PATIENT INFO

Facts You Need To Know - Informed Consent

EXCESSIVE WEAR: Sometimes crowns and fixed bridges are used to restore badly worn teeth.
If the natural teeth were worn from clenching and grinding the teeth (bruxism), the new crowns
and fixed bridges may be subjected to the same wear. In general, dental porcelain and metal
alloys wear at a slower rate than tooth enamel. However, excessive wear of the crowns or fixed bridges may necessitate an acrylic resin mouth guard (also called a protective occlusal splint or
night guard).

ADDITIONAL INFORMATION: Sometimes when teeth are prepared for crowns, due to the extent of wear, deep decay, large fillings or old crowns, the additional "trauma" to an already compromised tooth can possibly cause the nerve of the tooth to die. This usually requires a referral to an endodontist, a specialist who does root canal treatment. It does not normally require changes in your treatment plan.

MAINTENANCE: Even the most beautiful restorations can be compromised by gum problems,
recurring cavities, and poor oral hygiene habits. Part of our commitment to you is to provide you with the proper information to keep your gums and teeth (natural or restored) in good health. Professional cleaning by a dental hygienist at recommended intervals keep your mouth healthy
and can intercept potential problems early enough to avoid additional restorative work or unnecessary discomfort.

WARRANTY: Dr. Barry Manson/Family Dentistry Service Policy Regarding Your New
Crown/Onlay. While your new crown/onlay is one of dentistry's strongest restorations, a variety offactors will influence its longevity. We have learned that despite our best efforts, crowns/onlays can fail for a variety of reasons that include new decay, breakage from excessive grinding of one's
teeth or simply biting down on a hard object such as a fork or bone. In fairness to both doctor and
patient, the following schedule outlines how Dr. Barry Manson/Family Dentistry will address fees
in the unlikely event that your crown/onlay should require replacement within the first five years
of service. The five year benchmark is used as this is the typical period needed to elapse by
insurance carriers before they will pay towards a new crown/onlay. Coverage refers to what Dr.
Barry Manson/Family Dentistry will credit you towards the cost of replacing your crown/onlay based upon current fees.  
 
First year of service (from time of placement) ......................100% coverage
Second year of service .......................................................70% coverage
Third year of service ...........................................................60% coverage
Fourth year of service .........................................................50% coverage
Fifth year of service ............................................................40% coverage
Sixth year of service ............................................................0% coverage