments are expected to be paid in full at the first appointment and/or latest by the second appointment (for multi-visit treatments). 6. No work will be sent to the dental lab, unless all dues are cleared. The clinic will not be liable for any delays and associated problems due to non payment of dues 7. Treatment charges can change without notice. Please confirm the treatment charges before treatment 8. During treatment it may be necessary to change or add procedures because of conditions found while working on the teeth that were not discovered during examination. The additional costs of these, is your responsibility 9. You may need further treatment by a specialist or even hospitalization if rare complications arise during or following treatment, the cost of which is your responsibility 10. All efforts will be made to finish treatment within the stipulated time given. However any rare complication or unforeseen circumstances beyond our control, can cause delays. WE ARE NOT LIABLE FOR ANY LOSS OF TIME OR CHANGES IN TRAVEL PLANS OF THE PATIENT DUE TO THESE DELAYS.
Dental Clinic & Dental Implants Centre | Pitampura & Rohini | Delhi, India | Tel: +91 11 27025081 | Mobile: +91 9810850226 | e-mail: tooth.pandit@gmail.com
Dental Clinic &  Dental Implants Centre Your Dentist who cares __________________________________ PITAMPURA & ROHINI, DELHI, INDIA
ACCEPTED