학술논문

Epistemological and ethical challenges with removal of dental amalgam fillings / Kunnskapsmessige og moralske utfordringer ved utskifting av amalgamfyllinger
Document Type
Journal Article
Artikel
Source
Norske Tannlegeforenings Tidende. 117(14):884
Subject
Dental Amalgam -- adverse effects / Tandamalgam -- biverkningar
Dental Restoration, Permanent -- adverse effects / Tandlagning, permanent -- biverkningar
English Abstract / Engelsk sammanfattning
Ethics, Dental / Tandvårdsetik
Humans / Människa
Health Knowledge, Attitudes, Practice / Hälsomedvetande, attityder, beteende
Retreatment / Återbehandling
Practice Patterns, Dentists' / Klinisk tandläkarpraxis
Language
Norwegian
ISSN
0029-2303
Abstract
We have witnessed a long and heated debate on the potential health hazards from amalgam in dental restorations, and on the effect of amalgam removal. The debate reveals a series of moral challenges. Some of these are related to lack of evidence, e.g., how to act under professional uncertainty. Others are related to patient autonomy, professional autonomy and the dentist-patient-relationship. To acknowledge patients’ suffering in cases with uncertain etiology and treatment effects appears to be crucial in order to maintain trust. Some moral challenges concern the very professional identity of dentists: should methods without documented effect be used only to please or alleviate the patient? The amalgam debate illustrates that there is a close connection between professional and moral issues.