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| Preface to Second Edition | |
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| Preface | |
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| The Dental Profession and Professional Ethics | |
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| Introduction | |
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| Ethical Issues in Dental Practice | |
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| Ethical Questions and Legal Questions | |
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| Choosing to Be Ethical | |
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| Published Codes of Conduct and Ethics Committees | |
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| Habits | |
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| The Terms Moral and Ethical, Obligation and Principle | |
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| Do Ethical Questions Have Answers? | |
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| Sources of Ethical Views and Convictions | |
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| Who Writes a Book on-Dental Ethics? | |
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| Profession and Professional Obligation | |
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| Case: Grind it Out! | |
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| Dentistry as a Profession | |
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| Dentistry: The Commercial Picture | |
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| Dentistry: The Normative Picture | |
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| The Content of Professional Obligations | |
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| The Introductory Cases | |
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| Thinking about the Case | |
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| The Questions of Professional Ethics | |
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| Case: When Everything Works Right | |
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| Why This Kind of Case? | |
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| Obligation | |
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| Commentary on the Case | |
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| Nine Categories of Professional Obligation | |
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| The Chief Client | |
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| The Ideal Relationship between Dentist and Patient | |
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| The Central Values of the Dental Profession | |
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| Competence | |
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| Sacrifice and the Relative Priority of the Patient's Well-Being | |
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| Ideal Relationships between Coprofessionals | |
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| The Relationship between Dentistry and the Larger Community | |
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| Availability of Services | |
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| Integrity and Education | |
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| The Relationship between Patient and Professional | |
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| Case: The Dreaded Root Canal | |
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| The Dentist--Patient Relationship | |
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| Four Models of the Dentist--Patient Relationship | |
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| The Guild Model | |
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| The Agent Model | |
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| The Commercial Model | |
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| The Interactive Model | |
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| Autonomy and the Question of Justifiable Paternalism | |
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| Truth Telling and Informed Consent | |
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| Thinking about the Case | |
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| The Central Values of Dental Practice | |
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| Case: The Cheapest Will Have to Do | |
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| Studying a Profession's Central Values | |
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| The Central Values of Dental Practice | |
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| The Patient's Life and General Health | |
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| The Patient's Oral Health | |
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| The Patient's Autonomy | |
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| The Dentist's Preferred Patterns of Practice | |
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| Aesthetic Values | |
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| Efficiency in the Use of Resources | |
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| Ranking Dentistry's Central Values | |
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| Thinking about the Case | |
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| Ethical Decision Making and Conflicting Obligations | |
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| Case: How Much Sacrifice? | |
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| Difficult Professional-Ethical Judgments | |
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| A Model of Professional-Ethical Decision Making | |
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| Identifying the Alternatives | |
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| Determining What Is Professionally at Stake | |
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| Determining What Else Is Ethically at Stake | |
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| Determining What Ought to Be Done (Ranking the Alternatives) | |
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| Sacrifice and the Relative Priority of Patients' Well-Being | |
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| Conflicting Professional Obligations | |
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| Conflicts Between Professional and Other Obligations | |
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| Conscientious Disobedience of Professional Obligations | |
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| Habits, Moral Reasoning, and Conscience | |
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| Thinking about the Case | |
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| Identifying the Alternatives | |
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| Determining What Is Professionally at Stake | |
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| Determining What Else Is Ethically at Stake | |
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| Determining What Ought to Be Done | |
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| After Judging: Choosing a Course of Action | |
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| Transition to Part Two | |
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| Ethical Issues in Dental Practice | |
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| Patients with Compromised Capacity | |
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| Case: Mrs. Morris's Wonderful Teeth | |
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| Treatment Decisions for Patients with Compromised Capacity | |
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| The Role of Parents and Legal Guardians | |
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| The Capacity for Autonomous Decision Making | |
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| Dealing with Patients with Partially Compromised Capacity | |
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| Thinking about the Case | |
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| Education and Cooperation | |
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| Case: Fear of Drowning | |
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| Supporting Patient Education and Cooperation | |
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| The Ideal Relationship, Respecting Autonomy, and Education | |
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| Integrity and Education | |
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| How Much Sacrifice Is Required? | |
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| Firing the Extremely Noncooperative Patient | |
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| Thinking about the Case | |
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| Bad Outcomes and Bad Work | |
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| Case: Dr. Singer's Vacation | |
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| Applying Professional Norms to Bad Outcomes | |
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| When the Patient Is Another Dentist's Patient | |
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| Three Situations | |
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| If the Patient Asks in the Third Situation | |
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| The First and Second Situations Revisited | |
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| When the Patient Doesn't Ask | |
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| Calling the Other Dentist | |
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| When My Patient Has Another Dentist's Bad Outcome | |
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| When the Bad Outcome or Bad Work Is My Own | |
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| Thinking about the Case | |
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| Working Together | |
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| Two Sets of Gums | |
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| Collaboration versus the Myth of the Lone Ranger | |
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| Collaboration between Generalists and Specialists | |
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| Working Together through Conflict | |
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| Impaired Dentists | |
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| Other Collaborators and Other Challenges | |
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| Thinking about the Case | |
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| HIV and AIDS in Patients and Dentists | |
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| Case: Best Friends | |
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| The Ethical Challenges of HIV and AIDS | |
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| The Obligation to Accept Risk and Its Limits | |
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| Caution Beyond the Universal Precautions | |
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| A Distinctive Pattern of Thinking | |
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| The HIV-Positive Dentist and the Risk to Patients | |
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| Should Patients Be Informed of the Dentist's HIV Status? | |
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| Testing Dentists for HIV | |
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| The Community's Responsibility to Seropositive Practitioners | |
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| A Dentist's Staff and Seroconversion | |
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| Thinking about the Case | |
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| Confidentiality and Patient Records | |
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| Case: An Unexpected Phone Call | |
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| The General Obligation of Confidentiality | |
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| The Health Professions and Confidentiality | |
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| HIV/AIDS, Confidentiality, and Other Caregivers | |
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| Confidentiality and Risk to Other Third Parties | |
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| Legally Mandated Reporting | |
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| Maintaining Appropriate Records | |
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| The Era of Electronic Record Keeping | |
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| Thinking about the Case | |
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| Social Justice and Access to Dental Care | |
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| Case: Distributing Health Care Resources | |
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| Social Justice | |
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| Basic Needs and the Just Distribution of Dental Care | |
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| Contribution and Effort as Possible Criteria | |
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| The Free Market View of Justice | |
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| Basic Dental Care | |
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| Thinking about the Case | |
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| Third-Party Payers and Managed Care | |
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| Case: But It Will Show! | |
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| The Arrival of Third-Party Payers and Managed Care | |
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| Impact on the Dentist--Patient Relationship | |
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| Capitation Programs | |
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| Adequate Treatment | |
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| The Obligations of Third-Party Payers and Managed Care Organizations | |
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| Advocating for Change | |
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| Thinking about the Case | |
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| Dentistry as a Business | |
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| Case: Happy Smiles | |
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| New Challenges for Dentistry | |
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| Ethical Advertising | |
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| The Competitive Spirit and Professional Integrity | |
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| Different Models and Philosophies of Dental Practice | |
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| Thinking about the Case | |
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| The Dental Profession and the Community | |
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| Case: Professional Organization or Commercial Enterprise | |
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| The Obligations of the Profession as a Whole | |
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| Chief Client, Central Values, and Competence | |
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| More on Competence | |
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| More on Central Values | |
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| Relationship to Coprofessionals | |
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| Availability of Services | |
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| Integrity and Education, and the Priority of the Patient | |
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| Thinking about the Case | |
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| Relationship to the Patient and to the Larger Community | |
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| Conclusion | |
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| Bibliographic Essay | |
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| Index | |