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Patient Receipt of Dental Materials Fact Sheet

I acknowledge that I have received and have read a copy of the Dental Materials Fact

Sheet at MY Dental Place.

____________________________________ _______________

Patient Signature Date

The following is a sample of the Dental Board of California Dental Materials Fact Sheet. The Department of Consumer Affairs has no position with respect to the language of this document and it’s linkage to the DCA website does not constitute an endorsement to the content of this document.

The Dental Board of California

Dental Materials Fact Sheet

As required by Chapter 801, Statues of 1992, the Dental Board of California has prepared this fact sheet to summarize information on the most frequently used restorative dental materials. Information on this fact sheet is intended to encourage discussion between the patient and dentist regarding the selection of dental materials best suited for the patient’s dental needs. It is not intended to be a complete guide to dental materials science.

The most frequently used materials on restorative dentistry are amalgam, composite resin, glass ionomer cement, resin ionomer cement, ceramic porcelain, and porcelain fused to metal, gold alloys (noble) and nickel or cobalt –chrome (based metal) alloys. Each material has its own advantages and disadvantages, benefits and risks. These and other relevant factors and compared in the attached matrix titled “Comparisons of Restorative Dental Materials.” A glossary of terms is also attached to assist the reader in understanding the terms used.

The statements made are supported by relevant, incredible dental research published mainly between 1993 and 2001. In some cases, where contemporary research is spare, we have indicated our best perceptions based upon information that pre-dates 1993.

The reader should be aware that the outcome of dental treatment or durability of a restoration solely a function of the material from which the restoration was made. The durability of any restoration is influenced by the dentist’s technique when placing the restoration, the ancillary.

Materials used in the procedure, and the patient’s cooperation during the procedure. Following restoration of the teeth, the longevity of the work will be strongly influenced by the patient’s compliance with dental hygiene and home care, their diet and chewing habits.

Form: 1269 W. El Camino Real Sunnyvale, CA 94087 Tel: (650) 938-6937

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