Malpractice, Even in Conditions of Compliance with the Rules of Dental Ethics
Authors: Saimir Heta, Kers Kapa, Rialda Xhizdari, Ilma Robo
Abstract:
Despite the existence of different dental specialties, the dentist-patient relationship is unique, in the very fact that the treatment is performed by one doctor and the patient identifies the malpractice presented as part of that doctor's practice; this is in complete contrast to cases of medical treatments where the patient can be presented to a team of doctors, to treat a specific pathology. The rules of dental ethics are almost the same as the rules of medical ethics. The appearance of dental malpractice affects exactly this two-party relationship, created on the basis of professionalism, without deviations in this direction, between the dentist and the patient, but with very narrow individual boundaries, compared to cases of medical malpractice. Malpractice can have different reasons for its appearance, starting from professional negligence, but also from the lack of professional knowledge of the dentist who undertakes the dental treatment. It should always be seen in perspective that we are not talking about the individual - the dentist who goes to work with the intention of harming their patients. Malpractice can also be a consequence of the impossibility, for anatomical or physiological reasons of the tooth under dental treatment, to realize the predetermined dental treatment plan. On the other hand, the dentist himself is an individual who can be affected by health conditions, or have vices that affect the systemic health of the dentist as an individual, which in these conditions can cause malpractice. So, depending on the reason that led to the appearance of malpractice, the method of treatment from a legal point of view also varies, for the dentist who committed the malpractice, evaluating the latter if the malpractice came under the conditions of applying the rules of dental ethics. The deviation from the predetermined dental plan is the minimum sign of malpractice and the latter should not be definitively related only to cases of difficult dental treatments. The identification of the reason for the appearance of malpractice is the initial element, which makes the difference in the way of its treatment, from a legal point of view, and the involvement of the dentist in the assessment of the malpractice committed, must be based on the legislation in force, which must be said to have their specific changes in different states. Malpractice should be referred to, or included in the lectures or in the continuing education of professionals, because it serves as a method of obtaining professional experience in order not to repeat the same thing several times, by different professionals.
Keywords: Dental ethics, malpractice, negligence, legal basis, continuing education, dental treatments.
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[1] Humagain M, Bhattarai BP, Rokaya D. Quackery in Dental Practice in Nepal. JNMA J Nepal Med Assoc. 2020 Jul 31;58(227):543-546.
[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.
[3] Blau I, Levin L. Medical malpractice: An introduction for the dental practitioner. Quintessence Int. 2017;48(10):835-840.
[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.
[5] Allan J. Informed consent. J R Coll Physicians Edinb. 2014;44(4):299-302.
[6] Brenner G. Dentists with Substance use Disorders: HELP is Available. J Indiana Dent Assoc. 2015 Autumn;94(4):22-3.
[7] Marais JT. Dentistry in South Africa is gravely ill, sick to the core. SADJ. 2014 Aug;69(7):296.
[8] Maihofer M. What Happens When Patient Records Are Withheld. J Mich Dent Assoc. 2016 Aug;98(8):22.
[9] Richards W. Ethical dilemmas: guidelines without context. Br Dent J. 2014 Apr;216(7):376-7.
[10] 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.
[11] Laine EE. How to lessen the risk of dental malpractice. Pa Dent J (Harrisb). 2014 Mar-Apr;81(2):22-5.
[12] Holden A, Stewart C. A review of the law of consent in dentistry. Aust Dent J. 2019 Sep;64(3):208-212.
[13] 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.
[14] Beard D. Dealing with good intentions that go bad. J Am Dent Assoc. 2015 Jan;146(1):70-2.
[15] Shivapuja PK. Questions about Maihofer column. J Mich Dent Assoc. 2013 Dec;95(12):12.
[16] 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.
[17] Maihofer M. Diminishing skills and the ethics of dental practice. J Mich Dent Assoc. 2013 Oct;95(10):18, 58.
[18] 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.
[19] 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.
[20] Chambers DW. The Cost of Ignorance. J Calif Dent Assoc. 2015 Oct;43(10):563.
[21] Shampaine GS. State Dental Boards and Public Protection: Fulfilling the Contract. J Am Coll Dent. 2015 Summer;82(3):25-30.
[22] Curley AW, Peltier B. Standard of care: the legal view. J Am Coll Dent. 2014 Spring;81(1):53-8.
[23] Nortjé N, Hoffmann WA. Professional consequence for dentists involved in unethical decision-making in South Africa. J Forensic Odontostomatol. 2014 Nov 30;32 Suppl 1(Suppl 1):22-9.
[24] Yarborough C, Peltier B, Huston J. The Dangerous Specter of Addiction A Cautionary Tale. J Am Coll Dent. 2016 Autumn;83(4):43-48.
[25] Jerrold L. Litigation and legislation. Dento-legal and ethical observations on the last 100 years. Am J Orthod Dentofacial Orthop. 2015 May;147(5 Suppl):S234-41.
[26] Naidoo S. Ethics corner. Periodontal treatment & allegations of neglect. SADJ. 2013 Mar;68(2):84, 86-7.