Ethics & Law · single question

A patient seeks a second opinion because their dentist diagnosed 6 cavities. What is the most appropriate response?

  1. Refuse to treat — refer back to original dentist
  2. Inform the patient that different diagnostic criteria exist and treat accordingly
  3. Tell the patient the other dentist was wrong
  4. Dismiss the patient's concerns
Show answer and explanation

Correct answer: B. Inform the patient that different diagnostic criteria exist and treat accordingly

B) Inform the patient that different criteria exist, then treat — CORRECT.
Caries diagnosis involves clinical judgment, and thresholds for treatment vary among practitioners (watchful waiting vs. surgical intervention). The appropriate response is to: (1) conduct an independent examination, (2) explain that diagnostic criteria can differ, (3) communicate your findings honestly, and (4) present a treatment plan based on YOUR clinical assessment without disparaging the other dentist.
A) Refusing to treat violates the patient's autonomy and right to care.
C) Criticizing the other dentist is unethical and unprofessional.
D) Dismissing concerns is a violation of patient-centered care principles.

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