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Consent to orthodontic treatment--is it working?
Objective:
To determine the level of patient and/or parent recall of previous consent to orthodontic treatment.
Design:
Patients and/or parents of children who had been consented for orthodontic treatment were asked to complete a questionnaire on consent at least six months into their treatment.
Setting:
Bristol Dental Hospital.
Subjects And Methods:
Forty-one consecutive patients and eight of their parents, with a combined age range of 12-59 years, with 61% being female and 39% male. The patients, and where applicable their parents, were identified as having previously signed a consent form at least six months previously. Each was asked to complete a questionnaire on aspects of the consent process.
Results:
Patients and parents demonstrated a high level of recall for the consent process concerning appliance type (89.8%), the reasons for treatment (96%), risks (75.5%), length of treatment (83.3%), the opportunity to ask questions (96%), and whether other information was provided (94%). However, further questioning on risks demonstrated poor recall for important factors such as decay (36.8%), root resorption (less than 21%), retention (56.3%) and length of retention (35%).
Conclusions:
Overall the consent process works well but specific areas of concern centre around the risks of orthodontic treatment.
