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恒牙再植的法医学问题

Medicolegal aspects of replanting permanent teeth.

作者信息

Kenny David J, Casas Michael J

机构信息

Department of Dentistry, The Hospital for Sick Children, Toronto, Ontario.

出版信息

J Can Dent Assoc. 2005 Apr;71(4):245-8.

Abstract

Replantation of a permanent tooth is an intervention that carries the same responsibilities in terms of informed consent as a surgical procedure. Unlike many procedures that can be planned in advance, an avulsion requires decision-making shortly after the injury, often by a distraught patient or parent. Under these circumstances, patients or parents prefer, or may even pressure, clinicians to make the replantation decision for them.Later, the parents may seek advice of other professionals or be confronted by lay opinions or Internet information that may lead them to doubt the decision or even feel betrayed by the dentist who provided the acute care. This article uses an actual parent complaint to illustrate the medicolegal aspects of the replantation decision and describe measures to be taken by the clinician faced with this situation.

摘要

恒牙再植是一种干预措施,在知情同意方面与外科手术承担相同的责任。与许多可以提前计划的手术不同,牙齿脱落后需要在受伤后不久就做出决定,通常是由心烦意乱的患者或家长来决定。在这种情况下,患者或家长更倾向于,甚至可能会施压让临床医生为他们做出再植的决定。之后,家长可能会寻求其他专业人士的建议,或者面对外行的意见或网络信息,这些可能会导致他们怀疑这个决定,甚至觉得被提供紧急护理的牙医背叛了。本文通过一个实际的家长投诉案例来说明再植决策的法医学问题,并描述面对这种情况临床医生应采取的措施。

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