Skip to main content

Ethical Dilemmas in Orthodontics | Chapter 11 | New Insights into Disease and Pathogen Research Vol. 1

Introduction: Doctors and dentists possess special training and expertise which patients and their families do not. This special knowledge and skillset, which has the potential to benefit as well as harm patients, places on the medical or dental professional the moral obligation to act in the interests of the patient.

Aim: To present a clinical case as an example of an ethical dilemma that orthodontists may face when advocating for the best interests of a child.

Case Presentation: A five-year-old girl attended my private orthodontic clinic with a main complaint of lower anterior teeth overlapping her upper anterior teeth. She was in the primary dentition stage. There was a conflict between the orthodontist’s interests of the child and the need to respect parental autonomy. Her mother had doubts and misgivings about the effectiveness of orthodontic treatment and was reluctant to have her daughter begin treatment at this age.

Discussion: Factually, there are ethical problems continuously encountered by orthodontists during orthodontic interventions, even though there are important human values at stake in the course of treatment. These values may include preventing pain, maintaining and restoring oral function for normal speech and eating, preserving and restoring the patient’s physical appearance, and promoting a sense of control over and responsibility for one’s own health. Last but definitely not least, orthodontists deal largely with children, and ethical problems arise especially when there is moral uncertainty.

Conclusion: The ethical traditions and codes of conduct of medicine and dentistry require orthodontists to act in the interest of their patients regardless of financial arrangements, and even, at times, with risk to themselves. In the case of children, this interest in the patient becomes even more pronounced and may conflict with the orthodontist’s interests to respect the wishes of the patient.

Author(s) Details

Dr. Maen Mahfouz
Department of Orthodontics, Najran Specialized Dental Centre, Ministry of Health, Saudi Arabia,Faculty of Dentistry, Arab American University, Jenin, Palestine and Department of Dentistry, AL-Zafer Hospital, Najran, Saudi Arabia.

Dr. Yara Mahfouz
Department of Dentistry, AL-Zafer Hospital, Najran, Saudi Arabia.

Comments

Popular posts from this blog

A Brief Study of Middleware Technologies: Programming Applications and Management Systems | Chapter 15 | Novel Research Aspects in Mathematical and Computer Science Vol. 1

  Many platforms, services, applications, hardware, and operating systems are connected through the middleware layer. Because the middleware layer abstracts much low-level complexity and makes applications and software systems portable, it allows disparate systems to interface and function together in harmony. Middleware technologies enable software engineers to swiftly construct software systems and applications, allowing developers to focus on more important tasks. This chapter examines several types of middleware systems and discusses middleware capabilities, middleware operation, middleware's function in cloud-based systems, and the best middleware platforms to use. Middleware systems are widely utilised and can be found in practically any software system or application. Middleware programmes provide as a link between many sorts of systems and protocols. They serve as a mechanism for various systems. To successfully exchange information, it runs on a variety of operating system

A Prospective Study about Safety and Efficacy of Perioperative Lidocaine Infusion | Chapter 09 | New Horizons in Medicine and Medical Research Vol. 8

 Opioids cause clinically significant side effects such as respiratory depression, immunosuppression, muscle rigidity, negative inotropism, nausea, vomiting, hyperalgesia, urine retention, postoperative ileus, and drowsiness. Perioperative opioids are a major contributor to the United States' and other countries' opioid epidemics. Non-opioid analgesics, particularly lidocaine, are becoming more common for perioperative use as a result of this. A total of 185 adult patients were randomly assigned to one of two groups: control group I (105 patients) [fentanyl group] or group ii (80 patients) [opioid-free anaesthesia group]. Lidocaine 1.5 mg/kg bolus followed by 1.5 mg/kg/h infusion intraoperatively, and 1.5-2 mg/kg/h infusion for 2-8 hours postoperatively were given to patients in both groups at anaesthetic induction. Intraoperatively, both groups received analgesic adjuvants such as diclofenac 75 mg, paracetamol 1 gm, and mgso4 30-50 mg/kg. If the mean arterial pressure (map)

Scientific values of ECA Ligation | Chapter 06 | New Horizons in Medicine and Medical Research Vol. 8

  Previously, carotid artery ligation was done as an emergency procedure to stop severe haemorrhages in the head and neck. Despite this, it was abandoned because to high patient mortality and morbidity. However, ECA ligation, a more selective branch of the carotid artery, has been popular for the same goal in recent decades due to the lack of or modest postsurgical problems compared to Transarterial embolization (TAE). However, a good surge seal pack, especially in the maxilla, is occasionally required to regulate both collateral circulation and backflow of blood from the internal carotid arteries distal to the carotid arteries (ICA). ECA ligation, on the other hand, might be a superior alternative for controlling life-threatening uncontrolled bleeding in this area. Author(S) Details Jachmen Sultana Department of Oral and Maxillofacial Surgery, Dhaka Dental College and Hospital, Bangladesh. Abul Bashar Department of Paediatrics, Comilla Medical College and Hospital, Bangladesh.