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Making decisions for children
1Children's Hospital and Regional Medical Center, Department of Pediatrics, University of Washington School of Medicine, Seattle 98105-0371, USA.
The Angle Orthodontist
|August 24, 1999
Summary
Parents typically make orthodontic decisions for children, prioritizing the child's best interests. As children mature, their involvement in decision-making, including assent, increases, fostering trust and future autonomy.
Area of Science:
- Pediatric Dentistry
- Bioethics
- Orthodontics
Background:
- Decision-making in pediatric orthodontics involves ethical and legal considerations.
- Parental authority is the norm, balanced by the child's evolving capacity.
Purpose of the Study:
- To clarify ethical and legal principles in pediatric orthodontic decision-making.
- To guide providers in navigating conflicts between parents and healthcare professionals.
Main Methods:
- Review of ethical principles, legal precedents, and decision-making models.
- Comparison of informed consent, parental permission, and child assent.
- Development of guidelines for provider-child-parent interactions.
Main Results:
- Parental permission is standard for minors, guided by the child's best interests.
- Child competency and participation in decision-making increase with age and ability.
- Distinction and application of informed consent, parental permission, and child assent are crucial.
Conclusions:
- Ethical orthodontic care requires shared decision-making, respecting the child's developing autonomy.
- Clear understanding and application of consent and assent principles are vital for successful treatment.
- Guidelines are provided to support providers in ethical pediatric orthodontic practice.
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