title: [Patients with unusual requests for extractions 2. Mental incompetency and psycho-pathologic causes].
abstract: If there is no indication for tooth removal purely based on dental criteria, but the patient requests for removal due to fear of dental treatment, or because of a mental disorder such as posttraumatic stress disorder, a somatoform pain disorder or a disorder of body image perception, then the question is whether the patient is mentally competent to make this decision. In case of a tooth removal request on psychopathologic basis, a dentist has to refuse to carry out such treatment, but he should make an effort to help or guide the patient in some other way.
authors.affiliation: Uit de Stichting Bijzondere Tandheelkunde (SBT), Amsterdam. d.broers@sbt.acta.nl
authors.forename: D L M
authors.initials: DL
authors.lastname: Broers
authors.forename: W G
authors.initials: WG
authors.lastname: Brands
authors.forename: A
authors.initials: A
authors.lastname: de Jongh
authors.forename: D L
authors.initials: DL
authors.lastname: Willems
mesh_terms: D003657:Decision Making; D016854:Dental Anxiety / Q000523:psychology; D003815:Dentists / Q000941:ethics* / Q000331:legislation & jurisprudence; D004990:Ethics, Dental; D006801:Humans; D016743:Mental Competency / Q000331:legislation & jurisprudence; D026684:Personal Autonomy; D017009:Professional Autonomy; D013001:Somatoform Disorders / Q000523:psychology; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology; D014081:Tooth Extraction / Q000941:ethics* / Q000523:psychology*