Which statement describes the consent process in pediatric dentistry?

• A. Parental consent plus age-appropriate assent; explanation of procedures, benefits, risks; respect autonomy
• B. No consent needed
• C. Assent replaces parental consent
• D. Only parental consent

Answer: (A)

In pediatric dentistry, obtaining consent is a collaborative process that involves the parent or guardian and, when appropriate, the child. The best approach is to secure parental consent plus age-appropriate assent, while clearly explaining the planned procedures, expected benefits, possible risks, and available alternatives in language the child can understand. This approach recognizes the parent's legal role in authorizing treatment and also respects the child’s developing ability to participate in decisions about their own care.

Assent is not a substitute for parental permission; it complements it. When a child can comprehend enough to be involved, asking for their affirmative agreement helps reduce fear, improves cooperation, and honors the child’s autonomy. If a child cannot understand or cannot give meaningful assent, parental consent still governs, but you should provide information clearly and document the discussion.