smilecliniq
smilecliniq
  • logo

    What Clinic
    Patient Service Award 2017

  • logo

    The Dentistry Awards
    Winner
    Best London Dental Practice

  • logo

    The Dentistry Awards
    Winner
    Best London Dental Practice

  • logo

    The Dentistry Awards
    Winner
    Best Practice Finalists

  • logo

    The Dentistry Awards
    Winner
    Best Patient Care Finalists

  • logo

    The Dentistry Awards
    Winner
    Best Dental Team South Finalists

  • logo

    Practice Of The Year South Finalists

  • logo

    The Dentistry Awards
    Winner
    Best Practice Finalists

  • logo

    Best Patient Care Finalists

  • logo

    Best Dental Team South Finalists

  • logo

    Practice of the year south Finalists

Smile Cliniq White Filling Consent

  • HOME
  • /
  • Smile Cliniq White Filling Consent
"I've been going to the Smile Cliniq for the past couple of years, and the treatment, care and advice from Chetan and his team has been faultless. Highly recommended." - A.S.
"Yet again I have been blown away by Smile Cliniq. After my filling fell out on Sunday night, I was distraught. But I phoned the Cliniq in the morning and got an appointment for the same morning. Dr Kaher put me at ease, even though I was very anxious, and did an amazing job on my..." - Robyn B
"What a great dental clinic! I was having issues with a tooth and Dr Sarita Kotecha was brilliant. Solved my dental issue quickly and explained everything in a way that made me actually enjoy the appointment (!!). They were able to squeeze me in last minute too. Highly recommend t..." - Saya Jones
"The service was so good at Smile Cliniq by Dr Sarita Kotecha, I recommended my wife to change dentist. We've been looking for a good dentist since moving to London 2 and 1/2 years ago and the quality we had received from our previous dentist was sub-standard. That all changed at ..." - Greg Jones
"I have had a dentist phobia for many years and would shake all over whenever I was there. Dr Chetan Kaher changed that. He was calm and very patient and understanding of my anxiety. All the staff are thoughtful and friendly. I don't shake anymore, which is wonderful. I still have..." - DEBRA MERRITT
"Fantastic service, professional and top notch technology. Very hygenic and Dr Chetan Kaher has a very steady and experienced hand. Highly recommend." - Amrita Chauhan
"I have had a dentist phobia for many years and would shake all over whenever I was there. Dr Chetan Kaher changed that. He was calm and very patient and understanding of my anxiety. All the staff are thoughtful and friendly. I don't shake anymore, which is wonderful. I still have..." - DEBRA MERRITT
"Friendly and helpful manager. Dentist was also friendly and efficient,Gave me lots of advice about dental care showing video." - Filippa Milioto
"Needed an emergency appointment, I was seen the same day! Great service and friendly staff" - Elena Milioto
"I found the the team at smile very professional and friendly, nothing was too much trouble. Chet presented all the options and my selected course of treatment took place over a year. As it involved one of my front top teeth I had some concerns and Chet was always available to ans..." - Irin Wu
"I have a hereditary tendency to get dental cavities, ensuing painful dental treatments, which left me scared of visiting dentists. Now, in my early thirties, I did everything to avoid dental checks. I also gave up on having cavity-free teeth. Two years ago, I was forced to find a..." - Rukmini
"I have just finished my year long lingual brace treatment with Dr Sarita Kotecha which has been a huge success. I'm so happy with the results! The staff at Smile Cliniq have always been friendly, helpful and welcoming; fitting me in for last minute appointments when necessary and..." - Maayan Bianca
"My wife needed to see a dentist on an emergency basis on a Saturday after a bad fall the evening before. We called on Saturday morning and they were able to take us that afternoon. The quality of care, both technically and inter-personally, could not have been better. If we lived..." - Hal N.

Information and Informed Consent form

This information serves to help you come to an informed decision in regards to your dental treatment.

Treatment involving the placement of white fillings (composite fillings) can involve some risks. Side effects and complications are uncommon to rare and we at Smile Cliniq would hope our rate is even less than the norm, due to the techniques and materials we use.  Also bear in mind the, complications are no different to any fillings/restorations you may have had previously, it’s just you are now aware of them.

Possible risks include, but are not limited to the following:

  1. Sensitivity – After preparation of teeth for the placement of a white filling, the prepared tooth can exhibit sensitivity. This can be mild to severe. It may last for a short period of time or may last much longer. Your dentist should be informed of persistent sensitivity after placement of a white filling as additional treatment may be required.  Please note we use the Optibond fl (highest bond strength) bonding agent or similar, and low shrinkage, high strength restorative materials to reduce this risk.
  2. Risk of fracture – On placing or replacing white fillings there is the possibility that small fracture lines may appear in the tooth. Sometimes these fracture lines are not apparent at the time of treatment. They may appear at a later time. These do not always require further treatment.
  3. Possible nerve damage – When white fillings are placed or replaced the preparation of the tooth for these filings often involves removal of sufficient tooth structure in order to removed diseased or otherwise compromised tooth structure. This exposes sound tooth structure for the placement of the white filling. Occasionally, this can lead to exposure or trauma to the underlying pulp tissue. Should the pulp not heal, root canal treatment or extraction may be indicated.  Please note: the placement of white fillings usually needs less tooth destruction  than mercury amalgam (black) fillings
  4. Breakage, dislodgement or bond failure – Due to extreme biting pressures or traumatic forces, it is possible for white fillings to be dislodged or fractured. The bond between the white filling and the tooth may fail resulting in leakage and recurrent decay. The dentist has no control over these factors. However, early detection is key and therefore regular check -ups are recommended.
  5. Staining – white fillings can become stained due to dietary factors such as, high, tea and coffee intake. These can often be improved by polishing but on occasion, these white fillings may require replacement.

I certify that I have read or had read to me the content of this form and do realise the risks and limitations involved, and consent to orthodontic treatment.

Dentistry Award Smile Award Invisalign BACD Inman Aligner BDA Care Quanlity Commission Bupa Dental Phobia Patient Service Award 2017 - WhatClinic Master Fastbraces Provider
CALL US ON: 020 3199 4519

OR

BOOK AN APPONTMENT NOW

Call for a consultation today

phone

020 3199 4518

© Copyright Smile Cliniq 2018 | 020 3131 8638

Smile Cliniq Limited. A company registered in England and Wales. Company number 08279068.

Registered office: C/O TG Associates 7 Jardine House, Harrovian Business Village, Bessborough Road, Harrow, Middlesex, HA1 3EX

Terms of Use | Privacy Policy | Cookie Policy | Data Protection

Website by Digimax Dental

ENQUIRE

LIVE CHAT
×

Online booking for new patients

Book your appointment in 3 easy steps. Please fill in our appointment form below, make a £30 deposit (100% refundable with 24hr notice) and choose your preferred date & time.

Choose your branch

Your Name

Your Email

Mobile Number

If required times are not available please call us for more appointment availability, after making the deposit payment. For more information read our Deposit Payment Policy.