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Decision Making↗

Life on the arc: principle-centered comprehensive care.

Today's dental practice is experiencing an evolution in the manner through which new materials and techniques are marketed and introduced. An increasing concern among the patient population regarding aesthetics contributes to the acceptance of a commodity dental philosophy, without questioning the reliability of the technique or new material. A principle-centered practice differentiates the product marketing from the viability of a restorative material in vivo. This article discusses the concept of a principle-centered practice and describes how to place quality products in a balanced system in which harmony exits between all components of the masticatory system: the teeth, the muscles, and the temporomandibular joints.

Comprehensive Dental Care↗

[Informed consent: myth or reality?].

The right to give or withhold free an informed consent is considered in detail, historically, ethically and guidelines are suggested for the practitioner.

Dentist-Patient Relations↗

Ethics; 'In consideration of the love he bears.' Apprenticeship in the nineteenth century, and the development of professional ethics in dentistry. Part 2. Hippocrates' long shadow.

This two part paper takes a look at the ancient institution of apprenticeship. As stated in the introduction to the first part,(1) it regards the conventions of the scheme as having had a positive influence on the morality, legal identity, and professional allegiance of dentists during the ethical development of their profession in the nineteenth century. The first paper looked at the particular application of apprenticeship through the evidence of indentures in the BDA museum. This second paper enlarges on the view that the wider social institution of apprenticeship was at least in part responsible for the development of the ethics of the dental profession.

Education, Dental↗

The ethics of health care professionals' opinions for hire.

BACKGROUND: Serving as a forensic consultant or medical expert witness is a professional duty and social responsibility. While objectivity is a hallmark of ethical health care evaluation, conflict arises when medical experts exhibit bias and serve the hiring party's interests instead of the public's. METHODS: The authors define different types of expert witnesses and examine the means for improving the quality of testimony. They evaluate professional association codes of ethics, health care education, neutral medical experts and the field of bioethics. RESULTS: Incorporating case-based analysis of medical expert testimony in the education of health care professionals may elevate the caliber of testimony. Court-appointed neutral experts may overcome some of the problems inherent in professional and product liability litigation. Neutral bioethicists may play a constructive role in mediating medicolegal disputes. Adopting strong professional association codes of ethics requires the consent of all members, and loss of membership for ethics violations may not be a powerful enough deterrent to biased testimony. CONCLUSION: Biased testimony contributes to scientifically unfounded liability verdicts. The public ultimately pays for huge monetary settlements via higher costs for all goods and services. Financial incentives in the current professional and product liability system will make it difficult to institute court-appointed neutral expert panels on a widespread basis. PRACTICE IMPLICATIONS: Dentists should view themselves as clinicians and evaluators. Rendering expert opinions on forensic matters is an ethical part of dental practice. By doing so with honesty and objectivity, dentists serve as a bridge to justice and fulfill a social responsibility.

Bioethics↗