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Medical Forum / General / Dentistry / September 2006

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I need an informed consent form for crown after root canal.

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NOYB - 12 Sep 2006 19:51 GMT
I got tired of arguing about amalgams with day care workers and such, so
I've been gone for awhile.  But I was hoping one of the dentists here could
provide me with an informed consent form for a patient who is refusing a
crown and buildup after a root canal.

The root canal was performed by an endodontist who explained he'd need a
crown afterwards and had him sign a consent form.  My receptionist called
the patient to get the crown done, and he said "what's with this crown sh.t?
I just want it filled."

The tooth has a large composite resin patch with recurrent decay, and needed
a crown even if it didn't just have RCT.  The access needs to be permanently
sealed so the RCT doesn't fail, but I'm sure this tooth will split if he
waits too long.

If I agree to seal the access with composite for now, I need a consent form
stating that the patient declines treating the tooth with a crown and is
aware the tooth may be lost if he waits.

Anybody have a good consent form for this case?

If not, does anybody have a good patient dismissal letter form?  ;-)
Dartos - 12 Sep 2006 22:14 GMT
I might consider trying to talk him into a stainless steel crown
for now and then dismissing him after that is complete if his
attitude still sucks.

D

> If I agree to seal the access with composite for now, I need a consent form
> stating that the patient declines treating the tooth with a crown and is
[quoted text clipped - 3 lines]
>
> If not, does anybody have a good patient dismissal letter form?  ;-)
Steven Bornfeld - 12 Sep 2006 23:19 GMT
> I might consider trying to talk him into a stainless steel crown
> for now and then dismissing him after that is complete if his
> attitude still sucks.
>
> D

    Not a bad idea, esp. if pt. doesn't make what seems a good faith
statement that they intend to crown tooth as soon as feasible.

Steve

>> If I agree to seal the access with composite for now, I need a consent
>> form stating that the patient declines treating the tooth with a crown
[quoted text clipped - 3 lines]
>>
>> If not, does anybody have a good patient dismissal letter form?  ;-)
Steven Bornfeld - 12 Sep 2006 23:18 GMT
> I got tired of arguing about amalgams with day care workers and such, so
> I've been gone for awhile.  But I was hoping one of the dentists here could
[quoted text clipped - 18 lines]
>
> If not, does anybody have a good patient dismissal letter form?  ;-)

Hey NOYB!

    I think you said it all--patient has been informed that tooth requires
a crown, patient understands that failure to have crown done in a timely
fashion carries a significant risk of fracture, recurrent decay and
tooth loss.

Best,
Steve
NOYB - 16 Sep 2006 01:09 GMT
>> I got tired of arguing about amalgams with day care workers and such, so
>> I've been gone for awhile.  But I was hoping one of the dentists here
[quoted text clipped - 27 lines]
>
> Best,

thanks, Steve.
Bill - 16 Sep 2006 21:03 GMT
> > I got tired of arguing about amalgams with day care workers and such, so
> > I've been gone for awhile.  But I was hoping one of the dentists here could
[quoted text clipped - 28 lines]
> Best,
> Steve
_______________________

Well said. And be SURE to write that into the chart on the date it is
discussed with the patient.

When the tooth splits, and the patient screams that it's all your
fault, you can produce the legal record that shows he willingly refused
to have the recommended treatment.

Courts accept dated chart entries as authoritative, so a separate
informed consent form is just icing on the cake.

But sometimes the act of presenting the patient with a separate consent
form makes him think about the seriousness of his decision -- and
sometimes he then might decide to have the necessary treatment. So the
use of a consent form has the potential of creating a win-win
situation.

Good luck,
-dentaldoc
Jan - 18 Sep 2006 17:27 GMT
> I got tired of arguing about amalgams with day care workers and such, so
> I've been gone for awhile.

cut

I see you are still telling the same lies.

I was NOT a day care worker.  I was a OWNER and DIRECTOR.

Jan
NOYB - 21 Sep 2006 16:56 GMT
>> I got tired of arguing about amalgams with day care workers and such, so
>> I've been gone for awhile.
[quoted text clipped - 4 lines]
>
> I was NOT a day care worker.  I was a OWNER and DIRECTOR.

How do you know that I was talking about you?
Jan - 22 Sep 2006 08:35 GMT
> >> I got tired of arguing about amalgams with day care workers and such, so
> >> I've been gone for awhile.
[quoted text clipped - 6 lines]
>
> How do you know that I was talking about you?

Hmm.  Because you have posted this day care worker--many times.

Just two.

http://groups.google.com/group/sci.med.dentistry/msg/57212667519f4375?hl=en&

Dec 12 2002

Headline:
"Retired Daycare Owner Helps Women Widowed by Dental Amalgam"

http://groups.google.com/group/sci.med.dentistry/msg/1809908fcd87c44a?hl=en&

Sep 11 2002

Once again...according to the JRDW (Journal of Retired Daycare Workers).
 
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