Alex Ghazal DMD, Root Canal Specialist, The Villages

patient intake forms

YOUR FIRST VISIT

To ensure a timely appointment, please assist us by providing the following information at the time of your consultation:

1- THE REFERRAL FORM

2- THE NEW PATIENT INTAKE FORMS

3- A LIST OF YOUR CURRENT MEDICATION

4- DENTAL INSURANCE INFORMATION

Online Intake Form

Print Intake Form

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CONSULTATION

Your first visit will consist of a consultation explaining your diagnosis and treatment options. Often, treatment can be initiated on the same day as the consultation.

However, a complex medical history or tooth will require an evaluation first, and a second appointment on another day to provide the necessary treatment.

ADDITIONAL INFORMATION

Underage Patients: A parent or guardian must accompany all patients under 18 years of age at the consultation visit.

Cancellation Policy: If you are unable to keep your appointment and need to reschedule, please call (do not email) our office and give us at least a 24-hour notice. Patients who fail to do so will be charged a cancellation fee of $95.

GHAZAL ENDODONTICS SERVICES

Non-Surgical Root Canal

The non-surgical Root canal treatment is often a straightforward procedure. We remove the infected pulp on the inside of the tooth and then carefully clean and disinfect, then fill and seal.

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Retreatment

Sometimes, a tooth that has been treated doesn't heal properly and can become painful or diseased months or even years after treatment. This treatment is a second chance to save your tooth.

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Cracked Tooth

As an Endodontists we specialize in saving cracked teeth and will cater treatment to the type, location, and extent of the crack. The sooner your tooth is treated, the better the outcome.

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Surgical Root Canal

Sometimes the infection is too significant or source of pain is not visible in the x-ray. That's when a surgical root canal (or Apicoectomy) is required to access the root canal through the gum and remove the infected tissue.

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MISSION STATEMENT

We believe in creating a positive experience for all our patients. We employ a proactive staff that embodies good humor, style, and overwhelming attention to patient care. We ensure a positive, caring environment while maintaining exceptional professionalism in Endodontics. In doing so, we assist our patients to a higher level of oral health and overall well-being.

GHAZAL ENDODONTICS REVIEWS

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Shirly S. - The Villages

I arrived at your office in pain from an abscess. I was afraid you would not inject the novocaine slowly. You did this perfectly and there was never any pain. You were gentle and had a good sense of humor. I was out of the terrible pain I'd been in with the abscess and went out to lunch. I especially appreciated your call that evening to see how I was doing. I'm telling everyone how wonderful you and your whole team are. Kudos!

Carolyn & Hank D. - The Villages

Thank you so much for the extra care and understanding you gave us when Henry had his dental procedure. Everything was not only extremely successful, we think you were responsible for cleaning up his chronic sinus congestion. For a man with COPD that in itself is a miracle!

We will recommend you highly and wish you continued success!

Very Sincerely.

Suzie S. - Ocoee

Outstanding experience from start to finish! Dr. Ghazal is truly a master at his craft. Being extremely afraid of going to the dentist, Dr. Ghazal reassured me and took his time to explained every step along the way. He did so with gentleness, kindness, and concern. His staff is extremely warm, knowledgeable, and professional. Thank you again for your excellent, caring, and courteous service!

Reviews