The following information is routinely provided to anyone considering orthodontic
treatment in our office. While recognizing the benefits of a pleasing smile and
healthy teeth, you should also be aware that orthodontic treatment, just as any
treatment of the body, had inherent risks and limitations.
These potential complications are seldom sufficient to rule out treatment but should
be considered when deciding whether to proceed. Please note that it is impossible
to list every possible circumstance but the following represents our best estimate
of the information you need.
ROOT RESORPTION – In a few cases, the ends of some of the teeth are shortened during
treatment. In the event of subsequent gum disease, this shortening could reduce the
longevity of affected teeth. Under healthy circumstances, the shortened teeth suffer
no disadvantage.
DECALCIFICATION, DECAY OR GUM DISEASE – These problems may occur if the patient does not
cooperate with proper brushing and flossing. Additionally, maintaining proper dietary
control is essential, especially by minimizing the intake of sugar.
TREATMENT TIME – Our estimated treatment time is our best guess as to how long treatment
will take. Progress can be delayed by abnormal facial growth, tooth moving mechanical
difficulties, poor appliance wear cooperation, broken appliances and missed appointments.
ABNORMAL GROWTH - Abnormal growth can upset the most carefully planned treatment. A patient
who has grown normally may not continue to do so. If growth becomes disproportionate, the
jaw relationship may be seriously affected and original treatment objectives may not be met.
DEVITALIZATION – It is possible for the nerve inside a tooth to die during treatment thus
requiring a root canal on the affected tooth. The most common cause of this problem is that
the tooth received some sort of trauma such as a blow or a large cavity sometime in the past.
TMJ PAIN – Some patients may develop jaw joint noises, discomfort and facial pain related to
the jaw during or after treatment. The current belief is that these problems are caused more
by habitual grinding of the teeth rather than the way in which the teeth bite. If such a
problem arises, treatment by another specialist may be required.
INJURY FROM APPLIANCES – Some orthodontic appliances, such as a headgear, can be injurious.
If any appliances we consider being potentially injurious are prescribed, we will be sure to
inform you of this potential and will expect our instructions to be followed carefully.
RETURN OF THE ORIGINAL PROBLEM – We intend to obtain the best result possible. Some orthodontic
problems, however, tend to return to their original condition to a small degree. Careful
cooperation during the retention phase of treatment will keep this relapse to a minimum.
ADDITIONAL TREATMENT – Unforeseen circumstances (such as abnormal growth or gum disease) may cause us
to recommend a form of additional treatment not previously discussed. If this occurs, we will carefully
explain the reasons for a change in the treatment plan and any extra fees before proceeding.
CONSENT TO USE RECORDS – I hereby give my permission for the use of orthodontic records, including photographs
for purposes of professional consultations, research, education or publication in professional journals.
I have read the above and have had an opportunity to discuss this information with Dr. Christopher Sierk, DDS, PC.
All questions have been answered to my satisfaction. I authorize Dr. Christopher Sierk, DDS, PC and their staff
to perform the necessary treatment.