Our Peace Of Mind Guarantee


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1305 Post Road, Suite 200, Fairfield, CT 06824 (203) 255-5999

Peace of Mind Guarantee

We Stand Behind the Work We Do

Patient Name: Date of Birth:
Your prescribed recare appointment is every 3 months 4 months 6 months

We are proud of our dental services and what they do for our patients. Our goal is not to overly correct your dental problems, but have the work we do, last for many years into the future, to save you time and to save you from unnecessary expenses. The long term success of your treatment is dependent on how well you care for your teeth, your continuing home care of your teeth and gums, consistent regular professional examinations, cleanings and fluoride treatments. It is also dependent on your adherence to our professional recommendation on your diet, products we recommend you use and the frequency of your professional continuing care visits.

With these thoughts in mind, we are pleased to offer the following limited dental warranty:

All Crowns, Bridges, Inlays, Onlays and Porcelain Veneers

If these restorations fracture with normal use during a period of five (5) full years from the date of impression taking, we will replace or repair these at no additional charge.

Teeth Whitening

If our teeth whitening services are unsatisfactory within 30 days following whitening services, we will retreat at no additional charge.

Dental Sealants

If our dental sealants are in need of repair with normal use during a period of three (3) full years from the date of initial placement, we will replace or repair them at no additional charge.

Composite Fillings or Bondings

If our composite fillings or bondings fracture with normal use during a period of one (1) full year from the date of initial placement, we will replace or repair them at no additional charge.

Dental Implants

If our implants fracture or fail within a period of two (2) full years following the initial surgical placement, we will replace or repair them at no charge. Exception: Diabetic condition that goes from controlled to uncontrolled which can cause serious damage to the implant supporting bone.

Conditions

To keep this warranty valid, you must:

  1. maintain uninterrupted care in our practice,
  2. keep your prescribed regular continuing care appointments with no appointment varying more than (30) thirty days of our recommended schedule,
  3. maintain your account in good standing, and
  4. have all recommended dental treatment(s) performed by doctors at Family & Cosmetic Dentistry of Fairfield, with the exception of treatment referred by us elsewhere.

This warranty does not include anything not mentioned above, including gum disease treatment, gum line desensitization, root canal therapy, nightguards, orthodontic treatment, nor does it cover damage to teeth or dental prosthesis caused by accidents, trauma, neglect or improper use (e.g.: grinding, clenching, chewing ice, refusal to wear a recommended nightguard or biting non food items).

Patient Signature: Date: