The ethical debate between what patients want, need and can afford, and what treatment clinicians think they should receive
Keywords:
Endodontic, logistical, irreversibleAbstract
Endodontic emergencies are common procedures in dental practice, and need to be addressed as soon as possible. The initial treatment is usually extirpation of the pulp –also known as emergency root canal treatment (ERCT), –followed by complete cleaning, shaping and obturation ofthe root canal system. Root canal therapy (RCT) needs to be completed with a definitive restoration to increase long term prognosis of the tooth. Both of these carry additional costs. Patients treated in government facilities often have limited access to follow-up care due to long waiting lists, financial constraints or logistical challenges.
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References
Abbott PV. Present status and future directions: managing endodontic emergencies. Int Endodontic J. 2022;55(suppl.3):778-803
Farmakis ET, Palamidakis FD, Skondra FG, Nikoloudaki G, Pantazis N. (2016) Emergency care provided in a Greek dental school and analysis of the patients’ demographic characteristics: a prospective study. International Dental Journal, 66, 280-286
Carrotte P. (2004) Endodontics: part 3. Treatment of endodontic emergencies. British Dental Journal, 197, 299-305
Azim A, Azim K, Abbott PV. (2017) Prevalence of inter-appointment endodontic flare ups and host-related factors. Clinical Oral Investigations, 21, 889-894
Sykes LM, Van Zyl AM, Harris A. Refusing to treat. Is it legal? Is it justifiable? Is it ethical? SADJ April 2023, Vol 79 No 4:217-219
Sykes LM, Evans WG, Cooke HA, Dullabh HD, Herbst D. Informed Consent. Part 16: It’s more than a matter of “Been there, done that, got the signature”. SADJ 2017
Beauchamp T, Childress AF. (2001) Principles of Biomedical Ethics. Ed.Oxford University Press, New York
Sykes LM, Kok J, Nethononda PT. Does providing “Compromised treatment” equate to “Compromised care” or could it be considered “Appropriatech”? SADJ July 2023; 78; 5; 321-322
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