Dental Ethics versus Malpractice, as Phenomenon with a Growing Trend
Authors: Saimir Heta, Kers Kapaj, Rialda Xhizdari, Ilma Robo
Abstract:
Dealing with emerging cases of dental malpractice with justifications that stem from the clear rules of dental ethics is a phenomenon with an increasing trend in today's dental practice. Dentists should clearly understand how far the limit of malpractice goes, with or without minimal or major consequences, for the affected patient, which can be justified as a complication of dental treatment, in support of the rules of dental ethics in the dental office. Indeed, malpractice can occur in cases of lack of professionalism, but it can also come as a consequence of anatomical and physiological limitations in the implementation of the dental protocols, predetermined and indicated by the patient in the paragraph of the treatment plan in his personal card. Let this article serve as a short communication between readers and interested parties about the problems that dental malpractice can bring to the community. Malpractice should not be seen only as a professional wrong approach, but also as a phenomenon that can occur during dental practice. The aim of this article is presentation of the latest data published in the literature about malpractice. The combination of keywords is done in such a way with the aim to give the necessary space for collecting the right information in the networks of publications about this field, always first from the point of view of the dentist and not from that of the lawyer or jurist. From the findings included in this article, it was noticed that the diversity of approaches towards the phenomenon depends on the different countries based on the legal basis that these countries have. There is a lack of or a small number of articles that touch on this topic, and these articles are presented with a limited amount of data on the same topic. Dental malpractice should not be hidden under the guise of various dental complications that we justify with the strict rules of ethics for patients treated in the dental chair. The individual experience of dental malpractice must be published with the aim of serving as a source of experience for future generations of dentists.
Keywords: Dental ethics, malpractice, professional protocol, random deviation, dental tourism.
Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 173References:
[1] Blau I, Levin L. Medical malpractice: An introduction for the dental practitioner. Quintessence Int. 2017;48(10):835-840. doi: 10.3290/j.qi.a39106. PMID: 29034379.
[2] Holden A. What do dental codes of ethics and conduct suggest about attitudes to raising concerns and self-regulation? Br Dent J. 2018 Feb 23;224(4):261-267. doi: 10.1038/sj.bdj.2018.125. PMID: 29472677.
[3] Humagain M, Bhattarai BP, Rokaya D. Quackery in Dental Practice in Nepal. JNMA J Nepal Med Assoc. 2020 Jul 31;58(227):543-546. doi: 10.31729/jnma.5036. PMID: 32827024; PMCID: PMC7580404.
[4] Alsaeed S, Aljarallah S, Alarjani A, Alghunaim G, Alanizy A. Dental malpractice lawsuit cases in Saudi Arabia: A national study. Saudi Dent J. 2022 Dec;34(8):763-771. doi: 10.1016/j.sdentj.2022.11.002. Epub 2022 Nov 7. PMID: 36570586; PMCID: PMC9767827.
[5] Allan J. Informed consent. J R Coll Physicians Edinb. 2014;44(4):299-302. doi: 10.4997/JRCPE.2014.411. PMID: 25516901.
[6] Laine EE. How to lessen the risk of dental malpractice. Pa Dent J (Harrisb). 2014 Mar-Apr;81(2):22-5. PMID: 24979966.
[7] Holden A, Stewart C. A review of the law of consent in dentistry. Aust Dent J. 2019 Sep;64(3):208-212. doi: 10.1111/adj.12707. Epub 2019 Jul 22. PMID: 31264231.
[8] Maihofer M. Diminishing skills and the ethics of dental practice. J Mich Dent Assoc. 2013 Oct;95(10):18, 58. PMID: 24260851.
[9] Nogueira TE, Gonçalves AS, Leles CR, Batista AC, Costa LR. A survey of retracted articles in dentistry. BMC Res Notes.2017 Jul 6;10(1):253. doi: 10.1186/s13104-017-2576-y. PMID: 28683764; PMCID: PMC5500970.
[10] Wu CW, Huang TY, Randolph GW, Barczyński M, Schneider R, Chiang FY, Silver Karcioglu A, Wojtczak B, Frattini F, Gualniera P, Sun H, Weber F, Angelos P, Dralle H, Dionigi G. Informed Consent for Intraoperative Neural Monitoring in Thyroid and Parathyroid Surgery - Consensus Statement of the International Neural Monitoring Study Group. Front Endocrinol (Lausanne). 2021 Dec 7;12:795281. doi: 10.3389/fendo.2021.795281. PMID: 34950109; PMCID: PMC8689131.
[11] Munk LK. Implications of State Dental Board Disciplinary Actions for Teaching Dental Students About Emotional Intelligence. J Dent Educ. 2016 Jan;80(1):14-22. PMID: 26729680.
[12] Salerno S, Laghi A, Cantone MC, Sartori P, Pinto A, Frija G. Overdiagnosis and overimaging: an ethical issue for radiological protection. Radiol Med. 2019 Aug;124(8):714-720. doi: 10.1007/s11547-019-01029-5. Epub 2019 Mar 21. PMID: 30900132.
[13] Shampaine GS. State Dental Boards and Public Protection: Fulfilling the Contract. J Am Coll Dent. 2015 Summer;82(3):25-30. PMID: 26697652.
[14] Chambers DW. The Cost of Ignorance. JCalif Dent Assoc. 2015 Oct; 43(10):563. PMID: 26798905.
[15] Curley AW, Peltier B. Standard of care: the legal view. J Am Coll Dent. 2014 Spring;81(1):53-8. PMID: 25080672.
[16] Nortjé N, Hoffmann WA. Professional consequence for dentists involved in unethical decision-making in South Africa. J Forensic Odontostomatol. 2014 Nov 30;32Suppl 1(Suppl 1):22-9. PMID: 25557412; PMCID: PMC5734817.
[17] Yarborough C, Peltier B, Huston J. The Dangerous Specter of Addiction A Cautionary Tale. J Am Coll Dent. 2016 Autumn;83(4):43-48. PMID: 30152927.
[18] Jerrold L. Litigation and legislation. Dento-legal and ethical observations on the last 100 years. Am J OrthodDentofacialOrthop.2015 May;147(5 Suppl):S234-41. doi: 10.1016/j.ajodo.2015.01.019. PMID: 25925654.
[19] Brenner G. Dentists with Substance use Disorders: HELP is Available. J Indiana Dent Assoc. 2015 Autumn;94(4):22-3. PMID: 26817047.
[20] Heta, Saimir & Alliu, Nevila & Robo, Ilma & Ostreni, Vera. (2023). Antibiotics for treatment of apical periodontitis, indication or contraindication. Bulletin of the National Research Centre. 47. 10.1186/s42269-023-01038-5.
[21] Maitland RI. What it means to be a doctor. Sensitizing the dentist and the student to professionalism. N Y State Dent J. 2015 Mar;81(2):24-8. PMID: 25928970.
[22] Beard D. Dealing with good intentions that go bad. J Am Dent Assoc. 2015 Jan;146(1):70-2. doi: 10.1016/j.adaj.2014.11.011. Epub 2014 Dec 18. PMID: 25569503.
[23] Shivapuja PK. Questions about Maihofer column. J Mich Dent Assoc. 2013 Dec;95(12):12. PMID: 24558710.
[24] Marais JT. Dentistry in South Africa is gravely ill, sick to the core. SADJ. 2014 Aug;69(7):296. PMID: 26548210.
[25] Maihofer M. What Happens When Patient Records Are Withheld. J Mich Dent Assoc. 2016 Aug;98(8):22. PMID: 30047690.
[26] Richards W. Ethical dilemmas: guidelines without context. Br Dent J. 2014 Apr;216(7):376-7. doi: 10.1038/sj.bdj.2014.256. PMID: 24722073.
[27] Naidoo S. Ethics corner. Periodontal treatment & allegations of neglect. SADJ. 2013 Mar;68(2):84, 86-7. PMID: 23951771.
[28] Kopmaz B, Kitapci NS, Kitapci OC, Bulu SB, Aksu PK, Koksal L, Mumcu G. Dental Websites as New Media Tools for Patients in Dental Health Tourism. Acta Inform Med. 2019 Jun;27(2):128-132. doi: 10.5455/aim.2019.27.128-132. PMID: 31452572; PMCID: PMC6688302.
[29] Misch CM. Editorial: Dental tourism for implant treatment: Dream vacation or nightmare? Int J Oral Implantol (Berl). 2020;13(3):203-204. PMID: 32879926.
[30] Cabudol MJ, Asgari P, Stamm N, Finlayson TL. Illuminating Mexican Migrant Adolescents' Dental Access and Utilization Experiences. Community Dent Health. 2018 Nov 29;35(4):204-210. doi: 10.1922/CDH_4255Cabudol07. PMID: 30198647.
[31] Miller A, Smith R, Woods N, Warholak T. Analysis of medical tourism at the Andrade port of entry. J Am Pharm Assoc (2003). 2021 Mar-Apr;61(2):e114-e119. doi: 10.1016/j.japh.2020.10.018. Epub 2020 Nov 12. PMID: 33191137.
[32] Nyambe MM, Kwembeya EG, Lisao K, Hans R. Oral hygiene in Namibia: A case of chewing sticks. J Ethnopharmacol. 2021 Sep 15;277:114203. doi: 10.1016/j.jep.2021.114203. Epub 2021 May 13. PMID: 33992751.
[33] Mubarak N, Zin CS. Religious tourism and mass religious gatherings - The potential link in the spread of COVID-19. Current perspective and future implications. Travel Med Infect Dis. 2020 Jul-Aug;36:101786. doi: 10.1016/j.tmaid.2020.101786. Epub 2020 Jun 9. PMID: 32531422; PMCID: PMC7282735.
[34] Collins L. The burden of dental tourism. Br Dent J. 2022 Oct;233(7):516. doi: 10.1038/s41415-022-5109-6. PMID: 36241780.
[35] Felkai PP, Flaherty G, Felkai T. International dental tourism in a post-COVID era: pre-travel advice. J Travel Med. 2021 Oct 11;28(7):taab108. doi: 10.1093/jtm/taab108. PMID: 34272850.
[36] Ashiti S, Moshkun C. Dental tourists: treat, re-treat or do not treat? Br Dent J. 2021 Jan;230(2):73-76. doi: 10.1038/s41415-020-2591-6. Epub 2021 Jan 22. PMID: 33483660.
[37] Shaygani F, Ahmadi Marzaleh M. COVID-19 Pandemic: An Opportunity for Using Tele-Dentistry for a Better Dental Care. Prehosp Disaster Med. 2022 Dec;37(6):853-855. doi: 10.1017/S1049023X22001339. Epub 2022 Sep 15. PMID: 36106585; PMCID: PMC9530381.
[38] Thananusak T, Zhu R, Punnakitikashem P. Bouncing from the Covid-19 Pandemic: Response of an Online Medical Tourism Facilitator Platform. Procedia Comput Sci. 2022;204:278-282. doi: 10.1016/j.procs.2022.08.033. Epub 2022 Sep 10. PMID: 36120409; PMCID: PMC9464300.
[39] Felkai PP, Nakdimon I, Felkai T, Levin L, Zadik Y. Dental tourism and the risk of barotrauma and barodontalgia. Br Dent J. 2023 Jan;234(2):115-117. doi: 10.1038/s41415-023-5449-x. Epub 2023 Jan 27. PMID: 36707585; PMCID: PMC9880927.