Dental Tooth Splinting Consent & Treatment Form

Professional Tooth Splinting Documentation for Dental Practices

Tooth splinting is a critical procedure in dental trauma management and periodontal care, requiring thorough documentation of patient consent, clinical assessment, and treatment protocols. This Dental Tooth Splinting Form helps dental practices streamline the entire process—from initial trauma assessment to post-treatment care instructions.

Why dental practices need a specialized tooth splinting form

When patients present with dental trauma, tooth mobility, or periodontal issues requiring stabilization, time is of the essence. A well-structured digital form ensures you capture all necessary clinical information, obtain proper consent, and document treatment protocols in one streamlined workflow.

This template is designed for general dental practices, periodontists, oral surgeons, and emergency dental clinics that regularly perform tooth splinting procedures. Whether you're stabilizing teeth after traumatic injury, supporting periodontal ligament healing, or managing mobility from advanced periodontitis, this form covers the full clinical scope.

How Paperform enhances your dental workflow

With Paperform's conditional logic, you can create dynamic forms that adapt based on the type of splinting required—whether it's flexible splinting for traumatic injuries, semi-rigid splinting for avulsion cases, or rigid splinting for jaw fractures. The form only shows relevant fields based on the clinical scenario, creating a cleaner experience for both staff and patients.

Connect this form to your practice management software through Stepper to automatically create patient records, schedule follow-up appointments, send post-treatment care instructions via email, and trigger insurance documentation workflows. You can also use Papersign to collect legally binding electronic signatures on consent forms, ensuring your practice maintains complete compliance documentation.

Complete clinical documentation in one platform

This template includes sections for patient information, dental history, trauma assessment, mobility grading, radiographic findings, splinting technique selection, treatment consent, and post-operative care instructions. It's designed to meet the documentation standards expected by dental insurance providers and regulatory bodies while remaining easy to complete during busy clinical hours.

For multi-location practices or dental groups, Paperform's Agency+ features let you customize the form for each location while maintaining consistent clinical protocols across your organization. All submissions are securely stored with SOC 2 Type II compliance, giving you peace of mind that sensitive patient health information is protected.

Whether you're treating sports injuries, managing periodontal mobility, or responding to dental emergencies, this tooth splinting form template helps you deliver faster, more organized patient care while maintaining the clinical documentation your practice depends on.