Normative Rahmenbedingungen der Rekrutierung und Nutzung extrahierter Zähne in Forschung und Lehre
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- 作者：Univ.-Prof. Dr. med. Dr. med. dent. Dr. phil. Dominik Groß…
- 关键词：Zahnextraktion ; Gewebe ; Informed Consent ; Kommerzialisierung ; Dokumentationspflicht ; Biomaterialien ; Tooth extraction ; Tissue ; Informed consent ; Commercialization ; Documentation requirements ; Biological materials
- 刊名：Ethik in der Medizin
- 出版年：2016
- 出版时间：March 2016
- 年：2016
- 卷：28
- 期：1
- 页码：21-31
- 全文大小：389 KB
- 参考文献：1.Beauchamp TL, Childress JF (2008) Principles of biomedical ethics, 6. Aufl. Oxford University Press, Oxford
2.Broers DLM, Brands WG, Welie JVM, de Jongh A (2010) Deciding about patients requests for extraction: ethical and legal guidelines. J Am Dent Assoc 141:195–203CrossRef PubMed
3.Bundesärztekammer (2006) Stellungnahme zum Regierungsentwurf für ein Gewebegesetz vom 04.09.2006. http://www.bundesaerztekammer.de/downloads/ZRegStell.pdf . Zugegriffen: 24. Nov. 2014
4.Chambers DW (1999) Faux ethics and the ethical community. J Am Coll Dent 66:36–42. https://www.dentalethics.org/coursematerial9.htm . Zugegriffen: 24. Nov. 2014
5.Council of Europe (2006) Recommendation Rec(2006)4 of the Committee of Ministers to member states on research on biological materials of human origin. Adopted by the Committee of Ministers on 15 March 2006 at the 958th meeting of the Ministers’ Deputies. https://wcd.coe.int/ViewDoc.jsp?id=977859 . Zugegriffen: 26. Nov. 2014
6.Vernillo A, Welie JVM, Naidoo S, Malamud D (2011) The challenges of oral-based diagnostics in extending the role of dentistry as a health care profession: property rights, privacy, and informed consent. J Am Coll Dent 78:33–40PubMed
7.Zentrale Ethikkommission bei der Bundesärztekammer (2003) Zusammenfassung: Stellungnahme der Zentralen Ethikkommission: Die (Weiter-)Verwendung von menschlichen Körpermaterialien für Zwecke medizinischer Forschung (20.02.2003). http://www.zentrale-ethikkommission.de/page.asp?his=0.1.22 . Zugegriffen: 24. Nov. 2014 - 作者单位：Univ.-Prof. Dr. med. Dr. med. dent. Dr. phil. Dominik Groß (1)
PD Dr. phil. Christian Lenk (2)
Dr. med. dent. Brigitte Utzig (3)
1. Institut für Geschichte, Theorie und Ethik der Medizin, RWTH Aachen, Wendlingweg 2, 52074, Aachen, Deutschland
2. Institut für Geschichte, Theorie und Ethik der Medizin, Universität Ulm, Ulm, Deutschland
3. Arbeitskreis Ethik der DGZMK, Schönenberg-Kübelberg, Deutschland - 刊物类别：Medicine
- 刊物主题：Medicine & Public Health
Medicine/Public Health, general
Gynecology
Intensive and Critical Care Medicine
Psychotherapy
Reproductive Medicine - 出版者：Springer Berlin / Heidelberg
- ISSN：1437-1618
文摘
Definition of the problem Every extracted tooth is primarily the private property of the patient concerned. It is subject to his or her autonomy-based right to self-determination. This largely undisputed fact contrasts with the practical need for extracted teeth for research and teaching. Thus, testing new materials and techniques for root canal fillings is inconceivable without the use of extracted teeth, as is the practical dental (endodontic, tooth preserving or prosthetic) education of future dentists as part of their university studies. Recently, there has been an increase in criticism of the conventional practice of acquisition and use of extracted teeth. Therefore, the present article is devoted to the question of how the ethical and legal conditions for the use of extracted teeth can be reconciled with the requirements of teaching and research. Arguments Related to this are the questions of (1) the indication for extraction, (2) the risk of commercialization and external pressure, (3) the appropriate time frame for informing the patient, (4) the extent of the duty to inform the patient and (5) the manner and the extent of the documentation. The article presented consists of an ethical and legal analysis of the problem areas mentioned above, taking into account the relevant legislation and available literature. Conclusion The study leads to the conclusion that the recruitment and the use of extracted teeth are ethically and legally permissible under certain clearly defined conditions. Keywords Tooth extraction Tissue Informed consent Commercialization Documentation requirements Biological materials