Notification of Periodontal Disease
I have been advised on this date that I have:
- Slow Periodontitis
- Moderate Periodontitis
- Rapid Periodontitis
I have been informed that bleeding and periodontal pockets are indicators of this disease along with x-ray findings.
I have been informed that I have the following:
I understand that periodontal disease is progressive in nature and that failure to treat the disease may result in loss of tooth eventually. I also understand the bacteria that causes periodontal disease can reach beyond the oral cavity and may be associated with other health issues such as heart disease, stroke and diabetes.
I understand my treatment recommendations and that it will not cure this disease but will attempt to control the disease process to avoid or minimize further destruction. I also understand that I must become very active in my homecare and dental clinical recommendations in order to arrest the disease process. The doctor and hygienist cannot control the disease by themselves.
I choose to accept the treatment recommendations to help in the control of the disease process.