AK ethics

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Working group ethics of the DGZMK
(working group ethics)
AKEthikLogo.png
founding March 19, 2010 in Frankfurt am Main
founder Board of the DGZMK
Seat Institute for the History, Theory and Ethics of Medicine, University Hospital Aachen and RWTH Aachen University
purpose Development of ethical principles in dentistry
Chair 1st chairman Dominik Groß
2nd chairwoman Ina Nitschke
3rd chairman Dirk Leisenberg
Secretary Hans-Jürgen Gahlen
Members about 100
Website www.ak-ethik.de

The working group ethics (working group ethics of the German society for dentistry, oral and maxillofacial medicine , DGZMK) deals with the development of basic ethical rules in dentistry . The rules of medical ethics apply as the basis .

Target groups

The principles are aimed at dentists , Fachzahnärzte and oral surgeons with their respective teams, patients, professional organizations ( dental associations , dentists' associations , dental societies, dental interest groups), dental technicians and dental industry.

Supplement to medical ethics

The ethical challenges that dentists are confronted with in their daily professional practice are in some respects very specific and were not covered by medical ethics until 2010. This led to the establishment of the Ethics Working Group to close the gap in medical ethics. Some examples with ethical implications are the areas of “Cosmetic Dentistry” or “Wish-Fulfilling Dentistry”, the highly complex dental age assessment for refugees, the specific normative implications of geriatric dentistry and the particular relevance of dental visualization strategies.

The dentist's license to practice medicine , which is still valid in 2020, dates back to 1955 and therefore still does not provide for any training in ethical issues. As a result, there is (almost) no teaching and no teaching staff in this subject. In the dental model professional code (MBO-Z), ethical issues did not play an explicit role until 2010. The version of the model professional code adopted in May 2010 was accompanied for the first time by the Geneva pledge - in the sense of a silent voluntary commitment by the profession. There it says in § 2: "In particular, the dentist is obliged to exercise his profession conscientiously and in accordance with the requirements of medical ethics and humanity." Further ethical principles have been incorporated into the dental model professional code. In the law for the improvement of the rights of patients in 2013 numerous protective provisions were enacted in the paragraphs § 630c , § 630d and § 630e BGB, which are supposed to protect the autonomy of the patient.

Focus of work

The main areas of work of the working group ethics include:

  • the preparation of opinions on ethical issues in all areas of dentistry
  • the gradual implementation of clinical ethics in dental studies and the inclusion of the subject in the future version of the dental licensing regulations,
  • the integration of clinical ethics into continuing education and training in dentistry
  • promoting public relations work in the field of clinical ethics, d. H. the sensitization of dentists and representatives of the professional professions in dentistry for clinical-ethical questions and problems.

Statements and publications (selection)

  • Statement by the Ethics Working Group on the dental handling of SARS-CoV-2 and COVID-19
  • Ethical challenges in oral surgical implantology
  • Ethical challenges of digital change
  • “Indication first”: Dental implantology from an ethical point of view
  • The influence of clinical experience on dental students' ethical awareness (in Northern Germany)
  • Digitalization in Dentistry: Ethical Challenges and Implications
  • Dental Implants - Boom Without Limits? Considerations from a clinical-ethical point of view
  • Ethical dilemmas of dental implantology: ready for aftercare? '
  • Possibilities and limits of implant care in a palliative patient - an ethical case comment
  • "All-on-4" or tooth preservation: How directive can patient information be?
  • To the clinical-ethical case discussion: The clinical solution to the case
  • Specific needs of dental patients with dementia and their ethical implications
  • Clinical treatment pathways from an ethical point of view
  • Expert requirements for the assessment of treatment cases taking into account professional ethical standards
  • Aesthetics versus cosmetics? The wish-fulfilling dentistry in a critical view
  • Normative framework conditions for the recruitment and use of extracted teeth in research and teaching
  • Asymmetries in the assessment of orthodontic treatment needs
  • Clinical-ethical case analysis
  • Ethical questions in the dental age estimation of young refugees using X-ray diagnostics
  • Ethical aspects in the field of geriatric dentistry

Honors

In accordance with its resolution of April 4, 2014, the Ethics Working Group awards the Dental Ethics Award , which recognizes publications that promote awareness of ethical conflicts and problems in everyday practice or sustainably improve the level of knowledge in this area or show suitable solutions. The prize is part of the German Dental Day , the annual scientific symposium of the German Dental Association and the German Society of Oral and Maxillofacial Surgery, awarded.

Previous winners:

  • 2016: Bernd Oppermann - "The principle of informed consent in dentistry"
  • 2017: Ina Nitschke, Dominik Groß and Julia Kunze - "Specific needs of dental patients with dementia and their ethical implications"
  • 2018: Dominik Groß, Karin Groß and Mathias Schmidt - "Ethical dilemmas of dental implantology: ready for aftercare?"
  • 2019: Katrin Hertrampf, Dominik Groß, Gudrun Karsten, and Hans-Jürgen Wenz - "The influence of clinical experience on dental students' ethical awareness"

literature

See also

Web links

Individual evidence

  1. ↑ Hans-Jürgen Gahlen, 10 Years Ethics Working Group of the DGZMK - A Success Story , German Dental Journal, 2020; 75 (2), Deutscher Ärzteverlag. Retrieved June 11, 2020.
  2. ↑ Dominik Groß , S. Wolfart, G. Schäfer (2009) “Ethics in Dentistry” in an international comparison. Analyzes, concepts, initiatives. Dtsch Zahnärztl Z 64 (7): 410-418
  3. ↑ Model Professional Code of the Federal Dental Association , Federal Dental Association (2010)
  4. ↑ a b Dominik Groß, Ina Nitschke: Dental Ethics - Ethics in dentistry. In: Ethics in Medicine. 29, 2017, p. 1, doi: 10.1007 / s00481-016-0431-7 .
  5. ↑ Sample professional regulations for dentists , Federal Dental Association , as of November 16, 2019. Accessed June 14, 2020.
  6. ↑ Dominik Groß, Karin Groß: Ethics in dentistry: The 'sample professional code for dentists' from an ethical point of view . Königshausen & Neumann, 2002, ISBN 978-3-8260-2421-4 , pp. 41-69.
  7. ↑ Dominik Groß, Ina Nitschke, Dirk Leisenberg, Hans-Jürgen Gahlen, Statement by the Ethics Working Group on the dental treatment of SARS-CoV-2 and COVID-19 , April 19, 2020. Accessed June 11, 2020.
  8. ↑ Dominik Groß, Karin Groß, Taskin Tuna, Mathias Schmidt., Ethical challenges in oral surgical implantology , Der MKG-Chirurg 13/2 (2020), pp. 125-134.
  9. ↑ Dominik Groß, Karin Groß, Ethical Challenges of Digital Change , ddm 8/6 (2020), pp. 92–99
  10. ↑ Karin Groß, Mathias Schmidt, Dominik Groß, “Indication first”: Dental implantology from an ethical point of view , Implantologie 27/1 (2019), pp. 1–12
  11. ↑ Katrin Hertrampf, Dominik Gross, G. Karsten, Hans-Jürgen Wenz, The influence of clinical experience on dental students' ethical awareness (in Northern Germany) , European Journal of Dental Education 23/2 (2019), pp. 101-109 , doi: 10.1111 / eje.12408
  12. ↑ Dominik Gross, Karin Gross, Saskia Wilhelmy, Digitalization in Dentistry: Ethical Challenges and Implications , Quintessence International 50/10 (2019), pp. 830-838, doi: 10.3290 / j.qi.a43151
  13. ↑ Karin Groß, Mathias Schmidt, Dominik Groß, Dental Implants - Boom without Limits? Considerations from a clinical-ethical point of view , Zahnärztliche Mitteilungen 109/17 (2019), pp. 1824–1832
  14. ↑ Dominik Groß, Karin Groß and Mathias Schmidt, Ethical dilemmas of dental implantology: ready for aftercare? , Quintessence International 49/5 (2018), pp. 367-375 doi: 10.3290 / j.qi.a40050 .
  15. ↑ Peter Dirsch, Dominik Groß, Korbinian Benz, Jochen Jackowski, Possibilities and Limits of Implant Care in a Palliative Patient - An Ethical Case Commentary , Implantologie 26 (2018), pp. 187–192
  16. ↑ Taskin Tuna, Dominik Groß, Karin Groß, Stefan Wolfart, "All-on-4" or Tooth Preservation: How directive can patient information be? Zahnärztliche Mitteilungen 108/9 (2018), pp. 40–47
  17. ↑ Taskin Tuna, Dominik Groß, Karin Groß, Stefan Wolfart, On the clinical-ethical case discussion: The clinical solution of the case , Zahnärztliche Mitteilungen 108/9 (2018), pp. 48–55
  18. ↑ Ina Nitschke, Dominik Groß and Julia Kunze, Specific needs of dental patients with dementia and their ethical implications , Ethik in der Medizin ( special issue “Dental Ethics”) 29/1 (2017), pp. 71–84 doi: 10.1007 / s00481 -016-0426-4
  19. ↑ Dominik Groß and Karin Groß, Clinical Treatment Paths from an Ethical Viewpoint . “Ethics Section” of the national “Ethics Working Group” of the “German Society for Dentistry, Oral and Maxillofacial Medicine” as part of the “German Dental Association”, Ethics in Medicine (“Dental Ethics” issue) 29/1 (2017), p 87-92
  20. ↑ Mike Jacob and Dominik Groß, Expert requirements for the assessment of treatment cases taking into account professional ethical standards , Deutsche Zahnärztliche Zeitschrift 72/1 (2017), pp. 102–112
  21. ↑ Dominik Groß, Aesthetics versus Cosmetics? The wish-fulfilling dentistry from a critical perspective , Zahnmedizin up2date 11 (2017), pp. 207–222 doi: 10.1055 / s-0042-116613
  22. ↑ Groß, D., Lenk, C. & Utzig, B. Normative framework conditions for the recruitment and use of extracted teeth in research and teaching. Ethik Med 28, pp. 21–31 (2016). doi: 10.1007 / s00481-015-0343-y
  23. ^ Bettin, H., Spassov, A. & Werner, M. Asymmetries in the assessment of orthodontic treatment needs. Ethik Med 27, pp. 183-196 (2015). doi: 10.1007 / s00481-014-0293-9
  24. ↑ Dominik Groß, S. Wolfart, G. Schäfer, “Six Steps to Clinical-Ethical Case Analysis - The Aachen Teaching Project“ Dental Ethics ”” , Jena, July 1, 2011, University Clinic Aachen , Institute for the History, Theory & Ethics of Medicine and Clinical Ethics Committee. Retrieved June 11, 2020.
  25. ^ Mathias Wirth, Christoph L. Menzel, Daniela Chan Mi Lee, Heinz-Peter Schmiedebach, Ethical questions in the dental age assessment of young refugees using X-ray diagnostics.
  26. ^ Clemens Hoppe, Ethical aspects in the field of geriatric dentistry .
  27. ^ Winner 2016–2018 of the Dental Ethics Award , Working Group Ethics. Retrieved June 12, 2020.
  28. ↑ Winner 2019 of the Dental Ethics Award , UK Aachen. Retrieved June 12, 2020.