Revisiting the status of dental ethics instruction.
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At chairside the dentist is obligated to act primarily in the patients' interests, to fully and honestly inform patients, enable them to make their own treatment choices, and provide competent, continually improving care. Dentists must also recognize that they have a responsibility to reduce existing barriers to access to care in their communities. These long-standing principles of health care practice have found a new expression in the "Charter of Medical Professionalism." The charter is the work of an international consortium that has reviewed the applicability of existing ethical standards to the challenges facing 21st century practitioners and has revised and restated the fundamental principles of ethical health care practice to effectuate a code of conduct for the new century. The author will review professional ethics in the context of the historical doctor-patient relationship, explore how the transition to modern treatment modalities has affected the professional-patient relationship, and will appraise the charter as a valuable resource in redefining dental professionalism for the future.
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By means of adhesive dentistry sound teeth can be made more beautiful without damaging tooth structure. This is called cosmetic dentistry. Within the dental profession there is a discussion about the following questions: is cosmetic dentistry real dentistry? Is it ethical to render cosmetic services to patients? In this article arguments are displayed to answer this question in a positive manner.
On the basis of a case report in which a patient requests total extraction while, from the view of dental care, there are possibilities to preserve the teeth, the question is discussed if there is a moral justification to gratify the wishes of the patient.
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In the histories of dentistry, some mention is made of the licensing of tooth-drawers, and those who provided dental healthcare before the term Dentist started to become general in the late eighteenth and early nineteenth centuries. One of the most striking references to licensing appears in a little piece of doggerel printed under a 1768 print by Dixon after Harris.
Based on old nursery rhymes, which are still in vogue, it is apparent that children from an early age receive ambivalent messages concerning relationships with animals. It is also apparent that we as a society have placed a hierarchical structure on animals; it is clear that we value a dog or a cat more than a mouse or a rat. Enormous strides in the prevention and treatment of disease have been made directly or indirectly as a result of experiments carried out on animals. Persons who conduct investigations using animals have an obligation to ensure that valid scientific questions are being explored, and that the minimum numbers of animals are used compatible with achieving a valid scientific result. Animals must always be cared for properly. Research involving induction of pain must receive particular attention. Finally, it is incumbent upon all scientists who use animals in their investigations to ensure that the public is kept fully informed of all scientific advances made by the use of animals.
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Dental ethics with its specific aspects has obtained a distinct profile during the past ten years. This article presents a recent impression of courses in dental ethics at a number of dental schools in the USA. Some reflections are given about the continuing development of dental ethics.
Chairside dental ethics necessitates special consideration by the faculty member-dentist, the dental student, and the patient. The patient must always be aware of treatment options, in addition to learning the health status of the oral hard and soft tissues, costs, and time to be involved to accomplish proposed treatment. What may seem like a burden to an individual practitioner is actually only the necessities incurred by any self governing profession. Fifty-two consecutive dental patients had their cases reviewed for the ethical behavior of the dentist-practitioner, student, and patient. Categories reviewed were informed consent (100%), agreement, compromise, economic issues, conflict, and institutional issues. The results were: 1. Agreement: 17 cases, 2. Compromise: 21 cases, 3. Economic Issues: 4 cases, 4. Conflict: 6 cases, and 5. Institutional Issues: 4 cases. Fourteen percent of all patients were minors. Ninety percent of the patients were treated. Of those 10% not treated, five percent were for medical reasons, and five percent of the patients refused treatment. These results were placed in the Ozar Model 9 and were categorized as follows: 1. Appropriate pain free oral function: 22 cases, 2. Patient Autonomy: 14 cases, 3. Life and health: 9 cases, 4. Preferred practice values: 6 cases, and 5. Other external considerations: 1 case. This template demonstrated appropriate ethical behavior on the part of dentists, students, and patients, especially with a 90% treatment group, and only 5% refusing treatment. The 52 consecutive patients were characteristic of the University of Tennessee's overall patient pool. No identifiable differences were found between patients regardless of gender, age, or race.