It is important to have your tooth restored by your family dentist after completion of endodontic therapy as soon as possible in order to avoid tooth fracture, root canal treatment failure, or unnecessary tooth loss. By signing this form I acknowledge that I assume the responsibility to have my tooth appropriately restored by my dentist.

We will give you a reminder card today to contact our office in 6 months for a check-up radiograph to assess healing. There is no charge for this service. We will do this every 6 months for 2 years to monitor your root canal treatment. It is your responsibility to call for this appointment. A reminder card will be given to you at each subsequent visit. If you have any questions regarding these important examinations, please call the office at (810) 732-7900.