Welcome To The Clifford V. Anderson Pediatric Dental Group Patient Survey Form. Dr. Anderson and his staff desire to know how you feel about the treatment you or a family member received. Please fill out the form below for submission to Dr. Anderson. All information on said forms are strictly confidential and will only be used internally by office personnel to determine if proper treatment is being administered and if patients are satisfied with the services rendered. New Patients are invited to inquire about the practice or to ask the doctor a question regarding children's dentistry. If you are a colleague of Dr. Anderson and wish to communicate on a professional or personal matter, or wish details on how you can have a similar Web Site designed for your practice, use the form below. Superior Outstanding Average Below Average Poor Yes No

A rubber dam is a sheet of latex rubber which is placed over teeth during treatment to isolate them from the rest of the mouth. It is an extremely useful way to keep the area of work clean and safe, and also prevents the patient from inhaling or swallowing instruments which may be dangerous. During the removal of old amalgam fillings, it may be used to reduce the amount of metal swallowed, and therefore the contamination to the patient. The dam is held in place usually by a little clamp around the tooth or teeth, as well as dental floss, and is removed after treatment.

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