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[The necessary ethical questioning regarding the caring relationship in dental telemedicine]
Michael Allouche1, Christian Hervé2, Philippe Pirnay1
1Laboratoire d'éthique médicale et médecine légale (LEMML), EA 4569, université Paris Descartes, Centre universitaire des Saints-Pères, 45, rue des Saints-Pères, 75270 Paris Cedex, France - Service odontologie-médecine bucco-dentaire, hôpital Albert Chenevier - groupe hospitalier Henri Mondor, APHP, 40, rue de Mesly, 94010 Créteil Cedex, France - Faculté de chirurgie dentaire, université Paris Descartes, 1, rue Maurice Arnoux, 92120 Montrouge, France.
Abstract:
Technological innovations in the fields of medical imaging and communication have enabled the rise of dental telemedecine. By transforming the usual caring relationship, dental telemedicine virtualizes the medical procedure and generates a mutation of the classical relational model that rearticulates the relationship between the dentist and the patient. It introduces a positive lever that must stay up to the appraisal of the benefit-risk equation, that an ethical questioning will help to evaluate for every patient. Dental telemedicine must be understood as a mean, and not as an end. It must not be fantasized as a universal dental care model. It seems to be recommanded to investigate systematically the technological innovations and the development of protocols thanks to ethical guidelines in order to evaluate a priori and a posteriori any kind of progress that might be considered.
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