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Ethical marketing in ‘aesthetic’ (‘esthetic’) or ‘cosmetic dentistry’ part 2

From Volume 39, Issue 6, July 2012 | Pages 390-406

Authors

Martin G D Kelleher

BDS, MSc, FDS RCPS, FDS RCS

Consultant in Restorative Dentistry, King's College Hospital, London SE5 9RS, UK

Articles by Martin G D Kelleher

Serpil Djemal

BDS, MSc, MRD, RCS, FDS (Rest dent), RCS Dip Ed

Consultant in Restorative Dentistry, King's College Hospital, London SE5 9RS, UK

Articles by Serpil Djemal

Nicholas Lewis

BDS, MSc, MFDS(Edin) FDS(Rest Dent) RCS

Consultant in Restorative Dentistry, The Eastman Dental Hospital, London WC1X 8LD, UK

Articles by Nicholas Lewis

Abstract

This is the second article in a series of three. It is essential to find out from patients what it is that they hope to achieve when requesting an improvement in their dental appearance. Their expectations, hopes and fears need to be explored in detail. The long-term biologic costs of some invasive procedures need to be explained to patients in advance so that they can make properly informed decisions. Failure to do so renders the practitioner vulnerable to a charge of behaving unethically. The differences between ethical marketing and selling are explained including the historic development of marketing.

Clinical Relevance: A practical approach, using a modification of the Edward de Bono Six Thinking Hats model is described to help ethical practitioners to develop sound treatment plans when dealing with complex aesthetic problems.

Article

Ethics relate to a voluntary framework of guiding principles which fills the void between laws on one hand and a ‘free for all’ on the other. In essence, ethics involve a moral code, or a set of principles, to guide behaviour when dealing with aesthetic dental problems. Ethics are different from laws and have sometimes been described as an ‘allegiance to the unenforceable’. In the case of dentistry, Dental Councils and Dental Boards in various countries have the power to suspend or to remove a dentist's registration, even when no law has actually been broken. Professional ethics and conduct are therefore enforceable indirectly because a dentist's registration with his/her regulatory body is at stake. Ethical behaviour is essential, not optional, if one is to have a successful career in aesthetic dentistry.

In general terms, patients, when they ask for help with what they might describe as ‘an appearance problem’ with their teeth would expect to be treated with fairness, decency, respect, honesty, truth and trustworthiness by their dentist. In seeking any aesthetic dental treatment to solve their perceived problems they would hope that their dentist would treat them as they would wish to be treated themselves.

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