RESUMO
When patients request inappropriate dental treatment, the dentist must decide how to balance a concern with patients' well-being with respect for their choices. The usual paternalist inclinations found in clinical practice and in the literature are rejected. Only in certain situations is the dentist morally justified in setting aside patients' treatment requests. This position is supported by the analysis of a clinical case. There are also implications as to how dentists should respond to colleagues who provide treatments some regard as questionable.
Assuntos
Atitude do Pessoal de Saúde , Beneficência , Relações Dentista-Paciente , Ética Odontológica , Paternalismo , Participação do Paciente , Autonomia Pessoal , Adulto , Compreensão , Revelação , Feminino , Humanos , Educação de Pacientes como Assunto , Administração da Prática Odontológica , Recusa em Tratar , Valores Sociais , Procedimentos DesnecessáriosRESUMO
Border molding is an important step in the fabrication of complete dentures. Conventional border molding using impression modeling plastic has been time-consuming and has resulted in a great variation in the shape of the recorded borders. This study compared the shape and variability of the vestibular impressions made with impression modeling plastic and a polyether impression material. Four prosthodontists each made five maxillary vestibular impressions using the two materials. All the impressions were made on one edentulous subject. The results showed significant differences at many locations along the border of the impressions. The borders of the impressions made with modeling plastic tended to be thicker and shorter than those made using polyether material. Use of the polyether material required less time to complete the border molding procedures and demonstrated a more consistent result in the shape of the vestibular impressions.
