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The consent process remains a pillar of excellent clinical care. The changes in the law after the Montgomery ruling in 2015 has changed the shape of consent, and now, taking adequate consent can be extensive and sometimes confusing for clinicians and patients. Dentists are sometimes faced with the unenvious task of weighing up what patients should know versus what they want to know.
This paper aims to describe the consent process for more common oral surgical procedures, helping clinicians to allow their patients to make informed decisions.
CPD/Clinical Relevance: To assist primary and secondary care clinicians in taking adequate consent for oral surgical procedures.
Article
Taking adequate consent before surgical intervention remains one of the foundations of good clinical practice; and is stipulated in the General Dental Council’s (GDC’s) document, Standards for the Dental Team.1
The legal stance on consent has changed following the Montgomery ruling in 2015,2,3 when the appellant, Nadine Montgomery, was not warned of the risk of her child suffering from shoulder dystocia at the time of delivery.2 The obstetrician argued that, although the risk of shoulder dystocia was high, the complications associated with this risk were rare.
The obstetrician in question further went on to say that, if each patient was warned about the risks of normal vaginal delivery (including the death of the baby), then every mother would opt for a caesarean section.2
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