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Q. I am worried by two pieces of advice from the GDC about bleaching.
Q. A patient has requested their dental x-rays because they want to have dental treatment provided abroad where it is cheaper. Can I give them to the patient?
Q. My former practice has just contacted me to say that a patient is now complaining that there is a problem with a tooth I filled many years ago. She has regularly attended the same surgery and has been examined by two other associates. Can I really be held responsible for her problem?
Q. I am keen to involve my hygienist in providing tooth whitening in the surgery for our patients. What are the legal and training requirements?
Q. Using automatic external defibrillators without any training in an emergency in the absence of any trained users.
Q. I have joined a practice that is owned by a dentist who belongs to a different defence organisation. He has told me that I need to join his defence organisation because my dental nurse will not have indemnity. Is this true?
Q. Can I refuse to treat an aggresive patient?
Q. Can you tell me if the dental nurses assisting in the process of sedation need any particular training?
Q. Should I only see patients in the presence of a registered nurse?
Q. A patient was obviously in pain whilst being treated by the hygienist.
Q. My dental nurse wants to buy into the business which is registered as a dental body corporate. Is that legal?
Q. My dentist consistently omits to check the medical history form or get the patient to sign it.
Q. Do I need any additional indemnity when I am supervising a younger colleague?
Q. Do I need to buy an automatic external defibrillator for the surgery?
Q. Does my NHS practice have to register with the Care Quality Commission?
Q. How long have I got to comply with the decontamination guidance from the Department of Health?
Q. Is it advisable for a dentist to apologise if a patient experiences pain after treatment?
Q. Does the GDC define the training required for a dentist to provide dental treatment for patients under sedation?
Q. I have seen a radiograph reporting service on the internet which offers to provide a same-day interpretation of digital images for a relatively small cost. Am I at risk if do so?
Q. If an NHS patient makes a verbal complaint can it be resolved informally?
Q. I am a dental hygienist with training in acupuncture. Am I allowed to use these techniques in the dental setting and do I need any additional indemnity?
Q. I have been offered a job in an NHS practice in Scotland and want to know how it might differ from working in England
Q. I have been told that the Health and Safety Executive requires every dental practice to appoint a first-aider. Is that correct and what happens if the first aider has time off? Is it illegal to continue working?
Q. I will be inserting dental implants for private patients one day a week at a practice in Wales and have been told that I need to register with the Healthcare Inspectorate. Is this correct?
Q. What do I do with my records when I sell the practice?
Q. I am running out of space. Where and how do I keep my records?
Q. Could a male hygienist be vulnerable to accusations of a sexual nature from females unless there is a dental nurse or a chaperone present?
Q. I was unable to provide a current certificate of indemnity because I had let my subscription lapse and then forgot to renew the subscription. I have now been sent a letter from the GDC. What should I do?
I was breathalysed by the police banned from driving for one year. My conviction has been reported to the General Dental Council who have told me my fitness to practise is in question. What is now likely to happen?
Q. The dentist I work for is considering adding facial aesthetics to the list of services our practice offers to patients and wants me to train to use Botox and fillers. I am not sure that this is where I wanted to take my career. Where do I stand legally and ethically if I want to follow this up?
Q. If a patient wants to come to our practice for hygiene treatment, but retain their own dentist to provide dental treatment, what is the best way to obtain a correct referral to me, the hygienist?
Q. A new patient arrives at the practice late on a Friday afternoon with a loose crown. There isn't a dentist available but the hygienist has completed the course for temporary dressing placement/ crown recementing. Should the hygienist treat the patient?
My dentist has asked me to undertake tray bleaching for patients and has offered to train me. I haven't attended any courses or studied any theory on the subject. Would the GDC consider me competent?
Q. As a DCP, have experienced a couple of issues recently regarding infection control protocols in the practice. The senior partner says that he recognises the BDA infection control guidelines but that โguidelines' can be interpreted as he sees fit. Where do I stand here?
Q. If a patient is under 16, who can consent to their treatment?
Q. How long should I keep my patient records?
Q. What do I do with my records when I sell the practice?
Q. How does a clinician adhere to the Data Protection Act (1998) when ordering items for their patients from a dental laboratory?
Q. Can I accept a father's consent on behalf of a 17-year-old patient with learning difficulties?
Q. Are hygienists allowed to carry out power bleaching (with the use of light) and what proof of suitable training would be required to carry out this procedure?
Q. Should my nurse sign when writing up my patients' notes?
Q. I have just seen a new NHS patient who was extremely aggressive to both me and the dental nurse and I would prefer not to see him again. Can I refuse to treat him?
Q. I have been asked to give smoking cessation advice to a patient who is having multiple implants placed in 6 weeks time.
Q. We want to go paperless....
Q. Can DCPs take alginate impressions?
Q. I work as an associate in two different practices and am worried about the vicarious liability implications for the staff
Q. Can I take pictures of patients with a camera phone and send them to colleagues/specialists for an opinion or advice?
Q. What happens when the patient's cardiologist insists that in spite of NICE guidance, antibiotic cover must still be provided?
Q. If I refund the patient's fees, am I admitting liability and risking a future claim?
Q. If I receive a complaint from a patient by email do the new NHS regulations allow me to respond by email?
Q. If I scan medical history forms, consent forms, lab docs in an attempt to reduce the volume of our paper records am I obliged retain the original paper documents or will the scanned copies suffice?
Q. I have read that dental practice websites need to include a link to the General Dental Council website. Is this true?
Q. With the new NHS contract in England, there is no longer an NHS disciplinary process. Is it the same in Northern Ireland?
Q. What do I do about records when I move to a new practice and patients ask to be treated there?
Q. What should I do about obtaining the records of a patient who was treated abroad or who lives abroad?
Q. Is it reasonable to take an extra x-ray just for the record?
Q. I use a digital camera in my practice and frequently use these images when lecturing. Do I need specific consent of each patient, every time I use the pictures?
Q. I have closed circuit television (CCTV) cameras in my practice both for security reason as well as staff training purposes. What legal obligations apply to this material?
Q. I've received a letter from a solicitor proposing action against me; what should I do?
Q. When an NHS patient requests me to use a tooth-coloured material in their posterior teeth, must I comply with this request instead of using amalgam?
Q. I asked to see a certificate of indemnity from a new associate that I want to employ. The dentist in question showed me a brokerโs certificate for a policy backed by Lloyds but which had an excess of ยฃ5,000 for each claim. Is this valid?
Q. I have received a letter from the GDC advising me that my name has been removed from the GDC register for non-payment of my annual retention fee. I have been working without realising that my registration had lapsed and I have now requested a restoration form - is it ok to continue working in the meantime?
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