Dental Bonding Consent Form

Dental bonding is a cosmetic dentistry procedure that involves the application of a tooth-coloured resin material to the surface of a tooth to improve its appearance or repair damage. A Dental Bonding consent form is a document that patients must sign before undergoing the procedure.


The Dental Bonding Consent Form typically entails comprehensive information regarding the patient's medical history, present medication, and any allergies or medical issues that pose a risk to the safety or effectiveness of the procedure. The process of Dental Bonding is detailed in the document, including surface preparation of the tooth, application of the bonding agent, and trimming and polishing of the tooth to accomplish the desired aesthetic outcome. Additionally, the document highlights potential adverse reactions and complications of the procedure, such as sensitivity, discolouration, and fracturing or de-bonding of the bonding agent.


Upon affixing their signature to the Dental Bonding consent form, the patient acknowledges their comprehension of the potential risks and benefits associated with the procedure and provides their informed consent to undergo the treatment. In addition to serving as a legal record of this consent, the form functions to safeguard the healthcare provider against any possible legal claims.


Looking for a Dental Bonding consent form? Download the Faces Consent App to get your form quickly and easily - and it's absolutely FREE!

Download faces app or create a free account