[THE NORMATIVE LEGAL SUPPORT OF ORTHODONTIC CARE OF POPULATION AT THE LEVEL OF SUBJECT OF THE RUSSIAN FEDERATION].

The article contends that in stomatology actual normative legal support does not handle all problems of both organization of orthodontic care of children population and control of quality of orthodontic treatment. It is assumed that in. conditions of updated federal health legislation additional efforts are to be made to enhance quality and accessibility of orthodontic care. Thereafter in the area of normative legal support procedures of organization of orthodontic care of population at the level of subject of the Russian Federation in conditions of orthodontic medical organization are to be developed additionally. The standards of curative diagnostic measures, standards of quality control, target indicators, and mechanism of audit of evaluation of effectiveness of orthodontic care at the stages of its provision.

Evidence or else: Concerning trends and the legal risks of unsubstantiated orthodontic-surgical practices.

BACKGROUND: Over the past decade, orthodontics has advanced markedly with digital methods, cutting-edge biomechanics, and 3-dimensional diagnostics. However, the rapid adoption of these innovations without rigorous evaluation of their evidential support has led to new unsubstantiated orthodontic-surgical indications. METHODS: This article explores emerging orthodontic practices, focusing on the interpretation of orthodontic principles and the reliance on imaging-based diagnoses. RESULTS: Strict adherence to mechanistic orthodontic principles and reliance on imaging findings can result in overzealous treatment protocols. It also emphasizes the state of knowledge regarding temporomandibular disorders (TMDs) and the lack of consensus and evidence-based guidelines. CONCLUSIONS: There is an urgent need for the profession to integrate TMD knowledge, adopt evidence-based practices, and critically evaluate new methods before implementation. PRACTICAL IMPLICATIONS: Orthodontists should move away from outdated mechanistic beliefs and integrate clinical knowledge from TMD research into their practices. Increased awareness and potential legal repercussions may drive a necessary reevaluation and stronger adherence to evidence-based methods.

Level of knowledge and understanding of informed consent amongst the training grade group orthodontists in England, Wales and Northern Ireland.

OBJECTIVE: To assess the level of knowledge and understanding of informed consent in UK orthodontic trainees. DESIGN AND SETTING: A cross-sectional, written questionnaire-based study. SETTING: Hospital orthodontic departments in England, Wales and Northern Ireland. SUBJECTS AND METHOD: A one page questionnaire which covered a range of legal issues pertinent to informed consent was circulated to 207 members of the Training Grades Group (TGG) of the British Orthodontic Society (BOS). The questionnaire consisted of four open questions with 11 responses, which the investigators considered to be ideal, seven closed questions requiring yes/no responses and one question requiring a yes/no response followed by two open responses. Following the initial circulation, a second posting to non-responders was conducted. RESULTS: The response rate was 61% (N=126). The mean number of complete answers to the 21 questions was 13 (62%; median 13; mode 14). There were a low number of complete responses to specific questions in the following areas - explanations patients need from clinicians prior to obtaining consent; how to fully judge if a patient is capable of consenting; how to manage a patient incapable of giving consent; the legal status of fathers consenting on behalf of their children; whether consent forms have to be re-signed if the start of treatment is delayed by six months or more and responsibility for obtaining consent for dental treatment under general anaesthesia. CONCLUSIONS: There was a disappointingly high proportion of incomplete answers to questions testing the knowledge and understanding of the law as it pertains to informed consent exists amongst members of the TGG of BOS.