Informed Consent: Process and Practice in the Context of Office-Based Oral Surgery

Informed Consent: Process and Practice in the Context of Office-Based Oral Surgery Eric R. Bernstein
Office-Based Maxillofacial Surgical Procedures, 18 October 2019; pp 125-141
Abstract
Informed consent is a mechanism for adherence to the ethical principle of patient autonomy; moreover, as a corollary to the ethical principle, it is a practical way of ensuring that patients are not deceived or coerced into or out of particular treatment decisions. Though informed consent is often “practiced” as merely the act of getting a signature on a form, it is more aptly conceptualized as a process with both ethical and legal implications. This chapter approaches informed consent first from a general overview of the concept and then with a focus on some issues of particular relevance in the context of office-based oral surgery. After presenting a brief history of informed consent, different approaches to informed consent are described and legal standards are discussed. The second half of the chapter explores informed consent with specific respect to elective procedures, pediatric patients and special needs patients, prescribing opioids, the administration of anesthesia, and implications of technology on informed consent.

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