It is absolutely the duty of the dentist to tell you reasons for extracting or removing a tooth. A patient has a legal right to refuse a dentist’s recommended treatment. Accordingly, should a dentist proceed to treat a patient without the patient’s consent, the dentist is liable to battery.
This very true, even though the dentist meant well for the patient and performed the treatment in what was regarded as the patient’s best interest.
For instance, an unexpected pulpal exposure might creat a neet for root canal treatment. Before the dentist must proceed, he must obtain the patients consent for treatment even if the root treatment is a foregone conclusion, because the patient has the right to do with his or her body as he or she sees fit.
Emergency care requires consent. Therefore rather than immediately extracting a salvageable tooth in a patientwho has a severe pain, the dentist should first relieve the pain so that the patient can make an intelligent and informed decision about the proper course of treatment.
Many patients who seek immediate pain relieff by extraction regret having forgone root canal treatment. It is better to attenuate the pain with local anesthetic, pulpal extirpation, analgesics, or other pain relieving methods to allow the patient to weigh intelligently the choice bbetween tooth salvation or extraction unfettered by painful distraction.
The legal doctrine of informed consent requires that the patient be advised of the benefits, risks, reasonable alternatives and consequences of doing nothing .
Otherwise the patient may claim that he or she did not appreciate all the ramifications of root canal treatment, precluding a reasonable intelligent informed choice of treatment. In root canal treatment the choices are as follows:
1. Preservation of an existing tooth and avoidance of restorative replacemet with a crown, bridge or an implant.
2. Presevation of underlying alveolar support including a stringer abutment tooth.
1. Failure in some instances, necessitating retreatment, root canal surgery, or possible extraction.
2. Paresthesia, particularly if the the tooth is close to the mental foramen.
4. Fractureed endodontic instruments, necessitaing retrival
2. Waiting for further symptoms or signs if diagnosis is only a differential or screening and not final.
D. Consequences of doing nothing
3.Further loss of bone
4. Severe infection