Consultant and Honorary Lecturer in Oral Surgery, Liverpool University Dental Hospital, Pembroke Place, Liverpool, L3 5PS, UK.
Br Dent J. 2022 Dec;233(11):917-921. doi: 10.1038/s41415-022-5263-x. Epub 2022 Dec 9.
Lower third molar removal is a common surgical procedure that, like all surgery, carries with it inherent risks. One primary risk of significance is inferior dental nerve injury, which can have a significant impact on patients' lives. Conventional consenting usually involves the generic discussion of risks of inferior dental nerve injury but without any substantive personalised risk assessment. Following the Montgomery judgement, these warnings have to be considered both inadequate and potentially misleading, as they are based on population research that is inherently flawed; pre-surgical risk assessments should be focused on the individual. This paper will consider the inadequacy of current consenting protocols and will suggest how we might offer clearer guidance to our patients when seeking valid consent for third molar surgery.
下颌第三磨牙拔除是一种常见的手术，与所有手术一样，它存在固有风险。一个主要的显著风险是下齿槽神经损伤，这会对患者的生活产生重大影响。传统的同意书通常包括对下齿槽神经损伤风险的一般性讨论，但没有任何实质性的个性化风险评估。在蒙哥马利判决之后，这些警告被认为既不充分也可能具有误导性，因为它们基于存在固有缺陷的人群研究；术前风险评估应该针对个体。本文将讨论当前同意书协议的不足，并提出在为第三磨牙手术寻求有效同意时如何向患者提供更明确指导的建议。
