Informed Consent for Anaesthetics

Anesthetics are frequently used in most dental procedures; commonly used for most restorative and surgical procedures.

Different anesthetics may be used based on your needs, length of needed anesthesia, or medical history issues.

All anesthetics used in this office will be of "local delivery" only and will involve injections for infiltration, or nerve blocks.

There are risks associated with injections of anesthetics into the mouth that include, but are not limited to, the following:

• Dizziness
• Headaches
• Blurred vision
• Twitching muscles or shivering
• Continuing numbness, weakness or pins and needles

These problems will usually pass, but you should inform the dental practice if you experience any.

You should move carefully until the anaesthetic has worn off as you may not notice if you injure yourself.

In very rare cases, you could have an allergic reaction to the local anaesthetic or develop serious problems, such as fits (seizures) or a cardiac arrest (when the heart stops pumping blood around the body).

I understand that I will be given a local anesthetic injection and that in rare situations patients have had an allergic reaction to the anesthetic, an adverse medication reaction to the anesthetic, or temporary or permanent injury to nerves and or blood vessels from the injection. I understand that the injection area(s) may be uncomfortable following treatment and that my jaw may be stiff and sore from the anesthetic injection.