Ethics & Law · single question

A 14-year-old patient's parents insist the dentist place veneers on their daughter's intact, healthy teeth because she has started modeling. What is the MOST appropriate response?

  1. Refuse the treatment entirely and dismiss the patient
  2. Refer to a specialist without explanation
  3. Place the veneers as parents are the legal decision-makers
  4. Explain the risks and irreversibility of veneers; if parents insist, follow legal guardian decision
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Correct answer: D. Explain the risks and irreversibility of veneers; if parents insist, follow legal guardian decision

This is an ethical dilemma involving patient best interest vs. parental authority. The appropriate response is to thoroughly explain the risks (irreversibility, risk of pulp damage, lifetime commitment to replacement) and the fact that healthy intact teeth do not need intervention. The dentist should advocate for the minor's best interest. However, if parents (legal guardians) insist after full informed consent, the dentist may legally proceed — though maintaining ethical documentation is essential. A dentist who proceeds should not do so without ensuring parents understand the permanent nature.
  • A. ❌ Dismissing the patient without discussion is not the appropriate first response.
  • B. ❌ Referral without explanation does not address the ethical issue.
  • C. ❌ Proceeding without explaining risks violates the principle of informed consent.
  • D. ✅ CORRECT – Explain the risks and irreversibility; advocate for the patient; if parents insist after full informed consent, the legal guardian's decision must be respected.

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