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Dental Ethics and Jurisprudence

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Professional Competence

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Dentists are ethically required to maintain competence through continuous professional development, ensuring quality patient care.

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Dealing with Impaired Colleagues

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It's an ethical duty to address colleagues' impairment affecting their professional performance and to take appropriate action, which could involve reporting to relevant authorities.

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Over-treatment

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Ethically, dentists should advocate treatments based on necessity rather than profit, adhering to the principle of beneficence and avoiding over-treatment.

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Reporting Abuse or Neglect

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Dentists are mandatory reporters and must legally report any signs of abuse or neglect, respecting the ethical principle of nonmaleficence.

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Accepting Gifts from Patients

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Accepting gifts could influence professional judgment or appear to. Dentists should consider ethical implications and avoid conflicts of interest.

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Self-prescription and Prescribing for Family

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Prescribing medication for personal use or for family members can be ethically problematic due to potential lack of objectivity and issues with documentation.

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Discrimination in Dental Practice

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Dentists are ethically and legally barred from discriminating against patients based on race, gender, religion, etc., and must provide equal care.

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Under-treatment

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Failing to provide necessary treatment is unethical and could lead to harm. Dentists must balance risks and patient needs, adhering to the standard of care.

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Refusal of Treatment

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Patients have the right to refuse treatment. Dentists must respect this decision, ensure patients understand consequences, and document the refusal.

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Use of Dental Auxiliaries

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Dentists are responsible for the actions of their auxiliaries. Proper training, delegation within the scope of practice, and supervision are required.

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Fee Splitting

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Fee splitting, the practice of sharing fees with others for referrals, is considered unethical and often illegal as it can compromise the integrity of patient care.

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Ownership and Transfer of Dental Records

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Legally, dental records are owned by the dentist or practice. Ethically, however, they should be accessible to patients and transferred responsibly upon request or practice changes.

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Dental Treatment Coordination with Other Professionals

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Dentists should coordinate care with other professionals while respecting patient privacy and ensuring comprehensive care, adhering to ethical collaboration practices.

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Whistleblowing in Dentistry

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Whistleblowing involves reporting unethical or illegal activities. It's ethically complex but important for upholding professional standards and patient safety.

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Managing Noncompliant Patients

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Dentists must use professional judgment in managing noncompliant patients, considering patient autonomy, and potentially terminating the dentist-patient relationship ethically.

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Boundary Crossing and Dual Relationships

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Dentists must avoid dual relationships that could impair professional judgment or exploit the patient-dentist relationship.

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Confidentiality of Patient Records

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Dental professionals are legally and ethically obliged to protect the confidentiality of patient records and information, disclosing only with consent or when required by law.

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Retirement and Abandonment of Practice

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Upon retirement, dentists have an ethical responsibility to inform patients, facilitate transfer of care, and ensure continuity of treatment.

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Use of Restraints in Pediatric Dentistry

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The use of restraints should be ethically considered with parental consent, as a last resort, and in the best interest of the child's safety and treatment success.

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Management of Dental Emergencies

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Dentists have an ethical obligation to provide care during dental emergencies. Legally, refusal to treat in such a scenario could be viewed as negligence.

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Informed Consent in Dental Procedures

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Informed consent requires that a patient is fully informed about the risks, benefits, and alternatives of a procedure. The dentist must ensure that the patient understands this information and consents voluntarily.

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Advertising in Dentistry

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Dental advertisements must be truthful and not misleading. Ethically, misleading claims can harm the trust between the dental profession and the public.

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Cultural Competency in Dental Practice

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Dentists must be aware of and sensitive to cultural differences. Ethically, providing culturally competent care ensures respect and equity in treatment.

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Patient Abandonment

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Dentists must provide notice before terminating the dentist-patient relationship to avoid patient abandonment, which is both an ethical and legal violation.

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Sustainability in Dental Practice

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Ethically, dentists should consider environmental impacts and adopt sustainable practices when possible. This is part of the broader responsibility to society.

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