The first part of this exercise was based on a

List each question and then the answer the question providing your rationale of why you answered the way you did, supported by what you have learned. Questions 1. What aspects of informed consent are important to this case? 2. What are your obligations to your patient as a dental hygienist? 3. What does the ADHA Code say about this type of situation? 4. Relate adult esthetic dentistry to current standards of care. 5. Using the ethical decision-making model, what action should Ms. Meyers take? 6. What have you learned from this situation or case study? CASE 2: To Sell or Not to Sell Carla Loiacono Concorde College, Texas Dr. Chris Hunt has been in private practice for 10 years in a suburb of a large metroplex. Dr. Hunt graduated from an Advanced Education in General Dentistry Program (AEGD) and associated in a large general practice for 3 years before buying a building and opening a solo practice. Although all phases of general dentistry are performed, the focus of the practice is moving toward adult esthetic dentistry. Ms. Lisa Meyer is a dental hygienist who has been in Dr. Hunt’s practice full time for 3 years and enjoys a great relationship with her patients and an active schedule. Ms. Meyer has been a full time practitioner for 6 years, and this is the second office in which she has ever worked. Her greatest professional rewards are the trust that has developed between her and her patients and the improvement she has seen in their oral health. Dr. Hunt recently completed a continuing education series on esthetic dentistry and hired a practice management company to review the office. The course director and the management team both stressed the importance of using the hygienist to “sell dentistry” to patients. The course and the management team both identified certain phrases and inferences hygienists should use to help the patient make the “right” choice. Dr. Hunt approaches Ms. Meyer and explains her new role to her. Ms. Meyer is uncomfortable with this change in her job duties because she feels that she would be using her professional position to possibly unduly influence patients toward making certain treatment choices. “Am I taking advantage of the trust that I worked hard to establish with our patients?” she asks. “No,” Dr. Hunt replies. “Actually, you are educating our patients about the benefits of the highest quality care. In fact, to make this arrangement more attractive I am including an incentive plan with cash bonuses for every case that you sell.” This statement concerns Ms. Meyer because she feels that these incentives may eventually place her own economic self-interest in conflict with the patient’s best interest.

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