Subject(s)
Dentists/ethics , Ethics, Dental , Orthodontics/ethics , Dentist-Patient Relations/ethics , Humans , Interprofessional Relations/ethics , Malocclusion, Angle Class II/therapy , Patient Care Team/ethics , Periodontics/ethics , Personal Autonomy , Referral and Consultation/ethics , Surgery, Oral/ethicsABSTRACT
Ethical dilemmas are becoming increasingly common in dentistry and periodontics. Clinicians, challenged with such dilemmas, may not know how to apply the appropriate moral reasoning needed to resolve these situations especially when any of the five fundamental principles of ethics that form the foundation of the American Dental Association Principles of Ethics and Code of Professional Conduct--patient autonomy, nonmaleficence, beneficence, justice, and veracity--come into conflict with each other. The author describes one clinical case that presented with an ethical dilemma. An analytic framework, used in medicine, is introduced and used to solve the clinical case on whether to proceed with periodontal surgery on a patient who is not aware of his terminal prognosis from metastatic prostate cancer. Upon using the analytic framework, recommendations are made on the ethically appropriate path for the periodontist to follow in providing care for the patient's periodontal problem consistent with the principles of patient autonomy, respect for persons, and veracity.
Subject(s)
Ethical Analysis/methods , Ethics, Dental , Informed Consent/ethics , Periodontics/ethics , Terminally Ill , Adenocarcinoma/drug therapy , Adenocarcinoma/secondary , American Dental Association , Chronic Periodontitis/surgery , Codes of Ethics , Humans , Interprofessional Relations/ethics , Male , Middle Aged , Prostatic Neoplasms/drug therapy , United StatesSubject(s)
Dental Implantation , Ethics, Dental , General Practice, Dental/ethics , Periodontics/ethics , American Dental Association , Codes of Ethics , Dental Care/ethics , Dental Care/standards , General Practice, Dental/standards , Humans , Periodontics/standards , Teaching/ethics , United StatesABSTRACT
En el ejercicio diario, nos enfrentamos con situaciones en las cuales debemos aplicar no solamente nuestros conocimientos científicos y técnicos que competen a la odontología, sino también nuestra condición humana y vocación de servicio para atender, con responsabilidad y ética profesional, a nuestros pacientes. El propósito de este estudio surgió para concientizar la importancia de conocer los principios bioéticos, así como la actitud integral del odontólogo general y el especialista cuando se presenta un paciente por primera vez o de emergencia a la consulta, y atenderlo no solo por la "emergencia" por la cual asiste, sino como un ser bio-psico-social. En nuestro caso, si el odontólogo general se hubiese limitado a atender al paciente solo por la emergencia que presentó y no hubiese orientado al paciente desde los principios bioéticos de benevolencia, beneficencia, no maleficencia, autonomía, consentimiento informado de tipo verbal y remitido al periodoncista, el paciente hubiese seguido en desconocimiento del estado real de sus condiciones bucales, evitando consecuencias indeseables. Los procedimientos básicos realizados en este artículo fueron la revisión bibliográfica y el estudio clínico del caso.Igualmente hacemos énfasis en realizar todos los estudios diagnósticos necesarios para realizar nuestro protocolo de tratamiento, ya que si no diagnosticamos correctamente, no podremos planificar el tratamiento correctamente y remitirlo al especialista si lo requiere. Concluimos en este estudio la importancia a que, tanto odontólogos generales como especialistas, aprendan a ver al paciente como un ser integral bajo los principios bio-éticos y aplicar el consentimiento informado de manera habitual en nuestra consulta
In exercising daily, we are faced with situations in which we must apply not only our scientific and technical knowledge that fall within dentistry, but also our human condition and vocation of service to meet with responsibility and professional ethics, to our patients.The purpose of this study was to raise awareness of the importance of knowing the bio-ethical principles, as well as the attitude and parcel of clinicians and experts when a patient presents for the first time or emergency consultation, and caring not only for the "Emergency" by which assists, but like a bio-psycho-social. In our case, if the general dentist had been limited to meet the patient only by the emergency and had not submitted oriented to the patient from the bioethical principles of benevolence, charity, not maleficencia, informed consent type of verbal and sent to periodontist The patient had remained in ignorance of the real state of their oral conditions, avoiding undesirable consequences. The basic procedures in this article were the literature review and clinical study of the case. Likewise make all the emphasis on conducting diagnostic studies needed to carry out our treatment protocol, because if not properly diagnose, treat, we can't plan properly and know refer to a specialist if required. We conclude this study in the importance to both general dentists and specialists, learn to see the patient as an integral be under the bio-ethical principles and applying the informed consent on a regular basis in our consultation
