Dental Ethics at Chairside: Professional Principles and Practical Applications

, by Ozar, David T.

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ISBN: 9780878403769 | 0878403760
Cover: Paperback
Copyright: 9/1/2002

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Summary

Author Biography

Supplemental Materials

An essential book for dentists, dental students, and all oral health care providers, this revised, updated, and expanded second edition includes vital, new material.

Preface to Second Edition

xiii

Preface

xiv

Part One The Dental Profession and Professional Ethics

(108)

Introduction

(8)

Ethical Issues in Dental Practice

(1)

Ethical Questions and Legal Questions

(1)

Choosing to Be Ethical

(1)

Published Codes of Conduct and Ethics Committees

(1)

Habits

(1)

The Terms Moral and Ethical, Obligation and Principle

(1)

Do Ethical Questions Have Answers?

(1)

Sources of Ethical Views and Convictions

(1)

Who Writes a Book on Dental Ethics?

(2)

Profession and Professional Obligation

(16)

Case: Grind it Out!

(3)

Dentistry as a Profession

(1)

Dentistry: The Commercial Picture

(2)

Dentistry: The Normative Picture

(3)

The Content of Professional Obligations

(2)

The Introductory Cases

(1)

Thinking about the Case

(4)

The Questions of Professional Ethics

(16)

Case: When Everything Works Right

(3)

Why This Kind of Case?

(2)

Obligation

(1)

Commentary on the Case

(3)

Nine Categories of Professional Obligation

(7)

The Chief Client

(1)

The Ideal Relationship between Dentist and Patient

(1)

The Central Values of the Dental Profession

(1)

Competence

(1)

Sacrifice and the Relative Priority of the Patient's Well-Being

(1)

Ideal Relationships between Coprofessionals

(1)

The Relationship between Dentistry and the Larger Community

(1)

Availability of Services

(1)

Integrity and Education

(3)

The Relationship between Patient and Professional

(20)

Case: The Dreaded Root Canal

(1)

The Dentist--Patient Relationship

(2)

Four Models of the Dentist--Patient Relationship

(6)

The Guild Model

(2)

The Agent Model

(1)

The Commercial Model

(3)

The Interactive Model

(1)

Autonomy and the Question of Justifiable Paternalism

(4)

Truth Telling and Informed Consent

(2)

Thinking about the Case

(5)

The Central Values of Dental Practice

(22)

Case: The Cheapest Will Have to Do

(1)

Studying a Profession's Central Values

(3)

The Central Values of Dental Practice

(6)

The Patient's Life and General Health

(1)

The Patient's Oral Health

(1)

The Patient's Autonomy

(1)

The Dentist's Preferred Patterns of Practice

(2)

Aesthetic Values

(1)

Efficiency in the Use of Resources

(1)

Ranking Dentistry's Central Values

(5)

Thinking about the Case

(7)

Ethical Decision Making and Conflicting Obligations

(24)

Case: How Much Sacrifice?

(3)

Difficult Professional-Ethical Judgments

(1)

A Model of Professional-Ethical Decision Making

(2)

Step One: Identifying the Alternatives

(1)

Step Two: Determining What Is Professionally at Stake

(1)

Step Three: Determining What Else Is Ethically at Stake

(1)

Step Four: Determining What Ought to Be Done (Ranking the Alternatives)

(1)

Sacrifice and the Relative Priority of Patients' Well-Being

(4)

Conflicting Professional Obligations

(2)

Conflicts Between Professional and Other Obligations

(1)

Conscientious Disobedience of Professional Obligations

(1)

Habits, Moral Reasoning, and Conscience

(2)

Thinking about the Case

101

(7)

Step One: Identifying the Alternatives

102

(1)

Step Two: Determining What Is Professionally at Stake

102

(3)

Step Three: Determining What Else Is Ethically at Stake

105

(1)

Step Four: Determining What Ought to Be Done

106

(1)

After Judging: Choosing a Course of Action

107

(1)

Transition to Part Two

108

(1)

Part Two Ethical Issues in Dental Practice

109

(208)

Patients with Compromised Capacity

111

(22)

Case: Mrs. Morris's Wonderful Teeth

111

(1)

Treatment Decisions for Patients with Compromised Capacity

112

(2)

The Role of Parents and Legal Guardians

114

(2)

The Capacity for Autonomous Decision Making

116

(7)

Dealing with Patients with Partially Compromised Capacity

123

(6)

Thinking about the Case

129

(4)

Education and Cooperation

133

(14)

Case: Fear of Drowning

133

(3)

Supporting Patient Education and Cooperation

136

(2)

The Ideal Relationship, Respecting Autonomy, and Education

138

(1)

Integrity and Education

139

(1)

How Much Sacrifice Is Required?

140

(2)

Firing the Extremely Noncooperative Patient

142

(2)

Thinking about the Case

144

(3)

Bad Outcomes and Bad Work

147

(32)

Case: Dr. Singer's Vacation

147

(2)

Applying Professional Norms to Bad Outcomes

149

(1)

When the Patient Is Another Dentist's Patient

150

(4)

Three Situations

154

(2)

If the Patient Asks in the Third Situation

156

(8)

The First and Second Situations Revisited

164

(1)

When the Patient Doesn't Ask

165

(2)

Calling the Other Dentist

167

(2)

When My Patient Has Another Dentist's Bad Outcome

169

(1)

When the Bad Outcome or Bad Work Is My Own

170

(4)

Thinking about the Case

174

(5)

Working Together

179

(24)

Two Sets of Gums

179

(4)

Collaboration versus the Myth of the Lone Ranger

183

(1)

Collaboration between Generalists and Specialists

184

(3)

Working Together through Conflict

187

(4)

Impaired Dentists

191

(1)

Other Collaborators and Other Challenges

192

(5)

Thinking about the Case

197

(6)

HIV and AIDS in Patients and Dentists

203

(24)

Case: Best Friends

203

(1)

The Ethical Challenges of HIV and AIDS

204

(1)

The Obligation to Accept Risk and Its Limits

205

(5)

Caution Beyond the Universal Precautions

210

(1)

A Distinctive Pattern of Thinking

211

(2)

The HIV Positive Dentist and the Risk to Patients

213

(4)

Should Patients Be Informed of the Dentist's HIV Status?

217

(4)

Testing Dentists for HIV

221

(1)

The Community's Responsibility to Seropositive Practitioners

221

(1)

A Dentist's Staff and Seroconversion

222

(1)

Thinking about the Case

223

(4)

Confidentiality and Patient Records

227

(18)

Case: An Unexpected Phone Call

227

(3)

The General Obligation of Confidentiality

230

(1)

The Health Professions and Confidentiality

231

(2)

HIV/AIDS, Confidentiality, and Other Caregivers

233

(3)

Confidentiality and Risk to Other Third Parties

236

(1)

Legally Mandated Reporting

237

(1)

Maintaining Appropriate Records

238

(1)

The Era of Electronic Record Keeping

239

(3)

Thinking about the Case

242

(3)

Social Justice and Access to Dental Care

245

(16)

Case: Distributing Health Care Resources

245

(1)

Social Justice

246

(2)

Basic Needs and the Just Distribution of Dental Care

248

(1)

Contribution and Effort as Possible Criteria

249

(3)

The Free Market View of Justice

252

(3)

Basic Dental Care

255

(2)

Thinking about the Case

257

(4)

Third-Party Payers and Managed Care

261

(16)

Case: But It Will Show!

261

(1)

The Arrival of Third-Parry Payers and Managed Care

262

(2)

Impact on the Dentist-Patient Relationship

264

(3)

Capitation Programs

267

(1)

Adequate Treatment

268

(2)

The Obligations of Third-Parry Payers and Managed Care Organizations

270

(1)

Advocating for Change

271

(1)

Thinking about the Case

272

(5)

Dentistry as a Business

277

(22)

Case: Happy Smiles

277

(2)

New Challenges for Dentistry

279

(3)

Ethical Advertising

282

(5)

The Competitive Spirit and Professional Integrity

287

(3)

Different Models and Philosophies of Dental Practice

290

(2)

Thinking about the Case

292

(7)

The Dental Profession and the Community

299

(18)

Case: Professional Organization or Commercial Enterprise

299

(2)

The Obligations of the Profession as a Whole

301

(4)

Chief Client, Central Values, and Competence

305

(2)

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Dental Ethics at Chairside: Professional Principles and Practical Applications

Summary

Author Biography

Table of Contents

Supplemental Materials