Home
Forms Library
Dental bridge consent form

Dental bridge consent form 2025

dental bridge consent form Preview on Page 1

See details

4.6 out of 5

21 votes

The document is an informed consent form for dental treatment involving crowns and fixed bridgework. It outlines the risks, potential complications, and responsibilities associated with the procedure, including tooth sensitivity, possible need for root canal treatment, breakage of crowns or bridges, and the importance of patient follow-up. The patient acknowledges understanding these risks and consents to the treatment without guarantees of success.

Here's how it works

01. Edit your dental bridge consent form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send dental bridge consent form via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out dental bridge consent form with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the dental bridge consent form in the editor.
Begin by entering the patient's name in the designated field. Ensure that it is printed clearly for accurate identification.
Review each section of the form carefully. Pay special attention to the risks associated with crown and bridge treatments, as outlined in the document.
In the signature field, have the patient or legal guardian sign their name. This indicates their understanding and acceptance of the treatment risks.
Date the signature appropriately to maintain a clear record of consent. Ensure that a witness also signs and dates where indicated.

Start using our platform today to easily complete your dental bridge consent form online for free!

See more dental bridge consent form versions

We've got more versions of the dental bridge consent form form. Select the right dental bridge consent form version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2017	4.6 Satisfied (21 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the rule for dental bridges?

Antes law states that the roots of abutment teeth must have a combined periodontal surface area in three dimensions that is more than that of the missing root structures of the teeth replaced with a bridge, is used in bridgework design.

How do I get a dental consent form?

Components of a Dental Informed Consent Form An explanation of why the treatment is indicated. Details of the treatment procedure itself. Expected results from the procedure. Possible risks involved with the treatment. Alternative options to the recommended treatment. Signed Acknowledgement from the patient or Legal Guardian.

What is informed consent form dental?

In its most basic terms, informed consent is the conversation during which the dentist gives the patient information about: Any dental health problems that the dentist observed. The nature of any proposed treatment. The potential benefits and risks associated with that treatment.

How to code a dental bridge?

CDT Codes for Dental Bridge D6245 Pontic, porcelain/ceramic (bridge units) D6740 Retainer Crown Porcelain/Ceramic With this dental procedure code, the prosthetic crown fitted over the tooth is made of porcelain or ceramic. D6240 Pontic, porcelain fused to precious/high noble metal (bridge units)

What is the dental code for bridge repair?

When reporting D2980 crown repair or D6980 bridge repair, it is helpful to include a narrative describing the repair along with a pre-operative intraoral image of the crown.

What is the delivery code for a dental bridge?

D6245 : Pontic -Porcelain/Ceramic This is CDT code for ceramic/porcelain prosthetic crown that replace the missing teeth and is constituted in fixed partial denture.

What is the CPT code for bridge?

To effectively manage the coding for dental bridges, its essential to identify the correct CDT code that corresponds to the specific type of service provided. For traditional fixed dental bridges, the appropriate code is D6245Pontic Porcelain/Ceramic.

Dental bridge consent form 2025

Here's how it works

How to use or fill out dental bridge consent form with our platform