Trevor Wilson, RDH, BSDH. How great that sounded especially as Trevor began his brand new joba job that at least two of his classmates wanted as badly as he did. Dr. Reeves not only seemed to have the same philosophy as Trevor, but she paid exceptionally well, and the office is state-of-art.

On his first day Trevor was thrilled to have made it through the first two patients without going over the allotted appointment timesand he did everything just as he had learned about standard of care. The third patient of the day was 21-year-old Kaleigh Ballantine. Dr. Reeves requested that Trevor use the electronic caries detector because Ms. Ballantine was new to the practice and had not had a thorough hard tissue assessment. Trevor even gloated a little because he was very familiar with the device. Trevor charted only one reading that strongly indicated a carious lesion, but he also noted several very borderline readings on the chart because he knew Dr. Reeves was a perfectionist and would want to know all possible trouble areas as she was evaluating potential lesions visually and tactilely during the examination.

Dr. Reeves sat down for the examination, chatted with Ms. Ballantine, and scanned the dentition with a mouth mirror. She looked at the charting of the potentially carious lesions and said, "Kaleigh, you have a significant number of problems. It looks like you're going to need eleven fillings. We'll want to do white ones, of course, because of all the bad news about our trusty silver fillings. The ballpark cost will be around $2100. Trevor, make sure Kaleigh gets on my schedule so that we can get all these carious lesions taken care of before she gets into trouble. Have the girls up front schedule quadrant by quadrant." Trevor sat dumbfounded.

What ethical standards might have been violated and what legal principles might be at risk?