Paperwork and Steps to Debond and Discontinue Braces from another Doctor's Orthodontic Patient
Amanda Wilson DDS MDS
Oral Health Expert, Orthodontist, CEO StraightSmile Solutions®, Mentor, Coach, Author, Speaker
Paperwork and Steps to Debond and Discontinue Braces from another Doctors Orthodontic Patient
I. Introduction
StraightSmile Solutions' Dr. Amanda:
• Navigate orthodontic cases for general and pediatric dentists.
• Guides practitioners through brace removal scenarios.
• Emphasizes legal safeguards and ethical considerations.
• Encourages practitioners to understand patient motives and contractual obligations.
• Ensures practitioners safeguard themselves with proper documentation and liability coverage.
• Comprehensive approach includes patient consultation, fee structures, and post-removal care.
• Provides clarity and confidence in managing diverse orthodontic scenarios.
II. Initial Assessment
● Differentiating scenarios: Regular patients vs. walk-in patients.
● Advising dentists to assess the patient's true intentions and reasons for brace removal.
● Reminding dentists to consult their dental practice act and liability insurance guidelines.
III. Legal and Ethical Considerations
● Discussing the contractual obligations between the patient and their previous provider.
● Highlighting potential liabilities if proper documentation and informed consent are not obtained.
● Emphasizing the need for thorough communication and clarity regarding treatment decisions.
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IV. Clinical Evaluation
● Advising dentists to assess the patient's orthodontic progress and potential risks.
● Stressing the importance of considering the stability of the patient's bite before agreeing to brace removal.
● Emphasizing the need for patient autonomy balanced with professional responsibility.
V. Documentation and Consent
● Explaining the necessity of obtaining informed consent and documenting treatment decisions.
● Introducing the Early Debonder Form as a tool for obtaining consent and outlining treatment terms.
● Recommending dentists to customize the form or consult with liability insurance for specific requirements.
VI. Financial Considerations
● Discussing fee structures for brace removal and related services.
● Differentiating fees based on the complexity of the case, type of braces, and additional services like retainers.
● Encouraging dentists to uphold their standard of care despite potential competition from lower-cost providers.
VII. Conclusion
A. Emphasizing adherence to standard of care
B. Encouraging thorough communication and documentation
C. Prioritizing patient safety and legal compliance
D. Acknowledging the potential for patient decision changes
E. Summary of key steps and considerations for dentists handling cases of brace removal for non-patients.