embodiment of hygiene and seduction, teeth are the key
of a smile and they hold a fundamental importance in all
relationships. A dentist carries out a role similar to
that of a medical doctor, which consists in preventing
and curing dental and gum related problems. Here are the
criteria for the choice and evaluation of a dentist.
due to the very nature of his services, feared by
youngsters and adults alike, first of all a dentist is a
patient and tranquil person, gentle and capable of
making a patient feel at ease. Whatever the subject
treated, the dentist is able to explain in both simple
and clear terms the therapeutic plan, the possible
alternatives, the costs and the implications of every
proposed treatment. For the more complex and
innovative treatments, the dentist is capable of
concretely showing his experience and the results
obtained in other analogous cases;
dentist and his staff comply with all hygienic
conditions, from the employment of mono-use gloves,
masks and caps, up to the sterilisation of each and
every single tool and piece of equipment, which foresees
three distinct phases: detersion,
cold sterilisation, sterilisation in autoclave.
If the dentist's office presents itself in disorder and
not well cured in its infrastructures, there is a good
chance that all the rest is of no better quality;
estimates, above all if they regard important
interventions, must be written with precise details
regarding both terms of service and materials employed,
and must be clear about the eventual evolution of parts
difficult to evaluate. It is also important to have a
lasting guarantee, that generally refers to data stably
shared by the scientific community and in reference to
healthy subjects: gold-porcelain crowns 7-12 years,
aesthetic fillings 7 years, implants 12-15 years.
rights, duties of the practitioner: the Florentine
Charter (Carta di Firenze).
March 31, 2005 there was the birth of a new way of
intending the practitioner-patient relationship in Italy,
promoted by numerous scientific bodies and by the
Medical Order. Here are the 15 essential points:
15 points of the Florentine Charter
relationship between sanitary operator and patient
must be such as to ensure personal autonomous choice.
relationship is parithetic;
thus it must not be influenced by disparity of
knowledge (who has medical knowledge commands, the
other follows), but established on a basis on
responsibility sharing and liberal criticism.
diagnosis/therapeutic alliance is based on the
mutual acknowledgement of the reciprocal
competencies as well as on mutual loyalty, on an
honest information and respect of personal values.
correct information contributes on ensuring the
assure its continuity and is a crucial element for
the patient's autonomous choices.
time dedicated to information, communication and
relations is curing time.
information demands a clear and shared language.
It must, more so, be accessible, comprehensible,
reliable, accurate, complete, based
on proof of efficiency, credible and useful (orientated
towards decision making). The dentist and/or medical
doctor must not discriminate on the basis of age
gender, ethnic group, religion, in full respect of
the patient's preferences.
clear comprehension of benefits and risks (negative
effects) is essential for the patient's choic , both
for medical prescriptions or other therapies in
clinical practice, as well as for his entry approach
to medical procedures.
declaration of any interest conflicts of business or
organisation must be part of the information
rendered to the patient.
regarding alternative therapies, on the
inequality of the service offers and on the best
diagnostic and therapeutic opportunities is
fundamental and it facilitates, in the possible
limit, the patient's free will of choice.
and prognosis must be communicated in a complete
way, in consideration or the patient's will, values
diagnostic or therapeutic choice must be based upon informed
consent from the patient or from the patient’s
tutor, if applicable.
dentist/medical doctor commits himself to respect the
individual's free choice even if in contrast
with his own interest and even when an objective
prejudice regarding health, or the patient's very
life, derives from it. Relationship continuity is
also ensured in this circumstance.
doctor is tied to the patients directives regarding
the therapies he may be submited to, were he no
longer able to express a choice.
multidisciplinary communication among all the
professionals of the Medical Health Bodies is
efficient when it provides coherent and unambiguous
information. Clinical information and
information relative to the diagnosis, the
prognosis and the patient pathology phase must
circulate among the practitioners. The same criteria
is applied to clinical experimentation.
and information skill development
must be included in the Medical Health professional
base training programs.
published: 21 January 2008