Ethics & Law · single question

A hearing-impaired patient comes accompanied by their 10-year-old son. The son translates that the father has severe tooth pain. The interpreter did not arrive. Which is the most appropriate emergency treatment?

  1. Use the son as interpreter and have him sign the consent form
  2. Defer the appointment until interpreter will be available
  3. Perform only emergency treatment on the patient
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Correct answer: C. Perform only emergency treatment on the patient

In a dental EMERGENCY, treatment can be performed to relieve pain and prevent harm without formal interpreter-mediated consent. This is an exception to the standard informed consent process — emergency care to relieve severe pain is ethically justified when the patient cannot provide full informed consent but is clearly in pain. A minor child (10-year-old son) should NOT be used as an interpreter for medical/dental consent (ethical standards and professional guidelines advise against using minors or family members as medical interpreters). Deferring emergency treatment causes unnecessary suffering.
  • A. INCORRECT. Using a 10-year-old child as a medical interpreter for their parent is ethically inappropriate and violates professional standards. A minor cannot sign a consent form on behalf of an adult.
  • B. INCORRECT. Deferring emergency treatment leaves the patient in severe pain and is ethically unjustifiable when emergency relief can be safely provided.
  • C. CORRECT. For EMERGENCY TREATMENT only (pain relief, temporary measures), treatment can be performed even without full interpreter-mediated consent when the patient has an acute painful condition. This is ethically justified to prevent suffering. Non-emergency procedures should wait for proper interpretation.

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