<p><strong>Report Format:</strong></p><p>1. Identify any issues raised in the scenario that are of concern from an ethical perspective. Relate these to the underpinning principles of ethics.</p><p>2. Identify and explain any issues raised in this scenario of a concern from a medicolegal basis.</p><p>3. Reflect on the case, what should you do now? and is there anything you would do differently if you started over?</p><p>The report should be 1000-1500 words, typed and double spaced with 2.5cm margins and include the following</p><p>1.&nbsp;&nbsp;&nbsp;&nbsp; Title page, table of contents, introduction, conclusion, page numbering, in-text referencing and a reference page. The report is to be submitted through Turnitin</p><p>&nbsp;</p><p>&nbsp;</p><p><strong>Clinical scenario:</strong> You commence working as a newly graduated Oral Health Therapist in a practice with an established dental hygiene program. Your role is to work within the existing hygiene program, increase the number of paediatric patients and promote a range of ‘optional’ treatments. The practice has recently introduced monthly ‘make-overs’ which include inoffice whitening, Botox performed by the practice dentist and beauty treatments provided by the dental assistant. Staff are encouraged to promote ‘optional’ treatments and offered financial incentives for bookings made. Your first patient, Eunice is 92-years-old and experiences early signs of dementia. She has been dropped off by her daughter for a 30-minute scale and clean and fluoride application appointment. The clinical records reveal a recent examination and treatment plan prepared by one of the practice dentists however there don’t appear to be radiographs or reference to her periodontal health. You also notice the medical history has not been updated for several years. When questioning Eunice about her health, she indicates she has recently had a heart attack and takes lots of pills but can’t remember what they are. She also asks you not to put the gel on her teeth as it makes her feel sick. Eunice asks you about her front teeth because they are looking a bit ‘long and wobbly’ and hurt when she eats ice cream. As a result of your reservations, you advise the patient you won’t do any treatment today and re-book once you have further information regarding her medications and heart attack. Shortly after, the practice manager confronts you and reports Eunice’s daughter felt the appointment a waste of time as she expected her mother to have finished her treatment. The manager advises your figures are under the monthly financial target and you should have completed the cleaning and fluoride. She was disappointed the patient was not offered the ‘whitening special’ advertised on the practice website. She suggests charging for a fluoride at the health fund rebate so the practice is not out of pocket for the time spent with Eunice.</p><p>&nbsp;</p><p>You are now running late for your second patient, sixteen-year-old Gigi who has been scheduled for fissure sealants and topical fluoride application. Gigi was examined over twelve months ago however due to modelling commitments has been unable to find time to attend follow-up appointments. The treatment plan indicates fissure sealants for all molars and premolars. A note from the examining dentist asks you to clean out the grooves with a bur and charge the sealants at the practice rate using the ADA code of 531 for each sealant. On examining Gigi you notice she is of a slight, thin build. Dentally she has composites on the mesial surfaces of the 11 and 21 to reduce a diastema and no other signs or record of caries experience. The lingual surfaces of her upper teeth appear smooth and saucer like and Gigi is concerned about her overall appearance. Gigi enquires about the monthly makeover special and has a voucher taken from a supermarket shopping docket offering a 10% discount. You advise her teeth are already a light shade but the composite restorations have been poorly done and should be replaced. Gigi says she has never liked the appearance of her teeth since the fillings were done two years ago and was advised she may need veneers or crowns for a better result. She asks about teeth whitening and Botox therapy and feels fuller lips might mask her ‘ugly’ teeth. Mindful that you are already running late, you proceed to perform the tooth whitening and book an appointment for Botox therapy and fissure sealants. The next week Gigi’s father returns with a number of complaints. Gigi’s teeth have become sensitive and they are unhappy with the result of the whitening. He feels angry you have proceeded with whitening and blames the ex-wife for spending all his money on ‘useless’ treatment. He demands you cover the treatment costs or he will ruin the practice on social media. The practice manager requests you charge the treatment at rebate and to add some extra numbers to placate the father. She mentions the shortfall between the practice fees and rebate received will be deducted out of your monthly retainer</p><p>&nbsp;</p><p><strong>Few useful references</strong></p><p>Overtreatment as an ethical dilemma in Australian private dentistry: A qualitative exploration</p><p><a href=\"https://www.ahpra.gov.au/Resources/Code-of-conduct/Shared-Code-of-conduct.aspx\">Australian Health Practitioner Regulation Agency - Shared Code of conduct (ahpra.gov.au)</a></p><p>&nbsp;</p><p><a href=\"https://www.proquest.com/docview/1449306304/fulltextPDF/62CF4DDA5E4241DEPQ/1?accountid=10382\">Perceptions of professionalism in dentistry - a qualitative study - ProQuest</a></p><p>Professionalism in dentistry: deconstructing common terminology</p><p>&nbsp;</p><p><a href=\"https://www.researchgate.net/publication/315692341_Ethical_and_Legal_Issues_in_Dental_Practice\">(PDF) Ethical and Legal Issues in Dental Practice (researchgate.net)</a></p><p>&nbsp;</p><p>Professional responsibility in dentistry : a practical guide to law and ethics</p><p>&nbsp;</p><p>Ethics in the Dental Office: Autonomy, beneficence, non-maleficence, and justice should guide your decisions</p><p>Patient Confidentiality and Ethical Behaviour as a Professional Commitment in Dentistry: A Case Study in a Genetic Disorder</p><p>Dementia friendly dentistry for the periodontal patient. Part 2: ethical treatment planning and management</p><p>&nbsp;</p><p>Analysis of moral reasoning in dentistry students through case?based learning (CBL</p><p>Informed Consent from a Historical, Societal, Ethical, Legal,and Practical Perspective</p><p>Consent in dentistry: ethical and deontological issues</p><p>&nbsp;</p><p>Ethical Decision Making in Dentistry</p><p>Ethical Oral Health Care and Infection Control</p><p>An Insight Into Research Ethics among Dental Professionals in A Dental Institute, India- A Pilot Study</p><p>&nbsp;</p><p>Dental ethics at chairside: professional principles and practical applications&nbsp;</p><p><a href=\"https://www.ada.org.au/About/Code-of-Ethics/ADA_By-LawsII_Code-of-Ethics_01022018.aspx\">ADA_By-LawsII_Code-of-Ethics_01022018.aspx</a></p><p><a href=\"https://www.dentalboard.gov.au/Codes-Guidelines/Policies-Codes-Guidelines/Code-of-conduct.aspx\">Dental Board of Australia - Code of conduct</a></p><p><a href=\"https://www.ada.org/-/media/project/ada-organization/ada/ada-org/files/about/ada_code_of_ethics.pdf?rev=86aeaa6fb0d0467f8a380a3de35e8301&amp;hash=89BAA88FB9305B8F134414E337CAE55A\">ADA Principles of Ethics and Code of Conduct</a></p>