MOVABLE PROSTHESIS CONSENT FORM

The term removable partial denture is generally used to mean the prosthesis that is made to replace the missing teeth of the patient and can be put on and removed by himself. This type of prosthesis is made by taking support from the teeth left in the mouth and the soft tissues surrounding the teeth. It can use metal hooks (crochet) or prepared metal connections. While precision attachment has aesthetic advantages, it also has disadvantages such as covering the abutment teeth with fixed prosthesis. During the construction of partial dentures, abrasions can be made on the natural tooth to provide a better fit and retention. Sometimes one or more abutment teeth may need to be covered. Removable partial dentures can be made on a gingival-colored (acrylic) substructure, or they can be prepared together with metal and acrylic. In terms of the balance of the prosthesis, there should be holder elements on both sides of the jaw. For this reason, there is a main part that connects the two sides behind the front teeth in the upper jaw and the palate in the lower jaw. Instead of missing teeth, acrylic ready-made teeth are used. Due to excessive tooth and bone tissue loss, adequate retention may not be achieved in partial dentures. Problems such as dents, bending or rupture in the metal skeleton of the prosthesis, cracks or breakage in the acrylic parts may occur after the prosthesis production of the movable parts. These problems are resolved by the prosthesis physician, but the cost of eliminating the problems arising from the patient is borne by the patient. PATIENT'S CONSENT TO TREATMENT A detailed examination of my entire mouth was performed. In addition, physicians explained what the disease is, why the treatment is needed, the risks involved, the problems that may occur, alternative methods, changes that may occur after the treatment, the possibility of success and the situations that may be experienced during the healing process. During the diagnosis and treatment, consultation can be requested and they can participate in the treatment process, my personal information is kept confidential, my anamnesis, radiological images, photographs, test results (pathology report, laboratory results, etc.) can be used for diagnostic, scientific, educational or research purposes. physician's treatment It was explained to me that following the recommendations and practices regarding the treatment may directly affect the results of the treatment. PATIENT INFORMATION AND CONSENT FORM FOR FULL PROSTHESIS In order to inform you and get your consent to start your treatment, you must read this form, write your identity information in the section at the end, and sign it. Thank you for your participation and your time. To inform Full dentures are made in cases where the teeth are TOTALLY lost. In complete dentures, it is not possible for the protein to be completely fixed in the mouth. Patients who use full dentures for the first time often face the following problems in the first month. Especially if the lower protein acts excessively: after the patient learns to use his tongue and cheeks in a coordinated way at the end of the first month, these complaints become less severe. Accumulation of food debris under the prosthesis. Difficulty speaking. Prosthesis bumps" on the edge of the prosthesis: These complaints are also resolved with some arrangements made by the physician in the control appointments. Inability to enjoy food: This psychological problem disappears within the first thousand months. Full denture making consists of the following sessions and you must come to our health facility at least for the sessions listed below. The first measure The second measure First Rehearsal: Closing Rehearsal Rehearsal; Rehearsal in which the teeth are checked: In this session, the signed consent of the patient and his relatives is obtained about the color, size, shape and arrangement of the teeth. Delivery of the Prosthesis to the Patient 6-Control About the “FULL PROSTHESIS” that I will use, the dentist responsible for my treatment in this health institution I have read the above information form given by ……………………………….,

  1. Protezin altina yiyecek artiklari birikmesi.
  2. Konusmada zorluk.
  3. Protez kenarinda olusan “protez vuruklari”: Kontrol randevularinda hekimin yapacadi birtakim düzenlemelerle bu sikayetler de giderilir.

  1. Birinci ölçü
  2. Ikinci ölçü
  3. Birinci Prova: Kapanis provasi
  4. Prova; Dislerin kontrolünün yapildigi prova: Bu seansta dislerin rengi, boyutu, sekli ve düzeni konusunda hasta ve yakinlarinin imzali onayi alinir.
  5. Protezin Hastaya teslimi

  1. CONSENT I understand and accept that the "Full Denture" to be applied is an artificial organ and will never function like my own teeth. I understand and accept that using a “Full Denture” is difficult and I need time to get used to it. I acknowledge that when using “Full Denture” there may be painful areas due to denture dents from time to time. I agree that my speech may change when using "Full Denture". I accept that my appearance may change when using "Full Denture". I agree to come to your health institution for at least 6 sessions during the construction of my “Full Denture”. If I like the aesthetic appearance of my prosthesis during the rehearsal phase, I agree to sign the acceptance form given to me by my physician. Patient or Patient's Legal Representative* – Degree of Affiliation Name and surname : ………………………………………………………………………………………….. T.R. Identity No. Address : ……………………………………………………………….. Telephone : ………………………………………………………………………………………….. Signature : ………………………………………………………………………………………….. Physician: ……………………………………………………………….. Name and surname : ………………………………………………………………………………………….. Date signature : …………………………………………………………………………………………..* Legal Representative: Guardian for those under guardianship, minors For parents, in the absence of these, they are first degree legal heirs (indicate the degree of kinship next to the name of the patient's relative).

Patient or Patient's Legal Representative* – Degree of Affiliation Name and surname : ………………………………………………………………………………………….. T.R. Identity No. Address : ……………………………………………………………….. Telephone : ………………………………………………………………………………………….. Signature : ………………………………………………………………………………………….. Physician: ……………………………………………………………….. Name and surname : ………………………………………………………………………………………….. Date signature : ………………………………………………………………..* Legal Representative: Guardian for guardians, mother for minors the father is the 1st degree legal heirs in the absence of these (Please indicate the degree of closeness next to the name of the patient's relative)