What if a patient insists he/she wants the premedication even though they no longer need it?
Dentists are not obligated to render treatment that they deem not to be in the patient’s best interest, simply because the patient requests it. In such circumstances, referral to another practitioner may be the only solution. The ADA always recommends that a dentist exercise his or her professional judgment when applying any guideline as necessary in any clinical situation. Nevertheless, dentists should be aware, while the precise standard of care may vary from state to state, the American Heart Association (AHA) guidelines would likely be cited in any malpractice litigation as some evidence of the standard of care.
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