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Ethics; 'In consideration of the love he bears.' Apprenticeship in the nineteenth century, and the development of professional ethics in dentistry. Part 2. Hippocrates' long shadow.

This two part paper takes a look at the ancient institution of apprenticeship. As stated in the introduction to the first part,(1) it regards the conventions of the scheme as having had a positive influence on the morality, legal identity, and professional allegiance of dentists during the ethical development of their profession in the nineteenth century. The first paper looked at the particular application of apprenticeship through the evidence of indentures in the BDA museum. This second paper enlarges on the view that the wider social institution of apprenticeship was at least in part responsible for the development of the ethics of the dental profession.

Education, Dental↗

Fluoride and oral health: a story of achievements and challenges.

It's been nearly 45 years since Grand Rapids, MI, approved this country's first citywide fluoridation program. In that time the steady growth of evidence drawn from surveys and other research has yielded inarguable conclusions on fluoride's benefits to oral health. Today, it is one of the country's most heralded public health measures. By 1988, 41 of the 50 largest cities in the United States were served by fluoridated water systems. Yet in some communities the measure still draws fire. Antifluoridationists have charged, among other arguments, that fluoridation proponents are part of a Communist plot, aimed at poisoning the American people and taking over the government. Looking back over the past four decades, fluoride has had a role in a variety of arenas in American life: political, social, medical, and economic. This month's Emphasis takes a look at fluoride's heritage, and considers some of the most recent findings on its safety, benefits, and cost-effectiveness.

Dental Caries↗

Proposition 65 in the dental office.

In the mid-1990s, dentistry became included in enforcement activity for Proposition 65, the Safe Drinking Water and Toxic Enforcement Act of 1986. This year, 80 dental offices were served with 60-day notices for failing to post Prop. 65 warnings. The California Dental Association has been inundated with inquiries on what dental offices should be doing with regard to Prop. 65 requirements. This article provides a brief history of Prop. 65 and answers the questions most frequently asked of CDA.

California↗

Dentistry, amalgam, and pollution prevention.

California has issued fish consumption advisories because of mercury in lakes, reservoirs, creeks, rivers, and bays. Mercury in these waterways leads to the formation of methylmercury, which is toxic and bioaccumulative. Dental practices and other health care settings contribute a portion of this mercury. Government agencies are implementing programs to reduce mercury pollution. Dentists can reduce their contributions by implementing best management practices. They may also consider using pretreatment technologies as more information becomes available about their use and effectiveness.

Animals↗

[Legal aspects of the administration of local anesthesia in dentistry].

In this article the various legal aspects of the administration of local anaesthetics in dentistry are discussed. In general, a capable dentist is not liable for complications resulting from the administration of local anaesthetics, unless the complications could have been foreseen and prevented.

Anesthesia, Dental↗

Be all you can be.

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American Dental Association↗

The Health Insurance Portability & Accountability Act and the practice of dentistry in the United States: system security.

This article reviews the issues related to the Health Insurance Portability & Accountability Act (HIPAA) security rule that apply to dental practice. The security rule specifically addresses individually identifiable health information that is transmitted or maintained in electronic media. System security must be applied to the entire technical infrastructure for the practice environment as well as to the work culture on a daily basis and must be thought of as an enterprise asset. Security refers to all of the policies, procedures, tools, and techniques used to assure that privacy and confidentiality are adequately addressed in a healthcare system. HIPAA requires all covered entities that transmit or maintain electronic health information perform, and document, a risk assessment for security and develop a security plan to address major areas of concern. A self-assessment tool is provided in this article.

Computer Security↗