Which of the following factors would make a…
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.
A dentist has been treating a patient for three years. The patient informs the dentist they have developed romantic feelings. The dentist also feels attracted to the patient. The dentist considers transferring the patient to a colleague at another practice and then beginning a personal relationship after a waiting period. Which of the following factors would make a post-treatment relationship MOST likely to be considered inappropriate under the Code?
- A. The patient was treated for routine check-ups over a short period and was not in a position of particular vulnerability during the professional relationship
- B. The patient had a lengthy treatment relationship involving significant emotional disclosure during treatment for dental anxiety and phobia
- C. The patient was referred to the dentist by a friend and had no prior relationship with the dentist before becoming a patient
- D. The dentist formally transferred the patient's records to another practice before initiating the personal relationship
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The factors that make a former-patient relationship 'usually inappropriate' include the nature and extent of the professional relationship and the vulnerability of the patient (Section 8.2c). A lengthy relationship involving emotional disclosure during anxiety management creates significant vulnerability and power imbalance — the patient shared deeply personal information in a context of professional trust. Option A describes a scenario with minimal vulnerability — short duration, routine care, no particular emotional dependence — making it less likely to be inappropriate. Option C describes the referral pathway, which is largely irrelevant to the vulnerability assessment. Option D describes an administrative step (records transfer) that does not address the underlying vulnerability — formal termination does not erase the power dynamic created during treatment.
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