Author:
Sykes Leanne,Jagathpal Avish,Bradfield Charles,Cronje Michael
Abstract
Over-servicing in dentistry has been widely reported on and censured due to the potential physical, social and financial harms it can cause a patient. In contrast, under-treatment is less often noticed or raised as a concern as it seldom presents with overt signs of carelessness or disregard. In addition, it is usually not accompanied by any time or financial burdens, thus patients rarely complain about it. While some practitioners may argue that failure to treat is a form of negligence, this paper will explore if, and when it could be justified. While practitioners may never reach a consensus agreement, the ultimate message is that all treatment should be patient centred and should only commence following their educated, considered, autonomous, and voluntary consent.
Publisher
Academy of Science of South Africa
Reference6 articles.
1. Moodley K, Naidoo S. Ethics and the Dental team. Pretoria, Van Schaik publishers 2010; 38-41
2. Kazemian A, Berg I, Finkel C, et al. How much dentists are ethically concerned about over treatment; a vignette-based survey in Switzerland. BMC Med Ethics; 2015; 16:43. doi: 10.1186/s12910-015-0036-6
3. Dental Protection Organization. Undertreatment and supervised neglect. Accessed at:https://www.dentalprotection.org/ uk/articles/undertreatment-and-supervised-neglect. Accessed on: 14-05-2021
4. Howley T. Ethical moment. How to handle a colleague who regularly does not inform his or her patients of all needed treatment? JADA. 2017; 148 (11) 855-857
5. Beauchamp TI, Childress JF. Principles of Biomedical Ethics.5th Ed. New York: Oxford University Press; 2001