Ethics & Law · single question

A patient insists on a new crown despite an active periapical lesion. Ethical management is:

  1. Fabricate the crown as requested
  2. Refuse placing crown until periapical disease is treated
  3. Recommend extraction and implant as best option
  4. Dismiss the patient from your practice
Show answer and explanation

Correct answer: B. Refuse placing crown until periapical disease is treated

Placing a crown over active periapical pathology violates nonmaleficence u2014 'do no harm.' While patients have autonomy, we cannot perform treatment we know to be harmful. The periapical disease must be treated with RCT or periapical microsurgery first, then the crown can proceed.

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