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Ethical Scenario 13


A child attends for a routine examination. They present with some staining on their lower first molar and it is asymptomatic. The father demands that the tooth be extracted. However, there is no indication for this. How would you manage the situation?
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​Excellent Candidate response
  • Firstly you would explain your findings clinically and radiographically to the patient and guardian
  • Then present the treatment options alongside their risks and benefits
  • Explain to the father that extraction is not indicated here and it is in the best interest of the patient (e.g. occlusion and functionality wise) to keep the tooth.
  • If the father persists, this should be flagged up with the safeguarding lead
  • Accurate notes must be taken as if not written, it didn’t happen.
  • One must not act outside the best interest of the patient.