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Can Dentistry Have Two Contracts with the Public?

David A Nash

    The Journal of the American College of Dentists
    |December 25, 2015
    PubMed
    Summary

    Dentistry

    Area of Science:

    • Social contract theory
    • Professional ethics
    • Public health policy

    Background:

    • Learned professions, including dentistry, historically hold a covenantal relationship with the public.
    • This relationship involves trust and exchange of privileges for public good, focusing on oral health equity.
    • A shift is occurring, with dentists increasingly operating as business entities.

    Purpose of the Study:

    • To analyze the evolving social contract within the dental profession.
    • To examine the implications of dentistry's dual role: a public trust and a commercial enterprise.
    • To assess the impact of regulatory actions on dentistry's professional obligations.

    Main Methods:

    • Conceptual analysis of social contract theory applied to dentistry.

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  • Review of historical professional-public relationships.
  • Examination of recent legal and regulatory trends affecting dental practice.

    • Main Results:

    • Dentistry's traditional covenant, focused on public oral health, is challenged by a emerging commercial contract.
    • This dual contract involves exchanging services for price, akin to commodity trading.
    • Regulatory actions suggest dentistry cannot selectively benefit from both contracts without fulfilling associated obligations.

    Conclusions:

    • The traditional social contract for dentistry is being redefined by commercial pressures and regulatory oversight.
    • Dentists face increasing pressure to balance professional duties with business operations.
    • Future practice models must reconcile public service obligations with market-driven demands.