Informed consent for orthodontic treatment including braces and clear aligners, covering decalcification, root resorption, retention requirements, and treatment duration expectations.
The Orthodontic Treatment Consent is a ready-to-use healthcare & wellness template you can send for signature in minutes. It is written for 1 signer (patient) and, by default, expires 30 days after it is sent if left unsigned. It covers dental, consent. Like every Abundera Sign template it is a convenience draft structured for ESIGN Act and UETA compliance, not a substitute for legal advice. Each signed copy is sealed with PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package in WORM storage.
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# Orthodontic Treatment Consent **Practice Name:** ___________ **Provider:** ___________ **Patient Name:** ___________ **Date of Birth:** ___________ **Proposed Appliance Type:** ___________ **Estimated Treatment Duration:** ___________ **Estimated Start Date:** ___________ --- ## Description of Orthodontic Treatment Orthodontic treatment uses fixed appliances (braces bonded to teeth with arch wires) or removable clear aligner trays to apply controlled, graduated forces that move teeth through the supporting bone into improved positions. The goals of treatment are to correct malocclusion (misaligned bite), improve dental and facial aesthetics, and support long-term oral health. **Your treatment plan includes:** ___________ Treatment typically involves: - Initial records: photographs, dental models or digital scans, panoramic and cephalometric radiographs. - Placement of brackets (braces) or delivery of aligner trays. - Regular adjustment appointments every 4–10 weeks (braces) or aligner check appointments. - Possible use of auxiliary appliances: expanders, elastics (rubber bands), springs, or temporary anchorage devices (TADs / mini-screws). - Possible extraction of teeth to create space for alignment (if recommended in your treatment plan). - A retention phase following active treatment using fixed or removable retainers to maintain results. **Are tooth extractions planned as part of this treatment?** ___________ --- ## Benefits of Orthodontic Treatment Properly completed orthodontic treatment is expected to: - Correct crowding, spacing, and rotations to improve bite function and oral hygiene access. - Correct bite discrepancies (overbite, underbite, crossbite, open bite) that may cause uneven tooth wear, jaw pain, or difficulty chewing. - Improve facial balance and dental aesthetics.