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Ethical Scenario 11


A patient attends your practice for an extraction of an impacted lower 8 that’s close to the inferior dental (ID) nerve. On examination and radiographs, you find that a referral is best suited however the patient demands treatment in the dental practice. How would you manage this case?


​Excellent Candidate response
  • Explain your findings to the patient, both clinical and radiographic.
  • Explain all treatment options to the patient alongside their risks and benefits
  • Explain that this case is complex and outside your remit and it is in the best interest of the patient and their safety that they be referred
  • Prescribe any necessary analgesics or antibiotics if indicated to ensure the patient is not in undue pain and the symptoms are adequately controlled
  • Follow up the referral and keep the patient informed