Avaliação do perfil dos profissionais da área de Ortodontia quanto às condutas legais

Abstract

OBJETIVO: avaliar as condutas legais e o comportamento na relação profissional/paciente utilizadas pelos cirurgiões-dentistas atuantes na área de Ortodontia. MÉTODOS: a população objeto do presente estudo foi constituída de 525 profissionais com cadastro na Editora Dental Press (Maringá/PR). A pesquisa foi realizada por meio de um questionário contendo 17 perguntas dirigidas a esses profissionais. RESULTADOS E CONCLUSÕES: a maioria da população consultada é especialista em Ortodontia; 75% dos profissionais utilizam algum tipo de contrato no consultório e/ou clínica; 73,7% dos profissionais solicitam periodicamente radiografias de controle; grande parte dos profissionais (58,9%) arquiva a documentação do paciente por toda a vida. Os profissionais consultados apresentam um bom conhecimento do Código de Ética Odontológica, principalmente do Capítulo XIV - da Comunicação.

Perception, knowledge and attitudes of Brazilian orthodontists on the treatment of Class II malocclusions

“…On the other hand, the literature indicates a possible change of the scenario in Orthodontics (Nunes et al 2010), in which women reveal major interest in the search for training. Confirming the literature (Paranhos et al 2011), specialization was the most prevalent level of professional qualification among orthodontists in the present study (59.9%). This finding is justified on the increasing number of specialization courses in Brazil (Paranhos et al 2008).…”

The importance of radiological documentation in civil lawsuits involving dentists: case report

“…Dental documentation is the property of the patient and must be delivered to the patient when requested or five years after the end of treatment, as an alternative to the perpetual archiving of the dental documentation. The delivery of all material from the treatment must be given to the patient, together with a receipt signed by the patient or by his/her legal proxy 11 . Nevertheless, many dental professionals still believe that dental documentation is merely an unnecessary bureaucratic activity, demonstrating their lack of information regarding the legal and ethical implications of their profession.…”

“…In the civil lawsuit related to the settlement presented in this article, the orthodontist failed to present any of the patient's orthodontic documentation. This specific documentation must consist of intra-and extra-oral photos, panoramic radiographs, and lateral teleradiographs, periapical radiographs of all of the teeth, and study models 11 . This well-executed and correctly filed radiological documentation, in cases such as this in which the orthodontist is summoned by the court, is of utmost importance in establishing, or not, a causal link 12 .…”

Professional profile, legal obligations, and conduct of orthodontists in terms of litigation prevention

“…With the enactment of Law 8.078 of 1990, known as the Brazilian Consumer Protection Code (BRAZIL, 1991), individuals began to claim their rights in court more often, considering this legislation made them the weakest side of the relationship (professional/patient) (SILVA et al, 2009;PARANHOS et al, 2011;SOARES;ARAUJO, 2013). Thus, when litigation occurs and the judge acknowledges the vulnerability of the consumer, the reversal of the burden of proof is declared in the discovery stage.…”

“…Authors affirm that the medical record of the patient is the most effective way to avoid litigation (MACIEL et al, 2003;BENEDICTO et al, 2010;PARANHOS et al, 2011); however, it is worth noting that this record should be well thought out, complete, and constantly updated. The documents composing the medical record consist of anamnesis, clinical evolution of treatment, photographic, radiographic, and tomographic images, informed consent form, as well as copies of prescriptions and medical certificates (GARBIN; GARBIN;LELIS, 2006;PARANHOS et al, 2011). Article 17 of the Brazilian Code of Dental Ethics (FEDERAL COUNCIL OF DENTISTRY, 2012.…”