disclosure, the patient becomes upset and asks the…
Paediatric dentistry questions combine clinical management with age-appropriate considerations — LA dosing by weight, behaviour management. This exam-level vignette tests your ability to work through clinical details and arrive at the correct management.
During a lower wisdom tooth extraction, a dentist fractures the lingual cortical plate. The patient is still under local anaesthesia and unaware of the complication. The dentist manages the fracture surgically and believes the outcome will likely be satisfactory, but is uncertain about whether temporary paraesthesia may result. The dentist considers waiting until the follow-up appointment in one week to assess the outcome before discussing the complication with the patient. Following disclosure, the patient becomes upset and asks the dentist to explain whether the fracture was caused by an error. The Code requires the dentist to:
- A. Decline to comment on causation and advise the patient to seek independent legal advice if they wish to pursue the matter further
- B. Listen to the patient's concerns, respond honestly, and acknowledge any distress caused — while ensuring appropriate support is available
- C. Provide a written incident report to the patient and advise them of the formal complaints process with the Dental Board
- D. Explain that complications are a known risk of the procedure and that the consent form the patient signed acknowledged this possibility
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Section 3.10 continues beyond initial disclosure: listen to the patient's concerns and respond honestly (3.10d), offer an appropriate remedy or support (3.10e), and explain the steps being taken to prevent it happening again (3.10f). Option A shuts down communication and is inconsistent with the 'respond honestly' requirement. Option C jumps to formal process before addressing the patient's immediate emotional needs and questions. Option D deflects responsibility by citing the consent form rather than engaging with the patient's legitimate concerns — consent acknowledges risk, it does not excuse the practitioner from open discussion about what occurred.
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