Editor in chief European Journal of Paediatric Dentistry.
Eur J Paediatr Dent. 2024 Mar 1;25(1):3. doi: 10.23804/ejpd.2024.25.01.01.
Dentists, especially paediatric dentists, should inform their young patients of the treatment to be undertaken in an appropriate and comprehensive manner. In 1989, the UN Convention on the Rights of the Child (United Nations Convention on the Rights of the Child - UNCRC - https://www.unicef. org/child-rights-convention/convention-text) was adopted, comprising of 54 articles concerning every aspect of a child's life, notably health, including oral health. More than 30 years after the Declaration of the Rights of the Child, both health professionals and parents still struggle to grasp this subject, resulting in its scarce application in daily practice. Children's rights have also been mentioned several times in medical and dental literature, reminding health professionals that the approach to young patients must be age-appropriate. The clinician must learn to consider children as the main protagonists in the choices concerning their health, and they must be aware of their rights from an early age. Particularly in the field of dentistry, it is a matter of guaranteeing the best dental care for every child with particular attention to the indigent or disabled (Article 23). In addition to this, the most effective and up-to-date treatment must be proposed, avoiding unnecessary extractions and favouring conservative therapy that can guarantee a better quality of life in the future, while reducing treatment under general anaesthesia. In current practice, consent to treatment is often demanded from the parents, without involving the child. However, every child has the right to freely express their opinion and be actively involved in any matter that concerns them. This opinion is expressed in different ways according to age and stage of maturity. Pictures, drawings, cartoons and videos can help the healthcare provider when explaining procedures to the young patient, thus allowing them to obtain consent and cooperation. In individual countries, it would be advisable to have guidelines that facilitate the child's active consent to health treatments. So, what happens in your country?
牙医,尤其是儿童牙医,应以适当且全面的方式告知年轻患者将要进行的治疗。1989 年,联合国通过了《儿童权利公约》(联合国儿童权利公约-UNCRC-https://www.unicef.org/child-rights-convention/convention-text),其中包含 54 条关于儿童生活各个方面的条款,尤其是口腔健康。在《儿童权利宣言》通过 30 多年后,卫生专业人员和家长仍然难以理解这一主题,导致其在日常实践中应用甚少。儿童权利也在医学和牙科文献中多次提及,提醒卫生专业人员,必须根据年龄适当对待年轻患者。临床医生必须学会将儿童视为其健康相关选择的主要参与者,并从早期就了解他们的权利。特别是在牙科领域,必须保障每一位儿童都能得到最佳的牙科护理,特别关注贫困或残疾儿童(第 23 条)。除此之外,还必须提出最有效和最新的治疗方案,避免不必要的拔牙,并提倡能够保证未来生活质量更好、同时减少全身麻醉下治疗的保守疗法。在当前的实践中,往往要求父母同意治疗,但不征求孩子的意见。然而,每个孩子都有权自由表达意见并积极参与任何与他们有关的事情。根据年龄和成熟阶段的不同,这种意见以不同的方式表达。图片、绘画、漫画和视频可以帮助医疗保健提供者向年轻患者解释程序,从而使他们能够获得同意和合作。在个别国家,最好制定方便儿童对健康治疗做出积极同意的指南。那么,在你的国家,情况如何呢?