PubMed · 7808721
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J M Levy. 1994. Article 81 and the dentist.. https://pubmed.ncbi.nlm.nih.gov/7808721/
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In today's society, the trend is toward massive de-institutionalization of individuals with special needs. With the growth of community-based facilities and healthcare, dentists need to embrace the challenge of meeting the oral health needs of special-needs patients. To do so, and establish a trust relationship with these patients, they will require training, education and, above all, compassion. Through accessibility, the provision of care and positive attitudes, the dental profession can profoundly assist in improving the quality of life of special-needs patients.
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The authors reiterate the necessity of informed consent in medical and surgical care. The importance of patient's consent is represented by significance that law grants to the psychic and physical health of the citizen and to his right to be protected. This paper considers the problem of informed consent relatively to the dental therapy of handicapped patient, that can't always undergo an operation in ambulatory and that often needs to be cured with general anaesthesia. The patients causing more difficulties to the doctors, with regard to the acquisition of informed consent, certainly are persons of unsound mind and subjects with sensorial alterations. In fact, for the others, is admitted a volitive and cognitive capacity resembling to their age. Certainly, it's possible to obtain a sufficient management of this patient's category. Finally, the authors underline the importance of prevention to improve dental status of the handicapped, and to avoid increase of patients that come to medical observation when their pathology needs of treatment with general anaesthesia.