Medical Consent Forms

Orthodontic Consent Form: Template for Braces and Aligner Treatment

Orthodontic treatment is almost always elective, planned in advance and stretched over many months, which makes an orthodontic consent form quite different from consent for a single dental procedure. Patients need to understand the full course of treatment up front, not just the day braces or aligners are fitted.

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Written by Mudit AgarwalFounder & Publisher · Digital marketing expert with 8 years' experienceLast updated:

Independently researched and cross-checked against the official primary sources cited on this page. Not written or reviewed by a licensed attorney or clinician. Guidance on this page is sourced from the official publications cited below — it is not a clinical review.

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On this page

This page provides an orthodontic consent form template covering fixed braces and clear aligners, the risks specific to moving teeth over time, and the retention phase that follows active treatment. It sits alongside other medical consent forms but reflects the long-course, compliance-dependent nature of orthodontics.

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Orthodontic Consent Form — fully formatted and ready to print or edit. No signup, no email required.

Patient compliance and its effect on outcomes

Orthodontic outcomes depend heavily on patient behaviour, particularly with removable aligners that must be worn for the recommended hours each day. A consent form should record that the clinician explained this dependency clearly.

Where a teenager is the patient, both the parent and the adolescent should understand that missed reviews, broken brackets or poor aligner wear can lengthen treatment or compromise the final result.

Retention after active treatment

Active orthodontic treatment is only the first phase. Teeth will drift back toward their original position without a retainer, so the consent conversation should cover the retention plan and its ongoing commitment before treatment even begins.

Patients sometimes assume treatment is finished once braces come off, so this expectation is worth stating clearly and revisiting again at the point braces are removed.

Adult orthodontics and cross-referral cases

Adult orthodontic treatment is increasingly common and often combines with restorative or oral surgery work, such as extractions to create space or jaw surgery for a severe bite discrepancy.

Where orthodontic treatment is planned alongside extraction to relieve crowding, consent for each procedure should be obtained and documented separately, even if the same treatment plan links them together.

United States

State dental boards typically require orthodontists to disclose treatment duration, alternatives and material risks such as root resorption before a patient signs a treatment contract.

United Kingdom

GDC guidance requires orthodontists to explain likely duration, retention requirements and the consequences of poor compliance as part of valid informed consent.

Canada

Provincial dental regulatory colleges expect written consent for orthodontic treatment plans, with fee schedules and payment terms disclosed separately from clinical risk information.

Australia

The Dental Board of Australia's code requires orthodontists to give patients realistic timeframes and explain the risk of relapse without retainer use.

Frequently asked questions

Is root resorption common with braces or aligners?

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Some minor root shortening is relatively common and usually not clinically significant, but a consent form should still name it as a recognised possible risk of orthodontic treatment.

What happens if a patient wants to stop orthodontic treatment early?

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Patients can withdraw consent at any time. The orthodontist should explain the likely effect on tooth position and any fees that apply under the original treatment agreement.

Authoritative sources

Official guidance we cross-checked this template against.

Related Consent Forms

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Still required: Patient full name, Date, Patient signature (or parent/guardian if under 18), Patient signature (or parent/guardian if under 18) — date, Orthodontist signature, Orthodontist signature — date.

Patient details
Proposed treatment
Information given to the patient
Patient statement
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