Читать книгу Principles of Dentoalveolar Extractions - Seth Delpachitra - Страница 19

In order to carry out any medical or dental procedure, consent must be obtained from either the patient or their legal guardian. A valid consent may only be given when the patient possesses decision‐making capacity; that is, when they have the ability to weigh up the pros and cons of treatment and come to a sound decision to either undergo or forgo a proposed procedure. This consent must be given voluntarily, without duress or coercion. The decision must be informed, which is to say that the patient must understand the procedure, the expected outcomes, the risks involved, the anticipated recovery time, and the costs of treatment.

For any planned surgical procedure, consent should be both written and verbal, and patients should be provided by the surgeon with a formal document detailing the procedure and its indications, risks, and expected outcomes (Figure 1.5). When seeking consent from a patient, the surgeon must always provide them sufficient time to ask questions. The patient may request more detailed information about particular risks or outcomes of surgery, and these should be elaborated on and explained in detail.

Figure 1.5 Example consent form for dentoalveolar surgery.

In addition, the consent should be specific for the particular patient and their individual circumstances. Alternatives to dentoalveolar extraction should be explained, and the reasons for and against their adoption detailed. In cases where extractions will render the patient without functional teeth, future treatment options for replacement should be discussed; this should include an approximate timeline, who will provide the treatment, and a rough cost estimate.