Consent

• What is the purpose of root surface debridement (RSD)?

  To remove sub gingival calculus
• How is informed consent obtained from a patient for RSD?

  By explaining the treatment process and its necessity
• What does RSD involve in terms of instrumentation?

  Instrumentation using USS and hand curettes
• What should be checked in the patient's medical history before RSD?

  Contraindications and medications affecting treatment
• What are the indications for RSD?

  Periodontal pockets measuring 4mm with BOP or 5mm+
• What are the benefits of RSD?

  Prevents deeper pockets, bone loss, and tooth loss
• How can radiographs (RADs) be used in RSD?

  To show the need for RSD and highlight issues
• What is required from the patient for RSD to proceed?

  Maintain a plaque score below 20%
• What should be explained regarding the duration and cost of RSD?

  It may require multiple appointments and costs
• What risks should be explained to the patient regarding RSD?

  It may cause pain, bleeding, and require LA
• What is the function of the USS during RSD?

  It sprays water and vibrates, causing discomfort
• What may happen to the root cementum during RSD?

  Some root cementum can be removed
• What post-treatment effects should be explained to the patient?

  They may experience sensitivity and gum recession
• How long is the healing period after RSD before re-evaluation?

  Three months
• What other treatment options should be discussed with the patient?

  Referral to another dentist or perio specialist
• What is the process after explaining treatment to the patient?

  Ask the patient to relay the information back
• What is the definition of informed consent?

  Permission given with knowledge of risks and benefits
• What age is considered a child in terms of consent?

  Under 18 years old
• What does it mean for a patient aged 16+ to be Gillick competent?

  They can consent if they understand treatment
• What abilities must a Gillick competent patient possess?

  Understand, retain, weigh risks, and communicate
• What happens if a 16+ patient lacks full capacity?

  Treatment must be in their best interests
• What is the role of a parent in a child's treatment decision?

  To challenge but not overrule the decision
• What is required for a child under 16 to consent?

  Understanding the nature and implications of treatment
• What does it mean for a child to be Gillick competent?

  They can make informed decisions independently
• What should be done if a child is not Gillick competent?

  Consent must be obtained from a parent
• What are the key components of informed consent in dentistry?

  • Explanation of treatment process
  • Risks and benefits discussed
  • Patient's understanding confirmed
  • Documentation of consent
• What are the differences in consent for patients aged 16+ and under 16?

  16+:

  • Can consent if Gillick competent
  • Decisions can override parental views

  
  

  Under 16:

  • Consent depends on understanding
  • Parental consent usually required
• What factors determine a child's ability to consent?

  • Understanding of treatment and choices
  • Ability to weigh risks and benefits
  • Freedom from pressure in decision-making
• What should be done if a child shows Gillick competence?

  • Allow them to consent to treatment
  • Involve parents for support
• What is the clinician's role in assessing consent?

  • Evaluate patient's understanding and capacity
  • Make final decisions in the patient's best interests