The relationship between specialized and technical work: the case of orthodontics from the perspective of amplified clinical bioethics

In the reorganization of the oral health field, the transition to team relationships is an ethical-political challenge. This is an exploratory, descriptive and qualitative study, and gathered data through semi-structured interviews with 11 orthodontists who were examined through discursive analysis. The results disclosed ethical problems, such as the ideology of professionalism, confusion of competences with technical work, and hierarchy in opposition to the construction of leadership. Amplified clinical bioethics revealed a tendency to stick to traditional knowledge and procedures. The search to overcome commercialization and hierarchy suggests that practice is becoming co-managed and qualified for deliberation, based on solidarity, dialogue and cooperation, from undergraduate to lato sensu graduate courses.