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Dental · Autonomy and consent · Intermediate1
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A patient insists on a cosmetic procedure you believe is unnecessary and could damage healthy teeth. They've already paid in full. What do you do?
Autonomy and consent · Integrity · Communication
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Sample answer outline
- Understand their goal: what do they want to change about their smile, and why now?
- Explain the risks honestly: removing healthy tooth structure is irreversible.
- Offer conservative alternatives that meet the goal, such as whitening, bonding or orthodontics.
- If you still believe it causes harm, decline and refund. Payment doesn't change your duty.
- Document the discussion.
What makes it work
- It separates the patient's goal from the procedure they asked for.
- Being clear about the payment shows integrity.
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