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The various IMFs between identical molecules of a substance are examples of cohesive forces. The molecules within a liquid are surrounded by other molecules and are attracted equally in all directions by the cohesive forces within the liquid. However, the molecules on the surface of a liquid are attracted only by about one-half as many molecules. Because of the unbalanced molecular attractions on the surface molecules, liquids contract to form a shape that minimizes the number...
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Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...
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Money in Tension with Ethics: A Commentary.

David A Nash1

  • 1Professor of Dental Education and a professor of Pediatric Dentistry, College of Dentistry, University of Kentucky, Lexington, Ky., USA;,

Pediatric Dentistry
|January 17, 2018
PubMed
Summary

Monetary incentives can conflict with evidence-based dental care for children, raising ethical questions. This commentary explores these tensions regarding caries risk assessment and common preventive treatments.

Area of Science:

  • Dental Public Health
  • Bioethics

Background:

  • Monetary incentives in healthcare can influence treatment decisions.
  • Ethical considerations are paramount in pediatric dental care.
  • Balancing financial considerations with evidence-based practices is a persistent challenge.

Purpose of the Study:

  • To examine the ethical implications of monetary incentives in pediatric dentistry.
  • To analyze the tension between financial incentives and evidence-based clinical care.
  • To specifically address these issues in the context of caries risk assessment and preventive interventions.

Main Methods:

  • Commentary based on ethical principles and clinical evidence.
  • Review of existing literature on incentives and pediatric dental care.
  • Analysis of specific dental procedures: periodic oral examination, radiographic surveillance, topical fluorides, and pumice rubber prophylaxis.

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Main Results:

  • Monetary incentives may lead to deviations from optimal, evidence-based care for children.
  • The use of incentives can create ethical dilemmas for dental practitioners.
  • Specific preventive measures, such as radiographic surveillance and topical fluorides, are areas of concern.

Conclusions:

  • Dental practitioners must navigate the ethical challenges posed by monetary incentives.
  • Prioritizing evidence-based and cost-effective care is crucial in pediatric dentistry.
  • Further discussion is needed to establish guidelines for ethical incentive use in dental settings.