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Dental questions in Frank Norris's novel "McTeague".

Frank Norris's McTeague, one of the first novels in which the main character is a dentist and dentistry is central to the plot, has been a minor member of the American literary canon for over a century. Possibly because Norris was such a committed and practicing realist/naturalist, his characterization of McTeague as a believable dentist has not until now been questioned. Nor has his use or misuse of the California Dental Licensure Legislation of 1885 to bring about McTeague's downfall been subjected to historical analysis. Such analysis may cast doubt on the credibility and reputation of the novel.

California↗

[The dentist as communicator: the law].

Communication with the patient in dentistry: what the law requires. What does the law require with respect to the communication of dentists with their patients? The answer is first of all to be found in the Act on the medical contract, which is incorporated in the Dutch Civil Code, and applies also to dentistry. In this article, that act is discussed with a view to dental practice. Particular attention is given to the content and extent of the duty to provide information, and to the liability of the dentist who acts negligently on this point.

Communication↗

A brief guide to using a lawyer's mind in healthcare business situations.

A lawyer experienced in contract aspects of dental law explores the differences between the ways dentists and lawyers are trained to think about business problems and opportunities. Lawyers are trained to analyze situations to look for alternatives and apply the law to the facts of the case. It is the nature of the law not to have scientifically justified general approaches (what dentists might call parameters or best practice rules). For the lawyer, multiple sources of law, legislative, judicial and regulatory, coupled with the details of a case, provide the framework for decision-making. This can place a premium on finding a lawyer familiar with the field of law in question. Lawyers provide a valuable service in negotiating, mediating, and otherwise finding alternatives to litigation. Communication skills are essential because of the complexity of many legal situations and because the lawyer never decides the correct course of action for a client--the client must do this based on his or her goals and the alternatives presented.

Communication↗

Legislative action.

Explore the source record for details and available documents.

Education, Dental, Continuing↗

[Developments in civil and disciplinary law. A view of the revision of the Netherlands Society for Dentistry (NMT) administration of justice].

According to some people, the renewed Dutch civil disciplinary law is not fulfilling the expectations. Some procedures seem to be reductant for accused dentists. Besides the civil disciplinary law, also the professional disciplinary law of Dutch Dental Association is questionable. The Association is planning to change the current professional disciplinary law. However, the proposed amendments may have the consequence that a Dutch dentist more frequently will be faced with a civil disciplinary law procedure or normal civil law procedure.

Dentistry↗

[Duties of the dentist in emergencies].

Dental or medical practice is ruled by legal texts (Code Civil--Code Pénal), that are well defined and have to be known by all the practitioners. More capacity leads to more responsibility of each. Then it belongs to us to harmonize juridical capacity and individual competency.

Dentists↗

How the law affects the dentist.

Dentists should obtain from their local governmental dental licensing board a copy of the regulations that control their professional lives. These regulations should not be taken lightly because failure to follow them has cost practitioners their licenses and their livelihoods. Taking an active role in dental-related litigation is totally under the prosthodontist's control. His expertise is in extreme demand by insurance companies, our court system, and fellow professionals. Prosthodontists have the right to be selective in which matters they become involved but they should always be prepared, be thorough, and be objective.

Dentist-Patient Relations↗

OSHA safety requirements and the general duty clause.

Dental offices and clinics are subject to the same general safety requirements as other workplaces. Current guidelines, inspections, education, and training focus on infectious disease as the major workplace hazard for dental health care personnel (DHCP). However, the Occupational Safety and Health Administration has cited an increasing variety and number of general safety hazards during inspections of dental offices. A review of the general safety requirements for personal protective equipment and fire safety as they relate to DHCP follows. The authors discuss the responsibility of both employers and employees to perform workplace hazard evaluation and to implement education, engineering controls, and work practice controls to minimize their exposure to recognized and emerging workplace hazards.

Humans↗

[Legal aspects of sports injuries].

Victims of sports injuries have to be advised about aspects of legal liablity, especially in case of luxation or avulsion of teeth, since there still may be dental consequences years later. The transference of information by the first-aid-dentist to the sportsman's own dentist should take place with care. If the patient has no family dentist, the first-aid-dentist should at least keep the sportsman free of pain, for example by starting endodontic treatment. Because sports injuries mostly occur beyond normal practice-hours, there may be reasons to deviate from the clinical guideline.

Athletic Injuries↗

[HIV and dentistry. Part 7. The HIV positive dentist or student].

What should a dentist or dental student do when he happens to be HIV-seropositive? Should he or she disclose the disease to the patients or, in case of a student, to the university? Does he has to give up his practice or perhaps not even open one? Apparently, the legal regulations differ in various parts of the world. In the Netherlands dentists are advised to take their own responsibility in this matter.

Dentist-Patient Relations↗

[Free and informed consent in dental practice].

The right to give or withhold free and informed consent to care is basic, but has been eroded. Lack of consent to treatment could result in a charge of the crime of battery. The parameters of free and informed consent include autonomy, veracity, beneficence, nonmaleficence and justice. Consent may be implied, expressed or written; consent may be withdrawn, exceeded or limited. Informed consent is considered in detail and guidelines are suggested for the dentist. The problems of implantology are presented including the question of prepared consent forms for this treatment. Capacity to consent is described with particular reference to children, the aged and the mentally impaired.

Adolescent↗

[Complaints against dentists].

To get an impression of the claim-behaviour of patients of Dutch dentists, a qualitative survey was completed amongst eight out of the nine dental consultants of dental liability insurers in the Netherlands. After a literature-study and a test-interview, 11 questions were composed to get the information. It became apparent that the accused dentist is either the young, (too) enthusiastic dentist or the older one, who has lost interest in his job and follows no post academic education. Like in most western countries, according to literature, the most frequent topics patients complain about in the Netherlands are oral surgery, followed by fixed prosthetics, endodontology and recently periodontology. The main cause of the complaints is, according to the interviewed advisors, the lack of communication between the dentist and his patient. Moreover it became clear that dentists misuse their malpractice liability insurance as a second patient-insurance.

Adult↗

Comparative policies of two national dental associations: Norway and the United States.

The major issues and challenges confronting the dental professions in the United States and Norway were studied through speeches of and interviews with the presidents of the American Dental Association (ADA) and the Norwegian Dental Association (NDA) in the period 1980-86. The issues most frequently dealt with related to public authorities, particularly legislation and government involvement in dental practice. Anxiety concerning "busyness," the future dental market, and a drop in the quality of applicants to dental schools were also major subjects. The spokespersons of both associations were engaged in increasing the demand for dental services by marketing, but they were ambivalent regarding advertising, especially individual advertising. Both were concerned with protecting dentistry's autonomy. While the Norwegian presidents apparently feared the medical profession's influence upon dentistry, the Americans were concerned with the hygienists and denturists, and with the insurance companies which they suspected of intruding into the dentist-patient relationship. The presidents' statements, which frequently varied, were apparently influenced by the current domestic political climate, the basic socio-political principles of the two countries, and the different socio-demographic make-up of their memberships.

Humans↗