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9780878407590

Dental Ethics at Chairside : Professional Principles and Practical Applications

by ;
  • ISBN13:

    9780878407590

  • ISBN10:

    0878407596

  • Edition: Reprint
  • Format: Paperback
  • Copyright: 1999-07-01
  • Publisher: Georgetown Univ Pr
  • Purchase Benefits
List Price: $39.95

Summary

Ozar and Sokol present a practical guide to contemporary ethical questions for the dental community at large. Starting with the dentist's fundamental professional obligations and central values, this book examines the assumptions behind current published codes and opinions. Topics and case studies include ethical advertising, competition and communication between dentists, the dentist's obligation vs. personal risk, economic issues, conflicts of interest between patient and dentist, patients with impaired capacities, HIV/AIDS, and aesthetic values.

Originally published by Mosby in 1994.

Author Biography

David T. Ozar, Ph.D., F.A.C.D., is director, Center for Ethics and Social Justice, and professor, Department of Philosophy, Loyola University of Chicago. He is an honorary Fellow of the American College of Dentists. David J. Sokol, D.D.S., J.D., F.A.G.D., is a dentist with many years of private practice experience, and is also in the practice of dental and medical health and malpractice law in Highland Mills, N.Y.

Table of Contents

PART ONE THE DENTAL PROFESSION AND PROFESSIONAL ETHICS
Introduction
1(7)
Ethical Issues in Dental Practice
1(1)
Ethical Questions and Legal Questions
2(1)
Choosing to be Ethical
3(1)
Published Codes of Conduct and Ethics Committees
3(1)
Habits
4(1)
The Terms Moral and Ethical
5(1)
Do Ethical Questions Have Answers?
5(1)
Sources of Ethical Views and Convictions
6(1)
Who Writes a Book on Dental Ethics?
6(2)
Profession and Professional Obligation
8(15)
Dentistry as a Profession
11(1)
Dentistry: The Commercial Picture
12(2)
Dentistry: The Normative Picture
14(3)
The Content of Professional Obligations
17(2)
The Introductory Cases
19(1)
Thinking About the Case
20(3)
The Questions of Professional Ethics
23(13)
Why This Kind of Case?
26(1)
Obligation
27(1)
Commentary on the Case
28(3)
Eight Categories of Professional Obligation
31(5)
The Relationship Between Patient and Professional
36(19)
The Dentist-Patient Relationship
37(1)
Four Models of the Dentist-Patient Relationship
38(7)
Autonomy and the Question of Justifiable Paternalism
45(4)
Truth-Telling and Informed Consent
49(2)
Thinking About the Case
51(4)
The Central Values of Dental Practices
55(20)
Studying a Profession's Central Values
56(3)
The Central Values of Dental Practice
59(5)
Ranking Dentistry's Central Values
64(5)
Thinking About the Case
69(6)
Ethical Decision-Making and Conflicting Obligations
75(26)
Difficult Professional-Ethical Judgments
78(1)
A Model of Professional-Ethical Decision-Making
78(2)
Sacrifice and the Relative Priority of Patients' Well-Being
80(5)
Conflicting Professional Obligations
85(1)
Conflicts Between Professional and Other Obligations
86(1)
Conscientious Disobedience of Professional Obligations
87(1)
Habits, Moral Reasoning, and Conscience
88(3)
Thinking About the Case
91(10)
PART TWO ETHICAL ISSUES IN DENTAL PRACTICE
Patients with Compromised Capacity
101(20)
Treatment Decisions for Patients with Compromised Capacity
102(2)
The Role of Parents and Legal Guardians
104(2)
The Capacity for Autonomous Decision-Making
106(6)
Dealing with Patients with Partially Compromised Capacity
112(6)
Thinking About the Case
118(3)
Education and Cooperation
121(13)
Supporting Patient Education and Cooperation
124(2)
The Ideal Relationship, Respecting Autonomy, and Education
126(1)
Integrity and Education
127(1)
How Much Sacrifice is Required?
128(1)
Firing the Extremely Noncooperative Patient
129(2)
Thinking About the Case
131(3)
Bad Outcomes and Bad Work
134(31)
Applying Professional Norms to Bad Outcomes
135(2)
When the Patient is Another Dentist's Patient
137(3)
Three Situations
140(2)
If the Patient Asks in the Third Situation
142(8)
The First and Second Situations Revisited
150(2)
When the Patient Doesn't Ask
152(1)
Calling the Other Dentist
153(1)
When My Patient Has Another Dentist's Bad Outcome
153(3)
When the Bad Outcome or Bad Work is My Own
156(5)
Thinking About the Case
161(4)
Working Together
165(23)
Collaboration vs. the Myth of the Lone Ranger
168(2)
Collaboration Between Generalists and Specialists
170(2)
Working Together Through Conflict
172(4)
Impaired Dentists
176(1)
Other Collaborators and Other Challenges
177(5)
Thinking About the Case
182(6)
HIV and AIDS in Patients
188(17)
The Ethical Challenges of HIV and AIDS
189(1)
The Obligation to Accept Risk and its Limits
190(4)
Caution Beyond the Universal Precautions
194(2)
A Distinctive Pattern of Thinking
196(2)
The Obligation of Confidentiality
198(4)
Thinking About the Case
202(3)
The HIV-Positive Care Giver
205(14)
The HIV-Positive Dentist and the Risk to Patients
206(4)
Should Patients be Informed of the Dentist's HIV Status?
210(3)
Testing Dentists for HIV
213(1)
The Community's Responsibility to Seropositive Practitioners
213(1)
A Dentist's Staff and Seroconversion
214(2)
Thinking About the Case
216(3)
Social Justice and Access to Dental Care
219(15)
Social Justice
220(1)
Basic Needs and the Just Distribution of Dental Care
221(2)
Contribution and Effort as Possible Criteria
223(3)
The Free Market View of Justice
226(2)
Basic Dental Care
228(2)
Thinking About the Case
230(4)
Dentistry as a Business
234(21)
New Challenges for Dentistry
236(2)
Ethical Advertising
238(6)
The Competitive Spirit and Professional Integrity
244(2)
Different Models and Philosophies of Dental Practice
246(2)
Thinking About the Case
248(7)
The Dental Profession and the Community
255(2)
The Obligations of the Profession as a Whole
257(3)
Chief Client, Central Values, and Competence
260(3)
More on Competence
263(1)
More on the Central Values
264(1)
Relationship to Co-Professionals
265(1)
Integrity and Education, and the Priority of the Patient
265(1)
Thinking About the Case
266(2)
Relationship to the Patient and to the Larger Community
268(2)
Conclusion
270
Appendix Bibliographic Essay

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