Consent to orthodontic treatment

Atkins, Judy M.

doi:10.1038/bdj.2007.471

Cited by 4 publications

(2 citation statements)

References 1 publication

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“…The observed variations in risk communication strategies based on academic degrees underscore the necessity for tailored approaches that consider individual characteristics and diverse professional backgrounds. This notion is further supported in other studies [60,61] emphasizing the importance of understanding how educational background influences risk communication practices in orthodontics.…”

Section: Discussionsupporting

confidence: 72%

“…This emphasis aligns with the findings of studies such as Cohen and Yen (2014) [57] and Hancox et al (2014) [58], which have discussed the significance of informed consent in orthodontic treatment and the variations in emphasis on these specific risks. Conversely, Slovak orthodontists displayed a focus on sleeping disorders; tooth resorption; temporary occlusion changes; not achieving an ideal result and a preference for written or digital consent practices, reflecting a divergence in communication strategies that corresponds with insights from studies such as Kumar et al (2016) [59] and Baskin et al (2000) [60]. The contextual variations highlighted by these disparities underscore the influence of regional factors and professional practices on the nuanced landscape of risk communication in orthodontics, as further expounded in studies like Clementini et al (2018) [61].…”

Section: Discussionmentioning

confidence: 99%

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A Professional Consensus on Orthodontic Risks: Communication Approach, Quality Assurance, and Educational Strategies

Karkazi,

Antoniadou,

Demeterová

et al. 2023

Preprint

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This study explores the complexities of risk communication practices in orthodontics, specifically examining the perspectives of orthodontists in Greece and Slovakia. Informed by the foundational importance of effective communication in health sciences, particularly in facilitating valid consent and shared decision-making, this research addresses gaps identified in the literature concerning the consistent communication of potential treatment risks based on demographic and cultural characteristics. The study identifies 15 potential critical risks with orthodontic treatment. These risks include root necrosis; temporary undesired changes to the occlusion; sleep difficulties; not achieving an ideal result; development of black triangles between teeth; taking additional X-rays; speech difficulties; using a protective splint during sports; duration of treatment; number of visits; transmission of infectious diseases; and swallowing orthodontic appliances. The questionnaire, distributed electronically to orthodontists in Greece (n=570) and Slovakia (n=210) from Sept. 2022 to Dec. 2022, aimed to assess risk communication practices, with consideration to country, gender, and degree-related variations. 168 valid questionnaires (91 from Slovakia and 77 from Greece) were obtained indicating significant disparities in the risks emphasized and preferred forms of consent. The Greek orthodontists focused more on the risks involved such as on relapse, root resorption, temporal occlusal changes, and failure of desired movement, while the Slovak practitioners tend to be interested more about sleeping difficulties, temporal occlusal changes and not achieving an ideal result. They also tend to obtain written or digital consent from patients or their parents/guardians more frequently than the Greek team. Male orthodontists discussed specific risks more frequently, including relapse and extractions, whereas females preferred written or digital consent. PhD-trained orthodontists prioritized certain risks, indicating the need for tailored approaches. This study underscores the dynamic nature of risk assessment in orthodontic practice, emphasizing its ethical and strategic dimensions. The findings advocate for tailored risk communication strategies, that recognize individual, contextual, and cultural factors and the need of an orthodontic informed consent protocol for tailored communication approach for patients to elevate the standard of care in European orthodontics. The reliance on digital tools reflects contemporary trends in enhancing patient understanding, thereby supporting ongoing innovation in orthodontic practices.

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Section: Discussionsupporting

confidence: 72%

Section: Discussionmentioning

confidence: 99%

A Professional Consensus on Orthodontic Risks: Communication Approach, Quality Assurance, and Educational Strategies

Karkazi,

Antoniadou,

Demeterová

et al. 2023

Preprint

View full text Add to dashboard Cite

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An audit of the level of knowledge and understanding of informed consent amongst consultant orthodontists in England, Wales and Northern Ireland

Chate

2008

Br Dent J

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Éducation thérapeutique de l’enfant et de l’adolescent : réflexions éthiques en orthopédie dento-faciale

Mano¹,

Begué-Simon²,

Hamel³

et al. 2010

Orthod Fr

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Les variations de l’observance, et plus encore, les situations d’abandon de traitement interpellent. D’un point de vue médical et économique, elles affectent l’efficience même des thérapeutiques. Ces situations d’échecs, thérapeutiques et relationnels, nous invitent à une réflexion sur la place et la mission des acteurs du soin, son sens et sa finalité. L’adhésion des patients est la clé de voûte du succès de nos thérapeutiques. Comment alors modifier les comportements de santé, en particulier chez l’adolescent ? Comment s’approprier et faire sienne la stratégie thérapeutique ? L’éducation thérapeutique du patient, récemment reconnue par le législateur et désormais inscrite au sein du code de la santé publique dans le champ des maladies chroniques, apporte de nouveaux éléments de réponse. L’objectif de ce travail est de questionner le concept d’éducation thérapeutique au regard de l’éthique médicale. En quoi ce concept interroge nos pratiques face aux défis de l’adhésion aux soins ? Quels sont les changements de perspectives et de postures soignantes induites par l’éducation thérapeutique ?

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Consent to orthodontic treatment

Cited by 4 publications

References 1 publication

A Professional Consensus on Orthodontic Risks: Communication Approach, Quality Assurance, and Educational Strategies

A Professional Consensus on Orthodontic Risks: Communication Approach, Quality Assurance, and Educational Strategies

An audit of the level of knowledge and understanding of informed consent amongst consultant orthodontists in England, Wales and Northern Ireland

Éducation thérapeutique de l’enfant et de l’adolescent : réflexions éthiques en orthopédie dento-faciale

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