A new patient presents with unsatisfactory crowns and restorations done by a previous dentist. What is the MOST appropriate response from the new dentist?

Correct answer: D. Objectively inform the patient which restorations need replacement and explain why, without disparaging the previous dentist

• A. Declining to treat is only appropriate in specific circumstances (e.g., beyond scope of practice). Finding substandard restorations is not a reason to refuse care.
• B. Referring the patient back to the previous dentist without explanation does not serve the patient's best interest and may delay necessary care.
• C. Telling the patient the previous dentist 'did a bad job' is disparaging and unprofessional. It violates the ADA Code of Ethics principle of professionalism and could constitute defamation.
• D. CORRECT. The new dentist should objectively document findings, inform the patient of what treatment is needed and why, and present all treatment options — WITHOUT making disparaging remarks about the previous dentist. This is both ethically required (professional courtesy, ADA Code of Ethics) and legally prudent. Only what can be clinically verified should be communicated.