Fixing it even if it isn’t broken – An ethical debate

Let’s just image, for an example, a patient requests that a functional and non-defective amalgam restoration be replaced. Let’s go even further, suggesting that even after the clinician, doing his full and ethical duty, has disclosed and explained all of the potential consequences to alternative restorations. The patient digs their heels in, and persists in…

Variety should be spice of your cementation life

What I quite often hear from our clients is how pleased they are when placing an IPS e.max restoration, mostly due to the flexibility of cementation selection. Crowns and bridges, for example, can be cemented according to adhesive, self-adhesive and conventional methods, whereas inlays and veneers can be cemented adhesively as usual. The Ivoclar Vivadent…

Getting to grips with the explosive demand for quality veneers

We’ve talked before about the increasing importance placed on veneers, and the explosive demand for veneers in recent years. A patient today isn’t just looking for a healthy and functional restorative solution: They also want an aesthetically pleasing result. All-ceramic veneers, being both biocompatible and aesthetically pleasing, are rapidly growing in popularity. IPS e.max allows…

From the cutting edge to the commonplace – Dentures throughout history

Yesterday’s innovation, today’s standard. Almost 3000 years ago, around 700 BCE, the Etruscans in northern Italy made dentures out of human or other animal teeth. They didn’t last long, but being easy to produce, were popular through the middle of the 19th century. The oldest useful complete denture, however, appeared in Japan in the second…

The ethics of aesthetics, Part 3 – The trouble with selling

Cosmetic dentistry’s rise to public awareness carries a delicate question about ‘selling.’ As we established ealier, the private dentist must operate as a business, and will often use aesthetic dissatisfaction as the genesis of a treatment plan. We also established that this is acceptable behaviour in today’s age of demand for aesthetic treatments. However, we…

The ethics of aesthetics, Part 2 – Informed consent

Combine more cosmetic dentistry awareness with increased media attention, and we find clinicians treating and managing many requests for personal image enhancement. Previously, patients wouldn’t ask for the treatments, or maybe even the requests were ignored. To some patients today aesthetics are of such importance that —even if clinically unnecessary— these procedures can no longer…

Despite the fact that these veneers quite often, and quite quickly fell off, they were quickly embraced – History of the veneer

We all know what a veneer is, and many reading this will be well versed in how to apply them to a patient. However, do we all know where the veneer came from, from its humble roots to its explosion in celebrity? I’ll explore this history, in case a patient or partner ever asks. Dental…

“The clinician may not feel that they can, or are ethically able to, do what the patient is asking.”

Imposing Aesthetic Preferences While it is their proper role to advise and guide a patient toward a treatment plan, aesthetics clinicians should not impose their own preferences rather than comply with the patient’s wishes. It can be argued that the success of any treatment or procedure is directly related to patient satisfaction. These days, patients…