Pyrrho Monique, do Prado Mauro Machado, Cordón Jorge, Garrafa Volnei
Cátedra Unesco de Bioética, Universidade de Brasília, Brasília, DF 70904-970.
Cien Saude Colet. 2009 Sep-Oct;14(5):1911-8. doi: 10.1590/s1413-81232009000500033.
The Brazilian Dentistry Code of Ethics (DCE), Resolution CFO-71 from May 2006, is an instrument created to guide dentists' behavior in relation to the ethical aspects of professional practice. The purpose of the study is to analyze the above mentioned code comparing the deontological and bioethical focuses. In order to do so, an interpretative analysis of the code and of twelve selected texts was made. Six of the texts were about bioethics and six on deontology, and the analysis was made through the methodological classification of the context units, textual paragraphs and items from the code in the following categories: the referentials of bioethical principlism--autonomy, beneficence, nonmaleficence and justice -, technical aspects and moral virtues related to the profession. Together the four principles represented 22.9%, 39.8% and 54.2% of the content of the DCE, of the deontological texts and of the bioethical texts respectively. In the DCE, 42% of the items referred to virtues, 40.2% were associated to technical aspects and just 22.9% referred to principles. The virtues related to the professionals and the technical aspects together amounted to 70.1% of the code. Instead of focusing on the patient as the subject of the process of oral health care, the DCE focuses on the professional, and it is predominantly turned to legalistic and corporate aspects.
《巴西牙科伦理准则》（DCE），2006年5月的CFO - 71号决议，是一项旨在指导牙医在专业实践伦理方面行为的工具。本研究的目的是分析上述准则，比较其道义论和生物伦理学重点。为此，对该准则和十二篇选定文本进行了解释性分析。其中六篇文本涉及生物伦理学，六篇涉及道义论，分析通过对准则中的上下文单元、文本段落和条款按照以下类别进行方法分类来进行：生物伦理原则主义的参照标准——自主性、 beneficence（善行）、 nonmaleficence（不伤害）和正义——、与该职业相关的技术方面和道德品质。这四项原则分别占DCE、道义论文本和生物伦理文本内容的22.9%、39.8%和54.2%。在DCE中，42%的条款涉及道德品质，40.2%与技术方面相关，仅有22.9%涉及原则。与专业人员相关的道德品质和技术方面加起来占准则的70.1%。DCE不是将重点放在作为口腔保健过程主体的患者身上，而是放在专业人员身上，并且主要转向法律和行业方面。
