You are a new clinician in an established dental clinic in a large urban area that sees patients from many different immigrant groups. Who are the experts?Our certified Educators are real professors, teachers, and scholars who use their academic expertise to tackle your toughest questions. An ethical Dilemma! What is the responsibility of the clinician in this case to the children and the parent? I need a summary of the article "Recognizing Conscience in Abortion Provision" by Lisa H. Harris, M.D., Ph.D. How can autonomy affect the ethical principles of health care workers? This situation is very familiar to dental hygienists. However, the patient's insurance only covers fillings, not sealants. The biggest challenge of ethical dilemma is that it does not offer an obvious solution that would comply with ethical norms. Refute the paradox (dilemma): The situation must be carefully analyzed. The Dental Hygiene Code of Ethics describes views on morals and ethics that should serve as a guide. The patient’s previous six to 12 months of treatment and most current x-rays could be discussed. However, they are not around enough to teach and enforce proper oral hygiene. continuing the care that starts in your chair, Procter & Gamble - Crest + Oral-B Give Back, Over treatment and poor quality dental treatment, Deceptive dental marketing and advertisements, Challenges with capacity and informed consent, Conflict or unethical behavior among clinicians, Challenges arising from management, finance or legal issues. This could potentially give rise to any number of conflicts. They may also be tempted to speak ill of another dental practice to poach patients. As you read through these vignettes, consider how you would handle similar situations. In some cases… Some Thoughts on the Dilemmas Faced by Dental Specialists. Call child care services for information and guidance. Already a member? They must balance the needs of being a clinician with the needs of running their operation and providing their employees with work. As professionals, dental hygienists often have choices to make in response to issues and dilemmas within their practice settings. The dentist has a duty to treat people fairly. To accommodate these patients and facilitate treatment, the practice employs several interpreters and dental assistants from these various communities. Dental Hygiene; Career Development; Ethics in dental hygiene. Below are some hypothetical ethical dilemmas a dentist may encounter. However, Boards of Dentistry often cite ethics as causative in cases considered by these agencies. Sign up now. 10 Dental Negligence Case Examples. Under this principle, the dentist's primary obligations include dealing with people justly and delivering dental care without prejudice. The family was referred from a local church which has been helping a number of immigrant families in the community. Ethics in dentistry can be a very tricky and tough road to go down. ETHICAL DILEMMA IN DENTISTRY Ethical dilemma refers to the state in which one has to choose mostly between two or more options which are equally identical in magnitude or importance. She invites you to their church for a special festival -- a feast and a dance to celebrate the end of the harvest. Explain how tort law, criminal law, and contract law directly impact health care professionals. Educators go through a rigorous application process, and every answer they submit is reviewed by our in-house editorial team. After elaborating on the scenario you could then tackle the question by applying the four pillars of Medical Ethics which applies to dentistry as well. If low morale is … Your session is about to expire. Failure to complete ALL the steps will result in a loss of this test score, and you will not receive credit for this course. In the infection requiring hospitalization subset, all patients were hospitalized, and … Ethical Dilemmas in Oral Health Care The two main goals involved in ethics are the ability to discern right from wrong and the commitment to act on a decision. #4 is the first option chosen in this situation because the children are in the dental office and all indications are that the Mom will proceed with treatment. The patient informs the clinician that they are a recovering addict. When tough decisions need to be made on behalf of our patients, we need the tools to do it. Ethical Dilemmas in Oral Health Care; Principles in Dentistry and Dental Hygiene. That is a very difficult question to answer as the perception and awareness of ethical issues varies with the individuals involved. Summarize informed consent and implied consent with regard to patients, and analyze the difference between the two. To illustrate supervised neglect, two case examples show common dental care dilemmas hygienists experience — periodontal disease treated conservatively in high-risk patients, and radiographic refusal. Are dentists influenced by gifts and incentives, and should professional codes of conduct be updated to provide clearer guidelines for interactions with patients, colleagues and industry so as to avoid conflicts of interest in dentistry? The model is diagramed in a circle as information can change requiring the clinician to reframe the initial question and begin again based on new facts. Each situation involving human beings will be unique since each problem or dilemma will have distinguishing aspects. The children are healthy, happy and well-adjusted --- Mom is involved, cooks and cares for them and is present in the dental office. For example, if you are asked about a patient with dental decay who refuses to use fluoride toothpaste you could discuss what your understanding is of both dental decay and the use of fluoride. Should the practitioner inform child protective services and risk further hardship for the family? Discerning or being aware that an ethical issue is present is always the first step followed by defining the aspects of the problem. How do you respond? You did not finish creating your certificate. In this hypothetical case, additional options might be available. Dental practitioners face a range of potential conflicts of interest. The children seem healthy, well-adjusted and pleasant but have obvious serious dental problems. Should the dentist tell the patient to come back later when the pits have developed into cavities, or seal them and bill it to the insurance company as fillings? Patients rights and medical ethics. What are the most important factors in producing ethical decisions in health care? We all have different morals and values when it comes to treating patients. As professionals, we need be familiar with the code of ethics to help guide our behavior. Throughout the history of humanity, people always faced ethical dilemmas, and philosophers aimed and worked to find solutions to the problems. After your examination of the three children, you too are very concerned about the level of dental disease you have observed as they fit the definition of dental neglect in your state. Start your 48-hour free trial and unlock all the summaries, Q&A, and analyses you need to get better grades now. The interpreter tells you that you should inform child protective services (CPS) because of this high level of neglect. Recent figures published by Dental Protection revealed that the willingness in the UK to sue dentists outstripped even the litigation-loving USA. Many examples of ethical dilemmas in dentistry may arise over deciding what is best for the patient when different courses of action conflict with each other. Both these situations result in cause for disagreement between the dental hygienist and his or her employer in which an ethical dilemma will ensue. Provide dental treatment to the children. Corporate quotas: An ethical dilemma for dental hygienists. CPS workers usually take one to two weeks to respond on non-emergency issues, according to the website. In its broadest sense, this principle expresses the concept that the dental profession should actively seek allies throughout society on specific activities that will help improve access to care for all. An example of a true ethical dilemma is when the principle of nonmaleficence is in conflict with the principle of autonomy in a specific situation. In health care autonomy gives rise to the concept of permitting individuals to make decisions about their own health, which is the heart of many ethical dilemmas that occur in dentistry. How common are ethical dilemmas in dentistry? Are you a teacher? A patient may have just had oral surgery. Ethical dilemmas in dental assisting. The child's parents are there and explain that they work several low-paying jobs to provide for their children. This raises the dilemma as to whether the painkiller should be prescribed. The interpreter and the clinician have observed that dental disease is present and meets the definition of neglect – what would the likely course of action be from child protective services for these children based on history and information. 2 For example, a patient requests a 12-month recare schedule due to financial difficulties (autonomy), but the dental hygienist believes that 4-month appointments are what the patient needs to improve his oral health (beneficence). M.A. I'll be discussing the Return On Investment (ROI) of doing a dental residency in another post. Treat the children if and when they present for treatment would be acknowledging the autonomy of the parent to choose for her minor children. Even though Dental Hygiene was not in my top ten strong occupations, it fit in the first two of five top interest areas according to the Strong Interest Inventory. Ethical dilemmas arise when one or more ethical principles or core values are in conflict. Many of these choices are cut-and-dried and based upon a definitive need in providing a dental service to a patient. Your corporate employer asks you to perform an SRP you know isn't needed. Often discussing a case like this among colleagues would result in additional thoughts, suggestions and options. Is this dental neglect or dental ignorance? No studies or evidence exists documenting the volume of problems. The scope and depth of ethical problems in the delivery of dental care will vary greatly. The following examples of ethical challenges in dentistry are taken from my own experience with the exception of the last example. Government Dental College Department of Periodontics Abstract In modern dentistry, like other branches of medicine, a set of principles contribute in establishing codes of ethics. While it is usually clear to determine when to report a flagrant incident of child abuse, borderline cases can be much more difficult to evaluate, creating a moral and ethical dilemma. She talks about what she would like to cook for you and the nice people in the office. In the end, it all boils down to the ability of the practitioner to discern right from wrong and act accordingly. The dental practice appears to have a relationship with the local church, what guidance do they provide for these folks and do they cover the cost of care --- a clerk at the church helps set up appointments and the church pays for basic care. Please click CONTINUE below to return to your previous page to complete the process. For that reason, it was a surprise for me that Dental field was not the unique career which corresponds with my interest and personality type. Should the clinician report to child protective services the dental neglect found in the children? Some ethical dilemmas stem from the fact that many dentists own their own practice. The choices we make in response to these dilemmas serve to determine the moral character of each dental assistant. eNotes.com will help you with any book or any question. Call child care services and report the cases of dental neglect in these two children. No studies or evidence exists documenting the volume of problems. 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