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Informed refusal of radiographs — NDEB AFK MCQ

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ModerateEthics, Jurisprudence and Practice ManagementInformed refusal of radiographsNDEB AFK

A recall patient with high caries risk declines recommended bitewing radiographs after the dentist explains the findings and rationale. The patient asks for definitive restorative care without imaging. What is the most important consideration?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Document informed refusal and avoid compromised care

Patients may decline radiographs, but the dentist should explain risks, document informed refusal, and avoid providing care that would be diagnostically compromised. Consent is still required; taking radiographs without consent is not acceptable. The pearl is that autonomy does not oblige a clinician to deliver treatment below the standard of practice.

Reference: RCDSO Prescribing and Taking Dental Radiographs; RCDSO Consent to Treatment Standard